HomeMy WebLinkAbout92-2277
BUILDING PERMIT
Permit
2277/V/!
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CITY OF ZEPHYRHILLS
(813) 788-6611
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Date
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Pmperty Owne, Wr in, ~ ::::, ::,:,
Job Address: h__ - _ ___ T.I.F.'s:
Parcell.D. #
Zoning: Energy Code:
Description of wor~ ~ h
Q Radon Gas:
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NO OCCUPANCY BEFORE C,O,
FINAL
DATE
Complete Plans. Specifications and Fee Must Accompany Application. C,Q,
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Valuation or
Contract Price
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Permit Fee ;J (J.,.. t/?J~
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Company _ _
Address
Telephone#
City license Registration #
State Certified license#
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Tub Set
Water
Sewer
Final
Tp. Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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lintel
FRM,
Insul. Cl
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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,
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Kinsey Central
Heat & Air-Conditioning
7722 Fort King Highway · P.O. Box 2209 .
Zephyrhills. Aorida 33539-2209
(813) 782-2300
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DATE PROMISED
APARTMENT
CITY
IIAIlE
MODEL
SERIAL NO,
NATURE OF
SERVICE r:::>
REQUEST
o ESTIMATE
o CASH
o CHARGE
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QUAN. PART NO.
DESCRIPTION
PRICE
SERVICE PERFORMED TOTAL I
MATElIIAL -t--
TtCHNICAL
;'" SEJMC( TIME -!--
I
TAX ~
7~~/1 DATI COMPLETtD I CASH :~-+ +-
TOTAL .s~c'-o
TECHNICIAN
CUSTOMER'S SIGNATURE t:. <(.. ~~ I? ~