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ore) <br /> DocuSlan"yw.loyojp.PC270SM-2496-45F"16F-057FA54EC3B7 x-1113-78D-0021 <br /> y.hills Permit Application Fa <br /> Building Departivent, <br /> ontoRacaivad Phone Contact for Ponrifflin <br /> '1 "1 Owner's Name Dan Mulkey Owner PhonuN,,mber (813)38 -4762 <br /> Owner's Address 4030 W BOY Scout Blvd Suite$50 Tamp Owner Phone Number4 <br /> Foe Simple'ritiolliolder Name IFriendlyMHPLLC OwnerPhonoNurabor <br /> Fee Simple Titleholder Addreas 4030 W Boy Scout Blvd Suite 850 Tampa FL <br /> JOB ADDRESS 37947 12th.PlZePhyThills FL 33542 LOT <br /> PARCELID#E10:-26-2�1=-0010-06400-0020 <br /> SUBDIVISION FFriendly MHP <br /> WORK PROPOSED NEW CONSTH ADDIALT t0WAJNW FROM PROPEITTY TAXrtm No <br /> t� i12 INSTALL REPAIR = SIGN [:] = DEMOLISH <br /> PROPOSED USE M SFR M COMM r__1 OTHER Mobile Home IF <br /> TYPE OF CONSTRUCTION F-7 BLOCK E3 FRAME STEEL .[n ISW Mobila Home <br /> 10 DESCRIPTION OF WORK JMobfle Home Install <br /> BUILDING stzE 60 FOOTAGE 750 HEIGHT 12 <br /> .. . . . . . . . . . . . . . . " . . . . . . . . .. . . . . . . . . . . .. <br /> MBUILDING 14,250 VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL AMP SERVICE F-1 PROGRESS ENERGY = W.R.E.C. <br /> ®PLUMBING <br /> 1�50 <br /> 1 <br /> IMMECHANICAL 1$250 VALUATION OF MECHANICAL INSTALLATION %, <br /> =GAS ROOFING Q SPECIALTY = OTHER= <br /> RNISHEO FLOOR ELEVATIONS rL4n FLOOD ZONE AREA MYES NO Fs/1 :3 <br /> . . . . . . . . . . . . . . ... . . . . . . . A . . . . . . <br /> IA__ <br /> BUILDERCOMPANY Serene CommuriftieS LLCsS <br /> SIGNATURE &Lqmil'klum1 REGISTERED I Y/N WE—CURREh YIN <br /> WTd..rd Ave, #8812,0 T, ssee FL 323 <br /> Address 75 N yah. tense# z <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE k REcisreREo N.._J FM cunREN t t N <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGYsTERED I Y/N Fee CURMEA <br /> Address License F_ <br /> MECHANCAL COMPANY A�C- COCI <br /> SIGNATURE REGISTERED I YJ�N FEECUF03a I YIN <br /> Address Cp S:,? Licensev '8171 <br /> Cor4m-erce4,fe P-"l 3v�&,)] <br /> OTHER COMPANY <br /> SIGNATURE .19T ERED I YIN F56CLFRREN L)LLN <br /> Address Licor*e#r <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 tan(10)working days after submittal date. Re4ulred bnsite,Construction Plans,Slormwater Plans w/Slit Fence Installed, <br /> Sanitary FadIffies&1 dumpater Site Work Permit for subdIvislonallarge projects <br /> COMMERCIAL Attach(2)complete sets or Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constfudion. <br /> Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Slormwater.Plans w/Silt Fence Instaned, <br /> Sanitary Facilities&I dumpster.Site Work Permit for ag 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 /> . . . . . . . . . . ... . . . . . . . <br /> FBI out application completely. <br /> Owner&Contractor dan,back of application,notarized <br /> If over$250,a Notice of Commencement is required. (A/C upgrades over,$7600) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notartzed letter from owner oulhotWng tame <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Raroole if shingles Sewers SeMca Upgrades A/C Fences(Plot/Survey/Footage) <br /> On[voways-Not over Counter it on public roadways-needs ROW <br />