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I � <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Building Department <br /> Date Received 0 q q Phone Contact for Permitting 321 247 — 6073 <br /> -rrr"-rrrrr 1 <br /> Owners Name Mario Becerra f t Owner Phone Number 504-610-5659 <br /> Owners Address �euT W bl: -Z h !'tr ff Owner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 6411 Laurelwood Dr.Zephyrhills,FL 33542 LOT# <br /> SUBDIVISION Laurelwood at Silver Oaks PARCEL ID#F0326210190000000010 <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 oar <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Installation of photo voltaic solar panels on rooftop <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �2 <br /> ©BUILDING $ y VALUATION OF TOTAL CONSTRUCTION �� <br /> E�DELECTRICAL $ AMP SERVICE Q PRIOGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING Is v�(®4 (s� s fer-: <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION j /p/� <br /> GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA =YES NO <br /> BUILDER COMPANY Momentum Solar <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. <br /> Address 8248 Parkline Blvd Ste.100 Orlando FL 32809 License# CVC57036 <br /> ELECTRICIAN :1COMPANY Momentum Solar <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address 8248 Parkline Blvd Ste.100 Orlando,FL 32809 License# I EC13008217 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREK Y/N <br /> Address 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 CURREA <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge 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(far 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 />