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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildini9 Department <br /> `Date Received Phone Contact e for Permitting 813 714-1476 <br /> Owner's Nam NHC-FL115 LLC Owner Phone Number <br /> Owner's Address 27777 Franklin Rd.Ste.200 Southfield,MI 48034 Owner Phone Number <br /> I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple Titleholder Addres <br /> JOB ADDRESS au ey 542P Ma estic Oaks LOT# 184 <br /> SUBDIVISIONSOUthern Charm PARCEL ID#I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 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 /> i <br /> BUILDING SIZE I 13'4"X45' = SO FOOTAGE 65C HEIGHT <br /> ®BUILDING $ 25,000 VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ 1,000 AMP SERVICE F200 PROGRESSENERGY = W.R.E.C. <br /> ®PLUMBING $ 1,000 <br /> ® � <br /> 1,000 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /y O U�f <br /> T 1 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER b <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER - COMPANY BMI LLC <br /> SIGNATURE REGISTERED Y/ N FEE CURREt 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 CURREA Y/N <br /> Address 14810 10th Street Dade City, FL 33523 License# F EC13001383 <br /> PLUMBER &t-, COMPANY BMI LLC <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address 39838 Stewart Rd.Zephyrhills,FL.33540 License# F IH/1025370 <br /> MECHANICAL COMPANY One Stop Cooling and Heating <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> 12808 Dune point Cir.Tampa, FL 33626 CAC 1817063 <br /> Address p P License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIilllllllllllllllllllllllltllllllllllllllllllllllllll <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,Storrmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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,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 />