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rsuuaing uepariment <br /> Date Received - Phone Contact for Permitting 813 808 - 0218 <br /> i i�taill .i a.a# E <br /> Owner's Name Melisa Moreno Owner Phone Number (813) 606-8083 <br /> Owner's Address 39922 Dawson Chase Dr Zephyrhills,FL 33540 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 39922 Dawson Chase Dr Zephyrhills, FL 33540 LOT# 0 <br /> SUBDIVISION HIDDEN RIVER PHASE rW PARCEL ID# 24-26-21-0110-00000-0060' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK ROOF MOUNTED SOLAR PANEL INSTALL <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ 29,404 VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ 51000 AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ ast <br /> I ooc�I=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �, <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY US SOLAR <br /> SIGNATUREc-,:-Z' <br /> 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 J v"J���"��� REGISTERED 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 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> 2.11AII-1I 11_1 1[ 11,11 11 1[-1[-2.1i..11-114 11,11A ftaE_& � <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:aftersubmittal:date'.,RegUiredl.onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&l;`dumpsfei'<'Site,VVor'k.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.'NE1N;86n6truct19in 1is a <br /> :: <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 />