Laserfiche WebLink
esia-iesu-uu�u C:ity ot Lephyrhilis Permit Application Fax-813-780-0021 <br /> , . Building Department <br /> Date Received g-��j� � `��� __ <br /> Phone CoMact for Permittin ��_- <br /> Owner's Name �/' V ��"" � t"Yj �YZ OWner Phone Number <br /> Ouvner's Address �d�0 Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS ZA LOT#� C� <br /> SUBDIVISION PARCEL ID# i� �C1Q� �` � (�- (j Q� <br /> (OBTAINED F M PROPERTY TAX NOTICE) <br /> M/ORK PROPOSED NEW CONS7R ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION O BLOCK Q FRAME � STEEL Q <br /> D�SCRIPTION OF WORK QC�Y' �y� / �( ' <br /> BUILDING SIZE SQ FO�TAGEC] HEIGHT <br /> BUILDING � D�� aa <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE � PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING a �,,-~'-` <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATIO �' f 3 y� � <br /> OGAS �] ROOFING Q SPECIALTY � OTHER —.____._. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER ��.�, COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <br /> IIAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlides 8 1 dumpster,Site Work Permft for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permft for new constructfon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pennit for ali new pro�ects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> "•"PROPERTY SURVEY required for all NEW construction. <br /> DirecHons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicadon,notarized <br /> If over i2500,a Notice of Commencement ia required. (AlC upgrades over s7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone wtth 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(PIoUSurvey/Footage] <br /> Driveways-Not over Counter if on publ(c roadways..needs ROW � <br /> � f <br />