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DocuSign Envelope ID_5C2705AA-24964EF8-816E-D57F A54�EC`B�����hiIIS Permit Application re y/� 63-2 r <br /> Fax 813 780-0021 <br /> Building Department <br /> Date Recelved '84 Phone Contact for Permitting JM <br /> Owner's Name Dan Mulkey Owner Phone Number (813)387-4762 <br /> Owner's address 4030 W BOY Scout B1Vd Suite 850 Tamp Owner Phone Number <br /> Fee Simple Titleholder Name Friendly MHP LLC Owner Phone Number <br /> y <br /> Fee Simple Titleholder Address 4030 W Boy Scout Blvd Suite 850 Tampa FL <br /> JOB ADDRESS 37947 12th_,%,Zephyrhills FL 33542 LOT III <br /> a SUBDIVISION Friendly MHO PARCEL ID# 10-26-21-0010-06400-0020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED [a INSTALL <br /> CONSTR® ADD/ALT = SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME [=3 STEEL QISW Mobile Home <br /> DESCRIPTION OF WORK Mobile Home Install <br /> ( BUILDING SIZE I SO FOOTAGE 750 HEIGHT 12 <br /> lYi <br /> _�• BUILDING $ VALUATION OF TOTAL CONSTRUCTION $5,000 <br /> 4,250 <br /> (� r7JELECTRICAL 250 AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> 1dj PLUMBING $250 41'19 <br /> � ®MECHANICAL50 VALUATION OF MECHANICAL INSTALLATION y <br /> 1\� ( QGAS Q ROOFING Q SPECIALTY r 471 OTHER= <br /> 1 FINISHED FLOOR ELEVATIONS 24„ FLOOD ZONE AREA YES NO <br /> BUILDER COMPANY Serene Communities LLC � S <br /> SIGNATURE AMt1Ul. "� REGISTERED I Y/ N FEE CURREn I Y/N <br /> �J `•"�— Address 25 N w dward Ave #88120 Tal ahassee FL 32313 icense# / <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 16 N FEE cuRREt, <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED i Y/N FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN LILIN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn 1 Y/N <br /> Address License# <br /> ltllilllllllllllllllllllllllllllillllllllllllllllllllllllllllllllll <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,Stonmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/targe 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,Stonmwater 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$7500) <br /> Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />