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' �.��l u� ���Q�►�'"��► � � C��u �/,�• �j33`C1�7 �� <br /> f � 813-780-0200 Fax 813-780-0021 <br /> City of Zephyrhills Permit Application <br /> Building Department <br /> Date Received G��/ g C � Phone Contact for (863)619-7103 x224 <br /> < < � Permitting <br /> Owner's Name Highland Homes Owner Phone Number (863)619-7103 <br /> Owner's Address 3020 S. Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> . g <br /> JOB ADDRESS 36126 Shad Bluff L LOT# <br /> SUBDIVISION Silverado PARCEL ID# CJ`�[ ^� �' ��V�� W' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ^/`c�\ <br /> w j�V <br /> WORK PROPOSED X� NEW CONSTR � ADD/ALT SIGN DEMOLISH <br /> PROPOSED USE X� SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �BLOCK X❑ FRAME � STEEL � <br /> Single Family Residence <br /> DESCRIPTION OF WORK <br /> 2,440 <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> X BUILDING $109 080 VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $3,100 AMP SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> �PLUMBING $3,350 <br /> -�1�3�� <br /> X MECHANICAL $4,000 VALUATION OF MECHANICAL INSTALLATION � < � � Lv"" ' <br /> ❑ ti �' � �� <br /> � <br /> �GAS X� ROOFING � SPECIALTY � OTHER � � JC���p <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <br /> BUILDER �� COMPANY Highland Homes <br /> SIGNATURE � s � �-- <br /> i REGISTERED Y/}V FEE CURRENT Y/ <br /> . � <br /> I 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 /> I Address 2128 E. Edgewood Dr.,Ste 301,Lakeland, FI 33803 License# EC0002618 <br /> PLUMBER ��� COMPANY Hodge Plumbing <br /> SIGNATURE i <br /> REGISTERED / N FEE CURRENT Y N <br /> Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188 <br /> MECHANICAL / COMPANY Schmitt, Inc. <br /> SIGNATURE � ( � � <br /> REGISTERED Y/ N FEE CURRENT Y/ <br /> Address License# CAC1815629 <br /> OTHER COMPANY <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 />