HomeMy WebLinkAbout95-4660
BUILDING PERMIT
Permit ~
CITY OF ZEPHYRHILLS
(813) 788-6611
4660/'1
/-:26-7'5
Date
BUILDING
ELECTRICAL
PLUMBING
~HANI~"'" Sewer Conn
Water Conn:
P,o,,~y own~~
Job Address:~
Parcell.D. #
~~~
Water Meter:
J)jH/f'P
-
T.I.F.'s:
Zoning:
Description of Work
~e,go ~ (/J>
Radon Gas:
FINAL
2.~1 D-
NO OCCUPANCY BEFORE C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
Permit Fee J{J - tllJ
Signat~re ,ft~ p L~
Company
Address
Telephone#
Valuation or
Contract Price
d-.9 / b ' tJ-o
/
)' L '--/-
City License Registration # _~
State Certified License#
/~&F~tLr..(J
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final2--1l>-9 ~- &.6
SLB
Tub Set
Water
Sewer
Final
Tp. Serv,
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.
APPLICATION FOR PERKIT
CITY OF ZEPIIYRIIILIS
BUILDING DEPARTMENT
OWNER' S NAME
. Te c; n
)1e- Cc y
,
Le;zy
/
PHONE g I.? ....
/23-);?G-lo
OWNER' S ADDBESS ..J ,;? 3' J ?
L 47 ,c~ /J
JOB ADDRESS .5'i ,1'7 L-
LEGAL DESCRI.P'llON: LOT(S)
BLOCIt......-.SUBDIVISION
PARCEL LD.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:~ew Construction ----^ddition ----ft1teration _Repair _Install
_Sign
----lfove
_Deaolish
PROPOSED USE: _Single Fsaily
----1't/F _' of Units ----1't/H
_~ercial
_Indust. _Swia. Pool _Other
-Restaurant Ii: Hea1th Departaent Approval
DESCRIPTIOII OP WORK:
BUILDIIIG SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY PORMS.
ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERKITS REQUESTED
_BUILDING
$
valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
/
-1L...JtEClWlICAL
$ 2 7 / r;, ~ Valuation of Mechanical Installation
-PLUMBING GAS ROOfiNG
SPECIALTY
TYPE OP COIISTRUcnOR: _Block _Fraae _Steel
Other
FDlISBBD nooR ELEVAnOIlS:
FT.
IS PROJEct IN FLOOD ZONE AREA?
YES NO
..........................................
CORTRActOR SEctION
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
BUYlDO
Signature
SianAture
COMPANY
State Cert. or Regist. ,
City License Registration ,
..........................................
RT .R.CTRTCT All
COMPANY
State Cert. or Regist. .
City License Registration ,
..........................................
PLUMBER
Signature
MECllARICAL
Signature ..J~r
COKPANY 15 T C c:; 1/ !li,5, 't C 1:7~ 1- <1 L-
;:7~ ' - State Cert. or Regist. ,CI/C tY3..1rS7'3'
:. '''V~--r-= City License Registration f /5. r
..........................................
OTRR.R COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
..........................................
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....
ST
1110..
CALL
HEATING & COOLING, INC.
6n5 11S"H AVENUE NORTH
LARGO, FL'OAIDA 34643
Carrier
STATE CERT. #CAC033648
N~ 5823~O
<.~
PINELLAS: 530-0500
PASCO: 845-3767
IN TAMPA CALL:
, -800-570-KOOL
(5665)
('ITEM --I~~s~ -~~URS CHARGE
~f-~-~AS-'~:+:~~ .J (6. y.}..
COOl _:~:."
..~-,~~~t-P.lfO _
"..LlU,,~_
'.':i!l~_:.ft..E..n
SUB TOTAL
FLTAX
---..,.....-....-,....... .... .., .....--.--
TOTAL BILLING
'...---." .........,.. .....'." ,.-.-...-........----
=H-_)~~~~r~9~
ON,
t~~
;)6cr
I
: COST
I
i
I~-'
I
I
SOURCE QUAN.
DESCRIPTION
PRICE
l..-
I
i_.
i-
~.
'i . (\;'o.j
520.00 CHARGE FO~ RETURNED CHECK
BUYER'S RIGHT TO CANCEL
T~"'I's. l~ a hOl"\. $OlltIWIJOIl !,~ll!. at"ld If fOu \:lr. "Ot w&!"lt t"a gGo(j'; ,~r $El"VIC~S, VClU rnl1ly Canc:el tr'l'l'; ilQ(E'e-rl'1~r;1 by prOVI(lIr"lQ written rlc.HI~." W Tf'1~! :'\t~<l~~r ",', o~"".)(
br tel(oQr./i7Tl, or b~ mal' 1'tll!ii n1,l1,c,., must IIl(JI'..I., Ihill YOIJ de 'lot wiW"ll (he g~d5 Q' serv,ce!) ana mvS\ De ae!l'Jered or p061mEirkua t'J~",jI. 'r,.Q"1I'~r~' (~r It14.~ IrWl:J th.,!.I"~~S
r;lay ~he' yOU ..gn C"'S ~\I'eer'1Gl\t IIfOU Ca'ullh,S agieen\er,I. CnG selle' ((l av not "oap ;011 .), ~i11'l 01 any C''f ~Own Dymen" Q ("
Re\"~11J1 uf 1/18 to(~'J~\1I"'9 hLJye' ~ H'l,Iht ro C:lriCf;115 hereDV EI'''ncwle-dQed an __-.-,..,. 1-..../ ~. ,~ L...._
I have authority to oraer tne work wtlictl has been satisfactorily perlormedo as outiined above. it IS ago)'.ld "Tftanh you
that the seller will relUln title to any equipment or material thAt may be furnisMd until final paymont,s nHldtl fOf thIS opportunity
and if settlement is not made as agreed, the seller shall have the right to remove same and the seller """If b13 hv"1 10 .."". you. ..
harmless for any damages resl,lltlng Irom the (El/110valthereof,
You are not obllg8ted to p.y any money unl... you sign thi$ ~ontract find return It to the seller.
Customer's Slgnalur~
~o_{L._':;Ja:JJ.7 /'~/
TeCh(HClan ~ SIynahlh!
'0.-
ClJiitnmer'S po. _ .' 0..
,-
?J......
TIME ON JOB
ON__
OFF .____.__
TRAVEL TIME
TO
FROM ___
SHOP TIME
"0-