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813-780-0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 294 _ 5158 <br /> Owner's Name City of Zephyrhills owner Phone Number 813-780-0000 <br /> Owners Address 1 5335 8th Street Zephyrhills FL 33542 owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38537 5th Ave.Zephyrhills FL 33542 LOT <br /> SUBDIVISION City of Zephyrhills I ARCELID# 11-26-21-0010-15200-0080 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW C.ONSTR 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 Historical renovation,new plumbing,new electrical,new HVAC,new roof,build new balcony.Demo of damaged wood. <br /> BUILDING SIZE 1 20X26 ' SQ FOOTAGE t040 HEIGHT <br /> QBUILDING $ 154,877.96 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> X=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ® ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY I Kems Family Construction Company Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 1✓ rr✓� r S 13d--�q Z License# I CBC1255980 <br /> ELECTRICIAN COMPANY I Reese Electric <br /> SIGNATURE I Y/ N FEE CURREN L1±N <br /> Address License# <br /> PLUMBER COMPANY Jackson Plumbin <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY Chris'AICService <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License OF- <br /> OTHER COMPANY I The Roofin Company of Tampa Ba <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11111I11111 <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 subdivisionsllarge 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,Stormwater Plans w/Sift 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 /> 64 <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 />