HomeMy WebLinkAbout90-1083
STATE OF FLORIDA
City of Zephyrhills
PAseOeOUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit )l~
10838
Type of Permit
ceuILD~ EL~
Property Owners Name: Cl,,-<L<'.A'
Job Address: "'" <f- g 9 ...0" /
Date ;' / - d).. 6.- ? ()
PLU~
ME~
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Legal Description:
Sub,Div.
Lot
Blk.
Zoning CI:
Description of wor:: .J?",,~
('~~1';_ /2.....7-,1) ~
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: ~ ~ 9~ ~ d()
Fee: :2~ tT7J .
SIGNATURE ---~ ~/;?
COMPANY
All work sha/! be performed in accordance
with the above and all eity Codes
and Ordinances.
ADDRESS
OCCUPATIONAL LICENSE #S?-'"7?rf~ Cd. -TELEPHONE #
C~~~A7<X(Jf~~_
BUILDING._ -- PLUM IN _. ELE~A~
Ftr. SLB Tp.Serv.
Pre SLB Tub Set Rough In
Lintel Water Meter Can
FRM. Sewer Canst. Pole
Insul.CL Final Pool
WL Pre-Meter
Final
ME~ICAL
"'
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charae of ten ($10.00)
dollars shall be made for each trip,
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same,
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PROPOSAL
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Proposal No. ~)..c:,()
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Proposal Submitted To
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Work To Be Perf(llrmed At
Name
Street
City
State
Telephone Number
Street
City
Date of Plans
Architect
State
We hereby propose to furnish the materials and perform the labor necessary for the completion of
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All material is guaranteed to be as specified, and the above work
and specifications submitted for above work and completed in a
with payments to be made as follows: il) )(1' / (~/;lf)~"'e';[iC I 1
to be performed in accordance with the
substantial workmanlike manner for the
Dollars ($ ) 1 9-> .
drawings
sum of
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Any alteration or deviation from above specifications inVOlving
extra costs, will be executed only upon written orders, and
will become an extra charge over and above the estimate. All
agreements contingent upon strikes. accidents or delays beyond
our control. Owner to carry fire. tornado and other necessary
insurance upon above work. Workmen's Compensation and
Public Liability I nsurance on above work to be taken out by
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Respectfully submitted ,/ (7Z.a.j~0 j; r::l A (. /
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Per/ithA("'1 l,,//,</
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Note - This proposal may b~' withdrawn
by us if not accepted within days
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
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specified. Payment will be made as outlined above.
Signature
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Date
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Signature
TOPS FORM NO. 3750
LITHO IN U.S.A.
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