HomeMy WebLinkAbout97-6432
BUILDING PERMIT
N!
Permit
CITY OF ZEPHYRHILLS
(813) 788-6611
6432/3
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Date -:L -3 ~-7 57
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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
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~ jJ. 6137- JJ
er~
~
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-jlt/ovt ~
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.
/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.