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Home My WebLink About96-5535 BUILDING PERMIT.-- CITY OF ZEPHYRHILLS Permit ]I'! (813) 788-6611 f-553~~ Date /-/r-9~ ~ ELECTRICAL PLUMBING MECHANICAL ::~::,~.:~e61 Yfy~ tf!?i;- Parcell.D. # cil-~ .....d../- 00 J-tJ - t!/ 0...3 () lJ - () 0/ 0 Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zon;n9' ~ Code, Description of wor~tf: ~/1 Radon Gas: NO OCCUPANCY BEFORE C.O, FINAL ~..- Valuation or Contract Price ~ 'f /~', IT'D City License Registration # ~3 77" State Certified License# Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances, Telephone# ()j~p / ~ }tYJ{~ BUILDING ELECTRICAL 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 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 ($15.00) 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER'S NAKEJ:lO\.{ 0 lD OWNER'S ADDRESS <:; l S 4 JOB ADDRESS d~ b.((! ~ ,~ P..eou- l PHONE 71S0-~2./7 <sr- LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION () A-UI cb PARCEL I. D.' ~ -J.. b - ~ I - 00d- 0- 00 :SO- 061 0 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:_New Construction _Addition ---^lteration LRepair _Install _Sign ---1Iove _Deaolish PROPOSED USE: _Single Faaily \. ---1I/F _' of Units ((..-M/H _Swia. Pool _Other _ec:-ercial _Indust. ____Restaurant & Health Departaent Approval DESCRIPTION OF WORK: fY\ &hlle ~ IY'<L {Coar -a.Je L (,Ll I~rn ~1l/A.rY\ ') 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. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~LDING PERMITS REOUESTED $ Ilf/~, - Valuation of Total Construction _ELECTRICAL AKP Service Florida Power Corp. W,R.E,C. _KECllAlfICAL $ Valuation of flechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block _Fraae _Steel Other FIlUSHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO **.********************.********.****.*.*. BIJTl.DER CONTRACTOR SECTION COMPANYi!JcJaYlcJ lV1ob-lR. ~~-km S State Cert. or Regist. . (' 6-C c> 3'177 City License Registration . **********...***.***************.*.***...* Signature _____---e--. F.T.RCTRICIAN COMPANY State Cert. or Regist. f City License Registration , *.******.*.*********.***********..*......* SianAture PLUMBER COMPANY State Cert. or Regist. , City License Registration . *.*******..**......*..*.********.*.......* Signature KECBABICAL COMPANY State Cert. or Regist. * City License Registration . ****.********.**..*.**.*********........** Signature OTRRR COMPANY State Cert. or Regist. . City License Registration , *******.*****....*****.*.**********..*.... Signature APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this Perlit JaY be subject to "deed restrictions" whieb lay be lOre restrictive than City regulations. the undersigned assUJeS responsibility for COIpliance with any applicable"deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they JaY 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 laY be cited for a .isdeJeanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requireJents laY apply for the intended work, they are advised to contact the City of Zephyrhills Building DepartJent, (813) 788-6611. FurtherJOre, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for whieb 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 perlitting 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 - HOIIl!OWJler's Protection Guide" prepared by the Florida DepartJent of Agriculture and ConsUJer Affairs. If the applicant is SOJeOne other than the "owner", I certify that I have obtained a copy of the above described dOCUJent and prOlise in good faith to deliver it to the "owner" prior to cOll8nCeJent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the inforJation in this application is accurate and that all work will be done in cOIpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a peflit to do work and installation as indicated. I certify that no work or installation has cOllenced prior to issuance of a petlit and that all work will be perforJed to leet standards of all laws regulating construction, City codes, zoning regulations, and land developJellt regulations in the jurisdiction. I also certify that I understand that the regulations of other governJental agenCies laY apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlpliance. Sueb agencies include but are not liJited to: t DepartJent of BnviroDlental Regulation - Cypress Bayheads, Wetland Areas and BnviroDlentally Sensitive Lands, Water/Wastewater TreatJent t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t Atly Corps of Bngineers - Seawalls, Docks, lavigable Waterways t DepartJent of Health & Rebabilitative Services, BnvirODleDtal Health Unit - Wells, Wastewater TreatJent, Septic tanks t US BnvironJental Protection Agency - Asbestos abateJent I also certify that, if fill .aterial is to be used in Flood ZOne RA" or "A,etc.", it is understood that a drainage plan addressing a -cOJpeDsating volUJe" will be subJitted which is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A per.it issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a peflit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Bvery peflit issued shall beCOJe invalid unless the work authorized by such peflit is COIIeDCed within sil IOnths of issuance, or if work authorized by the petlit is suspended or abandoned for a period of sil IOntbs after the tile the work is coaenced. One 90 day extension of tile, lay be allowed for the petlit with fee ebarge of $15.00. The extension sball be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sixlODth period, or the project will be considered abandoned. WARNING TO 0IflfBR: YOUR FAILURE TO RECORD A IOTICK OF COIIMDCEMBlfl MAY RESULT II YOUR PAYIIG !WICK FOR IHPROVBIID!S TO YOUR PROPERlY. IF YOU IH'I'EXD TO OBtAII FlIIAICING, COISULT IUD YOUR LODER OR 111 AnORlBY BEFORE RECORDIlfG YOUR lfOTICH OF COHHDCBHBNT. JOBS OlDER $2,500 II VALUE DO lOT XBBD TO RECORD lIID POST A 'IOTICH OF C(JOIDCBJIBJII'". SIGIA!URE: OIOOlR OR AGBH'I' SIGNATURE: COH'l'RACTOR STATB OF FLORIDA COUHTY OF The foregoing instrument was acknowledged before me this , 19____ by STATE OF FLORIDA COUH'I'Y OF The foregoing instrument was acknowledged before me this , 19_____ by who is personally known to me or who has produced as identification and who did/did not take an oath. who is personally known to me or who has produced as identification and who did/did not take an o~th. (Signature) (Signature) (Name Typed, Printed or Stamped) NOTARY PUBLIC (Name Typed, Printed or Stamped) NOTARY PUBLIC ~-- . ._..._...._~ - - -~ .- ~.. .. "~ INSTALLATION AGREEMENT ~ . ADVANCED MOBILEHOME SYSTEMS i""" CONT. NO. AMS III, INC "..rM'" ,/)/'7 V- 13764 W Rena Drive (f"rt.... ( . PRODUCT ~ t)tJi.'7C-1 Largo, FL 34641 ; . . ; SOURCE ~ t,.-(J(J ,il.,F CG C033977 CC C042787 . /: ".., 7 Buyer O'l{NER: J/,()/CII?LJ j3~rJ/(~ Date' //~ ~ 19 96 phone # (9';S) '1 f!O-,9PC' ?' '" Address:(i;~)f' ,P67JRL ,<JP- City: -Zd/'#i/~/;I/at.s Zip SdoP'OLot#_Park C)~,K...s;'CkS- County (J/l-j(!D Home-Own V R;nl Lend-own..y"" RenlL RIP ... Address, jll/ t!JJ,e1///ftlc- City B,6-,e4f)~State ?JfJ Zip ~(11 Phone #( ~1 ~~ 9993 (out of Florida): /...K I,-t:> (out of Flo,lda) AMS III, INC, ("AMS") proposes to furnish all materials and labor for the lob(s) specllled below: ~OOF JOB DESCRIPTION. Install Weather.Lok~ Roof system (Pat. #4,548,002), consisting of 2" Polystyrene Insulation and .024" aluminum roof with baked white enamel finish, over existing roof. Remove and replace fan & plumbing vents, This does not Include gas appliance stacks. o OTHER. m '5, 'J. . 17 . - )/. 1/6?C- ?n4l'u' (f- .~. /,.c;eAd/&:-~d-'6'1?'< EM5~P^As.#//V""" rlYe-r~ _ :Tb/.'~ /l/l/J ~~ _rr; r$.:3 ~,e/6E fll/abt4)~ ~$6:S/ P67C/J! /r /1/1/...1 /..-1 r erl /!~;?;'"' u/ ;?~ a (/,Sr:~/7;J<..~;C //.