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<br />STATE OF FLORIDA <br /> <br />City of Zephyrhills <br /> <br />PASCO COUNTY <br />BUILDING DEPARTMENT <br />1-813-788-6611 <br /> <br />1788 ~ <br />Date '9- / 7 - Y./ <br /> <br />Permit N~ <br /> <br /> <br />E u~"CTfH.c t' I <br /> <br />~ <br /> <br />M~ICAL <br /> <br />Property Owners Name: ~--- if ~.rl r:!~ <br />Job Address: -3 <:f- / .3 s - ~ 0 <br /> <br />Legal Description: <br /> <br />Sub.Div. <br /> <br />Lot <br /> <br />Blk. <br /> <br />ZoningCI: /1- ~~ - ,;L/ -? b / 0 /-'!:'-7o 0 <br />Description of Work ...Y, ilA4<'-~ r .-i 4t (j-e <br /> <br />0/'(0 <br /> <br />~tJ <br /> <br />Energy Code Readout: <br /> <br />Complete Plans, Specifications and Fee Must Accompany Application <br /> <br />) <br /> <br />Estimated Cost: ~~/ A <br /> <br />All work shal! be performed in accordance <br />with the above and all City Codes <br />and Ordinances. <br /> <br />OCCUPATIONAL LICENSE # <br /> <br />Fee: c> 'z;, t/)} ~ <br />SIGNATURE'~.e ( , ---fl/ <br />COMPANY ~__ <br />ADDRESS <br />TELEPHONE # <br /> <br />c~/Y1 Q A <br />- <br /> <br />CBUILDING~ <br /> <br />Ftr. <br />Pre SLB <br />Lintel <br />FRM. <br />Insul.CL <br />WL <br /> <br />~ <br /> <br />--- <br /> <br />~AL <br />--- <br /> <br />M~ICAL <br />~ <br /> <br />SLB <br />Tub Set <br />Water <br />Sewer <br />Final <br /> <br />Tp.Serv. <br />Rough In <br />Meter Can <br />Canst. Pole <br />Pool <br />Pre-Meter <br />Final <br /> <br />Breakers <br />Ducts Insl. <br />Compressor <br />Final <br /> <br />Driveway <br /> <br />Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO) <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 />