HomeMy WebLinkAbout17-18600 CITY OF ZEPHYRHILLS
5335-8TH STREET
�• •� (813)780-0020 18600
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18600 Address: 5039 20TH 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: j
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-21600-0065
Improv. Cost: 17,000.00 OWNER INFORMATION
Date Issued: 6/27/2017 Name: ROSSELLO RUTH E &ANGELO
Total Fees: 315.00 Address: 6612 PERPETUAL LN �
Amount Paid: 315.00 WESLEY CHAPEL, FL. 33545-5242
Date Paid: 8/15/2017 Phone: (727)243-0343
Work Desc: REPAIRS/ INTERIOR �
CONTRACTOR S - APPLICATION FEES �
DAVID W. JOHNSON BUILDER, INC BUILDING FEE 180.00 I
FIRST CLASS ELECTRIC INC ELECTRICAL FEE 60.00 '
ALL SERVICE PLUMBING OF PASCO, I PLUMBING FEE 60.00
CONTRACTOR CHANGE 15.00
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- Ins ections Re uired� `
' FOOTER 2ND ROUGH PLUMB MIS I TION CEILING I
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
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. �
C NTRA O SIGNATURE PERMIT OFFI R ,
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
. ' (s1s)�so-oo20 � 18600
BUILDING PERMIT i
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18600 Address: 5039 20TH 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: 11-26-21-0010-21600-0065 ,
Improv. Cost: 17,000.00 OWNER INFORMATION
Date Issued: 6/27/2017 Name: ROSSELLO RUTH E &ANGELO �
Total Fees: 300.00 Address: 6612 PERPETUAL LN '
Amount Paid: 300.00 WESLEY CHAPEL FL 33545-5242
Date Paid: 6/27/2017 Phone: 727-243-0343 �
Work Desc: REPAIRS/ INTERIOR �
CONTRACTOR S APPLICATION FEES
DAVID W. JOHNSON BUILDER, INC BUILDING FEE 180.00 �
MDS ELECTRIC LLC ELECTRICAL FEE 60.00 �
ALL SERVICE PLUMBING OF PASCO, I PLUMBING FEE 60.00 �
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Ins ections Re uired '
FOOTER 2ND ROUGH P MB M C INSULATION CEI I G �
FOOTER BOND DUCTS INSULATED SEWER MISC. I �
ROUGH ELECTRIC LINTEL MISC MISC. I
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. i
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 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 mana ement state a encies or federal a e '
9 , g g ncies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
I improvements to your properly. 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O. �
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C�_ �
CONTRACTOR S NATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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sisaao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 �
� + Building Department I
Date Received � / -
Phone ContactforPermittin - ;
Owner's Name � � �Yt" � p�l V�� �� (��1i8 Owner Phone Number � �/ �, �
Owner's Address �(�( v L:.�1��i'((/Fyli G Owner Phone Number ,
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS J � d � `J� , �G.'��L`�'G'S �L� � LOT# �
SUBDIVISION PARCELID# ���`� ��v�/��'"(i�CO� '���t7J.
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW cONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH '
INSTALL REPAIR
PROPOSED USE SFR Q COMM � OTHER
TYPE OF CONSTRUCTION BLOCK � FRAME � STEEL 0
DESCRIPTION OF WORK '(� �� � ` �� f�� �li(��C� � ,� /���!
BUILDING SIZE ��ab /� SQ FOOTAGE I� HEIGHT �
' �BUILDING u� �� VALUATIONOFTOTALCONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. - '
' �PLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �G ���
�GAS Q ROOFING Q SPECIALTY � OTHER
i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
•,F�-1- �
` BUILDER COMPANY J/��IO v ��7�J�� �J�/����1'°i"v �
SIGPIATURE � REGISTERED Y/ N FEE CURRE� 1 J N
Address � � ,� �' .�����'License# ��� /
�ELECTRICIAN �y� �� MPANY 0//���� �L�WI(�-� V��� ,
SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N
Address �O i. , �� ' License# �J�. �• / �
(
XPLUMBER � COMPANY I
( SIGNATURE REGISTERED Y/ N FEECURRE� Y!N
Address License#
� i 'v(�IECHA � ¢OMPANY �YS'F C((1S S �C C l7 f
8'� URE REGISTERED Y/ N FEE CURRE� Y/N ,
Address �(� �eY 1- f 'K-J�'� e# Ee v�UZs�v
ER COMPANY ;
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllltllllllllllttllllllllllllllll
RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building Plans;(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/Sill Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)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 submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllilies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance �
SIGN PERMIT Attach(2)se[s of Engineered Plans.
""PROPERTY SURVEY requlred for all NEW consWction. ;
i
Directions:
Fill out application completely.
Owner&Contractor sign back of applicalion,notarized ;
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone with notarized letter from owner authorizing same ,
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
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� . NOTiCE pF DEEp RESYRICTION�: The und8rslgned,under�tands�<th�t,ilUs_}�rm(�may_.be,subJectto'deed',restrlcNoris°.__. c� `
' whtah ma'�be:more'i�stticthre-#1ia�t'Goui� ist(ons3:�TFie��ndef�s naa��a`saumes're`s"nsibili` for"com 1lence wlth`an '�. �: '�`
v t3+�� �e" r� �r a y
app!lcable.deed reaMctlons, • �.�, �,,.,, . �:.u
_�s.
lJNLICENSED�CONTItACTGRS°AND CCMNi'RAC'FOR RESPONSIBIGRIES:. If�tlie owner has°•hlr�il��a�conh^aator or �
contractors to underEake_work�they may,be;,�qiri,r,'ed•<ta,�e;ttcensed tn;accc�ti3ance.with•elate.and,locat regutatio�s::�if-'fhe`.� ; j:, �
contractor l`s-not llcensisd��as requlred.;`tiy la�N,.both°the bvmer and=conliactor`:srriey'be�citeif'�for�a�misitemeanar viola8on !
under�tate►aw. IC the owner or intended>,;conaraclor,;er,e:yncertein es to whaf Ilceneing.reguirements;may_eppty�ior tfie°> • - - '
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t�tanded vuork,they aie sdiii�eii tb can#acf�e.Psaco.County,By1{diag;tnepecfion Cil�is{orr-�Ltcensing S�ctton at�27-847-
8009. Fiirkhermore, If the owne� ha��'hlreii a conliacfor'o�coritrecMts. he Is advlsed ta have the centractor(s)_aign. ,,, i,.
Yt�'-.. �...,
porUona ot the"conhaator.Block of ihis•appllcatian_for,.:which.they wIlL,be,.responslble.•. It�you,as�.ihe owner'�fgn`"a's`the`` ',
contrac�or,thatmay be an Irsdlcatton that he°Is iiot propedY iicensed�and"i's''iiot'etttitfieif tb petfiittttiig'pviullega§(n Pasco ,�. i
Counly. ` � ._.. __.. .',.;:::�•;:� ,� .
TRANSPOItTATitlN-1MPACTIUTILCEiCS�1�YIPdC'r�AFiCt-R�SOUttCE itECOVERY�FEES: '�e untleralgned understands �
that Trensportatlon lmpact Feas:artd.Recourse RecoYery.Fees may;appfy�ta�tite�consttc�ction;o�new,buEldtngs;?change�'of} .M1 ���
use In exis�ing bufldinga,`o��,eicpangiorr of�zisU�i,g`�uildings,as apeclfied.in Pasco County Ordinance numbar 89-07 and
90-A7,as emended:;T�se undersigned aiso:understands,th,�4'such fee�;,as,majF�e��due,;wfli�De IdenUfled at fhe.iime°of�'
permitting. !t Is fiirlher understood that Tra�isporkatian Impacti`Fees and'=Resour�s�Recb+r,ery=Fees.must be paid prlar to
reaetving a.'cerfl�flcate�of occupanc�'orflnal=powe,r.�;r,elease: :I�the proJegt,does;riot�lnvolve=a:certiflcate of occupan��o'r"-r���^�"� ,
fina4 pawer.releasa;the',fees mu�#"6e pati!;p�tor to,penmft tsst�nce. F�ethermore,�i�.Pasco_Gounty'1Nater/S�wer,-:Impact x
fees are due,.lhey musk.be;pald;pricr to per�nR.lssyaq�in,a�a�nce wltti:appilcable.Pasco�:County ordinances,
CONSTRUCTION�LIEN"LAW(Cliepter T1S,�lortde Statut��,as�mende�: If veluadon af work is a2:600.00;or more,l� �
ceftliy that (, #he appllcant,-have been.provlded'with-a capy��of the�`Ftarida°Const�citorr i.len�Law--Homequvne�'s I
ProtecBon Gulde'prep�red 6y,�ie�Floiida Dep�rtmenC of Agdc.ulture and Con��mer:At[aUs. !#the appilcant is eomeane , � �
other than ihe'owner',I certi '.th�t l have,obtalned�a�co oLthe:ab,Rvadeacr1bed�;doa�iient,and;, mise;;ln;gaod.faikh•to . 1,�,
deliver it to.the;"owrier??=pitor-'�co�iriienc�riienf;' _ PY; . _ : pro -
CONTRACTOR'SIOYYNER'8/1FFIDAVlT: !ce.rt4�y.�ttiak<sll�the.It�formallon:l��thls appllcatton}s accvratb.and that a!t work
wilt'be done In compllance wfth alt.appllcable laws regulaHng construcilon,zoning and fand development Appllcatlon ts
hereby made ta obtaln.a.pennit::Co do.:wo�.and thstallallon as Indt�Cefed;-=1 cet�ity that no work=ar.installafian fias
commenced p�{o�to lesuance ot a permit`and thaC;all work wfl!be pertarmedto meet_standards-of stl laws regulating�
conshuction, County and City codes, xontng regulattana, and land development regulatlons'tn the Ju�sdlctlon:� I al'so.
cetklty that t understand that the ragulattot�s of other govemment agertetes may��pP1y�#o the intended work,and that i#is
my reaponslblltty ta Identlfy•whet.ecUons I muak�take:to,be,In;corrlpllance:,.Such,agencles tnclude-butare.not Ilmfted to: < -
r;,. ,.•., ,
- Departmen#of E�vlronmentat��protec:tion=Gypr'"ees.'8ayhead�;1NeNand Areas.and EnvlronmenNally Sensitive ,
Lands,WaterMfastewater 7r.eatment.
- Southwest Florlda Water Management:blsfrlct-lNells, Gypreas`�Bay�►eads; Wetlend Areas, Alkering
Wateraourses. • .. `
- Army Corps of Englneersveawalls;Qocks,Navlgable Watesways.
- Deparkment of�,Health;,�.,:RehebllR+�tivs:SenilceslEnvltonmenYal Heafth Unit.Well,s; WastewaterTrestmont,
SepBc TanRs:.�"� � - , i
- US Envlrohmental ProtecHon Agency As6eatos abatemen�.._
Federal AvlaRon�Autho., .=Rurnve s. �
�Y.;.,_ . Y �
1 understand that the,foliowlqg::`t�esfrictTbns appty"to the use of 811r
- Use of fill Is not allawei�In:Flood.Zone"V'unlesa expresaly pecmltted,
- If the-fitl-materlat is to bs usei7'In.:flood Zone.'A', It ls underetood-that a dralnage plan addressing a ;
'campe�tsating volume"wIN be submttted a##tm�of�pe�m�ting whfich(s prepar�d by a professianal engtneer
Ilcenaed by'the State of floflde: " ��
- if ih�fl11 matertat-is�to be used in Fiood Zona'A"in�connecfion wlth�a permitted bupoing using stem wall
� constrs�cNon,!certity tha#flO:�Vl11=be t�sed only.to.fi0 the area wttfi�in:the�stem wali. �
- If flll materlal Is to be used�ln.eny erea, 1 certKy that.uas af�such fll! wlll not adversely aftect adJacent
prapertles. tf use o1�tt ia found.to adverseiyr.affec#adJaeent�praperties,.the owner may be clted tor.vlofating.
the cond�tans.oElhe.btiHding3pernilt!s"sueil�undar tfie��Etar,�ied permft eppticatlon,for tots less�-than.one(1) �
acre whtcFi are elevated•tiyi fill;�n�englneered drelnag�plan Is requlred. �
!f!am the•AGENF FOR;THE-ONINER,.I�r`oiri1se tn gocd.faitk�M tcdorm the owner af the permitttng condritons set forth In
thls affidavlt'p�lor to comrnencing consttuctlon. 'I un�erstehd lhat anseparate permlt may be requlred for etecGicatwork,
piumb�ng, signs,we0s,.pools,.alr aondltloning„gas, or ot�e�Instetl�8one not.spec�lael�y(neluded In#he applfcatlon. .A
permlt Issued shaft be ca'tistrued#0 6e�a°license'-to"praceed with fttey�6rti and nat as.sutharityto.violete;cancet,a(ter,or
set astde any'provlslons of the.tectia(cal..codes;:nor shall Issuance�of a.permlt.pr.event the 8u!ldlrig Ofttcla!from thereafter
i . .._.,�
requiring"a correction af errara in;ptans,conshuiotion or vlotaitlona ofany codes:�very-pbrmlt=lss�eii sfiall�beaome invaUd
unless tha e+rork authwlzed•by such permlt:is.contmence�•wlthln sGc,mrmths bf•permtt Issaance.or Nworic authorized by
the pemtlt Is suspended or:ebandoned for a�pertod;of�slx:(8)montiis aRer the.tlrne.the�work ls co►rimenaed. Ar►e�ctenslon
may be requested,in writirig,;irom,tFie;Buitding,t3ftfciai for a period:not.fo exseed-ntriety(90)�days and wlll demonstrate
JusR�lable'cause for.�the ea�enafor� 1!'wark c�as�s:for nfnety(90}+�ns.ecuthre�days,.t�e job-ls consfdered abandaned.
WARNIN6 TO OWMER: YOU�t:EAiLURE.T{2aRFCQR�:A>t�OTICE:OF:CO ENE�MIEM'�NtAY<RESULT IN YOUR
PAYING7WICE�EOR=IMPR1?\IEMEN�"�:T�"lsYQU�PROPERTY:"IC.�-YOE1+ . ''�Q',(�J`8�''A1N��FIRFFAls1+lE1N�'+'r�'i0�118Ul.7
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FLOftIQA:lURAT{F�S.tlZ.Q3j , . . � .
4WkER OR AGENT-- - CG ' I
Subaalbad an�m Eo(or eNirtned)baforo me fhle �S' sal �bp(o' 7b me' ' +
Who Islare personally knovm to me.or;hes�hqve prqducad, o are Ilyknown to me,or��dhav uce � , ,
� aetdentlficAtl4�. + aat ndflcadan.
Noffiry Pttbttc . ('"1F�.r���.t�t'����1.,J��(�J,G 1,�,,,�Notary Publlc ,
Commisstort No:' Gomm�aton.Ma. '� ���y �
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Name of Nofary lyped,ptlnted or atamped Neme o f �
��"��p' DEBRAELAINERUFFELL �
.�,...1�,,
�,, •,y Commission#GG 0453d3
:'*,;�o,:Expires November 7,2020
� �,�o�Fu�Q•' BontledThruTroyFainlnsurancsBOD-365-7019
Jun 2617,03:10p All Service Plumbing 727-843-0003 p.1 i
From: . - - 06/Q6/2017 y5_07 �109 P.007 �
e1}'�'� City of ZephyrMRs Perm�AppGca6on �e,o-a,saeocor� �
' Buildtnnp�me�
Da�Rssvlved r �
Plro�w Co�batfor
O�m�eNa� :�- • k�G �f1 G �i�J O�url7lane�4R� � I
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R�fVImON ►ARC�Lf� �' � "� �"�l�'� �J -
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iomA�EDAlor�Pe!lllrttA%Ilo7leq '
riORriPROPOSED � bfwcwlrn8 a00vAt7 � SK;N � Q �.SH
II�STALL REPAIR
�AOPOS�USE SFR Q GOMM Q aTFiEFi '
7YPEOFGONEIAliCT1011 BLOCK Q FRItNt� [� STEEI. Q
oes�noNofwor�c E JC� �'� �' GtLs�t' �CQ
eueoa�a� �� � sQfoar��,� xecxs '
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SIGp�TUR£ � pEcfsi� Y/N FFECRI� lN
nde�. d •- ',��.�"�1 c�n.,.s 0 / ��
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SIQNATIlIIE f ++�d3�AEp YJ N tPpa� Y/H' 3'
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. � $ .;� 'aF' l,kartse s . ! / .rc �
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s�eiu,tuaE � rr n �ew�m, YJN
Aa�,s, _j,�. 7' - � ��!o SCo ��nse�t � C/ 'o� � �l C/L�ou�'��� �
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■ECHIWIGLL GW�ANY
SDf',ftAYWtE �atStEn� Y!N F�Eei�naa Y�N
Add7ssa licansex
OlF�R CDMPAMY
SIGHATURE R6fi18►F]�� Y/ PElWMKl. YIN
AdQ+tii LiCenee II
r�� ���� ��� ii�� ������ �e��� ���� e� � ���i ��e�e�e������i�c� ���� t���������
!lESIDEMfAI �Tach(7�Ptot Plw:(2J�s d Ba1WNg OI�r.{t)aM af E��yy ior:ns:R�C-W Damif 1br�r rorMrud;oa
W'idmum ten l!�woridn9 mys d�r arbmMutdate.RaqukeA ma'sa CaWrucllon Ptm.S1ann.waer Pfen d SiLL Fwfe�ha�ed.
Sarnlary ii�cil9iae i 7�mmpsLr,�Walc Pv+nit tor�vitlomthr4o P�ti
CO�dA�2GAl Jluaoh l�co�eplob s�s d Buldinp Plsns D�a Ltt�Sah1Y Pa�:(1?s�af EnaryY Farma R�O-MY Pamifvtww mnstmc6m.
NinYmrn M{t0�wMinD days al0�r s�bmit�daL. iapuFad asito.CaW n+ctfan Pluas.Smmmotr Plrs af Sh F�nc�i�.
SanRsy FtcNNc i�durnp�Lr.srs wmk P�rtA 4ar si naw prqeci�a9 wrmnrclal iaqaiem�nm mast m..t camp�u�ce .
' 9fGN PEWfR Attach(2)s�ts of E�rew�d Pltea -
�"FROPERTY SURYEY nqened faraq NEW corehuc9on.
Dhacslo�t
Fdl oul sDp6ation compbtdY•
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��� LOWE'S HOME CENTERS,LLC#1854 ' �
� , 7421 GALL B4ULEVARD �• ' � '
ZEPHYRHIl.LS,FL 33541 •�. •• F •_ •
��������I�� USA
llate:OS/26/2017 (813)838-9000
Project#: 508384820 Description: Window Order '
Customer N�ne: ANGELO ROSSELLO
' Customer Phone: (727)243-0343
Customer A�i�iress: 5039 20TH 5T
ZEPHYRHIL.L.S.FL '33543
� L15A
L,ine ltem Prnduct Cnde ,
Unit Price uantit Total Pricc
Q Y ,
Fc:�me Size Description
UU01 Manufacturer:ThermaS�ar by Pella(R) �
Size=35 3/4-in W x 49-in 5ingle Hung NFRC:U-Factor:0.3?.SHGC:0.23.VLT:53,CR:56
H 5ingle l-Iung['PAS:FL16603
Single 1-(ung DP55:5ize Tested 36-in x 62-in '
�
***Performance��alues only valid for a single window and do not apply to
mul]ions***
Product:Windows
Type:Single Hungs
anufacturer:ThermaStar by Pella(R1
_ nergy Star(R)Qualified Products Only:Yes-I wauld like to view only the units thai i
e qualified for Energy Star(R).
Energy Star(R)Zone:Southern
Room Location:Other 1
aterial;Vinyl
•ctual Frame Type(Overall Widthl:5/S-In Flange
onfiguration:One Wide i
Actual Frame Size Width:33 3/4-in
Acwal Frame Size Height:49-in '�
Actual Vent Size: l/2 Vent
xterior Finish:White
Interior Finish:While
lazing:SunD�fcnsc(TM)
Argon Gas Filled IG:No
empered Glass:Annealed
rilles Setween Glass Type:None
Hardware:2 Cam/Keeper Lock Sels .
Hardware Color:White
Screen,Half Unit Fiberglass Screen
Design PerFormance:High Performance
ill'Chis Product Be Installed By Lowe's(R)?:Not Installed By Lowe's(R)
Lead Time:28 Days
$193.021 $193.0
1 of 3 OS/26/2017 11:40 AM
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. Is This A Remake'?:No
Etem Number:312147
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�`*'^This price reflects a IS°Ja Off Promotion on S05 Pella(R)Windows&Patio Doors
-OS/24/17 to 06/06/17X"'^ �
This quote is aood OS/24/17 to 06/06/17,
0002 Manufacturer:Thernta5tar by Pella(R)
Size=72 3/4-in W x 49-in g�ngle Hung NFRC:U-Factor:0.32,SHGC:0.23,VLT:53,CR:56
H Single Huno FPAS:FL112U6 �
Singie Hung DP35:Size Tested 96-in x 53.5-in �
' '�`*�`Performance values only valid for a single window and do not apply to
�
mu]lionsYX`� �
Product:Windows
ype:Single Hungs i
_ ManuPacturer:ThermaSlar by Pella(R)
Energy Star(R)Qualified Products Only:Yes-1 would like to view only the units that
are qualitied for Eneray Star(R). �
Energy Star(R)Zone:Southem
Room Location:Qther 1
Material:Vinyl
Actual Frame Type(Overall Width):S/8-ln Flange
Contiguration:Two Wide
Actual Frame Size Width:72 3/4-in
Actual Frame Size Height:49-in
Actua!Vent Size: 1/2 Vent
Exterior Finish:White •
lnterior Finish:White
lazing:SunDefense(TM) �
Argon Gas Filled IG:No i
empered Glass:Annealed
rilles Between Glass Type:None ,
Hardware:2 Cam/Keeper Lock Sets
Hardware Color:White
Screen:Half Unit Fiberglass 5creen .
Design Performance:Standard
W ill This Product Be Installed By Lowe's(R)?:Not Instalied By Lowe s(R)
Lead Time:28 Days j
Is This A Remake?:No I
Item Number:312147 '
�%%This price reflects a 15%Off Promotion on SOS Pella(R)Windows&Patio Doors
-OS/24/17 to 06/06/17***
his quote is good OS/24/17 to 06/06/17. $364.941 $364.9•
0003 Manufacturer:ThermaStar by Pella(R)
Size=73-in'N x 37 1/4-in ingle Hung NFRC:U-Factor:032,SHGC:0.23,VLT:53,CR:56
H Single Hung FPAS:FL112a6
5ingle Hung DP35:Size Tested 96-in x 53.5-in
M"'�`Performance values only valid for a singie window and do not apply to
mullions*'�*
roduct:Windows ,
$320.981 $320.9• �
2 of 3 OS/26/2017 11:40 AM
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. ype:5ingle Hungs
unufuc�urer:Tlierwa3tar by Pella(R)
uergy 5tar(R)Qualified Product�Only:Yes-I would like to view onIy the units thut
e qualified for Energy Star(R).
1 �nergy Star(R)Zone:Southern
dRoom Location:Other 1
Material:Vinyl �
Actual Frame Type(Overall Width):5/8-In Flange
onftguravon:Two Wide I
Actual Frame Size Width:73-in
Actual Frame Size I-Ieight:37 1/4-in
Actual Vent Size: 1/2 Vent
xterior Finish:While
[nterior Finish:White
Glazing:SunDefense(TM)
Argon Gas Filled IG:No
empered Glass:Annealed
rilles Detween Glass Type:None
Hardware:2 Cam/Keeper Lock Sets
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Hurdwaze Color:VJhite
Screen:Half Unit Fiberglass Screen
Design Performance:Si�►dard �
ill This Product Be Installed By Lowe's(R)?:Not Installed By Lowe's(R)
ead Time:28 Days �
s This A Remake?:No �
tem Number:312147 �
***This price reflects a 15%Off Promotion on SOS Pella(R)Windows&Patio Doors
OS/24/17 to 06/06/17*�� 'i
�
's quote is good 05/24/17 to 06/06/l7.
.... . . . .. ....... ..... ... . I
Project Tatal: $878.9 i
Salesperson: WARREN RICHARDS(S1854WR2)
Accepted bS• Date:OS/26/2017 M,.,,.�^N.y^.��M.._�•-�y—
�.:�::P�nt:.Det�i[e:d:Q�ote;:
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This Millwork:Quote is valid und15/1/2017.Tlus is an estimate only.This estimate does not include tax or delivery charges.Delivery of a]]
materials cotttained in this estimate are subject to availability from the manuFaclurer or supplier,All the above quantities,dimensions,
specificalions and accessories have been verified and accepted. -
3 of 3 OS/26/2017 11:40 AM
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BCIS Home I Log In User Registration Hot Topics i Submit Surcharge � Stats&Facts Publication:
�larida �,::� 9
�<'��• " Product Approval
•�,'�.,. �"� USER: Public User
`� "� ..
Product Approval Menu > Product or Application Search > Application List> Application Detail
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Code Version 2014
Application Status Approved
*Approved by DBPR. Approvals r
the POC and/or the Commission
Comments
Archived ���
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641) 621-6096
pellaproductapproval(�pella.com
Authorized Signature TROY FARR
tbfarr@pella.com
Technical Representative TROY FARR
Address/Phone/Email 18600 NE WILKES RC�AD
PORTLAND, OR 97230
(5d3) 405-9176
tbfarr@pella,com
Quality Assurance Representative TROY FARR
Address/Phone/Email 18600 NE WILKES RC►AD
PORTLAND, OR 9723p
(503) 405-9176
tbfarr@pella.com
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or l_isting �
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Certification Agency Window and Door Manufacturers
Validated By James L. Buckner, P.E. @ CBUCK �
i�� Validation Checklist - Hardct
Referenced Standard and Year (of Standard) Standard
AAMA/WDMA/CSA 101/I.S.2/A4� �
Equivalence of Product Standards �
Certified By �'
Product Approval Method Method 1 Option A �
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Date Submitted 01/20/2015 ,
Date Validated 02/03/Z015 '
Date Pending FBC Approval �
Date Approved 02/08/Z015
Summar of Products
FL # Model, Number or Name Description
11206.1 Series 10/20 High Performance Vinyl High Pertormanc
Single Hung
Limits of Use Certification Agenc�
Approved for use in HVHZ: No FL11206 R9 C CAC �
Approved for use outside HVHZ: Yes Quality Assurance c �
Impact Resistant: No 08/07/Z017
Design Pressure: +50/-50 Installation Instruc I
Other: Configurations of glass shall conform to the current FL11206 R9 II Drav
ASTM E1300 standard. Verified 8y: Warren �
Created by Independ
Evaluation Reports '
I FL11206 R9 AE Dra
� Created by Independ
� 11Z06.2 Series 10/20 High Performance Vinyl High Performanc �
� Single Hung 65-1/2")
�.-- -- -----------------------------�------------
--------- ---------------—_.
Limits of Use Certification Agenc� '
Approved for use in HVHZ: No FL11206 R9 C CAC
Approved for use outside HVHZ: Yes FL11206 R9 C CAC
Impact Resistant: No Quality Assurance ( �
Design Pressure: +50/-50 11/17/2017
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2 of 6 06/13/2017 09:00 AM
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. 2017091999
Rcpt,:1871439 Rec: 10.00 � '
� _ DS: 0.00 IT: 0.00
06/14/2017 E. 17. , Dpty Clerk
PAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER �
NO�d(:E OF�OMMEN�1, �NNd' �6�14/2017 04:42 m 1 of 1 '
r ' OR BK �r 5�� p� �1 ���
.L
Pemut No.
Property Identification No._�! "Z� "Z/ ���/� '- Z/(O(� �Q0�o�
Tf�UNDERSIGNED hereby give informs you that the improvement will be mede W certain real ptnperty,end'm eccordenoe with
Sectioa 713.13 of the Floride Stahrtes,the following information is provided in this 1vOTICE OF COiVQi4ENCEMENT.
1.Description ofproperty(legaldescripNon) �� ieJ S�C{hoN// �u�N��i (o S��.z`f � �Z/f/�S�d��ASL'O [°mv.���
a)StraetAdd[ess:��`a��j ��`ryi �i.p,o�i-- � � 1 S. � �i+r9
2.deneral description of improvements. �
3.Owner Information
I a)Name and address: �'i/ � � S . �O ;
b)Name and addtess of fee ple titieho der(if othef than owner) /z �S,�5
I c)Interest w property �y�j�� ;
� 4.Conhactbr Infotmation q
a)Name�d addtess:��A��YQ t��/�N�o�Y C/'u'�Dy �p.2`�uiyv� f7iQ ��e C f� �L �j�.��s
b)Telephone No.:_fI i 3 ��/�-5!Z�/ Fex No.(O ) '�
5.5urety Iaformation
a)Name and eddress:
b)flmount of Bond: �
c)Telephone No,: Fax No.(Opt)
6.Lender
a)Name and eddress:
Phone No.
7.Idenciry of peison within the State of Florida deaigpafed by owner upon whom noHces or other documents may be served:
a)Name and address:
b)Telephoae Na.: Fax No.
8.In addition to hfmsel�owner designates the fallo erson to receive a c `�t) �
713.13 1 �� opY bf the�,ienor's Notice as pmvided in Section
_ ()(b),Florida Stahrtes: �,
--��- a)Name and address: • I
_.�-,..ci _a:�.:�.�.�.� b Tel hoae No.: t. • _ -
� � Fax No.(Opt.)
9.ExpuaHoa date of Notice of Commencement(the expuation date is one year from the date of recording unless a diffeient date is
speci5ed):
'WA.RIVINTG R'O OWNEIB: ANY PAYNILNTS 147AIDE�Y q'HE O'VfIIVEYt AFTEIt T��XPIRATdOPd OF THE NOTICE OF �
COMMENCEMENT ARE CONSID;AtED A47FYtOPER PAYB�NTS UNDER CHAIPTER 713,PAIdT I,SECI'ION 713.13, �
FtiORIDA STATUTE$;�P1YD CAN RESULT IN YOUIt PAICIIVG TWYCE FOR IA'iPROV�MEN3'S TO YOTJ12 PROPERTY.
