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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Bulldmg'Department <br /> Date Received �_ 9 O�7 �7 _�, <br /> Phone Contact for Permittin <br /> Tr-1T1-1TI- <br /> Ownees Name Linda Anderson Owner Phone Number <br /> Owner's Address 1 36212 Shady Bluff Loop Zephyrhills,FL 33541 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 36212 Shady Bluff Loop Zephyrhills,FL 33541 LOT# <br /> SUBDIVISION Silverado Ph 1A PARCEL ID# 0426210060003000010 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> e INSTALL a REPAIR <br /> PROPOSED USE Q SFR 0 COMM = OTHER Dar <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK Installation of photo voltaic solar panels on rooftop <br /> BUILDING SIZE I SQ FOOTAGE HEIGHT <br /> UILDING $�3 S �7 VALUATION OF TOTAL CONSTRUCTION $23,587.20 <br /> ELECTRICAL $ AMP SERVICE 8.19KW = P GRESS RGY = W.R.E.C. <br /> ZZ v <br /> =PLUMBING $ 0� G� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U `n/► (n J� S <br /> Z T <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ,�NE AREA =YES NO <br /> C y1 T <br /> BUILDER COMPANY Momentum Solar <br /> SIGNATURE 11) REGISTERE Y/ N FEE CURREN I Y/N <br /> Address 8248 Parkline blvd Ste 100 Orlando,FL 32809 License# I CVC57036 <br /> kERED <br /> ELECTRICIAN Y Momentum Solar <br /> SIGNATURE Y/ N FEE CURREN <br /> Address 8248 Parkline blvd Ste 100 Orlando,FL 32809 License J EC13008217 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L11N <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,Stormmwater 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. (AIC upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(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 />