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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION
<br />BUII~DINQ IHllI?ARTMElN'r 533!5 8 th S'rRI!lBlT ZElPHYRHILIJS, fL 331540
<br />Phone, 813 -780 -0,020 Fax, 813 -780"- OO~:A'rB1 RBOSIVIiID ~~-"tl-'!?2___
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<br />PI,ANS RJllVlliIW rIllBi_ -___"h ~:______..
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<br />1,ElO1\L DElSCRTP'rroN: LOT(S)
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<br />Bf,OCK
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<br />SUBIl I V 18 J ()N .l....m.e.@~:LJ?oJ_nt~_
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<br />PARnEll, III I~ ~1.=~- .:21-:j:::!27D.=QQf.;;J(;()- a~~o ___.______._~_~~TA.~~__~'.R(~_=_~_C.~~~~:_~_'l~~~._.~~~~~CEl_~__
<br />WURK PRnpSElDI lo:ffilllN CON8TRUCTION [] ADDITION [JAL'f'ElRATION [J RIllPAIR LJ INST1UJI,
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<br />[}SJGN
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<br />o MOVE
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<br />o D1llfvtOI,I811
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<br />PRtWOI3E11l USE I l~mJ FAMIlJY DWElLI,IHrJ
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<br />Ch1tJI,'1'I . FAlvtJl,Y
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<br />[J # Cl F lJlH l' S
<br />[JSWnlMING pour"
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<br />[] MOBIIrIll Hot11ll
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<br />[] Cm1MElR(~IAI,
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<br />[J INDUSTRI AI,
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<br />(] OTHER
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<br />o RBlSTAURANT & HElAImt DBlPARTt1ENT APPROVAL
<br />11ESCRIPTION OF 110RK --~L~__. ~("', b~+-h/ ~~ld:1--~W.~-------._-___.
<br />BUIT,IlINtJ SIZE _1.0 X L_.._ SQUARE FOOTAGE __f!.O______
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<br />ItElIGHT
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<br />- ._,._-~_.,--- --------
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<br />Rlil8 WENTIAT~ I
<br />(~OMMIllRQIAT~ I
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<br />A'I"rACH (2) PLOT PI"Al1S & (2) 8ElTS OF BUII,DING PI,AN8 & (1.) Sill'!' ElNElRny FORMS,
<br />l\.'r.tA(~H (3) SE'I'S OF BUtLDING PLANS & (1.) SET ENERC1Y FORMS,
<br />PROPERTY SURVEY REQUIRED FOR AI,L NEW CONSTRUCTION.
<br />
<br />FERMITS REQUESTED
<br />
<br />LJ BtlII.IHNG
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<br />$..----__.___" VALUATION OF tOTAL CON8'fRUC'rION
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<br />. ~ BlI~I!lC'I'RHJAr,
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<br />------____-'- AMP SERVICE]
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<br />o FI.ORIDA POWER
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<br />[J N,R,B.n,
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<br />Iii P I.tJt1B ING
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<br />o 11IWHANIUAJ,
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<br />$_____
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<br />VM,UATION OF tllElCHANCI1U, UISTALI1ATTOl\T
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<br />[] (JAS
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<br />[] ROUFHm
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<br />[J 8PE]C!IAUf'Y
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<br />[I O'J'HER
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<br />'l'YPEl OF CON8'1'RUC!TIDH: [J BLOCK
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<br />o FRAME
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<br />[J S'I'EJIllL
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<br />[) OTHER
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<br />FINLSHEllJ FI,()OR I!lI~ElVATIONS
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<br />IS PROtJElC'I' IN FLoorl ZONEl AREJJI. n VIllS 0 ND
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<br />aUIMHlIR
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<br />Cot1 PAN Y -.--________h.___.___ _ _'__._.. __Uh_ __hu___.. __
<br />STATE CElRT OR RElrJIS'I' # ._____._____________...__________
<br />CI'l'Y PRO(~El8SING 1L___.______.__...________________._____.._
<br />
<br />8tGNATUREl
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<br />******************************************************************
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<br />ml.JllO'rRICIAN
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<br />S"I mrA'I'UREl h_____..__,.
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<br />CO!1PANY -.______u,___~_ -.----.--____n_____.._______.., _._.'...____
<br />STATE CERT OR REGTST U
<br />CITY PROCESSING U
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<br />MBlnHANI CAr. COMPANY __________..__._._,_______._...______..____
<br />8TA'TE (!ElRT OR REG I 8T # ______.______ ____._____.__._
<br />STGNA1'tmEl CITY PROCESSING #
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<br />-~---~- --- +-~-- .__.~----_. _. -..---.-.- - . .-----..-...---- ~--_.
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<br />~-----------------------_.+-_...._----_._-- -------..----.---.--.--- ._~._----~
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<br />*****************************************************************
<br />
<br />OTHER
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<br />(Xll,1PANY
<br />-----------...---- ._.._--_..~_..__...- ,--- .-...
<br />STATE ~ERT OR REG 1ST #
<br />~ITY PROCElSSINO #
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<br />-~-...._._.._-------------~----,---------
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<br />8 rlJl.IA'l'IIREl
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<br />*****************************************************************
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