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� s�s-7so-o2oo City of Zephyrhills Permit Rpplication Fax 813-780-0021 <br /> � ' Bui(ding Department <br /> Date Received � �- �,,,����Phone Contact for {863)619-7103 x224 <br /> Permitting <br /> Owner's Name� ` � � � Hi hland Homes �Owner Phone Number (863)619-7103 <br /> Owner's Address 3020 S. Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 61 � <br /> � 9-7103 <br /> Fee Simple Titleholder Name Owner Phone Number �, � <br /> Fee Simple Tittehalder Address <br /> � _�� <br /> j! <br /> JOB ADDRESS 36145 Shad Bluff Lp LOT# t <br /> ( 04-26-21-40&0.0 Q2Q4-OQ9Q <br /> SUBD1VISiON Silverado � PARCEL 1D#� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WOi23t Pi20P08EI} X� NE1N CONSTR n ADDIALT SIGR1 DEMOLISH <br /> PROPOSED USE XQ SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION X�BLOCK Q FRAME � STEEL Q <br /> Single Famity Residence <br /> DESCRIPTION OF WORK <br /> � <br /> BUIL,DING SIZE 58x35 � SQ FOOTAGE 2}a�p� � NEIGHT �_� <br /> � <br /> X 8t11LD1NG $90 ,935 VA�IlATIOP!OF TC7TA�CONSTRUGTlt7tV <br /> �ELECTFtIGAL $4,015 ---_� AMP SEFtV10E 200 ❑ PROGFtESS ENERGY W.R.E.0 <br /> �P�UMBING $3,600 � <br /> X MEGHANlCAL $4 fl54 VALUATICIN OF MECHANIGAL INSTA�LATION ��� ��� <br /> a � <br /> �GAS Q ROOFING � SPEClALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> ( <br /> BUILDER ��'�/"� COM�ANY Highland Homes <br /> 81GNATUF2E � � J � <br /> REGiSTERED Y N FEE CURRENT Y/N <br /> Address 3420 S.Fiorida Ave.,Ste 101,Lakeland,FI 33803 � �icense# GGC05g5gp � <br /> I <br /> ELECTRICIAN � / COM�ANY Fore Electric <br /> SIGNATUF2E 1 1 <br /> REGISTERED Y/ N FEE CURRENT /N <br /> Address 2128 E. Edgewood Dr.,Ste 309,Lakeland, FI 33803 � l�icense# EC000261$ � <br /> PLUMBER �" 1 G01VI�ANY Hodge Plumbing <br /> SIGNATUi2E � j � <br /> �I � REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 3216 North Ga(loway Rd.Lakeland,F(33810 ( License# CFC044188 <br /> � <br /> �., � <br /> tV(ECHANICA� COM i ANY ry�P <br /> SIGNATURE <br /> ftEGiSTERED Y/ N FEE CURRENT !N <br /> Address 4911 Musket Dr, Lakeland, FI 33810 I License# CAC036912 � <br /> I <br /> OTFiER COMPANY <br /> SIGNATURE � <br /> REGISTERED Y l N FEE CURRENT Y 1 N <br /> Address � l.icense# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets af Building Plans;(1)set ofiEnergy Forms; R-fJ-W Permit for new construction, <br /> Minimum ten(1 Q)working days after submittai date. Requ�red onsite,Constructian P(ans,Stormwater P[ans wl Silt Fence <br /> instailed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3j compiete sets of Building Pfans pius a Life Safety Page;{1}set of Energy Forms.R-4-W Permit for new construction. <br /> Minimum ten(10}working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> S{GN FERMtT Rttach{2)sets af Engineered P(ans. <br /> '"''**PROPERTY SURVEY required for all NEW construction. <br /> Directions: � <br /> Fiil out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> lf over$25Q0,a Notice af Commencementis requ�red. {A!C upgrades over$75Q0) <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 PERMITTIMG (Front of the Application Qnly) <br /> Reroofs if shingles Sewers Service Upgrade AlC Fences(Pof/SurveylFoatage) <br /> I <br />