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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � r Phone Contact for Permitting 727 )408 __5306 <br /> —I 1 1 1 11 1 11 I I T <br /> Owner's Name Icon Identity Solutions (Walgreens #560 ) Owner Phone Number r847-364-2250 <br /> Owner's Address 1 1701 Golf Road, 1-900, Rolling Meadows, IL. 60008 Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6429 Gall Blvd., Zephyrhills, FL. 33542 LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR H <br /> ADD/ALT SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK Relocating existing sprinkler to accomodate for the new tenant <br /> BUILDING SIZE SQ FOOTAGE 500 HEIGHT <br /> TTITrITQ�rTrITrlTrrfrrfrlTrl"ITITrITrITrM 9 a AT�ITrITrITrR'7�r1T. . . .Tr1"1" <br /> =BUILDING $2500 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 F—] SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY Titan Fire Systems, LLC <br /> SIGNATURE REGISTERED Ye Y/ N FEE CURREN <br /> Address 113517 65th St. N, Largo, FL. 33771 License# 'P(,)-5— ao(' <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 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 /> a.�4�..1-I,.I..i-4,-1-.8�.f.�.�4.�..f-f..l-i-k-�1-1--4a-'.-�.p,.,:..�L,-��-I..I..i-f..i-�b-i�.4-1-��1..�..8-'.--•-:--'•--:-�-'.�-.-���4-�-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 />