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I <br /> � s�saso-�zo City of Zephyrl�ills Permit App➢�cat�on F�$�s-�aoa°z� <br /> ; a�ad�n���,► <br /> � <br /> � Date R�ceived � � " Phone Conhcf for Permtt6ng 407 90&5806 _ <br /> � -ITI-f-�- ITI j <br /> � Owne�'s Name NHGFL115,LLC Own�phone Number $�����$18 <br /> Owners Addr�s 6991 E Camelbadc Rd.Suiie 6310,Scotisdale,AZ 85251 Owner Pho�re Number <br /> FeeS9mpleTitleholderName � OwnerPhoneNumber <br /> Fee SimpleTiUeho]derAddress <br /> dO8 ADDRESS ��C��� S � LOT� �� <br /> SUSDMSlON Maj�stic Oaks PARCEL IIDft 2426-2]-0�0-00100-D09D <br /> {OBTAQiED FROII Pf�PERiYTAX NOTICE� <br /> WORK PROPOSED e NEW CADLS7R B ADD/ALT Q SIGN Q Q DEMOLSH <br /> WSTALL REPAIR <br /> PROPOS£Dl9SE � SFR Q COMM Q O7HER <br /> TYPE OF CONSiRUC110N Q BLOCK Q FRAME Q S7EEL � model <br /> DESCRiP710N OF WORK ��e1 fiednwn <br /> BLi]LD1NG SIZE 13'4'x 43'(mdudmg porrh) SQ FOOTAGE �SQ ft HEIGNf � /,��.� <br /> , 1V� I �ur <br /> QBUILDING �Z,qpp,00 VALUATION OF TOTAL COfSSTRUCTION ���-� � <br /> XQELECTRICAL S AMP SEAVICE Q PROGRESS QVERGY Q WREC_ <br /> �PLUMBING $ , <br /> QMECHANICAL S VALUAl10N OF MECHANICAL INSTAllATIQN 'S.� ��,�� � <br /> QGAS Q RODFWG Q SPECIAL7Y Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO X <br /> BUILDER COMPANY �ler Mobile Home Serv�ce.lnc <br /> S1GNA7URE � t�siQtID Y N rgas�. N <br /> �d� 4647 NW 63rd Ave.Jenni�s.FL 32053 Vce�$ IH1fl25210 <br /> ELE+CIRICUUi /A. 1,1/11 H COMPANY C alIIedric <br /> SIGNA7URE 11''�'K-'�`- � /N �am2a� Y N <br /> � AGdress 39935 OI"s Allen PhYrhills.FL 33541 License� ER0012910 <br /> PLUMBER COMPANY ���Home Serv�ce,l� <br /> S1GNAlURE �.siF� Y/N r�amr�a. I N <br /> Address 4647 NW 63rd Are. rsnin9s.FL 32053 Li�� IH10252'10 <br /> MECHANICAL CO�APAHY <br /> SIGNA7URE f�cisi�m Y/N r�ctmr�+ Y/N <br /> Address Licertse# <br /> O7HER COINPANY <br /> SIGNAlURE � Y/N �a� Y/N <br /> Address Licertse� <br /> IIIIIIIIIIIIIIIIItlllllllllttllllllllllllllltllllllllllllllllllllit <br /> RES1DEri77AL Atlach(2)Pinl PYans,(2)sets of Bwldmg Pians;(�)set oF Enert�y Fom�s;R-0 W Peimit tvr new consWctim, <br /> Mnimum te�('10j warldng days af1�submiUal�te_ Reqwred a�site,CarsWGim P}atu.Stmmvrater Plans xd S0t F�ce ir�slalled, <br /> Saniiary FacTfies 81 diunps[er,Site Work Permi[Tor subdrvisians/lazge pmjeUs <br /> COh7MERCIAL Attach(3)wmplefe seLs of Bwldmg Plans p7us a Lite Safety Page,(7)set of Enert�r Forms_R-O-W PemaZ for new construclim� <br /> NGnimum ten(90)wwking days aR�sutznitfal da[e_ Req�nred onsite,Cons[ruction Plarn.S[wmnater Plans w/S17t F�ce mstalled, <br /> Sanitary FaeTties 81�vnpster_Site Wark Permit for all rrew projects.A➢commercial r�uirements must meet mmpfia�e <br /> S1GN PERMR A21ach(2)sets of Engineered Plars. <br /> ""PROPER7Y SllftVEY reqiured Tor all NEW�r�structinn. <br /> Directions: <br /> Fl11 out appLcation mmpferrJy_ <br /> Owner 8 Contrac[or sign badc of app6ca6on,notaraed <br /> IP over$25D0,a Notice of Commencement is reqttired (NC upgradcs wer 575D0) <br /> " Agent{fnr tbe mnVactor)or Power oi Attnmey(for the oxner)would be someone with noiar¢ed leEter from owner auttroriang same <br /> i OVER7HE COUNTER PERMRTdNG (Fron[of Application Only) <br /> Reraofs if sfimgles Seweis Savice llpgrades A/C Fe�(PiotlSurvey/Footage) <br /> � Drrveways-Not over Cuunter if on puMic road�rays_Jmeds ROW <br /> I <br />