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ai�-�aaoozo City of Zephyrhilis Permit Appiication F�-a��-�so-ooz� <br /> • . Building Departmenf <br /> Date Reeeived phone Contact for Pertnitting 813 294 5158 <br /> Ddnh�W.Tm�er.Tnn¢e pfpK parv'v�W.7lpyer qrq�ptp TrtW UTD SZa-0a d <br />� Owners Name RushAmT�,T�plthefiuNMnTroyerRewwdeTmstUTD62606 OwnerPhone Number 873220.6915 <br /> Ownefs Address t3327 Camousue Cirue oace Ciry,F�33525 Owner Phone Number <br /> Fee Simple Titieholder Name " ' Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5077 9th St Zephyrh8ls FL 33542 LOT ti 5 8 6 <br /> SUBDNISION City of Zephyfiills PARCEL ID# 11-26-21-0010-2'1'100-0050 <br /> (OBTAINm FRp1A PRppERiY TA7C NOTCE� <br /> WORK PROPOSED e NEw CONSTa 8 ADD/ALT Q SIGN Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSEU USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK New consVuctlon sin le famil home with hvo sto detached ara e <br /> BUILDING SIZE Home 26x56 Garege 20x20 SQ FOOTAGE Home 1236/G rage 800 HEIGHT Home 19_8/Garage 22 <br /> XQ BUILDING 5 128,696.00 VALUATION OF TOTAL CONSTRUCTION <br /> i QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ` <br /> �jy —�f�i <br /> QMECHANICAL S VALUATION OF PAECHANICAL INSTALLATION --�1 V �v r <br /> Q�S Q ROOFfNG Q SPECIALTY Q OTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> Y`t�' <br /> BU��� � COMPANY Kerns Famity ConsWction Company,Inc. <br />' SIGNATURE REGISTERED Y/N FEECURREn Y/N <br /> Addreu 11927 Pasco Trails Bivd.Brooksville FL 34610 ucense rt CBC1255980 <br /> e�CrRlCuw �! '�1� COMPANY Reese Electrical,tnc. <br /> SIGNATURE ����' REGISTERED Y/N FEE CURRE� Y/N <br /> Address PO Box 862 Ze h rhills FL 33539-0867 ucer,se# EC13001353 <br /> PLUMeER �� COnnwwY Jackson Plumbin ,Inc. <br /> SIGNATURE r�G�si�rtm Y/ N �Curtaen Y/N <br /> Address PO Box 2660 Land O Lakes,FL 34639-2660 ucense# CFC1426885 <br /> MECHANICAL �/� COMPANY Air Conditionin X erts,Inc. _ <br /> SIGNATURE L� REGISTERED Y/ N FEE CURREn Y/N <br /> nddress 1516 East Ga Rd.Lakeland FL 33801 �icer�se# CAC1817578 <br /> OTHER }v_ COMPANY The Roofing Company of Tampa Bay,Inc. <br /> SIGNATURE ��� REGISTERED Y/N FEE CURREA Y/N <br /> Address 5635 SR 54 New Port Riche FL 34652 License# CCC1328373 <br /> RESIDENTIAL Attach{2j Piot Plans;(2)sets ot Buiiding Plans;(1)set of Energy Forms;R-0-W Pertnit Tor new wnsiructipn, <br /> MNmum ten(10)warking days after submittal date. Required onsRe.Construction Plans,Slortnwater P�ns w!Siii Fence installed, <br /> Sanitary Faciiities&1 dumpster,Site Work Permit for subdivisio�llarge projects <br /> COMMERCIAL Attach(2)complete sets ot Building Plans plus a Lifa Safely Page;('I)set ot Energy Forms.R-0-W Pertnit for new constniciion. <br /> Minimum ten(�0)working days aflersu6mit2al dale. Required onsite,Construdion Plans,Stnrtnwater Plans w/Silt Fence ir�stalled, <br /> Sanifary Facilities 8 i dumpster.Site Work Permit for all new projecLs.Aii commerciat requirements mus[meet mmpliartce <br /> SIGN PERMIT Aitach(2)sets of Enginee2d Plans. ' <br /> ""PROPERN SURVEY required foratl NEW construction. <br /> Directions: <br /> Fill out epplication completely. <br /> Owner&Con[2ctor sign Dack of applica6on,notarized <br /> I!over 52500,a Notice oi Commencement is required. (A/C upprades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner authoriang same - <br /> �VER THE COUN7ER PERMII'TiNG (copy of wntract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br /> Driveways-Not over Coun[er ii on public roadways..needs ROW <br />