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, , � _, <br /> ,�, P -- i, _. _ y_ ; - City of Zephyrhills Permit Application Faz-81�780-0021 <br /> � . Building Departrnent <br /> i - . . ' <br /> I Date Received phane ContactTor Pertnilfing eia zs� _ s�sa � <br /> � IArvm W.Troyer.TruSea oftAa Darvin W.Tmyer Re.omde 7n�lrtD 6240C 8 <br /> OwnersName ��Tmyer,TnateaoltheRuihMnTmyerRe ableTnatUfD62464 OwnerPhoneNumber <br /> I' - 1Si27 Carto�mie Circle <br /> Owners Address °adaC�'�� Owner Phone Number 352668.4550 <br /> I <br /> �; Fee Simple Titleholder Name same�abwe Owner Phone Number <br /> IIFee Simple TiUeholder Address same as abwe <br /> I1ltOF L0T98 <br /> JOB ADDRESS 5803 18TH STREET ZEPHYRHILLS,FL33592 LOT# a�oi wts�o a ii <br /> SUBDIVISION �r�fuN+r�s PARCEL IDk ++-�+��a�� <br /> II WORK PROPOSED e NEW CONSTR� ADD/ALT [- � SIGN NEo FR�OM PROPERTYT�nce)DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> I� 'fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> Master bedroom 8 bath addition 16 x 22,new hvac,plumbing repair,install new drywall,install new flooring, <br /> I� DESCRIPTION OF WORK <br /> New aEtlRion I <br /> BUILDING SIZE SQ FOOTAGE ��t HEIGHT � I <br /> �BUILDING $ 20,000.00 VALUATION OF TOTAL CONSTRUCTION I <br /> I <br /> Q�LECTRICAL $ 5100.00 �P SERVICE Q PROGRESS ENERGY Q W.R.E.C. I <br /> QPLUMBING $ 3000.00 I <br /> I <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 495�.00 �/.��Z i <br /> QGAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOO ELEVATIO FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY Kems Family ConsWction Co.,Inc, <br /> SIGNATURE REGISTERED Y/ N F�cURRen Y/N i <br /> Address �� Q.s(� �S:J N�U 3'Y�P���icense# � �5�p� I <br /> ' I <br />� ELECTRICIAN COMPANY Above ElecUic LLC � <br /> SIGNATURE � �' � � r�cis�aeo Y/ N F�cuw�n Y/N � <br />' I� Address License# I <br /> I <br /> I '� PLUMBER � �/�,r`, COMPANY Jackson Plumbing j <br /> � SIGNATURE /'"��T� REGISTERED Y/ N �cuw�n Y/N � <br /> I <br /> iAddress License# , <br /> I <br /> ii <br /> MECHANICAL ���� 6 COMPANY Air Conditioning Experts � <br /> �� SIGNATURE REGIS7ERED Y/ N �cuaaen Y/N i <br /> i� � <br /> Address License# I <br /> �; OTHER ' COMPANY ��f�iB'�� '���e6`' I <br /> SIGNATURE REGISTEREp Y! N FEE CURRE� Y/N I <br /> Address License# ' <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111111111111 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PertnR for new consWction, I <br /> Minimum ten(10)woricing days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> SaniNary Fadli6es 8 1 dumpster,Site Work Pertnit for subdivisions/large projects � <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new coneUuction. I <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plens,Stormwater Plans w/Silt Fence instalted, i <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)sets af Engineered Plans. ! <br /> ""PROPERTY SURVEY required for all NEW canstruction. I <br /> I' DirecUons• i <br /> Fill out application campletely. ! <br /> �' Owner&Contractor sign back of appliption,notarized � <br /> �,, If over§2500,a Notice of Commencement is required. (A!C upgrades over;7500) ' <br /> " P�qeM(for the contrador)or Power of Attomey(for lhe owner)would be someone with notarized letter fram owner authorizing same <br /> �' OVER THE COUNTER PERMITTING (copy of contract required) i <br /> liReroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) I <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br /> � <br />