HomeMy WebLinkAbout15-16723 CITY OF ZEPHYRHILLS
, 5335-8TH SfREET
' (813)780-0020 16723
BUILDING PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16723 Address: 5912 12TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02100-0130
Improv. Cost: 700.00 � OWNER INFORMATION
Date Issued: 11/06/2015 Name: MUNIZ JOSE
Total Fees: 60.00 Address: 12139 LEANNE DR
' Amount Paid: 60.00 DADE CITY FL 33525-5929
Date Paid: 11/06/2015 Phone: 352-437-0313
Work Desc: REPLACE 2 WINDOWS 1 DOOR
CONTRACTOR S APPLICATION FEES
HOME WNER BUILDING FEE 60.00
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, Ins ections Re uired -
FOOTER 2ND ROUGH P UMB MISC INS LATION CEILING
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: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
, first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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.
"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,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�..oS�2 ( (, c�'vi
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�eo-oo2o City of Zephyrhilis Permit Application Fax-813asaoo7�
Building department -
- Date Reaeived ��1 Phane Contac#for PermitEln �Z - C'�3 t� •
Owner'a Name � d � � Z Owner Phone Number
Owner's Address l.� l� �Z.. �(' 't ' Owner Phone Number ;�J�. �c � ��
Fee Simple Titleholder Name � � Owner Phone Number � �
Fee Simple Tltleholder Address
JOB ADDRESS S � I �.. �l LOT# �_��
$UBDIVISION � � PARCEL ID#
(QBTAINEP FRdM PROPERTY TAX NOTICE)
11VORK PROPOSED tVEW CONSTR ADD/ALT � S1GN• Q Q DEMOLISH
� INSTALL REPAIR
PROFOSEd USE Q SFR � COMM � OTHER
TYPE QF CONSTRUCTION Q BLOCK � [� FRAME [�] STEEL CJ
DESCRIPTION OF WORK �,QJ l� G � G C/uu�'
BUILDING SiZE SQ FOOTAGE C��, HEIGHT [��
OB���'�,�G $ �� ,�� VALUATION OF TOTAL CONSTRUCTION _
�1
QEIECTRICA�. ��� AMP SERViCE Q PRQGRESB ENEi2GY [� W.R.E.C.
QPLUMBING � � �fl�I,�
���
OMECHANICAI. $ VA�UATION OF(uIECHANICAt.l(VSTAI.LATION j(���
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QGAS � ROOFING Q SPECIA�TY � OTHER
FINISHED FLOOR ELEVATIONS FL.00D ZONE AREA QYES NO
' /.
BUILDER i COMpANY ' OLC���-.
SIGNATURE � 1 � REGISTERED Y/ N FEE CURRE� Y/N
' Address L`tcense# � �
EtECTRtClAN ., CaMPANY
SIGNATURE REGI87ERED Y/ N FEE CURRE� Y/N
Address License# �' �
PlUMBER COMPANY
SIGNATl1RE REGIS7ERED' Y/ N FEE CURRE� Y/N
� Address License# C � �
MECHANICAL. COMPANY
' SIGNATURE REGISTERED � Y/ N FEE CURRE� Y/N
Address License# � �
OTHER COMPANY
, SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
I, Address License# � �
E2ES1DENi'IAI: �Attach{2}.Ploti Pla�s;{2)sets of:Butldlog'Plans;{1}set of Eriergy�Form§;Ft-O-W Permit for new c�nstruction,
, Minimum.ten_(10j working days after submittal date: Required onsite,Construction Plans;Stortnwater Plans w/Sflt Fence installed,
Sanitary FaciliUes&1:,dumpster;;Site Work•Pens�itfor subdivislons!large proJacts
COMMERClA3. Attach{3}•camplete sefs of 8ultding P1ans plus a l.ife Safe#y Page;(1)set o#Energy Forms.R O-W Permtt far new const�uction.
Minimum ten(10)waricing days'after submittal date. Required onsite,Canstructlan Plans,Stormwater Plans w/Silt Fence installed,
SanlNary FaciliUes&1 dumpster.Site Work Permit far all new projecis.Ail cammerciai requirements must meei comp!lance
StGN PERMIT Attach'{2)sets of Erigineered Ptans.:. -
"`"PROPERTY SURVEY required for all NEW constructlan. .
� Dlrectlons:
; Fqi out applicaHon completely.
Owner&Contractor s{gn baok of appitcatton,notarized
if over 52500,a Notice of Comrnencement ts required. (A!C upgrades over�7500) . . _.. .�. _.. .: .�., . .. -.. .: ,
'" Agent(for the contraotor)or Power of Attamey_(for the owner�.would.be someone with notarized letter from owner autharizing s'ame ,
OVER THE CQUNTER PERMIT'i'(NG (Front of AppiicaUon;Only) '„` -' � , ' ` ,
' Reroofs If shingles Sewers Service Upgrades.NG '' Fences(,P,IodSurvey/Footage) ' - „ . � . ` - " � . .
� { • � . , _... r-. , .. a...
driveways-Not over Counter if on pubiic�roadways�.�eeds:R01lV,,..,,,..,.wr� ,,: t
NOTICE OF DEED RESTRICTIONS: The undecsigned under.stands�:.th�t this.p�rmit.may,be.:subJect"to;°deed".restrictlons"
which may be,:more��r.est�ictive-th2�n County=regulatlons:�TFie`undersign'ed`assumes responsitiility•#or�compliance with'�any
applicable deed rest�ictions. . � � �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: --If-the owner-has-�hired��a contractor or
contractors to undertake work, they may be;required:to be:_Ilcensed In accordance.with state�.and:local regulations: If the
contractor is not Iicensed as required',tiy law, botii the owner and contractor=may tie-cited-for�a�misdemeanor violation
under state law. If the owner or fntended:,contractor,�are-uncertain as to what Ilcensing..requlrements:;may-apply��or=:the - _
� .
intended work, they are advised to�contact tfie,Pasco County Bullcling�Inspection Dlvision--Licensing Section at 727-847-
8009. Fu�thermore, tf�the owner'has'hl�ed a cont�actor o�contractors. he is advised to have the contractor(s), sign
portions of the "contractor Block" of.this application for_which they will be r.esponslble. If.you�-as..the ovirner stgn�as the
contractor, tFiat tnay be an indication that�he is not.properly Iicensed and�is not entiNed�to"permitting p�ivileges in Pasco
County. _ 3� -
TRANSPORTATION.:IMPACTIUTILITIES•IMPACt'ANb-ItESOU�tCE RECOVERY�FEES:��The�unders(gned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may.�:apply�:to.�the constructfon,of new.buildings, change of
use in existing bulldings;�or.expansion•of��ezistin;g�6u11dings, as specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended. �he undersigned also�understands, thait.such fees�.as s;may_be:due;�will:-be identified at the.time of
permitting. It is turtHer understood that Transportation Impact Fees and Resource Recovery'Fees,.mu�t be paid prior to
receiving a ".certiflcate..of-occupancy"�or flnal power-release. :If�the project;does not Involve,a-certificate of occupancy�or
final power release; the-#ees mu�t be paid prior to permit issuance. Fu�thermore;�ff 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� Florlda Statutes,as amended): if valuation of work is$2,500.00.or more, I.
certify that I, #he, appHcant,. have.been. provided_ with- a copy� of the "Florida Constructton Llen Law—Homeowner's
Protection Guide" prepared by the Flor(da Department�of�qric.ulture and Consumer Affairs.� If the appl(cant Is someone
other than the"owner", I certify that I�have.obtalned�a=copy.of the;above..described docu�ent°and:pr.omise in,good�.faithto
deliver it to:.the`owner"=prioe to�commencement.-9� � ' � � � " . �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.cerfify�:that�ail.th�,inf.ormation:in;thl�application is accurate and that all work
will�be done in compliance with all applicable�laws regulating construction, zoning and�land development. Application is
hereby�made to obtatn .a permit.to do.,work..and :Installation as lndicated:.; .'I certify thaf no work°.or Installation has
commenced prior to Issuance of�a permit'and that�:all�work will be perFormed to meet standards of_all laws regulating-
construction, County and City codes, zoning regulatlons, and land development regulatlons-in the�jurisdfction. I aiso
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:.cotr�pliance; S.uch agencles.include but are:not Ilmited to:
- Department of Er�vironmental Protection=Cypress�'Bayhead�, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management .District-Welis, Cypress. `Bay_heads•, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watetways.
- Department of Heaith'8 Rehabilitative Services/Envfronmental Fleaith Unit Wells, Wasteu►rater Treatment,
Septic Tanks. � , _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlation Aulhority=Runways.
I understand that the following:restrictions apply to the use of flll:�
- Use of flll is not allowed in Flood Zone°V"unless expressly permitted.
- If the flll material is to be. used_.in �Flood Zone. "A", It. Is understood that a drainage plan addressing a
"compensat(ng volume",will be submitted at�ime of permitting which Is prepared by a professfonal engineer
Itcensed by the-State of Florlda:
- If ihe flll material is to be used in Flood Zone °A" in�connec�fon�with.a permitted building us(ng stem waii
construction, I ce�tify that fill:wall:b.e used oniy.to.fill the area withln the�stem:wali.
- If flll materlal is to be used in any area, I �certlfy that use. of such fill will not adversely affect adjacent
properties. If use of flll is found to adversely.�ffect ad)acent�properties,.the owner may be clted for viofating
the conditions of the building:permit issued�under the attached�permit applicatfon, for lots less than.one (1)
acre which are elevated�by flll,a�t engineered drainage plan is required. .
If I am the AGENT FOR THE OWNER, I�promise In good faith to inform the owner of the:permftting conditions set forth in
this affidavit�prior to commencing construction. I understand thet a�separate permit may be required for electrical work,
plumbing, signs, wells, pools; alr condltioning, .gas, or ofhec installattoris noE,speclflcally included�in.the application. .A
permit issued shall be conshued to be a�Ifcense to p�oceed wfth tFie work and not as:authority to..violate,cancel, alter, or
set aside any provisions of the technical codes;�nor shali issuance�of a.permlt.prevent the Bulldirig Off(c(al from thereafter
requfring a correction.Qf errors in plans, constniction or violations of any codes. Every perntit Issued shall become invalid
unless the work authorized by such perm(t:ls-commenced•withtn sfx months of permlt issuance, or If work authorized by
the permit is suspended or.abandoned for a:period of six{8)montF�s.after the time the�work�Is commenced: An extenslon
may be requested, In writing, ftom the Building,Officfal for a perlod�not to exceed ninQty�(90)-days and will demonstrate
justifiable cause for:the extension. If work ceas�es:for ninety(90)cons.ecutive:days�..th�job�is considered abandoned.
WARNING TO OWNER: YOUR.FAILURE�TQ..REC.ORD,A NOTIGE OF•COMMENCEMEMT MFAY�RESULT IN YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOU�:PR�PER-TF. IF°YO.U�INTEhID'TO OBTAIN��FIPFANCENG��CONSULT
� WITH YOUR LENDER OR�+N�TTORNEY$EFOR��RE�RDIN��YOUR'NOTLt�E=S1F��0lVl�!lENCE111dENT�- - ----- ---- _-
FLORIDA JURA�(F.S.117.03) '
OWNER OR AOENT � �S'e � v`�l.U[.� _ CONTRACTO "' �
S b cri Qd and m or aRirtned bet e me thls ' Subscrlb and'swom- ( f aflirmed)� re me tfiis -
�-� by���� c,v�ir� ��-���y - � vi, •
Who Is/arep@�rspn�a y kr�own to�.me or as/have pro uced �g.(�s/ar�,personally�nqwn to me or has/have�produced
'i Gi-� �4'!c'1�'��(�C�-as Identlflcatlon. `G• d�e��'S ���-wS� as Identl��aUon.
Nota Publlc . � Notary Public
„„���,,,
Co slo ,�q�""'r�'&�;; J UELINE BOG�5
�� Com isslo
:�• �'a,: Explres December 12,2018 ;'ig'R���4�= '
;.�.., ,�:,. ,,, ;,.: Commission#FF 150422
Name of Nota Name of N �y �.{
—!:;FPP�:.Q,.•pBondedllwTroy a�n s1Tr'dhce000385•7079
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � /"l�G�'j!rZ
Date Received: �Q � ��'�
Site: ���Z �2� ��
Permit Type: ,Z liff>�'7���$ `l���
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
��J /
.
Kalvin Switzer s 'ner Date Contractor and/or Homeowner
(Required when comments are present)
` DISCLOSURE STATEMENT FOR OWNER
CITY OF ZFPHYRHILLS BIIILDING DBPARTMENT
I, have read aad fully underatand aad
agree to the provisions of this instrumeat.
The undersigaed states and affirms that he or she is desirous of constructiag,
reaovatiag, addiag to or reroofiag his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
reat, lease or sale. That he or she ahall comply with the followiag conditioas:
1. That the owaer and he or ahe aloae shall act as the builder for all phases of
construction.
2. That the owaer will comply with all proviaions of the City of Zephyrhills
ordinaaces and codes pertineat to the buildiag.
3. That in the eveat various phases of coastruction are subcoatracted, he will
engage only properly liceased subcoatractors aad will persoaally supervise �
such work. '
4. That in the event the Building Iaspector ahall require correctioas to be made,
the owner will assume full respoasibility to insure they are made, and upon
completion will call for a reinspectioa before proceediag with the buildiag.
5. That the owaer shall assume full respoasibility for the coastructioa and will
aot expect supervisioa of his work from the City of Zephyrhille Buildiag
Department.
6. That prior to fiaal iaspection any additioaal fees, includiag reiaspection
fees, must be paid in full. A written request from this office ahall
constitute aa official aotice to pay additional fees.
7. That the owaer shall comply with all City, State and Federal laws ia regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owaer shall comply with all the safety codes issued by the Florida
Iaduatrial Commiasioa.
9. State law requires construction to be doae by licensed contractors. You have
applied for a permit under an exemption to that law. The exemptioa allows
you, as the owaer of your property, to act as your own coatractor with certain
restrictions evea though you do aot have a licease., You must provide direct
onsite supervision of the coastructioa yourself. You may build or improve a
one-family or two-family residence or a farm outbuildiag. You may also build
or improve a commercial building, provided your costa do not exceed $75,000.
The building or residence must be for your own use or occupaacy. It may aot
be built or aubstaatially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself withia 1 year after
the constructioa ia complete, the law will presume that you built or
substaatially improved if for sale or lease, which is a violatioa of this
exemption. You may not hire an ual'icensed persoa to act as your contractor or
to supervise people workiag on your building. It is your respoasibility to
make sure that people employed by you have licenses required by state law and
by county or muaicipal licensiag ordinances. You may aot delegate the
respoasibility for superviaiag work to a licensed coatractor who is aot
licenaed to perform the work beiag done. Aay person workiag on your building
who is not licensed must work under your direct aupervision aad must be
employed by you, which meaas that you must deduct F.I.C.A. aad withholdiag tax
and provide workers� compensation for that employee, all as prescribed by law.�
Your construction must comply with all applicable laws, ordinauces, building
codes, and zoaiag regulations.
,
OWNER'S SIGNATURE .�'� \ � �V�V/7 DATE �(�- Z�- � S
ADDRESS �G�'� l'L ��- -.
PHONL `3�� �'�J^I 8'31�
WITNESS PLRMIT #
Thank You
for Choosing
� JELD-WEN
58697649
J�ELI��.ENm
OW3. & DOORS
NFRC Builders Aluminum Side Load
Single Hung
Double-glazfng With Grid
JEL-A-691-00301-0OU01
• Na6onal Fenestration
Rating Council�
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ENERGY PERFORIlIIANCE RATINGS
EVALUACION DE RENDIMIENTO ENERGETICO
U-FAGTOR SOLAR HEAT GAIN COEFFICIENT
FACTONdI GOEFIdEN7E:GANANGW UE FJ�ERGIA 50 Wt
0.67,1l.SJI-P)� 3.80(Metrico/SI) 0.60
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twuw.nfrc.org
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Manufacturer stipulates conformance to the applicable standards
JELD-WEN Windows &Doors
Builders Atlantic Aluminum S.ide Load Single Hung
Size Tested 52.125x72 in
Design Pressure= +50/-50 psf
Glazing: .117" out/.117" in
Conforms To: TAS 202
FL#10970.1
WARNING Drilling,sawing,sanding.ar machining wood products generates
wood dusi,a substance known fo ihe SYate of Califotnia to cause cancer.Use a
respiratoror othersafeguards to avoid inhaling�vood dust.
"Retain this label and accompanying recelpts wifh your tax materials to clalm
tax credit!f applfcable. 'See ivww.jeld-wen.com/taxcredit for fuil detafls"
165340 3 OG09U015 AB0210 06/09/15
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Remuve this label afler final inspection;SAYE in�iature reference
i
Pella Corporation "�
350 Series ���
NFRC Double Hung
.__.
Annealed
One Wide
'�lat�enal t=enestrGtiun SunDefense(TM) Low—E
Ra±inq Council:� Argan Gas
� PEL—N—190—00027—00001
ENERGY P�RFORMANCE �'�ATIf�GS
U—Factor Solar Heat Gain Coeffisient
0.27 1 .53 0.21
, U.S.fI— t•letdclSl
AQDITIQNAL PERFORMANCE RATINGS
Visible Transmittance
� 0.49 � �
@7anufacturer stlpulates that these ratings confnrm to appliea6le NFRC procedures Icr deierminin
�vhole produot perlormanoe.NFRC ratings are determinetl tnr a tixed set of environn�ental eonditi n
and a spec(lic produst slze.NFRC does not recommend any p�o�ucts and does not srzrrant
the suitabillry ot any produat for any speclfie use.For more inlormation,aall(f41)621-3114
or visit the Pella we6 site at tivww. ella.aom or visit the NFRC ereh site at w�vw.nfrs.or
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