The URL can be used to link to this page

Home My WebLink About91-1774 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Permit :N~ 1774/1 () . c Date / - //- // Type of Permit B~_ Properly owners~ame: ~~':~ ~ Job Address: ..~ 3/ R ---"-/Yl ~ __:t!l, ( Legal Description: Sub.Div. EL~l'L PL~ C~EC~~~ Lot Blk. Zoning CI: Description of Work (~-\ l<17d'j) (/;/AI7A A j? _/';'Af 7 =+ (7 L/'__ --.} L1C-T Complete Plans, Specifications and Fee Must Accompany Application Energy Code Readout: Estimated Cost: ;) / GJ ' , 0-1..; OCCUPATIONAL LICENSE # c2- A-Ie !cft/it.., / Fee: 30r SIGNATURE 'J~ /' COMPANY ADDRESS TELEPHONE # n~c; , ~ All work shall be performed in accordance with the above and all City Codes and Ordinances. ~ SLB Tub Set Water Sewer Final .~ ' - ,X e /76 c; /-= ELE~L " .41.",,~ (~CHA~I AL ~. '------.--- Tp.Serv , Rough In Meter Can Const. 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 ten (SIO.OO) 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 ~ t-I ~' /J . ':; _ r //" . ~7/7l).'-1~~,/J1-;~ l 3399 S. Hwy. 301 Dade City, FL 33525 (904) 567-6224 -.uoII DOI.LAR 8lIY1111O__ S o L D FOR ALL YOUR APPLIANCE NEEDS S H I P T o 6 7~Yf~ /. HOME 7V - 2. 9 3'1 OFFICE / erE OF ORD9: l:ASH I C.O.D. I FINANCE CO. COMMERCIAL CHG. CREDIT CARD INEXT PURCHASE ISA~) r." -4 - / I'SPECIAL \ . '/t!;.;-/-; () JJ -d)r.l A""~ } . I ,,/___ _. ~ ~- INSTRUCTIONS ,<'';'' /) A: ~/ ,;;'.fl- '1"" /'... . / J':;; OTY. MODEL NUMBER AND DESCRI~I(~N SERIAL NUMBER AMOUNT 1-/ ') '/ l? () /......, /--- . / I f~/\J n xv' ") /) L/ fj) Or;) r ~ e-/jJf)jc/ / I' I '--' DELIVERY INFORMATION SERVICE PROTECTION VINYL FLOOR I STAIRS MOBILE DATE DELIVERED DELlVEFIY CHARGE HOME SOURCE DOOR SWING TIME SUBTOTAL 2D ,j () /1 () TRADE IN MODEL SALES TAX )? 1./ /) DELIVERED BY f TRADE IN SERIAL G.O,D. AMOUNT TOTAL I EXTENDED SERVICE PROTECTION NO. I HOME DEPOSJ]i I-- MOS. SHOP - MIN SIN BAL.ANCE ~ I?J /,L- L/I MIN SIN 'r 7 - .1 / ALL SALES ARE FINAL. DEPOSITS NON REFUNDABLE J;f "-i /,,[2- 1-. J i) TERMS AND CONDITIONS HEREBY ACCEPTED, TERMS A FINANCE CHARGE OF 15', DIRECTIONS .-L... PER MONTH WILL BE ASSESSED ON ALL UNPAID ACCOUNTS AND ARREARS ANNUAL >.r , PERCENTAGE RATE OF 18% ALL MERCHANDISE REMAIN PROPERTY OF SONNYS / DISCOUNT APPLIANCE, INC UNTIL PAID IN FULL AND STAND AS SECURITY FOR THE OUTSTANOING BALANCE SHOULD IT ~ECOME NECESSARY TO PROCESS SAME FOR COLLECTION I HEREBY AGREE TO PAY REASONABLE ATTORNEY'S FEE AND COST OF THIS COLLECflON FOR SONNY'S DiSCOUNT APPLIANCE INC Received Bv 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 28708 HOME OFFICE CUSTOMER ~ITAJ.L( APPLICATION FOR PERI-lIT "^ n,~ ~/) CITY OF ZEPIIYR:nLLS I~~ ~ING DEPARniENT HONE ~~Z-...... 2-9 '? 9 .. ' APPLICANT ADDRESS " OWNER JOB LOCATIO~_~~~ LEGAL DESCRIPTION: LOT(S) ~.-. ~d'V~- LOT SIZE x AREA SQ. FT. BLOCK SUBDIVISION WORK PROPOSED:____New Construction ~Addition ~1r~~ ____Alteration ____Repair ____Ins 1 PARCEL 1. D. ~~ ____Sign/Temp. ____Sign _~love _Demolish PROPOSED USE: ~Single Family ~M/F _f~ of Uni ts , .____1'1/ H _Commercial _Indust. ____Swim.. Pool Other _Restaurant & Healt~ 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 FORr-lS.** **COPY OF CONTRACT REQUIRED. :pERMITS REOUESTED ____BUILDING $ Valuation of Total Construction ____PLUMBING ,b AMP ~ervice $ 3! ,/0, rJ () GAS Florida power Corp. _H.R.E.C. ____ELECTRICAL ~CHANICAL Valuation of Mechanical Installation ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block · _Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature ~ONTRACTOR SECTION Company State Cert. or Regist. # City License Registration D ****************************************** nlJ1LDER Sif"l1ature Company State Cert. or Regist. D City License Registration D ****************************************** ELECTRICIAN Signature Company State Cert. or Regist. ~ City License Registration D ************************** PLUMBER Signature *1(")'(....(-{:-.:,*.;:--::*oJ:-!:...';~r: 3. 1 j~~j"'-" -S.*~!4Ql.-"?)C4. r Regist. f! I/?~A (9~jljf/ t::; d. City License Registration!i :? ****************************************** " Signature Company State Cert. or Regist. 0_ City License Registration # OTHER APPLICATION APPROVED BY *************~*************************i' 57 tt-1'L<' Act' '""" '" "i'~)- , .1 PERl-lIT OFFICER. ,. CONDITIONS~OP.PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS Tht,undersigned understands that,this perDit lay bl sub~ect to "d~ed restrictions' which ~ay b~ ~ore restr,ictive than City regulations. The undersigned aSSUlll1!5 responslblllt{;for;,col!,llance with any applicable d~~d restridions. ../,- . " B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~S If the owner has hired a contractor or contractors to und~rtak~ work, 'they lay b~ required tu be licensed in accordance with stlte and local regulations. If the contractor is not licensed as required by law, buth the owner and contractor ftay be cited for a .isdeaeanor violation under state lall., If the owner or intended contractor are uncertain as to what licensing require.ents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills ~uilding Departaent, (8131 788-6611. Furtherlore, if the owner has hired a contractor or contractors, he is advised tu have the contractortsl 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 provi'ded with a copy of "Florida's Construction Lien Law - Ho.eowner's Protection Guide" prepared by the Florida Depart.ent of Agriculture and Consumer Affairs. If the applicant is sOle6ne other than the "oHner", I certify that I have c,btained a, copy of the above described dc,cul1lent and prc.rrlise in gc,od faith to deliver it to the "owner" prior to co..encelent. "' : t. .~ ,:~~" \. I. ; : E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the infDrmation in this application is accurate and that all work Hill be done in coapliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a permit t~' do work and installction as indicated. I certify that nD work or installation has cOllllenced prior to issuance of a per.it and that all work Hill 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 ~ay apply'to the intended wDrk, and that it is IY responsibility tc. identify Hhat actions I lust take to be in compliance. Such agencies include bllt ,'1 e liot liaited to: . "...#- . I Departlent Df Environmental ReQulation - Cypress Bayheads, Wetland Areas and Environmentally Sensi tiv~ Ldnds, Water/Wastewater Treatment I Southwest Florida Water' ManaQelent District - Wells; Cypress Bayheads, Uetland Areas, Altering HatercDurses f Army Corps ~f EnQineers - Seawalls, DDCks, Navigable Waterways I Departlent of Health ~ Rehabilitative Services. Environmental Health Unit - ~ells, \JasteHater Treat~e~~. Septic Tanks I US Environaental Protection AQency - Asbestos abatement I alsD certify that, if fillaaterial is tD be used in Flc,od Z(lne "A" or 'A,etc.', it is understc,c,d th~t a drainage plan addressing a 'CDlpensating vDlulc" Hill be sub.itted which is prepared by a professional engineEr registered in the State of Florida prior tD permit issuance. A perlit issued shall be cDnstrued to be a license to proceed with the Hork and not as authority to viol~te, cancel alter, Dr set aside any provisions of the technical (odes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correctiDn (,f errors in plans; cDnstructic.n, c,r violations of any code. Every per~it iSSIIEd ::hall becole invalid unless the work authorized by such penit is cC'lIIenced Hithin six Illonths of issllance, or if Hc.rk authcOlI,ed by the perait is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:tensiol\ of tiae, aay be allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectic.n /!lust be lc.gged during each six Ilonth period, c.r the prc.ject will be cc.nsider!?d dballdoned. 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~~O~~ S!GNATURX_~T~5!2~~_- ::::~~_:~_~~~~,,_'L._~L ---C;T:--~.--- :::::~-::-~~J7;---~- ~----~---,- OWNER OR AG'ti~___-- ~ CONTRACTO~4"~_'~' , -.. ~ ~ ~~~- MY COMMISSION EXPiR~~~_1~~4~~f~~-~--- MY COMMISSION EXP~~~~~~~~~!.~-~~~-- ., -Wllln fir: . ICIlI' nc. 10.. Iolld.d '~'U T.~ ~'res Nov. 30, J993 u'n. 'nturanee In:;. .