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CITY OF ZEPHYRHILLS <br /> 5335-8th Street <br /> (813)780-0020 584 <br /> ELECTRICAL PERMIT <br /> -PERMIT INFORMATION - LOCATION-INFORMATION <br /> Permit#:19584 Issued: 4/18/2018 Address: 38250 A AVE <br /> Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. <br /> Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: <br /> Proposed Use: COMMERCIAL Lot(s): Block: Section: <br /> Sq. Feet: Est. Value: Book: Page: <br /> Cost: 2,000.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS <br /> Amount Paid: 50.00 Date Paid: 4/18/2018 Parcel Number: 14-26-21-0010=01300-0010 <br /> CONTRACTOR INFORMATION OWNER INFORMATION <br /> Name: CENTER STATE ELECTRIC INC Name: ZEPHYR HAVEN NURSING HOME <br /> Addr: 16080 ROCKRIDGE RD Address: 38250 A AVE <br /> POLK CITY FL 33868 ZEPHYRHILLS, FL. 33542 <br /> Phone: (863)853-4122 Lic: Phone: (407)975-3000 <br /> Work Desc: ADD SUB PANEL & REWIRE NEED FOR A/C <br /> APPLICATIO FEES <br /> ELECTRICAL FEE 50.00 <br /> INS ECTIONS REQUIRED <br /> ROUGH ELECTRIC <br /> CONSTRUCTION POLE <br /> FINAL <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 renspection. <br /> NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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 performed in accordance with City <br /> Codes and Ordinances. <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 />