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Home My WebLink About91-1569 STATE OF FLORIDA City of Zephyrhills Type of Permit ~ PASCO COUNTY BUILDING DEPARTMENT ....... 1-813-788-6611 :t25 ~ ~.~~~:0 EL~L" Date 1569,!?l (p "'1,9/ Permit N9 Property Owners Name: Job Address: Jiftl/ ~"/6li.b~- ~ Legal Description: Sub.Div. Lot Fee:" 2~' ~ SIGNATURF~~ ~ COMPANY ADDRESS TELEPHONE # Zoning CI: Description of Work Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~ ~ 1179 ~ All work shal! be performed in accordance with the above and all City Codes and Ordinances. Blk. OCCUPATIONAL LICENSE # :'J '717JW../t-. BlJ~ ,./" EL~ -' Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Driveway ~:AL~ Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of. r 6.88) dollars shall be made for each..... T r 6. d e.- (/6-' 00 ) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. MEMBER OF ~ .,[4;;.- / .....,...,..... > 1./),:" . /";/ cA:-"'/C-' 3399 S. Hwy. 301 Dade City, FL 33525 (904) 567-6224 aLIOII DOI.LAR 8ClYIIIIO_ S o L D 't J / )1. '~:. /"'....., /' " ,- //~~~~~n ,/,2- / ~: 7 '/ / \ i'/../',,(i. j / ...- ~. / ~-'7 .I' ~,,/..-- (/./.-r:; _ . ,iT ".if FOR ALL YOUR APPLIANCE NEEDS ,~I- ~ ~/7%li~!:M- T 'I. / O I.;,/-('! I"./- l Ii, /1""/ HOME,7~- .:..;0 <~.~ T o C.~7L OFFICE ,'/ HOME OFFICE / DATE OF ORDER I CASH I C.OD. I FINANCE CO. I COMMERCIAL CHG. CREDIT CARD 1NEXT PURCHASE ISAL~ ,.or" . - r:t/ r;; SPECIAL ". - ~'. .,,' . / .-/.'..-.. 9'/ INSTRUCTIONS .,/ ....<,.: '.-.'" ',' , ~. ./. .'/ ~. ,fJ .. ....C'~;/ ,I" ,," :M6DEL NUMBER AND DE~~IPTlcJN '; " :....... = QTY. SERIAL NUMBER AMOUNT ~../,. A t:.) I , (j '- ,j ./ /?/ 7f: ?-7 l,. / " ~J ~ . '. /',;t::. ...'-, f 'e- X~ ~ fZ1.;../ / - / DELIVERY INFORMATION SERVICE PROTECTION VINYL FLOOR I STAIRS MOBILE DATE DELIVERED DELIVERY CHARGE HOME SOURCE DOOR SWING SUBTOTAL 1L/79. i2G TIME TRADE IN MODEL SALES TAX ~ 76 DELIVERED BY TRADE IN SERIAL C.O.D. AMOUNT TOTAL -- ~ EXTENDED SERVICE PROTECTION NO. 1 HOME DEPq~ ~ MOS. SHOP - MIN SIN BAL)i\NCE~ E /5~~ 01 - MIN SIN / ALL SALES ARE FINAL. DEPOSITS NON REFUNDABLE TERMS AND CONDITIONS HEREBY ACCEPTED. TERMS A FINANCE CHARGE OF 15"'0 DIRECTIONS PER MONTH WILL BE ASSESSED ON ALL UNPAID ACCOUNTS AND ARREARS. ANNUAL PERCENTAGE RATE OF 18% ALL MERCHANDISE REMAIN PROPERTY OF SONNYS DISCOUNT APPLIANCE. INC UNTIL PAID IN FULL AND STAND AS SECURITY FOR THE OUTSTANDING BALANCE SHOULD IT BECOME NECESSARY TO PROCESS SAME FOR COLLECTION I HEREBY AGREE TO PAY REASONABLE ATTORNEY'S FEE AND COST OF THIS COLLECTION FOR SONNYS DISCOUNT APPLIANCE INC Received Bv All claims and returned goods MUST be accompanied by this bill. TERMS AND CONDITIONS ACCEPTED. MERCHANDISE RECEIVED IN GOOD CONDITION AND ALL PROPERTY LEFT IN GOOD CONDITION. Received By 28613 DELIVERY APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT OWNER JOB L x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. 4F WORK PROPOSED:_New Construction ----Addition _Alteration _Repair _Sign/Temp. _Sign _Move _Demolish PROPOSED USE: _Single Family _M/F _4F of Units _M/H _Commercial _Indust. _Swim. Pool Other ~estaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ,~* **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED _BUILDING $ Valuation of Total Construction _ELECTRICAL ~ECHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ III 71, ?- 9 Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** BUILDER CONTRACTOR SECTION Company Signature City License Registration # ****************************************** ELECTRICIAN Company Signature City License Registration # ****************************************** PLUMBER Company Signature MECHANICAJ~ Signature City License Registration # ................:::::::~~~~~ ~ ~7 ""-Zf City License Re.>otration II ~ 2- ****************************************** OTHER Company Signature City License Registration # *****~:;?Z~~2::C* < "'-..-.-" ---..-.. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it lay be subject to .deed restrictions. which lay be lore restrictive than City regulations. The undersigned assu.!s responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with state and local regulations, If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a lisdeleanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (813) 788-661 t. Furtherlore, if the owner has hired a contractor Dr contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections. of this application for which they will be responsible, If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - HOieowner's Protection Guide. prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs, If the applicant is sOleone other than the .owner., I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the .owner. prior to co..encelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infor.ation in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land develop.ent, Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation has cO'lenced prior to issuance of a per.it and that all work will be perforled to meet standards of all laws regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include but are not li.ited to: .. I Depart.ent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment f Southwest Florida Water "anaQe.ent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I Ar.v Corps of EnQineers - Seawalls, Docks, Navigable Waterways I Depart.ent of Health ~ Rehabilitative Services, Environmental Health Unit - Wells, Wastewater Treatlent, Septic Tanks I US Environlental Protection AQency - Asbestos abate.ent I also certify that, if fill laterial is to be used in Flood Zone .A. or .A,etc.., it is understood that a drainage plan addressing a .co.pensating volule. will be sublitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a pertit prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perltit issued shall beco.e invalid unless the work authorized by such per.it is cOI.enced within six lonths of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six lonths after the tile the work is commenced. One 90 day extension of tile, lay be allowed for the permit with fee charge of $15,00. The extension shall be requested in writing to the Bu~l~in~ Official. An approved inspection lust be logged during each six lonth period, or the project will be consider~d ~bando~ed, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME;~T MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. !F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NE T RECOR N POST A "NOTICE OF COMM/rCEMENT". SIGNATURE.x.~~~_~ CONTRACTOR T_____________________________ DATE__~_~~~~_~t'------------------ ~ (veGl LlftM pULl MY COMMISSION EXPIRES_____________~________ ,votary PubliC, S!i.!.t~ cr FiNif:~ "t I "'r~~ Uv CO~.,..,'<.<,""'" .. ..A U. ",. ...,. ~. Illlil."",,:...i l::ll":rG" ~".,. ,}.'/ ..~~') ,.. ~ "~""t'l. fl;.~. I I~"':-t>