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� y s�saso-ozoo City of Zephyrhills ermit Application Fax 813-780-0021 <br /> = Building Depart ent <br /> Date Received r� � �(� Phone Contact for (863)619-7103 x224 <br /> 1 Permitting <br /> Owner's Name Highland Homes Owner Phone Number (863)619-7103 <br /> Owner's Address 3020 S.Florida Ave,Ste 101 akeland,FL 33803 Owner Phone Number 863 619-7103 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 7 <br /> JOB ADDRESS 36117 Shad Bluff Lp LOT# <br /> 04-26-21-0060-0 0200-0070 <br /> SUBDIVISION Silverado PARCEL ID# -L l- Od60-06 Z.va•O 7b <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR � ADD/ALT SIGN DEMOLISH <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �BLOCK X❑ FRAME � STEEL � <br /> DESCRIPTION OF WORK Single Family Residence <br /> 70x30 1, 67 15'2" <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> X BUILDING $61 515 VALUATION O TOTAL CONSTRUCTION <br /> �ELECTRICAL $3,250 AMP SERVIC 200 ❑ PROGRESS ENERGY W.R.E.� <br /> X PLUMBING $3,600 ?'~"�� � <br /> ❑ � ��-�O'" ),�,,.�.�.s <br /> � � <br /> ❑X MECHANICAL $3,660 VALUATION F MECHANICAL INSTALLATION f`� � � <br /> ��C/ _ �IS -� / <br /> GAS ROOFING SPECIAL OTHER �j .`��� ..J <br /> � 0 ❑ � (../ �,�{� �J�('i <br /> FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA YES NO ("I�/ I� <br /> \/ <br /> BUILDER COM ANY Highland Homes <br /> SIGNATURE <br /> REG STERED 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 /> REG STERED Y/ N FEE CURRENT Y/N <br /> Address 2128 E.Edgewood Dr.,Ste 301, Lakeland, FI 33803 License# EC0002618 <br /> PLUMBER CO PANY Hodge Plumbing <br /> SIGNATURE � <br /> REG STERED Y/ N FEE CURRENT Y/N <br /> Address 3216 North Galloway Rd. Lakeland,FI 33810 License# CFC044188 <br /> MECHANICAL CO PANY Schmitt, Inc <br /> SIGNATURE <br /> RE ISTERED Y/ N FEE CURRENT Y/N <br /> Address 17935 US Highway 19 Hudson,FI 34667 License# CAC1815629 <br /> OTHER CO PANY <br /> SIGNATURE <br /> RE ISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence <br /> installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for s bdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life S fety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br />� Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />' Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *;"*PROPERTY SURVEY required for all NEW constru ion. <br />� Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencementis required. (AIC upgra es over$7500) <br /> ** Agent(fo0r the contractor)or Power of Attomey(for the owener)would e 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(P t/Survey/Footage) <br />� <br />