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� ,,� <br /> ` 813-780-0200 City of Zephyrhills Permit Applicatian Fax 813-784-a021 <br /> Building Department <br /> , Date Received �Phone Contact for (863)619-71 p3 x224 <br /> Permitting <br /> ' Owner's Name ��� � Hi hland Homes Owner Phone Number v (863)619-7103 <br /> Owner's Address 3q20 S. Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 <br /> Fee 5imple Titleholder Name Owner Phone Number � � <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS 36212 Shad Bluff Lp LOT# C�� <br /> 04-28-21-006Q- 00300-0010 <br /> SUBDIVISION Silverado PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WQRK PROPOSEp X� NEW CONSTR n ADDIALT SiGN DEMOL{SH <br /> PRUPOSED USE Q SFR � COMM Q OTHEft <br /> TYpE OF CONSTRUCTION �BLOCK Q FRAME � STEEL � <br /> D�SCRIPTION OF WORK Single Family Residence <br /> , <br /> , <br /> BUILDING SIZE 3�,X��' _� SQ FOOTAC.,E 2�4�2 � HEfGHT � � <br /> X BUILDING $1d 8,09 0.00 VALUATION OF TdTAL CONSTRUCTiON <br /> �ELECTRICAL $4,006_ � AMP SERVICE 200 ❑ PROGRESS ENERGY � W.R.E.C. <br /> X❑PLUMB(NG $4.285.. � <br /> X NtECHAN{GAL $4,050 VAL.IlAT10N OF tv1ECHANICAL INSTALLATION I�1 �(t�"v ` <br /> ❑ <br /> QGAS Q F20flFING � SPECIALTY � C}TNER <br /> FINIBHED FLOOFi ELEVATIONS , FLOOD ZONE AREA YES NO <br /> BUILDER ��`)����/"� COMPA►VY Nighland Homes <br /> SIGNATURE �� <br /> REGISTERED /)N FEE CURRENT �/ <br /> Address 3020 S. Florida Ave.,Ste 101,�akeland,FI 33803 License# GGC058580 � <br /> ELEGTRIGiA(�t �.` COMPANY Fore E(ectric <br /> SIGNATURE � <br /> REGISTERED / N FEE CURRENT Y/ <br /> 4 <br /> Address 2128 E. Edgewood dr.,Ste 301, Lakeland, Fi 33803 License# EGOOd2618 � <br /> PLUMBER � j Ct}MPANY Nodge lumbing <br /> SIGNATURE <br />� REGISTERED Y/ FEE CURRENT Y/ <br /> Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC04418 � <br /> MECHANICAL COMPANY Schmitt, fnc. <br /> SIGNATURE � <br /> FtEGiSTEREd N FEE GllRE2F�l!- .. <br /> Address 4911 Musket Qr,Lakeland, FI 33810 License CAC1815629 <br /> OTHER COMPANY i <br /> SIGPlATUF2E <br /> F2EGlSTERED Y! N FEE Y!N <br /> Address License# � <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans; {1)set of Energy Forms; R-O-W Permit for new canstructian, <br /> (vSinimum ten(10)working days after submittal date.Required ansite,Construction Plans,Stormwater Pians wJ Si1t Fence instaited, <br /> Sanitary Facilities&1 dumpster;Site Work Permit far 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,Starmwater Pians wl Silt Fence instalEed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet campliance <br /> SIGN PERMlT Attact�{2)sets of Engineered Pians. <br /> ***'PROPERTY SURVEY required for a(i N�W construction. <br /> dirsctians: <br /> Fill out appiication completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2540,a Notice af Commencementis required. {,4lG upgrades over$750D} <br /> '* Agent(for the contractor}or Power of Attorney(for the owner}would be someone with notarize letter from owner authorizing same <br /> OVER THE COUNTER PERMIT'T'ING (Front of the Application Only) <br /> Reroofs if shingl�s Sewers Service Upgrade AlC Fences(PatlSurveyiFootage} � <br /> Driveways=Not over Counter if on public roadsways.,needs ROW <br />