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813-780-0200 City of Zephyrhill Permit Application Fax 813-780-0021 <br /> Building Dep rtment <br /> Date Received (�� �CJr Phone Contact fo (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 /> JOB ADDRESS 36130 Shad Bluff Lp LOT# <br /> 04-26-21-0060-0 0300-0070 <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 X� FRAME � STEEL � <br /> DESCRIPTION OF WORK Single Family Residence <br /> 220 2 247 20'6" <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X BUILDING $10 1,115 VALUATION F TOTAL CONSTRUCTION <br /> �ELECTRICAL $5,359 AMP SERVIC 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> �PLUMBING $5,966 <br /> �MECHANICAL $5,359 VALUATION F MECHANICAL INSTALLATION <br /> �GAS � ROOFING � SPECIAL � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA YES NO <br /> BUILDER COM ANY Highland Homes <br /> SIGNATURE <br /> REGI TERED Y/ N FEE CURRENT Y/N <br /> Address 3020 S. Florida Ave.,Ste 101,Lakeland,FI 33803 License# CGC058580 <br /> ELECTRICIAN COM ANY Fore Electric <br /> SIGNATURE <br /> REGI TERED Y/ N FEE CURRENT Y/N <br /> Address 2128 E.Edgewood Dr.,Ste 301, Lakeland, FI 33803 License# EC0002618 <br /> PLUMBER COM ANY Hodge Plumbing <br /> SIGNATURE <br /> REGI TERED Y/ N FEE CURRENT Y/N <br /> Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188 <br /> MECHANICAL / COM ANY Randolph's HVAC <br /> SIGNATURE <br /> REGI TERED Y! N FEE CURRENT Y/N <br /> Address 4911 Musket Dr., Lakeland, FI 33810 License# CAC036912 <br /> OTHER COM ANY <br /> SIGNATURE <br /> REGI TERED Y/ N FEE CURRENT Y/N <br /> I Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w/Silt Fence <br /> installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '***PROPERTY SURVEY required for all NEW constructi n. <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 upgrade over$7500) <br /> `" Agent(fo0r the contractor)or Power of Attorney(for the owener)would b 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(PoU urvey/Footage) <br />