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BUILDING PERMIT
Permit N'~
CiTY OF ZEPHYRHILLS
(813) 788-6611
412st
Date
6 ~02lf-- y Y
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ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
Pmpe"v owne,_g~f~ .~
Job Address: 0,5._ ~ _ _ _ -
Parcell.D. #
~:::~Pt;on of wo,C)(e ge
Water M.!!jer:
T,I.F's:
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
7- / - 9
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordarce with City Codes and Ordinances.
c.o.
DATE
Inspector
City License Registration #
State Certified License#
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Permit Fee d.LS" ez-J ~
Signature~, ~ ,C2 4) A <=1/ c~~G-t:..-':::..
Company
Address
Telephone# {~(::, ) 919 - '::{-hO '5
Valuation or
Contract Price
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ELECTRICAL
PLUMBING
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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ROOFING CO., INC.
1641 GARDNER DRIVE
LUTZ, FLORIDA 33549
(813) 949.7603
Lie. #RCOO53228
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Proposal Subn1ltted To
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Street
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City, State and Zip Code
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Job Name/Legal Description
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We propose hereby to furnish labor (and materials, if specified) complete in accordance with specifications below and on second page of this proposal, for the sum of:
-'rr/hJ?e~<.., Ll.1A i ''.),?-U' j ~ "/{i'DollarS ($ /:::.)t..:)i.~~
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PaYment to be made as follows: (upon billing)
Draw 1:
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Draw 2:
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All materials are guaranteed to be as specified. All work /0 be completed in a workmanlike manner according to standard practices. !J..PJ ~9'?~9n $ ~v~iqn from
specifications below involving extra costs will be executed only upon wr~ten orders, anQw11tDe'l:ome an extra charge over and above the estimate. Mag(e~m,~nts'"'cdIlfingent
upon strikes, accidents or delays beyond our control. ". "'" ~(' '''. ,,' / C". .
NOTE: This proposal may be withdrawn by us if not accepted within 15 days. T't, d..-l ~.L' '). )1 '. ( ".., ( . /" , r ;
Richard F. Rodrigues, President, R.F.P. Roofing, Inc.
Final Draw:
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Material and/or labor count needed for above said job:
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Alter acceptance by all parties (by signature), this document shall be considered a binding contract. In the event that it shall become necessary to employ an attorney to
collect any amount due under this contract, then Customer will be liable for attorney's fees and costs incurred in such collection.
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. All payments later than 2- ( days alter the due date shall bear interest at 18% per annum.
Notice of commencement at O.R. #
Pg#
; Date of Recording
Date of Acceptance: <
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Signature:
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Signature:
Note: Work will not commence until all blanks are filled in and signed.