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813 780-0020 City of Zephyrhills Permit Appli Fax 81&70 021 <br /> Building Department <br /> Date Received Phone Contact for Pernittin 813/ 294 5158 <br /> Darvin W.Troyer,Trustee of the Darvin W.Troyer Revocable Trust 6­2404 <br /> Owner's Name Ruth Ann Troyer,Trustee of the Ruth Ann Troyer Revocable Trust 6-244731Wrier <br /> Owners Address 13327 Camoustie Circle Dade City FL 33525 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 552411th St. LOT# 15& 16 <br /> SUBDIVISION Town of Zephyrhills PARCELID# 11-26-21-0010-11700-0150 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION R BLOCK FRAME = STEEL <br /> DESCRIPTION OF WORK Complete ren vation to i ude new electrical,plumbing,HVAC,roofing,trusses,siding,etc. <br /> BUILDING SIZE 15x50&20x30 OTAGE 1,267 HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTIONCr <br /> 105,922.00 <br /> =ELECTRICAL $ AMP SERVICE Fv_A1 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ _�'ti'1" <br /> 1W Ot <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 1 <br /> go <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ® �vvllJJW�� —F� <br /> BUILDER COMPANY Kerns Family Construction Company Inc. <br /> SIGNATURE �R6GeiQRED I Y/ N FEE CURREN <br /> Address 5031 rpo ROB Zephyrhills 33542 License# CBC1255980 <br /> ELECTRICIAN C n // COMPANY <br /> SIGNATURE G REGISTERED I Y/ N FEE CURREN LZ/N /rGt✓ <br /> �- pl <br /> Address License# <br /> PLUMBER I CIO 0 <br /> f�/J��/ COMPANY Jackson Plumbing Inc. <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address j License# <br /> MECHANICAL p A�L COMPANY Chris ABC <br /> SIGNATURE �X1�/F' I I REGISTERED I Y/ N FEE CURREN Y/N <br /> Address i License# <br /> OTHER �' ' I COMPANY The Roofing Company <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlliltllltllllllltllltllllllll <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,Stornwater 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 /> 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 Attomey(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) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />