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-T , <br /> a�3�so�o Ciky of Zephyrh�ls PermitApplication F�$��-�ao-0nz� <br /> Buadu�g Departmeni <br /> Date Received / � phone Contdct for PermitGn �� ��� <br /> -i-rt�-r-r-r-r <br /> � Owners Name wHCF1115,LLC Owner phone Number $1�����18 <br /> OwneYs Address ��E Camelback Rd Suite 8310,Scottsdale,AZ 85251 Owner phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br />- Fee Simple Titieholder AddMSC <br /> JOSADDRESS ���� Lfff� �n <br /> SllBDMSION Majestic Oaks PARCEL IL�R 242Fr2'I-D�0-00100-009D <br /> {�TAV�D FRON AAOPERTY YAX NOi1C� <br /> WORK PROPOSED e N£W CANSTR e ADD/ALT Q SIGN Q Q DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSiRUCT10N Q BLOCK Q FRAM� Q STEEL � k model <br /> DESCRIPTION OF WORK �model dedown <br /> BWLDING SIZE �3'4'x 43'Cmdudng porrh) SD FOOTAGE �'s�ft t�IGHT � <br /> QBUILDING g 2�400.00 VALUATION OF TOTAL COA1STRllCT10N �.�0.00 <br /> QELECTRICAL $ AMP SEF2VICE Q PROGRESS EidERGY Q W_REC_ <br /> �PLUMBING 5 <br /> QMECHANICAL $ ATION OF MECHANICAI INSTALLATION �� d, �9�-�c <br /> i <br /> QGAS Q ROOFlNG Q SPECIAL7Y Q OTHER �� r Z <br /> FiNISHED fLOOR ELEVATIONS F100D ZONE AREA QYES NO x �' r� <br /> BUILDER � COMPAHY ���M°m�eHorr�Serv�ce,inc <br /> S16NATURE r�c�sr� Y/ t�a� Y N <br /> Address 4647 NW 63rd A e,dennings,FL 32053 Vce�e� IH1025210 <br /> ELECTRICIAN COMPANY C� H���� <br /> S1GNA7URE rsEcfsT�rtm Y N r�alwx�7. /N <br /> Address 39935 Otis Allen d.Zephyrhilis.R 33541 Lircnse� ER0012910 <br /> PLUMBER COMPANY ble Home Service,inc <br /> SlGNA7URE r�simm Y N �a�uxr7� Y N <br /> ��5 4647 NW S3rd Ave,J nings.FL 32053 Uce�� IH7025290 <br /> AAECHANICAl. COMPANY <br /> SIGNA7URE r�cl5rgt� Y/N rr�[amae. Y/N <br /> Address License� <br /> OiHER COMPANY <br /> SlGNA'iURE rtEcisr�rcm Y/N �Ew�xe. Y/N <br /> Address License� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111111 <br /> RESIDEtdiIAL Attach(2)Plot Plars;(2)sels of B�rildvg Plans:S'I)set of Energy Forzns;R-0.W Permit for ru.w co�trurbm, <br /> Mm"uninn ten('10)worldng days aRa suhmittal�te. Required orsite,Ccrsbuctim Plarrs,Stomma[er Ptans w!S�lt Fence mstatled, <br /> � Sanitary Facatities&1 dumps[er,Site Wak Pemut fir subdrviswra/iarge pmjerJs <br /> COMMERCiAL Attach(3)complete sels of Bin7dng P�ns plus a Life Safety Page;(7)s�of Energy Forms_R-0-W Parmii for new consW c6on. <br /> Maiimum ten('10)working days after sutxnittal date. Required onsite,CoisW�on Plar�s,Storrtmater Plans w/S�lt Fence instaAed, <br /> SanRary FacTties&1 dumpster.Site Wark Permit for a1l new projecls.A➢wmmercial requiremenCs must meet r�rnpBance <br /> S1GN PERB7IT Attach{2)sets of Enc,p"neered Plans_ <br /> ""PROPERTY SURVEY reqiur�for a�NEW wnsW cUon <br /> Directions:• <br /> Fll out appLca6on completdy- <br /> Owner&Contractor sign badc of appHrafion,rwiar¢ed <br /> If wer 52500,a Notice of Comm�eement is required. (AIC upgrades over 5750Dj <br /> " Agerrt(for the contracfar)or Power oFAttamey(for the awner)would be somew�e with rrotar¢ed IeHer from ovmer authoriang same <br /> w� <br /> OVEft7HECOUNiERPERMITfING (FrontofApplintinnOnty) <br /> Reroofs i(sh�gles Sewers Savice Upgrad�s A/C Fences(PIoUSurvey/Foofage) <br /> Qriveways-Not wer Cowter if on puM�c roadvrays_.needs ROW <br />