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<br />ONNElR I S l1M1El _~/__ _ (" (f M #~ t _~_ ______________. _____ __ PHONE r'ON'l'J\(~'!'____ ___
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<br />,TOB BITE ADl1RBl8S_.L~()_~_____ ---ol3___~___~_L_______ ____ -___u _________________
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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUIWING IHlll?ARTMElNT 5335 8th S'fREE'r ZEPHYRHUIJS, P'L 331540
<br />Phober813-780-Q020 ra~1813-780--0021
<br />DATBl RllIellIVJlID
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<br />PAR""I, III ffjiJ- i.lIQ~~~4oo/ D~______!O~TAII'!ROM~P~~P"~'~\,TAK~~:~T':,,!__
<br />WORK PROPSElrJI %N W (iONS'l'RtJC'fION [] ArmnION o AUl'ElRA'rION [J RBlPAIR LJ JN8TAT,I,
<br />[JSIml 0 MOVEl 0 DElr10I,I811
<br />PROl?U8FJIJ USE: ~8GII' FANny nWELl,I1m r.-lt1tJt.1'I - FA1"iU,Y [J# OF mUTS [J MOBTI,El IInr1e
<br />C1Cm1MElRCIAT, [J I!1DUS1'RIAf, [)SNIr.1MING POUL IJ OTHER
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<br />IlEJ8CRIP'I'ION OF HURK
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<br />o REl8'l'AtJRAN'I' & IIEAl,TJ1 DHlPARTt.1ENT APPROVAfJ
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<br />BUILDING S 1 ZEl
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<br />RElSHHllNTTAT'1
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<br />A'l"l'ACH (2) PI,OT PIJAl1S & (2) 8El'I'8 OF BtJIJ,DIW] PI,ANA & (1) 8ElT I!JNEJRrno FDR~1S,
<br />A'I"l;ACH (3) SE'I'S OF BUtf,D!NG PI,ANS & (I) 8BlT ElNBlR(N FORMS,
<br />PROPERTY 8URVEY REQUIRI!JD FOR ALL NEW CONSTRUCTION.
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<br />~ERMITS REQUESTED
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<br />[] 8lJII,IJING
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<br />t._________.-.; VALUATION OF TOTAl, CONS'fRlJC'l'ION
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<br />STATE CElRT OR REGIS'!' #_
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<br />STATE CERT OR RElGlST # _________,__..._.______..
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<br />SIGN A'1'l JR EJ
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<br />COI'1PANY --.-------.---._____uu___________. ___.
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<br />STATEl r~IllRT OR RIllGI8'r #
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