HomeMy WebLinkAbout91-1194
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
permitN~ 1194 J3
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Property owner. s Name: '- j;;~u" r/~ Z:t
Job Address:--..?"? ,,7 1 --; ~~t:--c.- -1_
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Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
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Description of Work .Tr ,J)
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Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: /:;> OJ) t' t:!"---z)
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OCCUPATIONAL LICENSE # <;-a-c~-t'.-, ~ -
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SIGNATURE</ ~~ (f~t:~
COMPANY ,
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
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( BUILDING
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AL
ME~NICAL
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Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
Tp.Serv.
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Ins!.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10,00)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
The payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
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PROPOSAL
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Proposal No.
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Sheet No. 1/ - ) ,
Date 1- if - '7 I
Proposal Submitted To
Work To Be Performed At
Name
Street
City
State
Telephone Number
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Street ../1// ), (
City
Date of Plans
Architect
State
We hereby propose to furnish the materials and perform the labor necessary for the completion of
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All material is guaranteed to be as specified, and the above work
and specifications submitted for above work and completed in a
with payments to be made as follows: (.(/ ) " --
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to be performed in accordance with the
substantial workmanlike manner for the
Dollars ($ I j','" (
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
Respectfully submitted
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Note - This proposal may be withdrawn
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by us if not accepted within
days
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted, You are au~tlOrized to do the work as
specified. Payment will be made as outlined above. "
Date
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Signature
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Signature
TOPS FORM NO. 3750
LITHO IN U.S.A.