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<br />CITY OF ZEPHYRHII~I~S PERMl'f APPI~ICATt:O~ c:J!lt...t! j::/z-2f.,-P3
<br />aUILDING nBJI?ARTMIlJN'f 5335 8th S'fRElBJ'r ZElI?H'iRUrr,I,S, Fl, 33~-------
<br />JilhonElI813-780-0,020 FaxI813-780..0021 .. .., .....,... :/'._ O.~
<br />lJA'rBl RB(1B1IVBln _~--:~~. .n__~
<br />PI,ANS RBlVIIlJW Jl'B1B
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<br />() sh (V/q ~W PHnNe (!r"nA"L~I31%'iJ?qo
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<br />,TOB a IT' .n,,~~~;-~13-Y~~_fb- _ -_ s:f~~~2I~ CG-_FC 33'3lJ2,__
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<br />UlmER I 8 llAl'1El
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<br />LEH]1\L DIllSt!R I PTIOl1: LOT (8) ___.L~..:-~ L_ BIDCK ____~..._ SUBllIV I S lOll ___.n.__...... _._,... .._"__"
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<br />PARCEl, In #--...i~.~.1 OQJQ_Q~Ll? DQlb.l______~~)~TA:~~._~~Rl~!.~~.~~~11.::_.'1~~~ ..~~~~I.=_~~._
<br />HORK PROli'8ElIl f lJNEJW C'ONS'l'RlJCTION [J ADDI'rIdtr ~EJRA'rION LJ RElPAIR LJ INSTA!,!,
<br />
<br />[J 8 mil
<br />
<br />[] MOVE
<br />
<br />o DEJt10l,ISIl
<br />
<br />PROP08FJIl USH:: [Jsr]!, FAMILY DWEJLI,I1KI
<br />
<br />[h1lJUI'I. FAMIl,Y
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<br />[)# ClF maTS
<br />
<br />[J MOBII.El llot11ll
<br />[] OTHER
<br />
<br />(] Cot'lMElRC! JAr /
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<br />LJ INDUS'l'RIA!J
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<br />[]SWHIMIHG POUI.1
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<br />o R~8'fAURANT & HEAI,TH DEPAR'n1ENT APPROVAL
<br />"aSCRIP'r LON OF WORK --~/=L~ 1hrQOl'>L -h~i 3 fi~___~",~e._",:,,,,.. ~.?_h1:l'___ ____
<br />BtJlr,nINC~ SIZE .______..__.....__.__ SQUARE FOO'I'AtJE ________ IIEl1l1I1'I' ..._Zt;~t.~ Ll
<br />
<br />Rl:llS IDElN'I' I 111, I
<br />(~O)\1MERC!IJ\T, I
<br />
<br />A'I"rACH (2) PI,O'I' PL,Al1S & (2) SETS OF BUII,DINr~ PI,ANa & (1) BEl'I' EJNElRr~y FORI'18,
<br />A'l"I;ACH (3) SETS OF BUILDING PLANS & (1) SET ENERny FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUC'I'Irn~.
<br />
<br />[] 8\III.JlINr3
<br />IJ Ell,EC'I'RlcAl,
<br />~~Jt1BING
<br />lJ HEI(~HAN WAY,
<br />
<br />iERMITS RKOUESTED
<br />L_.J)~90 --.____c VALUATION OF TOTAL CONS'I'ROC;TION
<br />------------- MIlP SERVICE 0 FIlJRIDA POWER [J W. R. 8. n,
<br />
<br />[) (3A8
<br />
<br />[J ROOFING
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<br />,
<br />$.... ......----'------ VAI,UATION OF tIjIlJCHANCIAr, HISTAI,IJATTON
<br />
<br />[J BPEC1IAUl'Y [] OTHER
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<br />TYPE OP' C;OH8TRUC!TIDN I [J Bl.OCK
<br />
<br />[J FRAt;JEl
<br />
<br />[] STEElIJ
<br />
<br />[J OTHER
<br />
<br />FINISHEIJ PI/DOR EI,EVA'rIONS
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<br />IS PReXTEJCT IN FLOOD ZONE ARElA [J YElA
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<br />o NO
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<br />BunnBlR / #.//
<br />81GNATtJR~._._.:~If?4-
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<br />------_..~-
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<br />Cotlj PAN Y____.. .__....__.____ _ ___ ___.._.. ... _._... _ ..___.____....__
<br />STATE CHiR'!' OR REGIS'!' # _..______..___...____._. ___'__
<br />CITY PROCESSING #
<br />--~"~- - ._--~-~..- ._~-...~ -..__._--_._._.~-- . -"--.---... --. --- ~.-..-
<br />
<br />******************************************************************
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<br />::'::::~::1~!l!~.._ _.n__ __ ~~~!~:~~~~~~~::~E~iS;l;-i~:~:=-:-~-:-
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<br />PIJUMBBlR ~~
<br />SI(mA'1'lJREl , .
<br />---.-..... --. -- -- .
<br />
<br />******************************************************************
<br />
<br />
<br />COMPANYJ.=:-~~4t ~-~/l-C;-Cl___._
<br />STATE CERT OR REGIS'!' # ____________.__._____....
<br />CITY PROCESSING #
<br />
<br />--.._-~-~_.. -.____ 0_______. _ _._____ _.__".__.. __..._._~._
<br />
<br />MBlCHAIHCAJ,
<br />
<br />******************************************************************
<br />
<br />.-..---.-....-- --------~-----_._..~--------~..~
<br />
<br />........_._-_..~-----~---.._-,.--.-.._---.....-----,...._---_.-
<br />
<br />cOHPANY__..______.__..
<br />STATE CERT OR REGIST #
<br />CITY PRUCESS!NO #
<br />
<br />----~.._---_._-.- "'-'-'-'_._--'-~~- ----.--
<br />
<br />8 Ir.3NATlJRE
<br />
<br />**************************************~**************************
<br />
<br />_._--_.~-----_._--_._--------.,- ._---~._~
<br />
<br />OTHER
<br />
<br />-----------.._-_.~._----
<br />
<br />COt.1PANY
<br />S1'!\TE CBlRT OR-REGIST -tr--~---'-------'----- "'-~'---'_."._--,--
<br />CI'rY PROCESS ING # -----------.------.---------__.
<br />
<br />--_.~_...".._--~---~-----------------
<br />
<br />SWIIA'l'lJREl
<br />
<br />*****************************************************************
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<br />-----..---- ....- ,._._-_._---_.~---_.-..- ....-.. '.'-.-. ..__.- >----_..
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