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<br />CITY OF ZEPHYRHILLS PERMl'J.1 Al>PLICAl'ION
<br />BUILDING DEPARTMENT 5335 8TR St, Z~phyrhillt:1, FL 33542
<br />813-780-0020 FAX:813-780-0021
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<br />PHONE CONTACT FOR
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<br />l>h,'F, RECEIVED ______.
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<br />PERMITTING J",C"1 \/
<br />J.P - '1,),L/- ()~ 7[)
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<br />PIIONF.: ~13' 1 ~1? - "-I.J 0 0
<br />
<br />OWNER's NAME
<br />
<br />
<br />ct
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<br />I10B ADORE SS
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<br />PARCEL 10 1# C ~ - J-.lo ;).1 - OO~-O . (JO;.;-CO _ ['O~O
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<br />LEGAL DESCRIPTION: LOT(S). C'tJ;J-C'
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<br />BLOCK COd-co SUBDIVISIoN OOt!? 0
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<br />WORK PROPSED: tJNEW CONSTRUCTION
<br />OSIGN
<br />
<br />o l\DDITION
<br />tJ HOVE
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<br />-lOlU'All'Li'ROM eROPF.RTY TAX NQIlt:EJ_
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<br />PROPOSED USE:OSGL FAMILY DWELLING
<br />o COMMERC IAL
<br />
<br />o l\LTERl\T ION
<br />[] DEHOI,ISH
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<br />[] REPAIR
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<br />o 1 NSTAIJ1.
<br />
<br />OMULT I - ["1\M11. Y
<br />o INDUSTRIAL
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<br />Oft OF UNITS
<br />DSWIMMING POOL
<br />
<br />o MOBl LE HOME
<br />o OTHER
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<br />BUILDING SIZE
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<br />o RESTAURANT & HEALTH DEPARTMENT J\PPROV/\I,
<br />idS P sh~~{o ~<'''oo,
<br />SQUJ\RE FOO'fJ\GE
<br />
<br />DESCRIPTION O~ WORK
<br />
<br />RESIDENTIAL. ATTACH (2) PLOT PLANS. (2) SETS OF BUILDING PLANS. (I) SET ENERGY FORMs.
<br />COMMERCIAL: ATTACH (3).- SETS OF BUILDING PLJ\NS & (1) SET ENERGY FORMS.
<br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
<br />PROPERTY SURVEY REQUIRED FOR AT..L NEW CONSTRUCTION.
<br />
<br />HEIGHT
<br />
<br />o BUILDING
<br />o ELECTRICAL
<br />
<br />$
<br />
<br />I CJ. S 3 (l r
<br />
<br />,
<br />
<br />PERMITS REQUESTED
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<br />Vl\LUJ\TIoN OF TOTAL CONSTRUCTION
<br />
<br />AMP SERVICE
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<br />o FLORIDA POWER
<br />
<br />o W.R.E.c.
<br />
<br />tJ PLUMBING
<br />o MECHANICAL '
<br />
<br />$
<br />
<br />o GAS
<br />
<br />C1 ROOFING
<br />
<br />o SPECIALTY
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<br />VALUATION OF MECHANCIAL INSTALLATION
<br />o OTHER
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<br />TYPE OF CONSTRUCTION: 0 BLOCK
<br />
<br />o FRAME
<br />
<br />o STEEL
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<br />o OTHER
<br />
<br />FINISHED FLOOR ELEVA'r!ONS
<br />
<br />IS PROJECT IN FLOOD ZONE AREAD YES [J NO
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<br />
<br />BUILDER
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<br />'\ V COMPJ\NY-=P'cw.1 0C.h~; 1<00 f;,,~. 11.,
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<br />~*****************************************************************
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<br />SlGNA'fURE
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<br />ELECTIUC1AN
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<br />SIGNATURE
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<br />COMPANY
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<br />PLUMBER
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<br />**************************************************~***************
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<br />STATE CERT OR REGIS! H
<br />
<br />SIGNATURE
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<br />COMPANY
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<br />MECHANICAL COMPANY
<br />SIGNATURE S'T~~~"'~.!'ST "'r'lLy
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<br />*"*****************************************************************
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<br />STATE CERT OR REGIST ft
<br />
<br />SIGNATURE
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<br />STATE CERT OR REGIST "
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