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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> 4 <br /> Date Received 21-45 -2212 321-266-6269 <br /> Phone Contact for Permitting <br /> —rT>ITrr -- <br /> owner shame WAL-MART STORES EAST LP Owner Phone Number 479-204-1063 <br /> Owner's Address I PO BOX 8050, BENTONVILLE,AR 72712 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7623 GALL BLVD, ZEPHYRHILLS, FL 33541 LOT# <br /> SUBDIVISION PARCEL ID#1 34-25-21-0110-00000-0010 <br /> I I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON5TR1 d ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> INSTALL Q REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK ADDING 1 NEW FIRE SPRINKLER IN TOWER <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> TrTTf-TTrTrTTrTTrTTf-TTrTTr-rTTr-TI"1'T' <br /> BUILDING $ t li(}s)� � VALUATION OF TOTAL CONSTRUCTION <br /> 1450.00 <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N <br /> Address I License# / <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> OTHER COMPANY TITAN FIRE SYSTEMS, LLC <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address 13517 65TH STREET,4LARGL 33771 License# FPC17-000074 <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 subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely 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 />