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BCP2013-01134A � -l���'`�-' ''"� City of Clearwater � , � �� Plannin &Develo ment De artment ' � ����� ����-�l� ��`��1,� � 9 p p Cj �- - 100 S. Myrtle Avenue, Suite 210 � Clearwater, FL 33756 Phone: (727) 562-4567 Fax: (727) 562-4576 Building Permit Application www.myclearwarer.com PARCEL NUMBER O� / oC�/� / �L� / �� ��s�J/ C)� / C)D�U " PROJECT/JOB NAME PROIECT pROJECT ADDRESS UQ ��-}��V.c-YK ZIP LOCATION BUSINESS NAME PHONE LEGAL DESCRIPTION OF PROPERTY �ixl'.�;�C, ���o.:�,c�o �� � m r- PROJECT DESCRIPTION: ° ��p � �� � c 1'14�_�P� �J�,�i��. ��i �. ��L s.�.<� rn _ � d�- �r�-. � Q � C � a � _ � ,,. , J o 0 NATURE �UILDING �ELECTRIC �PLUMBING � �� Q OF WORK ❑MECHANICAL �GAS �FIRE O-� _ (CHECK ❑ROOFING ❑ENGINEER�NG ❑IAND RESOURCES Q� a W Q � ALL THAT ��e,NDSCAPING ❑UTILITIES ❑NEAR WETLANDS 0 V� � •_ APP�� ❑TRAFFIC OPERATIONS ❑CLEARING&GRUBBING ❑OTHER � � m� o 0 TYPE OF WORK: ❑ EW �ADDITION �REMODEL❑REPAIR�DEMOLITION❑OTHER VALUATION: $ � (THIS MUST BE FILLED IN, PLEASE PRINT CLEARLI� PROPERTY OWNER NAME ��� L � � � �' PROPERTY � �'� '� �- ��—���,p�_�,.� �! � OWNER ADDRESS U� �' (.{�-f li�s ti� � �'��:i3������ (MUST HAVE "� ch ��':Y PHONE CITY ��E�_�-Z��C�-�� STATE �� ZIP 7!� � � "" `� o p �;�A>';. NUMBER) �-- � ��'��`-'� s���. PHONE EMAIL � �+ ��+ct� rLlZ ri r �F !_—�" CV f-`; " /�l ��r',� Q 'v✓�i; NAME OF COMPANY ��fS�c,c�,�J C- ��` {��'n Cc� -tr ,� "� `'�� _, �1 tt CL� �v� ;,�- t`-'� LIC. HOLDER --� ►- �✓J PHONE �Q(3- ��U--L��`-� I � �,� ` � CONTRACTOR , � a- ��.:,:z.:4�.=r� (PLEASE ADDRESS I� _r Y R � FAJCS��3 - o�I . S,'� C EA y� CITY�L��� STATE _j�_ZIP ��')(r�j� STATE LlCENSE # ��(� Io2��L.Q�� PCCLB #SC° C I �.�(`��!1 CONTRACTOR EMAIL ��C.LI 1'_i/YVlCL.�YI 't��CS C,�I�I�. �CY� OFFICE ONLY CONTACT FOR THIS PROIECT EMAIL If fAX PERMIT, PLEASE ENTER PROPERTY ADDRESS HERE: � ���� � -��-���,,� ;�, � ,� � � ���°� NAME ���',1 1.�/1U�. ��2.�Lc, ADDRESS � L I Q� I CC.� � ��� ARCHITECT� CITY 1�'C�INY� �f�.� �C�Y STATE I—'1 � ZIP ������ ENGINEER ,-7 PHONE � I �� --]�1.3- I � Co r FAX ��� —~1 j� ���-y EMAIL � .� �. � ..�,.� _,.���A � �.:.�.'^� EXISTING BUILDING USE PROPOSED BUILDING USE NUMBER OF STORIES BUILDING HEIGHT NUMBER OF UNITS GENERAL CONSTRUCTION TYPE: I il III IV V VI; P OR U PROPERTY (NFORMATION SQUARE FOOTAGE: LIVING COMMERCIAL GARAGE/CARPORT OTHER TOTAL �C ��} V� � S� �'i ��o �►0 t,�� ( l�`��1 , : . _ �- � , Anyone planning to do excavation work, must notify the one-call "CALL SUNSHINE" Notification Center at 1-800-432-4770 prior to any excavation work being done, in order to prevent underground damage. Federal D.O.T. Regulation Part 192, Sections 192.614 and 192.707. Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. CERTIFICATION: I HAVE COMPLIED WITH ALL THE FEDERAL STATE AND LOCAL ASBESTOS REGULATIONS CONCERNING NOTIfICAT10N OF THE PROPER AUTHORITIES OF THE PROPOSED DEMOLITION AND RENOVATION PROJECTS. WARNING TO OWNER:70UR FAILURE TO RECORD A NOTICE OF GOMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,GONSULT WITH YOUR IENDER OR ATTORNEY BEFORE RECORDING 70UR NOTIGE OF COMMENCEMENT. I am aware of Florida and Federal Accessibility Codes, and I certify that I have met the requirements of both. I certify that,this application together with any plans submitted is accurate and represents all work being done at this time.All work will be done in compliance with all applicable laws regulati�g construction and zoning and if not I realize I am responsible for the removal of any construction in violation of these laws or regulations. Any deviation from information submitted, unless approved by the Building Official will render this permit null and void. - - „ IS THIS APPLIC ATION THE RESULT OF A STOP WORK ORDER UR NOTICE OF VIOLATION? YES NO � n � / - a� ��l 3 Signature of License Holder OR Authorized Personnel Date �YZ� , ��Z— .� . Please Print Name Here/Ttle in Firm or Homeowner HARTShtORN CUSTOM CONTRACTIAIG ��° CUSTOh7 ENCLOSURSS Ucense#COCt256769 xvnv.hccsueens.can CRC053659 , -� : - � 8813 VenNre Cove Tampa,FL 33637 Ph�(813)620�0931•Faz'(8�3)ffi5-5075 so�uro: Tropicai Pools PHOCIE: CATE 1/14/2013 f aooxESS: ��T�' Z1P insTUinoNnnoaess: 908 EARLHAM DR CiTY CLEARWATER vr . vaovcxnorrn�a: STEWART Ph:o;i� .-- ���' ....,s 4 _ � �,� ,� �� , ; � ; z : �� �� � t�- �I i � � �� ......... ._...... 'J '��_. .:... I� R3• xr � i ,. .• �x� Za `s"`� g JAN 21 2013 y' I 1 �!, '" ii .. k :.:.,�' : — J'OCptA '^ 5'6'apU�•. _ 3. ,y ""�' — . � —10' � 'Q.�eNNI�W�x takY�'���'�L.'p',v1 7 _� ` .i�rY�����°�� , �rr..,��.�'�.�,_....� R:3'....� i .R b'4' S' '1-.-.R SR Z O ! 6 PG b 7� ...k� �• "' "" '"' -_._... iv r— 1U� 10� 20': - --.�mrMC6la�w � Fyj�eCn!or W�IIHxF3At �otx5ur�s RoofType ScreenType Doors: v '; ;}aC�bt��-.��.: . 9.3 FT No huws.nao Regular5creen 2 � Inwl�ledRoo[ Ca'umns: ChaiRail KKkPla[e Gut[ers TearOut Fan eeams d 36' S Inch 5upergutter Y2S Pe�ml[: 135 Loi: Su6d'n�6ion; Comments � Clearwater BFodr. ACC4RDI NG TO FLOftf QA'S C��lSTRUC�ON ll EN LA'rU(SECT(a�iS 713.001�713.37,FLORIDASTATllTES�THOSE WHO WO�K ON YOURPROPERTYORPROVIDEF��ATER�LSANDSERVICESANDARENOTPAIDINFUIIHAU�ARIGHTTOEN��RGETNEIRCWM m , FflR PAYMENT RGA�NST YOUR RRQPERTY THIS CIAIP�1 IS KNOWN AS A CONSTRl1CTI0N 11EN.IF YOUR CAVTRACTQR aR � SUBCONTRACTOR FAIIS TO PAY SUBCONTRACTORS 4R�9ATERIAI SUPPLIERS THQSE PE4PLE h�AY LOOK TO YOl}R � PR4PERIY FOft PAYMENT,EVEN IF YOU HAV�A�R�RDY PA�I YOI�COlVTRACTOR IN Flill,lF YOU FAI�TO PAY YQUR � CONTRAGTOR,YOURC0�ITRACTORYOURCO�JTRACT�RMAYALSOHAVEAIIENONYOURPROPERTY.THISMFAfi�STHaTIFA � Q LIEN fS fItE0Y0UR PR(}PERTY CQUIU BE SOLDAGAIyST YOUR WILL TO PAY FOR LABOR,h1ATERIALS OR OTHER SERVICES Q THATYOURCONTRACTORORSUBCOMRACTORh�AYHAVEFAil�DTOPAY.T�PROTECTYOl1RSElF,Y0USH0Ul4STIPUTATE � �Q IN THIS COMRACT THAT BE�QRE RNY PAYP�IENT IS h�ADE,YOUR CaNRACTOR IS REQUIRED TO PROVID�YOU W1TH A M WRITTENREIEASEOFIlENFRO�MIYPERS4NORCOh9PANYTHATHASPROVIREDT0Y0UA'1�4TICETOOWNER:'FLOftIDAS = � COidSTRUCTlQN11ENlA+NISC�1PlEXAND)TISRECf����ENQEOTHATYOUCONSUITANATCORiVEY. J o 0 � Mz � ALL C.O.�.JOBS�30'�DEPOSIT ftEQUEREO.A SURVEY SHEET OR PtOT PLAt�AND CO�IPIETE LEGAL�ESCRlPTIOH IS REQUIREO ON All POOIA}ID PAIIQ Q r� Q ENCLOSURES,AHYCIIANGESAFTERf64AL6�EA511REhIENTSI'111LBECHARGEDACCORDIhGLY,A4A1ERUILANDVtiORKMANSHIFGUARANTEEDFURIYEAR. Q J 2 W cV z � n�{��ui�ss��ha��avot��tv�rn�aui�sks�A���rn�aur�wsmer�rocn�vc��n�o!�FSOUCaAno�suEwrn�u,w:c,�r�n� O U� W �, °o �_ � m V o 0 UI'!�MAYE REAQ t'HE FOREGOIHG PROPOSED CONTRACTAND ACCEPT THE SA1�SE ON TBE TERMS AND CONR(T14NS PRIHTED A90VE. ConU�d Yrite: $5,920 �✓' oxpasit Purchuer: 6ate: `1 8alance Due: HCCEndosu�esBy. Randy Davenport 55,g2o lhls pAn is based on a imenions shor.�n In t�e�6o�•e s�e[ch , . � . ��30'� . N �. .--�.__._ . . � . . L(7i' A6, COLI.EG£' LUP 25� }fIiS.<.'kiEST . � HSLI.ESPA•tG� � • 1�STnTES . . ' . P.B. 64� I'G. 9� I Wi PLAT`L£D I. • . k'YRS'P e1DDI7'ION ' . . i�� . PB 63; PG. Aa � PS,RT P.(X1�tDARY � �� � � � .. ._. . _ '"�-t . - � N0032�Sf 'a�, 8LtdD. 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Suncoast Structural Engineering, Ina j ,�:'�" �`- ��: . minimum for lengths of 12 feet or less. -- COA#8525 � • � '�� �� 36181 East Lake Rd.#258 `F.�, ;<'' Hartshorn Custom Contracting Palm Harbor,FL 34685 �� °'Y'_+��a,�R'� 8813 Venture Cove Tampa, FL 33637 (727)773-1269 ;�o�e �� t�e! (813)620-0931 ssei123@yahoo.com RD O1/16/2013 Hartshorn Custom Contracting 908 EARLHAM DR CLEARWATER CCITY ❑F' CLEARWATER> , Mansard 135 r�ph TR❑PICAL P❑❑LS CSTEWART) 1047 SQ F DRTE: 1/4/13 REV: 1/17/13 � DWG S-1 LL Planning &Development Department 0 100 S.Myrtle Avenue,Suite 210 Y e rwater Clearwater,FL 33756 ~ Telephone:(727)562-4567 Fax:(727)562-4576 � www.myclearwa[er.com/epermits RESPONSE TO COMMENTS/PLAN AMENDMENT APPLICATION (PLEASE PRINT CLEARLY) Building Permit Number: %���� � ���"� �'ar� 1�am�P Project Address: ��� ctr���_�r - � ���'� w��� � �� 3 3 S � Project Name: i. / i5 (;�� �� � i'' :�, `�� � ��, +.�� !��I `��--J ��, `� `� _ �� �� t� ❑ Permit has been issued (Plan Amendment) ¢ �AN 2 z 2013 �°� '°� Date Received Use O I _��..� �,�� �Y ❑ Permit has not been issued (Response to Comments) P�, �°°`°` , - ����- � �+��oYJ(,.,�'� ,�;N•�-z �_� Detailed Description of Changes: /�c�o�� c� �'c 5,�� LL, ,S� �^�e ,�1 U r e cc, a s � �� i r,� Q s� o�� ,� a /�� ,�v�- cz �► � [i ��2 rvo F . 908 EARLHAM DR ❑ See attached cover letter for details BCP2013-01134A 3CREEN LUNI An chan e in Job Valuation:$ J�' y � O a08 EARLHAM DR y g �oning: Atlas#: 281B �.�n�r��e vnryi�aoei nere Contractor Name: �GL�'���o r�1 C v��-� �1 (License Holder) �� ��� � � Contractor License Number: G (3 G � 02�Lr� �Lo� PCCLB: �c�����"� �1.� `� Contact Person for this project(if other than Contractor): �c� r U Nar f����✓' (\ (Please Print) Contact Phone: $ I 3 - b � O ' O � 3 � Contact Fax: S I 3 ` �D a�� '�Q -7 5 Signature Revised 03-2010