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HomeMy WebLinkAbout91-1268 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY PermitN~ 1268-.8 BUILDING DEPARTMENT 1-813-788-6611 Date ;).. -.s- - 9' / ~e~ c.. BUll~'~ ElECIHlc.Al ~ Property Owners Name: _ .It/, L1:.~ Job Address: ..3 9 lJ...s ~ - ~ _ Clv-e- ME~L Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work~~ _/Lry Energy Code Readout: ~7_-tC;-~ Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: .:L ~ 0 O. 0-0 ./ All work shal! be performed in accordance with the above and all City Codes and Ordinances. Fee~ ' SIGNATURE I ~ COMPANY ADDRESS OCCUPATIONAL LICENSE ..s- ~rd ~/ TELEPHONE · r~'~ ~ rV BUILDING ) . PL~--.". Ftr. SLB Pre SLB Tub Set Lintel VVater FRM. Sewer Insul.CL Final WL E~TRICAL --- Tp.Serv. Rough In Meter Can Const. Pole Pool 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 charge of ten ($10.00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. - ~fii~--. PROPOSAL Proposal No. Sheet No.11 J 1 Date /- ? I. q J / . Proposal Submitted To Work To Be Performed At Name Street City State Telephone Number We hereby propose to furnish the materials and perform the labor necessary for the completion of (~)'''pL.t( titr;:/C )/{!"(,j',/{ 'f Pl rf I.A jt;;1~fld>f"l-i~tf:.1 Street .---</1d. " c-L City Date of Plans Architect Siate .t1 -+- ~,1'?l.....1 f /1'/:/ ( cC (.-1 '!\",,(,'11(,t., , .--- J?,de;;.' /1: u:"tir1/ ,/' 'l-~~' '-(':( }I ;..t , ; Jil.-L I ,.J .lll{ alt.",-' . !-'(' r 1 .I) ) t,; If /'') ,(" I' u;,?" ('f ItI.~j ('-; 't. c/II.!. If '2, J; /1 f-, .1' i-' " t,,"l' \,.,. ,~,-. ./ ~...- -' t A (""{ . r, ,/ f'--'Jt. . ,~,., t rr../ .1 . 'I I ,. .r' ,. . ,/. ,.., ~ . './ . ".J.'" "..' .' .. t, I" . "'i. .. , v. ./;J' y' - ,..j' ........."-- . ~~. {~...} i(.~. -rh f~ - c'lt . b .LJ~'( 'f.J.~L.C7 . . />'i ( cae<-) Ii: /1" ',j " I ). ~o ,,:( /).(// -r..{,(j!., r I I) ! r I ./t //,Y'l-f ,,- t~ <.>' "...' '/ ' . /....../ < '-"'."Z .: ,4,'f'/,t;,A.., -[.,0. ') / I -;1-' :r..;'( L<<-1, , t,) /1 //(/ I' .}) I'X i../! [(1'[1 .1 1 . {('LI .,..," / ..' /, l"{ '. 'V1'lA>:j./IJ ,i'i /~ All material is guaranteed to be as specified, and the above work and specifications submitted for above work and completed in a to be performed in accordance with the substantial workmanlike manner for the Dollars ($ _2;.../ <: . drawings sum of '-;?~:: ). with payments to be made as follows: [.(.!tC'"'1! Crn vlU.L-"0';J~" ), _ / r'1'.-rr'~.7. . II' / . . ..,-': /' ,/ n ~'L ~ .J., ~ I f ../-1. (Ct'YJ.k:R-,l<.:.--f /610.1;., fO. Jj'.'f!';/ ':;;'~"'j~-R'l/'Y:c,;'vj :~ .1/'. I (' .-/l}L-' r /7:'" "(' n 1-:f'" J' 7' 'Jr-. c" [C/'t.., J,'",...",I('.' i<?i. '1/7/ ("I;' Y[.lf A" ". {r-J/t. { i' r~L I I '/' (I~. ",' q /i' :... . v . r ' t' /1 (.1-/C-jf rfc 7'/ - ;]r.t(t,r II'"" r ." A '(~'~a~ii~~~:jde~i~;i~~f~~' at?ove specif{~~~~n/i~~~~~if~~~~~~tf~l~ :~b~~tted_ j ('1 J, rtLJl_...LG:l~ -- --- ex1~a costs,' will be executed only upon written orders, and ) . ) will become an extra charge over and above the estimate. All j.. "/'. . / J...', agreements contingent upon strikes, accidents or delays beyond Per _.L....~ UL_/ ~~L ",,:..} l-'/v'?Jj,"---l.i...: ./ I ) '/ our control. Owner to carry fire, tornado and other necessary ", . insurance upon above work. Workmen's Compensation and Note - This proposal may be withdrawn Public Liability I nsurance on above work to be taken out by by us if not accepted within 3' () days ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. ), . .' \ ".. S i gnatu re _----"_L.."{,_..LJLLx...,._ ._d.....J..:~ I / Date / ,- / __U ___Signature___ TOPS FORM NO. 3750 LITHO IN U.S.A.