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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> l j Building Department <br /> Date Received <br /> Phone Contact for Permitting 727 637 — 1450 <br /> aaaaaaee aeaee <br /> Owners Name Darlene Colandria Owner Phone Number 813 355-3810 <br /> Owners Address 1 5410 Satsuma Dr,Ze h chills,FL 33542 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5410 Satsuma Dr,Zeph rhills,FL 33542 LOT# j <br /> SUBDIVISION PARCELID# 12-26-21-0040-00200-0080 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE d SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK RESIDENTIAL ROOF MOUNTED SOLAR PV SYSTEM <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> �-r <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $19,957.09 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED I Y/N I FEE CURREN Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY UNICITY SOLAR ENERGY,LLC <br /> SIGNATURE REGISTERED ION FEE CURREN Y/N <br /> Address 612 FLORIDA AVE,PALM HARBOR,FL 34683 License# I EC13008698 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <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 YIN FEE CURREN YL N <br /> Address I License# <br /> [aall <br /> ttat[i[!=[[!_ttttta_lit[at[a[tatt[IItiff.[[[t'tasNJ[it [[-[[taa[t[tialaaI <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W as 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 subdivistonsllarge 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.(AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(far 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 />