HomeMy WebLinkAbout17-18036 .
I, CITY OF ZEPHYRHILLS
�, 5335-8TH STREET
� (813)780-0020 � _� 18036
' BUILDING PERMIT ` /� '
PERMIT INFORMATION LOCATION INFORMATION
Permit �➢umber: 18036 Address: 38517 WINDFLOWER AVE LT 26
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV
Es�:Value: Parcel Number: 02-26-21-0260-00000-0260
Improv. Cost: 2,200.00 OWNER INFORMATION
Date�,lssued: 1/09/2017 Name: LOEFEN FRANK &VOUTT JANE
Total Fees: 75.00 Address: 38517 WINDFLOWER AVE
Amo�ont Paid: 75.00 ZEPHYRHILLS FL 33542
D�te Paid: 1/09/2017 Phone: (813)782-0039
Wo�k Desc: EXTEND STORAGE AREA 14.9 X 7.8
' CONTRACTOR S APPLICATION FEES
HOMEO�WNER BUILDING FEE 75.00
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I Ins ections Re uired
FOOTER II 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS IN�STALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINS�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the I
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 properly 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
impr�vements to your property. If you intend to obtain financing,consult with your lender or an attorney I
before recording your notice of commencement."
� Comp�ete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
I' City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I� NO OCCUPANCY BEFORE C.O.
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� TOR SIGNATURE PERMIT OFFI R
� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
i PROTECT CARD FROM WEATHER
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i� City of Zephyrhills
�', BUILDIl�TG PL,AN REV�EW CO�ZMENTS
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Con rfHameowner: /- ���� .�.(�����'/�-�
Date Received: /c�- • �c� • f�0
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Site: �� �/� � f t.�f "�.� �� .
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Pex7nit'Type: -
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Approved�wlno comments:❑ Approved w/the belaw comments: Denied w/the below comments: ❑
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This camment sheet shall be kept with the pennit andJor pians.
�, t�a�r.�� 1,��
Kalvin Sw�itzer—PI aminer Date Contractor and/or Homeowner '
� (Required when camments are present)
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s��-�eaoo2o City of Zephyrhills Permit Application Fax 813-780-0021
Bullding Department
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Date Recelved� ,�p� /a/�� . ;;phone�Contact'�for:Perrrilttin - • — �
Own�r'a Name � �O� Owner Phone Numb�r g�3 2 ��
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Owner'sAdd II��ss ��5� W����t"LC?��� � U� • �OwnerPh'one.Number�
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Fee Slmple TItIeNolder.Na�me � � � ° • � Owner Phon�Number
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Fee Simple Tltleholder.Addresa -
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JOB ADDRESS S��- � . • LOT# � G
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SUBDIVISIOPI;� PARCEL ID# ,� �Lls r�14� �l7�CL?� MOQ JL� �S�j�51�4.
� . ° (OBTAINED FROM.PROPER7!Y,TAX NOTICE)
WORK PROPOSED <.,NEW CONSTR' , •: '' ADD/�4LT �� SIGN�� 'Q � ` Q �DEMOLISH
� ;e. INSTALL � .,. ,REPAIR ` �
PROPOSED.USE . Q� SFR• ' [�. COMM . � Q �OTHER
TYPE OF CO ISTRUCTION =�'Q"' x''BLOCK " Q FRAME ' :[� �STEEL 'Q
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DE3CRIPTION OF WORK' ���f�(' 0� T�' �T�I�� 5'To/L I�Gd , �R� �
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BUILDIWG�SIZE�'; � � � � ' SQ�FOOTAGE��, ,.HEI,GHT
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QBUILDING $ ,�r O7 YALUATIONYOF;�TOTAL CONSTRUCTION , '
� a���� , -
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QELECTRIGAL $ - AMP SERVICE. � Q � "�PROGRESS ENERGY Q W.R.E.C.
. � . G�'.C/T .��/L 7�7���Q'rJ " - � •
OPLUMBING - $ � . . . � -
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QMECHANICAC'' . L $ ` VALUATION O.F;MECHAfViCAL INS,TACLATION: •
QGAS �Q ROOFING. ;Q, , SPECIAL7Y,:.0;� OTHER, , _ �C � �3�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA, QY�S. NO
``r. ,e� ,i, l+". -,f'r_. _ •
BUILDER � / _ � COMP'ANY�, . - ��� �.� �' •. _ . .
SIGNATURE � � REGISTERED Y/ N . ` ;'�'=FEE eurt��.� •' °Y%N''� =
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Addr�:s� .;• . ;c=��+ v . •l:lcense,#" '`�' ,
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ELECTItIC� , . . � : �}COAAPANIf' � - J� :' - ;'G .s' . : , _ ,
SIGNATURE` 1 � REGISTERED ^Y/ N FEE�cu�=.�� �_��ry'�Y/:N: : " . -
Address i , . „> _� ,. 't' . ' ' - ` � �^ ,Ll.cense�#;: ,. , ; . .. �.
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PLUflABEPt ' _C.OMPANY _ ,:,�����:i •' , .�_�;,. . �.�` �.:,.
SIGNATUREi.�` • � . . , - � ,REGIS.T.ERED =:Y./�.N;; r:F�:Cuw�rt•� �,�, ^Y..-/.N,
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Address� , , � .,. � . � • . - ._ ', -
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MECHANIC�►L`. -• ' , - - � , " COMPANY. - , : _._ _ ,. '.,.;..��::. .�;. �� , a .
SIGNATURE��I ,�'='` , ' , � . - .`' ' REGISTERED Y/.N� , .:;�;FEE CURREt�;, 'X.L:N..: ,
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Addresa;Y:'... _�. . >. -�„�, _.c�s-, .. ,. - , ��r.. :i= , • _ , .
Ltcense#� _ ,,
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OTHER '�� .. , . ,.._ ,-. . . ..,. ,' ; : - : ,;�..,,, .� ';,_ . , , , .. , ,. .. . .. _ .
� ;COM,PANY _
SIGNATURE•= _ � _ � :.,: a - . _ :> , _ , .
';' `' �REGISTEREDs `Y/ PF:._�.. ;FEE'Cuw��'� YYN
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Address ,r,.� rK >�.�.�,��;� _ �°r _ , , .• _� ' �License#�` - , � , • .. �.
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RESIDEN't1AL�:�;;�;yAttach:•.(2)„P1otrPlans;;(2)sets:ofBu�l'dirigi:Plans;'(1�)seYof�Energy�Forins,�R=O=W,Permif#or new constructlon,, ' ` � .,
w-��;:A;�:Minlmum;.tenr.(;10•�uiroJ,R-In(�dp�Q after'submlEtal:d"af"e.`:�Rp/�ulred onslte'�Constni�'ctlon?I?lans�Stormwater=Flans w%�SIIt Fence�lnstslleil "
�,r� .'.<• ' .l' G.. } N�e .:'i Pk...`7J`.�e�. 4 �`7( � ... ' _ _ '1
Sanitary Fad�lltles_;8��7�dumpster-Slte°Worlc�Pertnit;for;subiifvislons/largelipfoJeOts'�:�''-"::;,i,„s. _ .'t= ' . _. " -^.�� - '
COMIYIERCIA,� Attach(3)�i:omplete'sefs'of�Bulldfng'Plans plus a�Ufe Safe(y Page;(1)set of Energji Fonns.R-O-W Permlt�far neW construcUon.- ��
Minlmum ten(10)working days after submlttal date. Requtred onslte,ConsUucdon Plans,Stormwater Plans wl Sllt Fence Installed,
Santtary Facllldes 8 7 dumpster.Slte Work Permlt for all new�projects:,All commercial.requl[ements_must meet compll�nce "' � ` �
_ SIGN PERMIT AttacFi�(2)"sets ofEng,i'neQr.ed%Plapsx�,:�=ir�~�°~� . .: " .. . . ..... .. . . - ' ` -
, ••••�ROPERTY SURVEY required for all NEW,constructlon.__.. . � � -
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Dl�ectlons: �; -::.���;:�:t ,_.: �.. • _ _ _: ,,. :<
FIII out appltcadon oompletely.
Owner 8�Contractor slgn back of applfcaUon,notarized
If over a2500,_a,Notlee of_Commencement Is r�qulred. (A!C upgredes over ST500) , _
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" Agent(for the cantractor)o�PoYirer of Attomey(for the owrier)would�be someone with nota�izad letter from owner authorizing same
OVERTHE.CAUN.T.ER„PERMIT.7ING�-•-�;•-(Front�of•Application-Only)�--•--� ' ' �
Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) '
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Drlvewaya-Not over Counter if on publlc roadways:.need`s ROVV • ;,,;;��� ,��; �,�,.��,;,::,,�;�,-, ,��•���, �,
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NOi10E CiF_DEED.REST.-RIC'CIO�iS:. The,under�lg�ae�,unders�tands�;th�t�,thl�:���rm��;:may;;:be;sub�ec#Fto;:"deed"`r,esf�ctlans"�.`r:�;:�:s.;�
which may�'be:'more��`r,�sttictive'�t#i��t%Gourit��;regra,lat�ons The`}�un`derslgne�tl��assumes�`re`sponsftiilitjr�for-com`pliance with any°""..`...`'��`
appllcable:deed-restrictlons. :��;:i�.;:�..;»;,�. • =�.-:.:. ;. ' � �� �nt �=��._:�:�.,;•�<�>:;`%
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�JN�tCENSED-�CClNTitACTC1RS:AND.CClN�ICTOR�RESPONSt81CITi�S:�=stf°�r��`ouimer�has�"�tilr�ct`"�":ct��itiractor ar
contractors to undertake work;:they.,mey.,,berir�qulred::to.�tieryllcensed;,lrt;acc.ordance.with�state:,and:lacal:r� ulatCans:��Iffthe�.:�=. .-.'€��
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contractoc�ts-not~Itcens+ed�a���requi��t'6y law,�lxottr�tt�e'awner�rid<=coiatractaTs�may�#ie"+�teilY.for�=a`4misdeTriesnor v1olatton
under state law. If the awner.or intended>��contra,ictor��ere�,uncenaln s�s:to,uvh�t Iicensing.r�qulre�nents�may��applya�cir::�ti�ie���•-rv�.=��-=-^r�
k. � . �. �a , � ., . ' ' ..S'.'s �J "y..:�..r..e. ...._ ...�,.i.up
lntended�work�_ftiey.aie advlsed�to�contact tli��Pa�co;�ounty�8u!!ding:rinspectlon;�Dlvlslon,-l:Icst�sing SecNon at.727-847-
8U09. Fiiitlierntaire,'If�#he owner'tias"Fitri�c1�a aotitraicfor or coritrectcr�� he�is�adrrised to have;the conztractar(s}�:sfign:,��,.�;-�:.,
portlons of the:.contcactor.:Biack',.of,thlenappllcatton._for whlch�:they,..will�-bearesponslble..,:If>:you;,as�:the ovirn�r-s��n e� the
contractor; ti�et�maybe an indica�ain'tliat'Me�ls°'�riot'.properiy'llce�ise�!"antl''Is:not"erifltledTto permlttliig�piiullege� in Pasca,,:::..,f,,.�
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TRAN�P,ORTATI�IN.lMPACTIUTILII'MES�I�RAG'1'�ANb=RE��IlR�E RE�OVE�tYfEES,�°T�he untleist�ried understands
;
thatTransportatEon Irr�pact Fees and.Reco.ucse.Recovery_Fees_,ma"y,.�.appty:�#athe�ccnstructton:of nQw.buitdtngs,�chan�e�afi°;z'�"'':��=�='�
use in.ezisNiig building�; o��expaitsl6�r:of�eSiislin;g.�builiNngs, as specifled.in Pasco County O�dir�ance number 89-07 and_
9o-U7, as amended:;,;'�e t�ndecslgned atso;��itiderste�ds; t�ait�such fees;4as�may":���:.due,.t�wllFabe Ideiitt#led at#he�tiiiie�of''�°�.���'�'
�. 'i ..�"`Y. A, i i'3:. !' 'Y
permitting. It is iiirthe�understcod that T�aingp�orkatlon Impai�f`Fees an�'`�Resour,ce;,Reco�sry='Fees.mus# be pald priar to
recelving-a"ce�ftflcate�.of�occupafiay";or--flttat�.powe,r=�elease:°:I��the.proj�ct=;�oes�no�invoflre:a.cert�icafe of accupart�y�o�'��`��'-`�.�'_�;��'
final pmr+ver refease;��tties�,fee�-mu�,t�be peld;�5pr1+�r#o�permit issuarice. �Ftitthermare;�tf:Pascc�,�County;V�laterlSewer�:lmpact�� ���.<��,���
fees are due;;they:must;be�:pai��prior.�o,permiltlssuance��n�accor�ance wit�r�:appltcetile:Pasco��County��anllnances. •
COMSTRUCTION'C1EN"I.A111f�Ctiap#�r T13,Ftat�ide�Statutes��a�mended): Ifi valuallon of wark is�2,500.QO�.o,r=more�:,1� �;� .:-::�:_:,
certify tHat ,1, .#he�� applicent�:-hav_e:be.en providetl��with�����-capy°..of=the��:";Flo�ida���onstivctton�=Lien�°:Law--Home�uvner's
Proteat{on Gutde°prepared by�ttie`Fi��i�a Deparfine�#:of Ag�lcutt�re and Consum�er�kfFal�s. If the appltcant Is:someone �,�.:,-.:_�-:*
other than#he'oHmer" I cert �- �``� '' .
°.:'`.�„` ; rles,crl ;
, ify th�t 1;have,obt�ined�a=coPY:of..the:abQve:. ,,.tie�d`il�'ocuf�ent4and;p,ro�ise:`i�,gaodrfaith:to .. �,,
deliver it to:.the�":,owrie�:`prio��to�`cQri�iritencemeht��`", . . . ;'' .., � : . _. . . . - • - . , , -
��NTRA�TAR*S/OWNER`�AFFIDJAViT: {.ce�ijr,�,Ni�at�:all:�tfi+��inf�nnattorr�l�>this appiication is�accurat��nd that aii work
will'be don� in compliance with all.appitcabie�laws regulating con�tructlon, zontng and:�land�developm�nt. Appilcatian is
hereby made_#o,obtal�i�:a.permit,�;�to;;,do�w;�;,�;,and�;thstallatlon as Ir�dt�ted:�::�:1� certity that no wor�rr�.or instaltatton fitias° .
aomm�nced p�lo� to Issuance of��a permit'and that�:all work wifl be pe�formed�to meet-standards.�df:all laws regula�ng-
constnlctlan� County and Gity codes, zaning regafatlans, and land developmettE regttla�otis`in�the=J�rlsdtc#iori:=-���1��a1'so-
cerEify th�t I ��de�stand 4hat the reg�ilafi�ns of ather�gavernment a�enctes may�apply::ta.the:.lntended work� and that It ts �
my respon�tbiltty#a ider�#if�•�rh�t.�ctla�ns l,must�teke,;to,be:Yin�cnnlp!lar�.,ce::,S,,uch�4agencles�lnclude'but-are�:not Ifmftec!to:.� - �
- Department of Et�vlronmental>}Protecttori=Gypress�Bayhead�; WeNand Areas and Envtronmentatfiy Sensi#tue
Lands�9Mater/�llas��ater Treatment. ` � ��� �..
- Sovthwest Ftor�da W�ter Nlana�eme�at':��1s#r,fct-Wells;��'"Gjrpress:�'8ey�ea�ls:-..Wet#and' Areas, Alter�ng
Watercourses. •,,Y; _ o -:,. .�-�.•r>:`.:t:= �� - . . . ,
- Army Corps af Englneers�Se�wails;ADocks,Navlgatfl�Watetuv�ys. :
- Department�of.,;Health,��;.,.�Ref�abllitatt`ve�;Servic�st�nv�ror�romental=.F#ealth�Unit:Wetl.s;�Vuastew�ter�Tre�tment;
Septic Tanks:.r _-':. , , ��. ��. �. `'._ � .- . -�
- US Envlroi�mental Protectlan Agency»Asbestos abatement. ` .. t
- FederaFA.vlattvn.AutMoMty;=fturniiays;°:� � � �
!undersEand.that:the.follow�ng;;reshfcttons apply ta t6ie txse of flll:�
- Use of�ll is not alicwed In.rFiood=Zon�"V"uniess expressiy permftted.
- if the��=�ll materlal��is�to���b.e� usei�;�`In :flood Zone. "A", It is understood tliat-a drainage plan addresstng a _
"compe�sating volume*wlll be sutimltted a##ime of�pe�mitting wtilch is prepared by a prof�ssia�al engineer-"
Iicensed tiy�the•�tateoffloflda; � � ��• ��� �
- !f th� flll��materiaf�.la''to:be:used #n FEood �bne °A° in�connec�ion�wlth�a���ermltted bultding ustn� stem watl„ .
constructbn, i�certity.tliat flil:wail:b:e�us�d:only.#o fil)#he are.a withln�the�stem�wall: �
- If flA mate�lal�1s�to be used-In.any area; I �ce�tify.,that .use. af-:such #111 wlll not adversely affect ad}acent ,
properties.. If use:+of,f�ll�.is fot�nc#�to.advers�a�y�.�ffec#aaJa�n#�prctperties,.the awner may be cl#ed for ui�tating:' -
the cond�tbns�of�the bdildingrpermlfi-lssued��u�der tlie:"attacFied:.�ermit�appllcatlan,°foc°:lats�.less than:one (1)
acre wtitati ere eteveted��tiy flll,a�englneer�ed dralnage plan i�requlred.. . . .. ,
If i am the AC�ENT F�R�TM�OWNER;,I;.promise Inrgood faith ta infor�n`�the�owner of•the permltting condNlons set forth in
thts aftidavit`�pMo�to commeracing constri�ction. 1 understand thet:a�separate`permit may be requlred for electrlca}°work, . -
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plurnbing,•.signs� wells�:Poofs�.:atr.coafdittoning�k.9a�s;:..oc.otheT Install�tiions not�spe��tcally inctuded�in.the appticatiore. .A _
perm(t Issued �hall be coristrued to be�a"Ilcense`��to�pr�ceed with"ttie;viio�k and�not-as:authoNt'y.�=.to;vlalate;�=c�ncel�-alter, ar
seE aslde arty�provlstans of the'techntcal;cades;;nar shait Issu�nce°ofua.permlt.pcevent#he Bulldirig C�1daC�fiom theceafter
requirin,g a correctlan�af;eRors in-•pl�ans;:cons�#ructlan:.or..violaUons of-any'codes: ��very�=permlf�i,ssued'stialF6eaom�•�invaltd
unless the work authorized.by such peFmit:�s.co�menEadwlthin,s:f�c.,mo�th,� ot permlt l�saance� or if wark authorized by
#he permif ts-suspended�.or<abactdbnedyfar:e;periodrof�six�#8)�inantFis;:after the tir�e fhe�work�is comfnenced.. An entenslam
may be requested,�In writing,.irom:tFie�'Bullding,Offlcial�for a period..not.to�x�eed'�nineit�r�(90)titlays e�idMwill�demonstrate
jus#I�able'cause for�the extenston: If worlt ce�ses.for r�Mety.�90}cons.ecut�ue:day.��..th\�ob_is consldered aba�doned. .°
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WARNING TC1 OWNER: YOUR..FAIL.lJRE;:Tta�,R�C.ORQ;/�y[�tt?TIGE�:QF.�COMME�i�EME�+lT�:MAY�RESUlT IN=�YAUR �
' PAYINt3 TWICE;.FOR,tMPRA�'/EMEN'���:SCl:�X:OUR:PR4RERTY:'�t�=:YOU=i�t'�ID��TE1'i0HTA1NyFiNiAME1N�;�ONSUL.T
WIT D APy TTO FO. t, •R�1 �u OU - :T` - . ,. �
Fl.ORlDA Jt1RAfi'�{F:S::l.l7• .� ,. .. . . ._.., . ,,. :•::_ ,, - ,.�_��-- ::�:� � . . ... ..... . ....�._. -�;....,, , .
OWPIER OR AOLNT .. CONTFt�1GTOR - �
Sub bed nd awam to �fllnned re ms thts StibscrEbed��nd'svwm=ta tat afNnned}�b�tcr+e trte lfii��
l�/�� by '` ^ts'�) ,�by.... _ ...
Who t are Le1�onelly.knnp��to�.me or.:haslhave,produced , - Who.ls/are:p.erson�allylcnawn•.to:ma:or.liaaThav,e.•prodix:ed- �•
_t��/�""��5 �..�C�T4+SG as fd'enU�i�Bpn." es IdenilNcsBon.
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.�F_�=_L. ��..�i otary Pubita . � Notary Pubilc
Commisslon No:`�./�-1 d���� Coms�tsslon�No,
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lVame u�e� Nams of Notary typed,pdMed or statnped
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' ,•�:#; . DEBRAEtA{NE RtlFFE
�'�'� �;;Commission#GG 0453A3 .. ,
:�,;;�,,Q E�tlres November 7,202Q -
'a?oln;°��`` Bonde6ilwTroyFalttlnw2nceE4D-385��0t9 , _
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� DISCI,QSIIRE STATE�� FOR QWNER
� CITY OF Z8�H7CREiILLS BIIILD2NG DBPARTP�+iT
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I. �'�,�4 a,)j� �,..b���r3N� have read aad fu11y underetaud and
agree to the provisa.oaa af this iastrumeut.
The �uadersigaed s��tes assu affisms that he or she is desirous o� constructing,
renovating, addiag to or reroafiag ha.s ar her owa domiei3.e, that he or she
actually oacupies, or will occupy by said domicile, and same 3s not for
xeat, lease or sale. That he or she sha11 comply with the �ollawiag coaditions:
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1. �'�hat the owaer and he or ehe alaae shall ac� as the builder for a11„_phases,._of ,_. F
icanstruati.on. - -`-
2. 'That the awaer w311 comgly w3th all pravisioas o� the City of Zephyrhills
�ardiaances and cades pertineat to the buildiag.
3. That ia the even� varioua phases of conetructian are eubcoatracted, he wi1Z
Ieac�a�e anly praperly Iiaenaed subeoatractora aad,will persoaally su,pervise
�sueh work. :
4. �hat ia the event the BuiZdiag Inspeator sha21 iequire aorzeation� to be made,
��he oivner will asaume full respoasibili�y to in�ure they are made, aad upoa
�completioa will call �or a reiaspection before proceediag wi�h the build3.ag.
5. �hat the owaer shall aesume �u11 respaasibility for the coastruction aad will
not e�cpect superva.sion of his work �ram the City of Zephyrhiils Suildiag
Dep:�r�snent. .
6. Th�,t prior to iEiaal ianapection aay adciitioaal fee�s, inelud3.ng reiaspeetion
fees, must be paid ia full. A writtext request �ram this of�ice shall
coast�.tute aa afficial aot3.ce to pay additional feee.. '��
fi. iThat �he ovaaer sha12 aom,ply with all City, St�ate aad FedeEral laws ia regard ta
social seeurity, workman's campensatian, 2i.en laws, etc. , whe�e appls.cable.
8. Thati �he owner sha11 eomply with all the safety codes issuedrby,:.the Florida , �
Iadustsial Cammissioa. , , , .
9. State law requires aonstructioa ta be doae by liceas�d cantractors. Xou have
app?.ied �ox a permit uader aa earemptioa to th�.t Iaw. The exemp�ioa allovas
gou, as th� awaer o� your propesty, to act as yaur own caatractor with cezt�ia
res�rictious evea though you do not have a licease. Yau must grovide direct
oas3te supervis3oa af the coastructioa gourself. You may'Y�ui2d or improve, a
one-fam3ly or two-family resideuce or a farm out;buildiag. You may alsa build
or improve a commerc3al buiidiac�, providled your casts do aot exceed $7,5,000.
The buildiug or resideace must b� for your owa u.se or accupsacy. Tt m�y not
�
2ie buiZt or substaatial2y improved for sale or 2ease. If yau sell or Iease a
buildiacig yau have built ar substaatially impraved yourself vai�hia 2 year �fter
the coaetruetioa .is complete, the law will preaume that you built ar
eubstaat3.ally improved if for sale or lease, rahich is a violatiou of this
e.xemption. You may ma� hire aa ualiceased persaa to act as your coa�ractor or
to supervis� people warkiac� aa your bu#.Idiag. It is your respaasibility to
:n�ke sure that people emp].oyed by yau have liceases zequized by state 2aw aad
�y county or muaicipal lic�asiag ordiaaaces. You may aat delegate the
responsibility fos supex�ris3ag v�rork to a licensed coatractor•who is aot
l�ieens�d to perform the work beiag daae. Aay gersoa workiag on your building
who 3s aot liceased mu�t work under your direct supervision aad muat be
eiaplayed by you, whieh meaas that yov� must ded�ezet F.I.C:A. aad �3.thholding t�
a�nd proyi.de warkers' campensatioa fox that employee; al1 ae prescribed by lavr,
Y�our caaetruc�iata muat co wi�h ali applicable laws, oxdiaaaces, buildiag
codes, aad zonin�, re
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QWNER'S SIGNATi7RE `�� DAR'E �,�G, i 2 'Za 1 C�a
ADDRESS �6s( l.�'R l/�'
P�orr� Sf/�3..��2 c�a 3S'
i�TITY�ESS PBRMIT #
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FLi!# FL17638
Aplplication Type New
Code Version 2014 ' '
Application Status Approved
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Comments
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Archived �
II
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Prl duct Manufacturer Town and Country Industries,
Ad�dress/Phone/Email 400 West McNab Road
Ft. Lauderdale, FL 33309
I (954) 493-8551
� tomj@tc-alum.com
�
Authorized Signature Tom Johnston
; tomj@tc-alum.com
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Technical Representative Thomas B.Johnston
A�ddress/Phone/Email 400 west McNab Rd.
� Ft. Lauderdale, FL 33309
I (954) 970-9999
ftomj@tc-alum.com
QI ality Assurance Representative
�
A�d d ress/Ph o n e/Em a i I
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Category Roofing
Subcategory Metal Roofing
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C'ompliance Method Evaluation Report from a Florida Registered Architect or a Licensed
II Florida Professional Engineer
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I Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who Robert J. Amoruso, P.E.
developed the Evaluation Report
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Florida License PE-49752
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Quality Assurance Entity National Accreditation &Management Institute
Quality Assurance Contract Expiration Date 12/31/2018
��
ialidated By ORLANDO L. BLANCO, P.E.
li � Validation Checklist- Hardcopy Received
��
Certificate of Independence FL17638 RO COI PERZ372 RevO ss.�df
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Referenced Standard and Year (of Standard)
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Equivalence of Product Standards
Certified By
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Sections from the Code
�� 1504.3.2
j' 1507.4
i' 2002.1
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Product Approval Method Method 2 Option B
Date Submitted 04/23/2015
��
Date Validated 04/25/2015
� Date Pending FBC Approval 04/27/2015
Date Approved 06/23/2015
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