HomeMy WebLinkAbout02-1026
BUILDING PERMITN~
1026
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date ~~ d 7,- t) :z
BUILDING
ELECTRICAL
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
p",pertyowne'~~:t~~ ~' ~ ~ Wate'/1ete,
Job Address: 3 rrro y\ G-()J. pi. - 38' ~ 17 - :;1t~'s:
Parcell.D. #
Zoning:
DescriPtion of Work
Energy Code:
Radon Gas:
FINAL
C.O.
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
City License Registration #
State Certified License#
Inspector
~C:-5 # 9'0
Permit Fee <oJ
~ignature ~~~.-
Company )5/rt{k""""",.,J ~tt';:'i'/Y
Address ) -, '17Z t'Yd AN! ~ ~.v' /",..;
~Iephone# <;71"~- 76"'2--- /330
Valuation or
Contract Price
{D l I )(t) , ~
~r t'1 T{ b l~ckVl'-~ ~Fl'" G,
Ftr.
Pre SLB
Lintel
FRM.
InsuJ. CL
WL
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
PLUMBING
MECHANICAL
BUILDING
SlB
Tub Set
Water
Sewer
Final
Breakers
Ducts Ins!.
Compress r
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 ($25.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
C. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
PRODUCT 118
'roposal
,....
PROPOSAL SUBMITTED TO
",;"...
STREET
~
CITY, STATE and ZIP CODE
~
- ,
ARCHITECT
DATE OF PLANS
We hereby submit specifications and estimates for:
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Page No.
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of
DATE
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JOB PHONE
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Pages
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PHONE
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lilt 'ropOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications
involving extra costs will be executed only upon written orders, and will become an extra
charge over and above the estimate. All agreements contingent upon strikes. accidents
or delays beyond our control. Owner to carry fire. tomado and other necessary insurance.
Our workers are fully covered by Workman's Compensation Insurance.
Acceptance of ~rnpo5al- The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
JOB NAME
JOB LOCATION
-";-"';.
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.... - - .'~ ....
"",.,.., -.-'--..
:1:i ~
-, ,.~~
.~ i!
dollars ($
Authorized
Signature
Note: This proposal may be
withdrawn by us if not accepted within
Signature
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'LA. 1177 LAW.
'.713.13
SEMINOLE FORM 408
I IT NOTICE O~K~~~D~~~NCEiv1ENT
State of Florida }
County of I
The undersigned hereby informs all concerned that Improvements will be made to certain real property. and in accordance
with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Description of property. P(/,..":.t;. f!:l-:..I. 0... .Q~.:-:. d.. 6..:-: .~.1. :-:. .<:?~.I.~ .7'. .pr:!.8PQ.,:".. P.~;!.. 0.........
.... ....~.~ ~/1...7":7...~'.'it..~/.'f.... ..8.tP..x..w.q.~I?..:..................... ..... ........... ...................
.... D.((l.fftv.~t?~., ..e.(:?/){~?!.~... t?..f ..1. :f!:-pjy~II/.7ts. .~.~..........................................
General description ofi~provements .... .t.~.J(~(;, .f... .S.,~~(~~... .............. .... .................. .........
Owner.. .. .D. t:r. f0f. ttJ. ~ .t:?J:.. &,{'! I.l?....t:>.. ~. .?-. .~p .J-?l( ./f(,&.. . . . . . . . . . . . . . . . . . '" . . . . . . " . . . . . . . . . .
Address... .3.8.. 3.}3...... .e.~It.~'I.w.a<>.~. .PI. Z. ~.I. yRI-6:I(. .~~...J. . ".y.Y:.() .........
Owner's interest in site of the Improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . '.' . . . . . . . . . . . . . . . . . . . . . . . . .
Fee Simple Title holder (If other than owner)
Name ...........................................................................................................................
Address ....................................................,....................................................................
Contractor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address ........................................................................................................................
Surety (if any) ..................................................................................................................
Address ...................................................................................... Amount of bond $ . . . . . . . . . . . . . . .
Any person making a loan for the construction of the improvements:
Name ...........................................................................................................................
Address ..........................................................................................:.............................
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name ...........................................................................................................................
Address ........................................................................................................................
In addition to himself. owne.r designates the following person to receive a copy of the Lienor's Notice as provided in Section.....
713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). . .
Name............... _....; ...................__.......... ................................................... ................ _....
Address ........................................................................................................................
THIS SPACE FOR RECORDER'S USE O~LY I
.~~-:f:.~....(p~).......
"T' . . Owner
c811
Sworn to and sUbscribe~ before me this. . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . .
........................da of.. c)~d-'*1""'.""".".'..'..' ~~~
... ..~........................
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