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813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 4 <br /> Building Department £‘ .0 / 41)16 /if� l <br /> Date Received 1 6/30/09 Phone Contact for Permitting pLII 07 877 5557 u7# 4 ' <br /> Owner's Name ADVENTIST HEALTH S / S INC DBA FLOPID n LI Eie Number <br /> Owners Address 1 7050 GALL BLVD Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS 6748 GALL BLVD LOT# <br /> SUBDIVISION PARCEL ID # 102- 26 -21- 0010 - 02500 -0020 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ® NEW CONSTR ADD /ALT n SIGN I MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR n COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION n BLOCK I FRAME n STEEL n OTHER I <br /> DESCRIPTION OF WORK INSTALL NEW UNDERGROUND PIPING <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT <br /> Ti BUILDING $ VALUATION OF TOTAL CONSTRUCTION $10,169.00 <br /> n ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING $ <br /> n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> F GAS n ROOFING I SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES r--7N0 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address 1 License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 <br /> Address I 1 License # 1 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I 1 License # I 1 <br /> MECHANICAL • COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # I 1 • <br /> OTHER COMPANY W�„ AUTOMATIC FIRE SPRINKLERS <br /> SIGNATURE REGISTERED (L N I FEE CURRENT I Y/ N I <br /> Address 1 2 97 CAPITOL CT OCOPE FL 3/1761 1 License# 102390300012008 <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 (3) 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 /> Directions: <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 $5000) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner aut :at'htiF t. " .. <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) 4ViAti 1S ets't ' <br /> Driveways -Not over Counter if on public roadways..needs ROW i;;'v'S +' g .A '•' ' , <br />