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_ "' CITY OF ZEPHYRHILLS <br /> ,..- 5335-8th Street <br /> (813)780-0020 1640 <br /> ELECTRICAL PERMIT <br /> PERMIT INFORMATION � LOCATION INFORMATION <br /> Permit#:16407 Issued: 6/26/2015 Address: 5109 9TH ST 38620 2ND AVE <br />� Permit Type: ELECTRICAL MISC i ZEPHYRHILLS, FL. <br /> Class of Work: ELECTRICAL MISC Township: Range: <br /> Proposed Use: NOT APPLICABLE Lot(s): Block: Section: <br /> Sq. Feet: Est. Value: Book: Page: <br /> Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS <br /> Amount Paid: 40.00 Date Paid: 6/26/2015 Parcel Number: 11-26-21-0010-20600-0015 <br /> CONTRACTOR INFORMATION i OWNER INFORMATION <br /> Name: PATTIE ELEC. & REFRIGERATION Name: SAMPSON, GILBERT &ANNA <br /> Addr: 39111 PATTI RD Address: 39028 3RD AVE <br /> ZEPHYRHILLS,FL. 33540 � ZEPHYRHILLS, FL. 33542 <br /> Phone: (813)782-3319 Lic: � Phone: (813)862-3813 <br /> Work Desc: REPLACE RISER � <br />' APPLICATION FEES <br /> ELECTRICAL FEE 40.00 ' <br /> INSPECTIONS REQUIRED <br /> ROUGH ELECTRIC I <br /> CONSTRUCTION POLE � <br /> PRE-METER � <br /> FINAL <br /> I � �� �� J <br /> � <br /> �� � <br /> jv <br /> I <br /> REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80.(2)(c) when extra inspection <br /> trips are necessary due to any one of the follow�ng reasons: a) wrong address b) condemned work resulting <br /> from faulty construction c) repairs or corrections not made when inspection called d)work not ready for <br /> inspection when called e) permit not posted i n job site f) plans not at job site g)work not accessible. <br /> NOTICE: In addition to the requirements of this permit; there may be additional restrictions applicable to this property that <br /> may be found in the public records of this county, and there may be additional permits required from other governmental <br /> entities such as water managi ment, state agencies or federal agencies. <br /> I <br /> "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for <br />' improvements to your property. If you intend to obtain financing,consult with your lender or an attorney <br /> before recording your notice of commencement." <br /> Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City <br /> Code�s and Ordinances. <br /> i � <br /> i <br /> � <br /> i <br /> I <br /> CONTRACTOR I PER OFFI <br /> PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO <br /> CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . <br /> PROTECT CARD FROM WEATHER <br /> ; <br /> � <br />� <br />