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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 /> as I%I jr"a a IL a <br /> s" <br /> Owner's Name CHIP07M MEXICAN GRILL OF COLORAP0 owner Phan:NumberI" <br /> Ownee.Add,... PO � <br /> g0X1j3:Zrv&&,GOLUWU�5, OH 43AD Owner Phone Number <br /> [ . <br /> e--r ZEPHYR COMMONS OUT77ARCEL9 LPFee Simple Titleholder Name I Omer Phone Number <br /> Fee Simple Titleholder Address )HN S2T MARKA-AM ON QW OR7 CANAPA, <br /> JOB ADDRESS F--/&, & &AU- f5l-VP LOT 9 1 <br /> SUBDIVISION PARCEL,,#[�—� fr:,, 01 01�0 00000 00'70 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED INRAICONSTR M-9 ADDIALT SIGN DEMOLISH <br /> R INSTALL F-1 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK TENANT iWILPOUT COMO <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> XWEIKILIC. .. ft1 . . <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> F,---ISLEr-TRICAL AMP SERVICE PROGRESS ENERGY pQ WRE.C. <br /> [PLUMBING <br /> [MECHANICAL I VALUATION OF MECHANICAL INSTALLATION 5 <br /> 45 <br /> =GAS ROOFING F--j SPECIALTY = OTHER j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1---jYES NO <br /> 11 i 4 f 0 9 519 0 9 6 rr a 6 IF 9 �0 a 1 0 <br /> BUILDER COMPANY 19-4'ey 90081taaf,t Ina <br /> SIGNATURE REGISTERED I YIN FEE CURREN <br /> Address 65&152 Laka,Oak Lanha Cumnu GA 30040 License# r__—__ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE 664REN F-Y N <br /> jj["�Jeq 5rrj,y lake Pr.N155 Conyers,&A 30013-1 License# I W:1007601 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURREN J 'YIN <br /> ress lab w Cefomi ns Pi.5 T Licenset!jcm4zoa43 <br /> SIGNATURE" <br /> COMPANY FAIRCO MMechanicalREGISTEREDYIN FEE CURREN <br /> Address J4100 Ha"rywd Rd,) -3 j Largo,FL 37'71 License [C�AC0024!�6 <br /> OTH <br /> COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN =Y1 N <br /> Address License# F- <br /> 11114isavass 111111111141 oxx as a a I Eggs go salami a gas was I a all vi*22 <br /> RESIDENTIAL Attach(2)Flat 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,Stomwrater Plans wi Sill Fence Insisted, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdimisionsilarge projects <br /> COMMERCIAL Attach(2)complete sets of Budding Plans plus a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(110)working days after submittal date.Required Onshe,Construction Plans,Stormwater Plans%vi Silt Fence installed, <br /> Sanitary Facilities&1 clumpster.She Work Permit for all new projects-AD commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Mans. <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$2500s a Notice of Commencement Is required.(AIC upgrades over$7500) <br /> Agent(for the contractor)or Power ofAllomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (ropy of contract required) <br /> Remofs If shingles Sewers Service Upgrades A/C Fences(PIoUSUrvcy/FcoI2g8) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />