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%813-780-0020 City of Zephyrhills Permit Application �/Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting L-'-813 )�808 0218 <br /> * Rag - - - <br /> Owner's Name Flordaliza Collazo Owner Phone Number (813) 846-0281 <br /> 36140 Shady Bluff Loop,Zephyrhills,Florida 33541 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 36140 Shady Bluff Loop, Zephyrhills, Florida 33541 LOT# <br /> SUBDIVISION Silverado-Phase IA PARCEL ID# 04-26-21-oo6o-o030O-OO5O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRF__1 ADD/ALT SIGN DEMOLISH <br /> R INSTALL F—] REPAIR <br /> PROPOSED USE SFR COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK ROOF MOUNTED�SOLAR PANEL INSTALL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> .-AL-AL 1E'X'3LX <br /> =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION <br /> ®ELECTRICAL 1$ 5,000 1 AMP SERVICE 0 PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q SPECIALTY OW OTHER Solar: $29,837 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER i, <br /> COMPANY <br /> SIGNATURE REGISTERED Y/N —1 FEE CURREN ",LfLN J <br /> Address License# <br /> ELECTRICIAN COMPANY GENESIS ELECTRIC SERVICES LLC <br /> SIGNATURE REGISTERED Y/N FEE CURREN LYLN-L] <br /> 468 WATERFORD CIRCLE WEST TARPON SPRINGS, 34688 EC13907-122-"'Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED FEE CURREN LILN__j <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/_ <br /> Address License# <br /> OTHER us SOLAR <br /> LAR <br /> SIGNATURE REGISTERED Y/N FEE CURREN LI±N J <br /> Address 2732 Broadway Blvd. Brandon FL 335101 License# CVC 57002 <br /> 11-11 2.if.111111. 111 1-1 113-1-3 x a JIAI 11 11 4,91 111-1_14!J11-1 a a 11.I a a a a if 1 1,a a a t I I I-a x I a a 1.2 ff I I a a a a I <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&I 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 wl 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:' 4 %%% <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 />