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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
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<br />DATJi: RECBIVED
<br />PLANS REVZEW I'D
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<br />3 7517 f^~~ OcJ<- tJ,
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<br />PHONE
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<br />~iD 7- 79'9 ~
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<br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
<br />,PAR~EL, 1011 "?'4,. ~S- - ? 1-()CX:JO-C::O?PO"'CCi'o (OBTAIN FROM PROPERTY TAX NOTICE)
<br />WORK PROPSED: ~ CONS'!'RUC'!'ION D ADDI'1'ION DALTERATION D REPAIR 0 INSTALL
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<br />OSIGN
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<br />o MOVE
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<br />o DEMOLISH
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<br />PROPOSED USE: OSGL FAMILY DWELLING
<br />o COMMERCIAL
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<br />Ott!iii.TI-FAMILY
<br />o INDUS'!'RIAL
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<br />0# OF UNITS
<br />o SWIMMING POOL
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<br />o MOBILE HOME
<br />o OTHER
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<br />DESCRIPTION OF WORK
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<br />,D RESTAURANT & HEAL'rn DEPARTMENT APPROVAL
<br />_'8(-( II ) J l J f') ('.{ ~fX< r+t", '" 11+ ~U' \c..\ I' n~
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<br />. . ,Of' ~
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<br />SQUARE FOOTAGE
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<br />HEIGHT
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<br />0)/'
<br />
<br />BUILDING SIZE
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<br />RESIDENTIAL:
<br />COMMERCIAL:
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<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS.
<br />ATTACn (3 ) SETS OF BUILDING. PLANS & (1) SET ENERGY FORMS.
<br />PROPERTY SURVEY REQUIRED FUR ALL NEW CONSTRUCTION.
<br />
<br />~ILDING
<br />~LECTRICAL
<br />~LUMBIHG '
<br />~CIIANICA~ $
<br />J GAS: ,I ~FING 0 SPECIALTY
<br />Ty~~t:~F~:~~~~;~UCTION: ~~~K '
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<br />PERMITS REQUESTED
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<br />$
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />AMP SERVICE
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<br />~FLORIDA POWER
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<br />o . W.R.E.C.
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<br />VALUA'l'ION OF MECJIl\NCIAL INSTALLATION
<br />o O'fHER
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<br />o FRAME
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<br />o STEEL
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<br />o O'fHER
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<br />FINISHED,rLOOR ELEVATIONS
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<br />IS PROJECT IN FLOOD ZONE AREAD YES ~
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<br />BUILD_ ~ Ii COMPANY 50. YlG)l Y Ot... v~1 COIY\eJ1t
<br />W STA'!'E CERT OR REGIST 1# (! f5c.... 6/t)'1,.:)?
<br />SIG~URE " tA-tA.<4' " 'Gl, /",,-./ CITY PROCESSIN~ 1#
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<br />COMPANY F,' IS + C ICi5S ~ I~c:f ~'
<br />STATE CERT OR REGIST 1# ~ ~~ 0
<br />CITY PROCESSING 1# I '-I ~
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<br />ELKCDUC
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<br />SIGNATURE
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<br />~ .~ ~ STATE CERT OR REGIST * ~~ 7~ c::;
<br />~ . "'-- ~ rr-.. -v- .>- J--.--. CITY PROCESSING 1# }
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<br />SIGNATURE
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<br />COMPANY
<br />STATE CERT OR REGIST #
<br />CITY PROCESSING 1#
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