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<br />UNNER '8 HM1El C'Jn C ~f...L "J:.,,-
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<br />,JOB e ITEl Af)IJRBl88._]~_yL_..._ ~4.{L_ __i31~ _..____._._________
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<br />CITY OF ZEl?HYRHILTJS PERMIT APPIJICATION
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<br />BUILDING DBPARTMENr 5335 8th STREmT ZEPHYRHILLS, FL 33~40
<br />PhoneI813-780-n020 FaxI81J-780-0021 .
<br />DA'rB1 RBC1JIIIvlIln
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<br />PI,ANS RIllVIEW rI!lBi_._.__.~.-u_
<br />PHONEJ r.ONll'1\C!'!'f!!~. ~~~_p).,>>.
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<br />IJElGAL lJBJSC!RTP'rIoll: LOT(8)
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<br />BU)CK
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<br />SUBDIVISION
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<br />PAR(!EJI, ID It 3;;- -' ;}'S-~d.l_ ()OIO~D'tr'r{tJiJ- 0<..>00 (OBTAIH FROM PROPERTY 'l'Al< NO'l'H'mi
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<br />WURK PROl?8EtJl [JNEW f'ONSTRUCTION 0 ADDITION L]AI/l'ERATION [J REPAIR LJ TN8TA!Jl,
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<br />~f(m
<br />PROJ,lOSEJIJ USE: I L1sm, FAMILY DWEJL,T,I1~G
<br />~1m1MElR(!IArl
<br />o R~8'rAlJRAN'I' & HElALTH DH:P1\RT~1EN'I' APPROVAL
<br />llBlSCRIPTION OF 110RK __~~___ c}y;'l~~.ld{J~ ()~ t.r.~_"!-~'F_}c/ _.______________~__________
<br />8UH,TlIN<J E!:tzE _~_.. f"r:~~l~___ SQUARE FOOTAGE _h. 30~.~__ llEllGU'l' .2:'j~._.________
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<br />[) MOVE
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<br />o DElMOr,ISI!
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<br />Ch1IJIil'I. F'M1TltY
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<br />[1# OF tJl\lITS
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<br />IJ MOBIIrEl HOt1E
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<br />o INDlJS'l"R rAT,
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<br />[J SW H1MING POUlJ
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<br />(] OTHER
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<br />RESIlJElNTIATJ I
<br />COJl1MBlRCIAL'1
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<br />A'I"f1\(~H (2) PI,OT PTJAt18 & (2) SEll'S OF BUI! ,IJING PJ,1\NEl & (1) SEl'r ElNElRGY FORMS,
<br />A'l''1iA(~1! (3) SE'l'S OF BUILDING PLANS & (1) SET ENER(N FORMS.
<br />PROPBlRTY SURVEY RBlQUIRElD FOR 1\LL NEW CONS'I'RUCTION.
<br />
<br />~ERMITS REQUESTED
<br />
<br />[1 8lJJI,IHNf~
<br />L1 l3lIJIilCTRHJAI.
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<br />$ _._.~---
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<br />VALUATION OF 'fOTAIJ CONS'rRlJC'l'ION
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<br />AMP SElRVH~E
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<br />o FIDRIDA POWElR
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<br />W. R . E]'(l .
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<br />[J PI.tJt~BING
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<br />$..---.-------- VAIJUATION OF t1ECHA.NCIAI, H1STAI,I,ATTCJN
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<br />[lems
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<br />L] ROUFING
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<br />[.1 8PEC!lAUfY
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<br />[] OTHER
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<br />'l'YPEl OF CONS'1'RUC!TION I [J BI.oCK
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<br />o FRANEl
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<br />o S'I'EIDT,
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<br />[] OTHER
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<br />FINISHED FUJOR BlLEVATIONS
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<br />IS PRO,JECT IN FLOOr> ZONE AREA. n ytllS
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<br />o NO
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<br />BUILDBlR
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<br />Cot1PANY ---- _.. -.--.----..-.-----.__n___.__...__n.__..._... "__._.__ ___._. .,_..
<br />STATE CElRT OR REGIS'I' # ___.______ .__._______0._______
<br />CITY PROCESSIl'-fG L__h_.._________.____~_p .____.______
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<br />STATE CERT OR REGIS'I' 1# Z"5--().>OI..l3S"1)
<br />SI 3lH\TlI El?t. .__________.._._.._______._____._.
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<br />STATE CER'l' OR REGIST # ________________.._
<br />CITY PROCESSING #
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<br />S WNA'l'llREl
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<br />MBlCHANI CAl, cotv! PANY ________._...._________.____._________....
<br />STATE r!ElRT OR RElGIST It _____.___.__._______________.__
<br />8WNA'l'IIREl CITY PROCESSING #
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<br />OT.B. -(~J~:'C~n. ~~ --------__ (~OI.1PANY 5.l~' ~} A" A_ ~~~! S~~i~L_h~_.__.__
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<br />SWNA'l'1JREl _ it _ ______... CI'rY PROCElSSING # __~_._=~-~~==~:~~~~---_~=~~~~
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