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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 714-1476 <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 <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address t� <br /> JOB ADDRESS 3751 Laurel Valley Blvd.Zeph ills,FL 33542 Majestic Oaks LOT# 183 <br /> SUBDIVISION SC PARCEL ID#Z-y- 210 - b-00 0-oOOOO-OD <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = New park model install <br /> DESCRIPTION OF WORK new park model installation with electric,plumbing and AC <br /> BUILDING SIZE 13'4"X45' SO FOOTAGE 605 HEIGHT <br /> ®BUILDING $ 25,000 VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ 1,000 AMP SERVICE 200 = PROGRESS ENERGY = W.R.E.C. <br /> ®PLUMBING $ <br /> 1,000 / <br /> ©MECHANICAL $ 1,000 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY BMI LLC <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA 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# I EC13001383 <br /> PLUMBER COMPANY BMI LLC <br /> SIGNATURE B C6��� REGISTERED I Y/ N FEE CURREt I Y/N <br /> Address 39838 Stewart Rd.Zephyrhills,FL.33540 License# IH/1025370 <br /> MECHANIC One Sto <br /> AL COMPANY p Cooling and Heating <br /> SIGNATURE �!l D�am REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 12808 Dunepoint Cir.Tampa, FL 33626 License# CAC 1817063 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREt I Y/N <br /> Address License# <br /> Illlllllllltlllllllllllllllllllllllllllllliillllllllllltllllllllltll <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 Fortes.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$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 />