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i 1 <br /> 813-780-0020 City of Zephyrhiills Permit Application Fax-813-780-0021 <br /> L Building Department <br /> r0 <br /> IJ Date Received <br /> T Phone Contact for Permittin 813 359 c 06344 <br /> Owners Name y (�LZ Owner Phone Number <br /> Owner's Address 35599 97T_&t ! VAS Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> V V Fee Simple Titleholder Address r J� n <br /> JOB ADDRESS 3�s9q g TrLLA yA s I dJ/°C • LOT# <br /> ^ SUBDIVISION PARCEL ID# 3 Z-Z6''Z/ ' GIG 0 - 0!f'00- 0 2 0 <br /> �V 1 (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR e ADD/ALT SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM = OTHER I Installationofsdarpanels <br /> nQ� TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> mow DESCRIPTION OF WORK Installation of a roof-mounted (solar) photovoltaic system <br /> BUILDING SIZE SO FOOTAGE= HEIGHT II <br /> BUILDING $ + Q 0 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ + AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> A 02 ' <br /> =PLUMBING $ I` <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I 4 <br /> Y <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY V�►V (i/7� �EV <br /> SIGNATURE REGISTERED Y/ N FEE CURREN YIN <br /> Address 1_t O // License# ' G <br /> ELECTRICIAN COMPANY &v r <br /> SIGNATUREXp��� REGISTERED Y/ N FEE CURREN I Y/N <br /> Address /v � License# 7 0 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> 1111111111111111.IIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllll <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 /> ' II�IIIIIIIIIIIIII . . . . . . . . . . . . . . <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 />