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<br />813-780-002U <br /> <br />'-J...J ....... --r-e.J ~ _... <br />Building Department <br /> <br /> <br />Date Received <br /> <br />Owner's Name <br /> <br />I <br />Owner Phone Number <br /> <br /> <br />Owner Phone Nu~ber I <br /> <br />Owner Phone Nu~ber I <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />PARCEL ID#I <br /> <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br /> <br />ADD/ALT <br />REPAIR <br />COMM <br />FRAME <br /> <br />o <br />o <br />o <br /> <br />OTHER I <br />STEEL 0 <br /> <br />OTHER I <br /> <br />HEIGHT <br /> <br />............lllli <br /> <br /> <br />BUILDING <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />ELECTRICAL <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />, PROGRESS ENERG-Y/ 0 <br />/' <br />( I I ';t-. c; <br />~(fJ , <br />-~// <br /> <br />W.R.E.C. <br /> <br />o <br />o <br />o <br /> <br />PLUMBING <br /> <br />! <br />/ <br /> <br />MECHANICAL <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />BUILDER <br />SIGNATURE <br /> <br />Address <br /> <br />License # <br /> <br />ELECTRICIAN <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />PLUMBER <br />SIGNATURE <br /> <br />COMPANY <br />REGISTERED <br /> <br />Y/ N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />MECHANICAL <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br /> <br /> <br />License # <br /> <br />OTHER <br />SIGNATURE <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 (Pial/Survey/Footage) <br /> <br />Driveways-Not over Counter If on public roadways..needs ROW <br />