Laserfiche WebLink
813-780-0020 City ot Lephyrhills Nermit Application raX-�,s-���-���, <br /> Building Department <br /> Date Recei`ved <br /> Phona Contact for Permittin - <br /> Owner's Name � � � �L'icl[i'fQ/,� Owner Phone Number <br /> Owner's Address a/rS �D�- ��lr-/��Gr C1L.1� Owner Phone Number C <br /> Fee Simpie Titleholder Name � Owner Phone Number C <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS 31 S��- C fp/- ��Q LOT# o�/ <br /> SUBDIVISION �4 es7�'CC �cL`� PARCEL ID# °Z��-�d -����Z'L��"O Gri���� �C„� <br /> (OBTAINED FROAA PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEw coNSTR e ADD/ALT Q SIGN � �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER �- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��OC% U �(��,��� <br /> BUILDING SIZE ` � � �� SQ FOOTAGE SD�-�J HEIGHT ] <br /> �BUILDING $ fa 5--� � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING $ l,� ' `�PERM�}r +��VIC� <br /> :�13)78g.6314 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `� �X �-�$,24-7$9� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��j� - COMPANY �� Gr� � Z C • <br /> SIGNATURE (_�.�-rY�z'-Cri4� � REGISTERED Y/ N FEE CURRE� Y J N <br /> r �i � � � <br /> Address i�-�� �- fC1� �� • � License# C -� <br /> ELECTRICIAN �' 1('�; COMPANY ��.�/^ <br /> SIGNATURE ���� G��'�� "`, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � v �o�- � License# C � <br /> S GNAT URE �" /�� COMPANY ���� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �9 � �.1��(� c.s�l�2 License# C <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 construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Ptans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consVuction. <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 all NEW construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of application,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 autharizing 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 public roadways..needs ROW <br />