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813-780-0020 City of Zephyrhills PeTrmit Application Fax-813-780-0021 <br /> Building Department 4 <br /> Date Received Phone Contact for Permitting ( 407) 304 _0709 <br /> Ir T 1 9 9 9 1t!a a f <br /> Owners Name South Pasco Health Care Properties,Inc. owner Phone Number 407-608-8887 <br /> Owner's Address 485 N Keller Rd Ste.250 Maitland,FL 32751-7535 Owner Phone Number 407-975-3016 <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38250 A Avenue Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION PARCEL ID#F14-26-21-0010-01300-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE( <br /> WORK PROPOSED B NEW CONsTR e ADD/ALT © SIGN = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM © OTHER Nursing Home <br /> TYPE OF CONSTRUCTION = BLOCK ® FRAME = STEEL = <br /> DESCRIPTION OF WORK AS built revision updated per field conditions. Fire Per it#22543 <br /> BUILDING SIZE 18400 SQ FOOTAGE 46715 HEIGHT I 1 Story <br /> ;..;..XAL _ .__ .IC 4 <br /> =BUILDING $51764.00 VALUATION OF TOTAL CONSTRUC <br /> =ELECTRICAL $ AMP SERVICE PROG S ENERGY = W.R.E.C. <br /> =PLUMBING $ - \` ✓ �/ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER X Fir <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO X <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address A License# <br /> OTHER COMPANY DyngF re, LLC <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address 109 C cord Drive Ste.B Casselberry,FL 32707 License# I EF20000528 <br /> [ltii€!E� Ii {iitti[lIE�BI6ti {;[#!ti([! tit'rI1{[tTiillfEf[LiEti {lifE#titi.lEi [1 {I�t:iti <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fors;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 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 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.(A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(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 />