Laserfiche WebLink
813-780-0020 City of Lephyrhills Nermit App�ication rax-ts»-irsu-uu�i <br /> Building Department <br /> Date Receiv�d ' �- 7-I� Phone Contact for Permlttin _ <br /> \ <br /> Owner's Name i¢- ,/�.g .Sc✓� Owner Phone Number <br /> Owners Address Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �3 2 G. �� S ��`l � 3 S�f� LOT #�� <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK d✓ �r.-44�� 1`,•/� Tp C o,� N'1A.�,}�/� ��5� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT C� <br /> QBUILDING I�$ —� VALUATION OF TOTAL CONSTRUCTION <br /> �—_ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY C] W.R.E.C. <br /> �LUMBING $ r - - <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � —� <br /> PLUMBER COMPANY G �/�� jlI �liY7 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address � �'/ /�yCa. i �, 3TJ / License # C� -,G� S '7 �c,�. �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � � <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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> A^ _______ _ Sanitary Facilides 8 1 dumpster; Site Woric Permit for subdivisionsllarge projects <br />