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<br />,JOB S I'l'El ADlJR1ll88.__'i.B.30..__19- -t_~___~_:ir~-et-:_________________._________.______._ _d_.__.
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII,fJING DBJl?ARTMBlN'r 5335 ath 8'rRElBl'f ZElPHYRHILI,S, P'L 33540
<br />PhoneI813-780-Q020 FaxIS13-780-0021
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<br />(OBTAIN FROM PROPElR'l'Y 'I'Al{ NO'I'H'El)
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<br />[] ADDITIClN
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<br />[] ALTERATION
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<br />[)SH1/1
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<br />[J RElPAIR
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<br />PRO/:'OSElIl USEJ I [Jsm, FAMILY DWELLU1G
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<br />0# OF UNITS
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<br />C]SNIMMING POUL
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<br />IJESCRIP'l'ION OF t10RK
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<br />o RelS'I'AlJRANT & HElAI,TII DBJPARTt1ElN'r APPROVAL
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<br />BtJIr,DING SIZE:
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<br />SQUARE FOD'rAGEl
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<br />REl8IDIllH'l'IAT'1
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<br />A'I'TACB (2) Pl,o'I' PLAl1S & (2) SElTS OF BUII,IJING PLANS & (l) 8E1T E1NElRGY FORMS,
<br />A'I"!;ACH (3) SE'rs OF BUiLDING PLANS & (I) SElT ENElfWY FORt18,
<br />PROPERTY SURVEY RElQUIREJD FOR ALL NEW CONSTRUCTION,
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<br />~ERMITS REQUESTED
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<br />$--------------' VAl,UATION OF TOTAl, CONs'rRuc'rION
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<br />VAI,UATION OF MECHANCIAI, U1S'!'AI"IJATTON
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<br />r.J ROUFING
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<br />FIN rSHElf) FT.r)OR EI,EVlITIONS
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<br />18 PRO,TElCT IN FLoon ZONEl AREA 0 YElS
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<br />Cor1 PAN Y ___.________________._____.__ ___., __. .__,_.. __._____.____.._ ~_
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<br />CITY PROCIllSSING #______.____.__,_._.____.____ _________.__._._
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<br />SIGNATURE!
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<br />COM PAN Y --___.____________________________.. _.. ..._ ___.________...
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<br />12 .~ A"'~ STATE CERT OR RElens'r # ______._._._.._~___._______..
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<br />CITY PROCESSING #
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<br />cI'ry PROCESSING # ____.._.____________________
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