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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> �_ \ Building Department , <br /> , Date Received phone Contact for Permitting 813 714-1476 <br /> , � --r-�-rrrrrr rr� <br /> owner's Name NHC-FL115 LLC owner Phone Number <br /> owner's address 27777 Franklin Rd.Ste.200 Southfield,M1�48034 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address• � <br /> JOB ADDRESS � � i L N. V�, Y����S � �LOT# �� <br /> SUBDNISION Majestic Oaks ppRCELIWI 24-26-21-0030-O000O-OOCO <br /> (OBTAINED FR�OM PROPERTY T�nce)DEMOLISH <br /> WORKPROPOSED � EwCONs7RB ADD/ALT Q SIGN <br /> �NSTALL REPAIR <br /> PROPOSED USE SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK replace RV with new park Model installation with electric, plumbing and AC <br /> BUILDING SIZE �3�4��X45 SQ FOOTAGE 605 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ " AMP SERVICE o2�O Q PROGRESS ENERGY Q W.R.E.C. <br /> JPLUMBING $ ��e C.nG� � � <br /> � �j�� Y'- <br /> �ECHANICAL $ O VALUATION OF MECHANICAL INSTALLATION �l V �� <br /> [i"�� I <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �r/� <br /> FINISHED FLOOR ELEVATIONS ,/�� FLOOD ZONE AREA YES NO � <br /> 1 Y1i{n l��l , � <br /> BUILDER COMPANY BMI LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 39838 Stewart Rd.Zephyrhills,FL.33540 �icense# IH/1025370 <br /> ELECTRICIAN COMPANY `�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 1�p� � �• C� �/ License# ��� <br /> PLUMBER ' COMPANY ,� <br /> SIGNATURE REGISiERED Y/ N FEE CURREA Y/N <br /> Address � eyO0.�� � � ,� :��5 3�;,yo <br /> License# <br /> MECHANICAL COMPANY �� • <br /> SIGNATURE REGISTERER Y/ N FEE CURRE� Y/N <br /> Address � � � � .'3'"�y � <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIt1t1111111111t11111111111111iit1111111111111111111t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> M(nimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requlrements must meet compliance <br /> SIGN pERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construction. <br /> Directtons:• <br /> Ffll 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 />'I '" Agent(for the contracror)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drfveways-Not over Counter if on public roadways..needs ROW <br /> i � <br />