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L <br /> � " -::; a��-�ao-oo2o Fax-81378Q0027 <br /> � _ City of Zephyrhills Permit Application �7,� ` <br /> � - , Building Departrnent ���py�(� <br /> (/V� <br /> Date Received � � � phone Contactfor Pertnitting a�a na s�se <br /> Dariei W.Tmyer,7rvstea ofthe Darvin W.Tmyet Rew�aEk Trust UT0624-OC 8 <br /> OwnersName ��Tmyer,TrusteeoltheRWhMnTmyerRewebleT�tUTD62404 OwnerPhoneNumber <br /> tam r�mus��e a� <br /> Owners Address �aac�r�� Owner Phone Number ss26se.asso <br /> Fee Simple TiUeholder Name same as above Owner Phone Number <br /> Fee Simple Titleholder Address same as aoove <br /> 120FL0T98 <br /> JOB ADDRESS 38833101h Ave.ZEPHYRHILLS,FL 33542 LOT# NI o1 Lots 10 8 11 <br /> SUBDIVISION �ro+�w�r�:� PARCELID# ++-�+m+� <br /> (OBTAINED FROM PROPERiY TAX N0710E) <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT � � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> F�cpansion of kilchen,new hvac,plumbing repair,install new drywall,install new flooring, <br /> DESCRIPTION OF WORK <br /> NewatlARion <br /> BUILDING SIZE SQ FOOTAGE Z9�f HEIGHT <br /> QBUILDING $ 15,000.00 yALUATION OF TOTAL CONSTRUCTION <br /> XQELECTRICAL $ ��� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ 2pp0.00 � W���� ��"� <br /> QMECHANICAL $ 4250.00 VALUATION OF MECHANICAL INSTALLATION � /�V l�- ' <br /> QGAS ROOFING Q SPECIALTY Q OTHER ��U/�S � `�yl��`� <br /> FINISHED FLOO EVATIONS FLOOD ZONE AREA QYES NO ��� �� <br /> BUILDE � � COMPANY Kems Family ConsWction Co.,Inc. • <br /> SIGNAT E �Gis�� Y/ N F�cuaaEn Y/N <br /> Address '1927 sco Trails Blvd.Brooksville FL 34610 License# CBC1255980 <br /> ELECTRICIAN � t/ ��\���(%�(,,,999�An'. � J COMPANY Above Electric LLC <br /> SIGNATURE ,/r�'1'�"� aEciS�REo Y/ N �cuw�n Y/N <br /> Address License# <br /> PLUMBER �f�JO/, \ COMPANY JacksonPlumbing <br /> SIGNATURE ������� J REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � � <br /> MECHANICAL � COMPANY Air Cond'Rioning Experts s <br /> SIGNATURE � � ' ��is'rEaeo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � COMPANY �f!/.�/�J �e��`P <br /> SIGNATURE �cls�� Y/ N �cua�n Y/N <br /> Address License# <br /> Itlllllllllllllllllllllllllllltlttlllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(7)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for su6divisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnvrater Pians wl Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Site Woric Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW consWction. <br /> Directions•' <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiica6on,notarized <br /> If over EZ500,a Notice of Commencement is required. (A1C upgrades over$7500) , <br /> " Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized Ietter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />