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813-780-0020 City of Zephyrhills Permit Applicatio Fax-813-7 0021 <br /> Building Department <br /> Date Received ` phone Contact for Permittin 727 571 _41 <br /> owners Name William&Laurie Johnson O r Phone Numb -780-6143 <br /> Owners Address 5324 16th St.,Zephyrhills, FL.33542 Owhe-r phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5324 16th St. LOT# 17& 18 <br /> SUBDIVISION Town of Zephyrhills PARCEL ID# 11-26-21-0010-17200-0170 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 8 NEW CONSTR e ADD/ALT = SIGN _ = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Install solar photovoltaic system- <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $1 9 370.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $1 OO.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ �� �lGlW=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / r_ `� <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 9 Y COMPANY LSCI, Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 4625 East Bay Dr.#305,Clearwater,FL.33764 License# I CVC056656 <br /> I'. <br /> I <br /> ELECTRICIA COMPANY LSCI, Inc• <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 4625 Est Bay Dr.#305,CLearwater,FL.33764 License# CVC056656 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURRE, <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> 11111L11111111111'11111111111111111111111111111111111111111111111111 � <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsliarge 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. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(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 />