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813-78OM20 City of Zephyrhills Permit Application Fax-813-7613-W21 <br /> Building Department <br /> Date Received k Phone Contact for Permitting 813 294 - 5158 <br /> "1'iTl'/Tr r'r- <br /> Owner's Name TROYER DARVIN W REVOC TRUST&TROYER RUTH ANN REV TRUE 6wner Phone Number 352'66B'4S50 <br /> Owner's Address 13327 CemouVe Cirde Dade City FL 33525 Owner Phone Number <br /> Fee Simple Titleholder Name r Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5203.17th Street ZephyrhHls FL 33542 LOT# 7-9 <br /> SUBDIVISION City of Zephyrhills PARCEL ID# 11-26-21-0010-19600-0070 <br /> (OBTAMED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK New ground up ConstrudDri with optional garage and optional efficiency apartment above. <br /> BUILDING SIZE, 32)(60 SQ FOOTAGE 1,872 ' HEIGHT <br /> QBUILDING $149.350.00 VALUATION OF TOTAL CONSTRUCTION <br /> ©ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> ®PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ® ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDERF •COMPANY. .Kerns FamilyConstruction CompanyInc. <br /> SIGNATURE REGISTERED I YIN I FEE CURREn I Y/N <br /> Address 11927 PASCO TRAILS BLVD.13ROOKSVILLE F1 34610 License#I CBC1255980 <br /> ELECTRICIAN COMPANY Reese Electric <br /> SIGNATURE REGISTERED Y/N FEE CURREh Y/N <br /> Address License# <br /> PLUMBER ' J1 o._ COMPANY Jackson Plumbin <br /> SIGNATURE riC�1 r G(�fl� REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE / ae A REGISTERED I Y/ N FEE CURREn <br /> Address License# <br /> OTHER COMPANY I The Roofing'Company of Tampa Ba <br /> SIGNATURE .�^ p REGISTERED Y/N FEE CURRFl. Y/N <br /> J Address &3� r/Z t"949 S r`�j 37 License# eer-112 X 3 7 3 <br /> IIIIIIIIIIIIIIIIIIt1111111t1111111111t1111illllllllllt1111111111111 <br /> RESIDENTIAL Attach(2)Plot Plants;(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 subdivisionsllarge 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 /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt 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 /> 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 If on public roadways..needs ROW <br />