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813-780 002o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 954 <br /> [Itatttt t:taa <br /> Owner's Name CHICK FIL A INC. Owner Phone Number 404-765-8000 <br /> Owner's Address 15200 Buffington Rd Atlanta Ga. Owner Phone Number <br /> Fee Simple Titleholder Name I SF Zephyr COMMOnS Owner Phone Number 954-557-6879 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7490 Gall Blvd LOT# 0 <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR® ADD/ALT = SIGN ® = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK INSTALL SIGNAGE & ELECTRICAL HOOK UP <br /> BUILDING SIZE I SQ FOOTAGE 235.4 HEIGHT <br /> cr cc><ci i cs c <br /> ®BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 1 iCO AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> -5 -? <br /> =PLUMBING $ "iW L <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r(�j <br /> =GAS = ROOFING Q SPECIALTY = OTHER l <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY QI-AYT()N SIGNS INC, <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY CLAYTON SIGNS <br /> SIGNATURE ' REGISTERED I Y/N FEE CURREN <br /> Address 531918 <br /> s License# ES 12000152 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN L Y/N <br /> Address License# <br /> MECHANICAL COMPANY - <br /> SIGNATURE REGISTERED Y/N FEE CURREN .Y/N <br /> Address' License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> iQ[IIIIII$IIIIit[t sit III lt[I[IIIaaIaIItasIIa ass ass t[[tI[t[IBEaIIIIaII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R-O-W Permit 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 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,Stornwater 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 /> 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)SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />