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Fee Simple Titleholder Name I I Owner Phone Number I I <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 /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT FV�l SIGN E = DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION [�] BLOCK Q FRAME = STEEL 0 <br /> rerool/new roof/trusses on addition,new hvaG update electrical,update plumbing,remodel bathroom,k tchen,addition of <br /> DESCRIPTION OF WORK master suite,dining,laundry and carport Addition of spprox 624sf of heated sf&288sf of carport.Existing carport becomes living area. <br /> BUILDING SIZE 32x24 plus 26x24 SQ FOOTAGE 768 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Gz ROOFING Q SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ■ ■ _�__._._ _ A-._.. ._ ._ . ._ A ._._. UJI_JIJ . .-11-L-.JI- <br /> BUILDER COMPANY F Kerns Family Construction Company,Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 11927 Pasco Trails Blvd. Brooksville FL 34610 License# I CBC1255980 <br /> ELECTRICIAN COMPANY Reese Electrical, Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LY/N <br /> Address PO Box 862 Ze h chills FL 33539-0867 License# I EC13001353 <br /> PLUMBER _ COMPANY Jackson Plumbing, Inc. <br /> SIGNATURE I REGISTERED Y/ N J FEE CURREN Y/N <br /> Address PO BOX 2660 Land O Lakes, FL 34639-2660 License# CFC1426885 <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# CAC1817578 <br /> OTHER COMPANY The Roofing Company of Tampa Bay, Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address 5635 SR 54 New Port Richey FL 34652 License# I CCC1328373 <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 /> 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 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 />