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�-� " " ` s�s-�ao-oozo �� h�n `�ity ofZephyrhills PermitApplication Fax-81�780-0021 <br /> � ,v e �,/ Buiiding Department <br /> ( L� - <br /> Date Received Z'" Phone Contact•for Permitting -407 908 _ 5806 <br /> Trrrr . <br /> Owners Name NHC-FL115 LLC ' Owner Phone Number 813-783-7518 <br /> owners address 6991 E Camelback Rd,Suite B310,Scottsdale, 85�5�kner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS 3909 Quaker Ridge St,Zephyrhills,FL 33542 LOT# �� <br /> SUBDIVISION Majestic Oaks pARCEL IDIF 24-26-21-0000-00100-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONsrR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 ark model <br /> DESCRIPTION OP WORK setu park model re lacement <br /> BUILDING SIZE 12'x 34' SQ FOOTAGE 4�8 HEIGHT � <br /> �BUILDING $ 2�400.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES X NO <br /> 1-d— <br /> BUILDER � /�///� COMPANY Easler Mobile Home Service,If1C <br /> SIGNATURE �;'/� REGISTERED Y/ N F�cuw�n Y/N <br /> address 4647 NW 63rd Ave,Jennings,FL 32053 �censeu IH1025210 <br /> ELECTRICIAN �J / ! Y ` � COMPANY Crandall Electric <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 39935 Otis Allen Rd,Zephyrflills,FL 33540 License# ER0012910 <br /> PLUMBER C./� /�o�� COMPANY Easler Mobile Home Service,Inc <br /> SIGNATURE � T�� REGIS7ERED Y/ N FEE CURREn Y/N <br /> Address 4647 NW 63rd Ave,Jennin s,FL 32053 License# IH1025210 <br /> MECHANICAL C�,/�'///y `�/J COMPANY Beh�'S A/C <br /> SIGNATURE � i ��- REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��Allen Rd,Zephyrhills,FL �icense# CAC043948 <br /> OTHER COMPANY � <br /> SIGNATURE �cisrertEo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 11111111111111111111111111.111111111111111.11111111.111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaGon,notarized <br /> If over a2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />