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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department C( <br /> Date Received �l Phone Contact for Permitting 2� `S[ — `,.5' <br /> -rrlTrr rr 7�- - <br /> Owner's Name MELENDEZ JEAN COLON Owner Phone Number 813.375.1657 <br /> Owner's Address 1 5153 20TH ST,ZEPHYRHILLS FL 33542-5217 Owner Phone Number <br /> Fee Simple Titleholder Name I I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5153 20TH ST,ZEPHYRHILLS FL 33542-5217 LOT# <br /> SUBDIVISION CITY OF ZEPHYRHILLS PARCEL ID# 11-26-21-0010-19900-0090 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE ® SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 7.375KW <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 14750 AMP SERVICE = PROGRESS ENERGY = W.R.E..C.' <br /> =PLUMBING $ ('V' ! <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> _ `i <br /> GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO U raj I <br /> BUILDER COMPAAANY ENERGY SOLUTIONS DIRECT <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address 796510TH UTH,ST.PETERSBURG,F 33707 �� License# CBC1260807 <br /> .J <br /> ELECTRICIAN COMPANY HALL ELECTRICAL SYSTEMS INC. <br /> SIGNATURE REGISTERED I Y N FEE CURREN YIN <br /> i <br /> Address 550 DOGWOOD DRIVE,S ELLITE BEACH FL 32937 License# I EC13008320 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address L License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stonnwater 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 construction. <br /> Minimum ten(10)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. (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 /> r: <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />