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19-21869
Zephyrhills
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Building Department
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2019
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19-21869
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Last modified
5/11/2020 9:31:53 AM
Creation date
5/11/2020 9:31:49 AM
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Building Department
Company Name
HELATH RESOURCE ALLIANCE OF PASCO
Building Department - Doc Type
Permit
Permit #
19-21869
Building Department - Name
HEALTH RESOURCE ALLIANCE OF PASCO
Address
37922 MEDICAL ARTS CT
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i " <br /> 1..:O'hone.0-ont.a t for Permitting ��++ — <br /> Owner's Name ��{[� rQ [ wn�r Phone Number <br /> Owner's Address s (1,r Owner Phone Number <br /> Owner Phone Number <br /> OF <br /> JOB ADDRESS /C S C ` 1 S F �LOT# <br /> SUBDIVISION F PARCEL ID# 160 1) 60060-0o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R. INSTALL 8 REPAIR <br /> PROPOSED USE 0 SFR Q COMM = OTHER _ O <br /> TYPE OF`CONSTRUCTION = BLOCK 0 FRAME = STEEL . ;_ <br /> DESCRIPTION OF WORK 54ff <br /> 77. <br /> BUILDING SIZE tti SO FOOTAGE HEIGHT. /Z) <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY .0 OTHER <br /> FINISHED FLOOR ELEVATIONS" FLOOD ZONE AREA =YES' ... NO <br /> BUILDER \ MPANY Z;271004040 (P <br /> SIGNATURE . REGISTERED 1. Y/ N FE C REn ' Y/N <br /> Address tf (� L& License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <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 =1Y!.N FEE CURREN <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;.R-0-W Permit for new construction,• <br /> Minimum ten(16)working days after"submittaldate. Required onsite,-Construction Plans,Stormwater Plans w/•Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMN)ERCIAL Attach(2)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 orisite,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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