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Home My WebLink About91-1893 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1.813-788-6611 Permit X~ 1893 8 RICAL PL~ Date-"Io -30 -9'/ M~ Property Owners Name:,--JJLe Cl~61/ ~~ Job Address: ,..s-,;(a~ - / 7.;zz( ~.;:!I, Legal Description: Sub.Div. Zoning CI: Description of Work 7d ',I ~ 4~.-t";"1 Energy Code Readout: Lot Blk. G Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: /..3, , "5/ ..s, o-iJ " All work shat! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE J/? . Pre SLB Lintel FRM. Insul.CL WL SLB Tub Set Water Sewer Final Driveway Fee: t?'--5': 07~ SIGNATUREr~/ ,(fi'~-, C-~ ;(~ COMPANY ADDRESS TELEPHONE 1/ Tp.Serv. Rough In Meter Can Canst. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final 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 APPLICANT pM Cr:R. " c r; ^( ADDRESS ]~Ot. 7) I R..," # /? !}i- Vn T qN\t?1'+ F~- PHONE' (6 z-. 6" ~ 20 IJO OWNER r:p fi-D r;;;~ I' t. IT: t. 5/'-1 I~T Jj / JOB LOCATION ~). 'L s-: / 7!fY .5"7 LOT SIZE X LEGAL DESCRIPTION: LOT (S) ) v'- Z BLOCK J'16 SUBDIVISION AREA SQ. FT. PARCEL 1. D. i~ WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install PROPOSED USE: ____Sign/Temp. ...._--~ ~gle Famil~ _.~ ____Commercial ____Sign _Hove ____Demolish ____M/F ____t~ of Uni ts .____M I H ____Indust. ____Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.** **COPY OF CONTRACT REQUIRED. x Square Feet, Height pERM1TS REOUESTED V;UILDING t--- $ d/31}~ / 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 ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** ~ONTRACTOR SECTION Company State Cert. or Regist. 0 City License Registration" ****************************************** nUTT.DER Signature Sianature Company State Cert. or Regist. " City License Registration n ****************************************** f,T.ECTR1C1AN Signature Company State Cert. or Regist. # City License Registration 0 ****************************************** PUlMRF.R Signature Company State Cert. or Regist. iF~CfjCr:J LJ- 5S 9cJ6 City License Registration " ****************************************** ~ MECHANICA1. L1. . J::) .' a Company /TM E3R/ Crt- f... I .)13/'--7 (; 7) ELI N "li. State Cert. or Regist. 0 City License Registration iF ~7?7' pTHER Signature {VM- rodr?~ APPLICATION APPROVED BY ***********~*************************** ;t/ /2 ..M..<'~ -R-14'\ -'}-. ,- PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The,undersigned understands that this perlit lay bl subject to "deed restricti~ns' which ~ay be lore restr.ictive than City regulations. The undersigned USUIlle5 responsibiHtfJor cOlpliance with any applicable deed restrictions. 8. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor Dr contractors to undertake work, 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 ~wner and contract~r ~ay be cited for a .isdeleanor violation under state law. 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 Building Departlent, (813) 788-6611. Furthermore, if the owner has hired a contractor Dr 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 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 Lie~ Law - HOleowner's Protection Guide" prepared by the Florida Deparhent of Agriculture and ConsulDer Affairs. If the applicant is sOlec.ne other than the "owner", I certify that I have obtained a copy of the above described doculllent and promise in good faith to deliver it to the "owner" prior to COlmencement. 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 develop.ent. Application is hereby tade to obtain a pertit to'do work and install~tion as indicated. I certify that no work or installation has cOllllenced prior to issuance of a pertit and that all work will be performed to ~eet standards of all laws regulating construction, City codes, zoning regulations, anrl land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agenci~s ~ay apply'to the intended work, and that it is IY responsibility tel identify what actions I must take to be in compiiance. Such agencies include bill ~le ne,llillited to: .'" I also certify that, if fill material is to be used in Flbod Zone "A" Dr 'A,etc.', it is understood tll~t a drainage plan addressing a 'colpensating volule" will b~ sublitted which is prepared by a professional engineer regist2ied in the State of Florida prior to pertit issuanc~. A perlit issued shall be construed to be a license to proceed with the work and not as authority to yioI3t~, cancel alter, Dr s~t aside any provisions of the technical codes, nor shall issuanc~ of a permit prevent the Building Official froft thereafter requiring a celHection elf ~rTCIrs in plans; ce,nsiructie,n, elr violations of any c(.de. Every perillit iS511L'.:J ::hall bec(.le invalid unless the wor!: authorized by such permit is commenced within six months of issuance, or if wOI.k authol lzed by the perlit is suspended Dr abandoned for a period of six months after the t;~e the work is co~menced. One 90 day e:leflsiDll of tile, say b~ allowed for the per~it with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approy~d inspectie,n l!Iust be le.gged during each six lonth period, or th~ prc.jed wi 11 be (c,nsidered dboll,de,ned. 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 NE~O. REORD('A)JP ~ST . FfJ II NOT I CE OF COMMENCEMENT". Main:yc~~oof<'fI. i . ",tit:t-' Fl arida L i~ e6j3-~28~ SIGNATURE__fI~j~l,-~~fl-------------- SIGNATURE~~~~--_!~-------- OWNER OR AGENT CONTRACTOR ,- ./ V NOTARY AS t/ OWNER OR AENT__ , J MY COMMISS EXP DATE I 0 - "3 13- q I ~OTA:~~~~~------------------------l)- CONTR ,CTOR t'.:::.-____ MY " ------------------ ---------------------- NOTARY PUBLIC. STATE OF FLORIDJI:. MY COMMISSION EXPIRES: JAN. 28. 199t~ .ONCED THRU NOTARY PUBLIC UNDERWRITERS; . NorMY PU/3LlC Wf' qO{M;il~~ION iI~11~s~~ FLORIM, , ljO!,!O.e:o THRl,/ NOTAR . AN. 28. 1994. . . Y PUBLIC UNO.ERWRITER~ [~-?-~ i--{j j-j; SEA/RS )bur fTJOI)eYS worth and a whOle lot more. !'" ~ CJ::J~:-/9.!o! >5,. - /1. ;:. C./"1-7 Z t::-:, /-l SIDING BY vAMRS A Sears Authorized Contractor 3502.0 Riga Boulevard Tampa. FL 33619 (813) 626-2040 Toll Free 1-800-767-2280 N.m. /,f"t'J I? /~{ {;.. S />> / T-< Phone: ~J - 7!lf - 7 61/ Bus. Address ,{""JcJ,) /? 7 .5'7" CityZ. 'If',#uj State ~ Zip ~~b~ No.:-r,tL~~ "J>SYC:; l/We, th. own.rs oltlul premise' described below, herein."er ret.rred to es "Purchaser" offer to contr.ctwith "MRE(A SEARS AUTHORIZED CONTRAC- TOR), h.reln.".r r.terred to., "Contractor", to furnish, to d.llwr and arrange for Inllallation of all mat.rials nec....ryto Imp'OI/8 the premls.s located It J:744 (street) according to the following specifications; (City) (State) (zip) 1 ~o~ t:/ The CASH ~~~ for all Labor & Material (including any applicable discounts) is $ Terms: ca~ Credit 0 (Subject to the approval of the Credit Sales Department) It this Is a cash transaction, the purchase price shall ~taid ~c Cash Down Payment S /5 CJo ~ r /3, J/.J,~ / Balance Payable $ /~ '5/.7- ~ , It this Is a credit transaction, the agreement tor credit is contained in a separate document which is incorporated herein by reference and made a part thereof. l/we tha undarslgned are hereby authorizing AMRE (A SEARS AUTHORIZED CONTRACTOR) to verify and review mylour credit record with an indepen. dent credit reporting agency end release them from all liability Incurred from inadvertent omissions or errors. Verbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing In this Contract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRACT. IN' WITNESS WHEREOF Purchaser(s) have hereunto signed their name(s) this t:9 ~ day of a::- ~ 19 9'./ and acknowledges receipt of a true copy of this Contract. (PROVISIONS ARE STATED ON REVERSE) UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD THAT TH~E&lS READY FOR THIS WORK TO BEGIN. THE PURCHASE PRICE QUOTED ABOVE WILL BE HONORED ONLY UNTIL / ;:> -"L ~ . DATE THIS MESSAGE APPLIES TO DOOR.TO-DOOR SALES ONLY, You the Purchaser(s) may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See accompanying notice of cancellation form for an explanation of this right. ~'"",,~~3~ ~ Re se tive Signature aflixed below also acts as receipt that Purchaser(s) received separate cancellation fmms. SIGNED~~~)~~~~"?/ Purchaser..., 1 p QD~ 00/ -O'U -/ol../O ACCEPTED BY SIGNED Authorized Signature For AMRE. Date Purchaser Date