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813-700-0020 City of Zephyrhills Perrrfit Application Fax-813a80-0O21 <br /> Building Department p r� <br /> Dale Received _ Phone Contact for PermitOng ( 2628809742 ' <br /> aaItaate saa _ . <br /> Owner's Name Jerry Brown Owner Phone Number 1 (352)807-2534 <br /> Owners Address 2972 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 2972 Moulden Hollow Dr Zephyrhills FL 33540 LOT# l� <br /> SUBDIVISION PARCEL ID# 25-26-21-0100-00000-0640 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR = - COMM XQ OTHER I soar PV installation <br /> TYPE OF CONSTRUCTION Q BLOCK = FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Solar PV installation <br /> BUILDING SIZE SO FOOTAGE�. HEIGHT <br /> 'C`c4-Y"CM�C.'Cc"Yt-C'(lZ'Z•Cii-cCi-c rl[>C Z-L�Ca:'Sf.-c-6'.�C"ri 4 L-ci'ICL CCI C-1 <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION 48000 <br /> X=ELECTRICAL $ 48000 AMP SERVICE = PROGRESS ENERGY XD W.R.E.C. / <br /> =PLUMBINGIlk <br /> = Zj <br /> (/(1U <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 'tLl <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> VV <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO v <br /> BUILDER COMPANY <br /> SIGNATURE l REGISTERED Y/N -FEE CURREN YIN. <br /> Address License# <br /> ELECTR CIAN - COMPANY Titan Solar Power FL <br /> 2 51GHATl1R f" REGISTERED Y/N FEE CURREN Y)N <br /> Address 2221 N US 301 Thonotosassa FL 33592 License# EC13009924 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LY/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> ISIGNATURE - - REGISTERED I YIN FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y-/.N FEE CURREN I Y./.N_ <br /> Address License# <br /> stattaaataaaataIaI15.fatalaa'saaaaaaIVIaaIaaaaaaaINaaIaIaaaaaaaaIItaaaI <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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivlslonsAarge 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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Perrmit 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 consWction, <br /> O1recUons; <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 />