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<br />CITY' OF ZEP}{YRHII~r~s PERMrr APPIAICATION
<br />BUIIjDING I>EPARTMBlN'f 5335 St:la S'fREBJ'r ZBJPHYRHII,IjS, fL 33540
<br />Phoner813-780-0,020 ra~1813-780..0021 ..' '.~. _-? -...-f-.,~
<br />DA'I'E RJllOBlIV.lllD ----~~,.A2."'".l.!~
<br />PI,ANS RIIlVIDlW i'mlll . ...
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<br />B UK' K
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<br />SUBlllVIS,lOt!
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<br />(' ~1\R(!El[l I~ (OBTAUl F'ROM PROPER/l'Y 'l'AX NO'l'WEl)
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<br />WORK PROPSEllJ I [JNBlN {'ONS'1'Rl1CTION 0 Am)! '1' ION ~L'l'ERJ\_;rrON [] RElPA IR [J J N8TA!,!,
<br />[Jsrrm 0 MOVE 0 D8lMOr.rSI!
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<br />PROI,lOSFJJJ USE: ~r.HJ F"AMIIJY DWEI~rIINc~
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<br />Llr.1tJl,'J't.. FM1Il,y
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<br />[]# OF maTS
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<br />3MOBII.El lIor1El
<br />IlOTHHlR
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<br />[] CDt1MElRC! IA I,
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<br />[J INDUS'l'RIAI,
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<br />[J SN Ilv'fM ING pour~
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<br />IIElSCR.tP'l'ION OF NORK
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<br />CJ R~8'rAlJRAN'I' & HElAI,TII DEPAR1'r.1EN'l' l~PPROVAL
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<br />~9__h (~ _'_ P,. 01-
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<br />F-OL.._._~t.~.e._..__._________
<br />SQUARE FOOTAGE ----~.3____ HElTl1H'f _. g_~_______
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<br />BUILDING SIZE
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<br />_Lt!.'L.1(..3._~__.___
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<br />RlllSIDIllNTI1\Jj I
<br />CO~1MBlR(!IAJ.11
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<br />A'I"f1\CH (2) PI,OT PI~AllS ft. (2) SElT8 OF BtJII,lJIN(] PI,ANS & (,1) eElT ElNEJRnY FOR~1So
<br />A'1"I'AC!H (3) SETS OF BUtr,IJING PLANS &( 1) SElT ENERCN FORMS.
<br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONS'!'RUCTION.
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<br />~aRMITS REQUESTED
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<br />D( 8tlTJ,IJIN(~
<br />L1 ElLBlC'I'RlCJAI,
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<br />L_ .~ _.__--, VALUATION OF '1'O'1'AL CON8TRUC'1'IOn
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<br />D FI,oRlf)A PONER
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<br />D W . R , El 0 (1 .
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<br />[] pwr1BING
<br />o HEI<JHl\NWAL
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<br />[] (1A8
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<br />LJ ROOF INn
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<br />$-- --..-----C...-________ VALUATION OF r1ECHI\NCIAI, UTS'1'ALll1\TTON
<br />[J SI?BlntAl,'fY [J OTHER
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<br />'l'YPlll OF CONS'I'RtJC'1' ION I [] BLOCK
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<br />[] FRANE
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<br />[] STEElJ
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<br />rD{ OTBElR
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<br />FINI8Hmn Fl.f)OR ElIJEVA'1'IONS
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<br />18. PRO,JElC't' IN FLOor) ZONEI ARElAD YIllS
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<br />01010
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<br />COf'1PANY __ ___ m________ __.__
<br />STATE e'ERT OR RE~IST #
<br />CITY PROCESSING If
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<br />('(J~1 P ANY -.--.-__._______.,._____...___._..___..._.____...._____..__...._
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<br />STATE CEJR'l' OR REGIST # ________....__.-:......._..___....
<br />CITY PROCESSING #
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<br />COMPANY _____.________._..._____._____.__ ..______
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<br />STATE C'ERT OR RElGts'r #
<br />CI1'Y PROCESSING #
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<br />OTUBlR
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<br />Cor.1PANY
<br />STATE CER'1' OR REGIST #
<br />CITY PROCESSING #
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