HomeMy WebLinkAbout91-1495
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Type of Permit /s: a-o c:2 o. CJ1-t:::>
BUIL~ 0LEC;RIC~) PL~ ~ANI~
Properly Owners ~me:rI'!:''''' _~
Job Address: --.:S '-, ~ - /-2.._ / ------"'
Permit N~
1495/1
Date .... S - 6 - 9 /
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI: I /- 61. 0- ~I
Description of Work ~~Z;
-1/c cJ Z"-Yl
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
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-
OCCUPATIONAL LICENSE # :21l/~.-tf) ~_
Fee: 3.5-. c)D
SIGNA'rU~ ~
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
G
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
SLB
Tub Set
Water
Sewer
Final
---------
Breakers
Ducts Insl.
Compressor
Final
Tp. e ,
Rough In
Meter Can
Canst. Pole
Pool
Pre-Meter
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.
ORIZA TION # D OTHER
SERVICE INVOICE NO.
J69176G-O
o WARRANTY
BRAND
MODEL NO.
/
1/''-<.... '/!_-~ "'_-
ILLUSTRATE DETAIL OF PROBLEM ON REVERSE SIDE
SELLING DEALER! DISTRIBUTOR
je
. I
STATE
CITY
b f.-~
ci-
INVOICE NUMBER
QUANTITY
DESCRIPTION
MAG. I MOTOR I SEALED UNIT NO. OLD
SERVICE AGREEMENT NUMBER
I Authorize A Charge To My Credit Card.
CARD NAME
MAG. I MOTOR I SEALED UNIT NO. NEW
CARD NUMBER
SERVICER NUMBER
EXP. DATE
I AUTH. NO.
/
The Repairs Have Been Per/armed In A Manner Satisfactory To Me_
CUSTOMER'S SIGNATUR.E DATE
I Hereby Certify The Above Service Has Been Per/armed & Parts Used.
TECHNICIAN'S I OTHER SIGNATURE I NUMBER DATE
SERVICE CENTER STATE NO.
SERVICER NAME AND ADDRESS:
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ESTIMATE OF REPAIR
PARTS
LABOR
SALES TAX
ESTIMATE TOTAL
REVISED EST. OF REPAIR
INTERNAL CONTROL NO.
COPY 1
@ NARDA, INC. I-:':.~,SD 1990
DATE PURCHASED
D D D
NOT HOME LACK PART CALL BACK
TIME STARTED TIME STARTED
TIME COMPLETED TIME COMPLETED
TOTAL TIME
TOTAL TIME
MICRO LEAK READING:
BEFORE
AFTER
EXTENSION
TRIP CHARGE
COMPLETED CALL
LABOR
DIAGNOSTIC FEE
TOTAL LABOR
()(~ I
LOCAL TAX
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