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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUll,DING IlEI?AR'I'MElN'f 5335 8th 8'fREJEI'f Zl'llJ?HYRHII,I,S, FL 33540
<br />PhoneI813-780-~020 FaxI813-780.0021
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<br />OWIlER' S Il^,"E-D12nYlGLJllCCbnc,j c\ _ , _ _._.,_ ____ ____ _" '" PHONE CO"'1'M",7.'I,.::2:c. Y!2 1,..0"
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<br />LE1fJ1\L 1JE18CR I P'!'IOll: LO'I' (S) -LLjL~~t~h BU)CK _________..___ SUBIJIV IS] 01! ___..._.__....___......__
<br />PARCBlI, Wit 7(P -:;)/-11 -061(J -/0100'-0/1/0 (08TAIH F'ROM PROPER'l'Y 'l'Al{ NOTICE)
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<br />~WRK PROPBED I ~a:N CONSTRlJCTION [] ADm'rIm! OALTElRATION [) RI!JPAIR U INSTAr,!,
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<br />[) 8 mil
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<br />[] MOVE
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<br />o DEMOLISH
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<br />PRO!,>()8EIl liBEl I [.Jsr]I, FAMILY DWEI,LIlIG
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<br />[h.1tJL'1' I .. FAMII.Y
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<br />LJ COHMERC JA I,
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<br />[J INDUSTRIAT,
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<br />IlEJSCRIPTION OF
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<br />CJ RI11STAURANT & HEAI,TH DElPARTt.1ElNT l\.PPROVATJ
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<br />SQUARE FOOTAGE
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<br />A'I"rl\CH (2) PI,O'j' PI~Al1S & (2) SElTS OF BUIf,DINlJ PLANS & (1) SEl'I' ElNEJRrJlf FORt.1S.
<br />ATTACH (3) 8Ei'I'8 OF BUILDING PLANS & (1) SEl'f ENElRny P'ORr18.
<br />PROPE1RTY SURVl'llY REQUIRElD FOR ALL NEW CONSTRUCTION.
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<br />L_2? ~~.:..~_. --' VALUATION OF TOTAL CONS'fRUC'I'IOll
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<br />l'ERHITS REQUESTED
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<br />FINISHEllJ FT,UC)R ElI,EVATIONS
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<br />IS PROlTEC'I' IN FLOOlJ zemEl AREl1\CJ Y!1lS
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<br />STATEl CERT OR REGIST # _________._______.______._....
<br />CITY PROCESSINfJ #
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<br />STATE r!EJR'f OR RElGIS'I' #
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