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813-789.0020 City of Zephyrhills Permit Application F2x.813.780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 813 867 _ 4370 <br /> rm rrr m-1 T <br /> Owner's Name Dairy Road Health Care Properties,Inc. Owner Phone Number I 407-975.3000 <br /> Owner's Address 1 485 N.Keller Rd.,Suite 250 Owner Phono Number <br /> Fee Simple Titleholder Name NIA Owner Phono Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3350 Diary Road,Zephyrhills,33540 LOT a <br /> SUBDIVISION PARCEL IDtI 35-25-21-0010-08500-0020 <br /> 103TAINEO FROM PROPERTY TAIL NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT x0 SIGN Q 0 DEMOLISH <br /> B INSTALL 8 REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL Q <br /> DESCRIPTION OF WORK Installation of emergency generator <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> X=ELECTRICAL S 267.545 AMP SERVICE = PROGRESS ENERGY 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 YIN FEE CURREI Y!N <br /> Address License k <br /> ELECTRICIAN j COMPANY VoltAir Constructors,LLC <br /> SIGNATURE 7( i' ,.�1 REGISTERED I I Y I N FEE CURREN I Y I N <br /> Address 220 W 7th Ave..Sude 210.Tampa.FL 33602 License N I EC13006590 <br /> •PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREI, Y!N <br /> Address License A <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREM1 I YIN <br /> Address 71 Licensed <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREt I Y/N <br /> Address License$I <br /> rrrrtlrrltrllrrttllltlttrtrtttrrlttttlllttrrtrrrtrtrrtttNirrtrrtltl <br /> RESIDENTIAL. Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms:RA-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 li 1 dumpster,Site Work Permit for subdivislonsAarge 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,Slomrvrater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *PROPERTY SURVEY required for all NEW construction. <br /> i r r <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone%%th 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 />