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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> F k . Building Department <br /> .r <br /> Date Received June 17, 2020 Phone Contact for Permitting ( 813 ) 782 -- 3319 <br /> 12tatti € I€ € i € <br /> Owner's Name Sixth Avenue LLC owner Phone Number (813) 782-3319 <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 ?At tree , ephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID#1 12-26-21-002B-00500-0000 <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 Q FRAME = STEEL <br /> DESCRIPTION OF WORK Service Panel/meter/post Changeout- due to poor condition <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ 2,350.00 AMP SERVICE 150 ® PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ 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 Y/N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY Pattie Electric & Refrigeration <br /> SIGNATURE REGISTERED I W/N FEE CURREN I W/N <br /> Address 3 1 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 Y/N <br /> Address License# <br /> I1t III Etill lEIE.11 €4t.11 # I1t 1 [.I1 it [ t,91t11 ;1.11Ii.1E € E.I€ lt.i1g1EI1tE.Y111141I1"1E1EI111.11111 VIA atI <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(10yworking 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 (ding lans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)woMiinl IN", eft sub fta1T,;ate. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&j1�du4Yl st S'ci W Peit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of En9111.q <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 />