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813-780-0020 City of Zephyrhills Permit Applicati Faz-813 780-0021 <br /> Building Department 2 ! 7 <br /> Date Received '—!/�—t6 Phone Contact for Permittingv v v <br /> Owner's Name MATA RICHAL&YEIMISOL Owner P one Number 3478720553 <br /> Owner's Address 6552 WAGON TRAIL ST,ZEPHYRHILLS FL 33541 Owner Pho �N.mbe3r <br /> Fee Simple Titleholder Name Owner Phon <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6552 WAGON TRAIL ST,ZEPHYRHILLS FL 33541 LOT# 13 <br /> SUBDIVISION SILVERADO RANCH PARCEL ID#1 05-26-21-0080-00600-0130 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT = SIGN = = DEMOLISH j <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM.9.86KW <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [K]ELECTRICAL $ 19720 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ — <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO � V <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA YIN <br /> Address A License# <br /> �t <br /> �� O DON WARNER ELECTRIC INC <br /> ELECTRICIAN _ MPANY <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address 12241 GARDEN LAKE CIR,ODESSA FL 33556 License# EC13001287 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED =1Y/ N FEE CURREN Y/N <br /> Address License# <br /> i <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> I <br /> Address License# <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,Stonmwater Plans w/Sill 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 construction. ! <br /> Minimum ten(10)working days after submittal dale. 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 /> e 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. (A/C 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 if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />