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-• � 813-76D-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> � C. - Building Department _ <br /> ' Date Received 2�ZZ—�, phone Contact for Permittin 813 714-14- <br /> _,� <br /> Owner's Name NHC-FL115 LLC Owner Phone Number <br /> Owner's Address 27777 Franklin Rd.Ste.200 Southfield,MI 48034 owner Phone Number I <br /> Fee Slmple Titleholder Name Owner Phone Number ' <br /> Fee Slmple Tltleholder Address I <br /> JOBADDRESS � 1tQ. � Y� I�LOT� ,/ <br /> v p� <br /> �al����p� <br /> SUBDIVISION Majestic Oaks pARCELIDN �v � �^� <br /> (OBTAINED FROM PFiOPERTY TAX NOTICEJ <br /> WORK PROPOSED NEW CON57R ADDlALT � SIGN Q Q DEM'^OL/IS�H /� <br /> e INSTALL REPAIR T r ��k l(I C �� � ' <br /> PROPOSED USE Q SFR COMM 0 "OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK replace RV with new park Model installation with electric, plumbing and AC <br /> BUILDING SIZE 13�4��X45 SQ FOOTAGE 605 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �V i�� ��� J <br /> e � <br /> �PLUMBING $I � OO• O <br /> �MECHANICAL $ /� n` VALUATION OF MECHANICAL INSTALLATION <br /> ll't V <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ` . <br /> ��� <br /> � <br /> BUILDER � COMPANY BMI LLC I <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address 398 8 Stewa Rd.Zephyrhills,FL.33540 �icense# IH/1025370 <br /> ELECTRICIAN COMPANY Martin Electric <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address 14801 10th Str et Dade City, FL 33523 �icense# EC13001383 <br /> PLUMBER COMPANY BMI LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> nddress 39838 S w Rd.Zephyrhills,FL.33540 �icense# IH/1025370 <br /> MECHANICAL COMPANY BBIIfS AC <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N <br /> address 4441 Allen Rd. Zephyrhills, FL 33541 �icense# CAC 043948 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# <br /> tllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(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&1 dumpster,Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Li(e Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. , <br /> Minimum ten(10)working days aker 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 wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Dlrections:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement is requlred. (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 PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />