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Home My WebLink About91-1816 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 Type of Permit ;:Lo. crD d b - c7V ~_ 0~TRI~ PLU~ ~A~ Properly Owners Name: 7/ ,t.AYl '7 "eAAL Job Address: 3f? I... ? 'I - / b tZv-4L Permit)l~ 1816)1 Date ~t- 3o-Y'/ Legal Description: Sub.Div. Lot Blk. Zoning CI: Description of Work )f~J A;/C Complete Plans, Specifications and Fee Must Accompany Application Energy Code Readout: Fee: -..s '0. oi) SIGNATUR~~ ~ COMPANY ADDRESS TELEPHONE # Estimated Cost: ~ ~ ~ (Jl) All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # tf9 lIC ~ G~ECTR~ ~ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final ~ --=- tsulLDINC ~NG ." SLB Tub Set Water Sewer 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.()()) 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. JOB LOCATION APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING EPARTMENT PHONE ,~'~r-315 It ~ r APPLICANT ADDRESS ~, OWNER LOT SIZE_X AREA SQ. FT. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D. ~~ ~ A/c- _Repair Install WORK PROPOSED:_New Construction ____Addition _Alteration _Sign/Temp. ____Sign _Hove _Demolish ____Commercial ____Indust. _Swim., Pool , .____M / H ~~-ft~ PROPOSED USE: ____Single Family ____M/F ____~~ of Uni ts ____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 FORMS.** **COPY OF CONTRACT REQUIRED. pF.RMITS REOUESTED _BUILDING -A-ELECTRICAL ~MECHANICAL ____PLUMBING $ Valuation of Total Construction AMP Service r $ ::< if I!J ., ~ V Florida power Corp. _W.R.E.C. Valuation of Mechanical Installation GAS ROOFING SPECIALTY -~ ~ . TYPE OF CONSTRUCTION: _Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** Signature CONTRACTOR SECTION Com,,~any State Cert. or Regist. i~_ City License Registration U ********************* -I: ********* J3UTLDER Compan St3.te Cert. or City License R gistration ************************************ '--l Signature Company State Cert. or Regist. 41 City License U ********************* * Signature C,-,mpany: State Cert. or egist. U City License Registration ***************************************** Signature Company State Cert. or Regist. U City License Registration U OTHF.R APPLICATION APPROVED BY ****************************************** ?1~41'1 4.P/l~) . 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 responsibllitY:'for, cOlpIiance with any applicable deed restrictions. , ' 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor ~r contractors to undertake work, 'they lay be required to be licensed in accordance lIith state and local regulations. If the contractor is not licensed as required by lall, both the owner and contractor ~ay be cited for a lisdeaeanor violation under state lall. If the owner Dr intended contractor are uncertain as to IIhat licensing requirelents lay apply for the intended Hork, they are advised to contact the City of Zephyrhills Building Departlent, lB13) 7BB-6611. Further.ore, if the OHner has hired a contractDr or contractors, he is advised to have the contractor Is) 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 llith a copy of "Florida's Construction Lien Law - HOleOllner's ProtectiDn Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the .owner., I certify that I have obtained a, c~py of the above described document and promise in good faith to deliver it to the .owner. prior to cOI.enceeent. ..1....:: \ 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 cOlpliance with all applicable laws regulating construction, zoning, and land development. Application is hereby lade to obtain a per.it to'do llork and install~tion as indicated. I certify that no Hork or installation has cOllenced prior to issuance of a perlit and that all work will be performed to meet standards of all laws regulating construction, City cod~s, zoning regulations, ana land d~velopment regulations in the jurisdiction. I also certify that I understand that the regulations of other govern~ental ~gencies ~ay apply'to the intended work, and that it is IY responsibility to identify what actions I lust take to be in co.plianc~. Such agencies include bllt ile not liaited to: .#' I also certify that, if fil1lilt~rial is to be used in Flood Zone "A" or .A,etc.., it is understoe,d thil a drainage plan addressing a .coapensating volule" will be sublitted which is prepared by a professional engineer fegist~ied in the State of Florida prior to permit issuance. A per.it issued shall be construed to be a license to proceed with the llork and not as authority to yiol~te, cancel alter, Dr set aside any provisions of the technical codes, nor shall issuance of a p~rmit prevent the Building Official fro. thereafter requiring a correction of errors in plans; construction, or violations of any code. Every permit iSSII~d ;hall becole invalid unless the lIork authorized by such permit is COMmenced llithin six months of issuance, or if wOl'k authOIJZed by the perlit is suspended or abandoned for a period of six lonths after the tiJe the work is commenced. One 90 day e:tensioll of tile, lay be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspectie,n llIust be le.gged during each six lonth period, or the pre,jl'ct will be ce,nsidered i1bdlldr'i1ed. 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 A-TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS. NDER $2 500 IN VALUE DO NOT NEED TO RECORD AND POST A '"NOTICE OF COMMEN M SIGNATUR~_{1~_~:^~-~~- ~6~~E~' OR AGENT DA TE______~_~!.CJJ-----------~-----,------- DATE ic, Stat. of Florida ISs~n ~~~~~~v.:.~Q,J.2i3" 86'i'ait3"Thru T;Dy Fain.. 'nsuranc" Inc.. SIGNATUR ,..----- NOTARY AS TO -~_~ ' , OWNER OR AGEt-tL..;..d:~~ -, -'~ not tib It, Stote I MY COMMISSION EXPIRESJ' (omm~. 0 Flotih -~d.dTh,u T fJIrft''fllov-:'3ii-J-9i;;- 'O~ FOIn ,''. . ;'l}urance In~ ~ . Q , .JIftIII :;,~~~~}~\'~~l'l~:l6~~:!,!~~~~r:;''t~-;:'~~''~I~;''''\:i:''': \.It " v - . .~~ 3399 S. Hwy. 301 Dade City. FL 33525 (904)561-6224 , t. ~, iiY~' ~ .".'J!".:~.,':,--.;- --~r'.;0~~"ftJ~":'~"(~:~i.:;<,;ij~~%,i , .,..... -', ',-...r'-.;':,',:';<\ ;.;' tLYOUR'~APptiiNCENEebS s' ' H- I ,p " ..'Ai " ','c..; '':- -, ~ ,~ " , : ",,'- .. " _..';.' "'.....:-r....,.,.., ,.,.;".-..,0:.. " T"7, '; o .;;.. ~. ... , HOM~;t:;'~~eE .. ' . HOME ",," "~ OFFICi~ ,.t>;7=-97rt'" '''y ".~"".. T'O""""''' CH'" '""':"".. I'~~"""j'~' I ~::;~~~T1;S ,-0" .;~-'b ,j ~ J ~ ~ 9t. _ n.- I I. ~,'" ,,: QTY; ~" "'.,.,'l1obll;rNOM~ER AND DeSCRIPTiON ",.. ....-:-1/,71 SERIAL NUMB~R ~, b '.".""11 R .,;::;0 ,~1l. ,(') , '- ~;_.... -r> ~. ," --.= /,,~ +ll.j' ^,.~"t";;'~ -/l7.j, ''', -....., H7'", ~ ~-L J i./^ '=1.1"'1 I '\d/1"~-~~~'~, " -...." ":" 7" r-;;;-, <;,;,.:;,,;:, 7 v ~"':",' -pc ~ ~ ";" ,'. '",. '.", " ',' --,-:c:- _ :c- ., '" ,'''': ,', ""i" ' ..', . ,,:r," ",' ~ ',,":.' ",",,''', >': f;.' ,,,,a.\' ,,: " ""," ~," '. '.', ,:,{,., ";~:~ ,.",,; ..';::<:,~t , . GYh - '~' ",1i ",:;;"i> ,'~' '" """.:;, ,.~,c ;' - ,'"',, . .' ' " " J -L rSA ~.".. AMOUNT _.~ , " ' I ~.,,;', ': .' j " , ';:"""" -, .,,} au/-f: QG r- '''q~ , ....;, ,::.. , , ,. , " ,'" .' " " -.- ':, . , ALL SALES ARE FINAL. DEPOSITS NON REFUNDABLE ."",: TERMS AND CONDITIONS HEREBY I'CCEPTED, TERMS: A FINANCE CHARGf'61= i!~. PER MONTH WILL BE ASSEsseD oj,! AlL UNPAID ACCOUNTS AND ARREARS,A14NUAL PERCENTAGE RATE OF t8%. '.ALL MERCHANDISE REMAIN PROPERTY OF SONNY'S DISCOUNT APPLIANCE, INC. IJI'lTl,l PAIO!N FULL AND STAND AS SECURITvFtlR 'tHE OUTSTANDING BAU\NCE SHOUlD IT BEtaME 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, tNC Received Bv MIN SIN :: , "bIRECTIONS '. -t.' ~ ,~, .. .. ___-" ..._...,... .....AT hA accomDanied by thls bill. ",""ilf . "'-,,:', - '~.~'.