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BUILDING PERMIT
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Job Address: ~_ ~ S- ~ "1 - _.1- y-p- a K .
CITY OF ZEPHYRHILLS
(813) 788-6611
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Permit
09293 /Y'--
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Date
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel 1.0. #
Zoning:
Descriotion of Work
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans. Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
C,Q.
DATE
Company
Address
Telephone#
Valuation or
Contract Price
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City License Registration #
State Certified License#
B U I L..[>>N"G~.
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ELECT~
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~U . ECHANICAL ~
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
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 ($ 25.00) 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.
Kinsey Central
Heat & Air-Conditioning
P.O. Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300
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REQUEST
QUM. PART NO.
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SERVICE PERFORMED
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IlESCRIPTIOI
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CASH ::m-~ mAL
CUSTOMER'S Sl6JlATURE
PRICE
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o ESTIMATE
o CASH
o CHARGE
AMOUNT