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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 Permitting 813 635 — 5589 <br /> 1 1 It 1 II 1 1 1 1 1 1 1 1 <br /> Owner's Name [HGP Properties,LP(per attached legal document) Owner Phone Number 240-355-8538 <br /> Owner's Address 1 7361 Calhoun Place Suite 300,Rockville,MD 20866 Owner Phone Number <br /> Fee Simple Titleholder Name I N/A Owner Phone Number <br /> Fee Simple Titleholder Address <br /> l06 ADDRESS 38220 Henry Drive,Zephyrhills,FL LOr# N/A <br /> SUBDIVISION Tyson PARCELID# 02-26-21-0080-OOA00-0122 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM ® OTHER Home for the Aged <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME = STEEL [Concrete slab and block wal <br /> Provide new hurricane impact assembly,diesel generator w connected above ground diesel tank, <br /> DESCRIPTION OF WORK concrete slab and corresponding electrical equipment.Removal of existing generator and pad. <br /> BUILDING SIZE SQ FOOTAGE 225 HEIGHT <br /> =BUILDING $ 200,000 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> r <br /> ER TBD COMPANYTURE REGISTERED Y/ N FEE CURREN Y/N <br /> d License# �� <br /> s� �. <br /> LECTRICIAN Tl3k)1) COMPANY <br /> SIGNATURE l REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE N/A REGISTERED I Y/ N FEE CURREN Y/N <br /> Address F License# <br /> MECHANICAL N/A COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY Kimley-Horn C/O Kyle Watson <br /> SIGNATURE 6nelf Agent REGISTERED 111,YJ N FEE CURREN I Y/N <br /> Address 655 N Franklin St Suite 150,Tampa,FL 33602 License# 1 82423 <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstlarge 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,Stomtwater 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. (A/C 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />