HomeMy WebLinkAbout94-4317
BUILDING PERMIT
Permit
_ 4317/71
9-J!)-fy
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
PLUMBING
~&.OD
~CHANlvsewer Conn
Water Conn:
Date
BUILDING
9-6.cro
~~TRI~
~~
Property Owner: .....L
Job Address: ,3J2 -~- !f-€..
Parcell.D. # 1'/ ~;).b -dJ- tJ 0/ ~ -1/1 (jCJ ,. 0110
Water Meter:
T.I.F's:
Zoning: Energy Code: .
Description of Work ~.. ~A r A-- / L
Radon Gas:
FINAL
/OJ- 3-
DATE
NO OCCUPANCY BEFORE C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordar'2'e with City Codes and Ordinances.
c.o.
DATE
Inspector
Per~it Fe~ ~TU ~
Signatur~ If~",:;::vr-
Company
Address
Hllephone#<i1' 13.- h~ \ - ;L0"7 'i
Valuation or
Contract Price t..j t, (TO. o-D
./
City License Registration # ) ~ ()
State Certified License#
BUILDING
~ j/~ );ff:!;/J
ELECTRICAL ~--
(J~~~
PLUMBING
MECHANICAL
Breakers
Ducts Insl.
Compressor
Final
SLB
Tub Set
Water
Sewer
Final
Tp. Servo
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final q-d'7~
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
~
RETAIL INSTALLMENT CONTRACT
HOME SOLICITATION SALE
WHITE - ORIGINAL
BWE - BUYER
BWE - BUYER
GREEN - DEALER
CANARY - TIL
Co-Buyer
Buyer (Print ~r Ty ;tJI ~ E ~'~' '-
Name . V - / 11/ f /
I ' '_'-.If
Stre~Addres;..., 'J J J \1 /( I ~ ~ < /:J J
:;> jL ,-"... 0 WI C-/ /V ...,.) /'C of ,
City & State , /) A ~
/;4 j/Jf ,1'-'-' " " ,- ,
Seller (Creditorl ___
Name & Addre~s4 a 5T?f It:..
Salesman's Name & Address
Street Address
City & State
<~/::./ c
_.- I~.~. "',IV 7
I /Ii'? fie /I L1 License Number
Itrl'~, -6 L rTGO$:'~5' //0
License Number
Te.lePhone Number,,/ Ico~act Date ,I
/0$1 -;(O7~ c,... ;ZO- t;~
Telephone Number
Serial No Description (Goods/Services)
/~Wt:.~,fe .II, ~1C)V 5;{:.kd:/':':-'
_,_ J C:-7: I C- U ~ . . r:::.
~ -l-iER r/.i.J~
AMOUNT
$ 4~ /Xi, (.1,~
$
$
List security retained from previous Contract:
The Buyer agrees to purchase the above described goods and services, hereafter called "property"
for the Total Sale Price. '
Buyer promises to pay Seller the total of payments in consecutive monthly payments according
to the payment schedule shown opposite. Interest after maturity shall accrue at the highest lawful
contract rate. .
A security interest in the property shall remain in the Seller or his assignee under the Uniform
Commercial Code until this Security Agreement is fully performed. Buyer hereby acknowledges delivery
and possession of the property. The property shall remain personal property and shall not become
real property no matter how affixed thereto.
Buyer also promises to pay to the Seller or other holder of this Security Agreement a late charge
on each payment of this Security Agreement in default more than 10 days in an amount equal to
5% of each such payment.
If the indebtedness is accelerated or prepaid in full, the Buyer will be allowed a rebate of the
unearned portion of the finance charge, after first deducting an acquisition charge of $15.00 for
the months prepaid computed by the "Rule of 78's", provided, however, if this contract is dated
on or after October 1, 1993, and has an original term of more than 61 months, the rebate will be
computed according to the actuarial method, after first deducting an acquisition charge of $15.00.
The following minimum charge may be retained by the Seller; $12.000, if the amount is $50.00
or more, $7.50, if the amount financed is greater than $25.00 but less than $50.00; or $5.00 if the
amount financed is $25.00 or less. No refund of less than $1.00 will be made.
Seller may, at its option, add subsequent purchases of goods and/or services made by Buyer
to this agreement, in which event all terms and conditions hereof shall apply equally thereto, and
the total price of such additional goods and/or services, the finance charge and installment pay-
ments may be increased. Goods purchased under previous contracts shall be security for the goods
purchased under subsequent contracts until such time as the deferred payment price under the
previous contract is fully paid.
Each payment on this agreement shall be allocated to the purchases made on this agreement
and to all previous installment purchases not paid for in full as of this date on the basis that the
items first purChased shall be deemed first paid for, and, in the case of items purchased on the
same date, the lowest priced item shall be deemed first paid for. The Seller's security interest in
the goods shall cease as each item is paid in full.
The Buyer and Seller agree to the "Statement of Additional Covenants" set forth on the reverse
side hereof, which the undersigned each agree shall constitute a part of this Security Agreement.
Same as Cash Option
o If checked and signed or initialed below by the Seller and Buyer, this contract contains a "Same
as Cash" Option. If you pay the entire Unpaid Balance of Cash Price (Line C) and the Net Un-
paid Balance on Prior Contract (if anYI (Line D) within of the date of this
contract, no Finance Charge will be assessed, and all other charges (if anYI will be rebated.
The "Same as Cash" option is void unless you pay each regular monthly payment when due
during the "Same as Cash',' period,
If the Contract is not prepaid as described above during the "Same as Cash" period, the "Same
as Cash" period is not interest-free.
Seller: Buyer:
Credit Insurance is not required to obtain credit. I understand I may elect to purchase credit insur-
ance from the Seller or I may assign a policy I already have or I may buy a policy from anyone
I choose to cover this transaction. The only insurance we provide is through an affiliated company
of the assignee of this Security Agreement and that company expects to profit from the insurance.
Credit Life Insurance I want Credit Life Insurance.
'\.
X r.
I want Credit Accident and Health Insurance.
Premium $
Credit Accident and
Health Insurance
Premium $
X
ITEMIZATION OF AMOUNT FINANCED
CASH PRICE ........... .. .. .. .. .. .. . .. $'1-& In), d '~A
CASH DOWN PAYMENT ..... $ ~-.:; t>t>,. "-0
TRADE-IN ................ $ {ff
. , ,
(Describe)
lUTAL DOWN PAYMENT ..................... $
UNPAID BALANCE OF CASH PRICE (A MINUS BI $
NET UNPAID BALANCE ON PRIOR CONTRACT ... $
OTHER CHARGES:
TO INSURANCE COMPANIES:
CREDIT LIFE INSURANCE $
ACCIDENT & HEALTH
INSURANCE .......... $
PROPERTY INSURANCE $
NON-FILING INSURANCE $ ;:! 5',. . p(j
TO PUBLIC OFFICIAlS...' $ I ~',3.? ,0 1'~ 3-5'
lUTAL OTHER CHARGES ... '." '... . . .. ... $ '- ~, . E
AMOUNT FINANCED (C+D~EI..:...".. .'.', ,. .$"" /39, 3 '5 F
::)/)1), /'J..tl B
?'t / ()-() , vCl C
I!f D
,
@
/
DISCLOSURE STATEMENT
AMOUNT FIN.ANCED (The amount, of c,r,e dit , , AI., / ,~ ~' 3 ~
proVided to you or on your behalf) $ 'ZZ...lL _' oJ
FINANCE CHARGE (The dollar amount. the !' '. GlI rj, .P I 0
credit will cost youl ' " ' $ . ,
lUTAL OF PAYMENTS (The amount you will,":'" ,
have paid after you, have fj'lade all. / ~~L'" "'ZI'
payments as scheduledl", ,'" :~'. ~$ f#? i/V J I ...xp F+G
lUTAL SALE PRICE > (The total cost of your..'. .
purChase on credit,'incl~i~lI wu~ /- ~ ('5':
downpaymentof$ ~OV, ".).:.$lp V ,
ANNUAL PERCENTAGE RAT, E ,.,.,(The ~t.o, ~.~ . .
your credit as a yearly ratel J JJ. 71.. "0/0
Your payment schedule will be: ., "
Number of Amount of When Payments Are Due
Payments Payments
'PO
$/0''''', A onthIY,/'O'" ""0 C
J v Starting - tX. - I
$
Security: You are giving a security interest in the goods or property being
purchased. Property sectiring'anotlier'conti\ct\Withus 'may also
secure this contract. . ,
late Charge: If a payment is more than'10 days late, you will be charged
5% of the payment.
Prepayment: If you pay off early, you wiD be entitled to a refund 01 part of the
finance charge.
APPLlCAUOJ fOR p..x'f
CITY or ZIIII!III1LtS
IUILDDIQ DBPAIltill'lr1'
OWIIIR' s... /J? /Jfi Y
OIIIID.'S ~ '/)'it:lo
JOB ADDDSS .':f ?..C:;-II
LIGAL DBSal!PnOl: wr(s)
R ;./:)CJU T
WII-/<-INS
J/ ti- ~
12&.
PIIOP (,2 t - S//3
1Pfi-1 P1 ;3 36/9
P(
...<e~ ~ II A hr ilr
<r f
B~SUBJ)lV1SIOII LLI
PARCEL I.D.'
fOBTAlI ...,. Pm'PD"I'Y Tn IOTICR}
II. COIuItmction -..Addition ---Alteration .....lr ~Iutall
W01Ut PJOIIOSID.
---1Jiea
---'loVe
--.D-oll.h
PROPOSED uu; ~taa1e P-ilT
_ec-erctal
--Jl/P _' of Unita _/8
_IMuat. --Jlw~. Pool _Other
. hetauna.t I: Health Dep&rtaent Approval .
1lU~ OF _,C~rlUll fleATt*j r (jje '/A5,H... D/l..C:nJO-R-v./~)f'IL4De.
BmtDIIIG SUB: 30 I IS . ~II 0 tJ Square I'eet._/ <f I Beiaht '
IlBSI.bBl'l"IAL: AT'l'ACII (2) PLOr PLAlIS I: (2) SITS or BU1U)IIfG PLAI1S a (1) SIT BIBRGY rolKS.
COIIKDClAL: AftACJI (3) SITS 0' IUlLDlIG PLAKS a (1) Sit BRBRGI' FOllIS.
ROnan SURVU UQUU8D POll ALL IIIW COBSraUC'l'lON_
PaHI.TR RRnlJRAIftm
__UILDDIG
)CRI.acruCAL
~c&L
-JUIIIDG
. ~ ;:; t9-t) Valuation of Total Coo.atnctioo
J.,,5?:) AMP Service -lorida Power Corp.
If.a.B.o.
s . r ?rJc!.
Val_tion of lledL8aical Iutallatloll
GAS ROOnlG
.1~k ~u.e _Steel
RPBCIALft
Otbel'
nn or COISDUCflOll:
PUtISIIBD ROOIlILIVAUOIIS:
PT.
IS PBOJBCT U noon 2.0ft ADA'
YBS
-
110
..........................................
(l'IITIIAC'I'OR Itcnoll
JMtJUtR
OOIIPAII
State Cert. or Kqlat. .
Oit1' Lie... Reai.trat!oo .
..........................................
S:l.....ture
RI.RP.I'IITlnD OOIIPAIlY_' Jc.)LT~~ ~~
~ ~L--itata Cer~. or Kq1a~. . F.:f'!!fj!:f'S
S::I-t.ure ./ ~ ~ Cit.,. Lie... ...i8tratlon . '
.. .......................................
Pll."
OOIIPAIfI
State Cart. or Ileat't. .
Oity Lie... Reaf,8tratioa .
...........*.................~............
COKPAlfY1l11 STctfTe fif.fk!' /l-/c. LIUC.
State Oert. or ..,lat. . C .~~ lfO
ity Lieeaae Re.lat1'ation . .II '.
..........................................
Sipature
Slpat
ft'IlIIn
OOIIPAD
8tab cart. or Ilell.t. .
Olty LiceaH Reai.tratiOll .
..........................................
Si8Mture
APPLICADOII AI'nOVD BY
PDIIIT OPnCD.
. .. SEP-22-'94 THU 08:51 ID:
TEL NO:
~269 P02
,-
CONDITIONS OF PBRMIT AFFIDAVIT
A. NO'lICB OP DBID RB8TRICTIOHI .
!be un&nlgolG IIII1mtla tllat W. palt IIJ be .abject to -W restricti0D8- Ulc:b iii' be lOtI ratrlcU9I tIIIIl Cit,
t8g\Jlatlalll. 1M UDCJmlpea UI_ rupoaalblllt, for CIlIplllDC1 with 10' applicabll W r.b'ic:tiGIII.
B. UlfLICKNSBD CONTRACTORS ANI,) CONTRAC'J'OR RBSpOlfSI8ILITIBS
If the .er .... bind a CClIItractor or contractors to unc1ertUt lOr., the, M' be rtQU1rec1 to INIllC8ll88l! la accodllce with
,tate 1IlI11oc:a1 ngulatilJlll. If the contractor 11 DOt l1cenaeG u rlQllirecJ br In, hotb t.be ... _ CIlIIItrKtar .f ...
cited for a Ilea.lDOr violation under .tatl 1.1. If the owner or Intended caatractor are 1IIlCUta1D . to _t UCIDIInq
tlql1lr_u ., .,,1, for the Inten4ed .ort, they are I4d&el1 to CUDtaCt the Cltl of Ztpllrrblll. IuildIDg DlplrUat, (813)
788..&611.
Fvttbenon, If tbe ower baa hired a contractor or ccmtrlctorl, he Is 14,1814 to haye the COItnctor(l) llga portloDa of U.I
-CODtrlCtor 8eet1.. of WI IppllcaUllO for 1b1m ther ,JlllIe rllpOOlible. If fOU, ill tile ... UID II tIMI c.uactor,
IOU are lDlJlcatlDg tllat JOU, rlther thaD tbe contractor, are r88ponaible for tJae lOr.. If tile coatrlCtor IlIIleI JOU to llga
.. CGIltnctor thlt ., be an lJiIlcatlon tllat he II DOt propetlr Utaec1 and II DOt 8Iltlt184 to pealttleg ,ridlegu In tb.
Clt, of 1e(Jllrdd11l.
c. '1'RAHSPORTATlON .:.IMPACT FEES AND UTILITY COH!fBCTION FBSI
"~~'Ji" :---~~ . . "''l.':,' .
D. COHSTRliaIOH LID LAW (CHAPTJl:R 713, FLORIDA STATUTES, AS'AMBNDBD)
1 cert1fJ that I, tie Ippllcut, "'98 bleD provided litb a cop, of .Florida'. COnItructiOll LIID ~ - ~I. ProtBC:tl~
Guide- preparec1 br the 'lOrll1all8pl1'tlent,o,r ,AgriCUlture 8D4 CousI1lllr Iffllrl. If tlJIlfPll~~'l).~'OtIIer than the
-oar-, I ClttlfJ that llla":i'-tIit\~ A: ~;C't~f the above t1ucribetl cloa1IeDt anc1 ptOIin tD 'iOIiG' "IUt to delbu It to the
-mmer' prior to CXl.lnc_t.,,,~:.. 0;,...;. .... :;. ' ,......
i{(.:.Io:' .i;''''''/C 4,~.~ . "~f ~~11'!:"~' .:' :', :}_.~\~~ ,..v.;,' >'~~. .,;. ~:';r:'~ .'
E. COlft'RActOR's~~'"..nDAvIT"",~P:~"':~~' ,'i,': .: ~~..
I cerUf, tllat ,II ~ Womatloo lD thl8 applicatlOll II accurate an4 that all lod will be ....h Clllpl...ltb III
appliabl. 1_ rega1ltiDg catruCtilll, lUg, _ llIl4 l1et.~t. ,~ ./1 .. ,~ , " ."
ApplicaUon Ja bet. .. to obtain a pefI1t to 40 wort and InsuUat101l 18 iJl4icated. I cerUfr .....t 110 .r1 or
lutallaUoa .... -=--Bc1 prior to l..I1IDCI of . penit and tJaat all wor1 ,ill be perforlec1 to .. ......... of 111 1_
regulat1q COIIItrueUOIl, Clt, c:oc1ea, lOfting regu1atlOlll, and IID4 c1mI.-t regulaUOIII la tJaI jadlllctlcla. 1 1110
clrUf, that I ua4entlD4 tJlat tile regullUCIlI of other 9O'f8llEJtaI ageDclu ., apply to till 1ntea&te4 110I'1, 11I4 tut it il
If rea_abllitJ to ideDUf, ..t act1Ol11 I 1U8t take to be in COIPl1anC8. Such 19_1. Incl_ bat In DOt l111Uc1 to:
t DeHrtleat of IDYlrCllllllltal Reaulatlon - Cyprlll Bapeads, Met18Dd lreu anc11D,irollllllU1l, _iU" J.IaU,
Viw/Wlltalter !r..tIeIt
t SOUtMIt Floria later ~t Di.trict . Ve11., Cypnu laybeads, Metland Ireu, IlteriDv lltercour.
t 1m em. of IIIIIDten - a..u., Docb, 1i,lgable 1IitetRrl ,
t ~t or INltll i .....l.l~ti" .mitla, IIlfJrCllll8ltal Health IJD.it . !fells, .._tar _t.lt, SetUc I_
t DB 1DIirW'ta1 ProtIctlOP IIIOCJ . Isbutoe abatMllt .
I alaa eertlfr tllat, If rill .brlal II to be _ iD ,lood loDe 'I- or -l,.tc.', It il UDderIt004 tUt a dta!Dlge plan
aMr_lDI I -..,..tIDg vol.1 1111 be ._ittea which is ptepalec1 bJ . prof_laaal ....r regilterec1 U till ltata of
flaclda ptlot to pmlt llIlIIIlCe.
I peott I.. allall III COJIItrue4 to be . license to proceec1litb the IlOr. 8DclllOt 18 autbodtr to dalete, CIDCIlalter, or
&fit .ala. IUlf prowl.IOIII uf the tecbntcal code., not 8ha11 ill\llDCl of a pem1t ,tlYlllt the Bulldlag Official fIw tberufter
tlCJIlirlDg I corrlCtiOll of Irron In pl., COd8mcUcm, or YlolaU0D8 of IDf coc1e. IYerJ palt 1uaIl1.1MI1 ... 1DYaIld
unleal * _II IIIthorlllll by _ petitt 11.~e4 "itblll Iii IODtbI of IBIlIIDCe, or If _1 autIIor1ll4 br till pemlt 18
IDIpI!IIdeI or IbadGIIIll for a perl04 of ail IOIItJaa after the U. tbe IIOrt II c_eace4. CB 90 dIr uteM!IIl of u., -, III
aU.1Id fOt the perIIt vltJI fll cbarge of '15.00. !he utalOll IIIall be rlQUllte4 la uitlag to tile IuiWat Official. In
appmecJ laIptcUlIJ m be 101914 4uring IIcb IlIlOIItb period, or the project .11111I ...illenll -lIlooetI.
MI. 10 CIIII: mil '1[_ ro IICOID I JOlla or ~ 11I1 IlSULf 111101II Plfill IIICI fill lIIIIJU.-r8 to 1001
PlOP1m'. U 1fIJ JIIIID 10 O8Im FWlCIIG, mlSUL' IUD YOIJJI UIDIR OR 11 UICIIIIY .. ..ur: .. JOlla OF
CCHIIIICIIIDI. .. UI1I8 .2,500 II YILUI DO lOr IBID !O IICOID lID POSt 1 -1fOf1 ..
!
nlu or MIDI
CCIIIt or ~o u. ~ 6t
Tbe for. DV iU8t:nJlleDt WI8 aclulowledged
before.. tbi. ;l.,:J... fb~T, 19..2!L by
~ 1~t'1 ~~-rr~
who i. perIIODally bmm to _ or who has
produced
as tlficatlan and who did/did Dot
tae
81111 or MIDI .
coom or J..I. { lis .R.o (~,/e b i-I c
.Tbe foregoing iD.tl:'1m8n~, ... .~la4g..s
before ., tbll s,n- "Z;L"J.f.' 19 if by
~ I.,
. 0 '\ l roe PI .r-se A-f'~ '
wbo i8 persODally ImOD to or woo haa
produced .
as identification aDd who d1d/41d Dot
ta
.
"t;
(Signa ur.) ,",'
. Nof8ry Mllt, St.te of F-iOltr.'"
~~'aD6
(H.., fJped, Pr1Dt~ , )
NOTARY PUBLIC }
:1~,,;;~~,~: ~il,k,.,'R',,,.
My~~ 27. .~ :...., 0' ''';';~a
eo.n. No. CC 24839.1" , 'Y-"
. "f .."
NQtwy Public:,. S'ate' ~ Florid.
If,y c:amm. expire. Dee:. 27
(Haas Typed, Print
IIOTARY~IC
, ~ltEN ~.-~
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