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<br />813-780-0020 <br /> <br />City ot Lepnyrmlls t"'ernlll1-\pfJllvdLlUII <br />Building Department <br /> <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number L <br /> <br />Date Received /6'- 0 t <br /> <br />Owner's Name 15 f,<J V '70(.,.,),v S LS L 5 <br />Owner's Address Is 70.9 b r 4 S7 <br />Fee Simple Titleholder Namel <br /> <br /> <br />JOB ADDRESS <br /> <br />Fee Simple Titleholder Address I <br /> <br />I S 7t1 y <br />. <br /> <br />I <br /> <br />(; Th <br /> <br />sr <br /> <br />I <br /> <br />LOT # <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN D MOVE 0 <br /> <br />DEMOLISH <br /> <br />D <br /> <br />D <br />D <br /> <br />B <br /> <br />PROPOSED USE 0 <br />TYPE OF CONSTRUCTION 0 <br /> <br />DESCRIPTION OF WORK II e.t€ At t/ A./ / -r <br /> <br />BUILDING SIZE I ,/ SQ FOOTAGE I I HEIGHT I <br />1111111111111111'111111"1111111111'11111"'11111111"1111111111111111111111111111111111111'11111'1111111111111111'1'11111111111111111111111111111 <br />I <br />I <br />I <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />I <br />B <br />o <br />o <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER I <br />STEEL D <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />OTHER I <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />CJ <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R,E.C. <br /> <br />PLUMBING <br /> <br />~ <br /> <br />Address <br /> <br />ELECTRICIAN I <br />SIGNATURE , <br /> <br />Address I <br /> <br />PLUMBER I <br />SIGNATURE <br /> <br />Address I <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y / N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />ILfIl#'~..5 //l"/h/"'l. C:4.5 ~~ <br />I Y / N I FEE CURRENT I / N I <br /> <br />License # I LA c:. t!5 Y.3 y YeP <br /> <br /> <br />Address <br /> <br /> <br />OTHER <br />SIGNATURE <br /> <br />J.3~ <br /> <br />I <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />COMMERCIAL <br /> <br />SIGN PERMIT <br /> <br />Fences (Plot/Survey/Footage) <br /> <br />Driveways-Not over Counter if on public roadways..needs ROW <br />