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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 863 899 — 1172 <br /> Owners Name ADVENTIST HEALTH SYSTEM Owner Phone Number 352-518-1006 <br /> Owner's Address 7050 GALL BLVD, ZEPHYRHILLS FL Owner Phone Number <br /> Fee Simple Titleholder Name NSA Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7050 GALL BLVD, ZEPHYRHILLS FL LOT# <br /> SUBDIVISION PARCEL ID# 35-25-21-0010-10500-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR Xe ADDIALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM ® OTHER HOSPITAL <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK RENOIATION-TQEXISTING DIETARY INCLUDING KITCHEN & SERVER <br /> BUILDING SIZE .06S 1,208,4 F SO OTAGE 6,200 HEIGHT 4 StOry - NO Change <br /> =BUILDING $ 1,689,409 VALUATI,N OF TOTAL CONSTRUCTION <br /> =ELECTRICA $ 404,525 AMP SERV E = PROGRESSENERGY = W.R.E.C. <br /> =PLUMBING $ 199,020 <br /> =MECHANIC L $ 438,59 0 VALUATI OF MECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q ECIALTY = OTHER <br /> FINISHED FLOOR ELEVATI S E FLOOD ZONE AREA DYES X NO <br /> BUILDER COMPANY Berglund Construction <br /> SIGNATURE REGISTERED LJILN JFEE CURREN Y/N <br /> Address 4616 Eagle Falls P1 License# FCGC1525570 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I cense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> !.[.!.!9_9.5A[1111.11.8 1.9.El.[.!.!!.!a.1.!_!!1:1!!a It 11 aX2[I!_!.[.!!_[,[!1[[!_l.CCl.l.It111!_!_I[!a It f <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 /> ------------------- <br /> Dtrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(AIC 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 />