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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUUDING IllllPARTMEN'r 5335 eth S'rREm'r ZEPHYRHILI.S, ll'L 33Ei40
<br />Phon.le13-780-~020 ra~1813-780-0021
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<br />,TOB SITE ADDREJ88 ------~9\Q.-__\~~__S"I._'_________________________________._
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<br />LEl<JAL DBJSCRlP'rIOlll LOT(S) _____.__l}~II..\~~,\,BrJOC'K __~\b<?~~').I~UB[JlVI810U __________.______...__
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<br />WORK PRnpSElIll UNBl\1 CONSTRUCTION [J ADDI'rIdN [~1'rrjI'ERAirrOl~ [J RElPAIR U INSTAI,I.
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<br />[J 8 JOll
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<br />o MOVE
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<br />PROI?OSElll USE! I r~IJ FAMIIJY DWElLI,IHrj
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<br />[1# OF lINI'I'S
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<br />o INDUSTRIAJJ
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<br />C:J RElBTAURANT & HElAlmr DEPARTr1ElNT APPROVAL
<br />DESCRIPTION OF NORK .--Rili~.h~__ I SD A- ~1J~<Qc:uA~fdut.ek~._~~_j{~-.t.~
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<br />BUILHINtl SIZE
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<br />SQUARE FOOTAGE:
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<br />HEJIGH'f
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<br />REBWElNTIAJ.1
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<br />A'r'l'1\CH (2) PLOT PI"AllS & (2) SElT8 OF BUII,Dum PLANS & (1) BElT ElNElRr.Pi FORt18,
<br />A,'r"l'AC!H (J) SETS OF BU!J.DING PLANS & (1) SET ENElR(~Y FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NEN CONS'I'RUCTION,
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<br />iERMITS REQUES~ED
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<br />[] BlIII,IJINr~
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<br />$--,-----.___ VALUATION OF TOTAL CONSTRue'rION
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<br />TYPE OF COH8'I'RUC!TION: [] BLOCK
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<br />[] OTHER
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<br />FINISHEJ) FJAJOR llIfJEVATIONS
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<br />CITY PROC81SSING L_ __.._______'_._________,_____,__
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<br />81r3NATUREl
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<br />STATE CElRT OR REGIST # ________.____,__._____..
<br />CITY PROCESSING #I
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<br />SI<3NA'I'l1RI1I
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<br />MBlClHANI CAr,
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<br />******************************************************************
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<br />COlvlPANY --'--
<br />STATEI (!BlRT OR RElGI8T #I
<br />CITY PROCESSING #I
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<br />C!m-1PANY
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<br />S1'A1'E CElRT OR REGIST #
<br />CITY PROCElSSING #
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<br />SI<3l1ATURE
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