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City of Zephyrh8ls Permit APPlication <br /> ' Building Deparimert Far 813-780-002� <br /> 'aaLe 4eCeived <br /> Phone Crrrrtad for Paj_i�wn <br /> Ownef'S Name <br /> nerPhane Number <br /> Owrtat'sAddmw Oj ! ^' erPhondNurt �— <br /> Fee Simple Titleholder Name Owner Phone Nlmrtaer <br /> Fee Simple Titleholder Ad <br /> Jos ADDRESS 2 r 5 ?-EOT ar <br /> SUBDIVISION PARCELID# <br /> (OBTAffM FROM PROPEMYTAY NOTICE) <br /> WORK PROPOSED NEW CONM ADD/ALT = SIGN 0 0 DEMOLISH <br /> B INSTALL a REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK /0 FRAME = STEEL = <br /> DESCRIPTION OF WORK G faa <br /> BURRING SIZE I i SG FOOTAGE 1 a HEIGHT <br /> =BUIL.DING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATIOt�2 <br /> =GAS ROOFING 0 SPECIALTY = OTHER v� ( ((( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> �! BUILDER COMPANY <br /> SIGNATURE REes7ERED I Y/ N FEE CLMEn Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECASTERED I Y/N FEE CUPREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECURF01 Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE PEGISTERED I Y/N FEE CURREN <br /> Address Licenses <br /> OTHER COMPANY rJ V1►si1 <br /> SIGNATURE REGISTERED Y/ N I FErCukStff <br /> //►►//��/�I Y/N ,J— <br /> Address 3 I�cerse# l.l�(.iot rNC� <br /> 11111111 111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111IIIIIt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RAW Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subd visfonsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set_of Energy Forms R-O-W Permit for new construction. <br /> Mininiurn ten(10)woddng days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/S0t Fence installed, <br /> Sanitary FaaTities&1 dumpster.Site Work Permit for all new projects.AU commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW eorutruetion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Comawmeernem Is required. (AIC upgrades over WWII) <br /> Agent(for the contractor)or Power of Attorney(far the owner)would be someone with notarized letter from owner authorizing same <br /> L OVER THE COUNTER PERMITTING (Front Of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />