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l� <br /> ^ ;' s�s�7so-ozoo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received �J ��I� Phone Contact for (863)619-7103 x224 <br /> � Permitting <br /> Owner's Name Highland Homes Owner Phone Number (863)619-7103 <br /> I Owner's Address 3020 S. Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 <br /> i Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 9 <br /> JOB ADDRESS 36122 Shad Bluff Lp LOT# <br /> 04-26-21-0060-0 0300-0090 <br /> SUBDIVISION Silverado PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED X� NEW CONSTR � ADD/ALT SIGN DEMOLISH <br /> PROPOSED USE X� SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK �✓���� . 5 ^ ^ <br /> , <br /> 58x35 1,540 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X BUILDING $69 ,300 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ /`-�� AMP SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> U <br /> �PLUMBING $ � i��lab <br /> 1 <br /> � l <br /> aMECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION V + <br /> GAS X ROOFING SPECIALTY [ OTHER , — ��v��l " <br /> I <br /> 0 0 D � �s��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO � � � <br /> �l <br /> BUILDER COMPANY Highland Homes <br /> SIGNATURE <br /> REGISTERED Y N FEE CURRENT /N <br /> ( i <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 C RRENT Y/N <br /> Address 2128 E. Edgewood Dr.,Ste 301, Lakeland, FI 33803 License# EC0002618 <br /> PLUMBER 1 COMPANY Hodge Plumbing <br /> SIGNATURE �� <br /> REGISTERED Y/ N FEE CURREN � /N <br /> Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188 <br /> MECHANICAL COMPANY Rando ' C � • � <br /> SIGNATURE � � <br /> REGISTERED Y/ FEE CURREN Y/N <br /> Address 4911 Musket Dr, Lakeland, FI 33810 License# CAC036912 <br /> OTHER COM PANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <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 <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 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencementis required. (A/C upgrades over$7500) <br /> "" Agent(for 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 />