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a1s/tsu utrlu (;fly of Lephyrhills.Permit Application Fax-81:S-18u-UU21 <br /> Building Department <br /> Data Received Phone Contact for Permittingg 205 -252 -8222�x303 <br /> aafaaaa• taa'aa <br /> Owners Name Wal-Mart Stores East,LP Owner Phone Number 0 479-20 297 <br /> Owner's 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 Gail Blvd. Ze h rhills FL 33541 Lo. # <br /> SUBDIVISION I PARCEL ID# 34-25-21-0110-00000-0010 <br /> (OBTAINED FROM PROPERTY TAIL NOTI el <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT © SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR ® COMM = OTHER I <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL r 7 <br /> DESCRIPTION OF WORK 6,500 s ft.ex�ansion of existing Wal-Mart for new health clinic. <br /> BUILDING SIZE SC FOOTAGE 6,500 HEIGHT 1 at0 <br /> -aze-><',nc-ezt-sizz-as,Ersz-rss�as�eiarc'a'�a'rsa-rc=tr��rs'ei-rrrzzz-rs �rs�-earr:-c� <br /> ®BUILDING S 799,323.00 VALUATION OF TOTAL CONSTRUCTION $1.050MM <br /> ®ELECTRICAL S 92,200.00 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> ®PLUMBING $69,500.00 <br /> =MECHANICAL $64,000.90 VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ©0 <br /> BUILDER � COMPANY <br /> Hutton Construction,Inc. <br /> SIGNATURE REGISTERED I YIN FEE CURREN Y I N <br /> Address 2525 Broad S hattanooga,TN 37408-2935 License# [GC15211,184 <br /> ELECTRICIAN COMPANY ' LL�C'1toC ,L� L�� <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y <br /> ff- <br /> Address ZA*I A License# G <br /> PLUMBER COMP b iln <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN I Y/N <br /> n <br /> Address Llcenna/e�# <br /> MECHANICAL COMPANY �(r6 y!!YI f <br /> SIGNATURE . J REGISTERED I YIN FEE OURREN I Y N <br /> Address � * A 6A DIK License# -AC I �/ 0 1 I <br /> OTHER COMPANY I <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> 186@55ieaalaa.ace.aaaaaaai9.i.e.ace,a.aiataaalaasaawaa.iaaslowas.aaa sa.s■gasset <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,Storrnwater Plans+41 Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plane tlbl Slit 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 /> Directlona: <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$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 0 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />