HomeMy WebLinkAbout07-7172
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7172
Permit Number: 7172
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv, Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 38340 C TTONWOOD PL
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-021 B-00HOO-0050
Book:
Section:
2,527.05
Name:
Address:
GRATZ, RUSSELL
38340 COTTONWOOD PL
ZEPHYRHILLS, FL. 33542
813 783-6028
67.50
67.50
11/15/2007
REPLACE 7 WINDOWS SIZE FOR SIZE
Phone:
~; noS.Qd)
\ \- 'd-7-0,
Id:l.v-
I U
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MIse DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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, consult with your lender or an attorney
before recording your notice of commencement."
~~,ft-~~ ,
/' CONTRACTOR SIGNAT RE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
FLA. '977 LAWil
FS 713.13
NOTICE OF COMMENCEMENT
SEMINOLE FORM 40
CPREPARE IN DUPLICATIU
State of Florl~ . }
County of Y CWC-D \ '.
1'heJjndersigned hereby informs all eoncernedthat Improvements will b. made to certain real property, and in accordanc
with.ftctfon713,1~ of the FlorldaStatut.e., the fOHowl1l9 Informatien I. !Stated in thl.!S NOTICE OF COMMeNCEMENT.
kr: . tY / .
Description of property . ..D/Z/.'.6 .~.-?c;?LJ..,...C;;;??YLJ... ..~..................................................
.rLY.\~R-: .I.~./:. q~.: ~~ :0): .Q~.( .f!. ~. ~'QfY?9 .'. 0?~. ~'..:. P~.(fh.4JClCtd.. oJ.. 2.~.I:\y.y.h.l: l.l.~........
A _.~ .- Ph. 3~'. f).if PL'. h.tl t= 335'/
. .0;.... ~'ml. tlNM. '" P,~;rr-........ :?~(O... LQt1;QY.\. VJD.Qa........ '~.fht. (.. .5'1" .r.. .'......... .7;~............
G.n.,.. d~cri~tion ollmp....v.m~ . . ~.( i:\.4OW. . . Y.e..f~a.a; h~T.. . . . .. . . . . . . . . . . . . . . . . . . . . . . .. .
owner~&. - ...... .,(..R..I:(;kq..v.J...C-;V{!..J?)...... .........................................
Address3~-35(k?. Q .qZ.2C?~~q??:.4? ..&.. ..g0{~. ~. .J.JFp:g.....
Owner's Interest In site of the Improvement. . . . . .. JP9 ..! :. ... . . . . . ...... . . . . .. . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
Fee Simple Title holder (If other then owner) . '.
Name ...... .I\/./.~..................................... ~............. .....................................................
S""TO r<.F-.
w... "d:;~:o,.::?~.>..~.~:::C<<~<p..:;.~~;'./.::.7;~:lc;~;:;;i/J..r.i.iL:.
It(:d;ess' .... . '. . . r-fr;-1Is;,. ~-~~~-:?-~~I .
. . . '. ...... 'ifCi ~~.... T~'s"dYC"P'~ "'1" DV"(d.:~d ..; ":L" '3.j~I;;L;"""""'"'''''''''''''''''' ~.......
Surety (llany) ... 'N!' A' . .'. . ... . . . . . . . . . . . . . . . . . . : . . . . . . ; . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . '. . . . . . . . '. . . . . . . . . . . . . . . . . . . . .
Address .:.......................................... _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of bond $ . . . . . . . . . . . . .
Any person making a loan for the' construction of the improvements:
Name ... ....... ^ '//'~""""""""""""""""""""""" ......................... _.. _.... _ .....................
Address .......! ':-I. ..............................................................................:......;................ '.' ..
"::::n :~kh'~. :;;i ;:~~~ .~:,.~~~..~.~~~. ~.~~. ~:~ .~,~~ .~: .~~h~'. d~~~~~. ~~.y.~. ~~.~'........
Address ............ .f.'. .. .
In addition to himS~If,owne.~ 'd~~i~~~'t~~ tj,~ 'f~'li~~i~g .~~~~~~. t~' ~~~~i~~' ~. ~~~~. ~f 'th~ 'li~~~~;~ 'N~ti~~' ~~. ~'r~'~i~i~d' i~ 's~~ti,
713.13 (1) (h), Florida Statutes. (Fill In at Owner~s eptlon).
. Name
...............-..................l'I........"-'!'o.__...........................~....................................................
Address ........................................ .
. THIS SPACE FOR RECORDER'S USE o II! LV " .. . .. . . . . . . .. . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . .~. .. .... .....................
. . . :-<<~L'~Atac .. . .. . .. .. . .. .. .. . .. ....
1111111111111111111111111I11111111111111111111I1111111111111' O' ner
2007188974
Repl:1142493 Ree: 10.00
OS: 0.00 IT: 0.00
11/15/07 Dpiy Clerk
Swam to and subscribed before me this ............ . . . . . . . . . . . . . . . . .
.....7~~.~Of . ~~JI!:P9b,.t.( .;. n..'." ./1"..." %f'!
caL~A{8.(~L~e{5t.......
Notary Public
ii91~~~~~:~SC01CO~~TI CLERK
OR BK 7681 PG 1882
.... -
~ .."...., CAROL FRISCO WALERT
:lm~~V pu';-t-..-:. Notary Public - State of Florida
I r:' .<',~MyCominissionExPiresMar26.2010 ~
· \~ ~y Commission # DO 526021
"'~,W,~,~~" Bonded By National Notary Assn. ·
-
Date Received
Owner'a Name B ro.....+z...... . ~ ..33~ I
I 3 ~ 3 4-0 ~ wocJ PI. 7... nh~' . Owner ?tIone Number
Owner's Address . ::::::J: _
I .. 'I A- Owner Phone Number
Fee Slmple.T1tleholder Name IV
-~,
.---,-
. B~lIdlng Department
~
Fee Simple Titleholder Addr... AI A
k3~3'+O Cofh,Y\wood. Pi,
~ ~h~' 10?-'~(P.;?I,O;;1./8, OOf-loO. 0050
' ru..v-:> PARCEL 10# .
~ () f (OBTAINED FROM PROPERTY TAX NOnCE)
D NEW CONSTR c:::J D SIGN D MOVE D DEMOLISH
D INSTALL ~
PROPOSED USE D SFR 0
TYPE OF CONSTRUCTION 0 BLOCK 0
f<c VI}&2- 7 w'
I
1$ ~,5~{t OS
1$
JOB ADDRESS
I ...... i'.~~
i,~ t~:,)
. .iI
. ~'''.'-i~;~;'r'
_ "::>!l,:.'\>
LOl#
SUBDIVISION
WORK PROPOSED
DESCRIPTION OF WORK
BUILDING SIZE
BUILDING
D
ELECTRICAL
PLUMBER
SIGNATURE .~
Address
MECHANICAL
SIGNATURE
Addreal
OTHER
SIGNATURE
Addre..
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Directions:
Fill out appllcaUon completely.
Owner & Contractor sIgn back of appllcaUon. notal1zed
If over $2500, a Notice of Commencement Is required. (AlC upgradee over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notal1zed lette
OVER THE COUNTER PERMmlNG (Front of AppllcaUon Only)
Reroofs Sewers Service Upgrades AlC Fences (PloVSurveyfFootage)
Drlvewsya-Not over Counter If on public roadways..needs ROW
111""""""1""""""""""""""11
from owner authorizing same
),;-
'?
-
S/H
I,'
'MEMO-LEGIBILITY OF WRITING,
TYPING OR PRINTING UNSATIS-
FACTORY IN THIS DOCUMENT.'
Prepared by/Retum to: Russell J. Gratz
9010 Ryelle
San Antonio, TX 78250
111I111111111ll1I1111111l111I11111ll1111111111111II1111111ll
2007178152
Rcpt: 1137977 Rec: 10.00
DS: 430.50/),0 IT. 0D:~Y Clerk
10/25/1/17 k!r:::::!.
i.'~2~~t~Mr1:rf:;O fOUNT:, C:fRK
OR BK 7671 PG 56~
Quit Claim Deed
Made this~1y of tJt"k ~ ~.D.bY Russell J. Gratz, a single man, whose post office address is 9010 Ryelle,
San Antonio, TX 78250, hereinafter called the grantor, to Russell J. Gratz, a single man, Jeffrey D. Gratz, a single man, Richard R'
J. Gratz and Lucille Gratz, husband and wife, JTWROS, whose post office address is: 9010 Ryelle, San Antonio, TX 78250
hereinafter called the grantee: . .
(Whenever used herein the lenn "grantor" and 'grantee" include aU the parties to this instrument and the hiirs. legal
""presentative. and a..igl1,l or individual., and the .uccessors and assigns or cOl)Xlrations)
Witnesseth, that the grantor, for and in consideration of the sum of$ TEN AND NO/lOO DOLLARS ($10.00) and other
valuable considerations, receipt whereof is hereby acknowledged, doCs hereby remise, release, and quit claim unto the grantee forever,
all the right, title, interest, claim and demand which the said grantor has in and to, all that certain land situate in Pasco County, Florida,
viz:
CONDOMINIUM UNIT NO.5, BUILDING II, DRIFTWOOD OF ZEPHYRHILLS, A CONDOMINIUM, PHASE II,
ACCORDING TO CONDOMINIUM PLAT BOOK 3, PAGES 44-46, PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA AND BEING FURTHER DESCRIBED IN THE DECLARA nON OF CONDOMINIUM RECORDED IN
O.R. BOOK 1208, PAGES 80-160, AND FIRST AMENDMENT THERETO RECORDED IN O.R. BOOK 1605, PAGE
242, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA; AND SUPPLEMENTAL SURVEY IN O.R. BOOK 1605,
PAG~ 244, PUBLIC RECORDS OF PASCO COUNTY, FLORIDA; TOGETHER WITH AN UNDIVIDED SHARE IN
THE q>MMON ELEMENTS APPURTENANT THERETO.
I
Not the homestead of the Grantor under the laws and constitution of the State of Florida in that neither Grantor or any members of the
household of Grantor reside thereon.
SUBIECT TO THAT CERTAIN MORTGAGE RECORDED IN OR 2k.lE. PAGE ...31 'i
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same together with all and singular the appurtenances thereunto belonging or in anywise
appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of the said grantor, either in law or equity, to the
only proper use, benefit and behoof of the said grantee forever.
In Witness Whereof, the said gi-antor has signed and sealed these presents the da y and year first above written.
Signed, ,,,,led wid lveT . ow J>>"S""'" ~~~
tJ.S u.sell J. Gratz .
(~19-A/ Addre.s: 9010 Ryclle, San Antonio, TX 78250
(J. Ale, ~5
State of ~~40A
County of ~
, ZO()?, by Russell 1. Gratz,
. " .'~ LINDSEY BLAKE JANES
[~ MY COMMISSION II 001154583
'.. . EXPIRES MlIfCh 22. 2011
~.,' 3Mo01es .l:lOl'II
..P/fiii<< U/\'l)SEY JANES
!.rlJ.~E MY C"'.,.'SS;0N # OD654583
'~~: r."~f.:; '"o'."<h 22. 2011
407 31' F." &tMce.ClOf'ft
, 813-780-0020
(.;ity ot Lepnyrnllls ....ermlt AppliCatiOn
Building Department
. r~J\-OI"-'OV-VV":.1
Date Received
Owner Phone Number
~335<1-.:J- I
h . . OWn., PhOne Numb.,
Owner Phone Number I
WORK PROPOSED
Owner's Name B (lA.-+z..., ~~
Owner's Address I 3 <g 3 4-0 ~uJooj PI.
Fee Slmple'Tltleholder Namel tV I A-
F.. Slmpl. TlII.hold" Add",.. I '" I A I
1\.'3'l34-0 Cot~vtCAJao~ Pi, . LOT # .
~ ~ 0 Z,Dhuf~ I PARCELID#IQ9.'~{P'P?IIO;l181 OOHoo, 0050
.;:; f . -t-tJ. (OOTAl.," FROM PROPERTYT'" """eE,
D NEW CONSTR c:::J ADD/ALT D SIGN D MOVE D DEMOLISH
D INSTALL I..ID.. REPAIR
D SFR r-. COMM D OTHER I '
PROPOSED USE L-I
TYPE OF CONSTRUCTION D BLOCK 0 FRAME D STEEL 0
DESCRIPTION OF WORK I f<cp/~~ '7 w,';\/dOuJ..I S;?'.lLjL-i....e
I SQ FOOTAGE HEIGHT I
JOB ADDRESS
SUBDIVISION
OTHER I
BUILDING SIZE
BUILDING
$ ~ S;;?7t OS
VALUATION OF TOTAL CONSTRUCTION
~
D ELECTRICAL 1$
D PLUMBING 1$ .
D MECHANICAL 1$
o GAS D
FINISHED FLOOR ELEVATIONS
AMP SERVICE
D
PROGRESS ENERGY
o
W.R.E.C.
BUILDER
SIGNATURE
ROOFING
D OTHER
E AREA DYES DNO
VALUATION OF MECHANICAL INSTALLATION
COMMERCIAL.
Address 4Gf~ TeJ \sOn
ELECTRICIAN I
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
Address I
OTHER I COMPANY
SIGNA TUHE . """ST"'," Y I N I ,.. CURRSNT I Y I N
Address r '.' . '. "'. I. License #. I . . . . _' I
11111111III11I1 ~ n Iii III 1111111111111 , 111111111111111111111111111111111111111111111111111111111 1111111111111111111 II 111111111111111111 II 11I1111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction,
MInimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plalls w/ Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdlvlslons/large projects
Attach (3) sets of Building Plans; (1) set of Enl;lrgy Forms. R-O-W Permlt'for new construction.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Slit Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans. ' .
....PROPE.RTY SURVEY required for all NEW construction.
~~~~~c,
H _ . _ FEE CURRENT Y I N
. 11
License #
COMPANY
REGISTERED
COMPANY
REGISTERED
FEE CURRENT
License #
Y/ N FEE CURRENT I Y/N
License #
Y/N FEE CURRENT Y/N
License #
I
I
I
:
COMPANY
REGISTERED
SIGN PERMIT
, , , , , , '.' , , , , " " " , , , '.' , , , , ,'. , , , p , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ., , , , , " , , . , , , " , , , , , , , , , , , , , . . , , ,', . , , , ,. , , , , , , , , , , , , , , , , . , , , , , . i , , , , , , , , , , , , , , , ,
Directions: ,
Fill out application completely.
Owner & Contractor sIgn back of application, notarized
If over $25(10, a Notice of Commencement Is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
"OVER THE COUNTER PE"RMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
II
NOTICE OF DEEp RESTRICTIONS: The undersigned understands that this permit may be sublect to "deed" restrictions.
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLlCENS~D 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 app!y for the
Intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and Is not entitled to permitting privileges In Pasco
County.
TRANSPORTATION ~MPACT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: ' The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction ,of new buildings, change of
use In existing buildings, or expansion of existing buildings, as specified In Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be Identified at the time of
permitting. It Is further understood that Transportation Impact Fees and Resource Recovery Fees mustbe paid prior to
receiving a .certlflcate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or
final power release, the fees must be paid prior to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance In accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2,500.00 or more, I
certify that I, the applicant, have been provided with', a copy, of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than 'he "owner", I certify tl1at I have obtained a copy of the above described document and promise in good faith to
deliver it to the .owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aU the Information In this application is accurate and that all work
will be, done In compliance with all applicable laws regulating construction, z~mlng 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 perforrned to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations In, the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the Intended work, and that it is
my responsibility to Identify what actions I must take to be In compliance. Such agencies include but are not limited to:
, Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Englneers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. '
US' Environmental Protection Agency-Asbestos abatement.
Federal AViation Authority-Runways. '
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed In Flood Zone .Y" unless expressly permitted.
, If the fill material Is to be used In Flood Zone "A", It Is understood that a drainage ,plan addressing a
"compensating volume" will be submitted at time of permitting which Is prepared by'a,professlonal engineer
licensed by the State of Florida.
If the fill material Is to be used In Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall. (
If fill material Is to be used In any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit Issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise In good faith to Inform the owner of the permitting conditions set forth In
,this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included in the application. A
permit 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 provlslon~rof 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 codes. Every permit Issued shall become Invalid
unless the work authorized by such permit Is commenced within six months of permit issuance, or if work authorized by
the permit Is suspended or abandoned for a period of six (6) months after the time the work Is commenced. An extension
maybe requested, In writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for,nlnety (90) consecutive days, th\lob Is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN.YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTV, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
, TT R EYBEFO E 01" N T EMENT
Notary Public
o
Commission No.
OWNER OR AGENT,
Subscribed and swom to (or affirmed) before me this
by ,
Who Is/are personally known to me or haslhave produced
asldenUflcaUon. '
Commission No,
Name of Notary typed, printed or stamped
..___....._. ".._._._....~ __,.__~__._'~ ._.v..__---..--r '--'" --.-.. .:..
..-.......---,......-..
..~......-----_.-...-.
.................
.40................
4..4O..........~.........
City ofZephyrlrllls ,
ButIDlliG:FLAN REVIEW C01v1IY.lENTS
'Contractor/Homeowner:
~~f-~
;.us
, Date Received:
. ,
,
'1\ -b-~ :'1'
-383tf'O . {1 ,+~'wood 'PL..
l2ejJlfl tV . 7 ~/ ~;;fc\,1 ~. .
Site:
permit Type:
ApProv.ed wino co~ents:
Approved'w/the below comnients: 0 Denied withe below comments: '0
" ,
be kept "With the p~ and/or plans.
K.a1:vm
'//6 rV)
, D~.
contractor and/or Homeowner
, (ReqoiI-ed when comments are prese;nt)
PERMITS R US
17128 DOWNS DR.
ODESSA, FL. 33556
813-926-9965 (PHONE)
813-926-8536 (FAX)
FACSIMILE TRANSMITTAL SHEET
TO:
Permitting
COMPANY:
City of Zephyrhills Bldg. Dept.
FAX NUMBER:
FROM:
Monica Watson
DATE:
November I, 2007
TOTAL NO. OF PAGES INCLUDING COVER:
PHONE NUMBER:
SENDER'S REFERENCE NUMBER:
RE:
YOUR REFERENCE NUMBER:
o URGENT 0 FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
Permitting,
Russell Gratz
38340 Cottonwood PI.
Zephyrhills, FL.33542
Please find the enclosed permit application for the above referenced
homeowner.
Please call when the permit is ready to be picked up and also if you should have
any questions.
~
67~Q 1--1
....~.
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'. .~,'~' ,c.. '. :, I. ;-t'~". '..,....;~..~;.<,:,':.' 'J.: ~....~.~}.~.;.~\I,.\,!;:.;".'rn..y.1'.'n..nn~'t". ..: :;:;',~'~..:~i':~;:;. (.I.:;I.,.~.,;'~,. '.'
. .', .... ,r:' .: "'~I~~:. ;~.;;W' Ff:.;~ J~'~t~1H""'''':' :';;,.~+C;tJ~;.'... ...~ ..H....;I,".,d:H... o.~;~' '.'1;~.'~;'~~f.u1:Citt\~.,j':'~, ".,'.;~~,.; b:;rt;.,::!. ~
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L.owe's notify installation customers' that a lead based paInt hazard may exist in dwellings built :':.:.:' "Tax
- . ~ . .. - ... --..... -.. .''''_._~';> i." <
Prior to 1978. See pamphlet EPA 747-K-99-o01 tor details, .~U~~.~)
- , '1-
IN$.r~i\1I.bN ~e.D~.~M:;a. C-bm~k T~:al.
r'{:,/i~. M I T ..f~~I:<:' ~..).~~ <?O ,~;~.~!).~._
Work is to commence upon reasonable availability 01 Contr"'c:tor.whlch Is .antlcipa1ed to be
. Estimated COmpletion date Is . . ;'_ {fill In date].
:; ':~; :r~~:: :'(r:.f:>~ ::~ ;:J~ <r~~; ;~t;~~.!; )!.:',~~~~jm.~~;;.ijlhT~Jm hrti.dWm~H:;,':H~it.~.~\~ ;.~;; ~E~;~~~:m.j~.;..~:lil~~<~~fi !:. i.~'>,.: .; :,. ,~;:-~~::~UF. ::.;,"..
-:-....
__. [fill In dale].
NOTICE TO CUSTOMER .
An items. listed In this contract and speci1icaoon sheet(s) are to be in~talled un.derconditrons agreed upon at time of purchase and at the .prioea~pea!ing on this
contract form. This assumeS &O\Jnd existing sut;lSlructures; superstrur.ture.Md points of attachments. Extra labor or material incident to installation necessitalA(j
by defecllve substructut9$, lJuperstructure, point5 of attachment, or the moving of nlCtUras or applian.ces to be billed at. extra cost to customer.
DO NOT SIGN THIS CONTRACT UNTIL COMPLETE: AND YOU HAVE R.EAD THE TERMS ANQ CONOmONSCONTAINED ON THE
REVeRSE SIDE OF TI1J$ eONT-RACT. BY SIGNING BELOW, YOU A.RE ACKNOWLEDGING THAT YOU HAVE READ, UNDER-
STAND AND AGREE"YO'THE TERMS AND CONDrTlONS SET FOATH:ON THE REVERSE SIDE OF THIS CONTRACT. YOU ARE
I:NTITLEO TO A COpy OF THIS CONTRACT AT'TH;lIME OF SIGNATURE.
. WITNESS OUR HAND(S) AND SEAL(S) BELOW THIS ..2(C~' DAY OF ~'7<~'::!2;j,B0";?:' '. _~, Z~';~'.~''t:/7''.,
y. -?f~,~-~Jf::Yi~
. Own~r .. ,.. ~....7
...... '1 & ......
~,/~~~.f~~...<.:;rJt.;~tx!d',l~1'tAP.. c.._ (Seal) ..
~ '1 Speci~list or Abovo Spouse
. .... "':.~'.;~~"'''''' ; '. ..-."~':". . . ..,. .... '<<-"':"'7""""'" ,~'I .',:..f.....,r... '.'''~'';L" ., :";"'''''''.-''''-:7,'~'C'''~''I' '. :,' . "~'_"'"'''' '."';'.'<'.':; ,"'=-_ ...... .
. ,.c~usto"'.r.~~W.I~~~... ti tr.~.~Y.:IlPf1flj~.lfCIJ!G.~l;WhI~ "",~'J ~~~.MOf~~~..eMwttP~~nt!2f,. 'It.~ Its: i.';',' ,.
;ext~ 'to you, .yoU~ bu'er ~~ ~~ &a~tIfM....~.ur-~~t6t~: ~ ~:!~~;"'Ir* MMe.r..,~y,~;~~ ~fh": tran-=UO.rr.'
'~~~~~h~~~.~'?i:-nCel~~~~~~~~~~~~~~'~,S:~tYt::~f!::.:~~:~1:::~'(,~,~!~fl,:,.~:; ~;:!:<.<... '.\,!:<. >;;:~.:: :":'-i,:2;'~,'
._......_. (Seal)
(Sea'l)
PROJECT NAME
GRATZ
PROJECT ADDRESS 38340 COTTONWOOD PL.
LOWES STORE # 1854
PRODUCT
CATEGORY SUB CATEGORY MANUFACTURER FL PRODUCT APP #
WINDOWS SINGLE HUNG MI WINDOWS & DOORS FL5438
Honda Building Code Online
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r- ., r- ..., r ..., r ..,
Overview Product Search Organization Product
Search Application
11
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.
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User: Public User - Not Associated with Organization _
Need Hel ?
Application #:
Date Sqbmitted:
Code Version:
FL5438
09/22/2005
2004
Product Manufacturer:
AddresslPhone/email:
MI Windows and Doors
650 W Market St
Gratz, P A 17030
(717) 365-3300
Category :
AT r 1:'unRI/ S11' '\. L ".
' '-~ VI \.. fd~Vv;PLY \ViTlIAIJ
}'RE~Af~INCi CODE. FLORIDA BUILI):~\::;
C~PrE. NATIONAL E ECTR!C COCEAN,"
C" 1 OF ZEPHYR! [f IS ORDINANCES
Windows
Subcategory :
Single Hung
Evaluation Method:
Certification Mark or Listing
Referenced Standards from the Florida
Building Code:
Section Standard Ye r
ANSVAAMAlNWWDA 19 7
1011I.S.2
Certification Agency:
American Architectural Manufacturers
Association
Quality Assurance Entity:
Validation Entity:
REVIEW DATE . h - 07
CITY OF ZEPHYRH LL '
Andrew BrillPLANS EXAMINER r
abrill@mihp.com
Authorized Signature:
EvaluationlTest Reports Uploaded:
Installation Documents Uploaded: PTID 5438 I 165 SH Flange Tapcon
Instr - Fastener Schedule.pdf
PTID 5438 I 650 SH Flange Tapcon
Instr - J7astener Schedule. pelf
~TID~438 I 740-744 SH Flan eTa c n
.LI1~~.Fastener Schedule.pdf
PTID 5438 I AAMA Chart - Singk
http://www.f1oridabuilding.orglpr/pr_ det1.asp?IPT=5438&R V=O&fm=ROSrch
Florida Building Code Online
.P e20tJ
Hung Windows.pdf
PTID 5438 I Installation instructions:
BetterBilt Nail Fin Alum Windows.pdf
PIID 5438 I Installation instructions _
BetterBilt Nail Fin Vinyl Windows. mil
PTID 5438 I Installation instructions _
Capitol Nail Fin Alum Windows.pdf
PIID 5438 I Installation instructions _
Capitol Nail Fin Vinyl Windows.pdf
Product Approval Method:
Method 1 Option A
R-20* DP-31.4 Per
manufacturers installatio
nstructions.
R-30 DP-42.7 Per
anufacturers installatio
nstructions.
4Ox90 Insul SSB R-35* DP-47.2 Per
. O. I nealed Sash / fact . t II t.
165/3000 Fm Frame ne SB A led manu urers inS a a 10
. nnea nstructions.
Fixed
165/3000 Flange Frame 53x72 Single
eveled Buck lazed 3116"
nnealed
Application Status:
Date Validated:
Date Approved:
Date Certified to the 2004 Code:
Approved
10/14/2005
10117/2005
Page:
~
pp/Seq
#
Product Model # or
Name
Model
Desc . tion
106x72
Insulated SSB
nealed
165 Triple with
ontinuous Head and Sill
165/3000 Fin Frame Oriel
165/3000 Flange Frame
riel
47x89 Insulated
/16" Annealed
36x88 Insulated
SB Annealed
ash / DSB
nnealed Fixed
36x74 Insulated
SB Annealed
540 Fin Frame
44x72 Insulated
SB Annealed
540 Fin Frame Triple 108x72
ith Continuous Head and nsulated SSB
ill nnealed
340 Fin Frame
36x62 Insulated
SB Annealed
340 Fin Frame
36x60 Insulated
Limits of Use
Page 1/ 2 I > I >
R-35 DP-47.2 Per
manufacturers installatio
nstructions.
R-25 DP-34.7 Per
manufacturers installatio
nstructions.
R-35* DP-47.2 Per
manufacturers installatio
nstructions.
LC-40* DP-47 Per
manufacturers installatio
nstructions.
R-40 DP-47.2 Per
manufacturers installatio
nstructions.
LC-35* DP-50 Per
manufacturers installatio
nstructions.
R-40* DP-55 Per
anufacturers installatio
nstructions.
LC-40* DP-55 Per
anufacturers installatio
http://www.floridabuilding.org/pr/pr _ detl.asp?IPT=5438&RV=0&fm=ROSrch
Florida Building Code Online
50 Flange Frame
50 Flange Frame Oriel
P ge 3 of 3
SB Annealed
36x74 Insulated
SB Annealed
nstructions.
LC-40. DP-47 Per
nufacturers installatio
nstructions.
R-40. DP-50 Per
manufacturers installatio
nstructions.
LC-50 DP-50 Per
nufacturers installatio
nstructions.
LC-35 DP-50 Per
anufacturers installatio
nstructions.
LC-30 DP-47.2 Per
manufacturers installatio
nstructions.
R-35 DP-47.2 Per
manufacturers installatio
nstructions.
LC-35 DP-47.2 Per
manufacturers installatio
nstructions.
R-35 DP-47.2 Per
nufacturers installatio
nstructions.
R-45 DP-45 Per
anufacturers installatio
nstructions.
36x72 Insulated
SB Annealed
48x84 Insulated
DSB Annealed
54x90 Insulated
DSB Annealed
53x90 Insulated
SB Annealed
Next
Copyright and Disclaimer; @2000 The State of
Florida. All rights reserved.
http://www.f1oridabuilding.orglpr/pr_ detl.asp?IPT=5438&R V=O&fm=ROSrch
1 /29/2005
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