HomeMy WebLinkAbout92-2500
BUILDING PERMIT
Zoning:
Description of Work
CITY OF ZEPHYRHILLS
(813) 788-6611
~~ ~~-----
(_E~;.p:RI~ P~ '__ ECHA~ICV
/7'l1~0~:i:/~~ a~.
//-;2&-2/- DD/D- 1/.60
s:0
Permit
N<1 2500/J1..
7- ;20 ,-7' :7-
-
Date
~
Sewer Conn
Water Conn:
Property Owner:
Job Address:
Parcell.D. #
Water Meter:
T.I.F.'s:
)
-
NO OCCUPANCY BEFORE C.O.
FINAL ;)' -~ v-
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Valuation or l 4 ", 1"'/ ~ c. .,-
Contract Price ~ eX; (f a. /
City License Registration # S ~ /1 / L-
,
State Certified License#
Inspector
pe'm;tFee~~~~
Slgnatur~ . ~<.:' ,I'--
Company
Address
~~-4~
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
j--
JropnscrI
PATTIE ELECTRIC & REFRIGERATION
39111 PATTIE PD.
ZEPHYRHILLS, FL 33540
(813) 782-3319
Page No.
of
Pages
-l
f1...-"t-( ~
002844
JOB LOCATION
ARCHITECT
OATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for:
Ac~
Qs-t_~.
tM/[(j~ ;4 _ ~_IlY27_J&:5U=,j2.. .,L/e;,~ t-I~ P~tfJ
~(J2+y(tlJtLJ4(? ad aJ('/tfl- LMt!Ii.lJvYI t & Sv/Pj5 .$
c?tJlcI 4i-t. 1fG/1//2/4/f - - -- '
tA/i-t-c.- Run B-ed~~./R~ ..__rjt!l7)le jJ/htl7/ 70 7/U2
i./.nxt-.:j @Vr 5~k cht"~______CUlt,L ~~L .4
~~*Z::~~~T~~~t~ -I rt
H-/~-P~ )2$ tA&fJj/.J;;e~--
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I ~~d( pmeT~~7k
,~ 7~
~
tAJ,'u
(
4/h~t::..
m r 'rop 11 M hereby to furnish material and labor -complete in accordance with above specifications, for the sum of:
:--t5-P:
6&/ 2f!!,~9~ 2~
fJ/(/:5 ~
~~
dollars ($
).
All material is guaranteed fo be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications Authorized
involving extra costs will be executed onry upon written orders, and will become an extra Signature
charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry fire, tornado and olher necessary insurance. Our Note: This proposal may be
workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within
days.
7- (9- Cl~
1
J
Art2phrnt2 of Jlropo6uI - 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.
OATE OF ACCEPTANCE:
FORM 65103. RAPIDFORMS. INC.. THOROFARE. NJ 08086-9499
1289
..:::::~~',: .
^PPLIC^TION FOR PERf-lIT
CITY OF ZEPIIYRJIILLS
nUILDING DEP^RTMENT
'T,.,T>JER
:);GC
'3 1Sl '<.. (:)
~.~
\},(104'0 *
~~ A-~
\)~(~\.:.-
2.. 4.b 'l~. ~\A-
_PHONE
'( 1)2..- ~ ~.6
,\ PPLICANT
\DDRESS
'.
,;on LOCATION
LOT SIZE_X
AREA SQ. FT.
~EG^L DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
P,\RCEL I.D.~~--1l'" z.~- Zl- o6u1b - n<\"O
',,'ORK PROPOSED:_Ne\.J Construct.ion _Addition _Altel'otion _Repair _Install
_Sign/Temp.
...J---Sign
_~Iove
_Demolish
_Commercinl
_Swim,. Pool 1,V1 ~4,4(J... f
_Res UICl1:nnt [, Health Department APproval
_M/F
_i~, of Units
,._M/H
PROPOSED USE: _Single Fnmily
Other
_Indust,
BUILDING SIZE:
X_,
Square Feet,
Height
RESIDENTIAL:
cOmlERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS.**
ATTACH (3) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS. **
**COpy Of CONTRACT REQU1.RED.
~EQDESTED
_BUILDING
s 2.(~q ~.
Vriluation of Total Construction
~ f) ....
~LECTRICAL
~MECHANI~~
M1P
Service
Florida power Corp.
_W.R.E,C.
s
Valuation of Mechanical Installation
__PLUMBING
GAS
ROOfING
SPECIALTY
TYPE OF CONSTRUCTION: _Block
_Frame _Steel
Other
FINISHED FLOOR ELEVi\TI0nS:__FT.
~*******************~*********************
..cD NlIZ.L\Q:QE .sl&llilll
COnl[lany
StaLe Cert. or Regist, ~
City License Registration D
**************************
Il\l1T.DER
Company
. State Cert. or Regist, 0
_ City License Registration 0
~****~**~r***********************~:*********
Signature
::::::,::~/L()
Signature
Company
State Cert. or Regist, 6
City License Registration i~
*******************~**********************
Company p~ ~~
State Cert, or Regist. 0_
CiLY License Registration 0
******************************************
, 1...1-'
m~
PLUMBER
7z-.~
(!JOSS-
APPLICATION APPROVED nY
Company
State Gert. or Regist. 0
City License Registration ~
,
it it 1: J ~* * i, * * ***i"" in', i:1:1, * -1,***1< 1,
'.
.oTHER
Signature
PERMIT OFFICER.
."<-, ":''\.
..
------------------
S3~IdX3 NOISSIWWOJAW
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