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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> • r i fr �1�1. <br /> Date Receaiveda ✓%� Cf83--._ ✓✓�0 <br /> Phone Contact for Permitting ) , <br /> laaaaaa, aaaaa <br /> Owners`Name CHIFOTLE MEXICAN GRILL OF COLORADO LLG Owner Phone Number <br /> Owner's Address PO PDX 1825(010,COLUM6U5, OH 432I8 Owner Phone Number <br /> Fee Simple Titleholder Name 5F ZEPHYR COMMONS OUTPARCEL5 LP Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> 10040r:51 JOHN ST MARKHAM ON L3R CJR7 GANADA, <br /> JOB ADDRESS' 7�04�o GALL RLVD LOT# <br /> �/r� <br /> SUBDIVISION PARCEL ID# rr% ZO 21 0130 00000 0070 <br /> 0 <br /> - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR x ADD/ALT = SIGN = = DEMOLISH <br /> 8 INSTALL e REPAIR <br /> PROPOSED USE = SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 116 BLOCKr� 0 FRAME = STEEL <br /> DESCRIPTION OF WORK TENANT VVILDOUT �,,LGM9 "607) <br /> BUILDING SIZE SO FOOTAGE 2400 HEIGHT <br /> =BUILDING - $q 2�350 VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $40,000 AMP SERVICE PJROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $4&000 <br /> =MECHANICAL $4�300 VALUATION OF MECHANICAL INSTALLATION �� ,. • <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY Duffey Southeast Inc: I <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N CAL' <br /> Address 63 Lake.Oak'LarAn9i Cumming,GA 30040 License# GBG12(o0(poe ?/, <br /> . . a T <br /> ELECTRICIAN ' n :] COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address 319'J 5priny Lake Dr.NE;Conyere,GA 30013 License# ECI3007601 <br /> JIornbiny <br /> PLUMBER COMPANY <br /> " SIGNATURE REGISTERED Y/N FEE CURREN Y!N J <br /> Address &Z08 E.Columbus Dr.j Tama,FL 33(oloJ License# CPG142g243 <br /> MECHANICAL COMPANY AIRGO McGHanIGel <br /> SIGNATURE % REGISTERED Y/N FEE CURREN Y/N <br /> Address 4100 Honeywell RA5 Largo,FL 33771 GAC05243& <br /> License# <br /> OTHER COMPANY' . <br /> SIGNATURE REGISTERED I Y/N. FEE CURREN I Y/N <br /> Address License# <br /> • ■[Ei[[[aa■1['['[.a[[i.laai[ !a[ia■aa[[a[[i[was <br /> !aili[[.alafa[ai.f[[[[[-1![.[[.I <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 subdivisionsllarge projects <br /> COMMERCIAL Attach(2)Complete sets of Building Plans plus a Life Safety Page;(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 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/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />