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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUUDING I>BlPARTMl!lNT 5335 8th S'fREE'f ZEPHYR-HILl,S, l"L 33540
<br />PhoneI813-780-Q020 FaxI813-780-0021
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<br />Pl,ANS RlllVIEW Jl'l!IB1,'--'C_._tL______.
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<br />lJ"NgR' B IIAMS If:. <-1 ~ d. d /-'2. . PII0NO CON'I'A"'f_rtl:2frl.:?fl6
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<br />lJEl(]AL DH18CRTP'I'101ll LOT(S) 3 BLOCK 3 SUBIJlVI810tI 7Oj.!!-..!t~_'ldL_?~~_~J!-!~~_~LLk1
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<br />WORK PROPSElIJ I [JNElN t'ONS'rRUCTION n ADDITION o AUrElRA'rION (] REPAIR hd JN8TJ\TJI,
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<br />[JSHm
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<br />o MOVEl
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<br />o DElMOLISH
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<br />PROJ,luSEJI1 USE: I ~SGIJ F1\MII,y DWELTdlm
<br />[] Cm1f-:IElRC! lAI,
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<br />[J t.1tJI,1' I " F M1 I T.v
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<br />[1# OF lJNITS
<br />[] SWHIMING POUL
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<br />(] MOSII,El Hot1E
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<br />[J INDUS1'RIAI,
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<br />IJ OTIHIlR
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<br />IlBJSCRIPTION OF
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<br />o RESTAURANT & HElAr/I'H DElPARTf1ElN'I' APPROVAL
<br />NORK t.j~ CJ,;1- I'~.l:."" AJ_~ ~A. ~ ~ --:..E-'?~J:.Pv~T!~.'J..":_~C!..!Z__f.e>:.:Li,5 )i~_
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<br />BUILfHNt3 SIZE
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<br />------------~._-
<br />
<br />SQUARBJ FOOTAGE
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<br />---------
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<br />lIB TGH'r
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<br />Rille I DFllNTI1\JJ I
<br />(~OI'1MBJR(~I1\IJ I
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<br />A'I''fACH (:2) PIlOT PIlAU8 & (2) SElTS OF BUII,nU1<J PLANS & (1) 8E1'r E1NElRnlf FORMS,
<br />A'I"liA(~H (3) sEi'rs OF BUiLDING PLANS & (1) SET ENER(~Y FORMS.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />FERMITS REQUESTED
<br />
<br />U BllII.IJIW1
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<br />$~_.
<br />
<br />VALUATION OF' TOTAL CONS'I'RUc'rroN
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<br />L1 ELElC'I'RHJAI,
<br />[J P1JlJt<1BING
<br />LJ I<1BJUHANIUAL
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<br />FI,oRIDA POWElR
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<br />$-- ---..
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<br />- VALUATION OF t'!ECHANCIAr. U1S'1'AIJIJATTON
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<br />f] (31\8
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<br />[J ROOFING
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<br />[J 8PElCJIAW'Y
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<br />0( OTHER
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<br />TYPE OP' CON8'l'RtJ(!TIDN I [) BLOCK
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<br />o FRANBJ
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<br />[J STElEI,
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<br />[J OTHER
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<br />FINISHEllJ FI,OOR E1IJElVATIOHS
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<br />IS PRO,IECT IN FLOOD ZONEl ARBlA 0 YES
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<br />_.'--~"'-~__'_M_____.______.....o..---____~_________
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<br />Cot'! PAN y-.---.--___~__.._._ _______ ______.,__.. _ n___ _____.____________
<br />S'I'lI,TEJ CElRT OR RElGIS'!' # ___._____________.._____,______,_,_
<br />CITY PROCESSING #___. __'_______.________,_______,_._,...._
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<br />STATE CERT OR RE~TS'I' #
<br />CITY PROCESSING #
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<br />(!(JM P ANY -..---.-________'~__,____---____...__.._. __..... .._.__ __.__,_
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<br />STATEl CERT OR REGIST # ____________._,,__._____.
<br />CITY PROCESSING #
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<br />CO!\1PANY __________.__...______________.,..__.__.__..__
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<br />STATE CERT OR REGr8T #
<br />CITY PROCESSING #
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