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, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' i Building Department <br /> Date Received Phone Contact for Permittfng 813 714-1476 <br /> '"_I 17T -- �-t-ri-1 <br /> Owner's Name NHC-FL115 LLC Owner Phone Number <br /> owner'sAddress 27777 Franklin Rd.Ste.200 Southfield,MI 48034 Owner Phone Number <br /> Fee Simple Tftleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � r;d k l,>J• �e ' , 7 p q � <br /> SUBDIVISION Majestic Oaks pARCELIDH �`�-� '21-0030-O000O-OOCO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL 0 � <br /> DESCRIPTION OF WORK replace RV with new park Model installation with electric, plumbing and AC <br /> BUILDING SIZE 1 3�4��X`t 5 S�FOOTAGE 605 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION � <br /> ELECTRICAL $ o AMP SERVICE a� Q PROGRESS ENERGY Q W.R.E.C. �� <br /> \` .M � <br /> PLUMBING $ �V M1 e �n�` �A� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION !�,��A ��f�� <br /> (i+' "�'L��C�" /" <br /> Ci�.� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � <br /> � r <br /> FINISHED FLOOR ELEVATIONS ` �� FLOOD ZONE AREA DYES NO <br /> t <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 C ' <br /> SIGNATURE REGISTERED Y/ N FE CURRE� Y/N <br /> � , ` <br /> Address � d � i"1. License# " ` <br /> PLUMBER COMPANY �� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � ell.�a�� K ('1ni��S✓' License# ("� � /� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED / FEE CURRE� Y/N <br /> Address �� � ('� ` ��'1 � License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> ' Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum len(10)working days after submittal date. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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 all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(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$2500,a Notice of Commencement Is required. (A/C upgrades over S7500) <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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />