HomeMy WebLinkAbout91-1584
ST ATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
1-813-788-6611
Permit N~
1584-~
E~ ~G ME~AL
Property Owners Name: 0.o~ ~~
S~~O \'l'i'}I W'
Date "'" /:J - 9/
Job Address:
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
:&J1001't\ rlN'---ll-,~~ ~
Energy Code Readout:
G''2...
Complete Plans, Specifications and Fee Must Accompany Application
i
Estimated Cost: d D>D ()
Fee:
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
3D~
COMPANY
ADDRESS
TELEPHONE #
Ftr.
Pre SLB
Lintel
FRM.
Insul.CL
WL
~/
ME NICAL
Tp.Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
Breakers
Ducts Insl.
Compressor
Final
Driveway
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of' It 18.99)
dollars shall be made for each csi;r. -r ra.- cLe. (/6: t/1))
(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.
~)
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
" .
1-" 'l (;1.J- 77/ - ~ -)'77 .
APPLICANT
# /k.<.. C"-4/Ct-.
:,:~~".
ADDRESS 6 290 147TH AV N.
VERNON TAYLOR
CLEARWATER
34620 PHONE 53'9-0:nQ
OWNER
5220 17TH ST
1 76
'.
AREA SQ. FT.
A4!/S~ -
JOB LOCATION
LOT SIZE
x
LEGAL DESCRIPTION: LOT(S) BLOCK
PARCEL. I.D.tl.ll-J h ,-)1 -(0) D - J b I ~C> - Of] l:>
SUBDIVISION
~ ,e-'-e'"\ 'j n Pc t'ch
WORK PROPOSED:____New Construction ----Addition ~lteration ----Repair ____Install
_Sign/Temp,
____Sign _Move
~emolish
PROPOSED USE: ____Single Family
---->t/F .-~tl of Uni ts
_~/H
____Commercial
---.:...tndust, ~Swim, Pool
Other
____Restaurant & 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.
PF.RMITS REOUESTED
$2000.00
'Valtiation.of.Total Construction
____BUILDING
$
;., J "
____ELECTRICAL
AMP Service
,r-Florida Power Corp.
_W.R.E,C.
:~~~~~i,~ ~
~ECHANICAL
____PLUMBUlG
$
Valuation of Mechanical Installation
....
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: ____Block ____Frame _Steel
Other
FINISHED FLOOR ELEVATIONS: FT,
Signature
******************************************
CONTRACTOR SECTION
Company HOMRCARF. TNn TN('
State Cert. or Regist. 4~ C'RC' 0.11914
City License Registration #
******************************************
BUILDER JOHN RICH
f
ELF.CTRTClAN l
Si2Ilature
Company
State Cert, or Regist, #
City License Registration #
******************************************
Company
State Cert. or Regist, #
City License Registration #
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
Company
State Cert. or Regist, #
City License Registration #
OTHF.R
Signature
******************************************
APPLICATION APPROVED BY
PERMIT OFFICER.
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CRC041914
CCCCJC.1312
- HCOOOZ447
,_._._,--- - _.~ ...-- -~.~.._~
STATEWIDE 1-800-771-3777
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DATE
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PHONE
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WEPROPOSEherebyta furnish material and labor - complete in accordance witIl above specification~ forthesum ot
'-rz;,c;p ~C1u..rA'~' j)Dt/A-~r - DOLLARS ($ ;<1 oo:'!- ).
PAYMENT TO BE
~5il--
1.) "If !his instrumentisref8rred to an atIOmey for collection or enforcement. the
maker agrees to pay a reasonable auamey'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 holcler her80t may collect, and the maker agrees to pay, a
delinquency charge, such charge to be 5% of !he amount of !he installments .'
delinquent.
2.) Uquidatsd damages: Actual damages foF breach of !he 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%) 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 100/0.
3.) This contract is not binding on Homecare unless accpeted by an officer of
Homecare.
4.) No oral mocifications wiY be made except in writing and signed by both
parties.
5.) This contract is bincing upon the heirs, administrators, and successors of the
estate.
6.) Your signature on this contract gives Homecare permission to check your
credit
BUVER'S RIGHT TO CANCEL: THIS IS A HOllE SOUCITAnON SALE. AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY
CANCEL THIS AGREEMENTBV IIAlUNG A NOTICE TO THE SELLER. THIS NOnCE MUST INDICATE THAT YOU DO NOT WANT THE GOODS
OR SERVICES AND MUST BE POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS AGREEMENT.
SIGNED
HOMECARE INDUSTRIES, INC.
SIGNED
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