Laserfiche WebLink
813- 780 -0020, City of Lephyrhills Permit Application I ax- l31 ;i- fsu -0021 <br /> Building Department . �4 <br /> , <br /> __ <br /> Date Received Phone Cont • • for = rmittin � — <br /> Owner's Name . Owner Phone Number 8 3- 7 f 6 - " DZ Owner's Addr: ss.• • i a3 C N S Owner Phone Number <br /> Fee Simple T leholder Name . I ELL (U ElJCl) al l i �� �r Phone Number e(3 -(497 - I a 37 <br /> Fee Simple Tit -- ' older Address Po gox 4 .: �' 6 P / 41 LI,S Ft . 5, a -- 064s <br /> JOB ADDRESS ^ `lev _ Ya +ado llillii. N) (,.- 1* LOT # I <br /> SUBDIVISION , PARCELID# 0 3`d6 - d I. 0000 -00500 --001 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED [� NEW CONSTR _ ADD /ALT ( SIGN 1 ( ( DEMOLISH <br /> ® INSTALL REPAIR <br /> PROPOSED USE n SFR I COMM m OTHER I I <br /> TYPE OF CONSTRUCTION n BLOCK n FRAME Nil STEEL I I I <br /> DESCRIPTION OF WORK To At-L-c i i C )< 8 Ct St6- 135(WALL r <br /> BUILDING SIZE SQ FOOTAGE 13YO HEIGHT I <br /> 1 (BUILDING $ • 7) r (5-2) VALUATION OF TOTAL CONSTRUCTION <br /> []ELECTRICAL $ j AMP SERVICE 1 I PROGRESS ENERGY n W.R.E.C. <br /> []PLUMBING $ <br /> []MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 1 IGAS I ROOFING I—I SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA []YES NO <br /> 1 <br /> BUILDER //yy ( , I COMPANY <br /> SIGNATURE �� W ��1 — REGISTERED I Y/ N I FEE CURREt I Y/ N I <br /> Address ( License # 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI I Y/ N I <br /> Address I License # I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y / N, I FEE CURREh I Y/ N I <br /> Address I 1 License # 1 I <br /> MECHANICAL COMPANY r <br /> SIGNATURE REGISTERED I Y/ N I FEE CURREI` I Y 1 N I <br /> • <br /> Address I , License # I I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N, I FEE CURREEN I Y/ N I <br /> Address I License # I <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 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 Commencement is required. (A/C upgrades over $7500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades NC Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />