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1- d <br /> , 813 -780 -0020 City of Zephyrhills Permit Application <br /> 1 <br /> F .. _ 3-780 -0021 <br /> Building Department <br /> Date Received i Q 1� 2 7 5 3 - 14 010 1 <br /> ' ( V t/ Phone CorMact for Permlttln� <br /> Owner's Name 'David Alexander <br /> 1 I ' <br /> erPhoneNumberl 813- 78.0 -253 <br /> Owner's Address 137736 Neukom Ave <br /> 1 Owner Number <br /> Fee Simple Titleholder Name Owner Phone Number I� <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 137736 Neukom Ave I LOT* I <br /> SUBDIVISION (Grand Horizons MHP PARCEL ID#l 34- 25 -21- 0090 - 00000 -0050 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT I SIGN I MOVE I- DEMOLISH <br /> A INSTALL I REPAIR <br /> PROPOSED USE I X I SFR [] COMM Q OTHER I I <br /> TYPE OF CONSTRUCTION I BLOCK ® FRAME rI STEEL I OTHER <br /> DESCRIPTION OF WORK (install impact resistant windows. All size for size ty 10 <br /> BUILDING SIZE I SO FOOTAGE HEIGHT I <br /> Fri BUILDING $ <br /> 6439.00 VALUATION OF TOTAL CONSTRUCTION <br /> I J ELECTRICAL I$ I AMP SERVICE I PROGRESS ENERGY I W.R.E.C. <br /> F PLUMBING I$ <br /> Ti MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> . (,0 <br /> I GAS I ROOFING I SPECIALTY ri OTHER ` y f/ ' C <br /> /�� / It' <br /> FINISHED FLOOR ELEVATIONS FL AREA DYES =NO (-✓ • "40" <br /> r �/' I <br /> rlrrrr , i r. <br /> p tit i <br /> -./1 BUILDER � r COMPANY Clear Choice Windows and More Inc ii / ` <br /> r...1 SIGNATURE I� _ /�. L �� , / REGISTERED ® FEE CURRENT ® T' n <br /> 12505 Starkey Rd. STE - H Largo F1 33773 /� /� <br /> Address I I License I C6: e I ke <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I L f <br /> Address License # I �l <br /> PLUMBER COMPANY IIyJ <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I <br /> Address I I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 YIN I <br /> Address License # 1 <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, Stonnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fors. R-O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stonnwater 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 • . • . - • • • ... . - • u t e rades over $5000) <br /> " Agent (for the •• actor) or Power of Attomey (for the owner) would be someon: • . otarized letter from owner authorizing same <br /> OVER TM n• NTER PERMITTING (Front of Application Only) <br /> Rerobfs Sewers Service Upgrades NC Fences (Plot/Survey/Foota. =) <br /> (D roadways..needs ROW <br />