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Home My WebLink About91-1772 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1.813.788-6611 Permit )f~ 1772 Iv! Type of Permit Date-5I-/I- Y/ B~,.. '~CAL PL~ ~~~_~ICA~ "---:;:-.J .;' Property Owners Name: f) , IT ,~-4V>L Job Address: /:;/ 0 5-. - ,,-2 c) ,2~ -#" Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work A/(/' / (~_CLV ~r (/ \.l Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application OCCUPATIONAL LICENSE # cl A-/c-, / Fee ,)) ';-. ~ SIGNATURE . " COMPANY ADDRESS TELEPHONE # ~~/~ Estimated Cost: / t:1 II J7.....J , All work shal! be performed in accordance with the above and all City Codes and Ordinances, EL~AL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final , '~HA"~ (MECHA CAt--:: ------, ,-,----------- ~ 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 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. APPLICATION FOR PERI-lIT CITY OF ZEPHyronLLS BUILDING DEPARTHENT ADDRESS \' . I~ K ( c h c t f.e to <) '):~) ,:i?~' PHONE ~~r c;{v:V "7t~ '/H7 APPLICANT , OWNER " JOB LOCATION LOT SIZE x AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL I. D, tt WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install ____Sign/Temp. _Sign ____Hove ____Demolish PROPOSED USE: ~Single Family ~M/F _~t of Uni ts . .____M I H ____Commercial ____Indus t . ____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 FORHS.** **COPY OF CONTRACT REQUIRED. :EBRMITS REOUESTED ____BUILDING $ valuation of Total Construction _ELECTRICAL LMECHANICAL AMP Service Florida power Corp. _H.R.E.C. $ t ~ {( f )- () Valuation of Mechanical Installation _PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT, ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. # City License Registration a ****************************************** BUTLDER SiO'nature Company State Cert. or Regist. a City License Registration j~ ****************************************** f.J.ECTRTCTAN Signature Company State Cert. or Regist. # City License Registration fl ****************************************** PLUMBER ::::::::J.A $ } Company State Cert. or Regist. 0 ~~~~~ City License Registration ** *** *********** ***** * * 'it ** * 'it 'i: * ,':;: *,~ * ,,: * *;: 1, r 5' 0 /1/;(, /'-1 .5 f<. }?^C/ 0 J f; 4: f& ( IF -tI '1- Signature Company State Cert. or Regist. a City License Registration a QTHER APPLICATION APPROVED BY **************~J************************* /1 '''L1AP--<~ ~A'L-, r , - PERtHT OFFICER. CONDITIONS;O~iP~RMIT AFFIDAVIT NOTICE OF DEED RESTRICTIONS .'. " A. Tht.und~rsigned understands that this perlit .ay be sub~ect io 'deed restrictions' ~hich ~ay be ~ore restr.ictive than City regulahons. The undersigned assumes responsibility;;for,..colpHance with any applicable deed restrictions. , " ,ll',> " . . E. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, 'th,ey lay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by la~, both the oltner and contractor ~IY be cite~ for a lisdeleanor violati~n under state law.; ..If the owner or intended contractor are uncertain as to what licensing requlrelents lay apply for the lntended work, they are advised to contact the City of Zephyrhills Building Departlent (813) ?BB-bbll. ' , ' 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 which they will be responsible. If you, as the o~ner 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 and is not entitled to perlitting 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 - HOleowner's Protection Guide' prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is soteone other than the 'owner', I certify that I have obtained a,copy of the above dl!scribed dc'culllent and prorr,ise in g[.od faith to deliver it to the 'owner' prior to cOllencelent, .. - ,_~~, 't ,~? ", I, : : . E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning, and land developDent. '.. ,- Application is hereby lade to obtain a perlit to'do "ork and install~tion as indicated. I certify that no work or installation has cOltenced prior to issuance of a perlit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies r,ay apply' h. the intended work, and that it is IY responsibility to identify what actions I lust take to be in compliance. Such agencies include bill ~\ e m,t liaited to: . ~.~ . I Department of Environmental ReQulation - Cypress Bayheads, Hetland Areas and Environmentally Sensitive lands, Hater/Wastewater Treatment I Southwest Florida Hater'ManaQelent District - Wells; Cypress Bayheads, Wetland ~reas, Altering HatercOUTses I ArlY Corps .of EnQineers - Seawalls, Docks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services, Environmental Health Unit - Hells, HasteHater Trl!at~En~, Septic Tanks I US Environaental Protection AQency - Asbestos abatement I also certify that, if filllaterial is to be used in F}c.od Zc,ne '~' or '(\,etc.', it is underst[.[.d \1,~t a drainage plan addressing a 'colpensating voluae' will be sublitted which is prepared by a professional engineer regi5t~red in the State of Florida prior to perlit issuance. A perait issued shall be construed to be a license to 'proceed with the Hork and not as authority to violate, cancel alter, or set aside any provisions of the technical'codes, nor shall issuance of a permit prevent lhe Building Official fro. thereafter requiring a ((Irrection clf errors in plans; construction, or violations of any code. Every per~it iS511l!d :obill becc'le invalid unless the work authorized by such perait, is co.menced within six months of issuance, or if H01'k authDI Ized by the per.itis suspended or abandoned for a period of si~ lonths after the tiJe the work is commenced. One 90 day e:lensioll of tile, lay be allowed for the per~it with fee charge ~f' $15.00. The extension shall be requested in writing to the Building Official. An approved inspectic.n /lust be Ic,gged during each sh lonth period, c,r the pn,ject ~i II be cc.nsidered ilballdc,ned. ., ' WARNING TO OWNER: YOUR ~AI(URE 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 $21500 IN VALUE ::G:A:T _ __~~__~:c~-~:--~: ~~~~TICS:G:~TU~:~~~~fl7~--- DATE___~________:::::~:~:t~l----_.---~--- DATE___________~:~~:ORqJ------------ ~~~~:YO~SA~~N~O-~ ~g~~~~c~~~ -- ~ MY COMM1SS10N EXP1~~~4~~---- MY CDMM1SSION E~IC "~--~~~~- Itr Commission bpiretNov. 30, 1993 =~:~r~~;~es Nov. 30,1993 '- 8ol1ded Th.v "0, fo.n. '",v'oneo Ino:. ' -, o,"'/n.urone. 'no. ~ ."" 8&UOIIfDCIUAII__~ )"' t ~; r.to ..., L.. 'aA ~~--AL .'-,,,.; "~ .::'V~,<.rr~rH:; 301 l: ~) 'Dade City, FL 33525 , (904) 567.6224 '.. "'~l FOR ALL YOUR APPLIANCE NEEDS S H I P T o HOME ~? HOME / s o L D T DATE OF ORDER CASH SPECIAL INSTRUCTIONS QTY. VINYL FLOOR SOURCE MOBILE ,HOME DOOR $WING TIME DATE DELIVERED TRADE IN MODEL TRADE IN SERIAL DELIVERED' BY C,O,D, AMOUNT EXTENDED SERVICE PROTECTION NO. MOS. M/N SIN MIN SIN ALL SALES AilE 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 18%, ALL MERCHANDISE REMAIN PROPERTY OF SONNY'S 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 FlEASONABLE ATTORNEY'S FEE AND COST OF THIS COLLECTION FOR SONNY'S DISCOUNT APPLIANCE. INC, Received Bv :" . ~""" All claims and returned gO~da '!lUST be8ccompanled, b~ lhla bill, TERMS AND CONDITIOf4e ACC:IOPTED, MIRCHANblSE RECEIVED IN GOOD CONDITION AND ALL PROPERTY LEFT IN 0000 CONDITION, ' Received By .,,~ ~;Z '. 'jo . ~ ...' " ".. .4"'. "'.. ",. >.~" <<<r. , f"'.. OFFICE "'EXT PURCHASE ". HOME:. ,;, ,...~ SHOP --;;'!,,' ~~. ;~;- t DIRECTIONS . , ,~;~-~ , 1 - ~_~"'._' t..,-,..... ..--:;. . "~1 :;....._::~'.,:..'l'~1i.:: ;~:r..r:::;:;::':;'=r'-"-1-' ;ll:ii;-,..- ;r'~,.' ~ ':;j .-i;'<',' ;"t~,~!",~,-- . ' CUSTOMER 28714