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813-7eo-0020 City of Zephyrhills Pe in't Appli Pion /� Fax-ala-7saaoil <br /> Building Depattrtrent i <br /> Date Received fr+ /0• Phone Contact forPermidtn 813, 294 5158 - <br /> 'Z-�f'1'T'1-iT' - - nni-r- "1 _ - <br /> Dardnvt TroycyTrustee althe DaMn W.Troyer 11mrabteTrust s-24-ar _ <br /> OwneesMame Ruth Ann Troyer,TnsteealtheRM Ann TrayerRevocrblaTrent &24tgypner nttH <br /> OwneesAddmss i3327Carnars(ceCimlaDadoC4FL33525 Owner Phone Number <br /> Foe SimplelltleholdorNamo .( OwnorPhono Number <br /> Fee Simple TtttahoiderAddross <br /> JOB ADDRESS 452411thSt. LOT# <br /> SUBDIVISION Town of Zt=phyrhiils PARCEL IDd 11-26-21-0010-11700-0150 <br /> r—� (eeTAIMM RWM PROPOM TAX Nonce) <br /> WORK PROPOSED NEW cGWR&Z ADDIALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM r--j OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME STEEL C} r}l{ <br /> DESCRIPTION OF WORK Complete rend�vaUon tot ude new electrical,plumbing,HVAC,roofing,trusses,siding,etc. 0U` <br /> BUILDING SIZE 1 15x50&20x30 �WdO-TALE 1+26T HEIGHT " h <br /> m <br /> �BUILDING $105 922 00 VALUATiONOFTOTALCONSTRUCTION 00 <br /> ot <br /> + <br /> =ELECTRICAL 1$ AMP SERVICE I y'1 PROGRESS ENERGY Q WA.E.C. <br /> OPLUtABiNG 1$ � <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i r <br /> @ ftfO <br /> =GAS = ROOFING Q SPECIALTY = OTHER T �'• <br /> FINISHED FLOOR ELEVATIONS FLOODZONEAREA =YES NO <br /> BUILDER COMPANY Kems Family Construction Corn an inc. " .t <br /> v <br /> SIGNATURE E—=��`-4MCARTSM I YIN FEEctrRRLTa Y!N <br /> Address 50311 rp0 Roa Zeph y " <br /> yrhitls 33542 Licenses CBC1255940 <br /> ELECTRICIAN 7COMPANY <br /> aca <br /> SIGNATURE RsrEt m Y/N tgCt7i2RFJt Y!N <br /> Address Uarnses tV/' <br /> PLUMBER COMPANY Jackson Plumbing Inc. <br /> SIGNATURE RMSTMW I YIN FffaxdmN I YIN <br /> Address itcanse&•{ �� <br /> MECHANICAL COMPANY Chds'AIC <br /> SIGNATURE I YIN FMCURREN. LyjN <br /> Address ,�...- License8l <br /> OTHER y COMPANY The Roofing Company <br /> SIGNATURE Rsais3FReD ^7Yt N FP€ctatREN L.YjN <br /> 2 <br /> Address ' _ ;) L fi l�L Ucense (t -!,1, z�J <br /> Itittliitititllli[ tiltltitl/ itlttitttiillIitfi.1 / ttttifilt/ ttittttttil <br /> RESIDENTIAL Attach(2),Plot Plans.(2)sets ol'Building Flom(1)set ofEnew Forms;R-O-W permit far new construction, <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stomlwater Planssw/SM Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pennitforsubdivistowarge pro)ects <br /> COMMERCIAL Attach(2ycomplete sets of Building Plans plus a life Safety Page:(1)set of Energy Forts.R-O-W Penult for new construction. <br /> Minimum ten(10)wo*ing days after submittal date.Required onsite,Construction Plans,Stomtwater Plans w!Silt Fence installed, <br /> Sadtary Facilities&1 dumpster.Site Work Permit#nr all new projects.AD commerdal requ rements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> PROPERTY SURVEY requited forall NEW contraction. <br /> Directions: - - <br /> FlII out application completely. <br /> - <br /> Owner&Conbudarsigq bark of opprtcadog,notsdzed <br /> Irover$2500,a Notice of Commencement is required: (AtC upgrades over$TS00) <br /> Agent(for the contractor)or Power of Altomay(fortho miner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING. (copybtcontract required) <br /> - <br /> Remals If shingles` Sewers Service Upgrades A!C Fances(PiotlStuvey/Footage) <br /> Driveways-Not over Counter it on public roadways-needs ROW ++I <br /> I <br /> a <br />