I sourced the vacant lots, got them permitted, got the financing lined up, built them as the GC, then my wife leases them up and property manages.

I believe assisted care living is covered as automatically permitted in residential (assisted living considered residential - hospice is not residential due to being transitory). 

.), but larger ticket items that may require multiple bids, permits, or otherwise could have reasonably been prevented should be handled separately and charged to the owner.

it's the free market it shouldn't' be permitted neither should zoning be restricted like you are talking about. those bills will never pass in landlord friendly states.

Make sure you hire a licensed architect, this project will need a building permit, and non-licensed designers cannot apply for a building permit. 

Can anyone please share things like permit info or other issues we need to consider.

I'm not going to go through the list, as there's going to be some specificity depending on your state, but in mine (TN) the only thing that could be referenced is the broker can use best efforts to find a buyer, and is permitted to show the house to a buyer.

Here is a clause I found in the Ordinance that I don't quite understand:Tenants of any residential properties may present a written petition signed by a majority of the tenants and consented to by the landlord of the property agreeing to a specific rent surcharge for a specific purpose or project, and providing for the landlord's permission to permit the tenant's representative to review the expenditures involved for the particular purpose or project surcharge.

Took a few years to get licensing, permits, etc, to either restore it to being an assisted living facility, or convert it into one.

When I originally did permitting on the main house I thought I did it for the detached garage but I didn’t.