<br />CITY OF ZEPHYRHIIJIlS PERM!'!' APPI.,ICA'l'ION
<br />BUII,l>IW~ IH'IlPARn-iIllN'.r 53J5 8th BTRlllBl'r ZlllPIIVRHII,I,S, FI, 31540
<br />Phone 1813.. '180.. 0020 Fa,t 1813 -'780 '. 0021 L/... -a OJl-
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<br />PLANS RBVIEW FBI
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<br />I,BH31\L DI1I9C!RJPTIOlll 1.0'I'(S) BLOCK
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<br />PIIONE (,ClIl'(,AC'~._~~(fr2_...
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<br />SUBDIVISION
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<br />WORK PRUPSHID I [JNI!lI1 COUS'X'RUCTION )0 ADDI'rIOll
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<br />(OBTAIN Fnor,! PRO PERT'l 'l'AKNcl'l'J{)!!l)
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<br />[]AUl'ERATION
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<br />[) REPAIR
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<br />II IIlSTAI,I,
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<br />[J llEliJOIJISII
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<br />PROPOSHJll lJSEs [JSGY, F'AMH,y D\~EL.L,nIG
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<br />Ch1ULTI-F'mULY
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<br />[J# OF' UIllT8
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<br />L1COI1MI!lRClJ\I,
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<br />[) lHDUSTRIAI,
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<br />[] Slnl.111IN(~ poor,
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<br />[J WIB T/,/1J IIUfHli
<br />/~ (J't'HER
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<br />[-] REL9'I'AURAH'l' & HEAW'II DElPJ\R'l'f\1EJN'l' APPROVAl,
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<br />BUIl,DINI3 SJZHl .--(Z-J_.--'f.f~.____ SQUARE FUOTJVJE --cE2..C_____ !/BlWII'l' ct!..::'______
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<br />RES rUffiN'I'tAL:
<br />COHf\1EJRCIJ\I, :
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<br />A'l"l'ACH (:2) PLOT PLAl1S & (:2) SETS OF' BlIll,Dnm PIJ1\Ns & (.l) SET EIIERGY FORt'!8,
<br />A'I"I'ACII (3) SETS OF BUII,!JJ:HG PLANS & (1) BET EJNEJR(W FORlIfS.
<br />PRUPERTY SURVEY REQUIRED F'OR AI,f, NBlW COHS'l'RtlC'l'JClN.
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<br />PERMIT~~EQUE8TED
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<br />IJ BllJI./lllK3
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<br />1'1 Pl,IH'lB r lH3
<br />LJ 1"lEJCHAIHCJ\r,
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<br />$
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<br />).. 900
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<br />VALUATIOH OF TOTAL COllS'l'RUCTlON
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<br />AI.1P SERVICE
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<br />P'I,O[UDA POl~EH
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<br />\'1. R. E. C.
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<br />$-..---.-..-.---.------. VAI,UA'l'IOl-l OF' r"lffiCIIAHCIAr,
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<br />'l'YI:lHl OF' COlTS'1.'RUC!'l'lON I /J BLOCK
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<br />[J FRAHEl
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<br />[] STEEl,
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<br />[:J (~AS
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<br />LIROOFING
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<br />[J SPElCIAl/l''l
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<br />'t3. OTHER
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<br />[) OTHER
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<br />F UH8!/EJD F'I.oUR ElLElVA'I'lONS
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<br />J8 PRO,JECT
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<br />YES %NO
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<br />Bl1lI,PER ~ COMPAtlY__ ~~-_P~---.-_--..----.-_
<br />STATEI CElRT OR PE 1ST # A~X!_~______,___.____,
<br />8 Hml\'I'UREl CITY PROCEl8S ING it ~~h
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<br />BlLIllC'l'RWI1\H
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<br />COIIfPAHY__,________._..______..____...____u____ __.
<br />BTA'l'IiJ C'EJR'I' OR HErHST #
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<br />CotiJP AN 'l -------____... H_ _____._._._._.__.____ _.
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<br />STATE: CER'!' OR PElCHST II ____.___.____..._.
<br />CI'l'Y PROCElSSnm It
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<br />STATE CBJRT OR RE:rHST it
<br />CITY PRUC'El8Snm II
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<br />SI.GI.JJ\TUREl
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<br />D'rHER
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<br />cm.1PANY
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<br />(' I 'l'Y PROCESS ING # ---.u____u_____u_._ --______
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<br />SIGNATIJRE
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