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~---... ELECT
BUILDING PERMIT
CITY OF ZEPHYRl:ULLS Permit N~ _ 3172(1l
(813) 788-6611 --- Date 1f-/S-7~
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~ Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
~
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Valuation or iL _ /}, I AI) r ~ ---.
Contract Price ~ ~ _ cd _
City License Registration # rt / Il1 d
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
Inspector
Breaker
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Ser, .
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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OUAN. PART NO. DESCRIPTION PRICE AMOUNT
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SERVICE PERFORMEr TOTAL
ROV RENDLEMAN j IlATEllIAL
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40739-2 WOODTRAIL LANE';' SEIMCf TME
l ZEPHYRHILLS. FL 33S4O' .
TAX
7"'-' ~/I !IAn COMPLE1Bl ' I CASH :~~ r
TOTAl , O? I C' --',
,
Kinsey Central
Heat & Air-Conditioning
7718 Fort King Highway . p.o. Box 2209
ZephyrhUls, Aorida 33539-2209
(813) 782-2300
TECHNICIAN
CUSTOMER'S SIGNATURE
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