Laserfiche WebLink
s�saeaoozo City of Zephyrhills Permit Application Fax-s�sasaooz� <br /> Building Department <br /> � ~ Date Reeelved � /� phone Contact for Permittin — <br /> Owners Name AdvenGst Health System Sunbelt Heallh Corporation Owner Phone Number <br /> Owners Address �050 Gall Blvd.Zephyrhills,FL 33541 Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �050 Gall Blvd.Zephyrhills,FL 33541 LOT# � <br /> SUBGIVISION PARCEL ID# 35-25-21-0010-10500•0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTa� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP710N OF WORK Renovation of CT Room <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � 04' QELECTRICAL $�01750 ERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> ���� �� <br /> QPLUMBING $ <br /> `'�� l <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � S� n�l V� `� �� • <br /> �9 <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISf�ED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ' <br /> Address License# <br /> ELECTRICIAN COMPANY APG Eleclric,Inc. <br /> SIGNATURE REGISTERED Y i N FEE CURREN Y/N <br /> Address 4825 740th Avenue NoAh Clearwaler FL 33762-3822 License# EC0000486 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address 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/�T- <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plol Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construclion, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitilies 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildin�Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWclion. <br /> Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster Site Work Pertnit for ali 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 /> • C • ----- <br /> Directions: <br /> FIII out application completely <br /> Owner&ConVactor sign back of appticatlon,notarized <br /> If over EZ500,a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (Front of Application Oniy) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on pubtic roadwzys..needs ROW <br />