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• sis-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received <br /> � � � � � � � � Phone Contact for Permitting <br /> 1 1 1 i 1 -- <br /> owner�s Name Grand Horizons Homeowners Assc.Inc. -�-?� <br /> Owner Phone Number ,3� <br /> Owner's Address 12110 Seminole Blvd. Lar o FL 33778-2833 Owner Phone Number � <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> �o8,4�DaEss 37601 Core LewisAve. Ze h rhilis FL 33541-7743 � <br /> LOT# <br /> sueDivlsloN Grand Horizons PARCELID# 34-25-21-0180-00000-3290 <br /> B (OBTAINED FROM PROpERTV TAX NOTIC� <br /> WORK PqOpOSED NEW CONSTR e ADD/ALT � SIGN <br /> INSTALL REPAIR � � DEMOLISH <br /> PROPOSED USE � SFR Q COMM <br /> TYPE OF CONSTRUCTION � BLOCK � OTHER <br /> Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK Per county requirements,change flooded pool suction pump out for a self priming pum <br /> P� <br /> BUILDING SI2E Sa FOOTAGE C� <br /> HEIGHT C� <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION ��J-�� <br /> �ELECTRICAL $ /�` �/ <br /> AMP SERVICE � PROGRESS ENERGY /��J <br /> � W.R.E.C. � � <br /> �PLUMBING g <br /> �MECHANICAL $ 6136.00 VALUATION OF MECHANICAL INSTALLATION \l � � v <br /> �GAS � �(` I � <br /> Q ROOFING Q SPECIALTY �� , �4nll� <br /> � OTHER ^ � �� <br /> FINISHED FLOOR ELEVATIONS �(� , �, <br /> FLOOD ZONE AREA �YES NO � �� <br /> U <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address J <br /> License# �U <br /> MECHANICAL � �-{/,. <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N � -{j�G/, �,�� <br /> Address �• i� <br /> � License# f„ <br /> �� � � � �J <br /> s G AruRe tPr ,�' coMPANY Daniel A.Knapke LLC,DBA RandK Pool Service �� � <br /> REGISTERED Y/ N FEE CURRE� y/N � <br /> address PO Box 1584,Zephyrhills,FL 33539-1584 <br /> � � � � � � � � � � � � � � � � � � � i � � � � i � � � � � � � � � � � � � � � � � � � � � �lc� � � � � � � � �1� �si �4� � � � � � � <br /> RESIDENTIAL Attach(2)plot Plans;(2)sets of Building Plans;(7)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwa[er Plans w/Silt Fence installed, <br /> Sanitary Facilities&7 dumpster;Si[e Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Satety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(70)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. (q/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized Ietter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades q/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />