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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 />Permit )f~ <br /> <br />183713 <br /> <br /> <br />/A _ -1_ 0'/ <br />Date / u' L L _ <br /> <br />~ <br />~/ EL~ <br /> <br />prOperIYOWnersN:me:f~'" D~ flIdr- <br />Job Address: l? <f-7~ 5' 21 p-1 n <br /> <br />PL~ <br /> <br />ME~AL <br /> <br />Legal Description: <br /> <br />Sub.Div. <br /> <br />Lot <br /> <br />Blk. <br /> <br />Zoning CI: <br />Description of Work <br /> <br /> <br /> <br />Energy Code Readout: <br /> <br />Complete Plans, Specifications and Fee Must Accompany Application <br /> <br />(!!/ <br /> <br />Estimated Cost: <br /> <br />~ c/O, 177-':> <br /> <br />Fee: c2CJ - u-o <br />SIGNATURE ~ ~;Jj~ ./" <br />, <br /> <br />All work shal! be performed in accordance <br />with the above and all City Codes <br />and Ordinances. <br /> <br />COMPANY <br />ADDRESS <br />TELEPHONE # <br /> <br />OCCUPATIONAL LICENSE #$91f t:/rjd;u1(J <br /> <br />(~~arz/~ <br /> <br />BUILDIN ~ING <br />-------- <br />Ftr. SLB <br />Pre SLB Tub Set <br />Lintel Water <br />FRM. Sewer <br />Insul.CL Final <br />WL <br /> <br />ELE~AL <br />'---- <br /> <br />ME~ICAL <br />"'-- <br /> <br />Tp.Serv. <br />Rough In <br />Meter Can <br />Const. Pole <br />Pool <br />Pre-Meter <br />Final <br /> <br />Breakers <br />Ducts Ins I. <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 ($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 wi1\ be issued to the person owning same. <br />