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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DBPARTMBlNT 5:) 3 5 ~th S'l'RBlBl'l' ZBlPH'iRHILI.S I FI, 33540
<br />PhoneI813c780-~020 FaxI813-780-0021
<br />fJA'.rlll RlllOBlIVlllD ____ _______._.~--_
<br />PI.ANS RBlVIJlJW Jl'lllJll__,___ _.__,__
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<br />OHNBJR I S HAHEl 5 HCC__oer "-L~_{S~~_8e l t_N !-V~I~ tto~e..) PHONE CON1IIACT'PASC'(JPt:RMlT'SERVICE
<br />,JOB ElI'l'8 ADnRBl8S___]_~_50 Da.ir1-_ 'Rd. ---,-------------______________~3-?!i_~~53~
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<br />LElaAL DBlSCRIPTH)N, LOT(S)
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<br />BLOCK
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<br />Sl1BnrVISlOH
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<br />PARUBIJ ID #_35 - ~5"- ,;t/- Qg_~D -085"OO-ooao
<br />NORK PROPSBlD, DUBIN CONS'l'RtJC'fION ?J. ADlH'rION
<br />
<br />(OBTAIN FROM PROPERTY TAK NUT,CE)
<br />
<br />-..._-_.------~--_._..._--..--;---_..__...-....-
<br />
<br />o AIJI'ERATlON
<br />
<br />[1 REPAIR
<br />
<br />>
<br />[] lNS'nu.l,
<br />
<br />[J 8 ION
<br />
<br />Ll MOVE
<br />
<br />o DEMOl,ISII
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<br />PRopnSIilIl USEl, [Jsm, FAMII,Y PWIilLLING
<br />&&l.CDt1MBlRC rAl,
<br />
<br />OMUW'I - FAMILY
<br />o INPUS'l'RIAL
<br />
<br />0# OF tJNI']'S
<br />o SWIt1MING POOl,
<br />
<br />(] MOB Hi III IIOMBI
<br />II O'flUlIR
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<br />D RESTAURANT & HElAW'l{ VEPARTMENT APPROVAL
<br />\)\l]SCRII?'l'ION OF HORK __~ree.n ~~~L_lV\
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<br />COt.u'"~~~l-.t: )(l~ S t-. ~ -& l o..b
<br />Foo'rAGE __,I ~ [2-.1/1----
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<br />/Hil !GUT
<br />
<br />BUII.fHNO SIZE
<br />
<br />SQUARE
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<br />RaJ8 IDBlHTIAL ,
<br />CUI-1MBlRtlIAIJ I
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<br />AT'I'ACH \ 2) PLOT PI"A1l8 .& (J) BElTS OF B(JILiJING PLANS & (1.) SElT BJNliIRI11l FORMS.
<br />A'l"l'AnH (3) BEI'I'S OF BUILDING PLANS & (1) SIil'I' ElNIjJRGY FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NElli CONSTRUCTION,
<br />
<br />u/'auILllINf3
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<br />RBlRMIl'S RBlQIIIlrrBlD
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<br />$ b< f.e ;}.O, tJV
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<br />VALUATION OF '1'0'!'A1, CONS'I'RlJC'l'ION
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<br />1:...1 lilL,jjJCJ'I'RICAI.
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<br />AMI? ~IilRVICjjJ
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<br />FIl)RIPA POWER
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<br />W,R,&,fl,
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<br />o PI,UMBING
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<br />o HBlUHAN ruAr~
<br />
<br />$--,---,- VALUATION OF MECllANCIAr, INS'l'AI,LA'l'ION
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<br />o OAs
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<br />[J ROOFIW]
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<br />[J SPElCJIA1.'f'[
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<br />o OTHER
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<br />~'YPJjl OF CUNB'J'RUC'l'lON I IJ BLOCK
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<br />o FRANE
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<br />o STElEIJ
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<br />(] OTHER
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<br />p'llnSHBl/l FU)OR ElI,EVATIONB
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<br />I8 PROdElC'I' IN ):I"I,OOIJ ZONE! AREA 0 YIilS 0 NO
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<br />
<br />BUILDIlIR
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<br />CDro1PANY Pa.ve...'$ Ah~:'''N'\..i~_~............
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<br />STA'I'B! CER'!" OR RElGIST # ______ ,~~
<br />CI'l'Y PROCESSING ~qlq ~(7"1
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<br />..................................................... .=~~--:- f'"1~
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<br />Cm1PANY__________~_,....-..--.____
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />.~-----_.~..._._---._-......_-_.,"..--
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<br />a lGNA'ruRE
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<br />1llI.JlldTlUCIAN
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<br />8] GHATl1REJ ___..__'________________~
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<br />***********************************************************t***.*.
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<br />-------~_.-._-_...._......._,,-_._._----
<br />
<br />PLUMElliIR
<br />
<br />.------.--....--.-.
<br />
<br />COMPANY __________..__,__..,______
<br />STATE CERT OR ~IjJGIS'l' # ______,________
<br />CITY PROCESSING #
<br />
<br />8 H3NA'l'IJRIlJ
<br />
<br />MBlClHANI CAI,
<br />
<br />***********************************.****",**************'********
<br />
<br />-----------------..-. --------
<br />
<br />(!OIVJI?ANY _____________.._____.____.__._,__..______
<br />
<br />STATE CElR'f OR REiGIS'!' # ___________________
<br />CITY PROCESSING #
<br />
<br />SICUlATl1REl
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<br />****.********'******'***************.*~*******.*****'***""**'"
<br />
<br />O'fHIl!R
<br />
<br />COI<1PANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />------,---,..--.--
<br />
<br />8 Il3HA'l'URE
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<br />----.---...----.--..--....--
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<br />*********************.****************,*.*.*.****,***************
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<br />------~--------~-_.._.._--
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