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1� • a,3-rau-o2oo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received // 2�/� 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 863 619-7103 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 3 <br /> JOB ADDRESS 36200 Shad Bluff Lp LOT# <br /> 04-26-21-0060-0 0300-0030 <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 X�BLOCK X� FRAME � STEEL � <br /> DESCRIPTION OF WORK �\� � � '` �V ' <br /> 72x30 1,909 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X BUILDING $8 5,90 9.00 VALUATION OF TOTAL CONSTRUCTION <br />� �ELECTRICAL $3,250 AMP SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> X PLUMBING $4,285 / '� ) `���" <br /> ❑ �rv � <br /> ! � <br /> �MECHANICAL $3,660 VALUATION OF MECHANICAL INSTALLATION „) ,��� �� <br /> l/ <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO <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 33803 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 Schmitt, Inc. <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# CAC1815629 <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(Pot/Survey/Footage) <br />