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<br />Property Owner: <br />Job Address: <br />Parcell.D. # <br /> <br />BUILDl~9HY~L~RM!! 79221f(~ <br /> <br /> <br />(813)788-6611 ~ - tj(} <br />AFTER HOURS PHONE NUMBER Date - c1 ~ - <br />(813) 788-5262 _/-- ...) <br />ELE~-.... PL~ <..........~ SewerConn <br /> <br />~ /) Water Conn: <br />~ L. ~::::,...u.k 7~ W"e' Mete, <br />..3 soto &../uL/J?1(}?/-C-: T.I.F.'s: <br /> <br />~--_. <br /> <br />Zoning: <br />Descriotion of Work <br /> <br />Energy Code: <br />R(1 <br /> <br />Radon Gas: <br /> <br />a.~ - VUL <br /> <br />NO OCCUPANCY BEFORE C.O. <br /> <br />FINAL <br />C.O. <br /> <br /> <br />1 <br />DATE <br /> <br />Complete Plans, Specifications and Fee Must Accompany Application. <br />All work shall be performed in accordance with City Codes and Ordinances. <br /> <br />DATE <br /> <br />Inspector <br /> <br />BUILDI!':l.G--' .... <br />~ <br /> <br />ELECTRI~.- .... <br />~ <br /> <br />Permit Fee <br />Signature <br />Company <br />Address <br />Telephone# L/ 7 ~~ - Lf cO 75 <br /> <br />...~(O~IJ11IJ')~ --!1_c! e~ . .. <br />PLU~ _ . ~ANI~~~ <br /> <br />- <br /> <br /> <br />Valuation or ~ t 9 ~ 1.l-2. <br />Contract Price"'.. '() . <br /> <br />City License Registration # .2:~ I <br />State Certified License# {!/J L! (), 1-t</13! <br /> <br />Tp. Servo <br />Rough In <br />Meter Can <br />Con st. Pole <br />Pool <br />Pre-Meter <br />Final <br /> <br />Ftr. <br />Pre SLB <br />Lintel <br />FRM. <br />Insul. CL <br />WL <br /> <br />SLB <br />Tub Set <br />Water <br />Sewer <br />Final <br /> <br />Breakers <br />Ducts Insl. <br /> <br />Compressor <br />Final <br /> <br />Driveway <br /> <br />REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a <br />charge of Fifteen and 00/100 Dollars ($15.0er shall be made for each trip for each trade: <br />~-'i7D <br /> <br />Wrong Address <br />Condemned work resulting from faulty construction. <br />Repairs or corrections not made when inspection called. <br />Work not ready for inspection when called. <br />Permit not posted on job site. <br />Plans not at job site. <br />Work not accessible. <br /> <br />a. <br />b. <br />c. <br />d. <br />e. <br />f. <br />g. <br /> <br />The payment of inspection fees shall be made before any further permits will be issued to the person owning <br />same. <br />