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<br />L~onun"rcial <br />Addition <br /> <br />_ Non-Structural_ Site work <br /> <br />'/plumbing L HV AC <br /> <br />Fire Report Completed: YES / NO <br />(Hillsborough County Only) <br /> <br />. _11I>>-- .1fT <br /> <br />Date: <br /> <br />Owner: <br /> <br />Site Address: <br /> <br />Folio #: <br /> <br />Legal Desc. : <br /> <br />Work Desc.: <br /> <br />.~ <br /> <br />;"'~.':"',,;o..;,_'~_"""'''''''^ <br />.- .. ----,------- <br /> <br />LLC* <br />PAUL J. SIERRA CONSTRUCTION, INC. ~/'-C c <br />912 W. Martin Luther King Blvd. \::) ~ CX) Q l % 0 <br />Tampa, Florida 33603 ~ QJ..t.- \ 3". C:Sielf'r~ <br />Phone: 813-228-6661 <br />Fax: 813-223-5328 <br /> <br />PERMIT INFORMA nON COVER SHEET <br />7/a,3l1Q <br /> <br />lJeh6;Q~ --pQ_" \~{;"SOY} <br />$'-130 ?5~ Sr. <br /> <br />~ephy,hJ\5 FL <br />Clry Stme <br />II ~;2b ;;Z/ Do} 0 <br />lo+s a l ~ ~~ <br />P6 I r'G -.<;'-j <br />...L' c/ I - ( I <br />("f' >'V1 0\( e. ex.. ~ui f\~ "2(10 I " II i f\ (s o.rec..- <.: <br />kl d. I ~ IX ::>0 t add...... 16r- ~CH) J .. r Q f ~~a1; II" <br /> <br />33S/jO <br />Zip Code <br /> <br />I~OOO o~/o <br />blocK- l;?O <br />B1 -3 b81 <br /> <br />/JGi~73 <br /> <br />CHECK ALL THAT APPLY <br />~esidential New <br />Remodel /" Demolition <br /> <br />_ Repair <br />~tructural <br />Interior <br />/' Roofing <br /> <br />Exterior <br /> <br />~ Electrical <br /> <br />Exact Date of Fire: <br /> <br />CHECK ALL ATTACHED DOCUMENTS <br />~ Computer Work Scope -d... Floor Plan ~ Site Plan <br />Framing Plan I Energy Cales. Duct Layout Manual J <br />SE Structural Letter PJSC Structural Letter <br />_ Drainage Plans _ NOC <br /> <br />Job Value: <br /> <br />Contact Person: <br /> <br />Special Instructions: <br /> <br />3(,; 617 <br />~ C!-~L - fl/5 - ~:2j'-~61 <br />a "~ r M ~ ~ (k.~Ix&1:, <br />