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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUIUHNG DIlJI?AR'rMElN'l' 5336 8th B'rREBI'I' ZEPHYRUII,IJS, P'L 331;40
<br />PhonElI8U-780-0,020 Fa)C1813-780..002J. L/ ",-/'.l.l../. ~ ;7
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<br />pr,ANS R!llVIBlW ll'J!lIll______
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<br />OI'1NEJR' S l1Al,1El____~~,~~_"_~ __ ~~~~~-~~l~._ PHONEl CON'J'1V~'~',_.__ _,,'__,~_ ____~,
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<br />,JOB a ITEJ ADDRES S,-,,--.~4iP--____G.~_~D__"h___ h___ ____, ._____ ____,_
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<br />IJE)GAL DBlSUR'I PT IOll: LOT (S)
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<br />BI,O(~K
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<br />SUBIJlVISlON
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<br />-~-"---._-'--'-____"_4n__
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<br />___.____4.__ _._____ "_ n_____.,,_.___ __ __._. _.__.__
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<br />WORK I?Rnl?SEllJ I
<br />
<br />
<br />[larcHl
<br />
<br />[J 1'10VE
<br />
<br />o DElMOl,ISII
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<br />PROP08FJIl USE I [JSWJ FANILY DWELI,HIG
<br />~]ot1MElR(!IAIJ
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<br />n~1tJUl'I.. FAlvTU,y
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<br />[J# OF UlUTS
<br />o s~nr,'IMING POOL
<br />
<br />[] OTHER
<br />
<br />[J INDUSTRIAL
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<br />LJ RmSTAURANT & HEALTH DH:PARTt1ElNT APPROVAL,
<br />IJEJ8CRIP'I'ION OF l'IORK ~~_~~__ ~~~'- ~~~'L--_~r).~_____________..__..,..____
<br />BUILDING SIZE] --.J.D~~~,___ SQUARE FOOTAt3El _________~_ HElJt1HT _\~_~..___________
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<br />RESIDENTIAlJ I
<br />(~OMMERCIALJ I
<br />
<br />A'I"I'1\CH (2) PLOT PI-IAIIS & (2) SETB OF BUII,IHN<J PI,ANS & (l) BElT E1NElRnV FORMS.
<br />A'I"l'AC!H (O3) SE'l'S OF BUtIJrJING PLANS & (1) SET ENERGY FORMS.
<br />PROPERTY SURVElY REQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />L1 8lJII.lJnm
<br />
<br />FERMITS REQUESTED
<br />$--~--.__.---, VA1,UATTON OF TOTAL, CONB'fRtJCTION
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<br />1.1 ELBlC'I'RlCAI.
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<br />--'-----.____ ArtlP f3ERVICEJ
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<br />~ FU,)fUDA POWER
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<br />[J W,R.El.c.
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<br />[] PI.tI~1BING
<br />U r.1B1(JHAN WAr,
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<br />$.---,-------- VAIJUATION OF' MECHANCIAI, UlS'I'AI,LA'I'TON
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<br />[] GAS
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<br />rJ ROOFING
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<br />[J SPElrHAUry
<br />
<br />[] OTHER
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<br />TYPEl UF' C'Ol~8'I'RUC~T TON: Il< BLOCK
<br />FINISHEIJ F'I,UOR ElIJEVATIONS
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<br />[J FRMtlEJ
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<br />[] STEEIJ
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<br />[) OTHER
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<br />-- ---._-..._-~---
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<br />IS PRO,JEC'I' IN FLOO[J zemEl AREA[J vms
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<br />BUUlJBlll ~~ cor1PANy_._G-,L.._~fr-VE;__~~_~L,__..____________. ,_
<br />STATE CFJRT OR RElCHS'!' # .,j}.~.::f-(.?,?:.~J3_'L...______.__
<br />81r1NATIJREl -- '- ... _' __. _____'_,__,..._____ CITY PROCE,9SING 1L-3QS...,...__'___..._d_____H______,_,.
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<br />mfJIllC'rI:UdIAN.L..... ~ C()I'1PANY_~~_~~___~-rlZ:Jc;,.__... __ '___.__
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<br />( ~Ortl P 1\t I Y --------- '_'____.___,___ _____,____. ....___... ____.. ___..______ _,_
<br />STATE CERT OR REGI aT II _________.._.....____......_,_.__.
<br />CITY PROCESSING II
<br />
<br />SWH1\TIJRBJ
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<br />---~---------~--------. ..-----.---
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<br />COlvTPANy__..______......._,._______.__..._, .
<br />STATE ('HlRT OR REGrST #
<br />CITi' PROCESSING #
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<br />,---- -..--.. _.----~---------------,~ -_.~_._._.-.
<br />
<br />SlCH-lATOREl
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<br />"*'*'*'**~'**'*'*'*'**'*""***'*'*****""*****'**'*~*'*~"***~
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<br />_._--._.-._~-_._-~_.,----- . - .---..--.-.-.
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<br />--.-------..----------------..--
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<br />C()~1PANY
<br />S T 1\ l' El C ElR T-oo-RiG 1.9 T 'W---------------------. '-"-
<br />crry PROCESSING II ---.--,- ....-----_._________
<br />
<br />--.-- -.--.-..-----------....---------.---------
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<br />S WIIATUREl
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<br />****'***~*****'****"***'*"*"******"*******'************~'***'
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<br />-----~.......---- ....--------------.-.-.0--. ._._ ~_____ __.__"
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