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CITY OF ZEPHYRHILLS <br /> "'� ;=•' 5335-8th Street <br /> (813)780-0020 21620 <br /> ELECTRICAL PERMIT <br /> 'ERMIT::INFORMATION LOCATION INFORMATION <br /> Permit#:21620 Issued: 8/12/2019 Address: 5449 12TH ST <br /> Permit Type: ELECTRICAL MISC 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: Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS <br /> Amount Paid: 45.00 Date Paid: 8/12/2019 Parcel Number: 11-26-21-0010-13800-00.80 <br /> CONTRACTOR INFORMATION OWNER'INFORMATION <br /> Name: CARLYLE ELECTRIC Name: POTWIN ANTHONY& CHARLENE DALE <br /> Addr: PO BOX 251 Address: 5549 12TH ST <br /> CRYSTAL SPRINGS, FL. 33524-0251 ZEPHYRHILLS, FL. 3542 <br /> Phone: Lic: Phone: (813)862-7305 <br /> Work Desc: INSTALLATION TEMP POLE FOR FIRE DAMAGE HOME <br /> APPLICATION FEES <br /> ELECTRICAL FEE 45.00 <br /> INSPECTIONS REQUIRED <br /> ROUGH ELECTRIC <br /> CONSTRUCTION POLE <br /> PRE-METER <br /> FINAL <br /> 2 <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 performed in accordance with City <br /> Codes and Ordinances. <br /> .011 CONTRWOR 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 />