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813-780-0020 City of Zephyrhills Permit Applidation Fax-813-780-0021 <br /> Building Department <br /> Dqte Received Phone Contact for Permitting 8 1=3 294 — 5158 <br /> . . 4. . . . . . . . . . I I I I a a a a I I a I . <br /> Owner's Name TROYER DARVIN W REVOC TRUST&TROYER Rt1TH ANN REV+TRU%wner Phone Number 352.668.4550 <br /> Owner's Address 113327 Camoutle CWe Dade City FL 33525 Owner Phone Number <br /> Fee Simple Titleholder Name l Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6203.17th Street Zephyrhills FL 33542 LOT# 7-8 <br /> SUBDIVISION City of Zephyrhills PARCELIDJ 11-26-21-0010-19600-0070 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER I Fence <br /> TYPE OF CONSTRUCTION Q BLOCK E:] FRAME STEEL = I <br /> DESCRIPTION OF WORK 200 If of wood privacy fence. 6'in height <br /> BUILDING SIZE II SO FOOTAGE HEIGHT <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> -EBUILDING 'I VALUATION OF TOTAL CONSTRUCTION 7A D <br /> =ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION ti ?it <br /> =GAS Q ROOFING F--1 SPECIALTY = OTHER <br /> FLOOD ZONE AREA =YES NO <br /> FINISHED FLOOR <br /> BUILDER -COMPANY Kems Family Construction Company Inc. <br /> .1REGIS FEE CURREN <br /> SIGNATL� 1 Y/ N I YIN <br /> Address 119 7 ASCO TRAILS BLVD.BROOKSVILLE F1 34610 License#I CBC1255980 <br /> ELECTRIC COMPANY = <br /> SIGNA E REGISTERED I YIN I FEE CURPEP, LYLLN—i <br /> Ad as License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License#I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Y_L N <br /> Address License# F— <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILN J <br /> Address License# <br /> II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllltlllllllll <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/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minlmum4eh(10)-working days after submittal date. Required onsfte,Construction Plans,Staffnivater Plans wl Sift 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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. (AIC 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 9 on public roadways..needs ROW <br />