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si�-�eaoozo City of Zephyrhills Permit Application F�-ai�-�saooz� <br /> Building Department <br /> c. ' <br /> Date Received —�/ phone Contact for Permitting 4�7 930 3�• <br /> v <br /> Owner's Name Shirley Martin Owner Phone Number 813-294- 6 <br /> owner's Address 39045 3rd Ave.Zephyrhills,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39045 3rd Ave.Zephyrhills,FL 33542 �or� � <br /> susoivisioN pARCEL ID# 12-26-21-0000-03700-0000 <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK PV Solar System Installation <br /> BUILDING SIZE S�FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 28,500.00 <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> ��Z�v� -� .� � <br /> g. <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��� r I , j, , '�' .� <br /> r•� a�_ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER /(// l�cf,�!��-I��� <br /> L/� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ���_,�._^ <br /> �(� � '�`�•_� -�.�/�-�l1'��_ <br /> BUILDER �COMPANY Maximo Solar Industries,Corp. .�-----""�,��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 7350 Futures Dr.#15 Orlando,FL 32819 License# CVC57006 <br /> � ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllllllllllllllllllllllll <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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit 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 Pertnit for all new projects.All commercial requirements must meet compliance <br /> i 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&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over S7500) <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />