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Home My WebLink About91-1758 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit N~ 1758/)( (1 ,- Ie - (/1 Date Type of Permit "~''''~, BUILDING /'~-" ELE~ P~NG (~~CHANICAL) Property Owners Name: Job Address: ,~ gj~~:~{7!lfLS7 ~0cL Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work {} ~ "Z;-<- ~~ ~. . -IIQAI~ Complete Plans, Specifications and Fee Must Accompany Application Energy Code Readout: Estimated Cost: ~-//).- . Fee: c;<O' E:tL- All work shal! be performed in accordance with the above and all City Codes and Ordinances, ,/...,-::> " .--?'. ,/ SIGNATURE~I _/~-I!~ ;;:~ COMPANY ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # ~ BlJlLQJNG . .",...-""'. ELECTRI PLUMBI SLB Tub Set Water Sewer Final -.......-.. Ftr. Pre SLB Lintel FRM. Insul.CL WL Tp.Serv, Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Driveway Reinspections: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($10.00) dollars shall be made for each trip. (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. ~ h:f;;01 Dade City, FL 33525 (904) 567-6224 -.uoII~~POMIII s . _ ~' . FO~ ALL ~O~ AP~~IANCE NEEDS o ~~~~P~~'-H ~ ~;t~ r :d~~. : a _ ~ _ 0 HOME 7Y'2-- -._.)"~L/,jOFFICE HOME OFFICE NEXT PURCHASE SERIAL NUMBER AMOUNT trU <II SOURCE TIME SERVICE PROTECTION DELIVERY CHARGE SUBTOTAL SALES TAX TOTAL DEPOSIT BALANCE DUE DELIVERY INFORMATION VINYL FLOOR STAIRS MOBILE HOME DOOR SWING DATE DELIVERED TRADE IN MODEL DELIVERED BY TRADE IN SERIAL C,O,D, AMOUNT M/N NO. MOS. SIN HOME SHOP EXTENDED SERVICE PROTECTiON M/N SIN ALL SALES ARE FINAL DEPOSITS NON REFUNDABLE TERMS AND CONDITIONS HEREBY ACCEPTED. TERMS: A FINANCE CHARGE OF 1.5% PER MONTH WILL BE ASSESSED ON ALL UNPAID ACCOUNTS AND ARREARS. ANNUAL PERCENTAGE RATE OF 16%. ALL MERCHANDISE REMAIN PROPERTY OF SONNY'S DISCOUNT APPLIANCE. INC. UNTIL PAID IN FULL AND STAND AS SECURITY FOR THE OUTSTANDING BALANCE SHOULD IT ilECOME NECESSARY TO PROCESS SAME FOR COLLECTION, I HEREBY AGREE TO PAY REASONABLE ATTORNEY'S FEE AND COST OF THIS COLLECTION FOR SONNY'S DISCOUNT APPLIANCE INC Received 8v DIRECTIONS 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 28711 nn"~INAI APPLICATION FOR PER!'l'IT CITY OF ZEPIlYRHILLS BUILDING DEPARTl'1ENT APPLICANT f~ {(/h/A;L?lV~ ~__~_/JJ . ADDRESS 9'6' . _ J~_. -p... &ve -:2 JI"'~1I0NE :/l(> '2- - )~ y 'S - OWNER ~ A-U~ A.,.-).- --ut~ JOB LOCATION <" ~/J/1T1,,"- A~ /a,j...c~- LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ WORK PROPOSED:____New Construction ~Addition -____Alteration ____Repair ____Install ____Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ~Single Family ~M/F ____~~ of Units , .____1'1 I H ____Commercial _Indust. _swim. Pool dy~~ .;x. Approval . ~ _Restaurant & Health Department 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 fORl'lS.'.H: **COPY OF CONTRACT REQUIRED. ~ERMITS REOUESTED _BUILDING $ valuation of Total Construction _ELECTRICAL ~CHANICAL AMP Service Florida Power Corp. _W.R.E.C. $ ~'fJ[) I 0 l'>_Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY ... . . , TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR 0ECTION Company State Cert. or Regist. n City License Registration 0 ****************************************** DUTLDER Signature Si!Znature Company State Cert. or Regist. 0 City License Registration # ****************************************** ELECTRTCIAN Signature Company State Cert. or Regist. 0 City License Registration 0 ** **** * * ************.** **'1, ** i*1, ,', ,:i 1, ':, .:: 1: 1: 1: 1: 1:,~ 1: PLUMRER , MECHANICAI~ Compan .- . ' State Cert. r Regist, 0 Signaturex ~ <I .;,., . City License Registration 11 .. .. .. ::f.'l.::!........