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<br />;U~rf~N~~E:;;:~~;3~~;B ~;'.-;;~~~~;;;~ ~- -33542 <br /> <br />813-780-0020 FAX: 813-780-0021 " U " - <br />o DATE RECEIVED .. - \ -l- 0.....- <br /> <br />t-l11' ~ ,.aJ--1 2Dn <br />J-/O, C 'y1 eJ'I ~ f.> \'J S /!J -- """'>C. "". ..""''''''''' ~ c..V; ~, I~ <br /> <br />OWNER'S NAME Jos,.,t '-H6K.~12- PHONE BI3-7e2~ 7'!::1:O <br />JOB ADDRESS 404'2..1 C.H1AUce.., t20L.D I 2. E.~\lI2.I-I1II"" I FL ~4'2- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY. TAX NOTICE) <br /> <br />PARCEL ID # Iil..~ ?{,,~ 1:1.. - DO\O - rfHJ(Yyrx:x:xJ <br /> <br />o INSTALL <br /> <br />WORK PROPSED: DllNEW CONSTRUCTION <br />OSIGN <br />PROPOSED USE: OSGL FAMILY DWELLING <br />~ COMMERCIAL <br /> <br />o ADDITION <br /> <br />OALTERATION <br /> <br />o REPAIR <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI -FAMILY <br />o INDUSTRIAL <br /> <br />Oi OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HO~ <br />o OTHER <br /> <br />ho, <br />\rY" .JP 0(, <br />_, (,00,,)..'6 <br />J 1; <br />)\0-'c\ \ - DESCRIPTION <br />~c\') <br /> <br />c:J RESTAURANT & HEALTH DEPARTMENT APpROVAL <br /> <br />D n ()...c..JL J:L <br />~ 01\sn~ l.c:sr <br />HEIGHT 1.zQ/- <br /> <br />OF WORK LhU41'2..UQ'" 1'5> f-l.oDlll~ H~ ~Ic..t>/I...~p <br />eloo SF i~o SF <br />BUILDING SIZE :Z!1,~~ To~-SF SQUARE FOOTAGE 8100sF <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br /> <br />ENERGY FORMS. <br /> <br /> <br />!jlqlb0 <br />...G i D-p p^(l'0e.d -:= fl^ to c..a.u.9- - ,No <br />c-Lu.L -tv c.v...-.k>-.n') ~ ~~ C>-P <br /> <br />\)( 1m -10 PvLrr"'~"j +/ <br />. L_ 0 BUI:LDING $ /. 0 ~ v- <br />f-"1"" 5.61 P/&'n ~ CC:>,pC;:~ <br />/ 0 ELECTRICAL 3115/1:>6 '200 A <br />'J <br />~5ddeJ PLUMBING <br /> <br />o MECHANICAL <br /> <br />VALUATION OF TOTAL <br /> <br />~ <br /> <br />Progress Energy <br /> <br />AMP SERVICE <br /> <br />$ .-.l01J6 ~ <br /> <br />VALUATION <br /> <br />o GAS <br /> <br />o ROOFING <br /> <br />o SPECIALTY <br /> <br />o OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME ~ STEEL <br />FINISHED FLOOR ELEVATIONS ;q,'2.S ,J4VD 'Zt:l IS PROJECT <br /> <br />BUILDER <br /> <br />*****************.******************************~***************** <br />,/ <br /> <br /> <br />~:.>1T~,~i ((~~>~ dr~f:/ <br />STATE CERT OR REGIST i i: (.(",{) ;:'~e.J-7~) <br /> <br />SIGNATURE <br /> <br />~.************************************************* <br /> <br />PLUMBER <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />500 <br /> <br />~~ <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br />MECHANICAL <br /> <br />COMPANY <br /> <br />~ l-p\ <br /> <br />STATE CERT OR REGIST i <br /> <br />SIGNJl.TURE <br /> <br />*********************************.**********~******************** <br /> <br />OTHER <br /> <br />COMPANY <br /> <br />SIGNJl.TURE <br /> <br />STATE CERT OR REGIST * <br /> <br />