HomeMy WebLinkAbout91-1800
STATE OF P-lORIDA
City of Zephyrhills
PASCO COUNTY
BUILDING DEPARTMENT
/;/' 0 - 6rv 1-813- 788-6611
Type of Permit d.. 0 ,CJD
CBUIL~)GECTRIC:-;-:) ~ -C-ME~
/7 J . '1
Properly Owners Name: U" ~~
Job Address: 7/3 Y ~ ------.::~1.) Lz-
Legal Description: Sub.Div. Lot
PermitN~
1800 t3
Date 9-d-~'-? I
ZoningCI: :;>S -;l--s-, dJ ' OO,CO - ~o <) 0 - o.,l 0 0
De:;:r;t:\~~~. ~::-6 <r1€1~:n
Blk.
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
Estimated Cost:
;;/ j) 0 ~ 1TD
OCCUPATIONAL LICENSE ,#~ -3
Fee: 6 (j . uJ-{)
SIGNATUREY,b??- (jn<-t::~-
COMPANY
ADDRESS
TELEPHONE #
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances,
BUILDING
ELECTRICAL
r. 7J ~ I
Pre SLB Cj-1fi~1 ~
Lintel
FRM.
Insul.CL
WL
Tp.Serv.
Rough In
Meter Can
Canst. 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 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 ZEPHYRHILLS
BUILDING DEPARTMENT
ADDRESS
CAR-l
(I3'-f
C ONL t;;;'(
APPLE b.A'-rc
~,OI\J L~ ..../
APPLE~AT2
PHONE
'7~? R- to 5"87
APPLICANT
OWNER C-A (L L
JOB LOCATION~ t 3 Lf
LOT SIZE
x
AEEA SQ. FT.
LEGAL DESCRIPTION: LOT(S)
BLOCK SUBDIVIS ION ALP W. A
OC::>S-O - 00000 - C)'20C':)
~ddition --Alteration _Repair
V'L-L~\2
PARCEL 1. D. tF
'35- '25-2'
WORK PROPOSED:____New Construction
____Install
____Sign/Temp.
PROPOSED USE: ~Single Family
_Sign
_t--Iove
____Demolish
_M/F
_IF of Units
, .____M / H
____Commercial
_Indust.
____Swim., Pool
Other
____Restaurant & Health Department Approval
I
BUILDING SIZE:
<6
x 2.0 ,
\ CoO
Square Feet,
-;.
~I
Height
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.**
**COPY OF CONTRACT REQUIRED.
PERMITS REOUESTED
____BUILDING
$
!I- C9
/ ao -
Valuation of Total Construction
_ELECTRICAL
AMP Service
Florida Power Corp.
_W.R.E.C.
____MECHANICAL
$
Valuation of Mechanical Installation
.... .
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block ~~OFrame ____Steel
Other
FINISHED FLOOR ELEVATIONS: FT.
******************************************
Signature
CONTRACTOR SECTION
, Company Cee-AllVE E:x(€fl..IO~ ~<-
State Cert. or Regis t. IF---L... ~ L 0:3 3' cyz... 4-
Ci ty License Regis tra t ion iF '# 2. r;-:?
******************************************
Company .::1..:d.:t'-. (c... 4. s 5
State Cert. or Regist. iF E~ooil' 0-/7
City License Registrat.ion iF ,c;- ,
*******************************
Company
State Cert. or Regist. #
City License Registration n
******************************************
PLUMBER
Signature
Company
State Cert. or Regist. #
City License Registration #
******************************************
MECHANICAL
Signature
OTHER
Signature
Company
State Cert. or Regist. 0
City License Registration 0
APPLICATION APPROVED BY .~;~..~~~.~;:....~*.*.*.**.*.** PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
.
The ,undersigned understands that this per.it lay be subject to "deed restrictions' which may be more restr,ictive than City
regulations. The undersigned assUles responsibilitf~for, co.pliante Hith any applicable deed restrictions.
, ,
8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the ONner has hired a contractor or contractors to undertake llork, they lay be required to be licensed in accordance with
state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor ~ay be
cited for a lisdeleanor violation under state law. If the OHner or intended contractor are uncertain as to what licensing
require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Depart.ent, (BI3)
78B-6611.
Further.ore, if the Ollner has hired a contractor or contractors, he is advised to have the contractor{s) sign portions of the
.Contractor Sections. of this application for llhich 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 aay be an indication that he is not properly licensed ~nd is not entitled to permitting 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 llith a copy of .Florida's Construction Lien Law - HOleollner's Protection
Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOlec.ne other than the
.ollner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the
.0Hner. prior to cO.lencelent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all Hork will be done in coapliance with all
applicable lalls regulating construction, zoning, and land developDent.
Application is hereby lade to obtain a pertit to'do work and install~tion as indicated. I certify that no Hork or
installation has cOllenced prior to issuance of a per.it and that all work lIill be performed to ~eet standards of all laNS
regulatinq construction, City codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies ~ay apply'to the intended work, and that it is
.y responsibility tCI identify what actions I lust take to be in compliance. Such agencies include bill ~I e ne,t liaited to:
....
Tanks
I also certify that, if fill laterial is to be used in FlCoDd Zone .A. or "A,etc.', it is understc,c,d 11,~t a drainage plan
addressing a 'colpensating volule. "ill be sub.itted which is prepared by a professional engineer regist~ied in the State of
Florida prior to permit issuance.
A A".il i""d ,h.11 b, 'D"""d I. b, . lie,," I, p"e"d ,ilh Ih, ",' .,d ,,' ., .,Ih"ily " ,i.I;I" ,.",1 .11", .,
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official fro. thereafter
".,id'9 . ""ieli" ,f. ",D" i' plm; ""I,,,tlOO, " ,i.lati'" ,f "y cod.. ''''Y p",il i..",' ;h.l1 hm" i".lid
unless the work authorized by such permit is cO'lenced Hithin six months of issuance, or if WOl'k authol Ized by the pertit is
",p.,d,d " .b.,d,'" f.' . p"i,d ,f ,i. ."Ih, .fl,' Ih' 'I" Ih. ",' i~"~,,e.d. .0.. '0 d., ..1....,. ,r Ii." "y b,
all~wed for the permit lIith fee charge of $15.00. The extensi~n shall be requested in writing to toe Building Official. An
approved inspection must be logged during each six month period, or the proj~ct will be considered dbdlldooed.
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".
SIGNATURE__~,~--~~---- SIGNATURE__~~~.---?--~~-~---
OWNER OR AGENT t1' ~O~TRACTOR
DATE ___~__?!~i4L---------------------- DATE__________J/3--~~~--------------
NOTARY AS TO .J ' - e"1
OWNER OR AGENT~~--~~- ------.----
MY COMMISSION EXPIRES_~~~~~~--~~~-~~~---
~g~~:~c~~R~~A~--Q---~
MY COMMISSION EXPIRES__~~~~~~~~~~~M2
":"'''f~j~:tR\:\1'iltj~~~~J.{;~~''iJf';, .'i ('r'
~5!-:-2~-2/- (7C)~O- 00006
CREATIVE EXTERIORS, INC.
'~!l<;,"'"""I"'''l-~' ,'~',~C~"""~ ~'''::''f.~''C'''7:"'' "-~"", '1"F,r,..'"
2'-~"-"--:~'fT~::-~' ~~-~- -- > "".~
0.:206
37034 Peper Drive
Zephyrhills. Florida 33541
(813) 782-0316
STATE CERTIFIED CONTRACTOR NO. CGCO 33024
LICENSED . INSURED
BUYER'S NAME C A j( L
(HUSBAND AND WIFE) 7 3
ADDRESS l' ~
L-.#/~L~ .
(CITY)
AGREEMENT
(}:J /1/ EG"'/
A/J/JLE0A/~
(STREET) ~L .
(STATE)
DATE ~?- 2..1- '1.J
;JR.
7?,f- ~5'~ 7
(PHONE)
The undenllned aellpr a.ree. to aell and the undenllned buyer(.) (jointly and aeverally, if more than ol1lel allreea to purchue the below
deacribed llood. and .ervice. which are to be furniahed or uaed in the modernization. rehabilitation, repair, alteration or improvement of
real property located at buyer'.. addre.. liven above or at
(STREET) $/1 /Y1E- (CITY) (STATE)
for the cuh price and upon the term. and conditiona u let forth herein,
DESCRIPTION OF GOODS AND SERVICES
GLA~ RClO/V1 AJE/V\DlI~ AJ.urvt U../L~
ROoM I wOe) 0 J _ AD..o t:"(,,}/lN''' /) C' /',= 3 / .x
. (./ .
//I/..s /A- ~ G 7 Lw./ A./ LJ 0 V f:) (f~ /7' ,/ 7' tir r./l -4 /'1/,~ ) 0,,:)0 R ( ,.:-
1/ r/ ' /. ..-/
t/N~.. W/AlOO(~J..r 36 --K'.:50 /. //,/S/AL.L. ~'/c.LJ .u,"),.?~,
~/ :5 6/ y//, /A/.57Al (.. /'1Z I/'VI~ Y/!/ 7/2 V ,j)/Jc?A?. ("" Wlil 7'"c:-)-
//1/5' //It L {JJhl/c ()/AJYc-- ::::-/i.)/.A/<:; 8/U /707-~/J:1 t' d-.
WH/'-7F VG R.II (/I t'.... V//\J V,- tJ/U //I./~uQ2 (0/1et: Aj ~e/~
//V..5vCA/,.:::- ;::c.JcJt="d... /1\/.$-;//1,-'- ~A.N..5~ .ROLl L.;....; /A./
/jV S'v (,.-1 /' / ,J,AJ /# l.A..JA L< C' . __
C:>L /3 V I L.. LJ
/0 /
l. CASH PRICE $ "/100 ,DO
2. LESS: CASH DOWN PA'~"'.t.,-,"--
TOTAL DOWN PAYMENT $ f)
3. UNPAID BALANCE OF CASH PRICE $ ~/m"tJ
(1 LESS 2)
4, CASH DUE DURING COURSE OF JOB $ 0
5, TOT AI. BALANCE OF CASH PRICE DUE S 'SI/~O'"
Repre.entativf' 01 Seller I. not authortzed to make any pl'orntae. not
contained in ...nUna 1n thla AlI1"eement.
t BUYER'S NOT1CE OF RIGHT TO CAN_CEl
This IS aho~e SoliCitation sale, andl you do not want the goods or services, you may
cancpl this agreement by mailing a notice to the seller, Creative Exteriors, Inc. 37034
Peper Drive, Zephyrhills, Florida 33541, This notice must indicate that you do nqt want
the goods or serVices, and must be postmarked before midnight of the third business
day after you sign thIS agreement If you cancel I this agreement. the seller may keep all
or part of any cash payment not to exceed the lesser of 5 percent of the cash price or
SS(),()()
The Buyerh) hereby ocknowledu receipt of thl. Nntlce nf Buyen'
Rl&ht to Cancel thiS..::2/-- day nf f ,1911 ....t;Z:-,L.,
Creative Exteriors, Inc. ~ /l (/,'
( '--,
8 E R . lfUsband
JOINTLY AND SEVERALLY
itle
WHICH IS PAYABLE BY BUYER(S)
BUYER. Wife
UPON COMPLETION OF ALL WORK
MAKE ALL CHECKS PAYABLE TO CREATIVE EXTERIORS, INC.
NOTICE TO THE BUYER: Do not olan thio before you read It or If It
contains any blank apaces. You are enUtlrd to an ...aet copy of the
pap"r you .i<<n. You hav.. th~ ri<<ht to pay in advance the tull amount
du~.
Buyerh) .cknowl~dll~. that thi. contract w.. completely tUled in prior
to eXf'cution and acknowledle. receipt of an executed eopy of thil c..h
contract.
Loan Proposal
Buver( s) may at any time between start and completion of above.described goods and services, request seller to
arrange a loan in ~ecessary to cover the price under this agreement. If seller is unable to .arrange such a
loan. the 3ereement is automati~llY-vo-id..._____-------------'
------
--~ -~
Because of the large number of sources where se ang; such a loan and because each of them have
varjOUS methods of computing the loa~ cost, it is im.JlO55il51i to . a full disclosure statement as required by law,
until such time as seller is able to obtain_~Aif~ement to Loan" fro e or another financial source. If the
huyer{s) should request the seller ilrlge a loan, a full disclosure statement Wl furnished immediately UPon "i(
obtaining an "Agreement t an". -IV tJ N C -.'.......---.
Under no circumstances, however, will repayment term of loan exceed _ months and monthly
payment!; (f'xcludinll! insurance but including finance charges) will not exceed per month.
An "A~pement to Loan" from another financial source is customarily, securep by mortgage on real estate.
/ . _"] ;'/ ._. ( _ l
Creative Exteriors,lnc. BUYER. Husband L. A / L j '.. / ;/
fSeal)
BY
'Jh,; ~~.
/NATURE AN ITLE
/'
(Seal)
BUYER. Wire
ADDRESS
5410 11th Street
Zephyrhlla, Florida 33540
:<
if? L.
I
IS
CREAnVE EXTERIORS, INC.
STATE aRTIFIED CONTRACTOR NO. CGCO 33024
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.032.. ,3/RISlrR "PA~~ ALU",\.
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AUI/'Y1. 'F~C.I^
OR G.urT5'.R,
8L. 2:)14" HE.':CE:1'-
PLATe:
~
!'!
~
WINDOW
P: PL..YWDO 0 ,
WI r HFf;"L. T
2~4" WOOl:) S"tut) "lo.c.
R-I\ INSUL.ATION
VINYL. SIDING-
4" CEM~Nr SLAB W/"'~
R,EIJ.lF'ORCE'1'^aE:N'I WIRf'
SCAU:' ,";; I Fr
PANE'UI--lG.
R~ D "'~l) BOLT..s TOANCHOf\ FAAI"l=
2.x4 80TT'Ot"\ ?~ic-
......... .
5410 11th Street
Zephyrhills, Flo'" 33540
CREATIVE EXTERIORS, INC.
STATE CERTIFIED CONTRACTOR NO. ceco 33024
(813) 782.0316
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