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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 - <br /> Owner's Name NHC-FL LLC Owner Phone Number 813-783-7518 <br /> Owner's Address 1 27777 FRANKLIN RD STE 200 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39518 VALDERAMA LANE LOT# 212 <br /> SUBDIVISION MAJESTIC OAKS RV PARCEL ID# 24-26-21-0030-00000-OOCO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE EX SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK INSTALLATION SHED 8FT X 10 FT W/ ELECTRIC & 20FT X 50 FT PAD <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $3,200.00 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $80.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> PLUMBING $ IA l, / , / <br /> V I _(� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> a� 4A <br /> FINISHED FLOOR ELEVATIONS GAS ROOFING � OTHER <br /> FLOOD ZONE SPECIALTY AREA =YES NO <br /> . . . . . . . .,.A .�._l <br /> BUILDER ( COMPANY V -T�Y�-r* Pm :h <br /> SIGNATURE REGISTERED Y/ N_J FEE CURREN I Y/N p <br /> Address License# I -/ <br /> ELECTRICIAN COMPANY MARTIN ELECTRIC <br /> SIGNATURE SEE ATTACHED SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# EC13001383 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 subdivisions/large 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 /> ■ . . . . . . . . . . . . . . . . . . . . . . . ._ . <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 />