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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATIO~
<br />BUILDING DIllPARTMENT 5335 8~ STRE~T ZmPHYRHILLS, FL 33540.
<br />PhoneI813-780-Q020 FaxIB13-7BO-0021
<br />IJA'rE RIlIOl!lIVEn -d-::-IL-i)3
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<br />!J81GAL DESCRIPTION: LOT(8)
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<br />BUX!K
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<br />SUBIJIVISJON
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<br />PARC1l!ll, In It
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<br />(OB'rAIN P'ROM PROPElR'rV '1'1\J{ N01'WIll)
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<br />HrJRK I?ROPSE[J I []NElN l'ONs'rRtlC'TION
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<br />LI INSTAl,!,
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<br />[Is IG/T
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<br />[J MOVE
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<br />PR(WOSEJIJ UBE: I [JSGII, F1\fvlILY DWELrJIW~
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<br />[]r1UUl'r. FAfvlII.Y
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<br />0# OF UNITS
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<br />[] INDUSTRIAlJ
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<br />U OTHI!lR
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<br />o R~:8T1\URANT & HElAl,TH DEPARTt~ElN'r APPROVAL
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<br />BtJILDIWl SIZE
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<br />RBl8IDElNTIALI
<br />(~OMMElR(!IAlJ :
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<br />A'I"r1\CH (2) PI,o,!, PIJA118 & (2) SElTS OF BUII,DIN<J PLANS & (1) SEl'r ElNEJRr~'i FORMS.
<br />A'I"liACH (J) SETS OF BUILJJtNQ PLANS & (1) SET ENElFWY FORMS.
<br />PROPERTY SURVEY REQUIRED FOR 1\LL NEW CONSTRUCTION,
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<br />}?EIU1I'AS REQUBlSTBlD
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<br />$__-?.ftJP VALUATION OF T01'AL CONs'rRuc'rION /'
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<br />FIN ISHEllJ FLOOR ElIJEVliTIONS
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<br />IS PRO,TElC'f' IN FLOOD ZONEI AREA 0 YBlS
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<br />BunnmR
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<br />cot~P ANY_.__....______..______._._....___... __."__'" ..__....____._. '___
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<br />81GNATlJRE
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<br />COMPANY --------""7""---------_..__.__."_________._
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<br />STATE CElR'l' OR REGIST # ________._______...
<br />CITY PROCESSING #
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<br />(!olvJPANY __________.___._..___________...._. __..__.__
<br />STATE CEJRT OR REGIS'r #
<br />CITY PROCESSING #
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<br />STGNA'I'UREl
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<br />(~01IIPANY
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<br />CI'rY PROCESSING # ---------.....--.------
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<br />S ImlA'I'UREJ
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<br />*****************************************************************
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