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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> I Building Department <br /> i <br /> Date Received Phone Contact for Permittingg 813 294 _ 5158 <br /> 11 1 1 1 1 1 1 I I I i l <br /> Dmn W Tequ,Truce.or t1ro Darcot W.Troyer Revoesee trust UtU 6.2a47 8 <br /> Owner's Name Rule AmTmyer,Trustee oftheRMAmTrgerR—beTn"UID62sda Owner Phone Number 813.220.6915 <br /> Owner's Address 1 13327 Camoustie Circle Dade City,FL 33525 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5737 18th St. LOT# 1-3 <br /> SUBDIVISION City of Zephyrhills PARCEL ID# 11-26-21-0010-08000-0010 <br /> (OBTAI <br /> NED FROM PROPERTY TAX NOTICE) <br /> 'WORK PROPOSED NEW CONSTR e ADWALT SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = <br /> renro6new rootgres on add"don,new twat,update electrical,update plumbing,remodel batiumm,kitchen.addition of <br /> DESCRIPTION OF WORK ^as er suds,dmmg.laundry and export Add of appros 6241f of heated sf a 2666f of tarpon.15-ting wrpon be--Wing ar <br /> BUILDING SIZE 32x24 plus 26x24 SO FOOTAGE 768 HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING is <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Gz ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Kerns Family Construction Company,Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh Y/N <br /> Address 11927 Pasco Trails Blvd.Brooksville FL 34610 License# r CBC1255980 <br /> ELECTRICIAN COMPANY Reese Electrical,Inc. <br /> SIGNATURE I REGISTERED I Y/ N FEE CURREN LI.LN <br /> Address PO Box 862 Ze h chills FL 33539-0867 License# I EC13001353 <br /> PLUMBER COMPANY Jackson Plumbing,Inc. <br /> SIGNATURE sk—�' REGISTERED I Y/ N FEE CURREh I Y/N <br /> Address PO Box 2660 Land 0 Lak s,FL 34639-2660 License# I CFC1426885 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y I N FEE CURREr Y/N <br /> Address I License# CAC1817578 <br /> OTHER COMPANY The Roofing Company of Tampa Bay,Inc. <br /> SIGNATURE REGISTERED I Y/N FEE CURREr. I Y I N <br /> Address 6635 SR 54 New Port Richey FL 34652 License# I CCC 1328373 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisionsAarge 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,Slormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&t 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 /> Dlm tjont e <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250U,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(PlotiSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />