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Home My WebLink About05-4993 I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4993 Permit Number: 4993 Iss e~: 10/11/2005 Permit Type: GENERAL BUILDI G PERMIT Class of Work: 434-ADD/AL T RESI ENTIAL Proposed Use: SINGLE FAMILY ReSIDENTIAL Sq. Feet: Est. Value: Cost: Total Fees:! Amount Paid: 52.50 Date P id: Address: 6418 HUNTINGTON DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: SILVER OAKS Parcel Number: Name: J & G CARPENTRY INC Addr: 4527 RIVER OVERLOOK DR VALRICO,FL. 33594 Phone: Lie: Work Desc: REPLACING EXTE lOR DOORS WILLIAM REGG 6418 HUNTINGTON DR ZEPHYRHILLS, FL. 33542 Phone: N~ ('i(Y" '0 tv -' ..~..rr-" U \ / \{Y/- DUCTS INSTALLED PRE-SLAB DUCTS INSULATED LINTEL SHEATHING FRAME MISC INSULATION WALL MISC. INSULATION CEILING MISC. DRIVEWAY REINSPECTION FEES: When extra in charge of Thirty-Five Dollars ($35.00 CONSTRUCTION POLE 2ND ROUGH PLUMB PRE-METER WATER MISC SEWER MISC MISC. MISC. MISC. MISC. MISC. ion trips are necessary due to anyone of the following reasons, a 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 i spection when called (e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible The payment of inspection fees shall be m de before any further permits will be issued to the person owning same "Warning to owner: Your failure to cord a notice of commencement may result in your paying twice for improvements to your property. If y u. intend to obtain financing, consult with your lender or an attorney before recording your notice of comm tlcement." o OCCUPANCY BEFORE C.O. ONTRACTORS SIGNATURE CALL FOR I P PER~ $PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER I Ii CIT'! OF ZEPHYRHILLS PERMIT APPLICATION * BUI~ING DEPAR'l'MI!:NT 5335 8"" St, Zephyrhills, FL 33542 If} <: 813-780-0020 FAX:813-780-0021 /" () J DA'l'E RECEIVED PHONE CONTACT FOR PERMITTING OWN"".,.", e,.ecJ~ I UJ/UJ/fM" ,"0", <:P/d 7d"a 976/ JOB ADDRESS 6 ~/ <f'. #r; /l/T7/VlP-nN <<11f'. LEGAL DESCRIPTION: LOT(S) t:?99t1 BLOCK SUBDIVISION~/LV'ff-1' V"'~~ PARCEL ID /I tf(E'c?6 .~/ .cJ/dt? . tfl!Jd(1/J' t!199tJ10BTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONS~RUCTION [J SIGN [J ADDITION [J MOVE [JALTERATION [J REPAIR [J INSTALL [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCItl.L [JMULTI-FAMILY [J INDUSTRIAL [J/I OF UNITS [J SWIMMING POOL [J MOBILE HOME [J OTHER DESCRIPTION OF WORK t:J RESTAURANT & HEALTH DEPARTMENT APPROVAL ~fl~C/N(;2 CXTER/tJ/e ~dlf.(' BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2~ SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [J BUILDING [J ELECTRICAL [J PLUMBING [J MECHANICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [J Progress Energy [J W.R.E:.C. ~ s ...: $ VALUATION OF MECHANCIAL INSTALLATION Cil~L(f~ g-s/~ [J GAS [J ROOFING [J SPEdIALTY [J OTHER TYPE OF CONSTRUCTION: (] ~LOCK (] FRAME (] STEEL (] OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA(] YES (] NO SIGNATURE we. STATE CERT OR REGIST /I CO:- -Ct1 ;).~3/ BUILDER .J9.i~ ************ *************~!C)*********************************** 5'2 I ) COMPANY ELECTRICIAN SIGNATURE STATE CERT OR REGIST /I PLUMBER ************r*****~**********************************************"k COMPANY SIGNATURE STATE CERT OR REGIST /I MECHANICAL COMPANY ************ ****************************************************'f SIGNATURE STATE CERT OR REGIST /I ************ **************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST /I I Ii CONDITIONS OF PE~~IT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City 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 accorJance 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 1 w. If the owner or intended contractor are uncertain as to what licensing requirements ay apply for the intended work, they are advised to contact the City of Zephyrhills Bui]ding Department, 813-780-0020. 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 permitt~ng privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN L~W (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 P~otection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I have obtained a copy of ~he above described document and promise in good faith to deliver it to the "owner" prior ~o commencement. E. CONTRACTOR'S/OWNER'S, AFFIDAVIT I certify that all the ipformation in this application is accurate and that all work will be done in compliance wi~h all applicable laws regulating construction, zoning, and land development. Application is hereby mane 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 perform~d to meet standards of all laws regulating construction, City codes, zoning regulation~, and land development regulations in the jurisdiction. I also certify that I understan~ that the regulations of other governmental agencies may apply to the intended work, and t~at it is my responsibility to identify what actions I must take to be in compliance. Such ~gencies include but are not limited to: *Department of Environmental RegulationtCypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater rreatment *Southwest Florida WaterrManagement District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of EngineerstSeawalls, Docks, Navigable Waterways *Department of Health & II.ehabilitative Services, Environmental Health Unit-Wel.ls, Wastewater Treatment, Se~tic Tanks *U.S. Environmental Prot~ction Agency-Asbestos abatement I also certify that, if till material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a profess~onal engineer registered in the State of Florida pric1r to permit issuance. A permit issued shall be ,construed to be a license to proceed with the work and not as authority to violate, ca~cel, alter, or set aside any provisions of the technical codes, nor shall issuance of a ~ermit prevent the Building Official from thereafter requiring a correction of errors in Blans, construction, or violations of any code. Every permit issued shall become inva~id unless the work authorized by such permit is commenced within six months of issuance, dr if work authorized by the permit is suspended or abandoned for a period of six months aft~r the time the work is commenced. One 90 day extension of time may be allowed for the p~rmit with fee charge of $15.00. The extension shall be requested in writing to the Buildi~g Official. An approved inspection must be logged during each six month period, or the projlect will be considered abandoned. WARNING TO OWNER: YOUR iILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVE NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NE D TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~ SIGNATURE: OWNER OR AGENT SIGNATURE~N~;OR~~ STATE OF FLORIDA COUNTY OF The foregoing instrument Before me this_ day 0 by as acknowledged , 21L- (name of person ackn wI edged) Dwho is personally know to me, or I o who has produced (type and whoD did Ddid not f identification) ake an oath. Signature of person takin acknowledgement Name typed, printed or st mped STATE OF FLORIDA COUNTY OF ); _ 'h. fo<.goiog ~1;l!"meO'~Wl.~~ ~~fore ~C\s ~ ',)." 0 _ ~ (name of person acknowledged) ~o is personally known to me, or Dwho ckno?;\;,nt_ C)C ............... ..... SHE ~ (~1~) _ . : .......,'j,iiu:\\"/ .J ,.......n., tne : ~. ............... ..... ...... .................1 5k t r ~,~ ~ ~ r ~ ~ ~ ~ ~ I I' IT ~4/22/2ee4 e9;31 015-441-4277 . Ilonaa HWld111g Code Online MASONITE ENG/MAINT PAGE 02/0b Page 10[2 User: Publ c User - Not Associated with Organization _ AppllcatlonlN: Date S\lb$: Product ufacturer: Address/l'h elematl: Tocbnical ~tativc: iochnica.l ~rcacntativc AddrwllPhonc/cmail: I I Category: Subcalrigory:1 I CorUftoatlon I Quallty ASSU~ Entity: PorfotDl8DQO 1 vel of the product Il11d conditions or limitations of e: hUp:llwww.floridabuilding.org/pr r _ detl.aspnpl'=20&fin-ROSrch Nu<l.HtIltl FL2lJ 0810412003 Masonite International One NoOb. ~e Malm' Suite 950 Tampa, FL 33609 &ff.l'Ve 8cbrcibw 1 Premdor Drivo Di<lQon. TN 37055 (615)441-4258 sschreiber@masonito.c.ow Exterior DOOR Swinging Cortitlcatlon Mark or Ljstin~ ~ ~Ddar~ YwaJ: ASTMEI8&6 1997 T AS202 1994 ASTM Bl996 2002 Intertek TestiDI Sorvicos - mvw~;;;;: . .. ,.-q, ,. ") "; ~ 7i:'~! el":, / .,,',,\ '"" 'e,---r,'J!:'"' - . !t"". Dt=pi h!'t'n~,; ,..J L~; tr ~.. 120 6 '-ill' .,:1 - 08/0812003 Stove Sob(eibec S$Obreiber@m.onlte.cvm None Known 4/512004 /J . -_?~) ~ II: e4/22/2eB4 B9;31 515-441-4277 , . .nV.ll~ DWJ.UlnlP.,1ooe unune MA50NITE ENG/MAINT BvaJuatioprr~ Reports Upl~dcd: 1n5ta1Jatlqn Document! Uploaded: Product AJpproval Mothod; APPl.icati~n StaCus; Method 1 Option A ApprQved PlIiC 1 / 1 Model Delcrtptlol' CoDYl1aht IIII<l DllId1Iiner : ~ Tho stale of FIotida. All riVhb _rwd. http://www.tloridabuilding.orglpr p~_ dctl.asp?IPT=20&fm=ROSrch PAGE tlJ/tlb Page 2 of2 ~ 4/5/Z004 II' . 05-ZS-Z004 09:5ZAM FROM-MILLWORK +9412355419 T-300 P 001/002 F-40T ~ ~...p.... \.._- LISTING INFORMATION OF COP-WL-DF0145-03 SPEC 10: 5200 i Masonite International Corporation 1956 Powls Road I West Chicago, fl60185 (i'~8" Fibenfla..!Juwing ~oor Unit x. oX, xo, mco. 01Oco~ i u.mnllll hacl S.. - 3'(1" It fa" ~ UnltSlrJII..I:ro" It 6"" DJrBlGN I'RESStIRE: +52.0/-52.0 '--- , LARGE MlSSIU lMPACT RESJST~CE: Hurricane pro~vo mtcml (shutters) ~ NOT RBQUlRED on opaque panels, bat is requinxl on ~ paud.s. INSTALJ..A110N DETAILS: ,j.. .. Compliance reqllirc:s that ..uniwWQ ~OD detalb hav.c: been foUowod - SOl: dclaiJ for appcopriatc cou.ficuouion. LlMlTATJON84ND CONDITIO.N.S ~SJl:: Bvaluated for usoiin loeations where p e n:qui.n:mcq~ as dotclQlined by ASCE 7 Mlnianwn Dcsian Loads for Build.iQg8 lIO.d Other Structurcc dollS DOt exceed dcsip pleISUllt fIltin&s 1lsted I CERTmED TEST "ORTS: i NC11. 210..1913-1.2,3 i Cqtifyjpg &,inter IIDd Ucensc Numb1 Bany Portnoy, P -E. / 16528 ClLA-T12W-2; CTLA.80SW-2; crLA-~OSlW Cortff.yJac ~~ and UcolUe NumtJort ~c:sh Pille!. P.E. / 20224 . , Unit tested in ~dance wlrb Miami.D~CCO PA202. ASTM ElS86, and ASTM E~96. , Door pane" constructed fl'om 0..0 75"~' im um. th.Idc fiberslus skins. Both stiles colIStruclod of 1.5/1" I~'d lumber. Top cud rails COI)8UUcted of31/32" Bottom end rai1s CXlD5tructod 001/32" wood colDpO-'itc. buqrior cavity of slab ftlled with ricid poJyurcthaoe fOll}D core. Glued slabs and sidclite panels glazed with iDsuIatod i~ mollDtCd in . rigid pJastio Up lite surround. I fume COII_ of wood willi.. + o1vmlnwn tlInohold I I Masoni~ lut....wllll/ Co.fPOn4litNll ,~oo I R.w:30 2004 8:45AM PaaCl I gf I Iii a5~Z8~zaa4 ag:5Z~M fROM-MILLWORK tg41Z35541Q T-300 r OOZ(OOZ f-4ur X Unit 1:llIl-\l'l L'lidlPi'l lit '--- ~.' SINGLE DOOR ~'. TYP. I t 1 1 JAx ~. -.... .31' TYP. LlilillilUlI1 hL,ieol \ 1;11'nl - . . '* vllbl franlIng IIItlI'nber far 7'0" b_1IId 11IIII1., " . per YlI1lad hmIng mambOr for beIa"" gr1lller """ 7'0" . 4 ptII' I10IiIImIII Il'ImlnlIlllIlmller .. ---- ffillIlI ..... strtb ,... ...... .. Z-11l- IOlII &mIW1 ,. ....... - nllllqlJ [ll'l'nllllj (HOI " WldttI of door UIllt plus 1!r " HatvIIlllf Cl~ lII1ll pIuS 1'''' Notls: 1. Anc.Ilor Cllhluladw have beenoUl WIIIIlllc I.,.., filing Irom lIII Clmltllll fau:n~ boll\ll COlIIICl.l1d lor 1IH. JamllIIId hud llllWllli analy2ed lor IhS unn InoIude 1ad mmon Mil.. ThRIhDId futono" ~d Ivr Qlls ulllt Includ' UquId Nab IdItrl ChoIca .90 (or .quI! Ilru~1III acIht$1Ve). z. Tllt CIlmQll!llll!lll sllIQIIlIItIr n VIIIur:$ Willi: !rom PMSlJAf & PA NOS lor fOUlIIIm pille IlIm/lllr wttlla .10. ""mbar lI\IcbIcIa of \.114" aml IClI1i~.tnent 01 minimum !01,.\l4", J. WQ04 bUc:Ial by CItIlm, mU$t be III lIal1lll pnIpIIl)' to trusfIr loads 10 IIIIIIlrIlCII... :' ... , betw lANil/BHMA "1511.2) cpldrl~ and dndlOck llIWWItI De IflIllalltcl. GA'.. "', aau" , aM. 1ZI1" "lUll - 1 (ANSIlaHIIAA158.18) ufagc bvltHe Inslllled DO IIlO1lllldl of ICClw dClOfpantl - (1) Illop -'l/,~ :""":f..i-~-===--:'" . rJl~. ~ I I J & G Carpentry 4527 River Overlook Dr. Valrico, FL 33594 Ph. 813.662.1403, Fx. 813.657.6247 City of Zephyrhills Attn. Building Dept. 5335 8th St. Zephyrhills, FL November 23, 2005 To Whom It May Concern: Please be advised that .II & G Carpentry is canceling the permit for the following customer: William Cregg 6418 Huntington Dr. Zephyrhills, FL 33542 Permit #: 4993 This customer cancelled their order with us. We thank you for your a~sistance with this matter. If you have any questions or concerns please feel fre~ to contact the office at 813.662.1403. Kindest regards, Lisa Quesada J & G Carpentry I I CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813}780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4993 Permit Numbe Permit Type: Class of Work: Proposed Use: Sq. Feet: Cost: Amount Paid: Address: 6418 HUNTINGTON DR ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: SILVER OAKS Parcel Number: Name: J & Addr: 4527 RIVER OVERLOOK DA VALRICO,FL. 33594 Phone: Lie: Work ',1 ',..., ""'._ 6418 UNTINGTON DR ZEPHYRHILLS, FL. 33542 Phone: B NO FOOTER TRIC 1 ST H PLUMB DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATIONIWALL MISC MISC. MISC. INSULATIONI CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTlON FEES: When extra in paction trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 shall be made for each bip for each trade: (a) Wrong address (b) Condemned worklresulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i~spection when called (e) Permit not posted on job site (f) Plan~ not at job site (g) Work not accessible The payment of inspection fees shall be m de before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney before recording your notice of com ncement. " o OCCUPANCY BEFORE C.O. CONTRACTORS SIGNATURE CALL FOR I P Jl-. PERM IT OFFI ~PECTION - 8 HOUR NOTICE REQUIRED OTECT CARD FROM WEATHER I r CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 4994 Permit Number: 4994 Iss ed: 10/11/2005 Permit Type: GENERAL BUILDI G PERMIT Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: SINGLE FAMILY R SIDENTIAL Sq. Feet: Est. Value: Cost: Total Fees Amount Paid: 52.50 Date P id: Address: 6309 SILVER ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: SILVER OAKS Parcel Number: Name: J & G CARPENTRY INC , Addr: 4527 RIVER OVERLOOK DR! VALRICO,FL. 33594 Phone: Lie: Work Desc: REPLACING EXTE BRENDA MCCULLOUTH 6309 SILVER OAKS DR ZEPHYRHILLS, FL. 33542 Phone: olR (0' ..,.,.~ \)~ ~. D G DUCTS INSTALLED CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED PRE-METER WATER SHEATHING MISC SEWER MISC MISC MISC. MISC. MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTION FEES: When extra in paction trips are necessary due to anyone of the following reasons, a charge of Thirty-Five Dollars ($35.00 shall be made for each trip for each trade: (a) Wrong address (b) Condemned work I resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i~spection when called (e) Permit not posted on job site (f) Plan~ not at job site (g) Work not accessible The payment of inspection fees shall be m qe before any further permits will be issued to the person owning same "Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for improvements to your property. If y u, intend to obtain financing, consult with your lender or an attorney before recording your notice of com flcement." o OCCUPANCY BEFORE C.O. CONTRACTORS SIGNA CALL FOR I P PERM~ $PECTION - 8 HOUR NOnCE REQUIRED - OTECT CARD FROM WEATHER I T ~U;~N~~E;~~m;:3~L:TH ~~,~e~~Y~~l~:~~;;~~ /tJ;1 /os- 813-780-0020 FAX: 813-780-0021 ~ '>7 ~~ DATE RECEIVED ,/ '0(" 'V\J PHONE CONTACT FOR PERMITTING OWNER'S NAME 1J?~~qL-t-tJV&2-- II- JOB ADDRESS ~..Ee:t~ 1\S"/LvE/f //::2 PARCEL ID * pI..3~6d?-/d/.;;<#ootJ/J /102~ ~EA/IJ.A- PHONE cJ,&J-k .LJ~/VF. cP/..3 :75"~ =?dt?~ LEGAL DESCRIPTION: LOT($) SUBDIVISION \9LI/E"f' c:::1 ~A<r BLOCK (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ONEW CONSTRUCTION o SIGN o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: OSGL FAMI!LY DWELLING o COMMERC*L OMULTI-FAMILY o INDUSTRIAL 0* OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER t:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF won #~C;/N~ ,e-K~te-I(/A::.. -LJr/&tf\J...... BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2)! PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3)1 SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2~ SETS OF ENGINEERED PLANS REQUIRED. PROPERTY S\J'RVEY REQUIRED FOR ALL NEW CONSTRUCTION. & (1) SET ENERGY FORMS. FORMS. PERMITS REQUESTED 1t tf ~qi 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION 0 ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. 0 PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPEdIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BiLoCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO SIGNATURE I CCJMPANY\../1 rF-C~PEII/T7< f; /A/C. STATE CERT OR REGIST # C? (.";t:t? ;;:{;;2<f'-.a / I!lUILDER ll:LECTRICIAN ...-: .;~ 5L. .*********.****************************************** COMPANY SIGNATURE STATE CERT OR REGIST * ************~***************************************.************* PLtlM8l!:R COMPANY SIGNATURE Mll:CHANICAL i *************i****************************************************+ ! STATE CERT OR REGIST * COMPANY SIGNATURE STATE CERT OR REGIST * ************ **************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST * -----~._- I' . CONDITIONS OF P[RMIT AFFIDAVIT A. NOTICE OF DEED RES~RICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any app icable deed restrictions. B. UNLICENSED CONTRACT RS AND CONTRACTOR RESPONSIBILITIES If the owner has hired contractor or contractors to undertake work, they may be required to be licensed in aecorfance 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 1 w. If the owner or intended contractor are uncertain as to what licensing requirements ay apply for the intended work, they are advised to contact the City of Zephyrhills Bui ding Department, 813-780-0020. Furthermore, if the own~r 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. "t you, as the owner signs as the contractor, you are indicating that you, rather than the co~tractor, are responsible for the work. If the contractor wishes you to sign as contract4r that may be an indication that he is not properly licensed and is not entitled to permitt~ng privileges in the City of Zephyrhills. C. TRANSPORTATION IMPAqT FEES AND UTILITY CONNECTION FEES D. CONSTROCTUION LIEN DAW (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 ~rotection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. rf the applicant is someone other that the "owner", I eerify that I have obtained a copy of ~he above described document and promise in good fait~ to deliver it to the "owner" prior ~o commencement. E. CONTRACTOR'S/OWNER'sl AFFIDAVIT I certify that all the irformation in this application is accurate and that all work will be done in compliance wi~h all applicable laws regulating construction, zoninq, and land development. Application is hereby ma e to obtain a permit to do work and installation as indicated. I certify that no work or nstallation has commenced prior to issuance of a permit and that all work will be perform d to meet standards of all laws regulating construction, City codes, zoning regulation, and land development regulations in the jurisdiction. I also certify that I understan that the regulations of other governmental agencies may apply to the intended work, and t at it is my responsibility to identify what actions I must take to be in compliance. Such gencies include but are not limited to: "Department of Environmental Regulation ,Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater ~r~atment "Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses : "Army Corps of Engineers~eawallS' Docks, Navigable Waterways "Department of Health & ehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Se tic Tanks "U.S. Environmental Prote tion Agency-Asbestos abatement I also certify that, if f 11 material is to be used in Flood Zone ftA" or ftA,etc.", it is understood that a drainag plan addressing a "compensating volume" will be submitted which is prepared by a professi nal engineer registered in the State of Florida prior to permit issuance. A permit issued shall be onstrued to be a license to proceed with the work and not as authority to viOlate, can el, alter, or set aside any provisions of the technical codes, nor shall issuance of a p rmit prevent the Building Official from thereafter requiring a correction of errors in pans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, ot if work authorized by the permit is suspended or abandoned for a period of six months aftet the time the work is commenced. One 90 day extensic,n of time may be allowed for the pe~mit with fee charge of $15.00. The extension shall be requested in writing to the Buildin~ Official. An approved inspection must be logged during each six month period, or the prOj~ct will be considered abandoned. WARNING TO OWNER: YOUR F ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEM NTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN AT ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER ", eo, m v>c"' "" NO' ., I' '0 ,"C'" AN' ""' A "'0,,"' J. s~c~ SIGNATURE: OWNER OR AGENTI SIGNATUR(f ~ONTRACTOR I STATE OF FLORIDA I COUNTY OF The foregOing instrument w s acknowledged Before me this _ day of , 2CL- by (name of person ackno ledged) Owho is personally known to me, or Dwho has produced (type and whoD did D did not o identification) t ke an oath. an Signature of person taking 4knowledgement ,.........SHELLy J~.~. .oa\\tlUfI'I.-N : ~"'~YPll."'~ ame :I_~~ 5 \;~~J Bonded thru (OO0}432....254: : ~',~Rfl~~'..$' F:crida Notary Assn.. toe : ,............................. ..... ............ Name typed, printed or starn ed II. B4/22/2004 09:31 615-441-4277 rJOnC1a J}Ulld111S Code Online ~~I\SIJNI TE ENG/MAIHT PAGE A?/flb Page I of2 ,. ..,,.. ,r ~,. .,,. Owtllll_ Produc:l $cordi OrvtlllDUon Produc:l User: +bllC User - Not Auooiatl'!(] with Organjzation- Applieat'on ~: Date sutftted: Product anufBeturer: Addnlss bone/emaiI: I I Need Hel/:t 1 FL20 08104/2003 Masonite JntemadOl'llll One Nortb Dale Mabry Suite 950 Tampa. FL 336M Technical Representative: l'ClChniea1 Representative AddressIPbonelcmail: &tew~ 1 Premdor Drive Diolaon, TN 370l~1 (6J5) 441....258 cschreiber@rnasonite.rorn Category; ExMrior Doors SUbo.llMgot: Evaluatlon ~etbOd: Referenced ~tandards from tho FJ,mda Building Code: I I Swinging Certification Mark or Listing ~ Standard YMx. ASTMEIlJ86 1997 TAS202 1994 ASTM n 1996 2002 Certification f'\gency; , QuaUty A"'"'fCC Entity: Validation En it)': Date Validat : I Authorized Si~.ture: I 08/08/2003 Stove Sobniber !lS()breiber@rnllSonfte.com PerfonnllnOO 10 of the product IITId conditions or limitations ofu e: NOlle Known http;/IWWw.f10ridabuiJding.org/pr/r_deU.ll$p?rpl.=20&fin...ROsrch 4/512004 I r 04/22/2004 09:31 615-441-4277 .{'JVH~ DUllUlOK t.,oae unune EvaJuat1on/Te>Jt Reports Uploaded: InstallaFD Documents Uploaded: Product! Approval Method: AppIic.a~QIl Status: i i ---~-------'------~-- l-rodact Model # or Name MASONITE ENG/MAHH --- Method 1 Option A Approved Page tit Model nncrlptlon CoDYr1a1lt lllllUlft(lf8m.t: ~ The Slate of Florida. An ~ resen,ed. http://WWW.floridabWlding.orglprli r _ dctl.asp?IPT=20&fin=ROSrch PAGE 63/136 Page 20(2 4f 4/5/2004 I I ,05-ZB-Z004 09:52AM FROM-MILLWORK +941Z355419 T-300 P OOI/OOZ F-40T ~ .........,.a-...... \~,- LISTING INFORMATION OF COP.WL-DF0145-03 SPEC fO: 5200 Masonite International Corporation 1956 POwls Road West Chicago, fL 60185 6'--8" FibenJa.u ~ Door Unit x. ox, xc. roco, 0XX0 Coafieumioaa i ........ PIucI Sla!o - 3'0. It 6'3" i ~IIIUIII UnIt Bille -'2'0" x e." ,~, DESIGN PRESSVllE: +52.0/-52.0 LARGE MISSILE llMPACf REsIstANCE: Hurricane proteetive JysIem (sh~) is NOT RBQt1IR.Eo on opaque pmcJs, Im.is lllQuired DO. claud PlOch. I i INSTALLATION DETAJLs: I Compliance requires thld minimum ~on details have beau foUowod _ see derail for appropriato COIlfieuratioD. LlMITA.TlONS~ CONDITION~' VS.E: JlvaJ.-lIlt ""m '-1iom -.. · ~ IS _ed by ASCI; 7 "'ID...... n..ian Loodo lilt Bo;...". lII1d Other Structuros does not exeee tie design preaure ratinas listed. i . CER1IJI'J:ED TEST REPORTS: : NCJ1. 2H)..J9?3-1,2,3 I Cetti1Ying Bnlineer IU1d License Num~or: Bany Portnoy, P -E./16S28 CILA-n2W-2; CfLA-80SW-2; CTLtl05lW CerdtYiDe Engineer llIId Ucense Numb . Ramcsll PIIel. P.E. / 20224 UnA lest.d'bI -- wld. MlonoJ. ~CCO p~ ASThI B..... oed ASThl B~'" Door panels COllSttUctad trom O'075~'" imum tJUck fiberglass skim. Both stfJeJ construcred ot I-SII" laminued lumber. Top end raU! CODStnlcted of 31/32" Bottom ead raJls eonstructod of 31132" wood COJopoaitc. Interior cavity of slab ftlIed wMl n,id poly-...,. fotp> co G_ ..... 0lId Ddollto JlIIDols gIaed _ _.... _ in . na;d plastic Up Iitl! surround. Frame constructed of wood with an e~ded aluminum threshold. I MaMnil1: InrenwiOlUlI COIJlonlliOA , '200 I Rev: 30.2004 8:45AM Paso I of! '----~ 08-28-2004 09:52AM X Unit ....-... I I FRO~MI LLIVORK ~.. ~ --0 - I 1 1 +Q4IZ3554IQ T-300 P aoz/oaz F-4or 1.'!Ill-\rfl 1\" illlIi'1 !it SINGL.B DOOR r.t _31' TY". (]/I,Ij,IIJI , ! de itlll I', I ill · . per vd:II...... IIIllIIIber fir 7'0" blllllC IIId IIIlIII.r . . per YlI1IcII hmkla IllIIIIlber fDr belallls gruttf 1/IaI\ TV' . 1/ per hortIonIaIlllIlllIna memblll' H.... and ...... plalel ....... ... 2-1/2-_ CCInI,........ ;''''''11,111'1 nllll, (flO) . WIcftlI 0/ dllCllllllll plus 1Ir . Helvhl of ~OIlr IIIIk plus "... ~~ ~ out WIUI tile rasttaer rating Irom 11II dmlllnt latcners being CClnIId.rId lor _. Jarn/J lIIld head ''''11I1$ mon nails. TIlmhold tutenora ~d for IIlIs unit Includ. UQllId .. BuIdn CIuIIce .90 (Dr 'quI! VllUI!$ COIllt: from ANSIJAF & PA NOS for fOUthem pine hlmller with. ,Ide member 1JItdr.nus of 1-VI(" and 011-1/4". .-cI prupelly 10 IIansfar !old. 10 IIIe 1lO'UCIUre. MnII1U.2lll18 =::tJ--::.=:==--::... L1il~. I I """"'-...-' ~ ~, ~ f >:1 ~ - crJ i 0 ~~ ~ ~ i/' '2S:.... ~~' ~ I T J & G Carpentry 4527 River Overlook Dr. Valrico, FL 33594 Ph. $13.662.1403, Fx. 813.657.6247 City of Zephyrhills Attn. Building Dept. 5335 8th St. Zephyrhills, FL November 23, 2005 To Whom It May Concern: Please be advised that J & G Carpentry is canceling the permit for the following customer: Brenda McCullough 6309 Silver Oak Dr. Zephyrhills, FL 33542 Permit #: 4994 This customer cancelled their order with us. We thank you for your a~sistance with this matter. If you have any questions or concerns please feel fre~ to contact the office at 813.662.1403. Kindest regards, Lisa Quesada J & G Carpentry