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�r <br /> . � 813-780-0200 City of ephyrhills Permit Application Fax 813-780-0021 <br /> uilding Department <br /> � <br /> I <br /> Date Received Phon Contact for (863)619-7103 x224 <br /> Perm tting I <br /> Owner's Name Hi hland Home Owner Phone Number (863)619-7103 <br /> Owner's Address 3020 S.Florida ve,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 <br /> , � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � <br /> i <br /> 4 <br /> JOB ADDRESS 36146 Shad Bluff Lp LOT# <br /> 04-26-21-0060-0 0300-0040 <br /> SUBDIVISION Silverado PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED X� NEW CONSTR D ADD/ALT SIGN DEMOLISH <br /> PROPOSED USE X� SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION �BLOCK X� FRAME � STEEL � <br /> Single Familt Residence <br /> DESCRIPTION OF WORK <br /> i <br /> 40x64 �I1,858 <br /> BUILDING SIZE SQ FOO GE HEIGHT <br /> X BUILDING $83 ,610 V LUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $4,185 A P SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C. <br /> �PLUMBING $3,690 <br /> �� ��o�i <br /> X MECHANICAL $4,600 V LUATION OF MECHANICAL INSTALLATION � f <br /> ❑ t v� ��� <br /> �GAS X� ROOFING � SPECIALTY � OTHER � ���C��?1�S � <br /> FINISHED FLOOR ELEVATIONS FLOODI ZONE AREA YES NO �'c�,t OY`� <br /> �� - � �S� <br /> BUILDER COMPANYI Highland Homes <br /> SIGNATURE " <br /> REIGISTERED Y/ N FEE CURRENT Y/N <br /> Address 3020 S.Florida Ave.,Ste 101,Lakeland,FI 3803 I License# CGC058580 <br /> ELECTRICIAN COiMPANY Fore Electric <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 2128 E. Edgewood Dr.,Ste 301,Lakeland, I 33803 I License# EC0002618 <br /> PLUMBER COIMPANY Hodge Plumbing <br /> SIGNATURE � � <br /> _ REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 3216 North Galloway Rd.Lakeland,FI 3381 i License# CFC044188 <br /> MECHANICAL COMPANY Randolph's HVAC <br /> SIGNATURE I <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address 4911 Musket Dr.,Lakeland,FI 33810 I License# CAC036912 <br /> ' I <br /> OTHER COMPANY <br /> SIGNATURE I I <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address I License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pla s;(1)set i f Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submitt I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence <br /> installed, ' <br /> Sanitary Facilities&1 dumpster;Site Work ermit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pl s a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submitt I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work ermit 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 NE 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. ( C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owne)would be someone with notarize letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of the Application nly)� <br /> Reroofs if shingles Sewers Service Upgrade A/C Fences(PoUSurvey/Footage) <br />