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<br />OGT/!4/20DS/?~I 01 ~'PM ZEPTfRffILLS aUiLDfNG
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<br />FAX N~, 813'-780-0021
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<br />P. OO~
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<br />CITY OF ZEPHYRBILLS PERMIT APPLICATION
<br />~UILnl~G OEPA.'TMEN~ 5J35 s~ at, l~phyrh~118, FL 33542
<br />813-780-0020 UAX,813-780-0021 h~'.'~.__
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<br />Ellon CONTACT !!'OR PlliIMU'rIHG ~-'1ti.J. ~r
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<br />DA!!tEILr..'l'ION
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<br />o Il'!llTAU
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<br />o DtJ-r.:JLI8M
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<br />PROPOS:;';) tlSF.: lJs:;: fAlr;!:l OW!:I.LING
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<br />O~ro;:'11 - C'i'.Y.!L Y
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<br />DI!I8CRU'UON OF WOItK -T1!XLdJ-~...t2.L. t2c/;e,~/IO/l1 ;;..q -Ule; &1lJ.f ,;O~ W;fl./G/MS
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<br />iJrJILDnll, SlZB
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<br />SQ,lAl<.E :motAGE
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<br />HE:GHT ____
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<br />RESIDEN~~Al,' ATTACH (~; P~~T PLANS & (2) SETS OF aUILOING PLANS & (1) SET ~NERGY FORMS.
<br />COIrJl.lEl>.Cn,L: .1\T'tltCll (3: SETS OF BUll,nH;Gi?I.AlIS ~. (1) sn E:~)ERG'i i'Ol'iY.o$.
<br />IB' 9!Gl, l?El'.MIT ONL.,. (2: SETS 0,' E"GINE:i!:~.E:D ~LANS REQUIRED.
<br />PROFE~TY SURVEY REQUIP~D rc~ ALt~tw CONSTROCTION
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<br />PERMITS_~~UES~ED
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<br />o bUIWlh7'3
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<br />VAL!JATIOll Of' T01'...L COHZ'l'l'.UCT!Oll
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<br />A~J? SERVICE
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<br />d. Proqre~$ Enor7Y 0
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<br />o GAS 0 Roof'ING
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<br />$--1.t. )oqg
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<br />VIlLOA'rI(\l~ o. MECAANC!AL H1S'f.I\LLATION
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<br />TYPE OF CONSTFWC! T.O~:, [l 8LC<:K
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<br />. 0 OTHER
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<br />FINISH~C fLOOR 11EVAT!0KS
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<br />IS PROJECT IN .'LooO zOlll:: AREAO YES 0 No)
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<br />SIGNATURE
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<br />oTATE CERT OR R~GIST t
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<br />SIGNATURE
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<br />CO~1PAN;:__
<br />STATE CElt'; OR REGIS'l' t --------.--
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<br />ELECTRICIAN
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<br />PLUMBIlR
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<br />SIGNATURE
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<br />/G~CHAN~
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<br />SIGIUl'rU;l.li
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<br />STATP CERt OR REGIST i
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<br />SIG~.h'.!'URF., .____._~-',....-_____~~....._:____"_____ ST'~TE CERT OR REGIS'I'
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