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81�78�20 City of Zephyrhiils Permit Application Fax-eia�ao-ooz� <br /> Building Department <br /> Date Received Phorre Co�G for Perm�tlng 727 362 _ 6807 <br /> 11111111 11111 <br /> Owner's Name Ariene Mae Lippincott Owner Pho�re Number 813-788-1001 <br /> Owner's Address 5924 14th St Zepherhills,FI.33542 Owner Phone Number <br /> Fee Simple T18eholder Name Owner Phone Number <br /> Fee Slmpla Tideholder Address <br /> �oe aoDReSs 5924 14th St Ze herhills FI.33542 �oT a � <br /> SUBDIVISION PARCELID# 11-26-21-0010-04000-0170 <br /> (OBTAINED FROM PROPERTY TAX NOIIC� <br /> WORK PROPOSED NEW cONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSEDUSE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Add 3-40 am circuits for water heater and 1-30 am circuit for d er <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> 1953.00 <br /> QPLUMBING 5 � n� '�i� <br /> CJ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �{'� / �' <br /> l �� <br /> QGAS Q ROOFlNG Q SPECIALTY Q OTHER <br /> FINISHEDROORELEVATIONS � FLOODZONEAREA QYES NO <br /> BUILDER CpMpqNy <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY S 8fk BfO511C <br /> SIGNAiURE REGISTERFD Y/N FEE CURREA Y/N <br /> Address 2170 Sunnydale Blvd Ste X CLW.Fl.33765 License# EC13003714 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREf� Y/N <br /> Addmss License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERm Y 1 N FEE CURRQ. Y/N <br /> Address License# <br /> 07HER COMPANY <br /> SIGNATURE REGISTERm Y/N FEE CURREA Y/N <br /> Address License# <br /> IIIIt11111111111111111111111111111111111It1t1111111111111111111tI11 � <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days aFter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster,Sita Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life 5afety Pege;(1)set of Energy Forms.R-0-W Pertnitfor new mnsWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/SR Fence installed, <br /> Sanitary Fadlides 8 1 dumpster.Site Work Pertnit for all new projects.All commercial 2quirements must meet mmpfiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••"PROPERTY SURVEY required for all NEW construction. <br /> Directfons:• <br /> Fill out applicatlon comptetety. <br /> OwnerB Contractorsign back of application,notar¢ed <br /> If over 32600,a Notice M Commencement Is requlred. (AIC upgrades over$7b00y <br /> " Agent(for the conUactor)or Power ofAttomey(for the amer)would 6e someone with notarized leHerBom owner aufhorizing same <br /> OVER THE COUNTER PERMI1liNG (copy of contraIX required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..neecls ROW <br />