&.5 ^--87JKS 119?l/i> t!.,.~L)A/6- /)~~~- O-~ fTt) j3c.- Lk'/t/t:--- /Ji.S /) /? I IJ IllfC ;if/A Tl\RA22. 13 o Check here only if space above Is Insufficient for complete specifications, description of work, or materials. Any additional specillcatlons or plans are attached to and incorporated into this Agreement. AMS requires a 30% non-refundable deposit, payable when this Agreement Is executed, but may at Its option vary said deposit. The entire remaining balance is due upon lob completion, All of the work to be complet~ ~ ~!.8frlbed above for the sum of: TOTAL S t7#Vlct/SM.dJ Fcu/,e /!t/lYI)L!HJ PI rTl!rA'V ~ (U.S. DOLLARS S)(S 1.1/ /0': /0 p.<f'd~ If" (!, 11'1/ /3 (, S.le. Tox . S' 'Y , 70 TOTALS /'ff"'r3o . c> 0 Deposit Amount S c5 c!J 0 10 0 Balance Due on Completion S / C/O 0 ~t2 D A separate written warranty relating to the Weather'lok~ Roof system will be maUedwhen contract price Is paid in full and a completed application for warranty is received. A copy of the form of this warranty Is available upon request. AMS is authorized to furnish all materials and labor required to complete the work described in the above proposal, for which I/We agree to pay the full amount specified in said proposal, and in accordance with all terms of this Agreement. THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE COpy OF THIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALLED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS. AND AGREES TO BE BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE. This Agreement shall be binding upon the Buyer'S written acceptance hereof In the space provided below or upon the AMS's commencing performance. Upon such acceptance or commencement of performance, this Agreement shall constitute the entire contract and be binding upon the parties hereto, there being no covenantll, promises, warranties, or agreements, written or oral, express or Implied, except as herein set forth or as created by applicable law. NOTICE TO BUYER: THE TERMS AND CONDITtONS ON THE BACK HEREOF ARE PART OF THIS AGREEMENT. (INIT.) x)J.t1.. x EVERYTHING PROMISEDAS PARTOFTHISCONTRACTISCOVEREDINTHEABOVE. RESPECTFULLYS~lTT~~4~ . By AMS REP. V/JL~ ~~ 19~ SOCIAL SECURITY # ctI/Sr~4f.- ~~.s~ ~.? /.:.:> :l _ ACCEPTED ~N~ 1G~EE,~ X ~ -Idc;tf ~L'r'-~--?-- Date / X (Buyer's Signature) Date 19_ SOCIAL SECURITY # 3057820935 P.01 -\ Q-4;" r'..... t~~ ..~ ~~~ ...~ !iJ!a ~-:J i~g flt'1 JJ~ ~ - ~'1' i~ -, .1-=:=11 ' - \ t....----1 lc l ~8Q s~ w ';Q ~ - ~ ~ ~~ [- ~~ ~!~ , ~~ ~~ ~~ i ';.~ ~, . ~~ ~ E~ Q~ r- 'Jp' l'.:z ~ "'0 "- ~ '\~ ~ P --'--0~~~0-1995 08:04AN :n\I~~ ! '~~~S ~~,. ~ I .., I " ~ ~ lIl~W ,. .~ ~ 8~g~, "'''" J ~: ., R" f.i I l:. f"i E I ~ ~ ~~ _.... ::tI ~ 9. r ~ ~ ~ p ~ ~ flg ~; ~M Q B~ ~o '>> !' ~ 9. .. . s;; ~;1~ ~~ m ~ ':t~~ ,. e !..4 ~~'. ~I ; ij'~ ~ ,",01'/ -v~8 ~ s;; ~ ~~r ---","J 3 ~ ~ i1!g 1 n ti~ "-~, ~'- .,-- ,) " " l': " ~~ ~ ~ I...... 'i ~ "'1 I ~:1~; ...,~ 11 i! r- ,~ " "!S g6 "'....'" ~ 'f ~~ . ~~~ ~ ,,. ;l~ ~~ I>" f ;~ ~~ ~ I., ~~ ~~: ~ ~~ ,,~, r:; '.. ,,~ ~~ ~ ~~ ~t ... ~ ~. '11~ *. "- , ~', '\~ . . ,. 0 co j"l p l:'! ~ ~ ~ g ~ ~ ~ .." ~ .. 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'\ t1 ....o\~. lJ~:~~~i~~~~ ',-- \ It \ ~.; ~!!I~;;~U; ~;~ ~ \~:- -..~--~i..-._.--- (!\ ~4~e~~~~~r-,.1 !; f.: ~. -- ~;tU ~g ?=~~~~f:~~~~~ ~ ~ .,r. iJi IT J;~~~ ~ '~~ ~W<;Z~M . ~;>] ~ \/I ~;t ~ \\ ~,~;~ ~ ~ ~",': ~~2i~~~~~~~~ ~ ~ ~...~ ~ . ~., f;S r- g<,;o~ -4~z f2 !i C'''' x ~ a \\~I~~"'I~~ . I ;U')o....do~". is i P ~ \\ '" \l alf.l' n N,_'Vl ~' 8gg""MQo~ 0 ~ .... ~ ~!iJ "'~ 11 ~~f~~~g~~"~ ~ ! .~ 6 ~ \\' ~ ~~ ~i ~~g ~g~~~~~'. ~ E ~ ~ \\. ) f,~~~~ '~~ ~~~. ~~~ ~ ~ ~ \-~ ~~f! ~rl) ~~~ p' ~ ~ .Js;a . \~.~:;:: ~ l ~~~~ -- ;~'(;) , ~ · 2Q~~ ~ ~~ I f~"~ --- ~g~ I rt1~P; __ -> , fl~. ~ O......iAME.S- BusiiotTs.F;"-ij'''E: .C~;6W:i. t~ci. I ADVANCED MOBILEIIOm: SYSTEMS iO -''':-. . I ou S.1\'. 8th street "i: \1 ' . . rnmL P.Ol