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Home My WebLink About91-1979 STATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 PermitN~ 1979 Date..Lr.2 '-tb- 9 ( it ...5:' F=t'HlICAL PL.'" UIIUC ---- ~.t~r"I.lFNICAV PropertyoWnerSName~ d.!ua> ~~ S Job Address: -5 ..s 3 J 9 ~~_' Legal Description: Sub.Div. Lot Blk. ~t',-::;...(; ":2 I <St:)( 0 Zoning CI: Description of Work /:6"2 OD ~(!);:;;:-o Energy Code Readout: All work shal! be performed in accordance with the above and all City Codes and Ordinances. Complete Plans, Specifications and Fee Must Accompany Application ~~ -.~. Fee: ",- I SIGNATURE'/ ~ !(). ~ COMPANY Estimated Cost: 5-~,~ S2~ ADDRESS TELEPHONE # OCCUPATIONAL LICENSE # PLUMBING SLB Tub Set Water Sewer Final ELECTRICAL MECHANICAL Ftr. Pre SLB 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 (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. APPLICATION FOR :CERI't:T CITY OF ZEPHYHE;:'LS BUILDING DEPARTMENT Oi-.'N ER ..... 2?({) AC;J;AfT --.\OfiN 1', 6tHo~T u.J BRA DDOe k:' PIlONE Yr5 - ,::l.d.3 - r 137 )1~6 AL)J1A R05L) - PALM'EK ,5Fj2FA~) """"y J-~ -L 0 /rL. 7- L J ,::.. .) .3 -- -I..A'fiOT SIZE_X_ I\REA SQ. fT. APPLICANT ADDRESS LEGAL DESCRIPTION: LOT(S) B LO CK...- SUBDIVISION , PARCEL I. D. !.! II 20 d-I {J6 (D I sJDD OL:k'S""O WORK PROPOSED:____New Construction ____Addition ____Alteration ~ Repair ~Install ____Sign/Temp. _Sign r[ove ____Demolish PROPOSED USE: LSingle Family _M/F it of Units .____~I/ H RE"PLACF 8 \)./ [tJ P005 _Commercial _Indust. _Swim. Pool Other ____Restaurant & Health Department Approval BUILDING SIZE: x_. Square Fee t. Height RESIDENTIAL: COmlERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~IS.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORrIS, ,.,* **COPY OF CONTRACT REQUIRED. PEPJIITS REQUESTED ~UILDING $ 20(]O ot:) Valuation of Total Construction ____ELECTRICAL ANP Service _Florida Power Corp. _\\.R.E.C. ____~lECHANI CAL s Valuation of Mechanical Installation ____PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block _Frame _Steel Other FINISHED FLOOR ELE~\TIONS: FT. ****************************************** BUILDER CONTRACTOR SECTION -rJ. Compmy -rHU!?O - E'Crk + ~ ~ . State Cert. or Regist. .'i R.CJOIf,.;J.CJIS- , C~ty L~cense ReglsLrnLlnn :.' . 8a .J..J~.'- ..'. J..._ * J.* J. * * **'" * * *", J~,..t.;_.J.. .'. .'. J...t..;_ .'. .'.. .', .'. .,.................-. .. ~ 6" n ... '. . " ~,~ ,~.. , ,. J~ . ," .. .. .... . n ..... ",. ,. .. ,. .. .. ., .. ,. .. Signature ComVll1.y State Ccrt. or Regist. ~ Cit; Li2~nse Registration ELECTRICIAN Si~n;1t\lre *****~**************~****~**************** Company State Cert. or Regist. ~ City License Registration ~ ****************************************** PLL'l'IRER Signature Com:Jany ___ Stat.e Cert. or Re(::~s t. " Ci.ty License H.egistr:1tion :: ~lECHANIC:\I Signature **********************************~~:****** Coml~any Sta~e Cert. or Regist. 1~ Cit~ Li.cense Registration OTHER Signatu!:'c ****************************************** APPLICATION APPROVED BY PER~i1T 0FFlCER. " -' ~ ." ".; " ....' -~." " ". " '(~ "I ., (4-. .:' ,". .. ..--- 1':~.~ o}-,_u.-j ;' v~.:..!. ':;"i'~ \~.~ CONDITIONS O~ PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this perlit may be subject to "deed restriction~n which ~ay be ~~re restrictive than City regulations, The undersigned assules responsibility for compl:ance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITI~~ If the owner has hired a contractor or contractors to undertake work, they may be'required to be licensed in accordance with state and local regulations. If the contractor is not licenspd as required by law, both the owner and contractor ~ay be cited for a ~isdeaeanor violation under state law, If the OHner Dr intended contractor are uncertain as to what licensing requireaents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, IBI3} 7B8-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorls} sign portions of the 'Contractor Sections' of this ~pplication 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. ]f the contractor wishes YDU to sign as contractor that may be an indication that he is not properly li:ensed and 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 provided with a copy of "Florida's Construction Lien Law - Ho~eowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs. If the ~pplicant is so~eone other than the 'owner., I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the 'owner' prior to cOI~encement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforffiation in this application is aCCl, ate lnd that all MorK will be done in co~pliance with all applicable laws regulating construction, zoning, anrt land development. Application is hereby made to obtain a perait to do wDrk and installation as indicated. I certify that no we,r~ Dr installation has com"-enced prior to issuance Df a permit and that all work will be performed to meet 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 govern~ental agencies may apply to the intended Mork, and that it is /tY responsibility to identify what actions I must t.ake to be in compliance. Such agencies include bill '" ~ m,l li'lited te,: I Department of Environmental Reoulation - Cypress Bayheads, Hetland Areas and Environmentally Sensi tive l~nd5, Water/Wastewater Treatment I Southwest Florida Water Manane~ent District - Wells, Cypress Bayheads, Wetland Areas, Altering WatercDliises I Ar~y Corps of EnQineers - Seawalls, Docks, Navigable Waterways i Department of Health ~ Rehabilitative Services. EnvirDnmental Health Unit - wells. Hastewater Treat~€~~. Septic Tanks f US Environmental Protection Aoency - Asbestos abatement I also'certifythat, 'if fill'material is to'be used in Floe,d Zone "A" or "A,etc.', it is understoe,d tI,~t a dlainage plan addressing a 'cc'~ensatlng volullie' will be sublllitted which is prepared by a professiH,al engineer reiji5t~'-i!d in the State of Florida prior to permit issuance. A permit issued shall be construed to be a license to proceed with the MGrk and not as authority to YiDl~te, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prEVEnt the Building Uffjci~l fro~ thereafter requiring a correction of errors in plans, construction, or violations of any COdE. Every perIDit issll~d ~hall becoie invalid unless the w[.rk auth[.rized by such perltit is commenced within six months [,f issuance, or if \'IDt h authr" ;,od bi the periJIit is suspended [.r abandoned for a peri[,d [.f six 1I0nths after the time the \1orK is cH,merlced. One 90 day ,,;:t~,,;:]O" (,f tillie, 11.ay be allowed for the permit with fee charge of $15,00, The extension shall be requested in wiiting to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered dbaildoned. 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 A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMME~C~MENT. J08S UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NU;rCE OF COMMENCEMENT". SlGNATU~__~~- SlGNATURE_~~c~------ DATE _.______lz.LoLo19.1-------------- _____._ DATE ______lz,Ja.a.tc:\t--.--- - - - - - -------- r~ MY COMMISSION Notary PubUc. State At J "-e EJ . -MreontmllS1cSii'-r:-..--_'="_I:J.h.. arida. I dptreS May 22. 1995 RES Notary PubIc, State At large, FIorlt - -. ~l:ImMIiiIOri'EJfprriH.Jay 22. 111 r" -_.....-~ - .?".......''''''''''''".,.."..._.,,~.~ _ _:J1~.~""'_'~'-~'~r ;~ :""'J'l!!' THURO.TECH LICENSED. BONDED. INSURED STATE # RX0062015 .'CRAFfSMANSHIp..... ."':. IS THE "DIFFERENCE" 810 W. Braddock St. Tampa, FL 33603 (813) 223-7137 JOHN OTHOL T OWNER !'Ir. Palmer AGREEMENT t". ;4). c ~, ~"'j I ,,",( J. "t.,; / , (p((/ ,; V L , ,; ;/>~_), /;~~/;;.)--<':l_ BUYER'S NAME (HUSBAND AND WIFfu"; ADDRESS -- :> 21st 8tl'iililt Z.-? ' l/ ."7 ~ I (STREET) Zephyrhl1ls, PI 33540 (CITY) cyLlJ ~y (STATE) (813) 7927335 (PHONE) 'llhe-undenJigned seller agrees to sell and the undersigned buyer(s) (jointly and severally, of more than one) agret,s to purchase the below descrihed good; and services which are to b~~ithe; ~'r~e ~odernization, rehabilitations, repa~,~ Cfi'lJgOvement of real property located at buyer's address givenpai,ove or at (STREET) (CITY) (STATE) for the cash price and upon the terms and conditions as set forth herein. DESCRIPTION OF GOODS AND SERVICES We agree to remodel a window openings and replace window units with custom Alcan 81ngle hung Window-units to be broz frames and clean glass. We also agree to build Ol:1t t.:xtel~101 wood wir.do'lf G46L:'J56 Clud ,",UVC.l. wlLh b1.uWU P'JC alum L1.1lll ,",viI. All WV.l.k. is to be completed in a ne~~ ann prnf~l';lRi nOAl InJ:lnIH'r nl rl wnnn Ann wiT.nm.. n.,hri J:l t",.. be remov(~d from job site. -~~,~.~,~;~ !~/.-S- 1. CASH PRICE 1) 2. LESS: CASH DOWN PAY _ $_ 1A~' tJi) TOTAL DOWN PAYMENT -03co -- 3. UNPAID BALANCE OF CASH PRICE (1 LESS 2) $ -0- 4. CASH DUE DURING COURSE OF JOB $ -0- 5. TOTAL BALANCE OF CASH PRICE DUE (\ I 0 ee> WHICH IS PAYABLE BYBUYER(S) t jj I 70_ JOINTLY AND SEVERALLY . / $_~I6'e UPON COMPLETION OF ALL WORK MAKE ALL CHECK PAYABLE TO: JOHN OTHOLT 'HUROJrECH ~~J L~ BY SIGNATURE AND TITLE ~Jll"'R 'T'J:lV 2066.00 - '1 ~~~~~ /' ,./"? -ti~$ Representative of Seller i. not authorized to make any promise. not contained in writing in this Agreement. BUYER'S NOTICE OF RIGHT TO CANCEL This is a home solicitation sale, and.if you do not want the goods or services, you may cancel this agreemeni by mailing a notice to the seller:.THURQ..TECH 810 W, Braddock St., Tampa, FL 33603. This notice must indicate that you do not want the goods or services, and must be postmarked before midnight of the thrid business day aher you sign this agreement. If you cancel this agreement, the seller may keep all or part of any cash down payment, nollo exceed the lesser of 5 percent of the cash price or $50.00. The Buyer(s) hereby acknowledge receipt of this Notice of Buylll"s Right To Cancel this_ day of it .-1~'. J " THURO-THECV /fl7 _)~'\ ,t.St-j.-, q,A Li{ B!JYER - Husband / ~ ~ f Signature and Trtle I BUYER - wne NOTICE TO THE BUYER: Do not sign this before you read nor n n contains any blank spaces. You are entitled to an exact copy ofths paper you sign. You have'the righlto pay in advance the full amount due. Buyer{s) acknowledges that this contract was corrpletely filled in prior to execution and acknowledges receipt of an executed copy of this cash tra~lion. ) ),;/:,....!t<Ji'/L/.ri:< ~d- , ,. /) ..? '/ ~ --<.j/ V ~ (Seal) BUYER - Husbalxl / (Sea~ BUYER - Wne ADDRESS