HomeMy WebLinkAbout92-2060
BUILDING PERMIT
Permit
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CITY OF ZEPHYRHILLS
(813) 788-6611
N:o
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Date
~J.GAL
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M~:wer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D, #
!;1~9-r_ ~6 ($;:-C4)
Water Meter:
T.I.F.'s:
Zoning:
Description of Work
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL J..- 2..
~
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
C.o.
DATE
Valuation or
Contract Price
f- ~ 27{)
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Inspector
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Permit Fee . _ . r-
S;gnatu,e,.. -Jft?.JU~f~
Company ,
Address
~
City License Registration #
Certified License#
"
Telephone#
EL
At
PLU
ME
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
I=inal
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a, Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
...-.' ~.;',_I
PROPOSAL
r Pea"",,1 No.
Sheet No.
Date
Proposal Submitted To
Work To Be Performed At
Name
Street
City
State
Telephone Number
'U"
Street
City
Date of Plans
Architect
State
We hereby propose to furnish the materials and perform the labor necessary for the completion of
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A
All material is guaranteed to be as specified, and the above work to be performed in accordance with
and specifications submitted for above work and completed in a substantial workmanlike mannllr for
Dollars ($
the drawings
the .s~m of
).
with payments to be made as follows:
.. \
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 Insurance on above work to be taken out by
Respectfully submitted_ _
Per__
Note - This proposal may be withdrawn
by us if not accepted within
days
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby aCqlpted, You are authorized to do the work as
specified, Payment will be made as outlined above,
;j~"'-';:: .
Signature '
Date
Signature _
TOPS FORM NO. 3750
LITHO IN U.S.A.
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
ADDRESS
--1De
5<3 ~~
y mRS JEsTeR.
\ $t Stve G~
PHONE~ '6'0 -- lP~zi
APPLICANT
OWNER
5'A1YL:t=" ,
JOB LOCATION
0AY1e'
LOT SIZE_X
AREA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 1. D. #
WORK PROPOSED:____New Construction ____Addition ____Alteration
-.L'Repair
____Install
____Sign/Temp.
____Sign
_~ove
____Demolish
PROPOSED USE: ____Single Family
____M/F
____# of Units
____M/H
____Commercial
____Indust.
____Swim. Pool
Other
____Restaurant & Health Department Approval
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
CmlMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S. ,~*
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.**
,'dreOpy OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
Valuation of Total Construction
____ELECTRICAL
AMP Service
Florida Power Corp.
_w.R.E.e.
____PLUMBING
GAS
Valuation of Mechanical Installation
/' ROOFING SPECIALTY
____MECHANICAL
$
TYPE OF CONSTRUCTION: ____Block
____Frame ____Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
CONTRACTORS
Builder
Company
Signature City License Registration #
************************************************************************.~****************
Electrician
Company
Signature
City License Registration #
*****************************************************************************************
Plumber
Company
Signature
*****************************************************************************************
City License Registration ff
Mechanical
Company
Signature City License Registration if
~;~:;****.**..****..*****.*********.****.*~:;;::~~~;:;***~:~~~~f*'~)~~:~~';:~~(
Signature ~ cf ?~ City L,cense Registration j, ~
7
I Hereby certify t,hat I have read and examined this application and know the same to be
true and correct. All provisions of law and ordinances governing this type of work will be
complied with whether specified herein or not, the granting of a permit does not presume to
give authority to violate or cancel the provisions f any other state or local law
regulat' g cons or performance of constr n.
~iYnJe
Sign~ture of 0
_1- 2JJ 'CfZ-- Date
~~:t~-I
I - 2D-A 2-> Da te
signed by the owner and notarized.