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e��-�eaoozo City of Zephyrhills Permit Appiication F�-s��-�aaoozi <br /> Building Departrnent <br /> : � Date Received � phone Contactfor Pertnitting 813 2� 5158 <br /> Darvin W.Troyer,Trustee of the Darvin W.Troyer Revonbia Trust 62404& <br /> OWners Name Ruth Mn Troyer,huslee of the Ruth Ann Troyer Revopble Trust 624-�y,�nef Phone NURlbef <br /> Owners Address 13327 Camoustie Ciicle Dada City FL 33525 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS 38219 7th Ave. �or# � <br /> SUBDIVISION City of Zephyrhills ppRCEL ID7� 11-26-21-0010-12300-0130 <br /> (OBTAINED FROM PROPER7Y TAX NO710E) <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q F 0 STEEL Q <br /> DESCRIPTION OF WORK Re-roof,new windows,doors, lace fen F4�rdio#e¢siding,electrical 2pair and plumbing repair <br /> �' <br /> BUILDING SIZE S�FOOTAGE 1536 HEIGHT � , <br /> �BUILDING $36551.00 �nGud rer9�UATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $t}4[�O.00 �P SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ����1 / / � <br /> 2500.00 �,-, �Cv ��s c _ .J n <br /> . W'�, <br /> �MECHANICAL $4250 00 VALUATION OF MECHANICAL ItJSTALLATION � � � G�G � <br /> � t� <br /> QGAS � ROOFING Q SPECIALN Q OTHER � ��''� l � <br /> � ,,n�� ��e <br /> FINISHED FLOO LEVATIO S FLOOD ZONE AREA �YES NO � � ,f1�X�cJ r �. `_ _ <br /> �' i A(� ��JL711C� <br /> �`� b?`- <br /> ` �� NN <br /> BUILD R 3C7•� COMPANY Kems Famil Construction Com an Inc. d� � <br /> SIGN ' aEcis�aeo Y/ N F�CUrtaen Y/N �6 <br /> Address 119 asco Trails Blvd.Brooksville FL 34610 ucense# CBC1255980 � ��el' <br /> ELECTRICIA o ,, `^ �! �� � COMPANY Reese Electrical Inc. � <br /> SIGNATURE �.T��-Y, REGISTERED Y!N FEEcuRaen Y/N <br /> Address - �-_- License# -� � �O��7 3 <br /> PLUMBER ��'e.� � � , � COMPANY Jackson Plumbing Inc. ""�""' � <br /> SIGNATURE FtEcis�en Y/ N F�cUwxen Y/N <br /> Address License# <br /> MECHANICAL � ��fi.�.� �, , COMPANY Air Conditioning Experts <br /> SIGNATURE I�'e'L� REGISTERED Y/ N �cuw�n Y/N <br /> Address License# <br /> OTHER COMPANY The Roofin Com an <br /> SIGNATURE aEGlstet� Y/N F�cur�n Y/N <br /> Address License# <br /> Illllllltllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(7)set of Energy Forms;R-0-W Pertnft for new consWction, <br /> Minimum ten(70)working days after submittal date. Required onsite,Construdion Plans,Stormvrater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sets af Building Plans plus a Lffe Safety Page;(t)set of Energy Fortns.R-0.W Pertnit for new construction. <br /> Minimum ten(10)working days after suhmittal date. Required onsite,Canstniction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster Site Work Pertnit for all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets M Engineered Plans. <br /> ""'PROPER7Y SURVEY required fw all NEW consWction. <br /> Directlons:• � <br /> Fill out application completely. ' <br /> Owner 8 Contractor sign back of application,notarized � <br /> If over Ez500,a Notice of Commencement is requfred. (A/C upgrades over$7500) <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER 7HE COUNTER PERMITTING (capy of contract required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />