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Home My WebLink About02-1404 BUILDING PERMIT an Of ZEPHYRHILLS Permit N~ (813) 780-0020 1404 Date 8-/5 - 0:2. BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Water Conn: Property Owner: Job Address: Parcel I. D. , :It< h1 14 GOWhfJ~1 S-tJ ~ l./ 1~ 5 ro, Water Meter: T.I.F.'s: Zoning: DescriDtion of Work ~r~y ~ Radon Gas: 511;f.- f/~ Kvhbw 11Ir.~0!I- hr~ Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. FINAL C.O. DATE NO OCCUPANCY BEFORE C.O. DATE Inspector P . F ~.O'O ermlt ee . ~ignature ( 1A Jt.Le.A.. Company Address fblephone' 7;;"7-Stf..(-/~ ~ ~O Valuation or Contract Price /JL/?/ I ~ 309 City license Registration , State Certified license' J"H)I';'" (,'hl", fJ 55 OC Ftr. Pre SLB lintel FRM. Insul. CL WL SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compr Fin Tp. Servo Rough In Meter Can Const. Pol Pool Pre-Me r Fina PLUMBING BUILDING Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of twenty-five and 00/100 Dollars ($25.00) 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. _~'y.' OF L..~.i.LINH 1_. .q,;, I' }J.i..,.......LCAT.......ilj BUILDING DBPARTMKHT 5335 8th STRBBT ZBPHYRhILLS. VL 33540 PhoneI81J-780-0020 raxI813-780-0021 DATB RBCBIVBD Pl:.AHS RBVIBW rBB . OWNER I S NAME -r.l? Mvf 15 , ,lOB SITE ADDRESS ~o.;2/1 , C Y'1rbou 9 r/-t.. 5 .J-. PIIONE CONTACTJ"/.,3 'cP 3 -ft:7;).O LEGAl, DESCRI PTION : LOT (S) BLOCK SUBDIVISION PARCEL ID # II... 'J,(.r;). (-00/0 - '?./200 - C)//" WORK PROPSED: DNEW CONSTRUCTION 0 ADDITIO~ (OBTAIN FROM PROPERTY TAX NOTICE) o ALTERATION o REPAIR o INSTALL DSIGN o MOVE D DEMOLISH PROPOSED USE: r8!SGL FAMILY DWELLING OMllLTI - FAMILY 0# OF UNITS o SWIMMING POOL o MOBILE HOMR o COMMERC IAL o INDUSTRIAL o OTHER DESCRIPTION OF WORK S".~/e ply f I' SQUARE FOOTAGE BUILDING SIZE HEIGHT RESIDENTIAL: COMMERCIAL: ~TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. A17ACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PBRMITS RBQUBeTBD o BUILDING $ l{~r?~ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWBR o W.R.E.C. o PlaUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL [] OTHER InNISHED FLQOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO BUILDBR SIGNATURE (i lk;IiA )~ COMPANY .:::r I) tJ,' ,., ~.. 61 e. AS's () c... STATE CERT OR REGrST # C <:: Co 0 Lf 9 3 b 7 CITY PROCESSING ~ .3 0 ~ ~~*****************************.****************.**.************** ELECTRICIAN SIGNA1'URE COMPANY_ STATE CERT OR R1!:GIST # CITY PROCESSING # ****************************************************************** PLDHBER COMPANY STATE CERT OR REGrST # CITY PROCESSING # . SIGNATURE MBCHA1UCAL *************.**************************************************** cm.1PANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE *************************************************h*************** OTHIIR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNA'l'URE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NO'rICE OF DEED RESTRIC'l'IONS The undersigned understands that this permit may be subject to "deedrestr:lctiol1s" which may be more restrictive than Clty regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, 813-788-6611. Furthermore, 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 which they will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protectlon GuIde" prepared by the Florida Department of Agricultur.e and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtaIned a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. 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 development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulatJons in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I mus!; Lake to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health , Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if ftll material is to be used in Flood Zone "An or "A, etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted whleh ls prepared by a professional englneer registered in the state of Florida prior. to per.mit issuance. A permit issued shall be construed to be a llcense 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 permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is conooenced within elx months of issuance, or if work authorized by the pennit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. 'I'he extensIon shall be requested in writing to the Building Official. An approved inspection must be logged durIng each six month period, or the project will be considered abandoned. 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, CONSUI,'I' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ,TOB5 UNDER $2,500 IN VAJ,UE DO NOT NEED '1'0 RECORD AND pos'r A "NOnCE OF COMMENCEMEN'r". CA ~ 1Je//~ SIGNA~ E: OWNER OR AGENT (W tcJ~~ SIGN~ RE: CON'l'RAc'roR STA'fE OF FLOIHpA (fA- r COUNTY OF r, tJe The foregoing instrument was acknowledged Befor~ me. . tIS ~ t.ay of . .~ ' 1:!Q..0u2. by '.h!.b.( W~tc. (name of person ackno~ledged) pfwho is personally knowf. to me, or STATE OF FLORIDA ~ // COUNTY OF r.i.Je'(II~r The foregoing instrument wa~acknowledged :;<0<0 mo ~~~< "'!7 ,a~< (name 0 person acknowledged) ~ho is personally known to me, or o who has produced (type of identification) ~~~7t~e an oath. ature of person taking acknowledgement o who has produced (type of identification) ft~~~ke an oath Signature of person taking acknowledgment =::-- Name "ped, printed "Y P (~edi COMMISSION # CC 961647 ..~.. - -EXPIRES: August 16,2004 "~OFflrJlo~ Bonded Thru Budge' Norery SolVice. .~ Name typed, prl ~RY Pfl ~~.. sM~ ION#CC961647 ..~.. EXPIRES: August 16, 2004 It 0' "dI' Bonde~. Thru Budge' Notary SelVice. '-'''- Phone: (H) lSl.:~ 71f(<.-loaO(w) __ City: 2.- M Il~ County IJ..v::'i'J State: rL Zip: :3.3S-Z; J ~ <)J ~ , t 'tT!Y.!~a~ Cooley! Building Products ~INVINCIBLP~ cr- INVINCIBLE ASSOCIATES, INC. .10931 75TH ST. · LARGO, Fl 33777 727 I 545-1800 · 800/937-6635 · STATE CERTIFIED LICENSE #CCC049367 MAKtNG FLORIDAA BETTER PLACE TO LIVE SINCE 1987... ONE HOME AT A TIME Na~a(S) rr;Yt~ .A G:;",:l.,,~ Mailing Address: ~Sll C}"I ~ ...s}.- (If Applicable) MHP: ,C:;; '+t'oJ ~1"1I J.J.. Lot #: Alternate Address: City: _1~5ffi2 ~ z Z We Sell ~AR State: _ Zip: _ Phone: INVe, the owners of the premises described below, hereinafter relerred to as "Purchaser" offer to contract with INVINCIBLE ASSOCIATES, INC., herinafter relerred to as "contra.~or" ~o furnish, t~ ~eter a~d arrange lor installation of all materials nece.ssary to improve the premises localed at JobsileAddress: ~~ () ,;} t./ (1"1- ,S f, Cily: 1- - ).), /15 State:A Zip: .3 :5 "S-i/l> according to the following specifications: CIRCLE MEMBRANE TYPE: ~ ........ l ~ () I TEVENS WHITE EP · STEVENS TAN EP · STEVENS LIGHT GRAY EP · EREZ TAN · EREZ WHITE · EREZ GRAY COOLEY N ILLUSIONS · COOLEY GREEN ILLUSIONS · COOLEY CHARCOAL ILLUSIONS · COOLEY WHITE TPO 1. PROVIDE ENERGY-SAVING INSULATED WATERPROOFING SYSTEM FOR THE FOLLOWING AREA(S): c: 1'1(" ;;J S I C,v"'eCA 2. INCLUDE ENERGY-SAVING DOUBLE-FOIL FACED INSULATION AS INDICATED: ~GOLD: DELUXE 1-1/4" INSULATION 0 SILVER: 3/4" INSULATION 0 BRONZE: ~ ./ 3. INCLUDE NEW SPUN ALUMINUM ,vENTS: ~SMALL ~LARGE 4. INCLUDE UP TO 100 SQ. FT. OF NECESSARY DECK REPLACEMENT. ADDITIONAL DECK REPLACEMENT TO BE INVOICED SEPARATELY AT $2.00 PER SQUARE FOOT. 5. INCLUDE ALL REQUIRED PERMITS. 6. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOB SITE. 7. MAIL OUT LIFETIME, NO-LEAK, NON-PRORATED, TRANSFERABLE WARRANTY FULLY COVERING ALL LABOR AND MATERIAL, INCLUDING ALL STORM DAMAGE FROM RAIN, LIGHTNING, HAIL AND WINDS UP TO 170 MPH. "NOTE: BRONZE SYSTEM (NO INSULATION) RECEIVES A 1-YEAR. LEAKPROOF WARRANTY. 8. ADDITIONAL INFORMATION: 9. IT IS UNDERSTOOD THAT THE FOLLOWING AREAS WILL NQI. BE INCLUDED IN THE COVERAGE PRO\/IDED BY THIS AGREEMENT (See Drawing at Right): rlctltJ lic1.<'4 e / S 't,1e (l;cL . ').) "- ~ 8 , Q " ....... CJ SHOW ALL AREAS OF HOME. DRAW ADDITIONS AS NECESSARY. WRITE .YES. IN AREAS TO BE COVERED. WRITE "OMIT" IN AREAS NOT TO BE COVERED. ;J ::;j , c;- I OTHER NOTES: & ~ INITIALS ~. The CASH CONTRACT PRICE for all Labo & Materials (including any applicable discounts) is $ I (, 'I f5-:. (1,,0 Terms)Zftash 0 Credit (Subject to the approval of the Credit Sales Department) Sales Tax $ II this IS a cash transaction, the purchase price shqll be paid as follows. )5"1./ K- ;tl I ~ ~u- (J' () Cash down Payment (Minimum 33%) $ 1(1", - Balance Payable $, .t." \J Total Price $ I;J "7 (J . If this is a credit transaction, lhe agreemenl for credil is conlained in a separate document which Is incorporated herin by reference and made a part thereof. INVe lhe undersigned are hereby authorizing INVINCIBLE ASSOCIATES, INC. to verify and review my/our credit record with an independent credit reporting agency and release them from allliabilily incurred from Inadvertent omissions or errors. Verbal understandings and agreements with representatives shall not be binding.. All understandings and ~reements musl be set forth in writin. g In this Contract. ADDITIONAL PROVISIONS ARE STATED ON REVERSE SIDE AND AR~PART OF THIS CONTRb T. IN WITNESS WHEREOF Purchaser(s) have hereunto signed their name(s) this_9'__ day of /' "'t~ ._ 20 <!J:2 and acknowledges receipt of a true copy of this Contract. UNLESS OTHERWISE SPECIFIED, IT IS UNDERSTOOD THAT THE OWNER(S) IS/ARE READY FOR THIS WORK TO BEGIN. THE PURCHASE PRICE QUOTED ABOVE Will BE HONORED ONLY UNTil __~__::.____ . Purchaser(s) understands and agrees that if this agreement is cancelled after the rescission period, the Purchaser is liable for twenty five percent (25%) of the total sales price as damages to the Contractor. In lhe event lhis offer to contract is not accepted by Contractor, any payment made hereunder shall be refunded to the Purchaser(s) and this proposal shall be null and void and of no effect. Contractor is not responsible for existing structural defects, dry rot or other factors beyond our control. No repairing, plastering, painting, carpentry, or decorat- ing is included unless specifically charged for and specified in writing herein. If Installation is not completed, Purchaser may wilhh a maximum of 10% oITotal Price until completed. The remainder of Total Price is due upon installation or as otherwise sp ied. r-------- ------------- ,---",I I I I I ACCEPTED BY:Aulhorized Signature for Contractor Date ACCEPTED BY: Purchaser Dale 1 L_~____________________________________~