Laserfiche WebLink
o ia-�ou-uu�� c;iry ot Lephyrhills Perrr�it Application Fax-813-780-0021 <br /> Building Department ��� ��j�j�j <br /> Date Received pha� ntact for Permittin __ <br /> Owner's Name '- � � Owner Phone Number <br /> Owner's Addresa O a�- �'� Owner Phone Number —� <br /> Fee Simple Tkleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS LOT* C� <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT �_] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDIN(i SIZE SQ FOO OE C� HEIGHT <br /> QBUILDING S --qp�}�ION OF TOTAL CONSTRUCTION <br /> QELECTRICA $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING � a <br /> OMECHANICAL S VALUATION OF MECHANiCAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � 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 /> Addreas License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Addre�s License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y FEE CU E� Y <br /> Address ,,.� License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster,Site Work Permit fo�subdivisfonsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Perm(t for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Sto►mwater Plans w/Sllt Fence installed, <br /> Sanitary Fadlities 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 requtred for all NEW conshuctlon. <br /> Directiona: <br /> Fill out applicaHon completely. <br /> Owner&ConMactor sign back of applicatlon,notarized <br /> 1/over i2300,a Notice of Commencement Is requirod. (A/C upgradas 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 PERMI7TING (Front of Applicatlon Only) <br /> Reroofs if shingles S�we�rS . .Secvice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewaya-Not over Counter if on pubiic roadways..needs ROW <br />