HomeMy WebLinkAbout19-20912 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 r21. 12
BUILDING PERMIT
PERMIT INFORMATION 'LOCATION INFORMATION
Permit Number: 20912 Address: 5031 AIRPORT RD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-04900-0020
Improv. Cost: 68,900.00 OWNER INFORMATION
Date Issued: 3/14/2019 Name: CITY OF ZEPHYRHILLS
Total Fees: 800.00 Address: 5335 8TH ST
Amount Paid: 800.00 ZEPHYRHILLS, FL 33542
Date Paid: 4/30/2019 Phone:
Work Desc: REMODEL AND REROOF
CONTRACTORS APPLICATION FEES
KERNS FAMILY CONSTRUCTION CO BUILDING FEE 577.50
REESE ELECTRICAL INC ELECTRICAL FEE 67.50
JACKSON PLUMBING INC PLUMBING FEE 67.50
THE ROOFING COMPANY MECHANICAL FEE 67.50
CHRIS' A/C COMPANY CONTRACTOR CHANGE 20.00
Ins ections Re uired
FOOTER 2 D ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80(2)(c)the'
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SI NATURE PERMIT OFFI R
PERMIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Jacqueline, Boges
From: Linda Kerns <Lnda@kfc-inc.com>
Sent: Friday,April 26, 2019 11:50 AM
To: Jacqueline Boges
Cc: chrisaccompany2001 @yahoo.com
Subject: 5031 Airport Road Permit-Change in Mechanical
EXTERNAL EMAIL
Hi Jackie,
We would like to remove Michael Baxter Air Conditioing from our permit and replace them with Chris's A/C. I will be in
today to pay for the change fee.
Should you need anything further, please let me know. Thanks!
Linda
Linda Starr Kerns
Florida Licensed Real Estate Broker
Linda Starr Kerns&Associates
813.833.0972
Kerns Family Construction Company Inc.
Www.kfc-inc.com
813.996.0772 Office
813.996.7552 Fax
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 209
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20912 Address: 5031 AIRPORT RD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0000-04900-0020
Improv. Cost: 68,900.00 OWNER INFORMATION
Date Issued: 3/14/2019 Name: CITY OF ZEPHYRHILLS
Total Fees: 780.00 Address: 5335 8TH ST
Amount Paid: 780.00 ZEPHYRHILLS, FL 33542
Date Paid: 3/14/2019 Phone:
Work Desc: REMODEL AND REROOF
CONTRACTORS APPLICATION FEES
KERNS FAMILY CONSTRUCTION CO BUILDING FEE 577.50
REESE ELECTRICAL INC ELECTRICAL FEE 67.50
JACKSON PLUMBING INC PLUMBING FEE 67.50
THE ROOFING COMPANY MECHANICAL FEE 67.50
MICHAEL L BAXTER
Ins ections Re uired
FO TER 2 D R PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
Vx C, &__ &x,(�
NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813a80-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department 1,
Date Received —Z Z— Phone Contact for Permitting I l
_r_r_�_rr_I_r _
Owners Name City of Zephyrhills Owner Phone Number
Owners Address 5335 8th Street Owner Phone Number
Fee Simple Titleholder Name I City of Zephyrhills Owner Phone Number
Fee Simple Titleholder Address 5335 8th Street Zephyrhills FL 33542
JOB ADDRESS 5031 Airport Road LOT#
SUBDIVISION PARCEL ID# 12-26-21-0000-04900-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR COMM = OTHER
TYPE OF CONSTRUCTION BLOCK FRAME Ez� STEEL =
Reroof,add 1 bathroom,renovate ebsting bathroom,plumbing line repairs,new electrical,new exterior door,
DESCRIPTION OF WORK interior fremin repair,re lace window shaker for HVAC.General office buildout.
BUILDING SIZE 26X72 1 SQ FOOTAGE 2628 HEIGHT
BUILDING $� D/'1 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ v/ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ t V f (v r 2 �
a
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER QS
E y� S
FINISHED FLOOR TIO S FLOOD ZONE AREA =YES NO �L�I 0L
BUILDER / 6 S COMPANY I Kerns Family Construction Company Inc.
SIGNATUR /// REGISTERED I Y/ N FEE CURREn I Y I N
Address 119 PAS TRAILS BLVD. BROOKSVIL E FL 34610 License# CBC1255980
ELECTRIC N �ULCO
COMPANY Reese Electric
SIGNATU REGISTERED Y/ N FEE cuRRen Y/N Address License# I e4 lye e/'_3 S / r
PLUMBER �f COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N
Address .,p License#
MECHANICAL ` OMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREn I Y/N
Address License# C jQ
OTHER COMPANY The Roofing Company of Tampa Bay
SIGNATURE l REGISTERED I Y/ N FEE CURREn I Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Sift Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of applicabon,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Welland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit is suspended or ndoned for a period of six(6)months after the time a work is commenced. An extension
may be requested, i ting, om the Building Official for a period not t ceed ety(90)days and will demonstrate
justifiable cause f he exte ion. If work ceases for ninety(90)cons utive days, a job is considered abandoned.
WARNING T OWNER- YOUR FAILURE TO RECORD A N ICE OF C MENCEMENT MAY RESULT IN YOUR
PAYING ICE FOR PROVEMENTS TO YOUR PROPER . IF YOU END TO OBTAIN FINANCING,CONSULT
WITH YO LEND R AN ATTORNEY BEFORE RECO DING YO NOTICE OF COMMENCEMENT.
FLORIDA.IU T(F.S 03)
OWNER OR A MSub
Subscribed and o o r affirmed)before a thi P: tr!
efore me thi
y
Who is/are ersonally known to me or haslhave produced wome o hasthave produced
as identification. as identification.
Notary Public Nota Public
Commission No. coil" si o ...
GG 276457
Name of Notary typed,printed or stamped Name of te1J vt �r 12,2022
•. �W
'•'•?oft?''° gc,"Thru Troy Faintnsuratim800,146.7019
INSTR#2019032652 OR BK 9864 PG 2237 Page 1 of 1
02/27/2019 01:25 PM Rcpt:2032102 Rec: 10.00 DS:0.00 IT:0.00
Paura S. 0'3*4 Ph.D., Pasco County CCerk&Comptroller
Pen, W. Peroel ID No
NOTICE OF COMMENCEMENT
sbbof Florida COW*of Patloo
THE UNDERSIGNED hereby gives rhotoe tnt improvement v l be made to amtain real property.and In accordance vft Ctnaptar 713,Florida Statutes.
the follog"bdsnnation b pmNded In Oda Notice of Coummromnent
1. Desalprion of frropMlr.Paroel tdmrtileaYon Na 12-28-21-0000 W900 0020
ShavlAddrem, 5031 AlWrt Road ZephOft FL 33542
2. General Deaafpdon d Impbvement R~.See l hhaaU= hemvab SAS"bgftw 4 IhMlbea One MCC never Sleartcst hhwv atxbr mor.
Interior WaW ng repair,replace vAndaw shaker for HVAC.General oh)oe bulMwt.
3. Owner hdorrnation of Lasses bdornhatorh ttw Lsssae carhba A I for Ore brhprov
Cfty of Zephyrhilis
Name
sees sh,avant zQ ft&e.FL sssu
Address City State
Interest In Properly.
Name of Fee Sb n*Titleholder.
(i<dl(ferord hen Owwr Iisbd above)
Addrew City Slab
(:ahhador Ktmt FMM/CMWVebe COMM tht.
Name
112n PASCOTRAea BLVD.GtOOKSM C FL 3 010
Addms City $lab
CarhaebfsTelephoneNo.: 813988 M
5. 8tsey:
Nome
Aftess CIV State
Amomdof Bond:i Telephone No.:
e. Lender.
Name
Address CRY Slate
Lender's TeMphab No.:
7. Persons wftWn Oro State of Flodds designated by the owner upon wham noOoes or otlher docuumm s may be served as provided by
Sedlorh 713.13(txa)m,Ftorfde Standee:
Name
Address City State
Teleowne Number of DeaVOW Person:
e. In additon to nuns W.the owner deftudes -al-
to receive a a"of tie Lfmwes Notice as provided In Section 713.13(1)(b),Flab Statutes.'
Telephone Number of Person or Erdty Deaipnated by Oww
9. E)Vhation data of Nauss of Cognmu mrnt 0he ehhpiration date may not be before One omhplatah of construction and final Payment to the
came. but vM be am year frmn the date of rseordi 4 urdess a Ofererd dda is spedfm*
WARNING TO OWKM ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART1 SECTION713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under knomAed8 e dedane tnt 1 here read to fmgobV sloe of conanentmnw and that the red therein s slated are true tic Uhs best
and bad.
STATE OF FLORIDA
COUNTY OF PASCO
Sliptahn of Dow or I essee ok9wwev or Lessee's Ahrahorlasd
St)phetoys TflklOftce
The rorogoInp II1s61Cn011t was ad01og10dgBd before me tde day o1�yp 20 j3by
SAe.yea-% So►n n-
type of autholy.e.g ,ettom"in fad)for
�iern5 .TL1ir.,l� ( or �onbehataf vas executed).
Pe--*Know pa Pnxi It ed i tea 0 :Nobry
Type of Idowlikeion Produced UK"(Pdm)
"�""•• JESSICACARTER
' ; j MYCOMMISSIONltGG016487
}% EXPIRES:July 28,2020
'�v',p! 9aded Tbnl Mt>rlry Pubic WtderaMtats ,
wpdsWbW'noteeoommermm*h Sc053t49
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i
i
STATt OF FLORIDA,COUNTY OF PASCO
_ THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRIBE AND CORRECT COPY GF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
W,ITNESS,MY HAND AN OFFICIAL SEA2 THIS
a fih DAY OF
CCIMPTROLL
PAULA S, 0 , .
DEPUTY CLERK
BY �
i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021
Building Department
Date Received Phone Contact for Permitting
1 1 1 1 1 1 1 1 I t l l l
Owners Name City of Zephyrhills Owner Phone Number
Owners Address 5335 8th Street Owner Phone Number
Fee Simple Titleholder Name I City of Zephyrhills Owner Phone Number
Fee Simple Titleholder Address 5335 8th Street Zephyrhills FL 33542
JOB ADDRESS 5031 Airport Road LOT#
SUBDIVISION PARCEL ID# 12-26-21-0000-04900-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Comm OTHER
TYPE OF CONSTRUCTION BLOCK FRAME Eid STEEL =
Reroof,add 1 bathroom,renovate exisOng bathroom,plumbing It repairs,new eleGrical,new exterior door,
DESCRIPTION OF WORK interior framfn re air r lace w ndow shaker for HVAC.General office buildout.
BUILDING SIZE 26x72 SO FOOTAGE 2628 HEIGHT
BUILDING S VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 5 AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING g
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY I Kerns Family Construction Company Inc.
SIGNATURE REGISTERED I Y/ N FEE CURREN I Y I N
Address 111927
�PASCO TRAILS BLVD. BROOKSVIL E FL 34610 License a I CBC1255980
ELECTRICIAN COMPANY Reese Electric
SIGNATURE AA REGISTERED Y1 N FEE CURREN Y(N
Address 'rO -2.. 3353 License# F'C 130D13S'�
PLUMBER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N
Address I License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N
Address License#
OTHER COMPANY The Roofing Company of Tampa Bay
SIGNATURE REGISTERED I Y 1 N FEE CURREN YIN
Address License#
Illllllllllllllllllltlllllllllllllllllllltlllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwaler Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL 'Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement Is required. (AIC upgrades over S7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING' (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhilis Permit Application Faxa13.780-0021
Building Department
Date Received Phone Contact for Permitting t
1 1 1 1 1 1 1 1 'IS..r'-^"rT"TTr""^r r r r r r r 1 1 1 1 1�ITf'iTT7TIT." - -r-t-r-rrrr
Owners Name City of Zephyrhilis Owner Phone Number --1i
owners Address 5335 8th S#TeatI Owner Phone Number �� I
Fee Simple Titleholder Name City of Zephyrh ills Owner Phone Number
Fee Simple Titleholder Address 5335 8th Street Zephyrhilis FL 33542
JOB ADDRESS 5031 Airport Road LOT 0
SUBDIVISION PARCEL ION 127 21-0000-04900-0020
(DETAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT � SIGN 0 Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION 57 BLOCK [� FRAME Ei� STEEL Q
Reroof,add 1 bathroom,renovate exisOng bathroom,plumbing aria repairs,new electrical.new exterior door.
DESCRIPTION OF WORK linter os fro rtin re nit r la ndow sh ker tot HVAC.Generffi ottxa b u out
BUILDING SIZE 26x72 _ SO FOOTAGE 2628 HEIGHT
BUILDING is VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL I AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBfNG !S—�
QMECHANICAL IISS VALUATION OF MECHANICAL INSTALLATION
F7GAS V ROOFING 0 SPECIALTY L--1 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
BUILDER COMPANY Kerns Family Construction Company Inc.
