HomeMy WebLinkAbout90-1008
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~ loosH
Date-<!/ (J - J... ? - )10
Type of Permit
....--."BUILDINS.. .. . EL~ PL~ G'~~~~~I~~,)
propertYOwners~ame: ~~~fz.AtJ
Job Address: ,5 tjVb~____ ____A..
Legal Description: SUb.DiV,ld a~ /I fI PLot Blk.
Zoning CI: Cl:.. db -,;). /- t~ S - I
Description of Work A L c. t'.~_ rf .J:? CJ.4~./-
Energy Code Readout:
C-.pkV-Z<1-fl-)
I J.
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ......? CJ...t-..s, ?r--o
/
Fee: \.?O. tl7J
SIGNA TUR~~ ......~/ <:....
COMPANY
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
ADDRESS
OCCUPATIONAL LICENSE # 9j U ~~A ~ TELEPHONE #
BuTtotNG
PL~
~
ELE~CAL
...........
O~~.. .,/~
~H~I~A: _.
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten (SIO.OO)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
T c; Safeguerd BUSINESS SYSTEMS, ING.
SERVICE INVOICE
-.ir Control Systems
Southwest Inc.
()~v>' SP No.40725
\\) V~
CORPORATE OFFICE
6280 ARC WAY. FORT MYERS, FL 33912
FL WATS: I (800) 432-5562
FORT LAUDERDALE WEST PALM BEACH FORT MYERS TAMPA
500 S.W. 21st TERR. B 103 1387 N. KILLIAN 6280 ARC WAY S'T. PETERSBURG
FORT LAUDERDALE, FL 33312 LAKE PARK. FL 33403 FT. MYERS, FL 33912 10820.8 75th ST N.
DADE: 621.8412 PALM BCH.: 845.1407 CHARLOTTE: 639-6858 LARGO. FL 34647
8ROWARD' 791 5605 MARTIN' 283 9459 I J LEE' 275 8720 CLEARWATER' 541-7600
80CA RATON: 368:99 . ST. LUCIE: ~61 .0278 ~. 7 0 COLLIER: 597.1890 TAMPA: 225. 1379
/' I "'"" _ _ 1- STATE CERTIFIED CACO 35496
''\fORK TO BE DON! / A -L. // // c.,r /4 .i "' C~TOMe..R ....L' .. J /:7 ., J .--
. J \~J~ VV /L.Pf~.J . ~J"'/<(l U- H~
tb.?/f1.)~ ~J;b/'/~ '~~--' 1 ,'7~"" _JJUI .7JR. P~g-O~.2.0
/ '1t~ '~(r? ~~~ //.A./~' ~ ~~"" /' 1=i..TATE 3SS~'P
SOURCE COST W ITEM PRICI
V BilL TO 61 MA i7~
____ "' NAME ~L7' - ,yl/r "LrT _i .
J ~,~ -.1'/~ "7 ~ STREET. PHONE
r~~tUc6L~ ~ N%- ~"A :.". CI1Y STATE ZIP
- "' I . "LL/ ~? -P~.I.4 c: J,J. ~
,,,,,;T7 / ~ -:;,r ~~
'-~ ;t'tiJ ~ ~ . .. .
f? r TECHNICIAN'? -r--7ZZ.
1~~""'/7,;1I",'c>f"~~ ~A"F MAKE' I / /~ODEl
( ..i ~7. ~ J "JI .I "'. .i ~,," ~ I Pd/rlP' ,;2 ~ kJ1t -(J~t- IVO Unr.
I~~ ~. tW ~ r,r-!" f".'- ~
j'4 ~V "".-~, M.v,,-',-7~/
~,~ ~/J ~~~
- ~
C~ .' - ~
~~~~".h LJ")'"V.nlH
PASCO
845.1212
LAKELAND
687.0395
DATE /i)!Jj /90
, /..
SERIAL NUMBER
DATE
_JI
t' ;;UdLd~ j3~~'1
.l'V/...- .#/'1 t?~nnA.n ././1- ~-'b-<.
, /r1f~/'/ ~ I I ;A/' ~ :l A ~ :.....P' ~ ~ ~-'
~ .. A -.J t1/?f}ft A~I .LJ~
I ~ ....J-r;Aj~~ /i~~~ Nt~
~::S; ..... L. ~ ~-". A ~~r?.L/-(/, ~~"' ~.L
~1)? -/.~'A /~; {/
/CPA ~ ~~ ~A, ~-,~"r.# P'~ ~
4/___ ~ ~/lA__-A.A.~ ,,~/
urr. ''11I./'' ~O.'
~/A-;7./7 ~7~/d;'IL;;tti ,?
/ - -
DESCRIPTION OF WORK PERFORMED
- ~/
-
~ -~ /1---; -~ /I~ u_
-.c;d~ "7h./h~~ ~
lVA:~ ~~ · -I,. -"'4' .~
/ tl?A"'.i....~4'_.
t.tz~A7:1",,~.i AI'" ../L.?/
V ~ /I __ P2.1- J,.. ..;_~ ~ _
tV'v'Vv-n v .~
~_4 //
IF y;;". , ..u.. -WI I H n]F'SERVICE YOU
TOD~ ~Fi1:iND, IF NOT'PLEASE TELL US,
7.~/~I/
/ ~
~
-z;
A
......
--
"-
-J
/
TRAVEL TIME:
TIME
ARRIVED
TIME
ARRIVED
TO
FROM
PLEASE PAY FROM THIS INVOICE
TIME
DEPARTED
TIME
DEPARTED
SERVICE PARTS
SERVICE LABOR
TERMS: NET DUE ON COMPLETION en
:~~~I::~a:. sublect to a Finance Charge of 1.1/2% per month. Annual Percentage Rate of 18% which is -C
~t IS agreed and unders bv the parties lhat all eQuipment and parts which are sold pursuant hereto shall NOT :z
become ftxtures (1 of the real estate where they are placed. Said parts and equipment shaH at all times 0
remlun pers p perty and the title th..'.IO ,hall ,.ma.n on 'h. ,elle, unto. pavmenl on full" 'ece'ved Buve,..
~o~rebyrrantye; I j~S~~U~~I~~s~nd equipment may be repossessed In the event of non-payment. See reverse Side ~
hove aulho tv to O'd:.'.n~'~ u'hned above. I a9,.e to pav all cOSts and ,.aaonable ellomey' I....f Ih.. 0
,nvo,ce / ,c, ,n 'hp tjZ:; :"ectoOn -J
7' 'L ........~"- N
CUSTOMER DISCOUNT
",I
'T~r IAN ~~'T')T1Rf,
r IJ .Ad.~
/CUST~ ER'S <iIGNATURE
! lo'JS4 I CARD
(J1
DEPOSIT
$~.D"'S-
$
TOTAL CHARGE
EXP
r=:=l