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HomeMy WebLinkAbout97-6432 BUILDING PERMIT N! Permit CITY OF ZEPHYRHILLS (813) 788-6611 6432/3 :;).6 . eft} Date -:L -3 ~-7 57 ;;L (:; . crzJ cruILD~ ~CT~~ PmpertyOwne, /;~~~ Job Address: ~ Y--i__ --'---- Parcell.D. # t/ -,;26 -- :2../ - 0 Cl;)..O ~ tJ i) C) c.'J D - 0 0 A..3 PLUMBING MECHANICAL Sewer Conn Water Conn: Water Meter: T.I.F.'s: Zoning: Description of Work Energy Code: Radon Gas: ~.131J/ AA~,j~~ NO OCCUPANCY BEFORE C.O. FINAL b DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE ..3 tJ -S Permit Fee Signature Company Address Valuation or Contract Price 9 -S -:S"'c u-u City License Registration # State Certified License# '!~ ~.. Telephone# (j ~F x8~(;~ BUILDING ELECTRICAL PLUMBING MECHANICAL Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final SLB Tub Set Water Sewer 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 ($15.001 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. APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTKENT OWNER' 5 NAKB BRANTLEY SMITH PHONE 7i82-4850 OWNER'S ADDRESS 6545 BRENTWOOD DR. ZEPHYRHILLS FL 33541 SILVER OAKS JOB ADDRESS SAME AS ABOVE LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 1. D.' 04-26-21-0020-00000-00 A3 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED:____New Construction _Addition ____Alteration _Repair 1L-Install _Sign ____Move ____DeJlolish PROPOSED USE: L-,Single Fallily ____H/F _' of Units ____M/H ____eo..ercial ____Indust. _Swia. Pool ___Other _Restaurant & Health Departlllent Approval DESCRIPTION OF WORK: REMOVE SCREENS AND INSTALL WINDOWS 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. PERMITS REOUESTED ......A-BUILDING $ $955.00 Valuation of Total Construction -2L-ELEC'1'RlCAL AtIP Service Florida Power Corp. W.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUHBING GAS ROOFING SPECIALTY TYPE OF CONSTRUGTION: If.-Block _Fralle _Steel Other FlBISHED FLOOR ELEVATIONS: FT. IS PROJECT IN FLOOD ZONE AREA? YES NO .......................................... CONTRACTOR SECTION BUTT.DER ~' COMPANY G-L-_ ST8I~ c..oPST_ J ~- State Cert. or Regist.' ~ l2.o;;r~J3 '1 Signature ~ / .... City License Registration' :kJ$ / ~ . ......................~....)~ ~ ~ ,- COMPANY 22-t'?t~--E L~ ~.2'n~ State Cert. or Regist.' c)c;02 l Co s;.-- u City License Registration t ~ .:la..J..... ................................... PLUMBER COMPANY State Cert. or Regist. t Signature City License Registration t .......................................... KECHANICAL COMPANY State Cert. or Regist. , Signature City License Registration , .......................................... OTRF.R COMPANY State Cert. or Regist. , Signature City License Registration # .......................................... APPLICATION APPROVED BY PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this peflit laY be subject to 'deed restrictions" wbich laY be lOre restrictive than City regulations. Yhe undersigned assutes responsibility for cOlpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they .ay 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 tay be cited for a .isdeteanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing requirelents laY apply for the intended work, they are advised to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner has hired a contractor or contractors, be is advised to bave tbe contractor(s) sign portions of the "Contractor Sections' of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather tban the contractor, are responsible for the work. If tbe contractor wisbes you to sign as contractor that lay be an indication that be is not properly licensed and is not entitled to pertitting 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, bave been prOVided with a copy of 'Florida's Construction Lien Law - HOJeOWner's Protection Guide" prepared by the Florida Departlent of Agriculture and ConsUler Affairs. If the applicant is soteOne other than the "owner", I certify that I have obtained a copy of the above described docUJellt and prOlise in good faith to deliver it to the "owner" prior to cOllencetent. E. CONTRACTOR'SjOWNER'S AFFIDAVIT I certify tbat all the infor.ation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby .ade to obtain a per.it to do work and installation as indicated. I certify that no work or installation bas cOllenced prior to issuance of a perlit and that all work will be perforted to teet standards of all laws regulating construction, City codes, zoning regulations, and land developJent regulations in th~ jurisdiction. I also certify that I understand that the regulations of other governtental agencies JaY apply to the intended wort, and that it is If responsibility to identify what actions I lUst take to be in cOlpliance. Such agencies include but are not lilited to: t Departlent of EnviroDlental Regulation - Cypress Baybeads, Wetland Areas and Environtentally Sensitive Lands, Water/Wastewater Yreatlent t Southwest Florida Water Hanagetent District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t ArlY Corps of Engineers - Seawalls, Docks, Navigable Waterways t Departlent of Healtb & Rebabilitative Services, EnvirODlental Health Unit - Wells, Wastewater Treattent, Septic Yanks t US EnvirODlental Protection Agency - Asbestos abatelent 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 'cOJpeDsating volute" will be sublitted wbich is prepared by a professional engineer registered in the State of Florida prior to per.it. issuance. . A peflit 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 tbe technical codes, nor sball issuance of a perlit prevent the Building Official frOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Every perJit issued sball beCOle invalid unless the work autborized by sucb per.it is cOllenced within six IOntbs of issuance, or if work authorized by the perlit is suspended or abandoned for a period of six IOntbs after the tile the work is co.enced. One 90 day extension of tile, laY be allowed for the pertit 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 sixlOnth period, or the project will be considered abandoned. WARRING '1'0 OWNER: YOUR FAILURE TO RECORD A NOTICE OF COHHEHCBMElft' HAY RESULT IN YOUR PAYING filCH FOR IHPROVEHElft'S TO YOUR PROPER'IY. IF YOU Ilft'END YO OBUIN FINAMCING, CONSULY WITH YOUR LBJIDBR OR AN AnORRBY BEFORE RBCORDIlfG YOUR NOTICH OF COHHENCEHBlft'. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A uNOTICH OF COMHBIICEHElft'". ~L~ , SIGlfA . OWNER OR AGEtrr &~V~ SIGNATURE: COtrrRACYOR STAYE OF FLORIDA P coum OF _{J$; C.O The foregoing ins~~ent was acknowledged before me this //)1:!1 . .;})~, 19~ by ;]'\a.n+J who is 0 me or who has produce a . dentification and who did/did not t k an oat STATE OF FLORIDA coum OF PASCO The foregoing instrument was acknowledged before me this JAN 9th , 19~ by DEBRA W STEVE who is personally known to me or who has ~~o~~:~ifi::~:n Land who did/~::;;~) tak ath. roO.. (SignRture) fi / ,f// J4..f:UII /I ~. /"'-/,I]..Ie (Name Typed, Printed or Stamp d) NOTARY PUBLIC ........., DU'A M GIELLA ~~~v.l'~~ IVV\ . =*: ~*: MY COt.NlSSION II CC301855 EXPIRES ~... . ; July 14. 1997 "'4:iif.:" -- BONDED THRU TROY FAIN INSURANCE. INC. ~ MAllSHA L UNOSfY * * My commission CC451191 ......., Expires April 9, 1999 ....or " ,. CB-C022139 truction y Craftsmanship 37651 8th Avenue Zephyrhills, FI. 33541 813 782-9442 TO SILVER OAKS DESIGN REVIEW BOARD WE SUBMIT FOR YOUR APPROVAL SAID IMPROVEMENTS TO THE SMITH RESIDENCE LOCATED AT 6545 BRENTWOOD DRIVE. WE WOULD LIKE TO REMOVE SCREENS ON REAR LANI AND INSTALL INSULATED GLASS WINDOWS THANKS ~ A..) MARK STEVEJG.L STEVE CONST D.R.C. ~ APPROVED I NOT APPROVED Custom Homes * Additions * Patios * Decks * Etc. MORTON ELECTRIC P.o. Box 1537 Zephyrhills. Florida 34283-1537 Phone 782-7237 J..{ tV ~ ,:1. J 191 1 /) w)JJ-M ~ yU/ vf fY}~~ ~ f)Jid)-0 ,)JcrJ.- << bS-<-I1' rip dW~( ~ jJ. 6137- JJ er~ ~ .U' --r/~ -jlt/ovt ~ ~ cfl 1~p~~ <;:;f~ . /il:~""~"" MaikA. B;!iI.:S'O I :': ':' ~ Notary Public. State of Florida ~.....)~.E My comm. eXPi,res April 3, 1999 i .~.~~..., Comm. It CC09i 752 I .:'1"",_ ~~I'IIl"~ _ y:. _.:: -: ...L- CB-C022139 truction y Craftsmanship 37651 8th Avenue Zephyrhills, Fl. 33541 813 782-9442 June 13, 1997 City of Zephyrhills Building Department 5335 8th St. Zephyrhills, FI 33540 Please be advised that we have had a change in our Electrical Subcontractor on Permit #6432B, located at 6545 Brentwood Drive, Zephyrhills, Fla.. We had Zephyrhills Electric Service on the permit, but Morton Electric will do the job instead. Please make note of this change. Thank You, ~ yf~.Rfl- Debbie Steve G.L. Steve Construction ~dpLiLlv Notary ublic ~)~J97 / / . Custom Homes * Additions * Patios * Decks * Etc.