HomeMy WebLinkAbout91-1203
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
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Property Owners Name: \. ;(j~,~A'f?-C.~ <X~ -/ (J] :t;~-:;~~
Job Address: ~.S cf SS-d - / a /L ClU-f
Type of Permit
BUILDING
ELECTRICAL
PLUMBING
Legal Description:
Sub.Div.
Zoning C/:
Description of Work
Permit N~
1203 J1-
Date / -/6 - 9'/
Lot
Blk.
('L- -<if e
Cl'-cc,r-
~-/c
Energy Code Readout:
~b 3-1-0/1 &tJ
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
/ 7 cr. 7- o-n
/
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPA T10NAL LICENSE #SS:- .4- 1... L;'~ /
Fee:
COMPANY
ADDRESS
TELEPHONE #
--~-
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PLUM~_____
SLB
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
lintel
FRM.
Insul.CL
WL
Driveway
,..-
~~22:;_
~
(=MECHANICAL ..'
----------
Breakers
Ducts Insl.
Compressor
Final
ELEC~L .
Tp.Serv.
Rough In
Meter Can
Canst. Pole
POOl
Pre-Meter
Final
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.
JOE
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PA TTIE ELECTRIC
AIC-Refrigeration & Electrical Contractor
39111 Pattie Road
Zephyrhills, FL 33540
(813) 782-3319
'.
9001
BIUTO .
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AOORess
CITY
3cP- 3s~
JOB NAMe AND lOCATION
JOB PHONe
o DAY WORK
o CONTRACT
DEXTRA
DATE PROMISED
DESCRIPTION OF WORK: ~~ '-P
oNo one home 0 Total amount due 0 Total billing to be mailed after completion of Work
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LABOR
AMOUNT
TOTAL
MATERIALS
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TOTAL
LABOR
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FORM 8S4S3" RAPIDFORMS, INC., THOROFARe, NJ 08066-9499
DATE COMPLETED
/ /
0.Q-rL @
TAX
I hereby acknowledge the satisfactory
completion of the above described work:
SIGNATURE
@
SUB
TOTAL
TOTAL LABOR
TOTAL