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, ,' � s�sasaoozo CityofZephyrhillsPermitApplication Fax813-780.0021 <br /> , Building DepaAment <br /> • Date Received �I Phone Contact for Pertnitting � v�� — ��SJ � <br /> � <br /> Owners Name lakeview of zeph rhills limited Owner Phone Number ' � . <br /> �� <br /> Owners Address 10912 n 56th st tem le terrace,fl.33617 Owner Phone Number <br /> Fee Simple TiUehoider Name Owner Phone Number � <br /> � <br /> Fee Slmpie Titleholder Address �� <br /> / �J // �yr/ � <br /> JOB ADDRESS � ����/} / Z C� � :I`S �L LOT# l7�/�y � <br /> SUBDIVISION lakeview mobile home&rv 250�#qRCEL ID# 10-26-21-0010-12600-0030 � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED NEW coNs7R ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR ( , <br /> PROPOSED USE Q SFR Q COMM � OTHER v \ <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> DESCRIPTION OF WORK install new rv unit with electric hook u (the a/c is buiit into rv unit � <br /> . �BUILDING SIZE 14 X29�4" SQ FOOTAGE 399 , HEIGHT � �P <br /> �BUILDING $ / // O VALUATION OF TOTAL CONSTRUCTION Gd I-/�/�� � <br /> � 7C <br /> QELECTRICAL. $ AMP SERVICE 50amp � pROGRESS ENERGY Q W.R.E.C. ~ <br /> � <br /> ' �PLUMBING $ {P� ���� � <br /> J ��.. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (j �j � 5���� <br /> . , QGAS Q ROOFING Q SPECIALTY Q OTHER �(��` �j�(''Lw�" <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO /�I V"� � <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER / �//] COMPANY J // O/�� � <br /> SIGNATURE P��� �/(P/ , REGISTERED / N FEE CURRE� �Y/N <br /> Address �7� �� ,s�� �i��j �(/} �� License# �G� �3 h <br /> ELECTRICIAN 3COMPANY •M I �7 `" S(7�yiG�°J G <br /> SIGNATURE REGISTERED Y N FEE CURREA Y/N <br /> Address � J�� T� ]` �Q License# �C l O!/ <br /> PLUMBER �/j��/ COMPANY /`� O /I L <br /> SIGNATURE • '� P � GC L P REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �/ /[�� Llcense# 1/ I�4Z..21 � <br /> ' . MECHANICAL d COMPANY <br /> SIGNATURE �� REGISTERED Y/�N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> tllllllllllllllllllllltllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Pians;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence fnstalled, <br /> Sanitary FaciliUes 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of 8uilding Plans pius a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construdion. . <br /> Minimum ten(10)warking days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meel compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> L• <br /> DirecUons: <br /> Fill out application comptetely. <br /> Ovmer&ConVactor sign back of application,notarized <br /> If aver$2500,a Notice af Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the wnVactor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII7ING (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 />