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<br />CITY OFZEPHYRHILL8 PERMIT APPLICATION
<br />BUII~DINa DEPARTMENT 5335 8th 8'rREBl'r ZBJPH,{RHILI~S, rL 3Hi40
<br />PhoneI813-780~O,020 :ra)C.e13-780~0021 ,.... "-...17..
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<br />nAME! R!llVII!lW rtllli_"__. _ _ ~.'_____._.
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<br />,TOB SITE! I\t1DRBlSS -SLO..3.-Y-k.~f.!:.).:.~<i__ti<1P+2___________________ __________ _ __' __ .___
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<br />LEGAL 1l!l18CRIPTIOlll LOT(S) (J/5'cJ BWCK. c;}otJOtJ SUBDIVISJON _Q.lc:._tJ_____._______
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<br />PARCEll, In #__l tj- .;2(P ~.ol /_=-?Vt, 0 ~~()a_ 00 - ~ (5 ()__~~~T^-~~_.~~ROM PR~:~~:.~.'~~~~_..~~~:.(lEl_~._
<br />WUR.K PROPBBJD I [JNEW l'ONS'I'RUCTIOH 0 ADDITION [J AI/rElRATION [] RBlPAIR ~ INeTAJ~I,
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<br />o MOVE:
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<br />[] DElfv'JOI,ISII
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<br />PROPOSEJIl USE I [Jsr;!!! FAMIl,Y DWElLr,U1r~
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<br />[J~1tJI,'I' I.. FAr,u 1,Y
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<br />[) # OF lJIUTS
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<br />(J MOBII.El HOME
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<br />[] Cm1MElRl! 1A I,
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<br />[] INDlJS1'RIATJ
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<br />[J SWIMMING POOL
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<br />f\1 OTHER
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<br />D R~8TAIJR1\NT & IIEl1\1,TII DBlPJ\t{Tf1ElNT APPROVAL
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<br />llESCRIPTION OF 110RK __ -I;J5n1lL~_E~_Si71~~)h ~lP/1d~e.-__ s!Je(l!2_____._________...__..______..
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<br />RBJBIDBlNTIArII
<br />(m~1MeJRl!IArJ I
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<br />A'I"rACH (2) PI.JOT PIJAIIS & (2) 8ElTS OF BUIT rilING PLANA & (1.) 8ElT E1N&1RnV p'nR~1S,
<br />A'I"li1\(!H (3) SETS OF BUiI~DING PLANS & (1) SET E:NER(~Y FORMS,
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION,
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<br />FERMITS RBQUmSTED
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<br />[1 BllJI,IJINn
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<br />$ -~.!Ili.. if 7
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<br />VALUATION OF TOTA11 COHS'rRIJC'rWN
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<br />L1 BJLBl(~'1'RWAI,
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<br />AMP SERVWEI
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<br />o P'{,r)RIOA POWER
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<br />U I1ECJHANWAL
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<br />.. VAI~UATION OP' fi\ECHA.NCIAI, U1STAl,l,ATH1N
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<br />L!ROOFIN13
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<br />LJ SPEcIAUry
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<br />'l'YPBl OF CONS'l'RUC!TION I [) BIlJCK
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<br />[J FRAt1E1
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<br />[J STEEL
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<br />~ OTHER
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<br />FIN ISHEll FI,UOR !JlIJEVATIONS
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<br />r S PRO,TECT IN F'LOO[) ZONEI AREA n YES M NU
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<br />BUITJOBlR COri\I?ANY~ _~--_...___.._____._.._..____...__
<br />7~ -d -/ .. c:./. J II STATE CfJRT OR REGIST # ...._______.......____.___...,_______
<br />SIGNATURE V!!!(!~L~_~r;r=-~_---____ CITY PROCESSING L_.________________.__..______...._...____..
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<br />******************************************************************
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<br />st,B1olrRI dUll
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<br />S J <mATURE _."__
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<br />. .~-_._-- --- -._----_.-- - ----.-.--- .---_. ._-,._------------~
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<br />cot1PANY ______________ _____ ________. _____ __ _____
<br />STATE CERT OR REGIST #
<br />CI'rY PROC:E8snm #
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<br />._~-_.--- .~'-.'.-". ---.-.------... ...._...__.~ ..... ----
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<br />******************************************************************
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<br />PJ~UMBBlR
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<br />C!OM PAN Y ---------________.,.--_____.._______.._.__._~__..._
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<br />STATE CBlR'l' OR REGIST # ______~__.___..__....
<br />CITY PROCESSING #
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<br />S WNA'l'I1REl
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<br />8 WNA'1'tJlUl
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<br />******************************************************************
<br />Cot\1PANY --..---_________ ...--.------.____..__..u..______._..
<br />8TA'rEl (~HlRT OR REiG 18'1' #____ _._____..._____________.._ _..._..__.
<br />C1TY PROCESSING #
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<br />--...---.~.--'___4_____~__~_____
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<br />MBlCHANICAf,
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<br />-"--._.--._------~--_.~---_._-_....,------.._----
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<br />*****************************************************************
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<br />- ----..-.------------.-- -----,- ._-,._~_..~~
<br />
<br />OTHER
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<br />---~_.__.,._------~.----_.
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<br />r.!CJ!.1PANY
<br />S'T1\1'El CEJRT OR-MGIST ~r----_.-----u-----------
<br />CITY PROCESSING # -----.------------.---..-----__..
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<br />8 WNA'l'tJRE
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