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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUILDING IHIlPARTMEJN'r 53315 8th S'rREBI'r ZEPHYRHII,I,S, FL 33540
<br />Phonat 813 -780 - 0,020 'ax 1813 -780-, 002r;A'rBl RJlI(1B1IVIllD _I-:!-:-'J?{.!:: _123
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<br />WORK PROI?SElr'l LJNBlN CONSTRUCTION [J ADlJITICJN [JAUI'ER~.TION [] REPAIR LJ INSTAl.I,
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<br />A'I"liACH (3) SE'rs OF BU!L!J1NG PI~ANS & (1) SET ElNElRGY FORMS.
<br />PROPBRTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
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<br />~ERMITS REQUESTED
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<br />STATE CERT OR REGrST #
<br />(1ITY PROCESSING #
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<br />STATE CElR'l' OR RElGIST # ______,_____._.._.___....
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<br />******************************************************************
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<br />COI'1PANY -___n_____________ _'_', '___n_... ,_ _." ____.___
<br />STATE cmRT OR REGrST #
<br />CITY PROCESSING #
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<br />ST1\11E CHlRT.OR - REGrST #------------...---~--. ._-..-.--._-~"._.,.~---
<br />CITY PROCESSING # --------------.--..--.-,..-------
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<br />SI(H-lA'l'tJRE1
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<br />*****************************************************************
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