HomeMy WebLinkAbout91-1223
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1223/1
Type of Permit
Bull1nN-a----_____ E~gAL
Date /-~ Si~ 9/
P~G
C;HANI~')
Zoning CI:
Description of Work
Lot
Blk.
Property Owners Name:
Job Address: 3. ......5
Legal Description:
~/(
Energy Code Readout:
C~ML-
2-L{-~(
&dJ
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost: / y /"7 0 _ 00
/
OCCUPATIONAL LICENSE # ~/ 7[/{ t:;~
Fee: d () - cJ7)
SIGNATURE ,~4'~'
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
ELECTRIC)Q'-C~HANICA
Tp,Serv, _ ~_"_
Rough In Breakers
Meter Can Ducts Ins!.
Const. Pole Compressor
POOl Final
Pre-Meter
Final
-
PLU~
--.
SLB
Tub Set
Water
Sewer
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.
SERVICEf:::}ICE
.ir Control Systems
Southwest Inc.
SP No. 43a99'
FORT LAUDERDALE
500 S,W, 21st TERR. B 103
FORT LAUDERDALE, FL 33312
DADE: 621-8412
BROWARD: 791-5605
BOCA RATON: 368.1799
WEST PALM BEACH
1387 N, KILLIAN
LAKE PARK, FL 33403
PALM BCH,: 845-1407
MARTIN: 283-9459
ST, LUCIE: 461-0278
CORPORATE OFFICE
6280 ARC WAY, FORT MYERS, FL 33912
FL WATS: 1 (800) 432.6562
FORT MYERS
6280 ARC WAY
FT, MYERS, Fl33912
CHARLOTTE: 639-6858
LEE: 275.8720
COWER: 597-1890
I /0 i~(1 f C('.D
TAMPA /W..:::> ~ PASCO
ST, PETERSBURG 845-1212
10820 - 8 75th ST, N
LARGO, FL 34847 LAKELAND
CLEARWATER: 541.7500 687-0396
TAMPA: 225.1379
WORK TO BE DONE
STATE CERTIFIED CACO 35496
DATE/-~-9/
T~M{+
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I
SOURCE COST OTY. ITE~
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)
PRICE
CU~:~ ,,1. ~. ~ r. on N\.l'O
S~~""?"4\ c...Oll - 0 - _t\ ~I~-ho<fl
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STREET "" < . PHONE
~;E
CITY
STATE
ZIP
2- L,.r~~Z:15<, -r;.A.J /Z::>-
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rfh7a .~i:~ - .. ~~ ~ ~I q /.on DATE
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DESCRIPTION OF WORK PERFORMED
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:
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IfAU.lr it ,. all U"'lIlI .r" '_o_u
AND IEINSprCTION
..
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IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED
TODAY TEll A FRIEND, IF NOT PLEASE TELL US.
TRAVEL TIME:
nME
&.RRIVEO'
nME
'RRIVED
TO
FROM
PLEASE PAY FROM THIS INVOICE
~.
P'" ,/fjfJ
llit ~ ~'tV
I' of
TIME
DEPARTED
TIME
DEPARTED
SERVICE PARTS
SERVICE LABOR
CUSTOMER DISCOUNT
TOTAL CHARGE
DEPOSIT
BALANCE DUE
$ .tf 1 h ;{o
$1/~7L i"f-o
$ -8"
TERMS: NET DUE ON COMPLETION en
Thi"' invoice is subject to 8 Finance Charge of , -, /2% per month, Annuel Percentage Rate of 18% which is: -a
_Itowed by law
tt i. egreed and understOOd by the perb.. that aU equipment and pens which.. 80Id pWauant hereto "'I NOT Z
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:o~r::rr~~~-:~~~;~luP8:a~nd eqUipment mav be repoa...ed in the event of non-payment. S.. rever.e aide .,I:::a
I have authority to or r the WOrit .~. outlined .bow. I agree, to pe.,' all costs 8nd '..lOn.ble anorney., fee, if thisW
inVOice IS pile I . hends of an attorn r collealOn
./ 0'__ - ~ _ __ A ~
TECHNICIAN SIGNATURE rtll7h /l... () E,~.Af A (0
CUSTOMER'S SIGNATURE' O' Orf~
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