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nts-/su-uuzU Ulty of[ephyrhills Permit application rax_ts1s-rDu-uu21 <br /> Building Department <br /> F ' <br /> Date Received Phone Contact for Permilting 205 252 _8222 x303 <br /> ■a'taaia■ a1a'Ia <br /> Owners Name Wal-Mart Stores East,LP Owner Phone Number 479-204 297 <br /> Owners Address,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 7631 Gall Blvd. Zophyrhills.FL 3541 LOT# <br /> SUBDIVISION I PARCEL IDIT 34-25-21-0110-00000-0010 <br /> (OBTAINED IRON PROPERTY TAX NOTI E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT © SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR ® COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = i <br /> DESCRIPTION OF WORK 6,500 s tt.ex�ansion of existing Wal-Mart for new health clinic. <br /> BUILDING SIZE I SO FOOTAGE 6,500 HEIGHT 1 St0 <br /> -tZ M M ft 1L'CL'T6-LZ'C!'4iZTEZET1L&L M'M VXXXTX I <br /> ®BUILDING S 799,323.00 VALUATION OF TOTAL CONSTRUCTION $1.050MM <br /> ®ELECTRICAL $92,200.00 AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> ®PLUMBING 369,500.00 ~ <br /> =MECHANICAL $(4,000.00 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ©0 <br /> BUILDER COMPANY Hutton Construction,Inc. <br /> SIGNATURE REGISTERED I YIN FEECURREN LILN <br /> Address 2525 Broad S hattanooga,TN 37408-29354. <br /> License# CGC1528184 <br /> . 0 / <br /> ELECTRICIAN COMPANY -W'1 f�C Y/ Lf4 <br /> SIGNATURE REGISTERED Y/N�( FEE Cl1RREN Y <br /> Address �. tr A License# . <br /> PLUMBER LP ACOMPANO GlI ✓p <br /> SIGNATURE REGISTERED I YIN f FEE CURREN I YIN <br /> Address <br /> MECHANICAL _ - COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREN I Y N <br /> Address 1 13"TV164kA&A 3 DaS ucense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> a.�a-!,>t�.itti.a.�\f��.1.iaif�aa�al.i8a.aaafEatfi�.Ea.>t�a,\i�Iaseastfaa'aaen.aaraal <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,Stornwater Plans SIR Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdlvislonsRarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit fo new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stommater Plana 11 Silt Fence installed, <br /> Sanitary Faclities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must me t compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> • PROPERTY SURVEY required for all NEW construction. <br /> SSG SIDS"" 19%4b <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlrad.(AIC upgrades over S7600) <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 Swam Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />