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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received February 25, 2020 Phone Contact for Permitting ( 813 ) 782 -- 3319 <br /> 1 ItaIIaI 11 € & Itax <br /> Owner's Name Frank Martini Ishaimei ,&TA,, Owner Phone Number (813) 782-3319 <br /> Owner's Address 4200 W Century Blvd, Inglewood, CA 90304-1618 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5543 11th Street, Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-10300-0080 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR H ADD/ALT 0 SIGN 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK Service Changeout- 200amp service panel <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ 5,000 AMP SERVICE 200 XD PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING F—] SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ffiiffiffopti <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY Pattie Electric & Refrigeration <br /> SIGNATURE REGISTERED 1 00/N FEE CURREN I O/N <br /> Address 39 1 Pattie Rd, Zephyrhills, FL 33540 License# I EC0001268 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> it atilt all Iii'f #.[ II gifts at III-Flit f11II1 € 11allilla Y�.�"II # ttltlf4l€tlf.It €`It-1€ €_I : <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsier;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of BuilflIfte Life r ty Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days aEfteIueM*Atal]date u d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpste&Mtd I1dWoF1'IP it f 'atCr� projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pog. 'v br <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 (copy of contract required) <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 />