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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received —CD Phone Contact for Permitting 813 714-1476 <br /> Owner's Name NHC-FL 155 LLC Owner Phone Number <br /> Owner's Address 27777 Franklin Rd.Ste.200 Southfield,MI 48034 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3751 aurel Valle Blvd.4phyrhills,FL 33541 (Majestic Oaks LOT 9 15 hh <br /> SUBDIVISION Majestic Oaks PARCEL ID#I 2 - — _2�-6VD�_ <br /> _ (OBTAINED FROM PROPERTY T�NOTICE)DEMOLISH 0 0"lJ� <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = New park model install <br /> DESCRIPTION OF WORK new park model installation with electric,plumbing and AC <br /> BUILDING SIZE I 13'4"X45' SO FOOTAGE 585 HEIGHT <br /> ®BUILDING $ 25,000 VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ AMP SERVICE 200 = PROGRESS ENERGY = W.R.E.C. <br /> 1,000 <br /> PLUMBING $ �^ <br /> 1,000 /J 2,- <br /> ®MECHANICAL $ 1,000 VALUATION OF MECHANICAL INSTALLATION -'J r <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS rn)n I O y FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY BMI LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREK I Y/N <br /> Address 39838 Stewart Rd.Zephyrhills,FL.33540 License# IH/1025370 <br /> ELECTRICIAN COMPANY Martin Electric <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 14810 10th Street Dade City, FL 33523 License# EC13001383 <br /> PLUMBER - COMPANY BMI LLC <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 39838 Stewart Rd.Zephyrhills,FL.33540 License# F IH/1025370 <br /> SIGNATURE , � COMPANY One Stop Cooling and Heating <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address 12808 Dunepoint Cir.Tampa, FL 33626 License# CAC 1&Z= <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt Y/N <br /> Address License# <br /> 11111111111111111111111111111111111111111111111111111111111111111111 <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsilarge 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,Stonnwater 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 /> a <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(PlottSurvey/FDotage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />