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Lift Station##3 <br /> 813-78NO020 City of ZephyrhIlls Permit Application Fax-e13a8a002i <br /> Building Oepartrnent - <br /> 00%Recelvod .Phone.Contact for P.ermitgn :, 727 445 <br /> Owner's Name- Hidden River Homeowners Association,Inc OwnerPhono Number <br /> OwnWA Address 1631 Gast'Vine St.,STE 300,Kissimmee,FI.34755 OwnerPhose.Number C <br /> Owner PhoneWmbor <br /> JOWADDRESS r 3065 Nubbin Ridge Lane,Zephyrhills,Fl.33540 LOT <br /> SUBDIVISION Hidden Rivers PARCELID9 24-26-21-0110-OPS30-0000 <br /> toerjumrD r."u PROmRwTAX NOTicE). <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN O O DEMOLISH <br /> INSTALL, REPAIR <br /> PROPOSED USE Q SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL' [� <br /> DESCRIPTION OF WORK Eldetrical service for Waste water lift station.,100 amp 120/240 volt,3 phase <br /> BUILDING SIZE SO FOOTAGE= HEIGHT, 14.1 <br /> f--IBUILOING S VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL $ 6,750.00_ AMP SERVICE 100 DUKE ENERGY ® W.R,E:C. <br /> OPCUMBlNG $ <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY D OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REotsTEREn Y I N ' FEE cum sN I Y/N <br /> Address License#' I <br /> ELECTRICIAN i j . COMPANY Ralph A Philbrook Ili,LLC <br /> SIGNATURE u"A�` REMSTEREo I Y 1 N'• FEE cuRRmn I Y/N' <br /> Address 331�6 Bainbridge Dr. Holiday,FI,34691 License#FC0001906 <br /> PLUMBER I � COMPANY --� <br /> SIGNATURE ( RECtSTEREa YIN'- FEEtxJRAET'" Y1N . <br /> Address License#I. i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I YF N FEEcu(tv+�Er 11/N. <br /> Addrdss Ucense.#•I <br /> OTHER' COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREP, YiN <br /> Andress Lleenso# <br /> RESIDENTIAL Attach(2),PM Pfarts:'(;}setepf QuIldingRiansvIl.)saboFEise/gy"Forms RAW Peripit'for hawt�tre6uotion. . <br /> r Knimuni ten(10)working days aftersubmitteil date. Required onshe.Cnstrupton Plans,Starmwater Plans wl Slit Fence instaRed, <br /> Sanitary Facilities&1 dumpster:Site Work Permit for subdiviskmallarge projects <br /> COMMERCIAL Attach(2)complete sets of Suilding Plans plus a Life•Sefety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> MiMmum ten(10)wodGng days after submittal date. Requred onsite,Construclion Plans,Stomn4ater Plans w/SIR Fence Installed, <br /> Sanitary:Fadlities d 1 dumpster.She Work Permit for all new projects.A I commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Eromemsd Plans, <br /> ""PROPERTY SURVEY,required for all NEW concoction. <br /> Directions. <br /> Fill out application completely. <br /> Owner&ContrWor sign beck of appication,notarized <br /> If over SM.a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorWng same <br /> OVER THE COUNTER PERMITTING (copy of-contract required) <br /> Rero0ls If sNngles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />