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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting = 571 _ 4141 <br /> Tr rrrr <br /> Owners Name Karl&Fay Kingery Owner Phone Number 813-479-8244 <br /> Owners Address 1 5714 19th St.,Zephyrhills, FL.33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5714 19th St. LOT# 9-11 <br /> SUBDIVISION City of Zephyrhills PARCEL ID# 11-26-21-0010-07800-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Install solar photovoltaic system <br /> BUILDING SIZE SO FOOTAGE= HEIGHT <br /> =BUILDING $19 079.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL '100.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> i <br /> =PLUMBING $ + <br /> / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER •► �11 8 COMPANY• • LSCI, InC. <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address 4625 East Bay Dr.#305,Cle rwater,FL.33764 License# I CVC056656 <br /> ELECTRICIAN SC <br /> C A NY LI, Inc.SIGNATURE d q REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address 4625 East Bay Dr. 05, earwater,FL.33764 License# EC13001300 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN, Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> Iltttltllllttlllllllllltlttltllttltttttttltttltllttltllltlttltltlll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large 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 /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions:• �� <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 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 />