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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( -- <br /> rrmrrr <br /> Owner's Name 7-Eleven, Inc Owner Phone Number <br /> Owner's Address PO Box 711, Dallas,TX 75240 Owner Phone Number _ <br /> Fee Simple Titleholder Name N/A Owner Phone Number <br /> N/A <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6512 Gall Blvd. LOT# <br /> SUBDIVISION Zephyrhills Executive Park PARCEL ID# 01-26-21-001A-00000-001 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> R INSTALL ® REPAIR <br /> PROPOSED USE 0 SFR © COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK Equal Change out 1-12.5ton RTU Package Unit <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> TTITrTr�l"ITIT1rT�1"7TrITITr1TT'PTTITrI"IT�TrITrI"ITITrI"T1�1TTI�PTT'1�7'��1"1" <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ $6,310.00 VALUATION OF MECHANICAL INSTALLATION <br /> GAS 0 ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> —C—:—i�i�l--F�I�'-1��:--F�I��I--:-T—•--r�l��I-1�1—F�1--F�I�'—:—r�l��I—FBI—FBI--i—. I—.—i-1—: . 1�. F+- <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 CURREN <br /> Address License# <br /> MECHANICAL COMPANY ABM Building Service <br /> SIGNATURE REGISTERED Y N FEE CURREN Y N <br /> Address 4150 Church St.#1000, Sanford, FL 32771 License# CMC1250526 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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(2)complete sets of Building Plans plus a Lire 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 /> ��f..�l�l -1..1 .-f..1-.1...11.... f..l . 1-9-1-1..1 . . . <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 />