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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 Permitt n 813 867 _ 4370 <br /> 1-rr�rrrr rrr�. <br /> Owners Name Dairy Road Health Care Properties,Inc. Owner Phone Number 407-975.3000 <br /> Owners Address 485 N.Keller Rd.,Suite 250 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7350 Diary Road,Zephyrhills,33540 LOT# <br /> SUBDIVISION PARCEL ID# 35-25-21-0010-08500-0020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK Installation of emergency generator <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> X=ELECTRICAL S 267,545 AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License <br /> ELECTRICIAN j1, _ COMPANY VallAirConsWclors,LLC <br /> SIGNATURE ,�( ,vim -�i� ) REGISTERED 11 YJ N FEE CURREN Y/N <br /> Address 220 W 71h Ave..Suite 210,Tampa.FL 33602 License# EC13006590 <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 I Y/ N FEE CURREN Y/N <br /> Address License# <br /> I I III III I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 <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,Stormwaler Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsdarge 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 ensile,Construction Plans,Slormvaler Plans w/Sill Fence installed, <br /> Sanitary Facilities 8 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 /> ' I I �1 I l i . l l l l ' <br /> Directions: <br /> FIII out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement Is required. (A/C upgrades over 57500) <br /> Agent(for the contractor)or Power of Attorney(far the ovmer)would be someone vAth 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 />