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g��78�20 City of Zephyrhills P rmit Application F�$��-�ao�z� <br /> Building De ment <br /> Daffi Received � Phone Contact for Pe itling 4�7 9�8 5806 <br /> _ � ' Owners Name NHC-FL115 LLC ownerPnone wumber 813-783-7518 <br /> OwnersAddress Scottsdale, AZ 85251 p�erPhoneNumber <br /> Fee Simple TiBeholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3647 Black Diamond Dr �oru 239 <br /> SUBDMSION Majestic Oaks pARCEL IDH 426-21-0000-00100-0090 <br /> (OHTAINED FROM PROPERNTAX NO710E) <br /> WORK PROPOSED B NEW CONSfR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL � <br /> DESCRIPTION OF WORK Park model setup&tiedown <br />' BUILDING SIZE 14'X 37' SQ FOOTAGE 518 HEIGHT � <br /> '� � OBUILDING $ 2,400.00 VALUATION OF T AL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.RE.C. � <br /> QPLUMBING $ �� <br /> II QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION �/y \� <br /> Y\ <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE REA QYES NO X <br /> BUILDER � � � CpMp Easler Mobile Home Service,Inc <br /> SIGNATURE i ��/ REGISTERE Y N FEECURREt� /N <br /> Address 4647 NW 63rd Ave,Jennings,FI 32053 ucense# 'IH1025210 <br /> ELECTRICIAN �MP Crandall Electric <br /> SIGNATURE REGISTERE Y N FEECURREA Y N <br /> Address 39935 Otis A len Rd,Zephyrhills,FL 33540 License# ER0012910 <br /> PLUMBER ///N� �pMppN Easler Mobile Home Service,Inc <br /> SIGNATURE W REGISTER N FEECURREI. Y N <br />, Address 4647 NW 63rd Ave,Jennings,FL 32053 �icense# IH1025210 <br /> MECHANICAL �MP 68hrS A/C <br /> SIGNATURE REGISTER D Y N FEECURREI� /N <br /> Address �1 Allen R ,Zephyrhills,FL 33541 �cense# CAC043949 <br /> 07HER COMP <br /> SIGNATURE REGI5T D Y N FEE CURREA Y/N <br /> Address License#. <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br />� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En Forms;R-0-W PertnR for new construdion, <br />' Minimum ten(10)worlting days after submittal date. Requir onsde,ConsWction Plans,Stortnwffier Plans w/SiR Fence installed, <br /> i Sanitary FacilRies 81 dumpster,Site Work Pertnk for subdivi ions/large projeds <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Pertnit for new consWCtion. <br /> Minimum ten(10)vrorking days afier submittal date. Requi onsite,Construdion Plans,Stortnwater Plans wl Silt Fence instailed, <br /> Sanitary Facilities 81 dumpster.Site Work Permit for all new rojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constnx:tion. <br /> Directions: . ,...._ .. ,�..._�... � ,. . ... ., ..._..... <br /> Filloutapplicationcompletety,,�,.,;�` � �� •_, <br /> Owner 8 CoMradw sign badcof application;�otarized . , <br /> If over E25Ud,a Notice of Commencement,is required.`(A!C upgrades ver E7500) <br /> " Agent(fw th�contrador)or Power of Attomey.(for the owner)yvould be som ne with rrotar¢ed letter from awner author¢ing sarne <br /> OVER THE COUNITER PERMITi1NG<"-�"(FroritafAPplicaliori Orily)� , <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoU urvey/Footage) <br /> Driveways-Not over Courder'rf on public road�vays..needs ROW <br />�--- ----- ---- - - - - - <br />