HomeMy WebLinkAbout92-2384
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N<! 2384)1
6' - / - / ;L
Date
B~ E~ ~ ~CH~~~
Property Owner: A~ ~Y~~/1~"
Job Address: ,,?cPR 'S/t?- 3 -'1 ~jl t}./I./'-iL
Parcell.D. #
Sewer Conn
Water Conn:
Water Meter:
T.IF.'s:
Zoning:
Description of Work
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Energy Code:
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/adon G.as:, .
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NO OCCUPANCY BEFORE C,O.
FINAL
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 # l a d..
State Certified License#
:~;:::~ 1w(
Company
Address
Telephone#
Valuation or
Contract Price
/70'/. crv
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Tp. Servo
Rough In
Meter Can
E~L
~
P~G
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Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Const, Pole
Pool
Pre-Meter
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 ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction,
c, Repairs or corrections not made when inspection called,
d, Work not ready for inspection when called,
e, Permit not posted on job site.
f, Plans not at job site,
g. Work not accessible,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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~r-10POSAL
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Proposal Submitted To: .. /.#....,./" - Work To Be Performed At:
Name 7#~~.5v /~~/'
Stre~t ,_if{~/G? ~,'~')~" 3--e:::.~.
City ,~-z.t:.~.,.v c::- ft~
State '7~.a' v '3 3~ '/9-
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Phone ('; /] 7':/'/ " , / / 0
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Sheet No.
Street :3 P 4 <',/; 3___~;; C::?:>Le, --.;7 ./
City2...-- State ~
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We herebY,~ropose to fur~sh th~ m~~erial~ Jnd perform the !,;,8or necessary fOr the completion of /y' //7., ;>'///'r, ,
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All matertal is guaranteed to be as specified, and the above work to be performed in accordcmce with t~e draWings and
specifications submitted for above work and completed iJ1 a substantial workmanlike ,,~anner fpr the sum of
/J~,.zi./ ,/ /<;pa[lars ($/ 7c:J C/ .:76 J.
with payments to be made as follows: Y7TZ-e:-7'C'- - ~/._.~ ~~ ~~~.
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Any alteration or deViation from above specifi~~t~ involving extra
costs, will be executed only upon written orde~~'d 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, Work,
men's Compensation and Public Liability Insurance on above work to be
taken out by
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Per
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Respectfully submitted
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Note-,-This proposal may be w(thdrawn 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.
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Signature
Date
Signature
TOPS. FORM ~1850
DUPLlCA TE
LITHO IN USA