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t <br /> 813-780-0020 City of Zepbi rhills Permit:Ap><)icotion Fax-813-780.0021 <br /> 'Building Departmehf\:'`-1;:. <br /> do <br /> Date Received Phone Contact for ermitting 27 571 _ 4141 <br /> Owner's Name William&Laurie Johnson <br /> 5324 16th St. <br /> Owners Address ,Owner.7hone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5324-16th St. LOT# <br /> SUBDIVISION PARCEL ID# .11-26-21 20010-1-7200-0170 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Install solar photovoltaic system, . <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT <br /> OBUILDING $19,370.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $100.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C.: <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> NIL <br /> [� <br /> BUILDER COMPANY LSCI, InC. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address 4625 East Bay Dr.#305,Clearwater,FL.33764 License# I CVC056656 <br /> ELECTRICIAN OMPANY <br /> LSCI, Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 4625 ast Bay Dr.#305,CLealwater,FL.33764 License# I CVC056656 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN' FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> 11111111111111111111111II1111111111111111111111.11111111111111111111 <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 subdivisionsAarge 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 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 />