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19-20810
Zephyrhills
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2019
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19-20810
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Last modified
1/15/2020 10:13:11 AM
Creation date
1/14/2020 9:44:13 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-20810
Building Department - Name
38035 MEDICAL CENTER AVE LLC
Address
38035 MEDICAL CENTER AVE
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813-780-0020 ---City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiing Department <br /> �. Date Received Phon�Contac"for Permitting <br /> CC�� ??,, (dry 1 �'( <br /> OwneCAddress <br /> `3 UoV 1•1 e NumberOwne .-1 �C� r• s O� wner Phone Number <br /> Fee Sme O(-wn�`ere`P'��hone Number <br /> Fee Simple Titleholder Address c <br /> JOB ADDRESS cucoll Pffe • n LOT# <br /> SUBDIVISION PARCEL ID# S-2.S `, O - O <br /> e (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NE STR AQD(&LX- ff SIGN = = DEMOLISH <br /> STALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL = <br /> DESCRIPTION OF WORK f OrN <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. 'o <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER ((�/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREt Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> %DUOTHERS�,� =_r— - - �(lr CO S -1 t� . <br /> 1 SIGNATURE V REGISTERED I Y/ N FEE CURREEN I Y/N <br /> Address 0-0 6 C f �( License# ES <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;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-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$7500) <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 (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 />
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