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i <br /> \ $13-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 <br /> j/ Building Department <br /> Date Received Phone Contact for Permitting 813 294 _ 5158 <br /> Owner's Name TROYER DARVIN W REVOC TRUST&TROYER RUTH ANN REV "&caner Phone Number 352.668A 50 <br /> Owner's Address 13327 Camoutle Circle Dade City FL 33525 Owner Phone Number ' <br /> Fee Simple Titleholder Name �! Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5203.17th Street Zephyrhilu FL 33542 LOT# 7^9 <br /> SUBDIVISION City of Zephyrhills PARCEL ID# 11-26-21-0010-19600-0070 <br /> (OBTAINED FROM PROPERTY TAX NO-ACE) <br /> WORK PROPOSED a NEWCONSTRB ADD/ALT L.J SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER I Fence <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL = <br /> DESCRIPTION OF WORK 200 If of wood pnVa0y fence. 6'in height <br /> BUILDING SIZE II SO FOOTAGE= HEIGHT <br /> =BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$—� AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> =ME HANICAL L$. VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ONS FLOOD ZONE AREA =YES NO <br /> BUILDER <br /> SIGNATURE L COMPA REGISNY Kerns Family Construction Company Inc. <br /> Y/N FEE CURREI, I Y/N <br /> Address M1197CO TRAILS BLV <br /> D.BROOKSVILLE F 34610 License# C8C1255980ELECTRIC �._ COMPANY <br /> SIGNAT REGISTERED Y i N FEE CURREfi Y I N <br /> Ad ess License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y!N <br /> Address License <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED YI / N FEE CURR`EN ' <br /> Address License# <br /> OTHER ��� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License#FF <br /> IIilIIffillIIIt1116tI11111II1111llIIIII11111IfIINIfIIIIfloll1111111 <br /> RESIDEN71AL 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)woddng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdlvtsions/large projects <br /> COMMERCIAL Attach(2)com'pfete 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)woridng days after submittal date. Required onsite,Construction Plans.Stomovater Plans w/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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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) 1 <br /> Driveways-Not over Counter N on public roadways..needs ROW <br />