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:. " " 138-0020 CItY'Of ZePhY(IIIIS,P3rlt A PIlCation813-7 Fx8 -0021: <br /> Building,Department <br /> Date Received <br /> - -Phone Contact for Perm fitting -- <br /> 'wall[i"["ail. ['[t[! <br /> owners Name AN DREW LOPEZ, owner Phone Number 813=312-7971_:. , <br /> owners Address 51-1"1::19TH'ST _Owner Phone Number <br /> Fee'Simple Titleholder Name: Owner Phone.Number. ' <br /> Fee Simple Titleholder Address <br /> 5111 19TH'8T ZEPHYRHILLS, FL-33542 <br /> JOB ADDRESS LOT#.: -: <br /> SUBDIVISION PARCEL L ID# 1 1-26-21-001 0-201 00-0090 <br /> - - (OBTAINEDFROM PROPERTY TAX NOTICE): - <br /> WORK PROPOSED NEW,CONSTR ADD/ALT = SIGN 0 Q . DEMOLISH <br /> B INSTALL e' REPAIR <br /> PROPOSED USE 0'' SFR COMM = OTHER REPLACEMENT.. <br /> -TYPE OF CONSTRUCTION- _. BLOCK' 0 FRAME 0 STEED- 0. - <br /> - 40GAL ELECTRIC WATER HEATER-REPLACEMENT <br /> - DESCRIPTION OF WORK - - -. <br /> BU I LDI NG SIZE SQ FIOoi E HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL _ $ AMP SERVICE = PROGRESS ENERGY 0 WAEC: " <br /> =PLUMBING $1338 �Q <br /> =MEGHANICALr $ VALUATION"OF:.MECHANICAL"INSTALLATION <br /> =GAS =' ROOFING 0- SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA. =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN - I Y/N I - - <br /> _ .. - <br /> Address License# <br /> ELECTRICIAN COMPANY. <br /> SIGNATURE, - REGISTERED I Y/N FEE CURREN I Y/N <br /> Address Liven e# <br /> PLUMBER; - r COMPAN �ii ti " <br /> . ' <br /> -=SIGNATURE __ _ "' 'REGISTERED Y'l FEECURREN Y/-N:- <br /> Address License"# <br /> MECHANICAL' COMPANY <br /> SIGNATURE REGISTERED I Y/N -FEECURREN: Y/N - " <br /> Add ress License#" <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N, FEECURREN <br /> Address_ License#. <br /> F.l.hl,l..I!l;.I:LL !.[1"�:l;l.l.i<.!_Ii.[.!"L.t.it"!L` <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Form5-R-O-W Permit for new'constructiori, <br /> Minimum ten(10)working days after submittal date..Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,'" . <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.'R-0-W Permit for new construction. .. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Sift 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 Coinrriencement Is'required.(A/C upgrades over$7500) - <br /> Agent(for the contractor)or Power bf Attorney(for the owner)would be someone with notarized letter from owner authorizing same = <br /> -OVER THE COUNTER PERMITTING (copy of contract required),' - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />