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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 11/13/20 Phone Contact for Permitting (941 ) 315 _ 1504 <br /> aaaaIaa[ aaaa[ <br /> Margie Trudeau <br /> Owner's Name Owner Phone Number <br /> Owner's Address 5625 23RD ST ZEPHYRHILLS,FL 33542 Owner Phone Number 9413151504 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5625 23RD ST ZEPHYRHILLS,FL 33542 LOT# <br /> SUBDIVISION Zephyrhills Colony Co Lands PARCEL ID# 12-26-21-002A-01300-0040 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B <br /> x NEW CONSTR e ADD/ALT = SIGN DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK Installation of pv solar panels on rooftop <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> TTCtC CCCCCCC CTCS-CC'C>f�><C-C>t'C'C�a-C��a-i-� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ 22620 AMP SERVICEJ� = PROGRESSENERGY = W.R.E.C. <br /> =PLUMBING $ U eq 'j �,/1_I <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIt9N Z_ Off/^(/T J <br /> �� <br /> =GAS = ROOFING Q SPECIALTY = OTHER= `SI <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO �/� /✓`/'�� <br /> BUILDER COMPANY Freedom Forever <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address 2619 Consufate Dr ste800 Orland 32819 1 License# I EC13008056 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <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 I Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> [!I[[[![/IIIIIli111[[![ It!!!!I![I[![ I![Il[!!![[!• I[!!![!llil[! II[I!t <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,Stonnwater 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 Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Slormwater 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 <br />