<br />CI'rY OF ZEPHYRHII~I~S PERMrr APPIJICATION
<br />BUIl,DING I>BJI?ARTMEN'l' 5335 8th S'l'RElBl'l' ZI!lI?H'iRHII,I,S, FL 33540
<br />I?honeIB13-780-n020 FaxI813-780-0021
<br />IJA'flll RB(1mIV1!JD ______.. _ __ ._.
<br />PI,ANS RIllVIBIW rill!
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<br />,TOB 8 l'I'El ADIJRE188.-?[tJ. 3..2f-3..8.--1J...33____~LW.._._.C a.s_~__b~_ .__________..., __. _____
<br />JJElGAL DESCRIPTIONI LOT(8) BU)CK SUBlnVISlON _____._____.._______.._._________
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<br />PARCBI, In 1t__.O;:;;L - 4_=~_=_11i2..~9 - _~~ / ()O_~_q s-S ___~~~~~_~:~__~~ROM _~~.(~~::..~2~~__'I~~~..~~~~.=.:~~__
<br />WORK PROPSEJfJr [JNB1W l'ONS'l'RtlCTION [J ADDITION DAL'I'ERATIOH [J REJPAIR IB1NSTAJ,I,
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<br />[] SIGN
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<br />[J MOVE:
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<br />o DEI'lOI,ISII
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<br />PRCH-'USFJIJ USE: I ClSGJ, FAfvlILY DWELIJIHG
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<br />Ch1tJW'I.. FAfvJn.V
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<br />0# OF UNITS
<br />[J SWn-IMING POOL
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<br />(] MOBII.El BOf1E
<br />[] OTHER
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<br />[) Cm']~1IllRC! JA I,
<br />
<br />[] INDlIS'l'RIAr,
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<br />IlEJ8CRIP'l'ION OF t10RK
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<br />D R);l8'I'AURANT & HEJAlmr DIllPAR'l'I,1EJNT AP.PROVAL
<br />-..I t) ~ + ~fL_JJ_~.uV __ ...;se:..~ ~_..LI._h~______.____
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<br />-_.._--~._-_._._--~- ~ --.._.~---_._-- .-.---..--.
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<br />8lJnrnNC~ SIZE
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<br />"'------------.. ---------
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<br />SQUARE FOOTAGE
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<br />- -.- --.-------------.----....,.---
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<br />11m r ml'r
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<br />REl8IDElNTIAJ'1
<br />COMMIllRC!IAL, :
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<br />- -----.._--~- --------.------
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<br />A'I"rACH (2) PI,c)'r PLAl1S & (2) SE'I'S OF BlJII,lHNl3 PLANS & (1) 8E1T ElNElRl1V FOR~1B,
<br />A'l''!'ACH (3) SETS OF BUILDING PIJANS & (l) SElT ENEfH3Y FORMS,
<br />PROPIllRTY SURVElY REQUIRED FOR ALL NEW CONSTRUCTION.
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<br />FERMITS REQUESTED
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<br />{] BllILlJnm
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<br />$
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<br />VAL,UATTON OF TOTAl, CON8'l'RUC'l'ION
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<br />[J EJIJBJCTRlCAI,
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<br />-------____ AI'lP SEJRVICEJ
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<br />o FIDRIDA POWER
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<br />[J W.R,El.C.
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<br />{.::y'p I ,Ul'l8 ING
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<br />LJ I1B:UH1\.NIC.~AIJ
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<br />(] GAS
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<br />r.J ROOFING
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<br />,
<br />$--.-".-------'------ VAI,UATION OF t-1EJCIIANUIAI, UISTAU,ATTON
<br />[J SJ?E(!J.AUl'Y [J OTHER
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<br />'l'YPE OP' CONSTRUCTION: [J BLOCK
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<br />[J FRM-1El
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<br />[] 8'I'ElElIJ
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<br />[J OTIJElR
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<br />FIN LBBETJ Fr,UOR ElI,EVr.TIONS
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<br />------...-------
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<br />IS PRO,TEC'l' IN FLoon ZCJNEl ARElA 0 YElS
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<br />[11'10
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<br />
<br />BUILI1I!lR
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<br />******************************************************************
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<br />CClt'lPANY..__.___________ _______.__________________ _ __._..._____._____
<br />STATE! CFJRT OR RElGlS'!' # ._______._._________._._.____._._.__
<br />CITY PROCESSING 1t___._____.__._________.___.___.....__
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<br />SIGNATURE
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<br />B1I,B1Cl'fRICUN
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<br />S] c31lA'l'IJREJ __..
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<br />COI1PANY____.___________.___________.___ _____~. __ _______
<br />STATE CERT OR REGTS'!' #
<br />CITY PROCESSING #
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<br />PIJtJMBBJR c(JMPANy-.J?Sf2g"d~ci_ P/~~L.t:5._.____._.______
<br />~ I STATE CBR1' OR RBGIS'':2#~ r:.E:,t;o'iP.~~
<br />SWHA'!'IJR _,_____~~,.--_- Cpry PRoeBsS THO ~ ____.______.,_..,.,_____._
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<br />MBlCHAIUCAI,
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<br />COlvfPANY _____
<br />STATE CElRT OR REGIST #
<br />CITY PROCESSING #
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<br />8 H.HIA'I'IIREl
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<br />OTlIllIR
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<br />COl..IPANY
<br />STA'I'Bl ciiiRT OR-REGIST W--------.-----------.-.
<br />CI'ry PROCESSING # ---..--____________
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<br />SWHATIJRE
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