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essTeD aGG2o City of Zephyrhills Permit Application Fas-613.78D-D021 <br /> Buftng Oapadment <br /> Dote Recslved Phone.:it ct for Permitting e 8 63 8 9 9 "b 1172 <br /> tsetsees >7 <br /> OwasesName ADVENTIST HEALTH SYSTEM Owner Phone Number 3�52 5�28 1d06 <br /> OwnstsAddress 7050 GALL BLVD, ZEPHYRHILLS -FL Owner Phone Number I <br /> Fee Simple TWehoider Name N/A_ _j Orener Phone Number <br /> Fee Simple Titleholder Address <br /> �OBADDRESS 7050 GALL BLVD',, Z'EPHYRHILLS FL tp7s C� <br /> I PARCEL 35-25-21-0010-10500-0000 <br /> SUBDIVISION I <br /> tastAwlin roost psanitrr TAXNVICIIi <br /> WORK PROPOSED NEw=*TR® AGOIALT = SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q CDMM ®r OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK Q FRAME L.� STEEL Q _ <br /> DESCRIPTION OF WORK RENOVATION TO EXISTING DIETARY INCLUDING KITCHEN & SERVER <br /> BUILDINGSIZE 1,208,447.06SF SO FOOTAGE 6,200, HEIGHT Story - NO Change <br /> cc'cc`ccccs:tcsrrcclecccrcc;crcc etc ctcc°CRtCi[cR'CCcFc-tCCCEccrccrcatcras, <br /> Q8UILOING S 1,689,409I VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL s 4d4,525 AMP SERVICE Q PROGRESS ENERGY Q WA-F-C,. <br /> 1 <br /> ©PLUMBING s 199,020 <br /> =MECHANICAL. S VALUATION OF MECHANICAL INSTALLATION <br /> 438,590 <br /> I h IGAS © ROOFING SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS 1 - NO _^ E FLOOD ZONE AREA MYES <br /> BUILDER I COMPANY Berglund Csinstruct:ion <br /> SIGNATURE gacrsTegaa Lily N_j FEECuarr.N I YIN <br /> Address. Eagle FallS PI Litenses CGC1525570 <br /> ELECTRIC COMPANY APO Electric,Inc.. <br /> SIGNATURE:'- Iu o+srenEo N sGt.eup€tW dN. " <br /> Address 40It1 ve.N.Clearwater FL 3978. License OFIFC707070704815 I <br /> PLUMBER COMPANY ' Cooudi Medutnicai SanriCes.LLC <br /> SIGNATURE geaurtaCO N FlECm0mgt7€ YFK <br /> Address 394 ya'M' Licenses CFC1d2gs66 <br /> MECHANICAL COMPANY Mecheiiga1SwA=,LLC <br /> SIGNATURE Rrsatuco FIX CURAC r Y r N <br /> Address Uunses CMC120574 <br /> r ..,. <br /> OTHER COMPANY <br /> SIGNATURE gEGStEA@d Y i N Fu t:ztVttrr Y€NY€N <br /> Address Lkensi s I <br /> t!!lltit[[t!R!![tlii!ltttlt[i[t!!!!Itliliit[!i!!lsiitlilt![t!!t[!!!t <br /> RESIDENTIAL Attach ta)Plot Plans;(2)sets of Building Plans;(1)set or Energy Forms,R!O•W Ptrmit for new eomf udan.. <br /> Minimum ten(101 working days after submittal date Required wMe.Corutruclton Plans,Siommater Pleas%id Sin Foxe installed, <br /> Sanitary Fatuities 8 1 dumpsler:Site Work PemA for subdirWwrlsllaroa projects <br /> COMMERCIAL Adadi 12)campleta sets of"rig Pans Pius a Lila Sifety Page:(1)set of Energy Form$.1114-W Permit for now con-In on. <br /> WSntnum ten(10)warting days after submittal data.Required omits.Consbuesian Plans;Slomtwatar Plans wr Set Fence Installed., <br /> Sanitary Faaldies 6 1 dumpster,Site Wank Permh for et new projects.At tammerciat requiremanls must meet rnrnpliance <br /> SIGN PERMIT Attach(2)sets of Entilneved Plans. <br /> "PROPERTY SURVEY required ror on NEW conic ucfar. <br /> Dlrectlone: <br /> F)[out appliewitmn CompIalOy <br /> Owner a Cww=or sign hack at application,natanzed <br /> if aver 12540.a Notice of Commencement Is required.(AtC upgredss over$700) <br /> Agent ifm the controWat)or Power cr Attomey(for the owner)would be someone with ri=r4od latter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of carhaat required) <br /> Rerools N shiogies Sowers Service Upgrades AtC Fences(PlotrSurvey7Footage) <br /> Driveways-Not over Counter if an oWc roadimys.,needs ROW <br />