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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING DEPARTMENT 5335 8 th S'rREIll'I' ZBJPHYRHII.IJS, P'L 33 I; 4 0
<br />Phone 1813 -780 -0,020 fax 1813 -780.. OO~~trBl RII<1BlIVllIn ~~:j__~/1::...@.
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<br />PI,ANS RHlVIBIW Jl'J!lJ!l______ ... __.__
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<br />ONNEJR'S ITM1E1___ ~~)-_~.Ji QI'f ~.;..~~__.___~_____.______.__._____ PHONE Cr)N'l'}V~'~._____.u_
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<br />,JOB S I'l'El ADlJRBlS8_~':-'.L.._...J.~_-'>_.__~<?..1.~"'!..u__l~IY'_f!:..._____ .,________ .'___'_'_ __n___ h___._
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<br />LElrJ1\L DBl8CRIP'l'WN: LO'l'(S)
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<br />BLOCK
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<br />SUB[JIVISION
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<br />PARCSl, III #
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<br />\'IORK PROPSElJ I [J NEW CONSTRUCTION
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<br />(OBTAIN FROM PROPElRTY TAX NfITTCEl)
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<br />[Je1mT
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<br />CJ AnIJI'I'WN [J ALTERATION [J REPAIR LJ INSTAI,I,
<br />o ~10VE [J DElMOI,ISlI
<br />[hmW'I. FAt-tln.y [}# OF IJNI'I'S r~,E !lonE!
<br />[J INDUSTRIAL [J SN IMMIWJ POur~ IJ OTHER
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<br />PROPOSED !JSE) I C1sm, FAMILY D\'1El,LIIKA
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<br />[] Cm1~1IllR(' JA I I
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<br />]lBlSCRIP'l'lON OF NORK
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<br />o RElSTAURANT & HElAlml DElPARTt1E1NT APPROVAT-l
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<br />BUUfHN(! SIZE
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<br />SQUARE FOOTAGE
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<br />IIEl WHT
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<br />RES IDElH'rIAJ. I
<br />(~O~1MIlIRCIAI, :
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<br />A'I"I'J\CH (;,]) 1'1,0'1' PIJAIlS & (2) SElTS OF BtJIf,nUTtJ PLANA & (1) SElT ENElRny FOR~1S,
<br />A'I"liAC!H (03) SETS OF BU!J,IJING PLANS & (1) SET ENE1R(~Y FORf18,
<br />PROPERTY SURVEY REQtJIREJD FOR ALL NEW CONS'I'RUC'TION,
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<br />~ERMITS REQUESTED
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<br />[] 8IJILlnNr~
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<br />$
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<br />VALUATION OF TOTAL CONSTRlJC'l'ION
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<br />101 ELElCTRWAl,
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<br />AMP ~ElRVICEJ
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<br />FINISHEllJ FI.oOR IlJI,EVATIONS
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<br />IS PRO,fElC'I' IN FI,OO[) ZONE J.\REAO YES
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<br />B1I.BlCTRIC!AH COf1PANY ----J:1.~--"'!?:=...________________._.___ ____.._._. ___'___
<br />STATE CElRT OR REnTST #
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