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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII,DINCI DBPARTMBlN'r 5335 8th S'fRBlBl'f ZBlPHYRHII,I,S, P'L 33540
<br />Phonal 813 -780.. 0,02 0 Fa)C 1813 -780.,0021 , ';,.0, , 7) h,
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<br />PI,ANS R!llVIIllW Jl'JlIB_c_____ .,~~__.,'
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<br />CWlHEJR f 8 l1AHE,__~Sr,__.JoSE:P hL_ C~~_I:I2_{"".LC___LJ:.l1.!~f'-_':L__
<br />,TOB SITE ADDRES8 _-3a8QZ-.._...s:r~__ht.YL_._______,,___
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<br />PHONE r~ON'1'ACT
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<br />PARC!III IJ I D # --LL~_~l:.. oqJ O~.:::?_ 2.QO - 00 I 0
<br />~WRI{ PROP8JllD I [J NEW CONSTRUCT ION [] ADD rr ICJN
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<br />(OBTAIN FROM PROPERTY 'I'1\){ N()'1'WEI)
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<br />[J S IGll
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<br />o MOVE
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<br />o ALTERA'I'ION
<br />X DEf10l,ISII
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<br />[] REPAIR
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<br />[J INSTAl,t,
<br />
<br />PRtWOSBJll USEI I []S(;l!, FAMIIJY DWELI,INC,l
<br />
<br />[h1IJI/l'I -, FAMIl.Y
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<br />CJ # OF lJlUTS
<br />o SNIf1MING POUL
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<br />[J MOBII,El HOf1E
<br />[J OTHER.
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<br />fJ CorllMIllR(~ TAl,
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<br />[] INDlJS'l'RIAI,
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<br />IJIllSCRIP'l'ION OF NaRK
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<br />o RBlSTAUR1UIT & HEAlmI DEPARTt1ElN'r APPROVAL
<br />CoMPLEIC. D(S^1 0 c ~ 01='" __~I.:.:':~~ -I='"A_M.,~!::-.L/___R-CS::~'Ys:e___ ______
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<br />BUILDINl3 SIZE!
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<br />SQUARE FOOTAGE _,?-400 ~~
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<br />HEltGHT
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<br />RESIDENTIM'I
<br />(~O~1MElR(~IMJ I
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<br />A'I"r1\CH (2) PI,oT PLAllS & (2) SElTS OF BUlI ,DING PI,ANS & (1) SElT ElNElRGY F()R~1B.
<br />A'I"l;ACH (:3) SElTS OF BU!I.nING PLANS & (1) SET ENElR(~Y FORMS.
<br />PROPERTY SURVEY RElQUIRED FOR ALL NElW CONS'l'RUCTION,
<br />
<br />FERMITS REQUESTED
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<br />'J 111# t(j fi/ /
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<br />[1 BtlII.lJINc~
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<br />$____ -;' .Lt_ ~/_""__n_ __ VALtJATJ()N C)F
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<br />o FUJRIDA POWER
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<br />TYPE OF CON8TRU(~TION I [J BLOCK
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<br />[] FRAMEI
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<br />[J S'I'IllElL
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<br />[J PI.tJt1BING
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<br />- VAIJUATION OF ttlElCHAJ:7CIAI,
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<br />LJ ROOFING
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<br />FINIBHEifJ FI,Of)R E1IJEVATIONS
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<br />IS PRO,JECT IN FLoon ZONE AREA. 0 YI!JB
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<br />o NO
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<br />Bll,BlC!'rRIC!IAN
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<br />CDt1PANY _n____.. _______ _________'.__..,__________.., __"_,,__
<br />STATE e'ERT OR REGIST #
<br />CITY PROCESSING #
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<br />(~OM PANY ------_'_____________....__,__,___..________
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<br />STATE CERT OR REGIST # ________._~,____,____.
<br />CITY PROCESSING #
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<br />8 WHATtJR E
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<br />MBlCHAlU CAl. CO/vIPANY____________________________..__..___
<br />STATEl r!ElRT OR REGIS'r # _________,,__~______,__.._
<br />SIGNA'I'tJREI CITY PROCESSING #
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<br />*'***********'*"""**'********************'*******************'*
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<br />OTlIIIIR
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<br />COt,1PANY
<br />STATBl CElRT OR REGIST #
<br />CITY PROCESS ING #
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<br />SWNA'l'URE
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