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� ,. . .., s�sas�-oozo � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> � Date Received Phone Contact for Permlttin 813 714-1476 <br /> -rrrrr�--rr r�i <br /> Owner's Name NHC-FL115 LLC Owner Fhone Number <br /> Owner's Address 27777 Franklin Rd.Ste.200 Southfield,MI 48034 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Tltleholder Address <br /> JOBADDRESS ��7 �'P��� LN. h ��`� � LOT# [� <br /> SUBDIVISION MajestiC Oaks pARCELIDN 24-Z6-Z�-0030-OOOOO'OOCO <br /> (OBTAINED FROM PROPERTV TAX NDTICE) <br /> WORK PROPOSED � NEW coNs7R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK replace RV with new park Model installation with electric, plumbing and AC <br /> BUILDINGSIZE 13�4��X45 S�FOOTAGE 605 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Si�O <br /> LECTRICAL $ 'r�� AMP SERVICE p'COU 0 PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ �O� �KC ��C� %) <br /> �c`6�c�3 �� , � <br /> MECHANICAL � j�a� VALUATION OF MECHANICAL INSTALLATION �� <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER � n <br /> ���/ <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA �YES NO <br /> �n. <br /> BUILDER ' COMPANY BMI LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> dress 39838 Stewart Rd.Zephyrhills,FL.33540 License# IH/1025370 <br /> ELECTRICIAN COMPANY Qr�'� � '`' \ <br /> SIGNATURE REGISTERED Y/ N F E CURRE� Y/N <br /> Address � �1^Streek-�Q()Q � •335�3License# C� Qv <br /> PLUMBER COMPANY M �C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 9 �� ���i� Q•�ie \�1S���License# <br /> MECHANICAL ' COMPANY S <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address ��I ��e� (�(.�,( �� 335 y� License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions.' <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement Is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />