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18-19543
Zephyrhills
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Building Department
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2018
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18-19543
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Last modified
1/31/2019 10:40:55 AM
Creation date
1/31/2019 10:40:53 AM
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Building Department
Permit #
18-19543
Building Department - Name
SABRA HEALTH CARE HOLDINGS III
Address
37411 EILAND BLVD
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> a Building Department'. <br /> Date Received .�. •I Phone Contact for Permitting z <br /> Owners Name 11 GGGG^^( 1CLt l l C `��+''�+ +N LLC Owner Phone Number <br /> Owner v,+u,&s Address 1 U J� I 1 Owner Phone Number <br /> 2(D t2�Ab53q <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Ad Y I�d7rfetss <br /> JOB ADDRESS `I�( F(l t <br /> a11cl 61 it LOT# <br /> SUBDIVISION PARCEL ID# C_)Gc5M-00C'X_1> <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEWsTR 8 ADDIALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION �M �BLOCK Q FRAME STEEL � <br /> DESCRIPTION OF WORK 'G(-IC1 <br /> J';—no W- Vo , <br /> — ,7Te�Vvin <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> BUILDING S I VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING s <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER 1 ` �IcOMPANY T1/L <br /> SIGNATURE //��__( I EGISTERED N FEE CURREN N <br /> Address Qa l���v License# �3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE I Y/ N FEE CURREn <br /> Address License# <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/N <br /> Address License# <br /> YIi111111it111i1111r1111t11111t1111111Yllllllllillllllllllllti111111 <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 wl 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC 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(PloUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />
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