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813-780-0020 City of Zephyrhills Permit Application Fax-813a60-0021 <br /> Building Department 2' r, <br /> Data Received 2' �� Phone Contact for Permitting 27 53CJ .— .'� V <br /> aaaaaaaa aaa a <br /> Owner's Name Advent Health Systems/Run Belt,INC. Owner Phone Number 813-788-0411 <br /> .. Owners Address 2400 Bedford Road,Orlando,FL 32803 Owner Phone;Number <br /> Fee Simple Titleholder Name Owner Phane Number <br /> Fee:Slmple Titleholder Address <br /> JOB ADDRESS, 7050 Gall Boulevard,Zephyrhills,FL 33541 LOT# <br /> SUBDIVISION PARCEL ID# 35 25-21-0010-10500-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = 0 DEMOLISH . <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR' = COMM OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL 0 <br /> DESCRIPTION OF WORK Fire Alarm Scope for renovation of Dietary Area/Kitchen&Serving Areas <br /> �.. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> zr�Irrl <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ v0o :. AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $"' <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS Q ROOFING 0 SPECIALTY = OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> + SIGNATURE REGISTERED I Y/N FEE CURREN .Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY APG Electric,_Inc. <br /> SIGNATURE REGISTERED I Y/N FEE CURREN : Y/N , <br /> Address 4825 140th Ave N.Clearwater,FL 33762 License# EC 0000486 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE - REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY - <br /> SIGNATURE REGISTERED Y/N FEE CURREN r Y/N <br /> Address License# <br /> also![!!t!:> lit!!![i![!®il[i[![[1![t!l 1.1f[!!!1[!!II[21111I;[,['!!!!all lit!!il ' <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-subdivisions/large projects, -: <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy.Fortes.R-0-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.(AIC 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 /> t)VER 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 />