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<br />STATE OF FLORIDA <br /> <br />City of Zephyrhills <br /> <br />PASCO COUNTY <br /> <br />Permit N~ <br /> <br />1045/5 <br /> <br />BUILDING DEPARTMENT <br />/.(30, ~ 1-813-788-6611 II -,7 - 00 <br />. 3~r 0l.J "')'7 ~ ') ~ Date J /' <br />TyP.. e of Permit . ... . fJ,O '-> CJ ex Lh tJ7; JJ <br /> <br />0- ~ ~~~..~~ IlV&-,..-n <br />BUILDING -' ELECTRICAL PLUMBING M;';HANICAL - :VA c....., 'sse;. ~ <br /> <br />% ~ I-}{"/JIA /id--; o-v <br />Property Owners Name: ~ - - . './;:::. 41. IL <br /> <br />Job Address: ...3 / ']/3 ~ ~ <br /> <br />Legal Description: Sub.Div. ~/)jf~ Lot <br /> <br />ZoningCI: ~ -~~~ /.;l - ~ <br /> <br />Description of Work ~ . ~ \.~ ' <br /> <br />Blk. <br /> <br />1/[> T I,F <br /> <br />~J~~4 <br /> <br />/.? r3 <br /> <br />Energy Code Readout: <br /> <br />7/1 P <br /> <br />Estimated Cost: --.5:S = tf7:J-z:J. 0-0 <br /> <br />2- /-'Il 16~ <br />lf. )j. <br />Fee:.,~Ol~ <br />SIGNATURE ~_ _~ <br />COMPANY I <br />( <br /> <br />~ <br /> <br />Complete Plans, Specifications and Fee Must Accompany Application <br /> <br />All work shal! be performed in accordance <br />with the above and all City Codes <br />and Ordinances. <br /> <br />OCCUPATIONAL LICENSE #aJj"/ ~- <br /> <br />ADDRESS <br />TELEPHONE # <br /> <br /> <br />-.53 <br /> <br />Ftr. <br />Pre SLB <br />Lintel ~ <br />FRM. 11-'Jt.~U <br />Insul.CL W.fl <br />WL Il.-I? ~~()( <br /> <br />PLUMBING ELECTRICA MECHANICAL <br /> <br />SLB II-J~-qD ~ Tp.Serv. <br />Tub Set (l- 1. - C;v. . Rough In / l,..-r2".'Io (}# Breakers /? .:.,c:; <br />Water Meter Can 1- ij-? / Ducts Insl. J'l. -Il.- qO fJ.tl <br />Sewer Const. Pole Compressor <br />Final Pool ~ Final <br />Pre-Meter /-Z~- ~I <br />Final <br /> <br />Driveway <br /> <br />Relnspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) <br />dollars shall be made for each trip. <br />(a) Wrong Address <br />(b) Condemned work resulting from faulty construction <br />(c) Repairs or corrections not made when inspection called for <br />(d) Work not ready for inspection when called. <br />The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. <br /> <br />/{A' <br />)\7, J, <br /> <br />/ - :L~ - fr-f-' fLvl <br />