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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />aUIljDUH; DEI?ARTMElN'f 5335 8 th S'fRElBl'r ZElI?H'iRUII.IjS, In 33540
<br />PhoneI813-7BO-~020 FaxI813-780-0021
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<br />PI,ANS RllIVImW rSIIi
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<br />''''tiER'" llA"B___itL=~?I!'A_ ____ ____ __ _ ________ _____ PHONE r!ON'j'wr78.s;-5~QO__
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<br />P1\Rf.!ElI, In II
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<br />NORK PRnPBEllJ I LJNElN CONSTRUCTION
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<br />
<br />(OBTAIN FROM PROPER'l'Y '1'A1< NOTWEl)
<br />
<br />o ATlDI'rION
<br />
<br />o 1\ I/rElRA'I'l ON
<br />
<br />[J RElPAIR
<br />
<br />[J INSTAl,I,
<br />
<br />[}snm
<br />
<br />f.J MOVE
<br />
<br />[) DEMOI.ISI/
<br />
<br />PRO!:'()SEn USE: [JSGI, FAMILY DWELIJI1TG
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<br />[h.1lJUl'I. FAI"in,y
<br />
<br />[J# OF ONITS
<br />[J SWIMMING POOL
<br />
<br />IJ MOBII,El 1I0t1Ill
<br />[] OTHER
<br />
<br />r:.J Cm,IMElR(! fA I,
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<br />[J INDl1S1'RTAT,
<br />
<br />CJ RE18TAURAHT & HElAImI DEPAR1'~1EN'r APPROVAL
<br />"ESCR I P',' JON OF WORK ---_iJ1:-1 '{/CcA/~-- _R- ~ ~___ _ __ ______ ____ _ _ ___ __ ______
<br />8lJIl,fJING SIZEl SQUARE FOOTAGE 118IGB'r
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<br />RillS IDElN'I'IAT, t
<br />(~OMMHlR(!IAT, :
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<br />A'I"r1\CH (2) PIlOT PI..Al1S & (2) BElTS OF BtJIJ,DING PLANS & (l.) SEl'r E1NElRrJ't P'ORt.18,
<br />A'I"IiAr!H (3) SE'l'S OF BUILDING PLANS & (1) 8E'l' ElNElRrJY FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRu~rION,
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<br />[] 8lJII,UINC3
<br />
<br />FE~TS REQUES~ED
<br />$__)'-,l;IflO' ~_~ VALUATION OF T01'A!, COI'8 'rRUCT I 011
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<br />IJ ElLBlCTRICAI,
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<br />--.-----_.___ AMP ~ERVICEJ
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<br />o FIDRIDA POWER
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<br />[J W.R.El,n.
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<br />[] Pl,lJt1STNG
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<br />U HB1CHI\N I (~AT..
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<br />$..---..-------- VALUATION UF t1ECHANCIAI, U1STA.I,l,ATTON
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<br />[J e~AS
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<br />LJ ROOF' INn
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<br />[J .9 PElr! rAW'Y
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<br />[) OTHER
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<br />TYPE OF' CONSTRUC!T ION: [J BLOCK
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<br />[J FRAHE
<br />
<br />[] STEEll,
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<br />[J OTHER
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<br />F I1HSHE/J FI,()()R ElIJEVATIONS
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<br />-.----.-------
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<br />I S PRO,! Ee'I' IN FLOCJl) ZONE AREA 0 YIllS
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<br />*****~**********************~*************************************
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<br />Cot1P ANy-_...-_L'f..~ () ^,,--Lo.1f/Jc-!~. u__.___ ....
<br />STATEl CFJRT OR RElGIST # ....u.__o,'Y.l.____ _____...
<br />CITY PROCESSI/:1(3 1t--_/537.____. ,__. . --_u...__o_ _.,
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<br />IIIUlo'rRICIAH
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<br />SJI3!T1\TIJREJ __u_
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<br />COl1PANY -____h________ _ _._____ __..__________.
<br />STATE e'ERT OR REGrST H
<br />CITY PROCE88JNl3 #
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<br />C ~()lvJ PAN Y -....-__._____._.___ ____.,.__________ ___ .... __._ _..____.______....
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<br />STATE CERT OR REGIS1' # _________.___.___._________..
<br />CITY PROCESSING #
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<br />Sllml\TIJREl
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<br />MBlr!HANICAT,
<br />
<br />******************************************************************
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<br />...o.....-.___________________.~._______._...,..,______,.______.
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<br />COlvfPANY __________._. __.__ ...____._______._...._ _ .._'__"'_..
<br />STATE cmRT OR REGIST #
<br />CITY PROC'ElSSING #
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<br />-..--..---...-....-..... -..-.-.--.-- ---.--.,...- .'.-
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<br />STGNATIJRBJ
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<br />*******************************************************~*********
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<br />OTUllIR
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<br />eXJf.1PANY
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<br />CI'rY PROCEl88ING # ------..-----.---__.___._u._________.
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<br />~._-_._._...._--_._--"------------------------
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<br />s It~11A'ruRE
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<br />*****************************************************************
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