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I <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting ( 813 ) 808 _ 0218 <br /> I # a1€ F € 111 I V 5 T # V 9 V V I W € aia € <br /> Owner's Name Valerie Ann Johnson Owner Phone Number (262) 358 - 3054 <br /> Owner's Address 1 3209 Moulden Hollow Drive,Zephyrhills,FL 33540 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> �., Fee Simple Titleholder Address <br /> JOB ADDRESS 3209 Moulden Hollow Drive, Zephyrhills, Florida 33540 LOT# 35 <br /> SUBDIVISION HIDDEN RIVER PH 1A PARCEL ID-4 24-26-21 -0090-00000-0350 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL <br /> DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL INSTALL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> €€€€ €€€€€ c€€€€€€€€€€€€ t€€€€€€€€€ktttt€€€€€€�€€€€€ €€�€€€€�€€€€€€€ €€€�€�€� <br /> BUILDING $ 25,156 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 3,00 AMP SERVICE = PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ <br /> life <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I 1 I J <br /> BUILDER COMPANY US SOLAR <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 2732 Broadway Center BLVD.Brandon, FL 33510 License# CVC57002 <br /> ELECTRICIAN COMPANY GENESIS ELECTRIC SERVICES LLC. <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address 2825 Murray Pass, Odessa FL 33556 License# EC13007122 <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 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN <br /> Address License# <br /> llII II I III I tIII11II Is It I! I< I III IIa's € II I I€ & II< II IIItI tf I I I I I I I€ I I I I fill 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&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(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 Sola" r <br /> Local Experts who Care <br />