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<br />,TOB S l'fE! ADDRESS . _. n6!L33__~_J! "!~__5L_~__.____ _~ . __. ___
<br />
<br />CITY OF ZEPHYRHII~LS PERMrr APPIJICATtON
<br />aU!ljDINCl DIllI?ARTMElNT 5335 8th S'fREm'f ZIllPHYRHILljS, P'L 3j~40 ,.
<br />I?honeI813-780-~020 ta~le13-780-0021 '.
<br />nATIll RIll(!2!lIVJlID ____l:,Il:"'p.J__
<br />I?I.ANS R!llVI!IIW J'llIiH'-n_~_'!: ,___._.
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<br />PHONE C()N'l'Af~'I'
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<br />LEOAL DESCRIPTION: LOT Is}
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<br />B IJoe; K
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<br />SUBlJIVISION
<br />
<br />-....--.-------........ ._._..~,---.....--_.._----
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<br />PARf.1ElIJ III It
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<br />-_._-~----_____M.-:-""'_ ____________.__.___._.._.______..____.___~_______.._......~._'_.____,_'~_.~________~.._..
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<br />(DBTAHI FROM PROPEJR'l'Y '!'AJ{ NO'I'H!Ill)
<br />
<br />WORK PRnPBElfll [JNBJW c'oNS'I'RtlCTION
<br />
<br />[] AI1DITIdN
<br />
<br />U AUl'ERA'rION
<br />
<br />[} RElPAIR
<br />
<br />IJ ] NeT1U,I,
<br />
<br />ClSWN
<br />
<br />fJ MOVE
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<br />o DEWJIIISI!
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<br />PROPOSEJI1 USEI I []SrJI, FAfvltLY DWELrIIlm
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<br />r-lt1UUl'I. FAHn.Y
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<br />U# OF tlNI'I'S
<br />[J SNU1MING POOl,
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<br />LJ MOB TI.El Itof1E1
<br />[J OTHIllR
<br />
<br />fJ Cm'1~1BJR(! lA [,
<br />
<br />[]UlDUS'l'RIAL
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<br />o Ral8'I'AURANT & HElAI1T!r DEltJARTt.1EJN'r APPROVAr-l
<br />lI.aCRrPTIO" OF WORK jt1q'~"._fb.1L SI!fL2~A 1?~--_AL7-:::::l--t:t'~ '?-----~---- ~- -, T ''-' ~
<br />8UII.THN(1 SIZE ---J.J'.'-1__?._________ SQUARE FOOTAGE -----8J2_____ HEIGHT .,-__CJ/~~.___
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<br />RESIDENTIAl'I
<br />(~O~1MBlR(~ 11\IJ:
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<br />A'I"r1\CH (:2) PI,OT PI-lA1IS & 12} SETS OF BtJII,nINI~ PLANS & 11) SElT E1NElRr.H:' FORMS,
<br />A'l'liA.(~H (3) SEl'I'S OF BU!r,rnNG PLANS & (1) SET ENERny FORMS.
<br />PROPERTY SURVEY RElQUIRED FOR Al,L NEVI CONS'I'RUCTION.
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<br />RBRMITS REQUESTED
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<br />Cl BllnIJIN(~
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<br />$
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<br />-~----._--_._-
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<br />VALUATION OF '1'OTAI-I COHS'I'RlJC'I'ION
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<br />[1 EJI,IllCTRHJAI,
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<br />------__._____ ANP SERVICEJ
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<br />o FI.oRIDA POWER
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<br />[J W . R . EJ . (! ,
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<br />[] PLllt18ING
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<br />o HBIUHAN'IC!AIJ
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<br />$---------- VALUATION OF tllElCHANCIAI, HIS'I'AI,IJA.TTON
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<br />[] (~AB
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<br />[.1 ROOFING
<br />
<br />[.1 SJ?EJCltAUl'Y
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<br />[) OTHER
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<br />1'Y'PIil OF' (HlN8'!'RtJ(~II'ION I [) BLOCK
<br />
<br />[J FRAMEl
<br />
<br />[J STillEr,
<br />
<br />[) OTHER
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<br />FINI8HEJ1J FLOOR IllIjElVATIONS
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<br />I8 PROltElC'l' IN FLOOD ZONEl ARElA. n YES 0 NO
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<br />BI1UnlllR /1 / /'I
<br />81(JNJ\TtJRSl ---~L
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<br />COr-1PANY ~_..___~________._______..______. __ __.____~._
<br />8'fA'I'El CElRT OR RElGIS'!' # ______.______.._.._____.__.__~..~__..__
<br />CI'rY PROCE:SSING lL__......_________________._.....___.._.__...._
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<br />1"*******,***,***,****,****,*****,,*******,*,,***,**,*"**'*"'"
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<br />IIJ,IIIC'rRICIA!l
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<br />S] mH\TIJREJ __.._
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<br />nO_ ~_._____. ___.___... ".__,______. ..___ _.."_~__._____._
<br />
<br />COf-1PANY..__________ _____________________..__. _ ____.__
<br />STATE CERT OR REGIS'!' #
<br />C I'I'Y PROc.'E188 INl~ #
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<br />"-.--..- _. ---'--". ~.- --'----'-"-"-'-'.'-----,,--, --""-
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<br />""'*""""'*'**""'*""'*""****'*******'*'*'*''*"**'*"*'
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<br />PJJUMBlllR
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<br />._._.~---_...~.~~.-..._--_.- -.----------- -----.------
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<br />(.'OM PAN Y -.-----_______.,.-_________......__..._..___._____.___..____
<br />
<br />8TATE CEJRT OR REGIS'I' # __________-'_____..___._....
<br />CITY PROCESSING #
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<br />SWNA'l'tJREJ
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<br />MBlClHANICATl
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<br />"'****'**'*',.,.,*-*****'****'*'**************'*'**'*'**********'
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<br />------..----- --- ~- -------_.~._-_.- '-'--'._'_-~--_._,--.....-
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<br />---------------------.---.....---,..------
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<br />COlvJPANY ________._________.______..___ ___._______._.. ..__..
<br />8TA'rE C'ERT OR RElCn S'1' #
<br />CITY PROCESSING #
<br />
<br />--..--.--.------------..------..--_____...__n_.
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<br />S TCUIA'I'lJREl
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<br />OTIIJIlR
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<br />S WHJ\'l'tJREJ
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<br />------__.__-.......0.-__
<br />
<br />COIIJPANY
<br />S '1' A 'T'El CElR TCiR-MG'fST'#----------------- ----
<br />CI'rY PROCESSING # -------.-----...--_______.
<br />
<br />-----......_-~------~_.._._"---------~_._-------
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<br />"********'**"******"*'*"'*'***'**'**"****"****'**'*'*'*'*"
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