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Home My WebLink About18-19265 F � CITY OF ZEPHYRHILLS /', - - � 5335-8th Street / (813)780-0020 19 65 ELEC4RICAL PERMIT PER�Id11T iNFORMATION -' - LOCATION INFORMATION - Permit#:19265 Issued: 2/05/2018 Address: 37506 NEUKOM AVE -LS 43 Permit 'Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICA�;LE Lot(s): Block: Section: Sq. Feet: Est. V�alue: Book: Page: Cost: �n�} ot �ees: Subdivision: CITY OF ZEPHYRHILLS Amount Paid: � (,CJ�.� e Paid: Parcel Number: CONTQZACTOR INFORMATIOIV OWNER INFORMATION Name: OWNER Name: CITY OF ZEPHYRHILLS LS 43 Addr: Address: 5335 8TH ST ZEPHYRHILLS FL 33542 Phone: Lic: Phone: Work Desc: L/S 43 - METER 6636797 ELECTRIC UPGRADE FOR CONTROL PANEL-FEE WAIVED � APPLICATION FEES INSP �TIONS R UIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL '� / / REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvertrents to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. :,;-�f_ __ _. . .__- �,.� � ��-,r�� CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 NIONTHS WITHOUT APPROVED INSPECTIO CALL FOI� IIVSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a i r('�.,DUKE �' ENERGY. SELF INSPECTING AGENCY RELEASE FORM Duke Energy is dedicated to providing safe connection of electric servic�to our customers. In order to expedite the connection of electric service and ensure the electrical integrity of all"self-inspected" (ocations, we ask that the following information be completed and faxed to Duke Energy's Commercial, Governmental, and Industrial Department at 1-877- 276-3773. � Address: �75�( _�eJKe,►� f}.v� ��Ll�� City: ZG Pl.yr�rl f_� County: Pa�s'�n - - _ - Self-Inspecting Agency: �['�''�/ m�_ ��G,��-�� Completion of this Release and Authorization certifies that the property listed above has been inspected and that it meets the requirements necessary to permit the electrical system to be attached to the electrical system of Duke Energy and to receive electric energy service. By executing and forwarding this Release and Authorization the"self- inspecting"agency assumes any and all liability for the failure of the electrical system to be properly installed to receive electric energy and the seIf-inspection agency hereby indemnifies and agrees to hold Duke Energy harmless from any and all claims that arise as a result of the electric system and failure, including any failure of the circuit connecting this property to Duke Energy's existing electric system. Completion of this release and authorization further certifies that the properiy to receive service qualifies for self-inspection and has been inspected to the satisfaction of the inspecting agency and that Duke Energy is authorized to connect electric service. ' Receipt of this release and authorization is a condition precedent to Duke Energy delivering service at this location and the indemnification rovided for in this P certification is speci argained for between the parties. Authorizedby: _� PrintName: (��,v-lfhc-� � . ��-c"�,SS Title: �U)`l�1 �� Phone Number: �� 7�, d r O c�Z� (Example: School Board Official) , ' CommePc➢al Iedustriel and Govern � , mental Department: 5225 Tech Data Dr, Clearwater FI 33761 � Phone: 877-342-5372 Fax: 877 276-3773 , � A Duke ne E rgy Company .` 4 f CiTY OF ZEPIiYRHlLLS � 5335-8th Street . ' (813)780-0020 19265 �L�CTR�C/AL PEi�B�1IT PERMIT"INFORMATION - LOCATION tNFORMA3'l0�1 � Permit#:�9265 Issued: 2 0�2018 Address: 37506 NEUKOM AVE-LS 43 Permit Fype: �LECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE - Lot(s): B1ock: Section: Sq, Feet: Est.1/alue: Book: Page: Cost: r'_'r � }Total Fees: Subdivision: CITY OF ZEPHYRHILLS Amount Paid: t%�{_��Date Paid: Parcel Number: CONTRACTOR INFORMATION � - OWNER INF�RMATlON tdare�e: OWNER Name: CiTY OF ZEPHYRHILLS LS 43 J�cidr: AddPess: 5335 8TH ST ZEPHYRHILLS FL 33542 Phone: Lic: Phone; Work Desc: US 43 - METER 6636797 ELECTRIC UPGRADE FO�COTTI`�2 - ED _ _ _ APPLICA'TION FEES _ i - I - - 1NSPECTIONS REQUIRED - � � � ROUGH ELECTR�C - CONSTRUCTION POLE PRE-NIFi.ER rINAL I REINSPEC'ROlV FEES:(c)With respect to Reinspection fees will comply vvith Florida Statute 553.80(2}(c)the focal government shall impose a f�e of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to t e requirements o t is permit, ere may e a itiona restrictions app ica e ta t is property that may be found in the public records of this county, and there may be additional permits�equired from other governmental entities such as water management,state agencies or federal agencies. "1Narning ta owner: Your failure to reaord a notice of commencement may result m your paying tte�vice for ' improvements to your property. If you intend to obtain finaneing,c�nsuit with your iender or an attorney before reaorelir�g your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. ` �� Cd� o�� r ��-� ��'�' � U� �I' CONTRACTOR PER OF I PER[NIT EXPIRES IN 6 MANTHS WE�'HOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE ItEQUIRED PROTECT�:ARD FROM WEATHER