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<br />CITY' OF ZEPHYRHIIJLS PERMIT APPldCA'rION
<br />BUIMlING IHllPARTMBJNT 6335 8th S'rRBJEl'r ZBlPHYRUII,I,S, P'L 33/HO
<br />Phon.1813-780-~020 FaxI813-780-0021
<br />lJA'fBl RBC1B1IVllJn
<br />PJJANS RIllVIIIIW Jl'P:"
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<br />OwnER' 8 nAME -K'f_"I__~ ~ e L______ ______________ PHONE f!ON'j~n~JIJ3 .~-:i'i];;~,
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<br />,JOB SITE! ADlJREJ8S .5.'tyJ.lD:.~_~_L__________________________ ____ -.---..-----.._m______~_~ u,_ __ .'_'_
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<br />LElGAL DEJSC!RIP'I'IOll: LO'r(S)
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<br />BfJ()CK
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<br />SUBIlIV I SION
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<br />PARCEl, '" # _tLl. k-;'--L-"tlLJ1~ 0 D __. 0 ll.\Jl__ _________~O~ TAIl' _ !'ROM!R~ P.I;J""''. TA~~(~~'(",!_
<br />WURK PROPSE!D I LJNIlJl'1 CONSTRUCTION [J AfHJITION 0 A IlI'EJRA'I'ION [J RBlPA IR U ] N8TALI,
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<br />[) S IGll
<br />PRO),108EIl USE: I [\~8m, FAMIlJY DWELIJING
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<br />[J MOVE:
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<br />[J DEJfvlOI,ISII
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<br />r-Jf1lJUn.. FA/v1IliY
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<br />[]# OF l1IU'I'S
<br />[]SWH1MUIG POOL
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<br />lJ M08II,FJ H()t~E
<br />LJ OTHElR
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<br />fJ Cot1M!1IR(! JAr,
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<br />o INDUSTRIAl,
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<br />C:::J REISTAlJRANT & HEJAlmr DBlPARTt.1E1NT APPROVAf.,
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<br />])IDBCRIP'!' toN OF NORK J&jllt.u.;lIlj..fkt'__AL-~," ~~it!?A'~i$;.-@trrf~
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<br />BIJIJ,TJIN<l SIZE -.------.. --_.__ 8QU~~OO5W' ~"'-.:. 11m I 1'1' .___ ___._ ___
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<br />RE8IDElN'rIl\f1l A'I"I'ACH (2) PLO'I' PTJAllS & (2) SETS OF BUIJ.IHNG PI,ANS & (1) SElT ElNIilRI1Y FORMS.
<br />(~O~1MElRCIJ\fJ: AT'l;J\(!H (3) sm'I'S OF BU1LfJING PLANS & (1) SElT ElNElROY FORr1S.
<br />PROPERTY SlJRVElY REQUIREfiT FOR ALL NEN CONSTRUCTION.
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<br />~IS RBlQYBlSTl1lD
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<br />[) BlJIr.I.lIW~
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<br />$ I DO D._ VALUATION OF TOTAL COHs'rRUC'I'ION
<br />-.-.-.J.----_____._..__ .___
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<br />[J ELIilCTRlCAl,
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<br />---.-------__ Ar1P ~ERVICEJ
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<br />o FI,oRIDA POWER
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<br />[J W.R.El.n.
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<br />f] PWf1BIN(]
<br />U 1.1El<..!HANIC!ATJ
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<br />[] (JAS
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<br />r.J ROOFING
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<br />$.- --..--------.------ VAIJUATION OF f1EC'HANC'IAr, IlIS'J'AI,I,ATTON
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<br />[J SPEJr!tAUl'Y
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<br />[) OTHER
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<br />TYPEJ OF COl'18'I'Rl1C!TION: [J BLOCK
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<br />o FRI\NEl
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<br />[J STElEL
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<br />[) OTHER
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<br />F INISHBJfJ FI,OOR lllIJEVATIONS
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<br />IS PROITEJC''I' IN FLoor> ZONE] AREA 0 YHlS 0 No
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<br />::"::;::~RID -LLIL1~ _____ _____ ___
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<br />Er,!IlCTRICIAN
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<br />Cot1 P 1\ N Y___ _..Ow..JJ.i C_ . __________ __ _.._. __... . _"'_ .. _ ____._____._
<br />STATE! CFJRT OR RElGIS'!' # ...--------____._u___"._____.._.__
<br />C ITY PROCESS I NG tL__ _ ___.________________.. . _____.__.____._
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<br />8"/ <mATURE "_'_
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<br />.w___.~_._ _._~__u ._~~__ _.___._.___ ..__._____._______....___ '_ _________
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<br />cor1PANY_____ ___ _______.____.~__.___.___ _____
<br />S'rATE: CE:RT OR RE)(HS'l' II
<br />CITY PROCES8IN(~ #
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<br />-....-.---.... '--'.".-.-. _. .._.
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<br />PI,UMBBlR cm'l PAHY ---.-------------____m_____._____..__.__... . _._....___..__
<br />STATE CHlRT OR REGIST # _________.___. ___.__.________
<br />SWW\'l'lJREJ CITY PROCElSSING #
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<br />'* , * '* '* , , * " '* '* , *. , , , , , * , , '* '* * '* * " * , , * * , '* " * , * '* , '* , * , * , * '* * , , , , , , , , * , , * , * * * '*
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<br />MBlC!HANI CAl,
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<br />"***'***"*'*'*'*****"'*"******'**"'************"'***'*'*****
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<br />COlvJPANY _______.___.__._ .._..__..__________.__..._.__.....
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<br />STATE CElRT OR REGIST #
<br />CITY PROCESSING #
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<br />-----. ._-._~.---_._------._--~--- -.-----------.
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<br />SWl'IATlJREl
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<br />OTHER
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<br />--_.----_._------~._---_._---_._----
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<br />(!or.1PANY
<br />STATEl CE1RT"OR-RErjIST -fr--------.--------.--.
<br />Cl'rY PROCElSS ING # -------__ _________.________....
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<br />SImlA'l't1RRJ
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