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813-780-0020 Gity ot Lephyrhills Nermit Application ��/�� � rax-tfld-/nU-UUZ7 <br /> Building Department ( <br /> Date Received Phone Contact for Permittin _ <br /> Owne�'s Name � \ ` CD � Owner Phone Number '�S� ��p� <br /> Owner's Address C��� Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '�� � � � ( ( -I�1 � J �S�I � LOT !� C <br /> SUBDIVISION � � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADDlALT 0 SIGN [� Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER (1C <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL �- Jr1 1 <br /> DESCRIPTION OF WORK �l � --- C v`Gl I n I,(1� `*�b � �P � <br /> BUILDING SIZE SQ FOOTAGE C] HEIGHT -'�'�' <br /> �UILDING $ �� � VALUATION OF TOTAL CONSTRUCTION <br /> .�+ � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <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 'rL,vrl,eJ' <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 /> Add�ess License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # � <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 consUucdon,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence Installed, <br /> Sanitary FaGlities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Llfe 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 �ew projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW constructlon. <br /> T,,,r� ����� ����� ���., � <br /> Dlrectlons. ' �'`'+'�'"'�������� <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicaUon, notarized <br /> If over;2500, a Notice of Commencement is required. (AIC upgrades over s7500) <br /> "' Agent (for the contractor) or Power of Attomey (for the ownerj would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIot/Survey/Footage) <br /> Driveways-Not over Counter if on publlc roadways..needs ROW <br />