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` 813'780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received September 18, 2020 Phone Contact for Permitting ( 813 ) 782 - 3319 <br /> fE € # € €.€ € aaWI ; <br /> Owner's Name Miller Gordon G & Johnson Lori Conrad owner Phone Number (813) 782-3319 <br /> Owner's Address 5535 23th Street,Zephyrhills, FI 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5535 23th Street, Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID# 12-26-21-002A-00700-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL <br /> DESCRIPTION OF WORK Service Panel Ctian OJ <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> -{_C-C...E.;..C'W'E-E_E_rlrX-J E"E-9C";` .; "E'C E_�. . _ _ ._{...�_�. .. L€.E_;_�_.0 _ .. _£..E E X JCS€'E._C..5'.i €-K C'X U_JE'['IVE_-C"XE) <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> UX ELECTRICAL $ AMP SERVICE 125 ® PROGRESS ENERGY = W.R.E.C. <br /> 1,498.00 — — <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/N J FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY Pattie Electric & Refrigeration <br /> SIGNATURE REGISTERED /N FEE CURREN /N <br /> Address 139111 Pattie Rd, Zephyrhills, FL 33540 License# I EC0001268 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <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 <br /> Address License# <br /> € €€ €.€ €.11 Its 11f€.€.tf1.€ 11 tits € III a11 €# € € € €.1t € # €1t € €f € 11 €.-1 € € liIs #1 € 1i.€.€ € €.€ € 91!1f €1 111 <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 BuiVing.,P.Ians,plu Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days afti:�,_AA.ti' date Requited onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpsteR-SitedNork;Eer3iit f�r all-'ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Podsc;:�r;I tr a� '� ;,r• <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 /> I <br /> / Driveways-Not over Counter if on public roadways..needs ROW <br />