Laserfiche WebLink
813-780-0020 City ot Lephyrhills Nermit Application rax <br /> Building Department <br /> � <br /> Date Recefved � '��� l Phone Contact for Permittln - <br /> Owner's Name � it!'1 /"QT Sf� Owner Phone Number �� 7" 7.3Z ySS]� <br /> Owner's Address J Z6 �t� £ �' iv� Tf,Q SA^'F , �DF�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�-� �J L7 A�� � L V R'J LOT # � <br /> SUBDIVISION � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> ' INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �� I�. l7 � bT �(/� � <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � �� ��� <br /> �MECHANICAL $� 6 �,- r30 VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' 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 �H2 ��S �Go ivC � J 4� G <br /> SIGNATURE v REGISTERED Y/ N FEE CURRE� N <br /> Address 77 Z l� �d�f ^i /e `i /'�� f �� Ucense# �GO Y.3py8 � <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) worlcing days after submittal date. Required onsite, Construcdon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> ...,....�.,,,�.. ..._ _�_ .... . . . . _ .. .. _. . -- - - - - - <br />