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813-7MG020 City of Zephyrhills Permit Application Fax-813-790.0021 <br /> Building Department <br /> Date Received Phone Contact for ermlMing 27 '571 4141' <br /> _ -... . _ __-- ___. __ .. _..- - --- <br /> Owners Name.'' Will'iarn&:"Laurie Johnson - <br /> Owners Address 5324 16th St.' Owner Phone Number i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5324,16th St.' LOT# e <br /> sUBDIVIsioN F PARCEL ID# 11-26-21=0010-4720M170 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED NEW CONSTR B ADD/ALT 0 SIGN = 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM,I = OTHER <br /> TYPE OF CONSTRUCTION BLOCK,: .0 FRAME- 0 STEEL Q <br /> DESCRIPTION OF WORK Install photovoltaic system' -, <br /> BUILDING SIZE F SO FOOTAGE HEIGHT C� <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 19,37•,0.00 . <br /> =ELECTRICAL $ AMP,SERVICE, = PROGRESS ENERGY = W.R.E.C.. <br /> 100.00 � .. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .C�� w'bV+l <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY LSCI,Inc. : <br /> SIGNATURE ,REGISTERED Y./.N, FEE CURREI, <br /> Address 4625 East'E16kbr`#305,C1EI66r6ter;FL.33764 License# CVC056656 <br /> ELECTRICIAN `�. OMPANY LSCI, Inc. <br /> SIGNATURE - -REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address A4625ast�Bay Dr.#305i CLearwater,FL.•33764 License# CVC056656 <br /> PLUMBER COMPANY <br /> SIGNATURE - REGISTERED I Y/N" FEE CURREA' L•Y/N <br /> - <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1.Y/N ,FEE CURRENY/N <br /> Address., License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE cuRREt, <br /> Address _ . License# <br /> 111111111111,11111,1.1111111111III11III1.1I1.11111.11111111111111:111-11111 <br /> RESIDENTIAL Attach-(2)Plot Plans;_(2)sets of Building Plans;(1)lost of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(1l1)wdrking days after submittai`date:Required onsite,Construction'Plans,Stonnwater 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 submhial date.- Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1%dumpster.Site Work Permit for all'naw projects.All commercial requirements must meet compliance r/ V <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$2600,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 />