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%..ny UI I_cNi ryrl I ub rCf IIIL fiPPIIUduUI I <br /> Building Department <br /> l <br /> Date Received �� 3' l Phone Contact for Permitti 770 622 9858 � <br /> -1 r rrrrr-r - <br /> Owner's Name Heartland Dental-Richard Jones er Phone Number - 6 .fie d�s <br /> Owner's Address 200 Network Centre Dr.Effingham, L Owner Phone Number <br /> Fee Simple Titleholder Name LCG2R 7344 Gall,LLC Owner Phone Number 727-786-2600 <br /> Fee Simple Titleholder Address 1 3500 Maple Ave.,Suite 1600,Dallas,TX 75219 <br /> JOB ADDRESS 7344 Gall Boulevard LOT# <br /> SUBDIVISION PARCEL ID# 35-25-21-0010-08800-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR XB ADD/ALT 0 SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR x COMM 0 OTHER <br /> TYPE OF CONSTRUCTION XD BLOCK 0 FRAME STEEL Q <br /> DESCRIPTION OF WORK nterior remodel from bank to dental office. Exterior canopy removal. <br /> BUILDING SIZE 4,390 Sq Ft = SO FOOTAGE 4390 HEIGHT 14'-0" <br /> XQBUILDING $ 550,000 VALUATION OF TOTAL CONSTRUCTION <br /> X�ELECTRICAL $ AMP SERVICE �0 PROGRESS�E°'N�EERRGY j`Q WN.R./E..C. ( Q <br /> OPLUMBING $ ��(� ��j1/*�FA (,�r� l 1 J '\ TY ✓V <br /> XX]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION cl vwl— <br /> =GAS F7X ROOFING 0 SPECIALTY = OTHER W n v rl,n <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO fr�� Vim, & , v 4,, <br /> (�fj/) �i'�Cil C9 2 l <br /> BUILDER COMPANY /1�/+C�r�,t,Gf Tsil�l LLc c� <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address 7 f C- jJ License# 146-e, lr4 S 33 <br /> ELECTRICIAN _ COMPANY <br /> SIGNATURE _ REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address 10011 wlilf.,v AVQT L License# <br /> PLUMBER MPANY 34 <br /> SIGNATURE "�'LI'" � REGISTERED Y/ N FEE CURREN Y/N <br /> Address OIZ S. SG .Tfrcr f• ,-A r-4 ,�J ,�j License# G FG l�1.2 9.1 y3 <br /> MECHANICAL COMPANY /�-!^III4A - <br /> SIGNATURE ry w� REGISTERED Y/ N FEE CURREN Y/N <br /> Address ` 7 _��__S�•/_• S f rG + /jG License# GAG 0 S6•4 96 <br /> COMPANY <br /> REGISTERED I Y/ N FEE CURREN I Y/N <br /> 'Address License# <br /> 17"1`I_I`I'11�1y1�1RI L:I_I_LI_I_hh.1_L,I=1e1�1�1-t'i 1-'1-1-1-1-1-1-1-1-1=1-1_Is1�1-1-1-h1-1-1�1-1-1-1�1�1`t'1�I t_LlJ_IJ_L=I_I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set ofEhergy FOrms'R=O=W Pe-mif for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonmwater 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 /> 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 />