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<br />aITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII,[J!NG I>BJIi'ARTMIllN'r 5335 Bth S'rRHlE'I' ZHlPHYRHU,I,S, P'L 33540
<br />PhoneIB13-780-Q020 ra~1813-780-0021
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<br />PI,ANB R!llVIIllW Jl'1ll1li.__U_"__". _'_
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<br />O\'INER' 8 HM1E__~!2Irf~,._.i-/-.9-~l...-( Zt)~_.J!!.:Ji,-~ .___.______.____... PHONEJ (XJN'1'Ar~'~.~!~='!~~_:: !e.~i
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<br />,TOB SITEl ADDRBlSS..~'lJ.g_lf ~._ ~1-!;J!.IJ.___,9y~___. L!!E_Iz. L__.__,..____._____.___,__....,_
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<br />LEH1AL DBlSURTP'l'IOll, LOT(S) BfDCK SUBDIVISION ~tJ_/jO'I!!_ZO~/Yll...-i,p
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<br />WORK PROP8ElfJ I lM1~ElN CONSTRUCTION
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<br />PARUElIJ ILl # -:>4-2'5-2-1- 0010 - 02[-000 -O/~I (OBTAIN FROM PROPElR'rV 'PAX NO'l'H~El)
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<br />f1f1\f)D 1'1' ION
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<br />o AI/1'ElRATION
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<br />[] REPAIR
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<br />IJorht8TAJ;I,
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<br />[]SH1N
<br />PRtWOSEJI1 USE: I r~IJ FAtHLY fMEJLI,THr..l
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<br />[J MOVE:
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<br />o DEl~10l,ISI1
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<br />[h1UI.'I' I "FArYirr,y
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<br />[)# OF ONI'I'S
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<br />[J CDt1MEJR(! TAl I
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<br />o INDlJS'l'RIAL
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<br />8UIL,fHNG EllZEl
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<br />CJ ~URANT & J.!ElN.mI DH:P~ElN'I' APPROVJI.l,
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<br />OF WJRK _I'C(/:fc__._f!-oa.VVlI-__ Sl:;~~ cARI~J!:_~___. ______._._.
<br />532..
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<br />IlESCRIPTION
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<br />SQUARE FOO'1'Ar3El
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<br />HEll GH'l'
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<br />REBIDlllNTIAJJI A'I"1'1\CH (2) PI,OT pr~AllS & (2) SETS OF BlJIf,lHNG PI,ANS & (1) BEI'l' ElNElRny FORMS.
<br />C0f\1MBlIWIJH,I A'I"l;ACH (3) SE'l'S OF BU1LDING PLANS & (1) SElT ElNE:R(3Y FORMS,
<br />PROPERTY SURVEY RElQUIRED FOR ALL NEW CONSTRUCTION.
<br />
<br />FERMITS REQUESTED
<br />
<br />[l(81 J I J ILl I Nr3
<br />P.rELElC'J'RlCAl.
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<br />$_11501 . (gCo
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<br />VALUATION OF TOTAL CONSTRUe'l'ION
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<br />o FUJRInA POWElR
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<br />[] W, R, El, (~, willE Sf/Eo
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<br />I.] P I.tJt1B ING
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<br />- VALUATION OF tllElCHANCIAIJ U1S'1'AI,l,A'I'TON
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<br />[] (3AS
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<br />rJ ROOFING
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<br />[] SPElClIAUl'Y
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<br />[) OTHER
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<br />TYPE OF CONSTRUCTION: [J BLOCK
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<br />[] FRM1E
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<br />(] STEElf,
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<br />[] OTHER
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<br />FIN ISHElIl Ff.(XJR Elf JElVA'l' IONS
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<br />r S PROcTElC'f' IN FLOOIl ZONEl AREA [J YElS 0 Nt)
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<br />CClt1PANY ~.~.1LCJ~(y$ Tg:,~",rX-E~'Ht)j:::_.~f~ '
<br />8'I'A'I'B1 CElRT OR RElGI8T # .C.E{;Q?7.f:L<f.~..._.._____
<br />CITY PROCESS ING #..__~_______________.._..,__.,.-'-.._
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<br />cor'lP AN Y ~.-_Ji0f..C:.!l1.{S:,_...___...___ ___"._ ._,__..
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<br />CITY PROCElSSING #
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<br />MBleHANI CAr I
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<br />******************************************************************
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<br />----_._------------~-_._--..,--_._._---
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<br />COlvlPANY ___.____.____._ "_'__. .__._____._...._.. '''._
<br />STATE e'ERT OR REGIST #
<br />CITY PROCESSING #
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<br />8 T GNA'l'tJR El
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<br />*****************************************************************
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<br />----_._~_._.._------
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<br />Cot'IPANY
<br />S'J'J\1'El C!ERT OR REGrST W-.-------..-.----- .,---.--.-
<br />CITY PROCElSSING # -----..--..- -.-.'--.----------,
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<br />S I<3llA'l'I1REl
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<br />*****************************************************************
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