HomeMy WebLinkAbout01-0240
BUILDING PERMIT ~~
Date 4/ / I 2/0 (_
0240
CITY OF ZEPHYRHILLS
(813) 788-6611
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BUILDING
ELEC~ICAL
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Property Owner:
Job Address:
Parcel I. D. #
Zoning: Energy Code:
DescriPtion of Work Je - /' C> ~f
Permit
PLUM~NG
MECH~ICAL
Water Conn:
Sewer Conn
~ lji
Water Meter:
T.I.F.'s:
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,
Valuation or
Contract Price
7.~oo.
,
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City License Registration #
State Certified License#
c.o.
DATE
Inspector
Permit Fee
,. Signature
Company
Address
Telephone#
:n
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5f)-S-OJY
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BUILDING
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Driveway
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compresso
Final
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) $hall be made for each trip for each trade:
a. Wrong Address i
b. Condemned work resulting from f8Utty construction.
c. Repairs or corrections not made wh n inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site. .
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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\ ~ A VIN ROOFING
PO. Box 1363
DADE CITY, FLA. 33526
Lic,#RCOO46241 . Bonded .Insur
(352) 567.5034
2 YEAR LEAK WARRANTY
To:
VVe hereby submit specifications and estimates for:
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of
Pages
TOB ""ME / "0
LOCA TJO!\
PHONE
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Payable as follows:
WE PROPOSE hereby to furnish material and labor - qomplete in accordance with th8se specifications, for the sum of:
I ..'- ~ dollars ($
All material is guaranteed to be as specified. All work to be completed in workmanlike manner
according to standard practices. Any alterations or deviation from above s ecifications involving
extra cost \-vill be executed only upon written orders, and _'lill bec6me an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents r de]a.\.s be~'ond our
control. Owner to carry fire. tornado, and other necessarv insurance. ( ur workers are ful\~
covered by Work1nen's Compensation Insurance.
.A,
.,.....,.t
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
).
. I
1111111 1111111111111111111111111 1111111111111I1 11111 IIHIIII
2001047757
State of F'L Oed;?//-
NOTICE OF COMMENCEMENT
County of f?r.5'CO .
TUR lmOERSIGNED hereby gives notice that improvement will be made to c~rtain
real property, and in accordance with Chapter 713, Florida Statutes, the
following infor~ation is provided in this otice of Commencement:
//-2
1.
2. General Description of Improvement
Rcpt: 489132
DS: 0. 00
04/11/01
Rec: 6.00
IT: 0.00
Dpty Clerk
3 .
O\oJner Information: Name
[,ddress ql7"3 0(/ /'f';;;'-e c
Interest in Property:
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te lZ,
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City
~~91~~nMAg4: ffS;O fOUNToYf C~ERK
OR BK 4582 PG 1334
Stilte
Name of Fee Simple Titleholder:
(If other th~n owner)
Address
r.r~ " Lir . '7 ' 1200"::; )..j6~
r ,4. Contractor: Name t-A0 AJ DbA (""'l9c/>J
Address f'lJ gox 1363 City /J A-f)? C/TY State ~~ 3.JJ~
Narne~ /
5 . Surety:
Address City State
Amount of Hond: $
6 . Lender: Name o/fl.
Address City State
7. Persons within the State of Florida designated by Owner upon whcm
notices or o~her documents may be served as provided by Section
71J.13(l)(a)(7), Florida Statutes:
tJc,me
AI//f-.
Address'
B. In additi~n to himself, Owner designate~ Aj/l.
of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
City
State
<). f'xp.irni.i'Jn dnt'e or Not.ice or Commencement. (the explratlon d~te is 1 year
fr~m the date of recoLd~ng unless a different date is specified.)
Signature of Owner: ~/'+ ?",~.:~ ~~~~4.zl
Sworn to and subscribed before me this /0 day of tJ 1r/l'4A? .,
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Notury Public:
My C:):11iOlj ssion Expires:
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NOTAi';Y FUl3UC s:r.".E:., , r..,-", o.A'~ i
CG~."-I.h~iCN :NO. C::I'..:.~;55 J
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PC93053048