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<br />APPLlCA'l'!ON fOR ~BR)fIT <br />CITY OF ZEPHYRKILLS <br />BUJLDlHU l)i!PAk'1'2<<trr <br /> <br />:::::,::' ~~530 ~t~:T~ A~JKM' <br /> <br />LtGl'\t. [If::::j::RIPl'Iotl: Lo:rtSl__J_'1 BLOCK ~ d 1 sUBDrvlsIoH--14r.n2 <br />PARCEL ID II -J ~ 'dt I'J ~_s. DOtMO _I 76 (OATATN FROM p~~y~ <br /> <br />C!fJ <br /> <br />DAD DC:Ilxv'm <br />...... DYIft ~ <br /> <br />NOTTC'''' <br /> <br />wonK PRoeSEO: [JNEW CONSTRUCTION <br />[JSIGN <br /> <br />PROPOSED USE:Cl~GL FAMILY DWELLING <br />OCOMMERCIAL <br /> <br />o ADrH'!'ION <br /> <br />o A 1,1'EAA'l"I ON <br /> <br />Cl REPAIR <br /> <br />"]I( INSTALL <br /> <br />o MOVE <br /> <br />o DEMOJ.ISH <br /> <br />OM!IL'l'I -FA.'1ILY <br />DIN"DUSTRIAL <br /> <br />DII OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />~HER <br /> <br />BUILDING SIZE <br /> <br />_ CJ PfSTAUrlT , HEALTt.:.EJRTMENT APPROVAL <br />WORK ->- '" ~ +0.' ~ <br />, 6'f. fa SQUARE FOOTAGE _t ;) t) <br /> <br />HEIGH'!' >? ' <br /> <br />P&;SCRIPTION OF <br /> <br />RES I liEI~TIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLO'l' PLANS , (2) SEl'S OF BUILDING PLANS .. ill SET ENERGY FORMS, <br />ATTA~1 (3) SETS OF BUILDING PLANS, III SET ENERGY FORKS. <br />PROPERTY SURVEY RE:QUIRt:D FOR ALL NEW CONSTRUCTION. <br /> <br />~BUILDIIIG <br />o ELEc'rRICAL <br />o PLUMBING <br />o MECHANICAL <br /> <br />(/'jERMI'l'S REQUESTED <br />~ 7 !St). r:i) / VALUATION OF TO,!'AL CONSTRUCTIotol <br />~ ------ <br /> <br />AMP SERvrc~ <br /> <br />o FLORIDA POWER <br /> <br />Cl <br /> <br />W.R.E,C. <br /> <br />$ <br /> <br />lJ GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />VALUATION OF MGCHANCIAt INSTALLATION <br />o OTHER <br /> <br />TYPE OF CONS'rRUCTlON: 0 IlLOCK <br /> <br />o FRAME <br /> <br />o S'l'EBL <br /> <br />o O'rHER <br /> <br />I'INISllED FLOOR ELEVATIONS <br /> <br />I S PROJECT IN FLOOD ZONE AREAO YES 0 NO <br /> <br />I :, ".. <br />~. :;::i "~:(::\r~_!.!<~i, <br />i~::;t'::~.:;,i!:,-;' ,':Y: <br /> <br />.:F: ;-~'li':; :;:!'~; ~L i ;~ ~! ;;tdi~ : !:,:~~: I ; ,.i ';' ~:;~:~: <br /> <br /> <br />!!!ll!!!! <br /> <br />COlolPAtIY <br />STATE CERT OR REGIST # <br />CITY PROCESSING II <br /> <br />SIGNATURE <br /> <br />.....*..*...*.**......*+*~.....*.*.*..*..*......*..*;........*.... <br /> <br />ILJ:C'1'IUCIAH <br /> <br />COMPA.1I/Y <br />STATE CERT OR REGIST # <br />CITY PROCESSING # <br /> <br />SIGH1.TURE <br /> <br />*.....**....*....~~l......+**..*.....~**..*~.............***..***. <br /> <br />~ <br />SIGNATURE <br /> <br />COMPANY <br />STATE CERT OR REGIST i <br />CITY PROCESSING . <br /> <br />*....*..*.~...~...**.*~*..*..*...,'*'*.......*.**....~***...*..... <br /> <br />.-cHANICAL <br /> <br />COMPANY <br />STATE CERT OR REGIST II <br />~ITY PROCESSING * <br /> <br />SIGNATURE <br /> <br />..A.'.~~W~..~**..~.~*k*.....*.~*~......~~.~.....*.~~.*...~.*.*... <br /> <br />0TID:l\ <br /> <br />COMPANY <br />ST~T~ CERT OR REGIST . <br />91GI/1\TUaE: ____________ CI'!'Y PROCESSING II <br /> <br />.....;*.~~*~.w.~....~..*.*..*~..*.~.~..**.~..~...~***......*..~** <br /> <br />."" <br />