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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2� <br /> �Z rrrrrr Phone Contact for Permitting 727 940,3256 <br /> -ITrI <br /> Owner's Name THOMAS DELROY A Owner Phone Number 3053638960 <br /> Owner's Address 1 5904 9TH STREET,ZEPHYRHILLS,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5904 9TH STREET,ZEPHYRH ILLS,FL 33542 LOT# 15&16 <br /> SUBDIVISION CITY OF ZEPHYRHILLS PARCEL ID# 11-26-21-0010-01500-0150 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK INSTALL ROOF MOUNTED SOLAR PV SYSTEM. 8.37KW <br /> BUILDING SIZE I SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 34,306 AMP SERVICE = PROGRESS ENERGY Q W.R.EJ.C. <br /> =PLUMBING $ (/ �� <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION O L �(/'�•3 <br /> �oG <br /> =GAS = ROOFING = SPECIALTY = OTHER= \ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO ( !W!/ 1Rr�uc/ryI� <br /> BUILDER r- �A -ti COMPANY , ems_ <br /> SIGNATUREREGISTERED I Y/ N FEE cuRRen Y/N <br /> Address License# <br /> ELECTRICIANS r' P 'L '1 ti It O OLAR BEAR <br /> MPANY S LLC <br /> SIGNATURE `r �- s� REGISTERED N FEE CURREK Y/N <br /> Address 6101 JOHNS RD STE B TAMPA FL 33634 1 License# 1 EC13009020 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111 <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 dale. Required onsite,Construction Plans,Stormwater 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 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 /> 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 />