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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department s� <br /> Date Received i Phone Contact for Permitting <br /> a as a a a aaaaa _ <br /> Owner's 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 N/A Owner Phone Number <br /> Fee Simple Titleholder Address I N/A <br /> JOB ADDRESS 38250 A Avenue Zephyrhills, FL 33542 LOT# <br /> SUBDIVISION I PARCEL ID# 14-26-21- 0010-01300-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT © SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = Comm © OTHER <br /> TYPE OF CONSTRUCTION = BLOCK ® FRAME = STEEL = <br /> DESCRIPTION OF WORK Replacing/upgrading existing fire alarm system <br /> BUILDING SIZE SQ FOOTAGE �l� HEIGHT <br /> -=Tccr c'rrrrrc��rsczrc rsi'crrcre rcc� <br /> =BUILDING $ 51%q 3f? VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ [ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ IJ� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER X Fire <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO X <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <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 I License# <br /> OTHER COMPANY DynaFire <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address 10g Concord Drive Ste.B Casselberry,FL 32707 License# I EF20000528 <br /> ■a[ai'aaaa.aaaaaafa.ala!lafaiaatalaaaaa[aaaa[a.■aaa■a•aaaalafaaaaaIaagot <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Constriction Plans,Storrnwater 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 /> - -- ------- -- -- <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 an public roadways..needs ROW <br />