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813 -780 -0020 City of Zephyrhills Permit Application 41 OC(12 Fax -813- 780 -0021 <br /> Building Department 79424t, g '- / J®/ — 7 3 63 / <br /> Date Received 7' c ,14 - 7 0 Phone Contact for Permitting - k <br /> Owner's Name Duane Bowman Owner Phone Number (813) 783 -9641 <br /> Owner's Address 137148 Neukom Ave., Z ephy r 1 ( Phone Number <br /> Fee Simple Titleholder Name N /A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37148 Neukom Ave, Zephyrhi 1 1 s FL 335411 LOT# <br /> SUBDIVISION PARCEL ID# 3425210180000003000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED I I NEW CONSTR <br /> INSTALL ADD /ALT I1 SIGN I MOVE 1 1 DEMOLISH <br /> REPAIR <br /> PROPOSED USE Q SFR I 1 COMM Q OTHER <br /> TYPE OF CONSTRUCTION n BLOCK 1 1 FRAME n STEEL I OTHER <br /> DESCRIPTION OF WORK Wi ndow Replacement <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> 5d■1' .. . ....... . ., . , „ . ..... . . . . ....... . .. . ... . <br /> BUILDING $ <br /> 10,987.14 VALUATION OF TOTAL CONSTRUCTION <br /> P1 ELECTRICAL $ AMP SERVICE I PROGRESS ENERGY 0 W.R.E.C. <br /> n PLUMBING $ \ Fl �/1► ; / V V / <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' �J�,' l� [ l j 5� V <br /> F GAS fI ROOFING 1 SPECIALTY [ OTHER �/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I1YES nNO C/ ' <br /> BUILDER \1� COMPANY Seal -Rite, Inc <br /> SIGNATURE VVVV REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N <br /> Address 4030 S. Pipkin Rd., Suite 1100 License# CBCO23215 <br /> Lakeland, FL 33811 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y / N I <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1 <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address 1 License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 <br /> Address 1 License# <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 subdivisions/large projects <br /> COMMERCIAL Attach (3) 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, Stormwater 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 /> I p <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 $5000) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />