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� ; � • a�a-�eaoozo City of Zephyrhilis Permit Application Fax-813-780-0021 <br /> ' � Building Department <br /> • Date Received � �j�� ��5� <br /> Phone ConWct for Pertnitting <br /> Ownels Name lakeview of zeph rhills limited Owner Phone Number ' <br /> Owners Address 10912 n 56th st tem le terrace,fl.33617 owner Phone Number <br /> Fee Simpla TiUeholder Name Owner Phone Number <br /> Fee Stmple Titleholder Address <br /> JOB ADDRESS I�!"v(p����6�J �� Z� /� .`+`S FL LOT# _�/ v —� <br /> sueoiv�sioN lakeview mobile home&rv esoFtaRce�io# 10-26-21-0010-12600-0030 <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 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�4�� SQ FOOTAGE 399 HEIGHT � <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 50amp� pROGRESS ENERGY Q W.R.E.C. f��� <br /> � � 1 <br /> " QPLUMBING $ / ,� ��_� „(� , + � <br /> ���~ <br /> � �v� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,��� <br /> . , OGAS Q ROOFING Q SPECIALTY Q OTFiER /�JJ(i�/� <br /> L.� �(j� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �/J�' - <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER P �' �/fP�J7 COMPANY J // O/,� �� <br /> SIGNATURE �� REGISTERFD / N FEE CURRE� Y/N <br /> Address �7 r iv/� �� ��/J �(,�j f� License# �G� �J b <br /> ,�k�� f' <br /> ELECTRICIAN COMPANY 'M I �7 `" .r(�I[�iL�°J G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ��� T w ]� � License# �C� V(/ <br /> PLUMBER �/�-/ COMPANY N d �I L <br /> SIGNATURE ' v P � LCL e REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �/ /(/�iCJ Llcense# 7� I�02,..2.1 f <br /> MECHANICAL /] 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11t111111I111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Faalifies&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construdion. . <br /> Miniinum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Wor1c Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requfred for all NEW conslrudion. <br /> DirecGons:• <br /> Fill out application completely <br /> Owner 8 ConVaclor sign back of apptication,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades aver$7500) <br /> " Agent(for the canVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII7ING (copy of conVact required) <br /> Reroofs ii shingles Sewers Service Upgratles A/C Fences(PlotlSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />