HomeMy WebLinkAbout92-2782
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
N~ 2782 /3;
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Date
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Pmperty Owne" ~. ,
Job Address: ~eal~.-..
Parcell.D, #
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M~ Sewer Conn
Water Conn:
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Zoning' ~ Ene'gy Code, R,don G"
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FINAL
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application, C.O.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Permit Fee
Signature
Company
Address
Telephone#
4/ /A-
City License Registration # 6-'1
State Certified License#
Valuation or
Contract Price
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0LECTRIC~
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
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ME~L
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~ING
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Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Final
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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PRo.po.SAL SUBMITTED TO.
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PHo.NE
STREET
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Jo.B L~.cA'f1SN
Jo.B NAME
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CITY. STATE AND ZIP Co.DE
ARCHITECT
DATE o.F PLANS
We hereby submit specifications and estimates for:
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m r 'rl1p oa r hereby to furnish material and labor - complete in accordance with above specifications, forthe sum of:
Payment to be m~e as follows:
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All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our
workers are fully covered by Workmen's Compensation Insurance.
Authorized
Signature
dollars ($
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SIGNATURE
Note: This proposal may be
withdrawn by us if not accepted within
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f' &rephmre of JlropoeaI - 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.
DATE o.F ACCEPTANCE:
SIGNATURE
FORM 65103, RAPIDFORMS, INC., THo.ROFARE, NJ 08086-9499
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