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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 qb --t/ <br /> a a a a I a I[ W 9 1 9 T I I a a a <br /> Owners Name MARIO OSCAR COLLAZO RODRIGUEZ Owner Phone Number 8133173941 <br /> Owner's Address 3245 MOUL.EN HOLLOW DRIVE,ZEPHYRHILLS,FL 33540 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3245 MOULDEN HOLLOW DRIVE,ZEPHYRHILLS,FL 33540 LOT III 32 <br /> SUBDIVISION HIDDEN RIVER PARCEL ID# 24-26-21-0090-00000-0320 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR BX ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION OF WORK INSTALLATION OF ROOF MOUNTED GRID-TIED PV SYSTEM <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> c�cX c cc <br /> BUILDING $ 56,386.67 VALUATION OF TOTAL C TRUCTIONI <br /> =ELECTRICAL $ AMP SERVIC = PROGR SS ENERGY C. <br /> =PLUMBING $ `�[/ <br /> =MECHANICAL $ ALUATION OF MECHANICAL INSTALLATION V <br /> =GAS = ROOFING Q OTHER / <br /> FINISHED FLOOR ELEVATIONS FLOOD_ZO_NE.AR_EA =YES NO <br /> BUILDER � 4u" COMPANY WINDMAR HOME FLORIDA,INC. 9 <br /> SIGNATURE - REGISTERED Y 1 N FEE CURREN {Y <br /> Address 6753 Kingspointe Parkway Suite 111 Orlando,FL 32819 License# rCVC57118..-- - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED =1Y/N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I 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 Y/N <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 data.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 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 />