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813-780-0020 City of Zephyrhills Permit Application Fa"l3-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 ) 416 -0399 <br /> a a a a a a a a Etttt <br /> Owner's Name KMS ENTERPRISE LLC Owner Phone Number 813 514-7124 <br /> Owner's Address 1 3838 N OAK RIVER LN TUSCAN,AZ 85718 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5530 21 ST STREET LOT# <br /> SUBDIVISION PARCEL ID# 12-26-21-0020-00900-0940 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK REPLACE METER CAN PER PROGRESS ENERGY REQUEST <br /> BUILDING SIZE SO FOOTAGE 2024 HEIGHT <br /> \ • <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $1000 AMP SERVICE ® PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ t / <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/N FEE CURREN Y/N <br /> Address F License# <br /> ELECTRICIAN COMPANY CRUZ&CRUZ ELECTRIC,LLC <br /> SIGNATURE 1 REGISTERED Y/N FEE CURREN I Y/N <br /> Address 8814 AUBURN WAY TAMPA,FL 33615 License# I ER13015388/ER-09677 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <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/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Storrmwater 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.(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 roadwrays..needs ROW <br />