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<br />813-780-0020 <br /> <br />City or Lepnyrnllls I-'ermlt AppliCatiOn <br />Building Department <br /> <br />. rClJl-o 1';>-' OV-VV":.I <br /> <br /> <br />Date R..';dll/'tld <br /> <br />Owner's Address <br /> <br />Fee Simple Titleholder Name <br /> <br />Owner Phone Number <br /> <br />Owner Phone Number I <br /> <br />Owner Phone Number I <br /> <br />Fee Simple Titleholder Address <br /> <br />JOB ADDRESS <br /> <br /> <br />6r-eeY\ 51 ope.- <br /> <br />Dr. I Lor # I <br /> <br />PARCELlD#I34--~-J.I-ODOO' 00300 - OO~I <br />iOBTAINED FROM PROPERTY TAX NOTICE) <br />SIGN 0 MOVE 0 <br /> <br />I <br /> <br /> <br />a NEW CONSTR B ADD/ALT 0 <br />INSTALL REPAIR <br /> <br />PROPOSED USE 0 SFR 0 COMM 0 OTHER <br /> <br />TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME 0 STEEL 0 OTHER I <br /> <br />DESCRIPTION OF WORK I SLLbsu..r,-ra c.t.. (9'rol.L:f-i~~ 'm ~j j,'?e. ~Ln..k.JuJle.... ~dj-ft' 4'Y\..S <br /> <br /> <br />BUILDING SIZE I SQ FOOTAGE I I HEIGHT I I <br /> <br />I , , . · I' , I . II . I . III , II . '1 . , . . , r I . .. . . · . I . II I I , . , , I 11111.111 ' , III . I . , I . . . 111111111 . I . . I . " ' III " J I J . II III . I . , r , I111 I . "'1 . II'" 111111 . I ' . I . . ' II . . 1111 <br /> <br />o BUILDING 1$101 ,3 '-"'0,00 I <br />. _ ~ . VALUATION OF TOTAL CONSTRUCTION <br /> <br />o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C. <br />o PLUMBING 1$ I <br />o MECHANICAL 1$ I <br /> <br />o GAS 0 ROOFING 0 SPECIALTY 0 OTHER I/) DC,; <br />FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES DNoLY <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED <br /> <br />BUILDER <br />SIGNATURE <br /> <br /> <br />Address <br /> <br />'J~I "0) 9\'IG.'iOH )Il','VlIV mlHl CBpsdwBlS JO pa)uf.ld 'padAl AlB)ON JO aWBN <br />0102: '91 j',v, 'Nl!':',; ." ~,. <br />.I../C'SI9G a.;; r:I"S~' :~o~ .,' <'!,.;-,,,,,"~ <br />Vi..c, ,IT .kL." '.J~ I;'.'c',,'i : <br />fZzoS '1 B1P f?S' 'ON UOISSIWWOO <br /> <br />Oll~$~~~ <br /> <br /> <br />DEMOLISH <br /> <br /> <br />:i' ;. 'E:/II~t+ I -~ <br />I I r d. fd.gj<~.Y' J.-n c.. . <br />. - .:~ <.. FEE CU"""'" I Y I N I <br />License # ~C- 0(01 ~ ~ 0 <br /> <br />I <br />.~ <br /> <br />padWBls JO ps)UlJd 'pad~ AlBION JO aWBN <br /> <br />'ON UOISSIWWOO <br /> <br />onqnd hJB}ON <br /> <br />'uoJ)BOUJ)uapl SB <br />paonpOJd aABljfse4 JO aw 01 UMOUlj ^"euoSJad 8JB/SI ollM <br />,<q <br />sl41 aw aJoJaq (paWJUjB JO) 01 UJOMS pue paqIJosqnS <br />lN3mf HO H3NMO <br /> <br />(EO'L ~ ~ 'S'.:I) l'v1:lnr Val~Ol.:1 <br />'.1N3W30N .:I 01.1 N HnOA 9NIOHO 3H 3HO.:l3S A3NHO.u.V NV HO H30N31 HnOA H.1IM <br />.L1nSNOO '9NIONVNI.:I NIV.1S0 0.1 ON3.1NI nOA.:I1 .A.J.H3dOHd HnOA 0.1 S.1N3W3^OHdWI HO.:l 301M! 9NIAVd <br />\.Inn I ...11 I 'n~::1\.1 1 WW I "'':lIAl':l!lN':lIAlWn!l -In 3:lUON 'fI OH003H 0.1 3Hnl1V.:f HnOA :H3NMO 0.1 9N'NHVM <br />