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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII~DIN(] DlllPARTMBlN'r 5335 8 tit S'TREm'r ZEPH,{RHII,I~S I P'L 33540
<br />PhoneI813-780-Q020 FaxI813-780-0021
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<br />PASCO PERMlIS~RVJc:;E-'
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<br />PAR(!ElI, HI it . . _ (OBTAIN F'ROM PRnPElR'l'V 1'AK NOTICE)
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<br />WORK PROl?SBllJ, []NEW t'ONSTRUCTION [l.;(AnDITIdN o AL'I'EJRlI.l' ION [] REPAIR Ll INSTAl,l,
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<br />PRO!?OSEll USE: I l~l' FAMIIJY nWEll,I,Um
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<br />[J MOVE:
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<br />o DElvJOl,ISII
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<br />fJ CW1MElRt!IAI,
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<br />Ch1UL'l'r. FAlvJU,y
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<br />[1# OF UlUTS
<br />fJ SWn1MING POOIJ
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<br />(] MOBII.El HOME
<br />[] OTHER
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<br />D Re18TAURANT & HIllAl,TH DEPARn1ENT APPROVAlJ
<br />11BJSCRIPTION OF NORK .-~--6.beL___.
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<br />SQUARE FOOTAGE _.L~_________
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<br />HElIGH'r ..oSCE:::Ji-~_
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<br />RESIDENTIAf, I
<br />(~O~'MERCIJ\T, I
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<br />A'l'T1\CH (2) PI,oT Pl-lAtTS & (2) SETS OF BtJIl,IHN<J PLANS & (1) SElT ENElRHV FORMS,
<br />A'r'1lJ\(~H (3) SE'l'S OF Bll!LTJING PLANS & (1) SElT ElNElRC1Y FORt18,
<br />PROPBlRTY SURVEY REQUIRElD FOR ALL NEW C!ONS'I'RUCTION,
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<br />iERMITS R!QUESTED
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<br />~tJJ 1.1.1 I Nc~
<br />[1 ELI!JC'J'R1CAl,
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<br />$ _J.!tld? cro
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<br />VALUATION OF 'I'OTAlJ CONS'fRlJC'l'ION
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<br />____..__._.___ AMP SElRVICE
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<br />o Fl.oRInA POWER
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<br />fJ PI.tlt1BING
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<br />[J HB:CHI\NWAL
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<br />- VAIJUATION OF t1B:CHANCIAr. U1STAl,l,ATTON
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<br />[J GAS
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<br />[] ROOFING
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<br />[] SPEcIAUry
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<br />TYPE OF C~()N8'J'RtJCTION: [J BLOCK
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<br />[J FRAME!
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<br />IJ STElEl,
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<br />[J OTHElR
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<br />FINISHETl Fr,OOR mIJEVATIONS
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<br />I8 PRO,JElC'I' IN FLOOr> ZCJNEl AREA 0 VEla 0 ND
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<br />Bun.nmR
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<br />4 C()t"PANy~r'5 ..1+1 U"4;;I<~,l=:.t:ttu'd~.e.___. .....
<br />~ IJ STA'I'B1 Cf!JRT OR REGIST # ___.. ___.. _ '__~____'H______
<br />8 tGl1ATtJREl _.' __~~~__ CITY PROCESSING iL.J.~..__. _____ _._._...~_._.___...______
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<br />COl1PANY _____..___.._______ _.______.____..._.___ ___.._._ n_._ .__
<br />STATE C'EJRT OR REJ<"3TST it
<br />CITY PR()CElS8Il\f(~ it
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<br />PI,UMBBlR.
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<br />C'OMPI\NY----.-.-h.--__-c--_______.._.~.._____
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<br />STATE e'ER'!' OR RElGIST #
<br />CITY PROCEl8SING #
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<br />SWNA'rOREl
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<br />MIIll1HANI CAI, (~OIv1PANY __._______...._.___..__________....__..____
<br />STATEl CERT OR RElGIS'r #___________________,___.__.._
<br />SH3N1\1'1Jl:l.E1 CITY PROCESSING #
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<br />******************************************************************
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<br />*****************************************************************
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<br />OTHER
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<br />-.--_-~-------_._~----.-
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<br />(J()t.1PANY
<br />STATE e'ERT OR REl<"3IST #
<br />CITY PROCESSING #
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<br />S I(mA'l'UREl
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