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0158
CITY OF ZEPHYRHILLS
(813) 788.6611
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BUI~ING ELE~RICAL PLUMBING
Property Owner: J e V: 1'\ R 0, r () e Y
Job Address: ~ J r J 1. o.:fZ <;;... .
MEC~NICAL
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Parcel I. D. #
Zoning:
Description of Work
Energy Code:
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Radon Gas:
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.o.
DATE
Inspector
City License Registration #
State Certified License#
Pe'mlt Fee ~
_ Signature ( c..
(.
Company
Address
Valuation or
Contract Price
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8,""'>
7'80 708d
- Telephone#
Driveway
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Ow(JEA:...
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
B LDING
PLUMBING
REINSPEcTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Twenty Five 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.
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-71l1-8OO8 FAX 813-719-7919
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WATER ACCT. NO.
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FlORIDA
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DATE 3/';/0 f
OWNER/
RENTER
JL€J:' /,\
MAILING
5"1 5 3
4f'^-y/ h.'11 S
SERVICE ADORES: 5f ~ 3'
SHUT OFF SERVICE 0
TURN ON SERVICE F
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
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WORK COMPLETED BY
& DATE COMPLETED
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ORDER li\KEN BY
Retiain white form in office at all times,
Send pink & yellow forms to Water Service Dept,
'Miter Service Depl to sign yellow form & return to office,
;KC WATER
o SEWER
o GARBAGE
J["" IN CITY
o OUT CITY
~ No. OF UNITS
_ DEPOSIT AMOUNT
- AMOUNT LAST Bill
_ DATE
_ MISe. CHARGE
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