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2. NOTICE

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4. Job Address*
5. Unit #
7. Owner's Information
9. First Name*
10. Last Name*
11. Phone Number*
13. Address*
15. Email Address*
17. Contractor's Information
19. First Name
20. Last Name
21. Phone Number
23. Address
25. Inspection Info

    All work must be inspected prior to covering. To schedule your inspection, please call Pinellas County Utilities at 727‐464‐5848

27. Permit Fee & Inspection
    Irrigation System
28. Price
29. Quantity
30. Shipping Cost
32. Taxable
34. Permit Info

    This permit shall become invalid under the following conditions:    

    1. if after 180 days the installation has not been started;                                                                                                                   
    2. ongoing installation is halted for a period of 180 days; or                                                                                                              
    3. installation is not completed within 16 months of the date of issuance of this permit.

    Granting this permit does not presume to give authority to violate or cancel the provisions of any Federal, State or local

    law regulating construction, the performance of construction, or any other land development regulations.

36. Agreement

    1. I Agree

    I hereby certify that I have read and understand this application and all information provided is accurate and true.

38. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
40. Electronic Signature

42. Account: 001-329100

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