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i <br /> I <br /> 813-780-0020 City of ZephyIrhills Permit Application Fax-813-780-0021 • <br /> Bufiding DepaAment <br /> Date Received � � <br /> Phone Contact for Pertnittin <br /> -i-rr-r <br />' Owner's Name Walgreen Co. I Owner Phone Number �847�315-4717 <br /> Owner's Address Z00 Wilmot Rd MS#1640,Deerfield,IL 60015 I Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS �z9 GALL BLVD I LOT# � <br /> SUBDIVISION PARIELIDi� 03-26-21-0020-00000-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW coNSiR e ADDIALT I X I SIGN Q Q DEMOLISH <br /> INSTALL REPAIR 7T <br /> PROPOSED USE Q SFR Q COMIM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Inlerior remodel to 175 sqft of existin�space,modificalion of ME systems <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � �� <br /> QBUILDING $ �5,000 VALUATION OFTOTAL CONSTRUCTION 1�� <br /> � <br /> QELECTRICAL $ AMP SE IVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ,\�n �,` IG(��J�/ / <br /> � <br /> QMECHANICAL $ V F,C VALUATI N OF MECHANICAL INSTALLATION �� /'` '� ���"���✓ / <br /> p �) �y� / <br /> i���G � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER v � �C�� V <br /> FINISHED FLOOR ELEVATIONS FLOpD ZONE AREA DYES NO �J ���,�� <br /> ��Z ��:�� �� � �� <br /> BUILDER '�(I�,/ `ln t ICOMPANYr/ <br /> S� . �� 1 �SIGNATURE � �I��� W REGISTERED Y I N - FEE CURRE� Y/N <br /> � I <br /> .�l Address � � License# <br /> � <br />, ELECTRICIAN �i7 ��' ' � �COMPANY <br /> SIGNATURE l— � iREGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br />' PLUM BER COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> MECHANICAL �� �/ � COMPANY <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREI. Y/N <br /> Address I License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)�et of Energy Farms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date Required onsile,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Faciiities 8'I dumpster,Site Work Pertnit orsubdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)sel of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days aker submittal date� Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br />' Sanilary Facilities 8 1 dumpster Site Work Pertnit or all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW construction. i <br /> � <br /> Directions:• <br /> Fill out applicalion completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the conVactor)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 if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />