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<br /> <br />=~ <br />~ LOT # [ <br />~ <br />PARCEL ID#[ ~ IJc.~'L--I~b61o~O ..j.qD Il- DD1/ <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE D <br /> <br />813-780-002U <br /> <br />'-'I~J '-'I __r...IO.' <br />Building Department <br /> <br />Dille Received <br /> <br />Owner's Name <br /> <br />owner's Address <br /> <br />Fee Simple Titleholder Name[ <br /> <br /> <br />F.. Simple Tilleholde' Add,e" i <br /> <br />~3'i57S-~ Ase., <br />l 1 <br /> <br />o NEW CONSTR 8 <br />D INSTALL . <br />PROPOSED USE 0 SFR 0 <br />TYPE OF CONSTRUCTION 0 BLOCK 0 <br /> <br />DESCRIPTION OF WORK I Ft.re.. <br /> <br />1 <br /> <br />JOB ADDRESS <br /> <br />SUBDIVISION <br /> <br />ADD/All <br />REPAIR <br />COMM <br />FRAME <br /> <br />WORK PROPOSED <br /> <br />o <br />~ <br />o <br /> <br />DEMOLISH <br /> <br />OTHER I <br /> <br />VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ' PROGRESS ENERGY D W R E C <br />\D ~. . I .' . . <br />~.{I '~L ~'l{~.,Jl'~'~ ~ <br />f1wI (;lc>>I,-:a~' 7 <br />'f/\It <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />AMP SERVICE <br /> <br />^,~c. ../ <br /> <br />SPECIALTY 0 <br />FLOOD ZONE AREA <br /> <br />OTHER <br />DYES <br /> <br />ute <br />~- ~~ 11 .1 (fl,~ttk-. <br />l'" ' Tl/ . <br />~ <br />o NO 7i1;)J. - S'ft;.,4e /I/v/!, <br />2 'lj\ '..L6' <br />. c.t v !.,jeAP; I <br /> <br /> <br />BUILDER C> L~~~~ <br />SIGNATURE COMPANY \Ja,L .~ I <br /> REGISTERED FEE CURRENT Y/N <br />Addres I <br /> License # ~ <br />ELECTRICIAN l/J I M~VP <br /> --.---....' E. J~I~,... <br /> <br />padWBlS JO p81uIJd 'pad.<lMBloN 10 aweN <br /> <br />-'ON UO!SSlwwo~ <br /> <br />~Ilqnd MlijoN <br /> <br />'uoneoUDuaPI S8 . <br />paonpOJd a^B4IS8lj JO aw 01 UMOl.D\ ~IBUOSJed eJe/s! ollM <br />,(q <br />SI41 aw 9.1OJ9q (palWWe JO) 01 wOMS pue paqIJosqnS <br />1:I0.l:>Vl:I.lNO:> <br /> <br />padwBlS JO pa1uIJd 'p9d.<t A1BloN }O aweN <br /> <br />'ON UOlsslwwo~ <br /> <br />~lIqnd MBloN <br /> <br />'uoneoylluaPI se <br />paonpoJd 9^84fSelj JO aw 01 UMOU)! ,(\IeuOSJad 9JBfSI OllM <br />,(q <br />SI41 aW aJo}aq (paIWWB JO) 01 WOMS pue p9q!JOSqnS <br />.lN3E>V 1:10 1:I:lNMO <br /> <br />(EO'LH .s.::\) .l~nrVall:101:1 <br />-J- 3 3:lN3 1lI0 ~ 3:lU N nOlo. 9NlmlO:l3>13l10~3S A3N>10 .VN >10 >l30N3' >lnOA H.LIM <br />nnSNO:l'9NI:lNVNI~ NIVJ-SO 0.1. oNa1.N1 nOlo. ~I 'll>l3dO>ld >lnOA OJ- SJ-N31l13110>ldWI >l0~ 3:l1M.L 9NlAVd <br />. " _ ._...__..._......^^ "'1' ::a~1 LON V OllO:J3H 0.1 3Hn1.V:I HnOA :H3NMO 0.1 DNINHVM <br /> <br />