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813-780-0020 City of Zephyrt�ills Permit Application Fax-8�3-780-0021 <br /> Building DepaRment <br /> Da;e; ,e;i ;e; � 6 20 11 Phone ConWct for Permittin 863 669 0990 Niki <br /> ���4� <br /> owners Name Florida Hospital of Zephryh ll� W�er Phone Number <br /> Owners Address 705� �idll BIVCl. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS 705 �111 B�-VC� Zephyrhills, F'1 LOT# �� <br /> SUBDIVISION PARCEL ID/� 35-25-21-0010-10500-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED B NEW COnlSTR 8 ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR Interior OI11�7 <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TVPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Interior �T1011Sr1 Of Wa11S C�OOI'S fixtures C�1d1L' I' lIS � E� C, R <br /> � Ck^ V " <br /> BUILDING SIZE � SQ FOOTAGE� HEIGNT � �fl���l� \r. <br /> l Jf ✓ �I' C1I I <br /> 1 1 1 1 � 1 1 11 1 � 1 1 � 1 1! 1 1 1 1 1 1 1 1 1 1 � T7 <br /> QBUILDING $ �� ��/_ VALUATIONOFTOTALCONSTRUCTION <br /> Y/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPIUMBING $ N/a �/(� �/I � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T' � i <br /> QGAS Q ROOFING Q SPECIA�TY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER 7� COMPANY I1StY'L1Ct10I1 IT1C. <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address larid� fl ��3 CGC� 061496� <br /> ELECTRICIAN N/a COMPANY <br /> SIGNA7URE REqSTERED Y/ N FEE WRREN Y/ N <br /> Address <br /> License # �� <br /> PLUMBER N/a � COMPANY <br /> SIGNATURE REOISiERED Y/ N FEECURREN Y/N <br /> Address � <br /> License il <br /> MECHANICAL COMPANY � <br /> SIGNATURE N a REGISTERED Y/ N FEECURREN Y/N <br /> Address <br /> License # <br /> OTHER N�a COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE W RREN Y/ N <br /> Address <br /> Licanse # <br /> IIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIillltlllllllllllll <br /> RESIDENTIAL Attach (2j Pbt Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W PermR for new construdion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpstar; SRe 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 Permk for newconstrudion. <br /> Minimum ten (10) working days after submittal date. Required onsite, Conshuction Plans, Storrrm'ater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commerdal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fiil out application completely <br /> Owner & Contrector sign back of applicatlan, notar¢ed <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <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 (Front of Application Onlyj <br /> Rerooh H shingles Sewers Service Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />