HomeMy WebLinkAbout16-17815,
CITY OF ZEPHYRHILLS
, 5335-8TH STREET ���
' (813)780-0020 1 815
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit f�umber: 17815 Address: 6550 TEAK CT
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class �f Work: 434-ADD/ALT RESIDENTIAL Township: _ Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: DRIFTWOOD
Es�. Value: Parcel Number: 02-26-21-021A-00100-0030
Improv. Cost: 1,070.00 OWNER INFORMATION '
Date �ssued: 10/11/2016 Name: WALLIN CARL & CAROL
Tot�l Fees: 67.50 Address: 6550 TEAK CT
Amount Paid: 67.50 ZEPHYRHILLS FL 33542-6603
Da�e Paid: 10/11/2016 Phone: 813-395-6170
Work Desc: WINDOW REPLACE 3
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
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Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGF�PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INS�ALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRU ION 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. I
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be ound 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
improdements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Comple e Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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C NTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
T
� •- e�a- so-oo2o City of Zephyrhills Permit Application , FaX-s�3a8o-oozl I
� Building Department
Date Receive
•��0. Phone Contact for Permifting '' - •
Owner's Nam �� �. ��CL�� Owner Phone Number , ���'�9�- �/�d
Owner's.lAddr�ss Cv��� T�� - C� � OwnerPhoneNumber
Fee Simple Ti leholder ldame Owner Phone Number
Fee Slmple Ti leholder Address
JOB ADDRES J��/1'l� /�--5 /��'OG�E LOT# �
susoivisio� � �R fFTG(�p01� C�7�b�r pARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP�SED > NEW CONSTR- ADD/ALT � SIGN Q � Q DEMOLISH �
� INSTALL � REPAIR
PROP.OSED SE. Q SFR Q COMM � OTHER"
TYPE:OF CO STRUCTION Q BLOCK - Q FRAME , 0 S,TEEL . Q - . - ,
DESCRIPTIO OF WORK + �4� �I/�,C�4GQJS � I �C'�{ �EDRa3� '� � Kr���E�
BUILDING`SI E � SQ FOOTAGE� - HEIGHT . _
QBUI DING $ 9 a,�G�,qo� VALUATION=OF'TOTAL CONSTRUCTION I
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'�I QELE TRICAL , $ , AMP SERVICE �Q PROGRESS ENERGY Q W.R.E.C: I
QPLU BING $
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QME HANICAL $ VALUATION OF MECHANICAL INSTALLATION �
. �
QGA Q ROOFING Q SPECIi4LTY � OTHER
' FINISHED.FL OR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER �f�j�� ����� ,) �COilAPi4NY ��� �GU/��
SIGNATURE L�l/'`` � � �Q � REGISTERED Y/ N FEE CURREn Y/N .
Address ' License#`
ELEC,TRICIAN. COiN PAIdY �
SIGIVATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense:#
,PLUMBER;; COMPANY�
SIGNATURE ,- ;REGISTERED� `Y:�/ N _ � 'FEE GURRE� Y/N
Address - License#� - '
'_�MECHANICAL COMPAIdY • _
$IGNATURE` - REGISTERED Y/ N FEE CURRE� Y/N
� Add�e'ss� � � � - � License#
::;�,>� ; . _.. .
-OTHER<%�•` �_ , . � CO�AflPANY . �
'SIGNATURE:7.; �c� - "' �- � REGISTERED Y/.N _ FEE CURRE� Y/N •
a;c's: . _
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-'.RESIDENTIAL',,: Attacfir.(2:);PIot�Plans;:(2):setsof`Building=Plans;�(1�)_setofEnergy,Forms;`R,O-W PeRriit.for.'new.:construction,
� ,�,s:;,, :<�. ;Minimum,';;ten;_(;10)wo,rking_;iJays afte�"submittal�date. Required�onsite;�Construction Plans,Stormwater Plans w!'Silt Fence installed,
- '�..,�..»�.,••.. •,. , Y �. . - ; . ..
TSanitary;Facilities;&.1;,dumpster;Site:Work Fermit'for_subdivisions/large:projects:;� - "
- COMMERCIAL. Attach°2�com lete'sefs of Buildin �Plans lus a�Life Safe Pa e; 1 set of Ener Forms.R-O-W Permit for new construction.
� ) "���P 9 P tY 9 � ) 9Y
. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,,
Sanitary Facilities 8 1 dumpster.Site_Work Permit fo�,all`new projects.All commercial requirements must meet compliance��
:�'SIGN�PERMIT �AttaoFi(2)sets of;Engineer�d Plans:Z', -, - �
- '•'"FROPERTY SURVEY required for_aIL.NEW:construction. �
�=Directions:: _...-... ., , , -- . -
. . . . ... .
� �Fillrout ap lication completely. ,'� '
Oiivner& � ntractor sign back of application,notarized
If over'$2 00,a•Notice.of Commencement is required. (�41C upgrades over$7500)
.. ,,,..�r
Agerlt(for tfie�contractor.)orPower of Attomey(fo�'tFie�ovirner)would be someone with notarized letter from owner authorizi�g same ,.,
�.:OVER`T'WE:CO_NTERPERMI.TTIPIC�._� �(copy...of-contraet:required) �, ' � � „_ .. -- , � , �
Reroofs if:shin les Sewers Service.�Upgrades�•A/C`�`�, Fences'�(PIoUSurvey/Footage) � .- :�'�'"`'', , ' . ; '
Driveway -Not over Counter.�if on pu6lic roadways::needs ROW", � ' , � , �• � _� �
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9VOTICE OF DEED,RESTRICTIQNS: The undersigned.unders#ands.that-this;permit.may be,supject.ta"deed"r.estrictions":'�"
which.:inay:be=more,�r,estrictive thaia Counfy:regulations: TFie..ut�dersigned�a"ssuraies°��espo�sitiil�ty,#or�cornpliancei`i+vith any`"�`
applicable;deed restrictions. . , �- -.- • - �. -_-�
UNUCFNSED-.CONTREICTOR� AND CON'TRAGTOR RESPON�I�I�:ITtES: if ttie�awiier.�has=�iireci°�a�r-cantractor or
' contractors`tb undertake work;Fthey.may be,required to be`licensed in accardance with state and,.local,r,egulations.'�if��the=�.�y- '
_.�_ .� . _..
_. . ",. .
I contractor is not:_licensed.as cequired`by.°law, both"�the ovirner=�and°:corit�acCor-.rrtay��betcited�°for�:a misdemeanor violation- �
' under st�te iaw. If the awner or intended,:contractor are uncertain as to what licensing requireinents::may:.appiy f.or;:the��=". ,;
,,., �,.,, ,, ....,.
' intended�work, they are-advised to contacf�'tlie Pasco Caunty Building"Inspection'pivision�=Licensing Section at 727=847=
� 8009. Furthermare, if the owner has hired`a ctiiitractor or contractors, tie is advised tot�have the.,cc►ntracfor(s} sign,,,,, "
� portions of the "contractar Block" of this application for which they.wiU..be_.cesponsible:�=If-you,_as`�the`owne��"sign as=ttr�e ' � g
�I contiactor,fhaf may be an indication that he is not'properiy licensed and`is nof entittet!'to permitting privileges,,in_Pasco:..,; -
Caunty. _. _. . . ..- , . .,. . ��..�,,,..,�..,::�,:�, .,s
TRANSPORTATION-IMPACT/UTILITI'ES IMPACT�AND-RESOURCE RECOVERY FEES: Thie'unde�signed under,stands -
#hat Transpackatsan {mpact Fees and Recourse Recovery Fees=may:�apply to the cgnstructiari.af,newr,.buildings,�cFt'arige>of�°'�_ �`:
use in existing buildings, ar expansion ofi;existing buildings, as specified in Pasca County Ordinance number 89�07 and ':
90-07, as amencled. 'The undersigned also understands, that suct�fees, as may,�be;due, wilt'be=identified�at�:tF�e'�#ime:'of='�:' ``�
permitting. It is�further understood that Transportation lmpact Fees•and Resource-tRecavery,Fees must be paid prior#o -
receiving a "certificate of occupancy" or final„power release. If#he projectdo.es not involve a ceitificate of occupancy;or._�'
final power release, the fees-must be paid prior#a permit�issuance. Furtfieirmare,;,if.Pasco Caunty Water/Sewe�.�+tmpact-�;�-:� �
fees are due,,they must be paid prior to permif issuance in accordance witli applicable,.P'asco.County ardinances�.
CONSTRUGTION L:tEN LA1t�(Chapter 713; Florida Statutes,as amendedj: If valuation of�orlc is$2,50Q.00�qr.rrtare,;1-�;;=
certify that I, the applicant, have been. provided with a copy_ of the "Flarida Cons#ruction;::Lien..Law_"�Homeowner's�
Peotection Guide" prepared by�the Flarida Department of Agr'iculture and Cansumer�Affairs. If the appl�cant is someone:;
,.. . .,. ..
' other than the"owner�, I certify tfiat(,have obtained a copy of the.abave descri6ed'`document and pramise�in good.,faitli.to, ;
deliver it�to the"owner"prior to commencement. ' ' � � " _ - �
GONTRACTt3R'SIOWN�R'S AFFIdAVIT:�I.certify#hat all the infarma#ian in#his application is accurate and that alt worii
will be done in compliance with all applicable laws regulating construction, zoning and land=development. Application is
hereby made to obtain a permit:ta do work and installation as-indieated. t ce�tify tha# na��ivork or-iris#allatiori�.Ftas
commenced prior ta issuance of a permit and that all work will be performed ta meet standards of all laws regulating
, cpnstruction, County and City codes, zoning regutations, and land develapment�regufatiaris in the jurisdiction: !�afso
certify that I understand that#he regu(ations of ather government agencies may apply to the in#ended 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:
- pepa�tment of Environmental Pratectiori=Cypress Bayheads, VlCetland Areas and Eiiviranmentall�r 5ensitive
Lands,WaterNVastewater Tteatment. �
- Southwest Ffarida Water 1�lanagement District Wells, Cypress �ayheads, Wetland Areas, Altering
Watercaurses. ,
- Army Corps af Engineers-5eawalls, Docks,'Navigable Waterv�rays.
- Depa�tmenf of Health & ReFtabilitative Senrices/Environmentai .Health Unit:Wells,,.�Vastewater Treatment;�
Septic�Tanks. � -
- US Environmental Pro#ection Agency-Asbestos abatement. ,
- Federal>Aviatian Authority-Runways. .
!understand that�tlYe'following'restrictions apply to#he use of fi!!:
- Use of filf is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill ma#erial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at#ime of permitting which is prepaced by a professional engirieer
� lic�nsed by the State of Florida. �
- If the fill materia!�is to be used�in Fiood Zone "A° in connection with a permitted building using stem wall
canstruction, I certify that.fill will be used only to fill the area writhin the stem wall.
- If-flll material is to�be used in.any area, ! certify that use of such fill wil! not adverse{y affect adjacent �
prop�rties. If use af fil[ is found ta adversely affect adjacent properties, the awner may be cited for violating
. the conditions`of tfie>building permit=:issued under�the attached permit application, for lots less than one (1')�
acre wliich are elevated�y fill, an engineered drainage plan is requiced.
If I am #he AGEIVT FOR,THE OWNER;rI�;promise in good faith tainform the owner af the permitting canditionsset forth in
this affidavit prior to commencing construGtibn. 1 understand that_a sepa�ate permit may be required for electrical„work, �
plumbing, signs, wetfs, poals, air conditioning, gas,�,or.�othe�'iristallations not specifically inctuded in the appiication. A _
permit issued shall.be construed to be a license to.proceed with the wark and no#as authority to violate,.cancel, alter, ar •
set aside any provisions of.tlie fechnical codes, nor sha11 issuance of a permi#prevent the Buitding Official from thereafter
requiring a correction of errars in.plans;�`construction or vialations of any codes. Every permit issued shall become invalid
unless the wrork authorized 6y such.permit is commenced withinNsix manths af permit issuance, ar if work au#horPzed b.y
the permit is susp�nded_or abandoned for.a p,eriod:.of six(6)montfis�after the time the work is fcammenced. An extension �` -
may be requested, in writing,.fram the 8uilding'Official far a:period not fo exceed�ninety (90) days and will demonstrate
justifiable cause far the ex#ension. Ef work ceases for ninety(90)consecufive days,the job is cansidered abandaned.
1IVARNING TQ OWNER: YbUR EAILURE.:T,C?,REGO,RD A NOTIC� QF,COMMENCEMENT MAY RESU�T IN YOUR '
PAYING TWtCE.FOFZ IMPROVEMENTS.:TO,YOUR�PROF'ERTIf.-..IF YOU�.INTEND�TO,O�TAIN aFINANCING;CONSULT
_ _!!NI'�H-YA�R-�:�N��R OR-AN-A'!"T�R�lE-Y-��F�DR�-l4�C6)R�ENS9-Yt"DUR Id�'Fl�CE��=Ct'�IMl61!lENC�P+J!!�N'�` -- -
FLORIDA JURA7{F.S.197. 3} � � �
OWNER qR AGEN /�- -„���Z��` CONTltACTOR � ^���
Subscribed and swo to{or aifirmed}be#ofe me thts Subscr'rbed and swom to(ar affircned}betore me,this
by . __
Who islare pe ally k to me or has/have produced �� Who islare pe onally kn to me or haslhave produced
- as Iden#i�ca6on. as identification.
� ��.
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� ��:,(Sf.��.- ary PUblic r � : '.�(�/ � Notary Public .
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Cammiss'r n Co,�y sion N . '
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�*� :,;_ �ACq�EL1N�g ,,;,��
r P���r
Name af " , ' 422 �ame af No E'l:�Y �i�A��jrRfs t n ES
FF 1504
'•����,"'' Bondsd ecember�z '�: .<' Ex ires 22
rn�,r ,2018 ''"� °' P December 12,
royFe�nlnsuranc '��o�;��•'`'� 8ondo�FhruT 2�:g
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Docunent Title: Doc No: FR�B�-02
S�ructural Performance RevNo: 7 pase: � Of: �
�YS'T'+C'��,� Certif ica�i on
cswrErmcw�nae�s.iNc. �
�'l��
� Autharizatian Report
Required By: PRO 81-03
I
CAR& Product ID Number: 190 - 1024.0
Issue Date: 1111012014
Revision Date: 11/17/2014
Expiratian Date: 10/10/2018
Campany Code: 190
This Certification Authorization Report (CAFt) is issued by Keystone Certifications, Inc. (KCI) after full validation review,
and�is based an a standardized evaluatior� of the product conducted by an independent accredited labara#ary in
accc��rdance with the specified referenced standard. Act�.tal fenestration praducf perFormance may vary based on many
factc�rs, including installation, condition of the wall/raof substrate and the age of the produc# and installation
componenfs.
Thisl report indicates the product is eligible for fhe application of Keystone Certification Program certification labels.
Lice�see stipulates in affixing certification labe]s #o producfs, that those products are representatiue af the specimen
evaluated and dacumented for certification authorizatian. Only praducts bearing such a certificatian label shall be
can�idered cerkified. The iniormation in ihis repork can be verified atwww.keystonecerts.cam. (
�
Licensee Information: Praduct Inforrnatian: '
P T Industries ModeL• SH5400 View PVC Single Hung �
10 0 Technology Dr. PO Box 1529 Operator Type: H
Nokomis FL 34274 Config: EM/A11 I ,
i Max Width: 52 ��Vr�
� Max Height: 92 C��r �DAT�E jC�..�p`� .
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R ferenced Standard: Product Rating: q<<Wo�� --..�..�
AAMA 1701.2-12 Wind Zane F� ��9q��x���Y W!i'H
C! ELE �F
�
Q alifying Test Information: � HY�`HIL�����R"ND•
Test Report No: FTL-7958 r
est Report Expiration: 1 0/1 01201 8 �
A thorized Signature:
�.
Digitally signed by Steven M.Urich Keystone Certi#ications, �11C. �
. �►v:cn=5teven M.Urich,o=Keystone 564 Old York Road, S uit� 5
i '�� Certifications,lnc.,ou,
� � _� �. Etters, Pennsylvania 17319
i� �: �, 4 '�� „ +��«//� "` email=surith@keystonecerts.com, Phone: 717-932-$500
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�'"�� Date:2014.t 1.1715:53:Q6-05�00� Fax: 717-932-$501
\MlVW.KEYSTONECERTB.COM �
� DISCLOSDRS STAT�NT FOR O�R
CITY QF ZEPIiYRSILLS BIIILDING DEPARfiM'E�NT
I, (�/'r"'��— � � �Q'��y have read aad fulZy uaderstand aad
agr e ta the provisioas of this iastxumeat.
i The uadersigned statas aa@ affixms �hat he or she is desiraus of constructing,
ren vatiag, addiag to or reroofing his or her owa domiaile, that he or she
aat �ally+� ocaugies, or will occupy by sai.d domicile, and same is aot for
rea , lease or sale. That he ar she shaZl comply with the followiag coaditioas:
1. That the awner aat'i he or she alon� shall act as the builder for all phases of
con�truction.
2. That the own.ex will comgl� i,rith all provisioas af the Gity af Ze,phyrhills
ordiaances aad codes p�stineat to the building.
3. That ia the e�crent various phasee of coas�zuction axe subcomtracted, he will
engage ouly prop�rly liceased subcoatractors aad will persoaally superviee
auch work.
4. That in �he event the Buildiug xaspector shaZl r�quire correetioas to be made,
the cwner wi11 assume full sespoasib3lity to iusure they are made, aad upoa
completion wi1Z call far a xeiaspection before proceedisag wa.th the buildiag.
5. hat the owaes shall assume full respoasibili�y for the coastruction and will
ot �xpect supervieioa�.of his work £rom the Ci.ty of Zephyrhills Build3ag ,
epartm�at. • ,
6. hat prior to �inal iaspectioa aay additiaaal �ees, iacludiag reiaspeatioa
�ees, must be paid ia full. A wr3.ttea reguest from this affice sha21 '
Foas�itute aa official motice to pay additioaal fees. � : ;
7. hat the owaer shall comply with all City, State and Federal laws ia regard ta • ;
aeial security, workman's compensation, 3.ien 1aws, etc. , where appla.cable.
B. hat the ovaaer sha11 camply with all the safety codes iesued by the Florida
adustrial Commissian.
9. tat� law requires coastruc�ion �o be doae by liceased aoatractors. You have
pplied for a perxnit uader an exemptiaa to that law. The e;yttempti.aa allows
ou, �s the owuer of yaur property, �o aat as ycur owa contraetor with certain
estrictious evea though you do aot have a lic.ease. Yau muet pravide direct
nsi�e supervision of the constructiaaa �rouzse�.f. You may hui3.d ar improve a
-� ae-�amily or two-�amily reaidence or a farm outbui].diag. You may also build
r imgrove a commescial building, provided your costs do aot exceeci $75,000.
he building or residence muet be for your owa use or occupaacy. It may nat �
e built or substaantial].y improved far sale or lease. Zf you sell or leaee a
uildiag yau have built ar substantial].y improved yaurself within 1 ye�r a�ter
he coastructioa is complete, the law will preaume that you buil� or
ubstautia2ly improved i� for sale os Zease, which 3.s a violatioa of �his
emptioa. Yau may aot hire aa ualiceased per�on to act as your coatsactar or
o superva.se people workiag aa yaur buildiag. It is your reapone3bility to
ake sure that people employed by yau have I.iceases required by state lav� aad
y cauaty or mvaicipal liceasiag ordiszaaces. You may aot deZegate the
espoasibi.lity for supervisiag work to a liaeased contractor who is aot
iceased �o pexform the work beix�.g doae. Aay persoa working on your buildiag
ho is aot liceased must work under your d3recb supervision aad must be
glayed by you, arhieh meaa.s that yau must deduct F.I.C.A. and wi�hhol.diag ta�c
nd provide warkers' compensation for that employee, all as ,preseribed by law.
�our aoas�t�uctsaa must comply wi.th all app2icable laws, ordinances, bui2diag {
�odes, and zoniag regulations. �
C�f%�� ��f.z��� 9�2'' ,
WNER'S SSGNATURE • DATE ar�� '
DRBSS G�'�v �"F�4� CT �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�
Contractor/Homeowner: ��-�,/r�� . �� ,����� ,
Date Received: � . �Q • /(d
Site: �.5.50 ��'A1� �pl��..%
Permit Type: �� (�/jv a �:}
Approved w/no comments:, Approved w/the below comments: ❑ Denied w/the below comments: ❑ I
�
This co �ent sheet shall be kept with the pennit and/or plans.
%�'����
Kalvin S � — Examiner Date Contractor andlor Homeowner
(Required when comments are present)