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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 (205 ) 262 - 8222 x303 <br /> Owner's Name Wal-Mart Stores.East,LP Owner Phone Number 479-204-1297 <br /> Owner's Address 2608 S.E.J Street,Bentonville,AR 72716 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7631 Gall Blvd.•'2'e h rhills FL 33541 LOT# <br /> r <br /> SUBDIVISION 1 / PARCEL ID# 34-25-21-0116-00000-0010 <br /> ,�s (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW C NSTR ADD/ALT © SIGN = = DEMOLISH <br /> I��INSTALL e REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK 6,500 sqft.expansion of existing Wal-Mart for new health clinic. <br /> BUILDINi SIZE SQ FOOTAGE 6,500 HEIGHT 1 story <br /> -cl c-ir -�c-jc-urc-rc{�����c-vlc-cc,'€-,Cct-irs-crrcc-rcrs-€ts-c-c'cc-vc-iE-c><s-s-j-t-s,cccc-K-r,L-.eicc-, <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION $1.050MM <br /> ®ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> F—TIPLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY / Hutton Construction,Inc. <br /> SIGNATURE REGISTERS I Y/N FEE CURREN Y/N <br /> Address 2525 Broad St.,Chattanooga,TN 37408-2935 Icen # CGC1528184 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <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 subdivisionsliarge 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,Stonnwater 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.(AIC upgrades over$7600) <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 />