HomeMy WebLinkAbout95-5326
BUILDING PERMIT "--
CITY OF ZEPHYRHILLS permitN! _ 532~ J3
(813) 788-6611
Date
It) -~-9-!J--
~ ELECTRICAL
P<opertv Own." ~~
Job Address: 3 J- ~ s ... ::.s -::..s::s
Parcell.D. #
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
2~/-l.~
Water Meter:
T.I.F:s:
Zoning: Energy Code:
Description of Work~ ~ 0 ~ A~
_.__Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
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 ~t:J ' o--i)
Signature;::. t' vJ /rz~
Company
Address
Telephone#
Valuation or
Contract Price ,;s 1/3 tJ · cri.J
City License Registration # / '/73
State Certified License#
7J~J ~AlTt:r
BUILDING
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 ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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Proposal Submitted To: Work To Be Performed At:
Name
Street
City
State
Phone
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Date of Plans /
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State
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We hereby pl'Opose to furnish the materials and perform the labor necessary for the completion of
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All material IS guaranteed to be as specified, and the above work to be performed in accocoance with the dr'awings and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of
.. . . , . Dollars ($ 2/-I,3C; .~~ 1.
with r..8,y..ments to. b~ mac:J.e..,a.s. f~.IIO~s: 4.).1'(:('.) cft,t 12 I f'..X~~, ~)F. /':.\. (\.\ t k.. }'..! F\,~c;,.' (\ ...
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Any alteratiDn Dr deviatiDn fr-om above specificatiDns invDlving extra
cDStS, will be executed Dnly upDn written orders. and will becDme an
extra charge Dver and abDve the estimate. All agreements cDntingent
upDn strikes, accidents or delays beYDnd Dur cDntrDI. Owner tD carry
fire, tornadD and Dther necessary insurance upDn abDve wDrk. WDrk-
men's CDmpensatiDn and Public Liability Insurance Dn abDve wDrk tD be
taken out by
Respectfully submitted
Per
Note- This proposal may be withdrawn by us if not accepted
within days,
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The above prices, speCifications and conditions are satisfactory and are hel'eby accepted
Payrnent will be made as outlined above,
You are authorized to do the work as specified.
Signature
,
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.:2
Date
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Signature
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TOPS. FORM 3850
TRIPLlCA TE
LITHO IN USA