<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />aUIIIDING DIllPARTMEN'r 6335 8th S'rREBI'r ZEPHYRHII,IJB, P'L 33540; .
<br />Phohe1813w780-0,020 'a)(1813-780.,0021 . /, f -2..
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<br />ClI'INBlR I S llM1El-&l=_lh(_~.;rnve.$_tY!'!e~ts___,___..____..._____ PHONE C()N'l'A~isco'~Mrr-SE1MCE
<br />,JOB 8ITEI ADDRE8S.,3q.'3.,3--=t,_._C .Q3-..J:\-...dLJ::QQi2-----,_.__.____. _____ __._ ..,_______... 813-788-5314
<br />IJElI11\L DIllBCRIPTION: LOT (8) _._11 0___ BWCK ____..___ SUBlJIVI8Jml M'8-e6t,-<:-:__Q0:.1<;~,__
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<br />PARCEll, III # dot{ - ~G,- Olt - 0l.23.Q..::.QQQX2:...015D
<br />WORK PROPSBltJ I ~EW CONS'rRUCTION mDIJI'rION
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<br />(OBTAIN P'ROM PROPElR'rV 1'AK NOTtcEl)
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<br />[J AL'rERA'1' I ON
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<br />[1 RElPAIR
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<br />LJ INSTAIJ!'
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<br />o MOVEl
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<br />o DElMOI.ISII
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<br />[~h1tJL'1' I ' F A [v! u., Y
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<br />[J Cot1MIllRC~IAt,
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<br />[) INDUSTRIAl,
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<br />C.J RSl8TAURANT & HBlAl,TH DElPJ\RTt~ElN'r APPROVAL,
<br />)lESCRIPTION OF NaRK .-~QLL.~~~s.+~1~J2-_n--_--.---.--.----,---.-----,-----.c.__.
<br />BUILfHN<1 SlZE! , 13x3{g...._, SQUARE FOO'rAGE_..'JfoL___ HElIGH'r ,,~~.-P-i~"':-2_.
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<br />Rt!lSIDElNTIAJII
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<br />A'I'TACH (2) PL,OT PlJAt18 & (2) SElTS OF BUII,IJINlJ PI,ANS & (1.) 8ElT ENERGY FORMS,
<br />AT'l'ACH (3) SElTS OF BUiIJnUIG PLANS & (1.) SElT ENElR(lY FORMS,
<br />PROPERTY SURVEY REQUIRED FOR A1,L NElW CONSTRUCTION.
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<br />FERMITS REQUESTED
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<br />~IJJI,IJINfl
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<br />L~}().. Z$. OV ,_.---' VALUATION OF TOTAL CON8TRuc'rroN
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<br />Ll BlLBlC'I'RlCAI,
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<br />___..,____,___ AMP SERVICE
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<br />o F!oOFUDA POWER
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<br />[] (JAS
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<br />[]ROOFING
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<br />$.- --'-------- VALUATION OF t"ElCHANCIAr, HlSTAI,lJATTON
<br />[J SI?ElCIAUry [] OTHElR
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<br />TYPE! OP' CONS'I'RtJC~TI()N I [] BLOCK
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<br />g... OTHElR al U(M.) ~U""--'
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<br />FINISIlBlTl FIA)OR IllI,ElVATIONS
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<br />I S PROlrElt~'r IN FLOOr> ZONIll AREA n YElS 0 NO
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<br />STATE CElRT OR REGIST # ..._'____...._,..._____.,'.___.__._
<br />CITY PROCESSING L....____ .______.___,.._. _______,______'.
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<br />COI1PANY______.,. ..___.______ ______, __'.
<br />STATE: CERT OR REGT8T <<
<br />CITY PROCESSING #
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<br />COMPANY -...'------._____________._.__,._.._..,_... _,____...
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<br />STATE: CElRT OR REGIST # ____~__._,_.______,..
<br />CITY PROCESSING #
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<br />8 WHA'l'tJREl
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<br />.---___..__ ..-0________4_____ ._._--._----------_...~--
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<br />MBlCHANI CAr. cotvtPANY __._________._.__ ._'...______........____,__
<br />STATE (~ElRT OR RElGIS'r # _~__._"_'__.____,_...__._"__,_
<br />SHJNA'I'tJRS CITY PROC'ElSSIWl #
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<br />OTHmR
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<br />----____h_____.
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<br />(~ot,1PANY
<br />S'l'J\1'El CElRT OR REGIST r------.'.----------.--.......-
<br />C I'fY PRoeB8S INI1 # ----...--------..--..,-,-----..-,
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