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� s��-�saoo2o City of Zephyrhills Permit Application Fax-813-780.0021 <br /> ' Building Department , <br /> Date Received --����.�C! phone Contact for Pertnittin � ��1 � ��S�J , <br /> bwners Name lakeview of zeph rhills limited Owner Phone Number ' <br /> Owners Address 10912 n 56th st tem le terrace,fl.33617 Owner Phane Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �v� ��"�`�l'��• " Z� � %1 S �L LOT# V� <br /> susoivisioN lakeview mobile home&rv eso�,Rce�twe 10-26-21-0010-12600-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW coNsrR 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 install 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 $ G VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICA� $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C. <br /> " QPLUMBING $ � // ��!„ �) �y,J� _ <br /> C� %�Y���C;sG(d� <br /> D�'S� �" <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION $�����S� <br /> . , QGAS Q ROOFING Q SPECIALTY Q OTHER ��CC� yfJ i / �v <br /> FINI5HED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 4< < < <br /> �� � <br /> BUILDER P�,/, (�/fP�JI R OMTP RED � / N FE�u/R E �Y/N <br /> SIGNATURE � �� <br /> Address �/r i!/� � �i7// ��j f"'�� License# �G/' �3 fo <br /> ELECTRICIAN �OMPANY '/�? I C7 �� fC�I(/iG�°f G <br /> SIGNATURE REGISTERFA Y/ N FEE CURRE� Y/N <br /> Address � JvJ TwL � �Q License# �G l �(/ <br /> PLUMBER �/�-/ COMPANY N d //G <br /> SIGNATURE • v P � L�L P REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� /(/� License# !/ J�0�,21 b <br /> MECHANICAL /J COMPANY <br /> SIGNATURE /� REGISTERED Y/.N FEE CURREA Y/N <br /> Address License# " <br /> OTHER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Fortns;R-O-W Permit for new consVudion, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitery Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faali6es&1 dumpster.Site Work Pertnit for all new projects.All commercial requfrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. � <br /> L• <br /> Directions:• <br /> Fill out applicaGon completely. <br /> Owner S ConUactor sign back of application,notarized <br /> If over;2500,a Nodce oi Commencement is requlred. (A/C upgrades over$7500) � <br /> " Agent(for the wnVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (copy oi conVact required) <br /> Reroofs if shingles Sewers Service Upgratles A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />