HomeMy WebLinkAbout98-7714
BUILDING PERMIT
7714 13
CITY OF ZEPHYRHILLS
(813) 788-6611
Permit
Date
'I-~r-?~
& ELECTRICAL PLUMBING MECHANICAL
PropertyDwne' Ji~~1-1J;:4
Job Address: 5 _I /7 -=- / _~
Parcel 1.0. # }I -d/J-f)./- 0 % - 0 sttJ 0 - OO-..s-U
Sewer Conn
Water Conn:
Water Meter:
T.I.F.'s:
Zoning: Energy Code: Radon Gas:
Oe,c"p"ono,Wo<1< ~q J4-;';~'~ 1A-':-.d7f:-i ~ Jl.A,...-"
NO OCCUPANCY BEFORE C.O.
FINAL
C.O.
DATE
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances,
DATE
Inspector
/?,', I
Permit Fee 3--.S......r ~
Signature r/ ~--
Company
/'
Address
Telephone#
Valuation or
Contract Price
4/ ifO.UD
Q.9J-
City License Registration #
State Certified License#
L~f~ ~~
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 00/1 00 Dollars ($105-:661 shall be made for each trip for each trade:
;J..!>'; o-v
a.
b.
c.
d.
e.
f.
g.
Wrong Address
Condemned work resulting from faulty construction.
Repairs or corrections not made when inspection called.
Work not ready for inspection when called.
Permit not posted on job site.
Plans not at job site.
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
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OWNER'S NAKE
I7'A!to c--,?)
S~/7
SQ'/",?
LuOOD Y
II z:ft 5.7-
II 7Yf s-;-:
PHONE ; 783..... / 8" 7,t/
2 -H/~ S
Z -/r:/ LC S
OWNER' S ADDRESS
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL 1.D.' II - db ~;)J- O!9 /0 ~ ,j~6!JtJ~ 0 tJ-!::.-o (OBTAIN FROK PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install
_Sign.
_Kove
_Deaolish
PROp()SED USE: _Single Faaily
_KIF
_' of Units _K/H
_eo.aercial
_Indust.
_Swia. Pool _Other
_Restaurant & Health Departaent Approval
DESCRIPTION OF WORK:
A-tJ.LJ
V'/NYL- Lu//VLJboJS
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AKP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
FT.
IS PROJECT IN FLOOD ZONE AREA?
******************************************
YES NO
Bml.DER
CONTRACTOR SECTION
COMPANY C,.eE;{ 7/vE f'x 7fi7/'2../o/2.J /N<'"
State Cert. or Regist. ,
City License Registration t 2... 9" 8'
******************************************
Signature
COMPANY
State Cert. or Regist. ,
SignAture City License Registration .
******************************************
PLUMBER COMPANY
State Cert. or Regist. ,
Signature City License Registration ,
******************************************
MECHANICAL COMPANY
State Cert. or Regist. ,
Signature City License Registration .
******************************************
OTHRR COMPANY
State Cert. or Regist. ,
Signature City License Registration #
******************************************
APPLICATION APPROVED BY PERMIT OFFICER.
CONDITIONS OF PERM!'!' AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
TIo WIde..igned UDd.ralaods Ibal lbis per.il .ay be aubJecl to "d.ed r.alricliona" wbieb lOy b. .... COBtrlcli.. lhau Cil,
regulations. The undersigned assUles responsibility for cOlpliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If !be ..... bas bired a contractor or coolraclora 10 ..d.rtal. ..rl, lb., IO, be required 10 be IlceosoI in acoooIance _Iii
.Ial. aod Incal regnlationa. If lb. conlractor la nol licenaed aa required by I.., bolb !be ..... iIIIlI contractor .., be
cited for a .Iad.....or ,iolalinn ond.r alai. I... If lb. ....r or Inlended conlractor are oncerlalo as to Obal liCBOBing
r.qolr....ts IO, apply for the Inlend.d ..rl. lb., ar. advlaed 10 contacl lb. Cily of Zopb"bllla Building Depar\oeol, (113)
788-6611.
Furlb....r.. if lbe ....r bas blred a c.ntractor or conlraclnra, be la advised to bav. lb. contractorr.) sign portl... of !be
"Cootreclor Seclinna" nf lbla application for -bleb they _ill be responslbl.. If mo, as the ..... algn as lbe contractor,
roo are IndlcaUnq thai YOU. ralber Ib.. lb. conlraclnr, are res(lOllalbl. fnr lb. IOrt. ff the contractor _i""'" rou to aign
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 L'1\W (ClmPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law _ HOIeONDer's Protection
Guide" prepared by the Florida Departlent of Agriculture and ConsUJer Affairs. If the applicant is SOIBOne other than the
.olfller", I certify that I have obtained a copy of the above described docuaent and prolise in good faith to deUver it to the
"owner" prior to COllencuenl.
E. CONTRACTOR' S/OWNER' S AFFIDAV!'I'
I certify that all the infor.ation in lbis application is accurate and tbat all work will be done in cOlpliance with all
applicable laws regulating construction, loning, and land develop.ent.
I
Application is bereby lade to obtain a per.it to do work and instailation as indicated. I certify that no worl or
installation has cOllenced prior to issuance of a perlit and that all work will be perfollBd to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other goverDlenlal agencies Jay apply to the intended wort, and that it is
IY responSibility to identify what actions I .ust take to be in co.pliance. Such agencies include but are not lilited to:
t DepartJent of HnviroDlental Regulation - Cypress Bayheads, Wetland Areas and EnviroDlentally Sensitive Lands,
Water/Wastewater TreatJent
t Southwest Florida Water HanageJent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways
t De artJent of Health & Rehabilitative Services EnviroDlental Health Unit _ Wells, Wastewater rreatlent, Septic ranks
t US EnvirODlental Protection Agency - Asbestos abateJent
I also certify that, if fill .aterial is to be used in Flood Zone "A" or "A,etc.., it is understood that a drainage plan
addressing a "colpensating VolUle" will be subJitted which is prepared by a professional engineer registered in the State of
Florida prior to per.it 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 is~u~nce of a perlit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Ivery perlit issued shall beCOlB invalid
unless the work authorized by such perlit is cOllenced within six IOnths of issuance, or if wort authorized by the pertit is
suspended or abandoned for a period of six IOnths after the tile the work is COlllenced. One 90 day Bltension of tille, ., be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged during each six IOnth period, or the project will be considered abandoned.
WARMING TO OWNER: YOUR FAILURE TO RECORD A NonCE OF COHHENCHHBIIT HAY RESUn IN YOUR PAYING TWICE FOR IHPROVIIIBIt'S TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WUB YOUR LENDER OR AN AnORJlBY BEFORE RiCORDING YOUR HarlCB OF
COHHENCBHBHT. JOBS UNDER $2,500 IH VALUE 00 HOT NEED TO RECORD AND POST A "HOTICE OF COHHBNCKHDr".
SIGNATURE: ONKER OR AGENT
. I
SIGNATURE: CONTRACTOR
STATK OF FLORIDA
COUIITY OF
The foregOing instrument
before me this
was acknowledged
, 19_ by
STATK OF FLORIDA
COUNTY OF
The foregOing instrument
before me this
was acknowledged
, 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 oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
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37034 Pepper Prive
Zephyrhills, Florida 33541
CREATIVE EXTERIORS, INC.
STATE CERTIFIED CONTRACTOR NO. CGCO 33024
LICENSED · INSURED
(8~31 782,0316
BUYER'S NAME
(HUSBAND AND WIrE)
ADDRESS
/ /" . AGREEMENT
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?-p / L- c. .s (STREET)~, .
(CITY)
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(STATE I
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(PHONE)
The undenilned ~1I~r allnea to ...11 and the und.nl.ned buyer(a) (jointly and ...verally, if more than one) a,r"H to purch..... the below
de.cribed .ooda and servicea which are to be furniahed or used in the modernization, rphabilitation, repair, alteration or improvement of
rpal propert~ located at buypr'a addre.. .iven above or at
(STREET) " 5~ /Vi C (CITY) (STATE)
for the cuh pricp and upon the terms and conditiona u aet forth herein,
DESCRIPTION OF GOODS AND SERVICES
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(--, /-1 I~ ( C:::- :::
L CASH PRICE S
2 LESS CASH DOWN PAY.S_
TOTAL DOWN PAYMENT S
3, UNPAID BALANCE OF CASH PR~
(1 LESS 2) l S
J" .
j'
/'
4 CASH DUE DURING COURSE OF JOB S
--=~~'-~Z~~~.-j-tJ ~J/?iJL-e' W~~~.-:
0) LJ / ,r: I:f!- Re"ruentotlv' of S.I1.r I. not .uthorlud to maj.. any "rom IN. not
~_ ~ c:ontalnf"d In wrHtna 1n thl. AP..ment.
BUYER'S NOTICE OF RIGHT TO CANCEL
"., . 70 '!3!- This Is a home soll~'tation sale, and n you do not want the goods or services,
Q( L, you !l'ay cancel thiS agreement by mailing a notice to the selier, CreatIVe
Ext.enors, Inc. 37034 Pepper Drive, Zephyrhllls, Florida 33541. This notice must
/'1- ~t2 ~- Indicate that. you do not want the goods or services, and must be postmarked
, before midnight of the third business day after you sign this agreement. It you
_ _ ~ cancel this agreement, the seller may keep all or part of any cash payment, not
. to exceed the lesser of 5 percent of the cash price or $50.00.
C)
Thr Buy.rh) hrff'bZeoowtt'd.. r.ce~Pt...qf thi. Nolie. or ~YV"
Rl.aht tn Cane..1 th" day of y . 1911t . 0 "
.
Creative Exteriors, Ine,
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'BU E'R. Hu and
lit'
WHICH IS PAYABLE BY BUYEf~) .
JOINTLY AND SEVERALLY
srtrdffP
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BUYER. W,fe
5. TOTAl. BALANCE OF CASH PRICE DUE
UPON COMPLETION OF ALL WORK
NOTICE TO THE BUYER: Do not II&n th.. beton' you r..d U. or II It
contatns any blank .p.r... You are "ntlUrd to an ...ct COpy of th~
p.p~r you "&n. You hav,. thiP rtlnt to pay In .d"'.n("f' th. lull Amount
dur,
Ruvrr(l) acknowl..dlrl that tht. ("onlrl{'1 ""'.. r,'rnplfO-lf>ly rUI""l in ,"'1' 1
to ~."("ullnr\ and acknowlf'd.e. r"("f'lpl of .n rXf'l:'ut...d ('"noy cd lhl. .4(
contract.
Loan Proposal
Ruvl'rls) may at any time between start and completion of above.described goods and services, request wiler to
~rranl!e a loan in the amount necessary to cover the price under this agreement. If seller tS unable to arrange such a
loan. the 3lrreement is automatically void,
ftI(}A/~.
Recause of the larl!e number of sources where seller may arrange ~uch'cr"oan and because each of them havE'
varIOUS methods of computing the loan cost,itisimpQ5.sible t_()o.fufflt'sl1'-; full disclosure statement as required h\ !;.w
until such time as seller is able to obtain an "AIfl~.rnerrrfo.Loa,Q::Jrom one or another financial source. If the
hUYt'rll';) should request the seller to arrange.R.len", a full disclosure sta~ment will be furnisht'd immediately upon
obtaininl! an 'AllJ'eement to Loan".
Under no circumstances, however, will repayment term of loan exceed
paymt'nts (fI')(~ltiainfi[ insurance but including finance charges~ will not exceed
months and mon~h~~
per month.
Creative Exteriors, Inc.
.::r- (S_a.J)
An .. AE7Pf'ment to Loan" from another financial source is custo
BUYER. Wife
I
,/
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C/o
fS..J I
BY
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~GNATUREANDTffLE
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ADDRESS