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a�aasaoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received i —t phone Contact for Pertnftting � 33 � ��S�J <br /> owners Name lakeview of zephyrhills limited Owner Phone Number ' <br /> owners aadress 10912 n 56th st tem le terrace,fl.33617 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 'V✓'� ///7�C CT z� n ;�`S �� LOT# _✓ �� <br /> SUBDIVISION lakeview mobile home&rv 2SOFtpRCEL ID# 10-26-21-0010-12600-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSiR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK instail new rv unit with electric hook u the a/c is built into rv unit <br /> BUILDING SIZE 14 X29�4" SQ FOOTAGE 399 HEIGHT � <br /> QBUILDING $/2 G VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C. <br /> " QPLUMBING $ /�� a '�r���f' �G9�yi <br /> � �j, � /��� <br /> QMECHANICAL $ } VALUATION OF MECHANICAL INSTALLATION C,I �/�jn�l�"5 <br /> i� � �' <br /> . , QGAS Q ROOFING Q SPECIALTY Q OTHER �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER P � �/jP�JI COMPANY J // O/�� i r <br /> SIGNATURE r �/ REGISTERED / N FEE CURRE� Y/N <br /> Address �7� /!/(�v ,) p � ��/l �C/T �� License# ��/� �3 b <br /> t f� <br /> ELECTRICIAN COMPNJY 'M I 7 `� �C'�I UiG�1 G <br /> SIGNATURE REGISTFRED Y/ N FEE CURREA Y/N <br /> Address � J v� T� � �Q License# �G l V�J <br /> PLUMBER �/[-J/ COMPANY N (J /I L <br /> SIGNATURE • '� P � GCC e REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� /(/� License# 7! I�4Z,�J � <br /> ' ' � MECHANICAL /� COMPANY <br /> SIGNATURE ll REGISTERED Y/�'N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> IIIIIIIIttlllltlllllllllllltlllllllllllltllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oT Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facili6es 8 1 dumpster,Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL� Attach(2)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Fortns:R-O-W Pertnit for new construdian. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 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 conshucUon. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over Sz500,a Notice of Commencement is requfred. (A/C upgredes over 57500) <br /> " Agent(for the wntractor)or Power of Attomey(for ihe owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIll1NG (copy of contract required) <br /> Reroofs ff shfngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />