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I ' <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department -7 Date Received Phone Contact for Permitting G / / d <br /> Owner's Name Kathryn Ambros Owner Phone Number 813-364-3243 <br /> Owners Address 1 38104 9th Ave Zephyrhills FI 33542 Owner Phone Number <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38104 9th Ave Zephyrhills FI 33542 LOT# 19&20 <br /> SUBDIVISION City of Zephyrhills PARCEL ID# 1126210010097000190 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Installation of photovoltaic solar panels on rooftop. <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> ®BUILDING $ 25,432.00 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE 22.00A = PROGRESS ENERGY = W.R.E.C. <br /> Duke Energy / <br /> =PLUMBING $ <br /> IVl <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 2 _ <br /> BUILDER COMPANY Momentum Solar/Cameron Christensen <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/N <br /> Address 16 License# I CVC57036 <br /> ELECTRICIAN COMPANY Momentum Solar/Matthew Franz <br /> SIGNATURE 4* 1 Y/ N FEE CURREN <br /> Address 1 0 •n er L. l License# F EC13008217 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN I 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 CURREN <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111 <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,Storrnwater 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,Stonnwater 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />