HomeMy WebLinkAbout92-2136
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~
2136
Date :2 -J ~- ? 2.
~ ELEC~ PL~
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Property Owner: j~ .., _ _ - _ ~ ~
Job Address; .3 9 __~ _ _
Parcell.D. #
~J
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
Energy Code:
A/~ C'~JL
/
Radon Gas:
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NO OCCUPANCY BEFORE C.O.
FINAL
2..
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #~r)-
State Certified License#
P~rm;t Fee ~~
Signature --'--- '/fA ~
Company
Address
Telephone#
Valuation or
Contract Price
::L / ..3 ::;.. o-v
-
~ING
E~CAL
......
P~BING
'--
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site,
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
Jrnpnstt!
PATTIE ELECTRIC & REFRIGERATION
39111 PATTIE RD.
ZEPHYRHILLS, FL 33540
(813) 782-3319
Page No,
of
002736
_ Pages ..
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PAOPO UBMITTED TO
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PHONE
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JOB NAME
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DATE
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STREET
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CITY. STATE AND ZIP CODE
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DATE OF PLANS
JOB PHONE
ARCHITECT
We hereby submit specifications and estimates tor:
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70 (~ .:;2L ~~'t) E(--e~t/0 /5 6Jx<Jv'U~ ~;7\
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tIt r 'rllp 11 f1 r hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
(!
dollars ($
).
All matenal IS guaranteed to be as specified, All work to be completed in a workmanlike
manner according to standard practices, Any alteration or deviation from above specifications
Involving extra costs Will be executed only upon wntten 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, Our
,workers are fully covered by Workmen's Compensation Insurance,
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ktephmte of JIropo8zd - The above prices, specifications and
conditions are satisfactory and are hereby accepted, You are authorized to do the
work as sp"Cilied, Payment will be made as outlined above.
DATE OF ACCEPTANCE
Note: This proposal may be
withdrawn by us if not accepted within
I
days j I
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SIGNATURE
FORM 65111] R^PIDrORMS INC, THOROFARE. NJ 080869499
1289