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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />aUIllDING DBlI?ARTMElN'r 5336 8th S'rRI!lBl'r ZBlPH'lRHILIlS, P'L 33540
<br />PhonaIB13-780-Q020 FaxI813-7BO-0021
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<br />PASCO PER~i\,nT S-ERVicE ..
<br />OWNBlR i s HA~1Hl__~_~_'___J+Llfo!\_______... ______________________ PHONE CON'l'Ar~'F~:_~!~~;.~~_\t______
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<br />,TOB SITEI ADnREl88_,j5'.;<l~_____.~__"Tf2~~_~!.~_J2L___..________ .____________________._ .__ ___~_ n____
<br />FI?1_~_ f~!.::!______
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<br />IJ81IJAL DESCRIPTIOlI: LOT(S) _..i!..fRO____ BI,()C'K _______,____ SUBIJIVISloN
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<br />PARCEll, III #.2'1-2~L:..QQ~Q~~-.: c:2.1P.~__________~_~~TA_~~._~'_R(~~~~~:~~~.~__'l~~~___~~~~_CE'~~,_.
<br />WURK PROP8EllJ t (~lllN t'ONS'rRUCTION 0 ADIJI'rIClN 0 AL'I'ERATIOH L1 RElPAIR [J INSTAf,!,
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<br />Osrrm
<br />PROtlOSEJI1 USElI l~~IJ FAMII,Y DWELI,ING
<br />
<br />o MOVE:
<br />
<br />o DElMOI,ISII
<br />
<br />Clt1tJi,'n. FIHUI,y
<br />
<br />(]# OF UNITS
<br />[] SWH1MING POOL
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<br />LJ MOB IlrI1l Hor1Bl
<br />(] OTHBlR
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<br />L]cm1MIlJR(~IAI,
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<br />[J INDUS1'RIAI,
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<br />o R~STAtJRANT & IIIllAI,TII DEPAR'I't1EN'l' APPROVAL
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<br />ll!lJ8CRIP'rroN OF I10RK __ PI u/lll\...-h,'~I12_~:ry r-OO~__.__________.._.._______________.________..__
<br />'1 X!D SQUARE FOOTAGE ___ t:j'tJ p_~_
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<br />BurUHN<l ElIZEl
<br />
<br />HEllGH'r
<br />
<br />RSl8ItJBlNTIAr'1
<br /><20MMBlRUIAr, I
<br />
<br />A'I"rACH (2) PLOT PI~Al1S & (2) SElTS OF Burl,DING PLANS & (1) sEI'r E1NElRrJY FORMS,
<br />A'rtA<~H (3) SE'rs OF BUILDING PLANS & (1) SE'I' ENERGY FORt18.
<br />PROPERTY SURVEY REQUIRElD FOR ALL NEN CONSTRUCTION.
<br />
<br />FBRMITS REQUESTED
<br />
<br />[1 BtlII.IJING
<br />
<br />$--------.__.----" VALUATION OF 'rOTAL CONs'rRur~TIoN
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<br />IJ BlLBlCTRHJAl,
<br />(~p J ,tJt1B INC3
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<br />--------._----'" AMP SElRV I CEl
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<br />o FIiC1EUDA POWER
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<br />[] N.R,El.el.
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<br />o J.1ElCHANWAI,
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<br />$------------- VAI,UATION OF t-1ECHAHC2IAI, INSTAI,IJATTON
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<br />[J GAS
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<br />f.] ROOFING
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<br />LJ SPEC!tAI/I'Y
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<br />[) OTHIllR
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<br />']'YPBl OF C!ON8'I'RtJC!TION I [) BU)CK
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<br />[J FRAMEl
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<br />(J STElElI,
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<br />[) OTHER
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<br />FINI8HIllIJ FIAJOR El,ElVATIONS
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<br />------
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<br />IS PRO,fE)CT IN FLOon ZONE! AREA 0 YBlS 0 Nt)
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<br />
<br />SUILtJlllR
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<br />~~*******************************************~***~~********~******
<br />
<br />COHP AN Y --.--__.m__._____. -___.___n ___. ____.___.______...____ ___, ___..
<br />STATE CEJRT OR REGIST # ___________..________.._____~______
<br />CITY PROCESSING L_.___________.__________._~_._____.____.
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<br />81GNATtJREl
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<br />--..._.~.~------..._...._- -_._.--------~._.~-------
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<br />IIlUI01'RICIAN
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<br />8 lGHA'1'IJREJ ______
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<br />. -~___._..._ 'n~.._____ ____.___... __._.____.__._.._.~________
<br />
<br />cot.1 PAN Y _ _______ ___.____ _ _______ _________.___ ____.__ __._______
<br />STATE CERT OR REGrST #
<br />CITY PROCE88Il--H3 #
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<br />._~-_..-_.--- -'--.. ._n____ _____.__ .___..__...... c_...._
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<br />********************************************************A*********
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<br />-~._---~-----_._. u_.___. _ _...~__ _. _.~______.. ______
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<br />PI,UMSBlR
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<br />, ~> 'VV\ ,~~~,~:N~~;;f,~;~I:;;~~~.--~i~=_-..:
<br />----':=:'~ ~LL CITY PROC'BBINO # ~J:r ~-Gl:Ir~:_____
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<br />
<br />*~************************i************~**************************
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<br />8 WHA.'l'lJR 8J
<br />
<br />MBlCHANICAf..
<br />
<br />......._---------_..~---_.------...,._-_.._---
<br />
<br />COMPANY ________..__...____. ___________________.. ____
<br />
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING #
<br />
<br />----_. ..__._----._~- .--.--.--.---- -----.-..-
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<br />S WNA'I'lJREl
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<br />*****************************************************************
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<br />~._----.._-----_.._---- -_._~- ._--,._-._~
<br />
<br />OTlIJlJR
<br />
<br />(!Ot,1PANY
<br />STA'I'E! CElRT- OR-:REG!ST W-------------------.--------.----
<br />CITY PROCESSING # ----------------------_..__H
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<br />---....__._.~...._----_..._-_._------~---
<br />
<br />8WNATURE
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<br />*****************************************************************
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<br />--_.~-"'-,--"-----~-,---,,,,---,-,,,,,,,,,,,_"-o-____<
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