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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING nBlI?ARTMBlN'r 5335 8th S'rREIll'r ZIllI?HYRHI[JI.S, P'L 33840
<br />PhoneIB13-780-~020 FaxI813-780-0021
<br />lJA'fBl RIllOIllIVIllD ____.." _ ~.~. ..____
<br />PI,ANS RHlVIBlW Jl'J!lIl______"..._ ____
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<br />U\1HElR'S ITM1El_.__A!I1Lt.!.'f-y -$4{;....12//;____ ___ ____ ____ ____ _..________ PHONE CON'I'M!'!'._.___._.__ _...
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<br />.J08 SITE ADDRE88 _...31!7:}2__~_~__~~_________ _______ .____.._________._
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<br />LIll(]TiL DBlSCR lP'l'tulT : LOT (S)
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<br />BU)(!K
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<br />SUBDIVISION
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<br />PARC!IllI, III # .JL:.Zi. -..2I:~_e~ / 9.._~_LIfZPc? .~-:: 0 /7"~________._~.~~TA..~:I_~~RC~~__P~_r.~~~~~_=_.'I'~~ ..~~~l~T.~~~_~_.
<br />\'lURK PROPSBlIJt [jlum C'ONS'l'RlJCTION rJ ADIJf'l'IClN []ALTElRA'rION Ll REPAIR IJ IN8TATJ!'
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<br />[]# UF {'NITS
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<br />[.] 1-10B JI,FJ I!OI1J1J
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<br />U (X.J~1MElR(! JAI,
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<br />[J INDUSTRIAIJ
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<br />IlESCR.tP'I'ION OF NORK
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<br />C:J REI8'I'AURANT & IIElAl.TH DEPARTt-1ElN"r APPROVAI~
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<br />8UJI,TlINn SIZE
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<br />._--~_._-" --------.-.-..,
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<br />SQUARE FOOTAGE
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<br />HE! !GUT
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<br />RESIDENTIAl'I
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<br />ATTACH (2) PLOT PI"AlTS & (2) SEI'I'S OF BUu,nHll3 PLANS & (1) SEl'!' BlNElRny FOR~1S,
<br />A'I"li1\(!!{ (3) SETS OF BUtIJIllNG PLANS & (1) SEl'!' ENEJRny FORt1S,
<br />PROPE1RTY SURVEY RElQUIRElD FOR ALL NEW CONS'l'RtJC'I' ION ,
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<br />[] 811I LIII Nf3
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<br />/I iERMI,!S REQUESTED
<br />$ 91..1200. ~
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<br />VALUATION OF TOTAL CONS'I'RtJc'rIOH
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<br />L1 ElI,ElC'I'Rl eM I
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<br />$---.-
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<br />- VAI..UATION OF MECHANCIAI, HlSTALIJA'I'TON
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<br />(] GAS
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<br />[] ROOFING
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<br />LJ SPHlctAI.'rY
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<br />[) O'I'HER
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<br />FIN ISHHJ1J FI,OOR ElIJEVATIONS
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<br />IS PROITElC'f' IN FLOO/) ZOI'lEl AREA n YElS
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<br />o NO
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<br />BUILlJ81R
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<br />COr1PAN Y__._ ______..._______ ____.. __"_____. ______.____.___.
<br />STATE CEJRT OR RElGlS'!' # __._..______._ ________._~....___._
<br />CITY PROCESSING It__. ._......_..__..____. ___, ._.._____..._
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<br />B1GNA'I'UREl
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<br />STATE CERT OR REnTS'!' #
<br />C!I'I'Y pROC'El8sn-m #
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<br />PI.tJMBBlR (~OfvIPANY _ _.__.____________._______.._.__.___.__.._. _ _.._._____ _. _._
<br />STATE: r:ERT OR REGIST # _______.___.____..._.._.___..
<br />SWNA'l'l1REl C I'l'Y PROCESSING #
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<br />COlvlPANY_______._._____._... ..__...__._______..__ .._._..___.
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<br />STATE CElRT OR RElGI8T #
<br />CITY PROCESSING #
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<br />8WII1\'I'URE1 --.---~-~ _._____._______.______ CITY PROCESSING # __-H:nrj;~.~~~_=~~_=.~:_=.:::=-.~-:=~~..:.-_-
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