Laserfiche WebLink
s�s City ot Lephyrhills Nermit Application rax <br /> Building Department <br /> Date Received �� �- "' one Contact for'P mlttin — a <br /> ` C - 7 � - �j02 <br /> Owner's Name ', Owner Phone Number <br /> . <br /> Z�p y� ��s <br /> Owner's Add'�ss y ;.,. O � bwner Phone Number � <br /> f ,; <br /> Fee SImpl�Titleholder Name � � Owner Phone Number <br /> i �� <br /> 4 . . <br /> Fee Simp� Titleholder Address ' <br /> JOB ADDR 7 'f ' y� S : • ( � LOT # � <br /> SUBDIVISION '_— =--�'""'"��~!~ ~, ' , PARCELID# �(/��/ a.r� I< �5� �' �I �D�� ""DDI (1 '�p � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT � 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 /> DE3CRIPTION OF WORK i / <br /> BUILDING SIZE J ! / SQ FOOTAGE � HEIGHT <br /> BUILDING $ G,�"� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATtON �(/ �"�� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER � �p � COMPANY <br /> SIGNATURE G- REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Lice�se # <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address l.icense # � <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 Ucense # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construcaon,. <br /> Minimum ten (10) working days after submittal 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 /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Llfe Safety Page; (1) set of Energy Fonns. R-O-W Permit for new construcdon. <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 commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY required for ali NEW constructlon. <br /> Directions: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of applicaUon, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> '" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />