HomeMy WebLinkAbout94-3818
BUILDING PERMIT
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit N C?
3818E
Date .;; -.:2 - 7 Y
G~DI~0
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Property Owner:
Job Address:
Parcell.D. #
C{ vi~4~
Water Conn:
Water Meter:
T,I.F.'s:
Zoning:
Description of Work
j) En~ Code:
q ~/
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
C.O. --'\ /~
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
City License Registration # .77
State Certified License#
Permit Fee
Signature
Company
Address
Telephone#
Valuation or
Contract Price
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ELECTRICAL
PLUMBING
MECHANICAL
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
Breakers
Ducts Insl.
Compressor
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.
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PROPOSAL SUBMITTED TO
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STREET
CITY, STATE AND ZIP CODE
ARCHITECT
DATE OF PLANS
We hereby submit specifications and estimates for:
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PHONE
JOB NAME
JOB LOCATION
Page No.
of
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JOB PHONE
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Dr JIrnpnnr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
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Payment to be mad/as fol/owe,!
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 specifica-
tions 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.
AtttptuUtt of 'ropoliul- 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 of Acceptance:
PRODUCT 1 ]8-3 INCBS/.lnc_. Groton. Mass. 01471 To Order PHONE TOll FREE 1 +800-225-6380
Signature
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Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Signature
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