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19-20704
Zephyrhills
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2019
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19-20704
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Last modified
1/14/2020 8:37:06 AM
Creation date
1/14/2020 8:37:01 AM
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Building Department
Company Name
HCRA PROPERTIES I LLC
Building Department - Doc Type
Permit
Permit #
19-20704
Building Department - Name
HCRA PROPERTIES I LLC
Address
38220 HENRY DR
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t. 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 <br /> Permit Application <br /> Date Received <br /> Phone Contact for Permit E813 1 F635 5589 <br /> Owner's Name HbP Properties, LP(per attached legal document) <br /> Owner's Phone Number [: 24E] DEI 8538 <br /> Owner's Address 7361 Calhou Place Suite 300, Rockville, MID 20866 <br /> Fee Simple Titleholder Name Titleholder Phone Number <br /> Fee Simple Titleholder Address <br /> Job Address 38220 Henry Drive,Zephyrhills, FL Lot# <br /> NIA <br /> Sub Division N/A Parcel# 080-00A00-0122 <br /> C7 <br /> Bio-Hazard Waste Storage-ANNUAL Fumigation Tent <br /> Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier 11 or RQ Facility)ANNUAL <br /> Controlled Burn Q Hood Installation <br /> rgency Generator 5-ap LP/Natural Gas-Installation <br /> :r:g:encvta�nertr LP/Natural Gas-ANNUAL Sale <br /> Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL <br /> rQTrTY_1 ❑ <br /> r8*57mi FA_nT1 1 Other <br /> Sprinkler F-1 0 0 rl r I F7 Recreational Bum <br /> Fire Alarm 0 0 L3 Sparklers <br /> Hood Cleaning 0 0 0 Sprinkler System Installations <br /> Hood Suppression 13 0 El Standpipes(Sprinkler Sys) <br /> F� Fire Alarm Installation F-1 Torch Rooff ngrrar Kettle <br /> Fire Pumps Waste Tire Storage ANNUAL <br /> Flammable Application-ANNUAL <br /> P7 Oc, �Zo, ozl Valuation of Project <br /> 5;,4�e �ans <br /> Other: <br /> Contractor TBD/ Company 7-0.0it-5 <br /> Signature Registered L <br /> Y/N Fee Current Y/N <br /> Address License# <br /> ELECTRICIAN .TBD Company <br /> Signature Registered Y/N Fee Current <br /> Address L= License# <br /> PLUMBER I TBD Company <br /> Signature <br /> Registered L Y/N Fee Current L NJ <br /> Address License# <br /> MECHANICALI TBD Company <br /> Signature Registered N_J Fee Current L=/N <br /> Address F License# —1 <br /> OTHER Company Klmley-Horn C/O Kyle Watson <br /> Signature Owner's Agent Registered .�/N Fee Current Y J N <br /> Address [ 6-55 N Frankl!6 SfSuit 150,Tam a, FL 33602 License# 82423 <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) <br /> If over$2500,a Notice of Commencement is required(Mechanical work over$5000) <br /> Supply two(2)sets of drawings with applicable documentation <br /> Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(hftp://appraiser.pascogov.com) <br />
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