A 1VOTICE OF COMIV�NCEM[EN�'A'iIJST BE RECORIIED ANID POSTED ON THE JOB SITE BEFORE THE FIRST
INSPEC'1TON. II{YOU INTEND TO OBTAI�V FINM[CIIHG,�ONSULT YOUIt LENDER OR AN ATl'ORNEY BEFORE
COM�VIENCING WORK QR RECORDING XOUR NOTICE OF CE1ViE .
STATE OF FLORIDA
, COUNIY OFPASCO �
li
i f vot a Offica/Diru/tor�artr�v/M�eger
�.� •P � �S L� (C� �
� Print Neme
The for� oing ios ent was pclaiowledged before me tlus�day of �-j1`e—. Zp_1,try
i' 2,1 D � /0 as (type of authority,e.g.officer,trustee,attoraey
ia fact for (neme of party on behalf of om inshvment was cuted). �
�
�ecsonally-Known R P-roduced Ident35cerion-2:otary-Signa i
Type ofIdeatification Produced Name(prmt) Q�. L ��/l� U � '
Verification pursuent to Section 92.525,Florida Statutes.Uader penahies of perjury,I declare that T Lave read the foiegoing and that
the facts stated in it are hue W the best of my lmowledge end belie£ �
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Signewrc otNeLu�a1 Pusoa Sign(ng Above
FOAMSR7OC,rved10W
,01�"°y�y JACQUELINE
BOGES �
'*� :'__ Commission#FF 150422
s;;;���0.�0,: Expires December 12,2018 ,
,,,�,`�� Bond�d TJyirfroy Falo In�uranao 800•3A5-70fe
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City of Zephyrhills
BUILDING PLAN REVIEVV COMMENTS
Contractor/Homeowner:
cJJ�/� U U��d��r t I
Date Received: �o—�9—�� '
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Site: ��3 g � �- ��` '
Permit Type: /��Q�� �
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Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ �
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This comment sheet shall be kept with the permit and/or plans.
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Kalv' `S rt —Plans Examiner Date Contractor and/or Homeowner !i
(Required when comments are present) , I
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Job:.Ang;elo & Ruth Rossella Contractor:David W. Johnsan i
501� 20�' St. C �C 060316 /813-714-�271 '
�ephyrhil�S,FL. 33542 �
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5�c�p� o�work: '
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�`Remov�e e�sxsti,ng jalousie�vindows& install new vinyl si.ngle hung wi.ndow units �
[1] onE at r�ar & [1] at nortki wall,see atwched fla. appro�ral. �
*Frame and stucco�o match I
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'�Frame��ls+�wall at �sfsting black vent pipe.
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*F�ame mew shawer w�alls as per plan.
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'�remov� concret�e, to �rr�ug� in n�w shower&water closet supplies and dxains, po�ar to j
match. i
*Misc. electri�
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l00� �HI aaia NOSNHOf' OIAVU Zn8ZEZ�Z�E �V� Z0�64 LL4Z�OZI90 I
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CITY OF / / / / BUILDIN� �
ZEPHYRHItLS DEPARTMENT
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OF ADDITION OR CORRECTION i '
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ADDRESS D TE PERMIT f �
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THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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It is unlawFul tor any Carpenter,contractor,suilder,or other persons,to AFTER CORRECTIONS ARE MADE CALL i I
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION ; I
or other material,until the proper inspector has had ample time to approve i
the installation. �
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR �����1�"�' �
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City of Zephyrhills � �
BLTI r ING PLAN REVIEW COM[N�ENTS � ,
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ContractortHameowner: c���LI i tit ��'''-�'� ,�/ '�
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Date Received: , --
Site: � - s�3c.3�J 2�'��f'- �
Fermit Type: ����i� �i�r J'�� .�'���'''� I
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Approved w/no comments:C� . Approved wlthe belaw comments: ❑ Denied w/the below comments:�� '.
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"his comment sheet shall be kept with the permit andlor plans. j
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:alvin Switzer s Examiner Date Contractor andlor Homeowuer
(Required when comments are present) ; ;
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�ET�C}F Z�PNYrRI-f��.LS NATfONAi��LEC7RIC CQDE,AND
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