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Home My WebLink About91-1583 STATE OF FLORIDA City of Zephyrhills ~ :J.1' _:-- PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1583.8 Type of Permit Date 0- /:3 - c,l/ BUILDING E~- ~-_.. ~~ Property Owners Name: _ ~~~ "d1~~6ftA) Job Address: ~ ~-- ~-==- --- Legal Description: Sub.Div/I_,;2t.:, -;</ - 00/0 - a ooteJo- DO }3 Blk. Zoning CI: Description of Work ~~~ -/L~~ ~/~:Y -AO d~ :7 Energy Code Readout: 1-#-9/ Complete Plans, Specifications and Fee Must Accompany Application Estimated cost:! 1;' (;; 7t;)' ~ .46 ~- Fee: 7T ~ 7- SIGNATUR~~-- COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. ELECTJll.CA-t" ~I~IGAL ~ SLB Tub Set Water Sewer Final Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Ftr. Pre SLB Lintel FRM. Insul.CL WL Breakers Ducts Insl. Compressor Final Driveway Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of tlR (II D.ge)) dollars shall be made for each... I r-a.. J. c:.. (!c.i>'": c;JIJ) (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. STATE CERTIFIED CONTRACTOR RESIDENTIAL CR C041914 ROOFING CC C041312 FINANCE UCENSE HC 0002447 FAX 11538-8768 .1f" : ~... . J tj.fll ~~""~ PRODUCTS DIII/S/O~ 6290 147th Avenue N.. Clearwater, FL 34620 PINELLAS 539-0339 STATEWIDE 1-800-771-3777 -:~':-;'~~ . ,....,..k-r '~'.,'(""~. J!j +3 - , . ,.. " - ~ -~ ,... DATE *, -:.~." ~~ ::5~f/ . "-''''"'. ... . k_ ..^ _. PHONE ,. ~I').., ~ ss. t7~- eJ~.~D.l-1 -;::t: A/ 5 vi /..;/10 ;J;tJ 7/ t? ~( Gl:{') 70 ru../<-IJtsl. J..A. ~~ A:. )- /H/,-,.Td-/!f'-.5 771. IJ.J~/~ t:' ~ ~lCL.S'lAJ6- pt.etlft. .~F-ro tutf:LL. ~p.e, -6e>f~~r- IJJ ....<I'filAJ 6 UJJa/r, .' /f.poFfi-<J.eL a, o-eJ<-~ vt/.:itc- -X/a Gu-i!~. 'Y" E'.ua Cw -, ~ JfA~ lJ.,Je ~(I ~~~/JJa.,1A- ~&u~_ .., ":",;, -- ~ \ 5-)1'/& 7/,;t/ /' ~t7~:" WE PROPOSE hereby to furnish materiai and labor - complete in accordance with above specifications, for the sum ot ~ii~Li ~1Ju;cl ~ ~ >s AV~j~LLARS($ /r.?;[e.9. ). PAYMENT TO BE MADE AS FOLLOWS: 1.) .If this instrument is referred to an attDrney for collection or enforcement, the maker agrees to pay a reasonable attorney's fee, plus court costs. If the maker is delinquent for a period of ten (10) days in the payment of any installment hereunder. the holder hereof may collect, and the maker agrees to pay, a delinquency charge, such charge to be 5% of the amount of the installments delinquent. 2.) Uquidated damages: Actual damages for breach of the contract prior to commencement of work are difficult to ascertain, the parties agree as follows: (a) Prior to commencement of work or furnishing of materials, Ten Percent (10"/0) of the cash price stated in the contract will be considered as liquidated ""'---- damages. and not as a penalty or forfeiture. (b) Once labor, services and/or materials furnished. Homecare will be entitled to actual damages upon Purchaser's breach of contract. plus 10"/0. 3.) This contract is not binding on Homecare unless accpeted by an officer of Homecare. 4.) No oral modifications will be made except in writing and signed by both parties. 5.) This contract is binding upon the heirs, administrators, and successors of the estate. 6.) Your signature on this contract gives Homecare permission to check your credit. BUYER'S RIGHT TO CANCEL: THIS IS A HOME SOUCITA nON SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY MAIUNG A NonCE TO THE SELLER. THIS NonCE MUST INDICATE THAT YOU DO NOT WANT THE GOODS OR SERVICES AND MUST BE POSTMARKED BEFORE MIDNIGHT OF THIRD BUSINESS DAY AFTER YOU SIGN THIS AGREEMENT. SIG D HOMECARE INDUSTRIES, INC. c~.() -1-(~ '? .v ~ I~-L r~ ~ V'1 .__. - - __v_v___' ____. ...- ./--- - L_______ v ______ ____l__~__n----v------.-n- __to. , I' r: ~.~~ I!I i ii. --- .---.------..--.+t' t-------.----u i t il . ---------t . ..~~_-..~~,.....~....... - . - ~~"'---'"1 I t , t l f i I t f ~------.l ~.,_.. -..--"- --.-----.- --.----------. I ,. , ...,_-:-.-_.-~--,-.t. r~--....-+----------' .---.--,-..------. --,-- f , v--fij=' - ~--','- --- -----,- + --- 'iI ----------- tit------- ------- ~1- jj 'f It! l , __.u_______ ;i!'~' _v___n. -- 1. .n _____.v....____.._ - . ----,.. f Ii __________ f!~.. ~} ~~.. ----:=~~u- - / VI-iJ . [, '. / ~ ,. r t ~____'u I' II i ., , f I : I I ! ~ ii. - ti' . I I' i I: I' : ~ ~ I - VI f .SO Yf. fu~ ~ '/z- r '---l7' 7 I( i 1 '1,. I -- ">- l-L~ 0- - r---------. u .n ..__. . . . . - --.----- . --/------ I, o ~ ~ ~ "'~ 9 ~\.( j ~l.L \.n 0 ~~ ~ .\ 1'0.- .......... ~ o ~ ~ --- ~ "- c- o~ - J - - co( '""'"" 00 ~ &I \J .~ - CQCS. ::t:: ~ 1.) '''' - so ~ .'s~ ~ ~ C2:- - -~ -= ~~ ~ .:::- - ~'0 \ .... :::s-4 \. "V' ~ ~ c-- APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT APPLICANT I!o~ Ca,(~ 'i(~ " /- ~ CX)r7'7/- ~ 777 34620 5pHbNf:339. ADDRESS 6290 147TH AV N. MERVIN THOMPSON OWNER CLEARWATER 5134 19TH ST JOB LOCATION LOT SIZE X ". SUBDIVISION fr1 /.t LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL 1. D , ~t l/..Jt::, -;:l\ - Dol '0 - ::; not> 0 --- 1">rJl ~~ {..h flir\ fU,. .' (S' 'JV\f4 ':<1'- WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install _Sign/Temp. _Sign _Move ~emolish PROPOSED USE: _Single Family ----l1/ F _~t of Uni ts _----l1/H _Commercial ---:.,..Indust, ~Swim. Pool Other ~estaurant & Health Department Approval BUILDING $IZE: X . Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQUIRED, PERMITS REOUESTED $1675.00 _BUILDING $ Valuation of Total Construction _ELECTRICAL AMP Service Florida Power Corp. _W.R,E.C. ----l1ECHANICAL $ valuation of Mechanical Installation _PLUMBUfG .. '. . . GAS ROOFING SPECIALTY. . TYPE OF CONSTRUCTION: _Block _Frame _Steel Other ... ':~ '","; FINISHED FtOOR ElEVATIONS: FT, ,- ';":: . ;~., :.' .~y ~':' ,f. ,". ,,", , ****************************************** CONTRACTOR SD~ARE IND. INC. Company CRC 041914 State Cert, or Regist. # City License Registration # ****************************************** JOHN RICH BUILDER Signature l ET.F.CTRICT AN ' , Sismature Company State Cert, or Regist, # City License Registration # ****************************************** Company State Cert, or Regist, # City License Registration # ****************************************** PLlJMRER Signature Company State Cert, or Regist, # City License Registration # ****************************************** MECHANICAL Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this per.it .ay be subject to "deed restrictions" Nhich .ay be .ore res\rictive than City regulations, The undersigned assu.es responsibility for co.pliance with any applicable deed restrictions. , . , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ONner has hired a contractor or contractors to undertake work, they .ay be required to be licensed in accordance Nith state and local regulations. If the contractor is not licensed as required by law, both the ONner and contractor .ay be cited for a .isde.eanor violation under state law. If the ONner or intended contractor are uncertain as to what licensing require.ents .ay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (813) 788-6611. Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractor!s) sign portions of the 'Contractor Sections" of this application for Nhich they Nill be responsible. If you, as the ONner sign is the contractor, you are indicating that you, rather than the contractor, are responsible for the work, If the contractor Nishes you to sign as contractor that .ay be an indication that he is not properly licensed and is not entitled to per.itting 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 laN - Ho.eoNner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. 1f the applicant is so.eone other than the 'oNner', I certify that I have obtained a copy of the above described docu.ent and pro.ise in good faith to deliver it to the 'owner' prior to co..ence.ent. " ~ , 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 co.pliance with all applicable laws regulating construction, zoning, and land dev,lop.ent. . Application is hereby .ade to obtain a per.it to do Mork and installation as indicated. I certify that no work or installation has co..enced prior to issuance of a per.it and that all Mork will be perfor.ed to .eet standards of all laws regulating construction, City codes, zoning regulations, and land develop.ent regulations in the jurisdiction. 1 also certify that 1 understand that the regulations of other govern.ental agencies .ay apply to the intended Mork, and that it is 'Y responsibility to identify Nhat actions I .ust take to be in co.pliance. Such agencies include but are not li.ited tp: I Depart.,nt of Enviton.ental ReQulation - Cypress Bayheads, Wetland Areas and Environ.enta!ly Sensitive lands, Water/Wastewater Treat.ent f Southwest Florida Water "anaqe.ent District - WellS, Cypress Bayheads, Wetland Areas~Altering Watercourses f Ar.y Corps of EnQineers - Seawalls, Docks, Navigable Waterways f Depart.ent of Health L Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks f US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.', it is understood that a drainage plan addressing a 'co.pensating volu.e' will be sub.itted which is prepared by a professional engineer registered in the State of Florida prior to per.it issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or i set aside any provisions of the technical codes, nor shall iS5uance of a per.it prevent the Building Official fro. thereafter I. requiring a cDrrection of errors in plans', ,construction, or vIolations of any code. Every per.it iS5uI!d shall becote invalid k}l\' unless the work authorized by such penit is co.tenced wUhil1 six .onths of issuance, Dr if work author i 1e~by'the per.it i~' ~:i'\,l' 1 suspended Dr abandoned for a period of sixlonths after the tite the work, is cOlaenced. One 90 day extension of tite, ~ay .,~,,: ': allowed for the per.it with fee charge of $15.00. The extension shall be requested in writing to the Building Official: ~;~n ;,', ' approved inspection lust be logged during each six .onth period,or the project will be considered abaudoJied. :',',' . ,:f f . , ' i ..\ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF 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 NEED TO RECORD AND POST A "NOTICE OF COMMENCEM T". ~ SIGNATURE_J.11~~~~~__j______ OWNER OR AGENT ::::~~-~~-~:-___4~~J'~__----,z;:-- ,:------- OWNER OR AGENT ~ MY COMMISSI N :XP~~:~~~_~~~~~~~~~~~~ MY COMMISSION SIGNATURE..:___