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Lift Station#4 <br /> 813-7& 0020 City of Zephyrhllls Permit Application Fax atsTsaoDs' <br /> Bultdin9 Department <br /> r Dab R—lved .Phono.Ccntact for P.ermledng..F727 .445 <br /> Owner's Name' I liddcn River Homeowners Association btc Owner Phone Number (�'' <br /> ovmr'aAddress 1631 East Vinc St.,STE,300,Kissimmee,FI'.34755 Owner phone Number I. <br /> Coiner PhawNumber <br /> JOB"ADDRESS 39905 Harvest Creek Lane;.7ephyritills,Fl.33540 LOT# <br /> SUBDIVISION 1lidden Rivers j PARCEL ID# 24-26-21-00.90-00A00-0000 <br /> (OBTAWED FROM PROPERTMTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT I 1 SIGN = = DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE SFR. Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME .© STEEL, _ <br /> DESCRIPTION OF WORK Electrical service for Waste water lift station,100 amp.1201240 volt,3 phase <br /> BUILDING SIZE SO FOOTAGE= HEIGHT;'—� <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL Is 6,750.00 7 AMP SERVICE 100 DUKE ENERGY X® W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS E= FLOOD ZONE AREA =YES NO <br /> BUILDER GNATU COMPANY <br /> SIGNATURE jjj REGISTERED I V IN 'FEE CtviREn <br /> Address Ucense# <br /> ELECTRICIAN �n j1 COMPANY Ralph A Philbrook 111,LLC <br /> SIGNATURE /" REGISTERED I Y/N' FEE(LIRREI Y/N <br /> Address 3316'Bainbridge Dr.'1loliday,FI.34691 LIcenso;a I EC0001906 <br /> PLUMBER T� COMPANY <br /> SIGNATURE l REGISTERED I Yf N', fW4CUWEr LUN <br /> `` - <br /> Address LIcense#1 1 <br /> MECHANICAL COMPANY <br /> 'SIGNATURE REGISTERED Y/N FEE FM--EN Y IJV <br /> Address 7 License# <br /> OTHER COMPANY <br /> SIGNATURE I Y/N FEE CURREt. Y.!N <br /> Address Libemer/ <br /> RESIDENTIAL Attach(2):Ptot R(aris;(2y seta Af BuUding:Plertsa(1.}soso6Euepgy Forma R.O W Perf{i({Hor•newoalstruc0on: <br /> KnImuni ton(10)working days aftersubmittel date. Required onshe,Construction Plans,Stormwater Plans wl Slit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdivlslonsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Buillng Plana plus a 1.06,Sderty Pape;(1)set of Energy Forms.R-O-W.Permit for new construction. <br /> Minlmum.ten(10)working days after submItlel date. Required onsite,Construction Plans,Stonrwater Plans W Slit Fence installed, <br /> Sanitary Facilities&1 dumpater.Site Work Permit for all new projects,All Commorcial requirements must.meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW'construction. <br /> Diregfona: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2600,a Notice of Commencement Is required. (AIC upgrades over,$T500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Copy oFaintract requfrod) <br /> Reroofs if shingles Sewers Service Upgrades`.AIC Fences(Plot/Survey/Foofage) <br /> Driveways-Not over Counter If on public roadways-needs ROW <br />