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Home My WebLink About91-1773 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813.788.6611 Permit Nt? 1773 Date ~1-/1- q I Type of Permit BUILr:G ELECT~AL PLU~G ~CH~ Property Owners ':;ame: fYjf~jJ/1 ~ Job Address: .:;9 WI ' /! - ~--, Legal Description: Sub.Div, Lot Blk. Zoning CI: Description of Work Il~ ('~- J~A- d Energy Code Readout: Complete Plans, Specifications and Fee Must Accompany Application 1<1 c) & 0 Fee: t-, Estimated Cost: q 0 5, c) [/ OCCUPATIONAL LICENSE # '1.- SIGNATURE COMPANY ADDRESS TELEPHONE # All work shal! be performed in accordance with the above and all City Codes and Ordinances. Tp,Serv. Rough In Meter C Const. ole Pool Pre- Final ~ -#-2- ~ANICAL Ftr. Pre SLB Lintel FRM. Insul.C WL G L 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.(0) 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. MEMBER OF ~ . . , ~i~~y~ Dade City, FL 33525 (904) 567-6224 -.uoII DOI.LAR 8lIY1111O__ S o L D T FOR A~L YOUEl APPLIANCE NEEDS;/ .--' /' /-f . S /." ~ ~ H. /-:::....~<y; 1..-- ~~ ,I . / ~JiP /,1 // 1)~flf1 T o HOME 7"l -:I -- 71 ~FICE HOME OFFICE / ...... J1 j" DATE OF ORDER I CASH I C.O.D. 1 FINANCE CO. COMMERCIAL CHG. CREDIT CARD TNE:<T PURCHASE ISAL~ ')-/ J ," G / f\ I SPEtlAL ' lJ", ~/tfi ~ -.-,J .-r ~--v,d ~ /1 /JA INSTRUCTIONS /~--. , ~- ~.. QTY. ,~.' , c, MODEL NUMBER -AND - DESC#ION (/. SERIAL NUMBER AMOUNT ~ ,r:? -...J D'2;,j / 9c 17 (){-J / I I : DELIVERY INFORMATION SERVICE PROTECTION VINYL FLOOR I STAIRS MOBILE DATE DELIVERED DELIVERY CHARGE HOME SOURCE DOOR SWING SUBTOTAL 9n ",,- TIME f1 /") TRADE IN MODEL S,~LES TAX ' 5-'-1. 30 DELIVERED BY TRADE IN SERIAL C.O.D. AMOUNT TOTAL , EXTENDED SERVICE PROTECTION NO. I HOME DEP~ MOS. SHOP --- - MIN SIN BALA.NCE~ ~~ "7.(- q in MIN SIN / ../ F .. - ALL SALES ARE FINAL. DEPOSITS NON REFUNDABLE TERMS AND CONDITIONS HEREBY ACCEPTED. TERMS A FINANCE CHARGE OF 15% DIRECTIONS 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, ING. UNTIL PAID IN FULL AND STAND AS SECURITY FOR THE OUTSTANDING BALANCE SHOULD IT >lECOME 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 By 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 28705 CUSTOMER ADDRESS APPL'ICATION FOR PERNIT CITY OF ZEPHYRHILLS ~ v1 L BUILDING DEPARTMENT ./ ,..., N r: ,Y lJ~ IA~ /0 ..... ~ NE 7t:f':2..t--7/yn APPLICANT OWNER '. JOB LOCATION LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ . dt,~,,-&,~ I~~ ____Alt~nEion.~Repair ____Install WORK PROPOSED:____New Construction ~Addition _Sign/Temp. _Sign _Hove ____Demolish PROPOSED USE: ~Single Family ...:..-M/F ____~~ of Uni ts , _____1'1/ H ____Commercial _Indust. ____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 FORl'lS.** **COPY OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ valuation of Total Construction ____ELECTRICAL ~ECHANICAL A1'1P Service Florida Power Corp. _"".R.E.C. $ 90 ?~ cJo , Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY .'*"... . TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR 0ECTION Company State Cert. or Regist. Y City License Registration a *************************************i;**** mHLDER Si!?'nature Company State Cert. or ReGis I:. II City License Regi.stration if ****************************************** ET.Er:TRTr:TAN Signature .~' Company State Cert. or Regist. i~ City License Registration # ************************** ************** PLUMBER Company State Cert. City License Registration ******************************** / Signature Company State Cert. or Regist. 0 City License Registration 0 PTHER APPLICATION APPROVED BY ***Z;:;:~:4(~:~;;:***'*****'** PEmlIT OFFICER. CONDITIONS;O~,PERMIT AFFIDAVIT '.. A. NOTICE OF DEED RESTRICTIONS .... " Th,.und,rsigned und,rsta;dS that this perlit lay be subject io "deed restrictions" which ~ay be ~ore restr.ictive reguhtioM. The undersigned USUII!S responslbil\tf:~or;.collpllance with any applicable deed restrictions. , ',"'. .' '. " B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S than City If the owner has hired a contractor or contractors to undertake work, .they .ay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the ouner and contractor lay be cited for a tisde.eanor violation under state laK.; .If the owner or intended contractor are uncertain as to what licensing requirelents lay apply for the intended work, they are advised to contact the City of Zephyrhills ~uilding Departlent, (8131 788-6611. . .... Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractortsJ 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 lay 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 Law - Ho.eowner's Protection Guide" prepared by the Florida Departlent of Agriculture and Consumer AffaiTs. If the applicant is SOlec.ne other than the 'owner" , 1 certify that 1 have obtained a. copy of the above described de,culllent and promi:e in ge.od fai th to del iver it to the 'owner' prior to cOI~encement, ": 1, . :~~;,. I., ~ ; : ,,- ! E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be dvne in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it t~'do work 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 regulati~ns, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other govern/llental agencies ~Iay 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 b1lt ~l e ne.t liaited to: ... I Departle~t of Envir~nmental ReQulation - cypr~ss Bayheads, Wetland Areas and Environmentally Sensi tive lands, Water/Wastewater Treatment I Southwest Florida Water'Mananement District - Wells; Cypress Bayheads, Wetland Areas, Altering HatercouTses I ArtY Corps ~f Enqineers - Seawalls, Docks, Navigable Waterways I gepartlent of Health ~ Rehabilitative Services. Environmental Health Unit - Hells, IJasteHater Trl!at~en~. Septic Tanks I US Environ~ental Protection Anenci - Asbestos abatement 1 also certify that, if fill laterial is to be used in Helod Zelne "A" or "A,etc.', it is underste.e,d tldt a drainage plan addressing a 'colpensating vol UtI!' will be sublitted which is prepared by a professivnal engineer rl!gist~il!d in the State of Florida prior to permit issuanc!!. A perlit issued shall be construed to be a license to proceed with thl! work and not as authvrity to vivl~te, caneel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro~ thereafter requiring a cc.rrection elf errors in plans; constructicln, or violations of any ce.de. Every pN~it issll~j "hall bece,.e invalid unless the work authorized by such permit is couenced within six llIonths [If iSSllance, c.r if "e.rk atltl'(OII,l!d by the perlit is suspended or abandoned for a period of six lonths after the tiJe the Hork is [Vmmenced. One 90 day l!:te~5iDII of tiie, lay be allowed for the per~it with fee charge of $15.00. The extension shall bl! requested in writing tv thl! Building Official. An approved inspection aust be logged during each ~ix tonth period, or the project "ill be considered db61ldoned. 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 COMMENCEMENT". SIGNATUR - 1/ ~ 4ff~L SIGNATURo/{__Ui~2!:~9!.----- ~ER~ENT CONTRACTOR DATE___~\l~~~--------------------------- OATE_________Cl\~\\~~----------------- NOTARY AS TO ~ (~' CU -. (L ..C\ NOTARY AS TOOl (~OJ ~. () \ OWNER OR AGEN~- ~(~~ CONTRACTOR_~C - c~ ~ "ofary 'ubli St'~ of flilril!1t " Hotary State of Florlctlt MY COMMISSION j{f~~~~~~1~J1~------- MY COMMISSION E~~o~JmU~L~-~J~~- I<fndod Thr. Troy fo'" . 1,.w",,,,.lno;. ftjnded ThN Troy foin .In.u'once In..