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BUILDING PERMIT N~
~-
0115
1Y_..,",.
~ ~C. ... PLUMBING MECHANICAL
P,opertyOwne, ~~~ Q~ G
Job Address: S
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
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Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning:
Descriotion of Work
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances.
c.o.
DATE
Inspector
Valuation or. J () U L -. i;T-<)
Contract Price L.J... 1- ~
City License Registration # / / f
State Certi . e#
Permit Fee
CSig~~~re
Company
Address
"
PLUMBI
ME
L
Ftr.
Pre SLB
Lintel
FRM,
Insul. CL
WL
Tp. Serv,
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 Twenty Five and 00/100 Dollars ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction,
c. Repairs or corrections not made when inspection called.
d, Work not ready for inspection when called.
e. Permit not posted on job site,
f, Plans not at job site.
g, Work not accessible,
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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GA VIN ROOFING
~ P,O: Box 1363
DADE CllY. FLA, 33526
Uc~C0046241- Bonded - Insure4
(352) 567.5034
2 YEAR lEAK WARRANTY
To:
We hereby submit specifications and estimates for:
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JOB !'\AME NO.
L7U~
PHONE
Page No,
of
Pages
~1r'/'iJ
DATE
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Payable as follows:
WE PROPOSE hereby to furnish material and labor - complete in accordance with these specifications, for the sum of:
dollars ($
All material is guaranteed to ue as specified. All work to be completed in ai workmanlike manner
according to standard practices. An)' alterations or deviation from above specifications involving
extra cost will be executed only upon written orders, and will become an !extra charge over and
above the estimate. All agreements contingent upon strikes, accidents dJr delays beyond OUf
control. Owner to carry' fire, tornado. and other necessar)-' insurance. Gur workers are fully
covered by VVorkmen's Compensation Insurance.
Authorized
Signature
NOTE: This proposal may be withdrawn
by us if not accepted within
days,
ACCEPTANCE OF PROPOSAL - The prices, specificat ons and conditions are satisfactory and are hereby accepted, You are authorized to do
the work as specified Payment will be made as outlined above,
Signature
Date
Signature
Date
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