Laserfiche WebLink
813-780-0020 City ot Lephyrhills Nermit Application rax-tsis-iuu-uu�i <br /> Building Department ��� �3 � <br /> Date Received ' ' �j 3 � ��--- _ � 3 ` - <br /> Phone Contact for Parm in <br /> j� Owners Name If/ � � 1`i ' Owner Phone Number �.� �� S 3 G <br /> �wner's Address (L� �� ���5� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> �JOB ADDRESS t,L � .� J � � � �( = � L L S � LOT # � <br /> 4'� SUBDIVISION �7` S��i PARCEL ID# �' �- 2 - � Z. f C� ��� GG J O G ��' � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) �r <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> �C DESCRIPTION OF WORK C � ti�R{.��' S L-A <br /> BUILDING SIZE -� SQ FOOTAGE � HEIGHT <br /> [�BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> , C.: G Ci ��' <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �BUILDER /� �/ / /l� ��' 1� COMPANY 't, <br /> SIGNATURE ������� REGISTERED Y/ N FEE CURREt� Y/ N <br /> Address (�; C S 5 /'O� S( License #� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # <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 Fonns; R-O-W Permit for new construction,. <br /> Minimum ten (10) working days after submittai date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br />