SIGNATURE REGISTERED I Y t N FEE CURREM1 Y!N
Address 11927 PASCO TRAILS BLVD.BROOKSVIL E FL 34610 License#! CBC1255980
ELECTRICIAN � 'A COMPANY Reese Electric
SIGNATURE `1,""'� REGISTERED I Y t N FEE CUARER Y t N
r
Address Pd ! 7 License it Ire 1300I 3 S 3
PLUMBER COMPANY �)ac -Flurobin �tr
SIGNATURE REGISTERED Y!N FEE CURR-n Y t N
Address Ik Lot, � !3�9 License If
MECHANICAL COMPANY F 771
SIGNATURE REGISTERED Y!N FEE cu(RREn`Y!N
Address License 0 l
OTHER COMPANY The Roofing Company of Tampa Bay
SIGNATURE L ^-� REGISTERED I YIN FEE CU�R"REn L_ t N'
Address License H I ��
tllitllltillllittll ! lilt! ltltti !l / / IIli/ l ! lti /! !i ! i ! flIIIlt! !! 11 !!t
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date.Required onsite.Construction Plans,Stomrwater Plans wt Slit Fence Installed,
Sanitary Facilities&1 durnpst0r.Site Work Permit for subdivisionsltargo projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten 110)woddng days after submittal date.Required onsito.Construction Plans,StormtNater Plans wt Slit Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet Compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
( Dlmegona: "
Fill out application complatcty.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement Is required. (A/C upgrades over$7600)
Agent(for the contractor)or Power of Attorney(tor the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles Sewers Service Upgrades A/C Fences(PloVSurveffootoge)
Driveways-Not over Counter.ir on pudic toadways..needs ROW
813a80-G020 City of Zephyrhills Permit Application Fax-813-7eo-D021
Building Department
Date Received Phone Contact for Permittl
Owner's Name City of Zephyrhills Owner Phone Number
Owner's Address F5335 8th Street Owner Phone Number
Fee Simple Titleholder Name I City of Zephyrhills Owner Phone Number
Fee Simple Titleholder Address 5335 8th Street Zephyrhills FL 33542
JOB ADDRESS 5031 Airport Road LOT# L
SUBDIVISION PARCEL ID# 12-26-21-0000-04900-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR . ADD/ALT � SIGN = = DEMOLISH
e INSTALL a REPAIR
PROPOSED USE = SFR Comm OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL =
Rerooi,add 1 bathroom,renovate existing bathroom,plumbing Ilne repairs,new erechical,new extedor door,
DESCRIPTION OF WORK Interior framing repair,re ace w ndow shaker for HVAC.General ofice buildout.
BUILDING SIZE 26X72 1 SO FOOTAGE 2628 HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL is VALUATION OF MECHANICAL INSTALLATION
=GAS V ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY Kems Family Construction Company Inc.
SIGNATURE REGISTERED I Y/N FEE CURREn I Y/N
Address 111927 PASCO TRAILS BLVD.BROOKSVIL E FL 34610 License# ICBC1255980
ELECTRICIAN COMPANY Reese Electric
SIGNATURE REGISTERED I Y/'N I FEE CURREn I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTEREDI Y/ N FEE CURREn Y/IN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREA LKLN
Address License#
OTHER COMPANY The Roofing Company of Tampa Bay
SIGNATURE :C.�-�`+ .,.-..� REGISTERED Y/N FEE CURREn Y/N S '
Address S7a'ri A td PW?;CMI FK 5q&5 - License# I CCC /3d 3-37
IIIIIIIIIIIIIIIIIt111111111111111111111tlttllllti111111111111111111
RESIDENTIAL. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
—PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: 2--
Site:
Permit Type:
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
This co t sheet shall be kept with the permit and/or plans.
FEB 2 7 2019
Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-061
Building Department
Date Received Phone Contact for Permitting —
Owners Name Owner Phone Number
Owner's Address Owner Phone Number
Foe Simple Titleholder Name' Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#-
SUBDIVISION PARCELIDJ
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT SIGN Q Q DEMOLISH
R INSTALL 8 REPAIR
PROPOSED USE SFR = COMM 0 OTHER
TYPE OF CONSTRUCTION BLOCK FRAME Q STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING 1$ VALUATION,OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C.
=PWMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS -7] FLOOD ZONE AREA =YES NO
i i i N K i 9 R i 2
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address License#
ELECTRICIAN COMPANY =
SIGNATURE REGISTERED YIN FEE CURREN L_Y/N
Address .I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN LILN J
Address License#
MECHANICAL COMPANY F7T�-
SIGNATURE REGISTERED N FEE CURREN LCYN
Address 0 License#
OTHER COMPANY
SIGNATURE REGISTERED Y1 N FEE CURRIE1,