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HomeMy WebLinkAbout91-1510 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 151013 Type of Permit ~C~~y ~L P~ ME~AL Property Owners Name: ~ L ~ '''; ?l7Z .J 0/1 -<t Job Address: .3 y-() 3 ~ - :Zl_ __~ Date (5 - / 0 - 7' / Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of work"'- ~~ /1~ ~ 6-/7-1/ IL~ Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: / '-I rc, {/7J ~ OCCUPATIONAL LICENSE # S!l--;P+J;;,j,. ~u - ~ ~ 7.:./1//h1A R'/1_ A-1. <' ' ' ,~ ~~.~\ PLU' ~ Ftr, ------ SLB - Pre SLB Tub Set Lintel Water FRM, Sewer Insul.CL Final WL Fee: ,;:.;L 0 , ~' SIGNATURE M j)~ COMPANY . ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances, EtEC..:[RICAL ~, Tp,Serv, Rough In Meter Can Canst. Pole Pool Pre-Meter Final ME~NICAL """ , Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10,00) dollars shall be made for each trip. (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called, The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. - , PROPOSAL I-proposal No. i ! I Sheet No, Date '" .--;' -.- if ..../ i Proposal Submitted To Work To Be Performed At /..; ( Street City Date of Plans Architect (.~ ), , /, , Name /~~.' /[/'/ .; ; Street ' j -'-) City State Telephone Number f--t \1 I State f, " ) ;><; -- ) _i <"1 We hereby propose to furnish the materials and perform the labor necessary for the completion of ,", '/ i.. :: ,r: }-",' ; I -<--' c.o" (~l / J ::..l ,.t- ", '" /{// " ,~ I: ./ , , /1.. / "1 ,,/~/ ..:.(. f,.", ,./ <' f ,1 i! , I' L., /, i .f. i L. '" ,/ { /,' C; 1.- (l/ ,i- " /1- I I"" cv,;,L>{L, ......A.. ,., , C. /,'/ I' /- , , ../ II I L'- i N" ~ ,,:4'" f ,r' ~':;f'. / : {k(.t, , , c~.' , .' f!. !, ,/ -1/' I JU/.... -' :J.u ',,'; ii' I f ij 5--' q(T I 7.,,........ /1, ; ...... C,"~ ---~I ci-li 0 c---' 4U-' . i "' .- \:, :_\; (V, ~--,,' "',"-'-......' <',>(i.I iu u,~ ",,<::,& '... /, '~ v-e...l " e.~ c ',\,J; '\ All material is guaranteed to be ~s specified, and specifications submitted for above work and the above work and completed in a to be performed in accordance with the drawings substantial workmanlike manner for the sum of Dollars ($ j~--" U;Z:(J /)1: f 1.-) - /...-1 (/ I with payments to be made as follows: ^ l' U(Y'f\.Q.A"JZ \ '--J \, ~\ ,. \ j (~ _;'~~',_i. '" Any alteration or deviation from above specifications inVOlving 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 our control. Owner to carry fire, tornado and other necessary insurance upon above work, Workmen's Compensation and Public Liability I nsurance on above work to be taken out by :! /,/ Respectfully submitted_ ), , i / , / Per ---L.r-_., I _I Note - This proposal may be withdrawn ./ /!, ,/, < t./ l / " ,i..'" /'" .i.... by us if not accepted within ~ ') 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 ,X,- . . I'"'. " ' !T~'~-chL-;:j' i~'j-H~!':.-,$'(-- / Date i // /i ({ J /)>fvr----- / . __Signature _, TOPS FORM NO, 3750 LITHO IN U,S,A,