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a�saeaoozo City ofZephyrhills P rmitApplication Fax-813-780-0021 <br /> Building Dep rtment <br /> ' , l� <br /> I� Date Received �—`j�� Phone Contact for Per itting — _ I� <br /> �---� n A�,;`TGI. <br /> Owners Name ZHJM Services,LLC Owner Phone Number �=8 0-5 �897 �l��` <br /> Owners Address 7810 Gall Blvd.,#405;Zephyrhills,FL 33541 Owner Phone Number ��7`�� ��/G� y�/ <br /> r�•� <br /> Fee Simpie Titleholder Name ��a Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7890 Gall Blvd.,Zephyrhills,FL 33541 LOT# � <br /> SUBDIVISION Zephyr Commons PARCEL ID# 35-25-21-0130-00000-0030 <br />� (OBTAINED FROM PROPERTY TAX NOTICE) <br />, WORK PROPOSED e NEW CoNSTR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />�I PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK Interior Build-out for Jersey Mike's Subs restau ant <br /> BUILDING SIZE 11,000 SQ FOOTAGE 1,600 HEIGHT 1 story <br /> OBUILDING $ �79 O VALUATION OF T AL CONSTRUCTION <br /> ar <br /> XQELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> XQPLUMBING $ <br /> QMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION � ��� /����t <br /> � <br /> XQGAS Q ROOFING Q SPECIALTY OTHER � ���� �`.,,���- <br /> FINISHED FLOOR ELEVATIO FLOOD ZONE AREA �YES NO � C„�� <br /> .Jl. G� l ��� <br /> , <br /> i <br /> BUILDER /. COMPAN Geneva Conslruction Inc. <br /> SIGNATURE / REGISTER D Y/ N FEE CURREN Y/N <br /> Address PO Box 621858;Oviedo,FL 32762 License# CBC045648 y �� �l�� <br /> ELECTRICIAN ��� � � COMPAN ��OC�u���u�2� <br /> SIGNATURE REGISTER D Y/ N FEE CURREN Y/N �P�B�fL�1 3— <br /> t���� <br /> ` ATdress License# � l <br /> n� ��\ PLUMBER ,bs,t,t� � � R OMP R o Y/ N FEE CURREN Y/N <br /> v SIGNATURE ���- � <br /> �� � �Q� Address License# <br /> �� �j, ��� <br /> � MECHANICAL �,c� � � COMPA Y ����v'�^ �' <br /> SIGNATURE REGISTER D Y/ N FEE CURREN Y/N a I OG��'e�"'^ <br /> Fll�n <br /> Address License# <br /> OTHER COMPA Y <br /> SIGNATURE REGISTER D Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIiillllltllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivi ionsAarge projects <br /> i COMMERCIAL Altach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Pertnit for new constructlon. <br /> Minimum ten(10)worlcing days after submittal dale. Require onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all ne projecls.All commercial requirements must meet compiiance <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 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades ver$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front o(Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />