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813a80-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department 1, <br /> Date Received —Z Z— Phone Contact for Permitting I l <br /> _r_r_�_rr_I_r _ <br /> Owners Name City of Zephyrhills Owner Phone Number <br /> Owners Address 5335 8th Street Owner Phone Number <br /> Fee Simple Titleholder Name I City of Zephyrhills Owner Phone Number <br /> Fee Simple Titleholder Address 5335 8th Street Zephyrhills FL 33542 <br /> JOB ADDRESS 5031 Airport Road LOT# <br /> SUBDIVISION PARCEL ID# 12-26-21-0000-04900-0020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME Ez� STEEL = <br /> Reroof,add 1 bathroom,renovate ebsting bathroom,plumbing line repairs,new electrical,new exterior door, <br /> DESCRIPTION OF WORK interior fremin repair,re lace window shaker for HVAC.General office buildout. <br /> BUILDING SIZE 26X72 1 SQ FOOTAGE 2628 HEIGHT <br /> BUILDING $� D/'1 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ v/ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ t V f (v r 2 � <br /> a <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER QS <br /> E y� S <br /> FINISHED FLOOR TIO S FLOOD ZONE AREA =YES NO �L�I 0L <br /> BUILDER / 6 S COMPANY I Kerns Family Construction Company Inc. <br /> SIGNATUR /// REGISTERED I Y/ N FEE CURREn I Y I N <br /> Address 119 PAS TRAILS BLVD. BROOKSVIL E FL 34610 License# CBC1255980 <br /> ELECTRIC N �ULCO <br /> COMPANY Reese Electric <br /> SIGNATU REGISTERED Y/ N FEE cuRRen Y/N Address License# I e4 lye e/'_3 S / r <br /> PLUMBER �f COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N <br /> Address .,p License# <br /> MECHANICAL ` OMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREn I Y/N <br /> Address License# C jQ <br /> OTHER COMPANY The Roofing Company of Tampa Bay <br /> SIGNATURE l REGISTERED I Y/ N FEE CURREn I Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projects <br /> 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. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicabon,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 />