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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 I t l l l <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 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Comm OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME Eid STEEL = <br /> Reroof,add 1 bathroom,renovate exisOng bathroom,plumbing It repairs,new eleGrical,new exterior door, <br /> DESCRIPTION OF WORK interior framfn re air r lace w ndow shaker for HVAC.General office buildout. <br /> BUILDING SIZE 26x72 SO FOOTAGE 2628 HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 5 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING g <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I Kerns Family Construction Company Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y I N <br /> Address 111927 <br /> �PASCO TRAILS BLVD. BROOKSVIL E FL 34610 License a I CBC1255980 <br /> ELECTRICIAN COMPANY Reese Electric <br /> SIGNATURE AA REGISTERED Y1 N FEE CURREN Y(N <br /> Address 'rO -2.. 3353 License# F'C 130D13S'� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address I License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY The Roofing Company of Tampa Bay <br /> SIGNATURE REGISTERED I Y 1 N FEE CURREN YIN <br /> Address License# <br /> Illllllllllllllllllltlllllllllllllllllllltlllllllllllllllllllllllll <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,Stormwaler Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 dale. Required onsite,Construction Plans,Slormwater 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 application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over S7500) <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 />