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CITY OF ZEPHYRHILLS <br /> '� � 5335-8th Street <br /> (813)780-0020 �`�� <br /> ELECTRICAL PERMIT <br /> PERMIT INFORMATION LOCATION INFORMATION <br /> Permit#:17241 Issued: 4/12/2016 Address: 5740 5744 BROADMORE ST <br /> Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. <br /> Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: <br /> Proposed Use: NOT APPLICABLE Lot(s): Block: Section: <br /> Sq. Feet: Est. Value: Book: Page: <br /> Cost: 1,200.00 Total Fees: 45.00 Subdivision: TREE LANE VILLAGE <br /> Amount Paid: 45.00 Date Paid: 4/12/2016 Parcel Number: 10-26-21-0000-00100-0000 <br /> CONTRACTOR INFORMATION OWNER INFORMATION <br /> Name: JIM'S ELECTRICAL SERVICES INC Name: TREE LANE LTD <br /> Addr: 18302 EASTWYCK DR Address: 10912 N 56TH ST <br /> TAMPA FL 33647 TEMPLE TERRACE FL 33617-3004 <br /> Phone: (813)810-4079 Lic: Phone: <br /> Work Desc: REPLACE METER AND PANEL <br /> APPLICATION FEES <br /> ELECTRICAL FEE 45.00 <br /> � <br /> INSPEC 10 RE�UIRED <br /> ROUGH ELECTRIC <br /> CONSTRUCTION POLE <br /> PRE-METER <br /> FINAL <br /> � <br /> REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the <br /> local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or <br /> first reinspection,whichever is greater,for each such subsequent reinspection. <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 management, state agencies or federal agencies. <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 pertormed in accordance with City <br /> Codes and Ordinances. <br /> �J '—- - <br /> CONTRACTOR 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 /> 1 <br />