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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 11 813 294 _ 5158 1 1 1 1 1 1 1 1 1 1 1 1 1 DaMn w:Troyer,T-"of d"Dardn w.Torer Reearaeo Trost UTD 62d-W 8 Owners Name RuNM Tmym,TwstecofpnR,1,M TmWRewmbicT !UMr,24-0a Owner Phone Number 813220.6915 Owner's Address 13327 Camoustle Circle Dade City,FL 33525 Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5737 18th St. LOT# 1-3 SUBDIVISION City ofZephyrhills PARCELID# 11-26-21-0010-08000-0010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR a ADDIALT SIGN = _ DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM = OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL = rofaoflrlQw roo118ussfa on addition.new Iraq update elaMwl.update plumbmg remodel bathroom,Idtct e.addition of DESCRIPTION OF WORK roaRg •dvwtg.laundry and carport'AddAgn of approx 624sf of heated sf 8.28asr of carport.Edsting carport becomes living area, BUILDING SIZE 32X24 PIUS 26x24 SO FOOTAGE 768 HEIGHT i BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING s =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS SZ ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY Kems Family Construction Company,Inc. SIGNATURE REGISTERED I Y/N FEE CURREP L Y I N Address 11927 Pasco Trails Blvd.Brooksville FL 34610 License# CBC1255980 ELECTRICIAN COMPANY Reese Electrical,Inc. SIGNATURE REGISTERED I Y/N FEE CURREI, I Y/N Address PO Box 862 Ze h chills FL 33539-0867 1 License# I EC13001353 PLUMBER COMPANY _Jackson Plumbin ,Inc. SIGNATURE REGISTERED Y/N FEE CURREI Y/N Address PO Box 2660 Land 0 Lakes,FL 34639-2660 License lt I CFC1426885 MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREh I Y/N Address License# I CAC1817578 OTHER ,:COMPANY The Roofing Company of Tampa Bay,Inc. SIGNATURE REGISTERED I Y/ N FEE CURREh I Y/N Address 5635 SR 54 New Port Richey FL 34652 License# I CCC1328373 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I III I III I I I I I I I I I III I I i l l l l RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivistonsAarge projects 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. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized U over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW