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813-7e0-0020 City of Zephyrhilis Permit Applicaiii n �'" y Fax-ala-7s 1021 <br /> Building Department <br /> Date Received s• 10• Phono Contact for-PorrtitUn t 813 294 5151i. <br /> Onmri VV:Troyer,Trustee of the 0Wn w.Troyer RevowbE Tnut rr24-04 <br /> Owners Name Ruth Ann Troyer,Trustee of Cie Ruth Ann Tmlu Retiornbla Trust QT 524•��yder .' A loft <br /> Owners Address 13327Camws,e ,rt .Dade-City FL 33525 Owner Phone Number <br /> Fee Simple TitloholderNamo Owner Phone Number <br /> Fee Simple T10ohotderAddroas <br /> JOB ADDRESS 5 4 11th St LOT ft 15&16 <br /> SUBDIVISION Town Of Zephyrhills PARGELIUM 1 1-26-21-001 0-1 1 700-01 50 <br /> toamINEo FROM PROPERTY TAX NOTIM <br /> WORK PROPOSED NEW CONSTR� ADDIALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM LJ OTHER - <br /> TYPE OF CONSTRUCTION BLOCK FRAME = STEEL �] 0LOtA <br /> DESCRIPTION OF WORK Complete Ten nation to.iude new electrical,plumbing,HVAC,roofing,trusses,siding,.etc: <br /> BUILDINGSIZE 15X5O.&2OX3O TALE 1,267 HEIGHT ( <br /> 1/ �C <br /> BUILDING 51,05,922.00 VALUATION OF TOTAL CONSTRUCTION J O , <br /> =ELECTRICAL S AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Ot <br /> J" { <br /> =GAS = ROOFING 0 SPECIALTY = OTHER f <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONEAREA =YES NO 5 �_t <br /> BUILDER / COMPANY Kems Family Construction Corri an .Inc. <br /> SIGNATURE Y1 N FgcuuZEN f YIN e` <br /> r� 9 <br /> Address 5031 � po Roa>�Zephyrhllls 33542 License�,CBC1255980 <br /> ELECTRICIAN v/f COMPANY <br /> SIGNATURE Rewsstelz£n YIN F ctAu�r+ Y!N t1 �f fJ✓ <br /> Address• License 9 <br /> PLUMBER COMPANY Jackson Plumbing Inc. <br /> SIGNATURE REGISTEREo I Y/ N FEE cURREN Y I N <br /> Address �7 License R <br /> MECHANICAL y' / _ COMPANY Chris AIC <br /> SIGNATURE _i/ /, �'�' REGtstEREO I Y/N FEE cuRREN <br /> Address o/4,e- 3;33:,• T License 0 <br /> OTHER COMPANY The Roofing Company <br /> SIGNATURE REGiSTEREo YIN FEE cuRREN ' YIN <br /> Addross License#. <br /> 1111111111'1111'I1'119t11111111111111111111i1t11111i1t1111111111111111 <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,Slormwater Plans%v/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subtlMsions/large projects <br /> COMMERCIAL Attach(2)complete,sets of Building Plans plus a Life Safety Page;(1)set o!Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonw inter Plans wi Silt Fence indalled, <br /> Sanitary Facilities&t dumpster.Site Work Permitfor oil new projects.All carnmerciaf requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constntdlon. <br /> •Directions: . <br /> Fill out applicatlon completely. <br /> Owner&Contmctersign back of application,notarized <br /> If over$25D0,a Notice of Commencement is required. (A/C upgrados ovor$7500) <br /> Agent(for the contractor)or Poxwr of Attorney(fortho ownef)would be someone with notarized latter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rerools H shingles Soviets Service Upgrades A/C Fences(Plot/Survay/Footege) <br /> Driveways-Not over Counter if on public roadvrays-needs ROW <br />