<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />:BUILDING DEPARTMENT '5335 8th 8'rRBlBl'f ZBJPHYRHII,I,S, P'i. 33540
<br />Phone. 813 ~ 7 80 - 0,020 fax 1813 -7 80..0 0 ~;ATBI RIll<1Bl!VSlD -..!i:_tt:...~___?
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<br />PI,ANS RIllVIEW rIBl_,-,~:...."__,[!._._._,
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<br />ONNElR I 8 HAHFJ..{Y;f2AjY/!..__!dfJR.:J C.E;V .!!J~H___..e~__________ __no ______ PHONE! CON'1'Af~'L2f..?_T.__l"':'~~~ ~___
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<br />,TOB BITE! AtJIJRIlJSS _~3.:_7_1s 3--.-lV..f~_Ho..I!-Jl'f}(IlS.__'-OI.._ ~'!l~, $' I _________________.___..._.., ~_.,..
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<br />IJEl<1AL ])BlSmn PTION I LOT (a) BIDCK SUBDIVI8 ION C;:fzA.-tvIZ........l:/Qf?Le.fJ6!._l!l-1-1 ?
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<br />PARCEl. It! # _"~P(- 2t:;' ~-?-..L:.Q9J.Q~ O-u!~9 - DO 5:'/ - 5' L ._~~~TA-~~__~.ROM .!~~PIlJ~~.~_..'l~!__.~O~~_(lllJ_~__
<br />NORK PROPBEIJ I rY1fEN c'ONS'rRl1CTION ~H'rrmT OALTElRATION [J RBIPAIR [J INSTAllI,
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<br />[]aWN
<br />PROI,lOSEI1 USE I [~J F1\MrLY DWElLI1IHG
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<br />o MOVE
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<br />o DElMOI.ISII
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<br />[J~1Ut,'l'I - FAHU,Y
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<br />[] # OF UN ITS
<br />[JSWU1MING POUL
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<br />(] MOB u'El ltor~1lI
<br />AL..v/11/A/d 4'1..
<br />(B'Ot(fBlR
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<br />[J Cot~MB1R(! IA r I
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<br />o INDlJS'l'RIJU,
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<br />11BJBCRIP'l'ION OF 110RK
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<br />o R~8TAtJRAN'r & HB1Al'~T~'"ENT APPR~
<br />!'!x 1S-1f!;e/<I~~rLlI_L'txl'L O~I1JY"""L________...~_
<br />'-....---,---- SQUARE FOOTAGE _._7~t{,-:i~~ HELIGH'r h.__.____.______
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<br />BtJILfJIN(] SIZE
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<br />RES IDBlNTIAT, I
<br />(~OMMIllR(!IJ\Tll
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<br />J\'I"rACH (2) PI,OT PIJAllS & (2) SElT8 OF BlJILlJING PI,ANS & (1) 8El'l' BlNElRm~ FORMS,
<br />A'r'1;1\(!!i (.J) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,
<br />PROPBlRTY SURVEY RElQUIRElD FOR ALL NEW CONSTRUCTION,
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<br />FERMITS REQUESTED
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<br />r01II LIHNC3
<br />I~LIlJCTRlCJAI,
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<br />$ --L5i3.H. q 1 .
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<br />VAL.tJATJON OF 'roTAL CONS'rRlJCTION
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<br />------~_---.;.. AMP SElRVICEI
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<br />[] FLORIDA POWER
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<br />W, R. E, n, wl/Zf- s:t+fO
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<br />[J pwr1e ING
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<br />U I1EUHANWATJ
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<br />VALUATION OF MECHANt!IAr, UISTAI,I,ATTON
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<br />[] (JAS
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<br />[J ROOFING
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<br />[] SPEJCJtAUry
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<br />o O'l'HER
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<br />'1"{Pl3l OF CON8TRUC!TIDN I [J BLOCK
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<br />o FRAl1El
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<br />[J STEEIJ
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<br />[] OTHElR
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<br />FINIBHElfJ Ff,OOR B1IJEV1'>TIONS
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<br />IS PR(XTECT IN noon ZONE! AREA. [] YllJs D Ho
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<br />8lGNATUREl __,__~ ,.--11~---~__,___
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<br />COMP AN Y -11t!i..(t?f.YS r(2vG Ll~_.ot::._c;;.!fC::!f!?!fc..E~_' ._
<br />STA'I'B1 CElRT OR RElGI81' # f,,:B~Q2,2..2__'f~___,_,_~_.__.
<br />CITY PROCESSING U~._...______,_.________._______.__.__
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<br />******************************************************************
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<br />EUIOTRICIAN
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<br />******************************************************************
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<br />COf-1PANY _.fkJ:-: --ifLf...~~(!;__._..__."._ __.,__
<br />STATE CERT OR REGIST #
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<br />CITY PROCE8SINl~ ~_J{'.1.._...___.___.. _____,___
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<br />BH31lATURE ..__....
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<br />(~or.1P1\NY '----.-___".-___._____,.____..__________._
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<br />STATE CER'!' OR REGIST # _________,.._._____,__.
<br />CITY PROCESSING #
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<br />8 WNA'l'tlREl
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<br />MIIlCHANICAl, coIVJPANY______________ .. .__...__,__...__._..,__
<br />STATE ('HlRT OR REGIS'r # ---..--....n-____._____.___..____n_
<br />srCUIA1'tJREI CITY PROCElSSING #
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<br />OTltBlR
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<br />S,WNA'l'URE
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<br />(~Or.1PANY
<br />STJ\TE ClllRT OR REGIST #----~._...__..___n'.___... ..-
<br />CITY PROCESSING # -----.---.----.--__._'n.'____,
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