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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 321 247 6073 <br /> aaaaaaaa aaaaa <br /> Owner's Name Rosaldy Adomo Munoz owner Phone Number. (321)247-6073 <br /> Owners Address .7808 BROAD POINTE DRIVE Owner Phone.Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7808 BROAD POINTE DRIVE,.ZEPHYRHILLS,FL 33540 LOT# 28 <br /> SUBDIVISIONZephyr Lakes PARCELID#F3525210140008000280 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT' . 0 SIGN = 0 .DEMOLISH <br /> ® INSTALL .e REPAIR <br /> PROPOSED USE = SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION =, BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK Installation of photovoltaic solar panel on rooftop <br /> BUILDING SIZE SO FOOTAGE HEIG <br /> BUILDING $ VALUATION OF TOTAL CONS RUC ION 255 <br /> QELECTRICAL $ AMP SERVICE PROG ESS E GY = W.R.E.C. <br /> =PLUMBING $ X-DUKEENERGY <br /> =MECHANICAL $ VALUATION OF MECHANICA LATI <br /> =GAS = -ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO <br /> .BUILDER COMPANY MOMENTUM SOLAR. <br /> SIGNATURE REGISTERED I. Y/N I FEE CURREN Y/N <br /> Address 6210 Hoffner AIve Ste 100 Orlando FL 32822 License# CVC57036 <br /> ELECTRICIAN COMPANY MOMENTUM SOLAR <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N ' <br /> Address 6210 Hoffner Ave.Ste 00 ,landG FL 32822 License# EC13008217 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE FEECURREN '�Y/,N <br /> Address License# <br /> 'MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> !!!!!!!lift!!!!!t!■!lift!!!!!!!!!!!! t!!t!!!!t!!!!tt!!t!!!'!!!!!'t!1!!1 <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&1 dumpster,Site Work Permit for subdivisionsnarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Ufa Safety,Page;(1)set of Energy Fortes.RwO-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwater 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 requlred.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 />