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GI � <br /> a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �� � Building Department <br /> � �� <br /> , Date Reci�ved _ - - �2 � phone ConWct for Permittin 813 434 4770 <br /> � <br /> TTT7T <br /> Owner's Name HESS RETAIL STORES LLC Owner Phane Number 1-800-643-1948 <br /> Ownev's Address 539 S MAIN ST FINDLAY OH 45840-3229 Owner Phone Number <br /> I � Fee Slmple Titleholder Name SeB owne� Owner Phone Number <br /> �� Fee Slmple Titleholder Address <br /> JOB ADDRESS 6026 North Gall BNd., Zephyrhills,FL 33541 LOT# � <br /> SUBDIVISION EPHYRHILLS COLONY CO ppRCEL ID# 03-26-21-0010-12800-0010 � <br /> (OBTAINED FROM PROPERTY TA%NOTIC� <br /> �, WORK PROPOSED B NSTALL�8 REPAIR � SIGN Q Q DEMOLISH <br /> � . <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> i TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � <br /> tl DESCRIP710N OF WORK �nterior/Exterior accessibility upgrades ��►�,r�'�tm �� ' V �. � <br /> "� 1 Story 912 SF —14 Ft <br /> i BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �j �BUILDING $65000 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � QPLUMBING $ `1���� �� n��"' `� <br /> �i � � `� � t/� <br /> �� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �' <br /> � � (,�o�-���35 i � ������� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER 1 n�J <br /> � FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA qE QYES NO■ � <br /> � ���7 �S <br /> � � lamo Construction Company,Inc. <br /> �i BUILDER / OMPANY <br /> �J SIGNATURE rteeisTErteo ■Y/ N FEECURREN Y!N <br /> �i <br /> Address 4 9 SE 110th Street,Suite 1, �eville,FL 34420 License# CBC1252893 <br /> �{�� �� ELECTRICIAN ,fj '� � COMPANY � <br /> S� SIGNATURE C� REGISTERED Y/ FEE CURREN Y/N <br /> CJ�3 7�� I' ,P pddress License# <br /> j�n'''� '� LUMBER L��e " COMPANY <br /> 1 � b G� IGNATURE ✓ � REGISTFAED Y I N FEE CURREN Y/N <br /> lZ ��� <br /> ��(�.-��(�DU��il Address Lfcense# <br /> � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTFRED Y/ N FEE CURREN Y/N <br /> I� <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllll <br /> IRESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, <br /> � Minimum ten(10)working days a8er submittal date. Requfred onsite,Conslruction Pians,Stormwater Plans w/Silt Fence installed, ; <br /> Sanitary FacllfUes 8 1 dumpster,Site Work Pertnit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> � Mfnlmum ten(10)working days afler submitlal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> p Sanitary FacilfUes&1 dumpster.Site Work Permit tor all new projects.All commercial requirements must meet campllance <br /> , SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••••PROPERTY SURVEY required for all NEW conslruction. <br /> DlrecNons:• <br /> , Fill out applicaQon completely. � <br /> � Owner 8 ConVactor sign back of applicatlon,notarized I <br /> , If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) I <br /> � •• Agent((or the conVactor)or Power oi Attomey(for the owner)would be someone with notarized letter from owner authorizing same , <br /> il OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs N shingles Sewers Service Upgredes A/C Fences(PIoUSurveylFootage) � <br /> � Driveways-Not over Counter If on public roadways..needs ROW <br /> i� <br /> � <br />