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-- ; <br /> ���0 33� <br /> ~ a�s-7ao-oozo.-_. _ City of Zephyrhills Permit Application �,� l Fax-813-780-0021 <br /> Building Departme�t ;Q� <br /> � <br /> d <br /> Date Received Phone Contact for Permitting 913, 236 — 3459 <br /> Owner's Name Walmart Non-Real Estate Business Trust Owne�Phone Nu�nbec 479-204-1063 <br /> Owner'sAddress 2001 SE lOth St., Bentonville, AR 72716 OwnerPhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 7631 Gall Blvd., Zephyrhills, FL 33541 LOT# � <br /> SUBDIVISION PARCELID# 34-25-21-0110-00000-0010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR X ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> interior remodel , exterior paint - <br /> DESCRlPTION OF WORK <br /> BUILDING SIZE 1 story SQ FOOTAGE remodeled 205,831HEIGHT <br /> �BUILDING $ 400,000.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ r s,�1 <br /> 1 IIN(y✓ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v 3pc� <br /> � �s <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � y � ��' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���`�"' �� ��� � � <br /> � <br />' � � TBD <br /> UILDER COMPANY <br /> SIGNATURE �9� � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � ��,J�,��,[ i � �� COMPANY <br /> SIGNATURE � ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />� PLUMBER �� (.� �(d1 ` COMPANY � <br /> SIGNATURE '^� �G REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� License# <br /> � t <br /> MECHANICAL �'n � �� COMPANY <br /> SIGNATURE ��'�'�X— REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding 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 dumpste�;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set bf 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 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance I <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. - � - - <br /> "'*PROPERTY SURVEY required for all NEW construction. ' <br />, Directions:• - <br /> Fill out appiication 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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> i Driveways-Not over Counter if on public roadways..needs ROW , I <br />