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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 2_-1 Phone Contact for Permitting ( 813 ) 808 - 0218 <br /> .as gasR21 €3aat€ <br /> Owner's Name Mohan Singh Owner Phone Number (678) 751 - 6024 <br /> Owner's Address 1 3185 Moulden Hollow Dr,Zephyrhills, FL 33540 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3185 Moulden Hollow Dr, Zephyrhills, FL 33540 LOT# 37 <br /> SUBDIVISION HIDDEN RIVER PH 1A PARCEL ID# 24-26-21 -0090-00000-0370 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME = STEEL <br /> DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL INSTALL <br /> BUILDING SIZE I SQ FOOTAGE= HEIGHT <br /> T aE u3vaCau 4 � 3V 31 L€AC€3 €"€3C€€I`I <br /> BUILDING $ 22,38 <br /> i1 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 3 1 000 AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ �j <br /> !�C <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <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 v COMPANY GENESIS ELECTRIC SERVICES LLC. <br /> SIGNATURE j1� REGISTERED Y/N FEE CURREN <br /> Address 2825 Murray Pass, Odessa FL 33556 License# EC13007122 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN Y/N <br /> Address License# <br /> 111 AF 2.1111131 IF I I a I If a 11 11 11 IL 11 X1L131111.11311113111 a.1-411111.3.3t«1€111111_2.It111 a It'll II I a a a 11 1 1 a I-a 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 Engiineered`Plans. <br /> ' PROPERTY SURVEY,[equired for all NEW construction. <br /> Directions:..,. :,;. .......�'....•.:'... _ , ... <br /> Fill out application compietely. <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 /> Solar <br /> Local Experts who Care <br />