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<br />~~~~ OF ZEPHYRHILL8 PERMIT APPLICATION
<br />BUILDING OEPARTMEN'l' 5335 8th s'rREBl'r ZEI?H'iRHUI~S, FL 33540 . .
<br />I?hoOElI813-780-0,020 li'&xI813-780..0021 ..'..~ . ._.. -::::l
<br />DA'rBl REOJUVIllO .......s:.L -'5 - to.....J
<br />PI~ANS RIllVIlllW rIll ---~--~'r,----_u--
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<br />,UlmER'S HANE_ ~\-o_~_..J\..._._Le ~d~_________..__________ PHONE CON'l'M!'~_&L3.-,,~1_Z~:_~Y5'4
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<br />1.IilGAL f)IllSCRIPTIOlJ: LOT(8) ---..!.-.J-l'-___ BIDCK ____.___ SUBDIVISJOH (2tr~~S~v-"=4~
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<br />'f J?l\RC!El, 10 # 31.( ~ 2.$ - ?:._L:90 lQ_~_Q)Q(?(]_- 10"- ()
<br />~WRK J?ROL'SEU: [JNBl~1 CONSTRUCTION ~ ADD l'rI 011
<br />
<br />(OBTAIN P'ROM PROI?ElR'l''l 'rAl{ NO'neE)
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<br />.--------.-.--~-_._-----___._~__....w...._~.~.._.___.__..__
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<br />o AIlrERATIOH
<br />
<br />[1 RElPAIR
<br />
<br />lJ l.NSTALI,
<br />
<br />[JSHiN
<br />
<br />o MOVE
<br />
<br />o DElMOl.! 811
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<br />I?RtWUSED USE: llSCJL FAMILY DWELLING
<br />
<br />[]MUW'I - FAMIlJY
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<br />0# OF lJNI'r8
<br />[]SWIMMING POOL
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<br />U MOB ILBl liot~Hl
<br />[] D'!'HHJR
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<br />[] Cot~MBlR(~ TAl,
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<br />[] INDUS'l'RrAJ~
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<br />o RESTAURANT & HElAW'H [)E:PAR'l't~ElN'r APPROVAL
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<br />x: "'."R,"'I'101< OF WORK __ 0dcLLb"",,-_.:t::'"_<!'J< ;-':;' , \..':, S T,,-v ~ 5..k.\~<L~______ _._
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<br />j. BU!L,IHNt3 SIZE t 2.)<14:__.__._.__ 7- SQUAREl P'OOTAtJE ___ It;,,f . HElll1H'l' _____.-,.__
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<br />RESIDENTIAL:
<br />COl'1MI!lRC!IAI. I
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<br />A'I''rA(~H (2) I?WT J?I.A1IS ~ (2) SETS OF Bll u,unm PI,ANS & (l) SEl'r BlNliIRGi' FORMS,
<br />A'L"l'ACH (3) SE'rS OF BUII,DING !:1LANS & (1) SID'!' ENIDRGY FORMS.
<br />PROPERTY SURVEY REQUIRED FOR AI,L NEW CONSTRUCTION.
<br />
<br />~ERMITS REQUESTED
<br />
<br />~ BIlILIJINf3
<br />IJ ElLBlC'I'RWAI,
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<br />-J.. $ -3,.9 c(). ,-
<br />----___ AMP ~ElRVWEl
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<br />VALUATJON OF TO'l'AL CONSTRUC'rION
<br />
<br />o FIl)RIDA POWER
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<br />o W,R,E,n.
<br />
<br />[] I?L,UI~BING
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<br />o 11ElUHA1HUAr,
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<br />$---_.
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<br />VAI,UATION OF MECllANCIAI. INSTAIII~A'l'T()N
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<br />(] GAS
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<br />L] ROOFWG
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<br />[.I S I?ElC1IAUl'Y
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<br />[] OTHER
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<br />'J'YI?El OF' CUN8TRUCTION I [] BLOCK
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<br />o FRAJilEl
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<br />[] S'l'EJElJ~
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<br />[) OTHER
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<br />P'UHSHEllJ FI.QOR BII~BlVATION8
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<br />r 8 I?ROdElC'I' IN FLOOD ZONEl ARElA 0 YBlS 0 NO
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<br />j C!ot~ PAN y---C.U~(y..<iL.~__ ___.. ._..... ._.___. _ ________.._.__
<br />......./.'............. STATE CElRT OR REGIS'!' # _______..._____.____..___
<br />~__________ C 1'1'Y PROCES SING L_ .__.._________________._.____________
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<br />)' SlGNATURIil _.:..,...:__\~
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<br />IllI~IllO'I'R lOr AN
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<br />COHPAHY _____ ______________ _ ______ ___ __
<br />STATE: (]ER'l' OR REGIS'l' #
<br />SlmlATlJRE --'---'---'__"h__-...--L\L~'.~ .L____.________ CITY PROCESSING #
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<br />PI~UMBBlR
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<br />8 Tl1NA'l'lIREJ .._____ .----.-...!.~QJ1._-€..-
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<br />(~orYJ PANY ---------________.,.____________..__..__.._._._____
<br />
<br />STATE CERT OR REGIST # _____________~__
<br />CITY PROCESSING #
<br />
<br />---.-'_..._---_.----.~_._---
<br />
<br />HBlCHANICAJ,
<br />
<br />***************-11**************************************************
<br />
<br />------._--_."--------~_._.__....-._--_._--
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<br />CO/vJPANY ________________..._______.___._._.___.__
<br />
<br />81'A'rE (~HlR'r OR REGIS'I' #_____________.__._____
<br />CITY PROCESSING #
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<br />S HHlA'I'UREl
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<br />..------------............-----.--
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<br />*A*************************h*************************************
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<br />OTHER
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<br />S IGHA'l'URE
<br />
<br />CO/.1PANY
<br />S'I'ATEJ CERT OR - REJi1iSTr--------..-----------.-.---.-
<br />CI'rY PROCES8ING # ------.------..____.------
<br />
<br />-_._-_._----------_._-~-----------
<br />
<br />*************************************-11***************-11***********
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<br />--..--- ~-------_......--..----.,-_..._---.~--
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