HomeMy WebLinkAbout15-16417 CITY OF ZEPHYRHILLS �
5335-8TH STREET
� �ais��so-oo20 164 7
' _ ' BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16417 Address: 6907 DAIRY RD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Rlumber: 02-26-21-0010-01000-0000
Improv. Cost: 12,000.00 OWNER INFORMATION
Date Issued: 6/30/201 �,�,� Name: CITY OF ZEPHYRHILLS
Total Fees: 9 0,0�� Address: 6907 DAIRY RD
Amount Paid. 5. 0 ZEPHYRHILLS, FL. 33542
Date Paid: 6/30/2015 Phone: �.
Work Desc: ENCLOSE/ADD GARAGE DOO,RS & CONCRETE OVER EXISTING :� - ' t
CONTRACTOR S APPLICATION FEES
SUN STATE ALUMN INC BUILDING FEE � 95.00
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MIS IN ULATION CEILIN
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER � INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC 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 any one 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 fi) 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 tNere may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"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."
Complete Plans, S�Oecifcations Must Accompany Application.All work shall be performed in accordance with ,
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION �- 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\ s�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
�Building Department
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�aate Receieed .� �r � ! n
Phone Contact for Permitting d �.3 7� -- ,s31
` / Owner's Mame ( o'S ��° �� �S -�1 I!Z° I,d2 Owner Phone Mumber
Owrner's Address LI.{r � , � Owmer Phone Rlumber
;
Fee Sianple Titieholder fdame I Owner Phone Idumber
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Fee Simple Titieholder Address
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JOB ADDRESS � � 1 Cl` �Z� i Z ����j �L �OT# ��
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SUBDIbISIOId PARCEL ID#
i (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGM Q Q DEMOLISH
B INSTALL REPAIR
PROP05ED USE Q SFR � COMM 0 OTHER
TXPE OF COMSTltUCTlOfd Q BLOCK Q FRAME � STEEL Q _wrS�'
���CRIPTIORIOFVHORK �n�ld�e �xiSf%F�i IDc.�i �c� 1 Vl Q� Q�d( �t/'as� c`a�r.s `�Cd� �
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BIDILDIRIG SIZE a-g x a o SQ FOOTAGE I �D HEIGHT
BUILDING $,a ��. U VALUATION OF TOTAL CONSTRUCTION
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ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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QPLUMBING $ � �
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
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QGAS Q ROOFING Q SPECIALTY 0 OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �((//���
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BIDILDER � COMPANY �
`� w , l u i r�
A UR �" � � REGISTERED Y N FEE CURRE� Y N
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Address � License# C�C. f�"S �
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I �LEC7'RICIAfd � COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
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Address � License#
PLUAflBER , COMIPA(dY
SIGIdATURE i REGISTERED Y/ N FEE CURRE� Y/N
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Address License#
M�CHAMICAL i COMPAWY
' SIGRIATURE � REGISTERED Y I N FEE CURRE� Y/N
Address I License#
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OTFlER COMPAMY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
,Address Cicense#
RESIDERITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 8 1 dumpster;Site Work Pemiit for subdivisions/large projects
COMIAAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance
SIGId PERflAIT Attach(2)sets of Engineered Plans.
°•••PROPERTY SURVEY required for all NEW construction.
Directions: ' � � �� � —
Fill out application completely. � �� 1�
Owner&Contractor sign back of application,nota�ized j �
If over 52500,a Rlotice of Commencement fs required. (AIC upgrades oeer�7500)
i
•" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
ONER THE COUNTER PERMITTING (Front of Application Only)
Reroofs ii shingles Sewers Service Upgrades A/C Eences(PIot/Survey/Footage)
9riveways-Not over Counter if on public roadways..needs ROW
PIOT'!C� O� �EE� R�,'�'�IC1'iORl�: The undersigned understands that this permit may be subject to"deed" restrictians" .
which may be more restrictive than Counfy r�gula#'sons. Yhe undersigned assumes responsibility for compliae�ce�vitF� ary
applicable deed restrictians.
11�lL.ICiEN��D C{��I�Ft�G7QR� 1��1�D ���9������Y ���Q�OA1�I��L9�°8��: !f the ov+r�er has hired a contracfor or
contractors #o undertake work, #hey may be required to be licensed in accordance with sfate and local regulations. If fhe
contractor is not licensed as required by law, both the owner and contracfor may be cited for a misdemeanor violation
uncier state law. }f�he avuner or intended confractor are uneertain as ta what licensing requirements rr►ay appty for the
intended work, they are advised to confacf the �'asco County �uilding Insp�ction Divisian—Licensing Section at 727-847-
8003. Furthermflre, if the ovuner has hirsc! a contractor or cantractars, he is advised ta have the contractor(s) sign
portions of the "conkractor Block" of this applica�ion for vvhich #hey vvill be responsible. If yau, as the awner sign as tf�e
eoni�actor, that may be an indication that he is not properly licensed and is no# entitled to permitting privileges in Pasco
County.
Y�N��O�`��►YICDR! If�l�'��YIE3�'IL9'Y"If�� IRfl����'@R!� ���IDUf�Cf� ���0lI�IRY Ff�f��: `The undersigned understands �
that Transparfation Impact Fe�s and R�caurs� Recavery Fees enay apply to �he construction af nevu buildings, change of
use in existing buildings, or expansian of �xisting buildings, as specified in Pasco Caunty Ordinance nu�mber 89-07 and
9Q-Q7, as arr�ended. The undersign€�d aiso understands, that such fees, as may be due, wiil be identified at the time of
permitting. It is further understaod that Transpo�tation Impact Fees and i�esource Recovery Fees must be paid prior fo
, receiving a "certificate of occupancy" or final pouver release. If the project does not involve a certificate of occupancy or
final power reiease, the fees must be paid prior to permif issuance. Furthermore, if Pasco County UVa#erlSevver Impact
fees are du�, they must be paid prior ta permit issuance in accordance with applicable Pasco County ordinances.
CON�'Y'��CTIO� �.���i L�lf�(C�ap�g�r 7'��, i�l�ri¢!��4��¢����, �s ��ne�d�e��: If valuation af work is $2,500.00 or more, !
certify that I, the applicant, have been pravided with a copy of the "Florida Cons4ruction Lien Law—Hameowner's
; Protectian Guide" prepared by the Ftorida Department of,4gricu(ture and Consumer Affairs. lfi the applicant is someone
; other than the "owner", I cerfify that I have obfained a capy of the abave described document and promise in good faith to
deliver it to the"owner"prior to commencemenf.
( Cf?�i�'��1�'��31R'�lC�����'� i�����3�V1Y: t ceetify that al1 th�information in th'ss application 'ts accurate and that all �ark
' �ill be done in compliance with all applicable lavus regulating construction, zoning and land development. Application is
� hereby made to obtain a permit to do �nroric and installation as indicated. I certify that no wark or insEallation has
' commenced prior to issuance of a permit and that ail work will be perFormed to meet standards of all faws regula#ing
construckian, County and City codes, zoning r�gulations, and land developmenk regulations in the jurisdicfian_ ! also
I certify thaf I unders#and that fhe r�gu(atians of other governrrtent agencies may apply fo fhe intended worfc, and fhat if is
my responsibility to identify whet actians I must take 4o be in campliance. Such agenci�s include but are not limited ta:
- D�partment of �nvironmental Prot�ctior�-Cypr�ss �ayh�ads, Wetland Ar�as and �nvironmenEally S�nsi�ive
Lands, VVaterNVastevuater Treatment.
- 5outhwest Florida V1(ater tl�anagement DiStPIC�-VVBISS, Cypress Bayheads, Wetlar�d Areas, Attering
Watercourses.
i - Army Corps af Engineers-Seawalls, �7ocks, Navigable Waterways.
� - C�epar#m�nt of Fiealth � Ft�habilitatiue Services/�nvirt�nrrten#al Heaffh Unit-V1le(Is, Wasfewafer �`reatment,
Septic Tanks.
- US Er�vironmental Profectiart Agency-Asbestos abatetn�nt.
- Federal Aviation Authori#y-Runwrays.
i understand that the following restrictions apply 4a the use of fill:
- tJse of fill is nat allowed in Flood Zone"V"unless express(y permifted.
- If the fill material is to be used in Flood �on� "�", it is understaod that a drainage plan addressing a
"compensating volutne" vviH be submifted at fime of permitting �nrhich is prepared by a professiona) engineer
licensed by the State of Florida.
- lf fhe �ll material is to be used in Flaod Zone "A" in conneclion writh a permitted building using stem vvall
construction, I certify that fill will be used only to fill the area within the stem wall.
- 4f fiN mat�rial is tp be used in any area, I cerfify #hat use of such fill uvil! not adversely affec# adjacent
' properties. If use of fill is found to adversely affect adjacent properfies, the orrvner may be ci#ed for violating
the conditions of th� building permit issued under Qhe a#tached permit applicatian, for lofs less than one (1)
acre which are elevated by fill, an ertgineered drainage plan is required.
If I am the AP��idY f���1fH� CDlfil�llE4�, I pramise in good faith to infarm th� owner of the permitting condi#ions set forth in
i this affidavit prior to cammencirtg construcfion. � understancf that a separate permi# may be requit'ed for electrica! vvork,
plumbing, signs, welis, poofs, air conditioning, gas, or ather installations not specifically included in the application. A
, permit issued shall be construed to be a licens� �o proceed with the vuork and not as authority to.violate, cancel, alter, or
( set aside any provisians of the t�chnical codes, nar sha11 issuance of a permit prev�nt#he �uilding a�cia!from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the v�rark authoriz�d by such permit is comrt�enced withirt six months of permi# issuanc�, or if Uvork authorized by
the permit is suspended or abandoned_for a period of six(6) months after_the-time the-work-is commenced. An�extension
may be cequested, in v,rriting, from the �uilding �fficial for a period not to exceed.ninety (90) days and will demonstrate
justifiable cause for the extensian. (f work ceases ior ninety(90)consecutive days, the job is considered abandnned.
iiilfARR98�� i'� t9�ii►F�iE�: Y�UIFt ��1LU�� Y� (R�CtI�D � ��l��C� O� ���fl6�dENC���P1'�' flH�Y (���i9�T I�t Y�iU�
�'d�1fIPIC T1fV0�� IFiD� bi�i�'�20VI�fNrI�W`6'� �'C)Y0�9�I�II�CSf���Ylf. V�1fOlY 9h�'�EfVf� 7C) t)�Y,�11iV �IW�1hV�CIN➢(9, ����9J�Y
1f1tP7p-i '���l�t�ER9C�}��t Ca���1�7Yti�f�l�lt'I��SFt)������1��1�1r YC3�l��lOY1��t)(��O�f1i�iE6�C�t�i�PIT_
FLORIDA JURAT(F.S, 117 03
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{?lfltftlEF2 4��t�G�1117 ' f�-- �Oi�l'TIRAC'TO� ��i�iG"I�2CL-�
Subscribed and sworn o(or ai'firmed)before me this Subscribed and sworn to(or affir ed)before me this
by by
Wha islare persanally known ta me or F�aslhave produced Who{slare persanally knovsrn to me or haslhave produced
as Idenkificakion. as identification.
fVotary Public Notary Public
Commisslon No, Comm(ssion No.
Name af Notary typed,printed or stamped iVame of PJotary typed,printed or stamped
� :�BC�,�,s � I llllll filll llill lllll lllll lllll lllll lllll lllll lllll llll i I i
Flarida � &Engineering 2015203734
�uilding 6272 Abbo�St2tion Dr. ,- J—•
���fl.� Rcpt:1694195 Rec: 1@.00
�.ode ZeP�Y+�ilts�FL 33542 DS: 0.00 I7: 0.00
� 06/30/2015 T. S. , Dpty Clerk
Permit No. �Parcel ID No �� - 07�o -� � �Q C�/� " � � ��"� ��� �
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NOTICE OF COMMENCEMENT
Sfafe of �IOFi t��. cou�tY or ��Se�
THE UNDERSIGN�D hereby gives notice that improvement will be made to certain reel property, and in accordance with Chapter 713,Florida Statutes,
the foltowing information is pravided in this lVotice oi Commencement:
1 Description of Property Parcel Identification No. �o��_��- � � '-' �c7!0 �- 6tC)C�0 � ��(�
Street Address. t U 7�7 a_1�`+�a t� � Z�° A�., r�} ��S �� •
2. General Description of Improvement �l'Gt IMv�GC G C ✓�ci C� u K�o�'/� "��G I S�'i.A � �a �"�d��
��
a
� �w
;-�
' 3 Owner Infannation or Lassee information if tfie Lessee cantracted for the improvement: a
!� �
L � i ��S � ~
_ � �
f o,,.y
� ame c� � t�t i t ��` ��w,�
A dress City State �Y O�
interest in Property� � �.i 7 Y1 "'�, � ��
� �v'"'C9
Name of Fee Simple Titleholder U a
i {If different from Ow�er listed above) a�
Address � `� City State o A�
4 Contractor ` ) A �n�"�p,-►�__i���,(�{•t, '� n L( N� Q��
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�� 1 ��`� (�`�' 1��. �� ' ���t�.tu.,r �t ��-� . _._ ��-' ��87►
Address City ��i— State �z'"�
Confractor's Telephone fiJo.: ` ��b� °��
' N�
5. Surety� ' , j M p
iName i ,¢i Q
Address City State
Amaun#of Sond, $ Teiephone No..
6. Lender
Name
Address , City State
Lender's Telephone No..
7 Persons within the State of Florida designated by the aw�er upan whom noticss or ather documents may be served as provided by
Section 713.13{1}(a)(7),Flatida Statutes:
Name
I
Address , City State (
Telephane Number o€Designated Person:
I 8. In addition�to himseif,the awner designates ; of --�
to receive a copy of the lienar's Notice as provided in Section 713.13{1}{b},F4orida Statutes.
Telephone Number of Person or Entity Designated by Owner '
9 Expiration date of Notice af Commencement(Ehe e�iration date may not be before the completion o#construcfion and finai payment to the
contractor,but will be one year from the date of recarding unless a different date is specified):
WARNING TO OWNER: ANY PAYMENT6(vSAE?E SY THE OWNER AFTER THE EXP1f2ATfON OF TFiE tJOiiCE OF COMMEhlCEMENT
ARE CONSIDERED iMPROPER PAYMENTS UNDER CNAPTER 713, PART 1, SECTtON 713.13, F�OftldA STATU7ES, AND CAN
RESULT,IN YOUR PAYING TWICE FQR IMPROVEMENTS Td YOUR PROPERTY. A N0710E OF COMMENCEMENT MUST BE
RECORDED RNd POSTEp QN THE JOB 51TE 6EFORE 7HE FIRST WSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSUI.T
WITH YCiUR LENCIEF2 OR AN ATI"C}RNEY BEFORE COMMENC4NG WOFtK t�R RECORC3IhlG Y�UR NOTIGE QF COMivtENCEMENT.
Under penalry of perjury,I cieclare that I have read the foregping notice of Gommencement and that the facts stated therein are true to the best
of my knowiedge and belsef. �
STATE OF FLORIDA
GOUNTY OF PASGO '
ignature of Owner.o��essee, er's or Lessee's Ruthorized
Offic r/Directar/Partner/Man
� Signatory's TitielO�ce �
� The faregoing instrument was acknowiedged before me this�`"C.day of�'v�C .,20�,by C�1�i'y C �t`-�
' ��, (type of authority,e.g.,officer, rustee,attorney in fact)for
(name af paAy on be��who�men��ua=�d).
i l t �'
Personally Known C��OR Produced Identification❑ Notary Signature �+ � � �
Type af Idenkification Praduced Name{Prtnk}_.���._�{3��� t✓��G'�
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,a`�pe�W � NELEN l.PEHRY
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, • - SUN STATE A�UMlNUM, INC. � , '
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Aq unpald ba�nc.ss subJect to 1.6K mar�thty i�ar�fee. `i �
AM maMrid ta pueArraod b 60 8t sPe�d-AM'MOAt b bQ aGmpte�d i1 a�
i� mmu�emad�qbatendandpnc!loee.AtyalqraUwlordevkNo��teqm�lwv��
i�ruotvinp ea�ha ooela wil ba euoYa�ied odY apon wrpiea acie�a.ac�d wi!be�alno�a mdrA
, dr�over end t�bu�!ha�11X q�erewn�s oa+Hnpent upon af�lpeR'aot3ile� e,.rv,�a! yb8
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�f�Q,����Q Qf +�;�j��--The abaue Price�,spec�cations
and cond'�tions are sa�Farc�r and a�l�bj►a�- ltiu are au�ari¢ed S�e
ta da tt�work�sA�d-Pay�t w1�Iae made as outBr�ed abau�e_ � . ,. �
f}ate ofAt�entan+y+• y - -
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City ofYZephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
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Date Received: �Q� Z3--� �
Site: � b ��'
Permit Type: ���CLS.e.. u-,-a. � �(��j����C�iC��
Approved w/no comments: Approved w/the b'elow comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the pernut and/or plans. �
9
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Kalvin S tzer- xaminer Date , Contractor and/or Homeowner �
(Required when comments are present)
,
r'lorida 13uilding C;ode (�nline Page 1 of 3
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product Aooroval Menu>Produ�t or Aoolica[ion Search>Aoolica[lon List>Appiicatlon Detail
�q�.����a,� �, _ FL# FL697-R3
' � +•�� �- Applicatlon Type Revlslon
',�r�, �` "� Appll ation Status A 10
pproved
Comments
Archlved
Product Manufacturer , Amarr Garage Doors �
i Address/Phone/Email , 165 Carrlage Court
� Wlnston-Salem, NC 27105
(336)251-1309
danny.joyner@amarr.com
Authorized Signature � erandon Gentle
� brandon.gentle@amarr.com
Technlcal Representative Brandon Gentle
Address/Phone/Emall 165 Carriage Court
Winston-Salem, NC 27105
(336)251-1308
I � brendon.gentle@amarr.com
Quallty Assurance Representative Danny Joyner
Address/Phone/Emall Amarr Garage Doors
165 Carrlage Court
Wlnston-Salem, NC 27105
dioyner@amarr.com
Category Exterior poors
Subcategory Sectlonal Ezterfor poor Assemblies
Compliance Method � Evaluatlon Report from a Florlda Reglstered Archltect or a Licensed
Florida Professlonal Engineer
� Evaluation Report-Hardcopy Recelved
Florlda Englneer or Architect Name who Thomas L. Shelmerdine
' developed the Evaluation Report
Florida License PE-0048579
Quality Assurance Entity Intertek Testing Services NA Inc.-ETL/Wamock Hersey
Quality Pssurance Contract Explration Date O1/OS/2015
Validated By � Steven M. Urfch, PE
; ' Vaiidation Checklist- Hardcopy Received -
,
Certificate of Independence FL697 R3 COI Statement of Indeoendence revlsed odf
Referenced Standard and Year(of Standard)i Standard Year '
ANSI/DASMA 108 2005
TAS-201 1994
TAS-202 1994
TAS-203 1994
�i http://floridabuildin�.or�/pr/pr app dtl.aspx?param=wGEVXOwtDatlBIzdOeYmrR�nl3__. 4/26/2012
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Professi��al �� � Qroduct Approval �
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' yr�s�q��g, i, FL# , FL647-R3
• :.r c:-� 3y;� APPllcatlon Type � ' Revislon
� �,� ,_ , ,- Code Version 2010
Appllcation Status Approved
� Comments
Archlved �
Product Manufacturer Amarr Garage Doors
AddressfPhone(Emaii !65 Garrtage CourC
1Nlnston-Safem, NC 27105
(336)251-1309 �
danny.joyner@amarr.com
r
Authorized Slgnature erandan Gentle
, � brandan.gentle@amarr.cam
Technicat Representative Brandon Gentle
Address/Phone/Emai� � 165 Carriage Court
Wlnston-Salem, NC 27105
(336}251-1308
brandon.gentfe@amarr.com
Qua(tty Assurance Representative � Danny 3oyner
Address/Phone/Emall Amarr Garage Doors
ib5 Carrlage Caurt
� W(nston-Salem, NC 27105
- dJoyner@amarr.com
Category Exterlor poors
� Subcategory Sectlo�al Exterior poor Assemb!(es
Compllance Method Evaluatlon ReporC from a Florlda Reglstered Archltect or a Llcensed
Flortda Professlonal Englneer
i Evaluation Report-Hardcopy Received
Florida Englneer arArchikeet Name who Thomas L Shelmerdine
developed the Evaluatlon Report
Fforlda license PE-4048579
Quality Assurance Entity Intertek TesCing Services NA Inc.-ETL/Warnock Hersey
Quallty Assccrance Cantract Explrat}an Date E O1J41f2Qi5
Validated By , Steven M. Urich, PE
' Valldation CheckAsC- Hardcopy Reeelved
Certificate of Independence � FL697 R3 COI Statement of Tndependence revlsed.pdf
Referenced Standard and Year(of Standard) , standard Year
ANSIjDASN1A iQ8 20d5
TAS-201 1994
TAS-202 1994
TAS-203 1994
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