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<br />813-780-0020 <br /> <br />City ot Lepnyrnllls t"'ernm MtJtJlIl;dUUII <br />Building Department <br /> <br />Date Received (; 1 ol <br /> <br />Owner's Name Ar4hut" ~ -P~c..'o..... <br />OWner's Address I o~4 ~ 1 S-t!' t.wt. · <br />Fee Simple Titleholder Namel <br /> <br /> <br /> <br />-e.r <br />~k\.ft~ <br />I <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />OWner Phone Number I <br /> <br />Fee Simple Titleholder Address I <br /> <br />I ~~'f~~ <br />I <br /> <br />WORK PROPOSED <br /> <br />NEW CONSTR <br />INSTALL <br />SFR <br />BLOCK <br /> <br />5~ AvU""tu<... ~h4(h;\l~. '=L ~1....l <br /> <br />PARCEL 10# I ,\ . ?J., .1..l. 00 10. \I; ~c:O · 01 , 0 <br />(OBTAINED FROM PROPERTY TAX NOTICE) <br />ADD/ALT SIGN D MOVE 0 <br />REPAIR <br />COMM <br />FRAME <br /> <br />LOT # <br /> <br />JOB ADDRESS <br /> <br />PROPOSED USE <br />TYPE OF CONSTRUCTION <br /> <br />B <br />o <br />o <br /> <br />1 <br />li3 <br />o <br />o <br /> <br />DEMOLISH <br /> <br />SUBDIVISION <br /> <br /> <br />OTHER I <br /> <br />AMP SERVICE <br /> <br />o <br /> <br />PROGRESS ENERGY <br /> <br />D <br /> <br />W.R.E.C. <br /> <br />VALUATION OF MECHANICAL INSTALLATION <br /> <br />COMPANY <br />REGISTERED <br /> <br />License # I <br /> <br />~~ e.l~~(...., :t:nc... <br />0/ N I FEECURRE~T 1& N I <br /> <br />License # lEe., ~OO'3~~ <br /> <br />Address <br /> <br />ELECTRICIAN I ~-I).. \\\.. I <br />SIGNATURE ~~ I <br />Address 'P.O,~O',L 1(0).. ~'-fl~,lb FL o~~,.* <br /> <br />I <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 />License # <br /> <br />COMPANY <br />REGISTERED <br /> <br />OTHER <br />SIGNATURE <br /> <br />Y/N <br /> <br />FEE CURRENT <br /> <br />Y/N <br /> <br />Address <br />111111111111111 <br />RESIDENTIAL <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 />