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813-780-0020 City of Zephyrhills Permit Application Fax-e13-78D-0021 <br /> Building Department <br /> Date Received Phone Contactfor Permitting 941- 484 _ 1213 <br /> Owners Name Walgreen CO Owner Phone Number <br /> Owners Address PO Box 1159 Deerfield,IL.60015-6002 Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name I PIA Owner Phone Number <br /> Fee Simple Titleholder Address I NA I <br /> JOB ADDRESS 6429 Gall Blvd LOT# j <br /> SUBDIVISION PARCELID# 03-26-21-0020-00000-0030 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® REPAIR = SIGN = = DEMOLISH <br /> INSTALL <br /> PROPOSED USE = SFR = COMM = OTHER <br /> 'TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Remove existing drive up equipment and replace with new drive up equipment. <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY ® OTHER Low Voltage <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREh LILN <br /> Address ems( Licenses <br /> I <br /> ELECTRICIAN {pry(pgNy The Platinum Group,Inc. <br /> SIGNATURE REGISTERED Y/N FEECURREh LILN <br /> Address 733 Commerce Dr.Venice,FL 34292 License# EC0001672 <br /> PLUMBER I COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREh I Y/N <br /> Address License# j <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE cuRREh Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE cuRREh Y/N <br /> Address License# ' <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItillllllllllllllll11111111111Illlltl <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/SRI Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Persil for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ali 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 awner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Semite Upgrades AIC Fences(PloVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />