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10-10071
Zephyrhills
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Building Department
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Permits
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2010
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10-10071
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Last modified
1/27/2011 8:41:30 AM
Creation date
1/27/2011 8:41:28 AM
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Building Department
Company Name
FLOIRDA HOSPITAL ZEPHYRHILLS INC
Building Department - Doc Type
Permit
Permit #
10-10071
Building Department - Name
FLORIDA HOSPITAL ZEPHYRHILLS INC
Address
6748 GALL BLVD
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' 813 - 780 -0020 City of Zephyrhills Permit Application A000/ I Fax -813- 780 -0021 <br /> Building Department <br /> 4 t <br /> Date Received '20 - Phone Contact for Permitting -- 72 <br /> Owner's Name L (/ '/Q 4 f of / 4 )/ ,_ # / A , ' Owner Phone Number i a i Of--- 0 <br /> Owner's Address 70 U 6/}1L�LLZ) Ze7 /re/ //CIS Owner Phone Number <br /> Fee Simple Titleholder Name A4 Owner Phone Number <br /> Fee Simple Titleholder Address /4 <br /> JOB ADDRESS kt v, 64' 4 - ,‘4 <20 / / / / /LCS „,�J' LOT # <br /> SUBDIVISION PARCEL ID# ea o76 / UU /D- J rcx2 - CWQ2 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED AI k` INSTALL REPAIR <br /> CONSTR SIGN n MOVE 1 1 DEMOLISH <br /> PROPOSED USE I I SFR 1 1 COMM n OTHER I " -W / e 4. I <br /> TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I STEEL n OTHER I /j,Lc/A) I <br /> DESCRIPTION OF WORK / ,'s7�1-� WA1 06 c/ <br /> 0 / (lae°73 6 /f�7/"✓,(C76 " <br /> BUILDING SIZE SQ FOOTAGE HEIGHT /re, as <br /> t'd BUILDING $ <br /> ?‘00 cQ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ f �0 AMP SERVICE 1 I PROGRESS ENERGY Q W.R.E.C. <br /> e / ST/i✓ <br /> I I PLUMBING $ <br /> I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I I GAS n ROOFING 1 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS Fi OD ZONE AREA I YES I]NO <br /> 1$f _ " ,. i�'Jr <br /> BUILDER J ijj r Ti P! COMPANY /N/ x'770, '� /6 '637'• °I,104" SIGNATURE REGISTERED / N FEE CURRENT AV® <br /> Address 0 •_ y , i License # cs dOO I <br /> ELECTRICIAN 111 II I i ill I'M �7d f2 /6 ''•1 <br /> COMPANY <br /> SIGNATURE REGISTERED FEE CURRENT <br /> Address 1 ' License # Z3 .• dck 3 <br /> PLUMBER 1 COMPANY <br /> SIGNATURE 4 S REGISTERED I Y/ N I FEE CURRENT I Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # <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 authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 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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