HomeMy WebLinkAbout90-1136
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Type of Permit
~. E~ PL~
Property Owners Name~~-,\: 1) I( A AAh:J.l
Job Address: S ~ 3 ;;;;S - / I Clh.w2
Legal Description:
Sub.Div.
Zoning CI:
Description of Work
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Energy Code Readout:
Permit N~
1136H
c;HANIC;/
Date I(~ -1/ - YV
Lot
Blk.
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Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE i7/
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Fee: / -5-: c:hJ
SIGN'ATURE r
COMPANY //)
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ADDRESS , ~
TELEPHONE #
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Tp,Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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Breakers
Ducts Insl.
Compressor
Final
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Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Driveway
Relnspectlons: When extra inspection trips are nec~ssary due to anyone of the following reasons, a charge of ten CSIO.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.
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Kinsey Central
Heat & Air-Conditioning
7722 Fort King Highway · P.O, Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300
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MAKE MODEL
SERiAl NO.
NATURE OF .-I'\..
SERVICE --V
REQUEST
QUAN. PART NO,
DESCRIPTION
SERVICE PERFORMED 16/ cJ ~ 11- ;Z 6 -- #- CJC'J I (}
05~6()(J - OJ ~?/
TOTAL
MATERIAL
TECHNICAL
SERVICE TIME
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CASH
TOTAL
7~~1
DATE COMPlETED
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TECHNICIAN
CUSTOMER'S SIGNATURE
PRICE
TAX
DATE OF ORDER
DATE PROMISED
APARTMENT
o ESTIMATE
o CASH
o CHARGE
AMOUNT
00 cJD
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