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, ' s�s-�eaoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> i <br /> ` Date Received '�����(/ phone Contact for Pertnitting �v- v 3 � D /✓� <br /> Owners Name lakeview of zephyrhills limited Owner Phone Number <br /> owners Address 10912 n 56th st temple terrace,fl.33617 Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titlehoider Address � <br /> JOB ADDRESS �/ �r C Z P ,I %I`� FL LOT# � <br /> SUBDIVISION lakeview mobile home&rv eSO�#pRCEL ID# 10-26-21-0010-12600-0030 <br /> (OBTAINEU FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK install new rv unit with electric hook up(the a/c is built into rv unit <br /> BUILDING SIZE 14 X29'4" SQ FOOTAGE 399 HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C. ,� L, <br /> 'Y�13�' <br /> QPLUMBING $ �/' /' t �{' I <br /> �,rXi�`G(G4�''t �I <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION slC�►�'CDS� <br /> V <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER /� �,W•�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER �J COMPANY J �l d/r� �d( <br /> SIGNATURE P�(� �/�P� REGISTERED / N FEE CURRE� Y/N <br /> Address �7 r /!/� ,��� �i��j �l/� �� License# ��/� �3 b <br /> ,�k f �+ l� <br /> ELECTRICIAN COMPANY 'M ZI �7 ` .j�l/1'L�f G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��3 3�� T�L � � License# �C l �v <br /> PLUMBER � COMPANY N //p/tLe /I G <br /> SIGNATURE �P � LCG P REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� /(/� License# lI I�OZ,� � <br /> MECHANICAL /} COMPANY <br /> SIGNATURE l� REGISTERED Y/r N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater 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 construdion. <br /> Directions:• <br /> Fill out application completety � <br /> Owner&ConVactor sign back of appliraGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Ietter from owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />