HomeMy WebLinkAbout91-1474
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
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Type of Permit
L_~
~AL
P~".
Property Owners Name:
Job Address:
Legal Description:
Sub,Div.
Zoning CI:
Description of Work
Energy Code Readout:
Permit N~ 14744
Date 1.::Z 7 - <] I
ME~-.--
Blk.
Complete Plans, Specifications and Fee Must Accompany Application
Estimated cost:f I 7 ~~..
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All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
OCCUPATIONAL LICENSE #
BUILDING)
/~~".
-st:S
Tub Set
Water
Sewer
Final
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
Driveway
Fee:1 c2fj'~
SIGNATURE (./"..-/:. ,-
COMPANY
ADDRESS
TELEPHONE #
~
ELEC!fUGAC"
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Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
Final
MEC~'.'.".
---
Breakers
Ducts Insl.
Compressor
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.
..::.....4
PROPOSAL
Proposal No.
Sheet No.
Date
Proposal Submitted To
~. A,i-<Kft
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
M::/ c: .s
Street
City
Date of Plans
Architect
State
L 'F
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All material is guaranteed to be as specified, and the above work to be performed in accordance with
and specifications submitted for above work and completed in a substantial workmanlike manner for
Dollars ($
with payments to be made as follows:
Any alteration or deviation from above specifications involving Respectfully submitted
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 Per
our control. Owner to carry fire, tornado and other necessary
insurance upon above work. Workmen's Compensation and
Public Liability Insurance on above work to be taken out by
...
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the drawings
the sum of
).
by us if not accepted within
Note - This proposal may be withdrawn
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.
Signature
Date
_ Signature_____ _________ __
TOPS FORM NO. 3750
LITHO IN U.S.A.