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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received, Aril 7, 2020 Phone Contact for Permitting ( 813 ) 782 -- 3319 <br /> aIIa.l-aa1 <br /> Owner's Name Terry M Nadu Owner Phone Number =(813) 82-3319 <br /> Owner's Address 1 5854 16th Street,Zephyrhills, FI 33542-3705 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5854 16th Street, Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCELID# 11-26-21-0010-04900-0160 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION F—] nB FRAME STEEL <br /> LLOCK <br /> DESCRIPTION OF WORK j We Ctiun�yC 0✓� _ o2+0A W o <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> PLUMBING $ O <br /> ®MECHANICAL $ 3,975.0 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License#' * <br /> MECHANICAL / COMPANY Pattie Electric & Refrigeration <br /> SIGNATURE `' REGISTERED I O/N FEE CURREN I @/N <br /> Address 391 1 Pattie Rd Zephyrhills, FL 33540 1 License# I CMC055476 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> 1tlllffi 1111111t 'k € i1f ;E €'[ 1f1 [ IEtt t tEi € E.1t €`[1t ;1 l€ It I III I' ll It111111 € IE1t IItr lEltltll€ E [ # i € I€ Iti <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 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Buildinq PIspJus Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> . i s <br /> Minimum ten(10)working days er ntJe s'uIttai' te. gt�iil�'ead onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster. Ite Va1al�'f�er it f Il:ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered PI 4,,,.- �s.. <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 />