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s�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021Q■ <br /> Building Department <br /> DateReceived ' s" �� � phoneContactforPertnitting 0 ' O�� ❑�❑ <br /> Owners Name Brlan E.Connelly Owner Phone Number $134544993 <br /> Owners Address 552Z'I SYh Stf@@t ` Owner Phone Number `�"T�� 1� <br /> Fee Simple Titleholder Name Owner Phone Nurtiber <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 5522 18th Street �or# <br /> SUBDIVISION PARCEL ID# II�L���I- W IO <br /> , (OBTAINED FROM PROP TY TAX NOTIC <br /> WORK PROPOSED B NEW cONs7R e ADD/ALT � SIGN Q Q DEMOLISH \ <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER (�5 I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Installation of roof-mounted photo-voltaic system. � .( ,(p S� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ /� �d �P SERVICE Q PROGRESS ENERGY, Q W.R.E.C. <br /> C l � �?�j �) cr� ��� <br /> QPLUMBING $ O �T� 7✓✓��� `�/ J�//_Ss/-" <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> ELECTRICIAN OMPANY SolarCity/Nick Armstrong��j�j�p � r <br /> SIGNATURE REGISTERED Y/.N FEE CURREA Y/N <br /> Address 1227 Commons Court Clermont,F 4711 License# EC13006226 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE 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 Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new cons[rudion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />' Sanitary Facilities&1 dumpstec Site Work Pertnil 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 construclion. <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$750D) <br /> " Agenl(for the contractor)or Power of Attomey(for lhe owner)woutd be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Senrice Upgrades A!C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />