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<br />813-780-0020 <br /> <br />City ot Lepnyrnllls t'ernllL KjJjJllvdLlUl1 <br />Building Department <br /> <br /> <br />Owner Phone Number [\1 3 78 3 - 7 4 6 6 <br /> <br /> <br />Owner Phone Humber I 81 3 - 7 8 3 - 7 4 6 6 <br /> <br /> <br />Owner Phone Number I <br /> <br />Date Received <br /> <br />Owner's Name Tree & Melissa Norris <br />Owner'sAddress I 5240 19th street Zephyrhills, F~ <br /> <br />Fee Simple Titleholder Namel I <br /> <br />Fee Simple Titleholder Address <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />Zeohvrhills. FL 33542 LOT # <br /> <br />I PARCELID#111-26-21-0010-17600-0080 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />rxx:::J ADD/ALl D SIGN 0 MOVE D <br />D REPAIR <br />D COMM D <br />D FRAME D <br /> <br />JOB ADDRESS <br /> <br />5240 19th street <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />B <br /> <br />PROPOSED USE D <br /> <br />TYPE OF CONSTRUCTION D <br /> <br /> <br />DESCRIPTION OF WORK I Upgrade service to 200 amps <br /> <br /> <br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I <br />II I r J I , II , I111 , II 11II , III . I III , I , , 1111 , .. , I , 111111 , ,. II , III , 1111111111111111111 , 11111111111111111111 n III , 11111111 , I I 1 III . III I .. 11111111 1 III , II , II <br /> <br />DEMOLISH <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />D <br /> <br />1$ I <br />1$ I <br />2,450.00 <br /> <br />D PLUMBING 1$ I <br /> <br />D MECHANICAL 1$ I <br /> <br />D GAS D ROOFING D SPECIALTY D OTHER <br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO <br /> <br />111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111I11I111111111111I1 <br />I <br />I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ill <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />200 <br /> <br />IxXI <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E,C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br /> <br />COMPANY <br />REGISTERED <br /> <br /> <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />I License # I I <br />1111111111111111111111111111111111I11111111111111111111IIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllllllllI1111II1I1111111111111 <br />Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns . <br />Minimum ten (10) working days after submittal date, Required onslte. Construction Plans, Sanitary Facilities & 1 dumpster <br />Attach (3) sets of Building Plans; (1) set of Energy Fonns, <br />Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster <br />All commercial requirements must meet compliance. <br />Attach (2) sets of Engineered Plans, <br />...~PROPERTY SURVEY required for all NEW construction, <br />11,11111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111 <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. (AlC upgrades over $5000) <br /> <br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> <br />OVER THE COUNTER PERMITTING (Front of Application Only) <br />Reroofs Sewers Service Upgrades NC <br /> <br />Address <br /> <br />.0. Box 862 <br /> <br />Zephyrhills, FL 33539 <br /> <br />License # <br /> <br />1449 <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y I N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />YI N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />