Laserfiche WebLink
813-780-0020 City ot Lephyrhills Nermit Application // rax-a��-��u-uuz� <br /> Building Department � �/ �� Y <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner'sName T i'"!`2L <br /> Owne� Phone Number 8 0 - O O � <br /> Owner's Address ��0 �� �p << Owner Phone Number �— <br /> Fee Slmple Titleholder Name � � Owner Phone Number � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS G D 7 ,(/ A,C� LOT # C� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED F� pROPERTY T rice) DEMOLISH <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK � �/L�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ � q(�P SERVICE [� PROGRESS ENERGY <br /> [� W.R.E.C. <br /> QPLUMBING � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> � 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 <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL � COMPANY v'O�/2S ��' �I' }� A C 1/✓�_ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� / N <br /> Address License # �,Q G O/� ��� y� � <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-0-W Permlt fo� new consGuction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcdon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilittes & 1 dumpster; Site Wor1c Permit for subdlvisions/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 constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 dumpster. Site Work Permit for all new projects. All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY required for ail NEW construction. <br /> D(rections: <br /> Fill out application completely. <br /> Ovmer 8 Confractor sign back of applicaUon, notarized <br /> If over s2500, a Notice of Commancement is required. (A/C upgrades over s7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> IVER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />