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<br /> e13.780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
<br /> Building Department
<br /> Date Received 14DPh
<br /> ne Contact for Permitting — -
<br /> owners Name' Wilifam'Jolifison Owner Phone Nomher 231 499=9959
<br /> owners Address 5324''16TH ST,ZEPHY130 LLS; FL 33542 owner Fhone NDmbar 813-780=61'43
<br /> Fee Simple Titleholder Name, . Owner Phone Number
<br /> Fee Simple Titleholder Address
<br /> JOB ADDRESS 5329-17TH STREET;SEPHYRHILLS, FL`:33542,- - LOT# 13&14
<br /> SUBDIVISION PARCELID# 11-26-21-0010-17200-0130
<br /> ` (OBTAINED FROM PROPERTY TAX NOTICE)
<br /> WORK PROPOSED NEW CONSTR ADD1ALT = SIGN Q = DEMOLISH
<br /> B INSTALL R. _ REPAIR'
<br /> PROPOSED USE = SFR = ..,COMM. 0 OTHER' 1
<br /> TYPE OF CONSTRUCTION Q. :, BLOCK Q -,,,,FRAME, Q STEEL Q• 'D �Nf�
<br /> Install solar photovoltaic System
<br /> DESCRIPTION OF WORK t_
<br /> BUILDING SIZE SOFOOTAGE� HEIGHT!.. (�
<br /> AC
<br /> 19,370 VALUATION OF TOTAL CONSTRUCTION G '(V
<br /> =ELECTRICAL $, AMP SERVICE = PROGRESS ENERGY Q W.R.E;C. Y
<br /> 100.00
<br /> =PLUMBING $;
<br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
<br /> =GAS = ROOFING Q SPECIALTY = OTHER
<br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA- =YES NO-
<br /> . . . . . . . .
<br /> LSCI Inc..
<br /> BUILDER COMPANY
<br /> SIGNATURE REGISTERED Y/ N FEE CURREK., Y/N
<br /> Address 46 East Bay Dr.' 305;Clearwater,FL.33764 License# CVC056656
<br /> ELECTRICIAN, ,, COMPANY LSCI, II1C.
<br /> i.,.
<br /> SIGNATURE REGISTERED Y/ N; ,FEE Cl1RREP I Y/N
<br /> Address 4675.East-Bay Dr.#305,CLearwater,FL.33764 "License# 'EC13001300'
<br /> PLUMBER:c' it COMPANY
<br /> SIGNATURE REGISTERED I 'Y/-N', FEE'CURREn 1 Y/N'
<br /> Address. License#
<br /> MECHANICAL "II(� COMPANY'
<br /> SIGNATURE'S h f ., REGISTERED :Y/ Nr, +-FEE CURREn`l Y L N
<br /> Address J License#
<br /> OTHER". COMPANY
<br /> SIGNATURE REGISTERED 1.Y/.N FEE CURREn Y/N
<br /> Address _ - License#
<br /> I111,1Ir111.11,1.,1',1',1.11,1'1,1`11.1�11.1;1,1,1.1,1.1_1'1.11;1_,11,LI_I li.L,1,1.:11-.111111111,1_�LL11;1,.1111 ,
<br /> RESIDENTIAL Attarih(2)Plot Plens;(2)""sets ui Buflding.Plans;(1)set of Erieigy Fonns;,R=O-W Pertni►.for new construction,
<br /> Minimum ten(10)inoikinb days aftet isutimittal date: Required onsite;ConiStrUC1ion Pians,Stornweter 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,Stonmwater Plans w/Silt Fance installed, r
<br /> Sanitary Facilities&'I'dumpster.Site Work Peirnit for al(new projects.All commercial requirements must meet compliance
<br /> SIGN PERMIT Attach(2)sets bt: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 /> Rereofs V shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
<br /> Driveways-Not over Counter if on public roadways..needs ROW
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