******.......,..,******'** APPLICATION APPROVED BY' QTHER il Signature ../' PERtlIT OFFICER. CONDITIONS~O~iPERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,undersigned understands that this permit lay be sub3ect to "deed restrictions' which ~ay be ~orc rcstr.ictivc than City rl1guhtlons. The undersigned assumes responsibility:;fori.,colpliance with any applicable deed restrictions. ~ ~ ,1/. . ,. " . B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the ollner has hired a contractor or contractors to undertake work, 'they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the o\!ner and contractor nay be cited for a Ilisdeaeanor violation under state lall., If the oltner e'r int,ended contracte.r are uncertain as to what licensing require.ents lay apply for the intended llork, they are advised to contact the City of Zephyrhills ~uilding Departlent, {B131 7B8-6611. Furtherlore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor(sl sign portions of the 'Contractor Sections' of this application for IIhich they lIill 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 lay be an indication that he is not properly licensed ~nd is nDt 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 lIith a copy of 'Florida's Construction Lien Lalt - HOlleoltner's Protection Guide' prepared by the Florida Department of Agriculture and Consuller Affairs. If the applicant is sOlleone other than the 'oltner', I certify that I have elbtained a, CDPy of the above described de,cullient and prc,rr,i"e in ge.od faith to deliver it to the 'ollner' prior to co.~ence~ent. ~ \,'; r:.. t,. I ; '~ E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all ~or~ Itill be done in coapliance with all applicable lalts regulating construction, zoning, and land development. Application is hereby ~ade to obtain a per.it to'do work and install~tion as indicated. I certify that nD Itork or installation has co..enced prior to issuance of a permit and that all work Itill be performed to roeet standards of all lalls regulating construction, City codes, zoning regulati~ns, and land development regulations in the iurisdiction. I also certify that 1 understand that the regulations of other governmental agencies ~ay apply to the intended work, and that it is IY responsibility tel identify Ithat actions I lIIust take to be in compliance. Such agc::,cic:s include bllt :.>\ e not liaited to: ... . Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Hetland Areas and Environmentally Sensi tive Ldndsr Water/Wastewater Treatlllent f Southwest Florida Hater'ManaQement District - Hells; Cypress Bayheads, Hetland Areas, Altering Hatercourses I ArlY Corps ~f EnQineers - Seawalls, Docks, Navigable HaterHays I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - Wells, IJastewater Treat~en~. Septic Tanks I US Environeental Protection AQenct - Asbestos abatement I also certify that, if fill aaterial is to be used in Flc,od Zone "A" or "A,etc.', it is underste.[.d lIdt a drainage plan addressing a 'colpensating volule' llill be subtitted Ithich is prepared by a professional engineer re~ist~led in the State of Florida prior to permit issuance, A per.it issued shall be construed to be a license to proceed with the Itork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official frolft thereafter requiring a correction e,f erTDrs in plans; construction, e,r violations of any code. Every per~it iSSlled "hall beee,le invalid unless the wc.rk authe,rized by such perlllit is celllll\enced llithin six "onths of issuance, or if IH.d: all the" ),ed by the perlit is suspended or abandoned fCtr a period [,f Sill months after the ti:le the llor~ is cc'Menced. One 90 day e'~t",.SiOIl of tiae, lay be allowed for the per~it Itith fee charge of $15.00. The extension shall be requested in llriting to tho Building Official. An approved inspedi(.o /!lust be lelgged during each six month period, [.r the project ~ill be ce.nsidered <lbo\Jde,ned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER1'Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE_~l1m~----- SIGNATURE__Y~~-~ DATE__________31~l1L------------------ DATE_u______"lL!i'!L---------------- NOTARY AS TO p/J ' NOTARY AS TO c;:;:::{; 0 OJ" A__ OWNER OR AGENT~ ~ONTRACTOR-~_~cI'-~ Hotary Public. Stat, of Florida MY COMMISSION EXPIRES___,___~pim"NoYoa9; 199i1Y lcinded Thi-v Troy fQin .ln$Ufance Inee C;MM 155 ION EX P m[~ot~ Public. State offloridCl" ''''Y ;omnllsskSffIXpiresflciY:-30:J993 8o'nJ",d Thru Troy fgin. Inwfonce fn~.