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4 <br /> �. '" a�saso-ozoo City of Zeph �rhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received /n � ` ���Phone Contact for (863)619-7103 x224 <br /> �L� Permitting <br /> Owner's Name Hi hland Homes Owner Phone Number (863)619-7103 <br /> Owner's Address 3020 S.Florida Ave,S e 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 10 <br /> JOB ADDRESS 36116 Shad Bluff Lp LOT# <br /> SUBDIVISION Silverado PARCEL ID# ��"�7'�������UJ� UIU� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) .�I <br /> WORK PROPOSED X� NEW CONSTR � AD�/ALT SIGN DEMOLISH , <br /> PROPOSED USE X� SFR � CO M � OTHER � <br /> , TYPE OF CONSTRUCTION X�BLOCK a F ME � STEEL � <br /> t /G <br /> ' DESCRIPTION OF WORK �1�� / � 7 ��" ' � <br /> 65x38 2,402 <br /> ' BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X BUILDING $10 8,09 0.00 VALUAT ON OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $4,006 AMP SE VICE 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> �PLUMBING $4,285 ���1����. ) <br /> i � v <br /> i X MECHANICAL $4,050 VALUAT ON OF MECHANICAL INSTALLATION ( � �r� ��� � <br /> ; � � S� � <br /> I �GAS X� ROOFING � SP CIALTY � OTHER ��j ,�L <br /> FINISHED FLOOR ELEVATIONS FL OD ZONE AREA YES NO � ��� <br /> I� <br /> BUILDER COMPANY Highland Homes <br /> SIGNATURE <br /> � REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 3020 S. Florida Ave.,Ste 101,Lakeland,FI 33803 License# CGC058580 <br /> ELECTRICIAN COMPANY Fore Electric <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 2128 E. Edgewood Dr.,Ste 301,Lakeland, FI 3380 License# EC0002618 <br /> PLUMBER COMPANY Hodge Plumbing <br /> SIGNATURE � <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188 <br /> MECHANICAL COMPANY F �M 1^ � <br /> SIGNATURE `.1 � I ��� � 1 b�' <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 4911 Musket Dr., Lakeland, FI 33810 License# r !� i/1n'�0=i�� (')r <br /> I l�t'"rV Ol "1 <br /> OTHER COMPANY <br /> SIGNATURE <br /> EGISTERED Y/ N FEE CURRENT Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et 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 <br /> installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lifg Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.l Required onsite, Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fbr 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 Commencementis required. (AIC upgrades over$7500) <br /> " Agent(fo0r the contractor)or Power of Attorney(for the owener)would be someone with notarize letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of the Application Only) <br /> Reroofs if shingles Sewers Service Upgrade A/C Fences(PoUSurvey/Footage) <br />