Laserfiche WebLink
--- ---- idly of Lephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a-SID a i ng-0 a ev,orito C-0 M <br /> Phone Contact for Permitting <br /> <N <br /> Owner's Name 6(dm �nc Owner Phone Number <br /> Owner's Addressl 2 Ta- Owner Phone Number <br /> Fee Simple Titleholder Name -_sn Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Tj Ott- 1i 7�" LOT# <br /> t <br /> SUBDIVISION 7SI PARCEL ID#13 TS- 'ZI 610o r,\?ZLo <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN DEMOLISH <br /> 2� INSTALL REPAIR <br /> PROPOSED USE = , SFR = COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> imio (�wdm ne s0er-y-t- ra 7-1,DESCRIPTION OF WORK 5wi <br /> BUILDING SIZE SQ FOOTAGE[i�00 HEIGHT <br /> =BUILDING QO� VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> =PLUMBING $ O(3= ,/' j <br /> ]MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING 0 SPECIALTY F-7 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> IS-4 <br /> BUILDER jp � COMPANY <br /> SIGNATURE REGISTERED I Y1 N I FEft CURRER Y�N <br /> Address TAt4 License# <br /> T C <br /> ELECTRICIAN COMPANY <br /> :5�dQ Eleril-) <br /> SIGNATURE REGISTERED Y/ N I - FEE_CORREN Y�N <br /> Address jbhlasr License#,[EE <br /> PLUMBER > COMPANY &fiw- kahk <br /> SIGNATURE REGISTERED Y/ N FEE CURFb\ I YIN <br /> F <br /> Address 73n\( P7_11, MODa '-S3617- License# IC F-C 691 �2_ 1 <br /> MECHANICAL COMPANY P1r0qvv-;3s*1Q-e_ A-(Vl <br /> SIGNATURE REGISTERED -f/'N FEE CURREN Y I N <br /> Address S 0 }\P_r & MI W 1Q+ A'At..34�S--) License# I of C033 �45 <br /> OTHER COMPANY r& Kcarn6la 20,61�rc, <br /> SIGNATURE REGISTERED Y1 N FEE CURREN "L_y N LJJ <br /> 'a# I CLLI S 2-5-2 <br /> Address License 3-3 Net� pal f�C6" iq(OS73 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;P,-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&I dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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 wl Silt Fence installed, <br /> Sanitary Facilities&I dumoster.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 /> -- <br /> bire-cuo-ris-* <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />