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813-780-0020 City of Zephyrhills Permit AppLation Fax-813780-0021 <br /> Building Department <br /> 7 <br /> Date Received Phone Contact for Permitting 13 294 5158 <br /> Darvin W.Troyer,Trustee of the Darvin M Troyer Revocable Trust 6s24-D4& <br /> Owner's Name Ruth Ann Troyer,Trustee of the Ruth Ann Troyer Revocable Trust 624-(13yvner hone Number <br /> Owners Address 13327 Camoustie Circle Dade City FL 33525 Owner hone Number <br /> Fee Simple Titleholder Name Owner hone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5524 11th St. I LOT# 15& 16 <br /> SUBDIVISION Town of Zephyrhills PARCEL ID# 11-26-2110010-11700-0150 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONsTR e ADD/ALT = SIG 0 [ DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK Demo of inter' r,demo of rear por ,demo of kitcfI en addition,Asbestos Abatement on exted r <br /> BUILDING SIZE SQ FOOTAGE HEI HT <br /> =BUILDING $ 2500.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ VSY <br /> �8=MECHANICAL $ VALUATION OF MECHANICAL IN TALLATION SS�� <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Kem�Family Construction Company Inc. <br /> SIGNATUREA-17R RED I Y/i N FEE CURREN I Y/N <br /> Address 50 1 Airp rt Zephyrhills 33542 1 License# I CBC1255980 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/I N FEE CURREN Y/N <br /> i I <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address i License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/I N I FEE CURREN I Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> Illllllllllltllllllllllllllllllllllllllllll Illlllllllllllllllllllt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0 Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constru Zon 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 E ergy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constru ion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All co m ercial 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 notariz d 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 />