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e1��[D oo2D City of Zaphyrhills Pifimit Application Fax-613-780-002I <br /> BuildingDepartment <br /> Oat Received Phone Contact forParmitling 11 663 1 699 1172 <br /> astaasts esaas aaaat <br /> Ow"seaName ADVENTIST HEALTH SYSTEM Owner Phone Number 352-518-1006 <br /> OwnetsAddress 7050 GALL BLVD, ZEPHYRHILLS Owner Phone Number <br /> Fee Simple Titleholder Name NSA Orm.r Phone Number l <br /> Fee Simple Titleholder Address <br /> J00ADDRESS 7050 GALL <br /> BLLV�D, ZE}PHYRHILLS FL 1.070 <br /> SUBDIVISION y I PARCELiw 3'5-25-21-OQ10-10500-00Q0 <br /> (OSTAINID►ROM►POrENTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR® ADWALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM ® OTHER <br /> TYPE OF CONSTRUCTION ® BLOCK FRAME Q STEEL Q I <br /> DESCRIPTION OF WORK RENOVATIO14 TO EXISTING DIETARY INCLUDING KITCHEN & SERVER <br /> BUILDINGSiZE 1,208,447.06SF SOFOOTAGE 6,200 HEIGHT 4 StOry - NO Change <br /> lC'Cl"iClClti LCC CCCCCCWClt itLCCCCtt Ct CCt't CIL Cl ltCt tl CCL CWC'Cl t Clt C Va t t V.t"C Sr <br /> =BUILDING 5 1,6 89. <br /> 4 0 9 VALUATION OF TOTAL CONSTRUCTION <br /> MELECTRICAL 5 404,525 AMPSERVICE Q PROGRESSENERGY Q WA.EC.. <br /> ]PLUMBING 5 199,020 ��' <br /> MECHANICAL 5 436,59Q VALUATION OF MECHANICAL INSTALLATION <br /> 00GAS © ROOFING D SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS 1 - NO E FLOOD ZONE AREA [ YES X No <br /> BUILDER �G"�� COMPANY Berglund Construction <br /> SIGNATURE 1 RiotsTEM I LKYN PEeaatRw I YIN <br /> Address 'Eagle Fails Pi Lbcer,sas I CGCS525570 <br /> ELECTRIC COMPANY APE)Eleatic,Inc. t/( <br /> SIGNATURE'- �'"`--4_ REeasTCREa ' t PCa uAITJ4 t N_ <br /> Address 48444,40th ve,N.Clearwater,FL 3376? Licenses EC0000466 <br /> PLUMBER ... COMPANY Coostgi M-of"Cal Services.LLC <br /> SIGNATURE REt1 STLNCp N rEE t cwneN 7 N <br /> 394 ye,Me 54 st, <br /> Address Licensef r CFCf429466 <br /> MECHANICAL COMPANY )CaisW MetliarriraiSeru=LLC I <br /> SIGNATURE AcrastEACF I,G211 FEECIAMCN Y!N <br /> Address Ucenses 1 CMC1250574 <br /> OTHER COMPANY <br /> SIGNATURE I YIN pit vAkft r LY r N <br /> Address Llcanse i <br /> RESIDENTIAL Attach(2)Pict Plans:(2)sets of Building Plans;(1)set of Energy Fomu;R�O-W Permit for new construction. <br /> Minimum ten(10)working days after w6miltal date Required onsile.Construction Ptans,Sionnwater Plans wr SLT Fence installed. <br /> Sanitary FaczWes A I dumpater.Site Work Pearid for subdivisianzAarge projects <br /> COMMERCIAL Attach(2)complete sets of Buildng Prins plus a Ufa Solely Page:(1)set of Energy Fauns-RXSW Parrett for new constnKaon. <br /> WaIlim rn ten(101 working days after submittal date,Required onsits,Consirurzion Plans,61ormwater Plans w!Slit Fence Installed, <br /> Sanitary Fadidies 3 I dumpsler,Sde Work Permit for of new projects.As commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> —FROPERTY SURVEY m*&ed far of NEW conuaucWti. <br /> Directions <br /> FA out applicatlan completely. <br /> Owner d Contractor sign back at application.notarized <br /> If over 62M.a Notice of Commencement is required.(AIC upgrades over$750) <br /> Agent(nor the conuaclar)or Power dr Attamey(for the omier)would be someone with notadied letter from owner authoring same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroots a stdngies Sewers Service Upgrades A(C Fences(Plot7StavuyrFooiaoa) <br /> Oriveways-Not over Counter if an public roadmys.,needs ROW <br />