HomeMy WebLinkAbout17-18937 CITY OF ZEPHYRHILLS
5335-8TH STREET i
'I --�' (813)780-0020 �
BUILDING PERMIT
PERMIT INFORMATION - � LOCATION INFORMATION
Permit Number: 18937 Address: 6245 SILVER OAKS DR
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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-012A-00000-1140
Improv. Cost: 2,200.00 OWNER INFORMATION
Date Issued: 10/16/2017 Name: GACZEWSKI, JIM
Total Fees: 75.00 Address: 6245 SILVER OAKS DR
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/16/2017 Phone: (813)782-7965
' Work Desc: INSTALLATION FRENCH DOOR
CONTRACTOR S APPLICATION FEES
GALE FORCE CONSTRUCTION LLC BUILDING FEE 75.00
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Ins ecti n uired
FOOTER 2ND ROUGH PLUMB ISC INSULATION CEIL NG
� 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.
REIIVSPECTION 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
frst 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,Specifi ations 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.
C T TOR S GNATURE PERMIT OFFI R
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City af Zephyrhills
BUILDING PLAN REVIEW COMIVIENTS
ContractorlHameowner: 1��2�, ���� ��S;��C��'v�-�.
Date Received: ��'� �'`" ��
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Permit T e:
Appraved wino comments:Q Approved wlthe belaw camments: � � Denied wJthe below comments: ❑
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Clus comment sheet shall be kept with the permit and/or plans. f� i
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;alvin ' er lans Examiner . Dats Cantractor d/or Hom wner
(Required when ca ' ents aze present) ,
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s��-�so-ooza City of Zephyrhills Permi i�_,.._,,,,_ 3-�so-oo2�
Building Department �"~�-�,.� �'
,Date Re�eived ' �� �'' Phone Contact for Fermi f � – �� v
Owner's Name �� c Owner Phone Number � ' �(/ '�o�'?�
Owner's Address ,/ Owner Phone Number �r �
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Fee Simple Titleholder Name � � Owner Phone Number � �
Fee Slrnple Titleholder Address
JOB ALIDRESS o2 { � � P�iG j � LOT# [^]
;;; SUBDIVISIOiV � � PARCEL ID#
� (OBTAINED FROM PROPERTY TAX NOTICE)
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{; WOEZK FRQPflSEd e NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISN
�� � INSTALL REPAIR '
�' PROFOSED USE Q� SFF2 _ Q COMM �� t?THER ..1` 1
#� 7YPE OF CONSTRUCTIQN Q BLOCK Q FRAME � STEEL Q
�$ { ..
jj DESCRIPTION QF WORK 1�V' 4! I ,/V�G�! 1 J,��/G .„ r
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?; BUtLDING StZE SQ FOOTAGE�� HEIGHT
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•� �',�BUtIDlNG � �}/� p"� %"' VALUA710N OF 70TAL CONS7RUCTION
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� QELECTR(CAE. � � AMP SE}2VICE Q PROGRESS ENERGY [� W.R.E.C:
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� D��un�si�� � ��c�3 ' � ,�iGN�"�l'!�G�i C1.� �J�l`�
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�� QMECNANIGAZ ��� VALUATIQN QF MECNANIGA�1NSTAi.CATtON {���I �
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; QGAS Q ROOFING Q SPECIA�TY � QTHER � o�t ��-�, �
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� FINISHED FLOOR ELEVATIONB � FLOOD ZONE AREA C]YES NO � �J
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� SUiLDER ��� COMPANY � e. vlGL'.- rr�S�t vG�lG+�
V SIGNATURE REGISTERED / N FEE CURRE� Y/N �
� Adilress � k�Ul C�.a' ���1 �.. � License# ��(�• �a�'�5���I
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� Et,ECTR1CIl�N1 COMPANY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
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Address License# � �
� Pi.UMBER , � GOMPANY ,
� SIGNATURE REGISTERED Y'/' N .. FEE CURRE� -�� Y�7-N' ,
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� Address , I:icense# �� —1
j MECHANtCAL _ ' COiNPANY -
SIGNATURE REGIS7ERED Y/ N_ - FEE cU�tE� :,X/•N •, -
Address _ � License# I . �
OTHER. CQMPANY
` SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
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�"` Address
_. License# �— �
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;; RESIDEWTiAL� Attacti(2)Ptot,Plans;'(2}sefs of Building P(ans;.(1)set of Energy,Forms;;R=a=1NPermit'for new construction, .
'` Minimum teri :1.0'workin da s after submittal date. Re uired onsite;�Construction-Plans,Stormwater Plans w/Silt Fence`installed,
�': � ) 9 Y q �
- !; 8an�tary Fac�lities&-1 dumpster,Sife Work P it for subd'svtsionsllarge projecfs "
CpMMERGIAL Attach(2)compiete sets of Building Plans "us a Life 8afety P,age;(1)set of Energy Forms.F2-O-W Permit for new construcUon.
Minimum ten(10)working,days after submittal•date. Requi�ed`onsite,Construction.Plans,Stormwater Plans w!Silt.Fence installed,
Sani#ary_Facilr�es&9'diampsfer.Site Work Permit for a!I new projecfs.All commercial requiremenfs musf ineet compl�ance
- SIGN PERMIT Attach(2),setsof Engineered Plans.' . � '
� ***"PROPER7Y.SURVEY required for aU NEW construction.
`Directions:
Fill out applicatian completely. �
Owrier&Gontraatar s'tgn back of application,notarized
If over$2500,a Notice of Cammencement is required. (A/C upgrades over$7500)
" Agent(for#he contractor-},or Power of Attomey{for the owner)would`be sor»eane wtth notarized letter from owner autharizing same
••OVER THE COUNTER PERMITTING (copy af c6ntract required)
Reroofs-if shingles Sewers �'Service�Upgrades'�A!C Ferices(FloUSurveylFaotage}
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Driveways-Not over Counter if onpublic roadways..needs ROW ;r •
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject#o."deed" res#rictions°
which rrray be mar.e r,es#rictive.than Courity regulatians. The unders�gned assumes responsibility for compiiance uhith�any�
appficable dee8 restrictions. , � , , , - -� ...
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work; they may E�e reGuired to 6e licensed in accordance with s#ate:and�local regulatioris. If�tli`e
contrac#ar is nat licensed as required by law, both the.owner and cantractor may be cited far a misdem'eanor violatian.
under state 1aw. if the owner or iritende`t�`cont�actor are uncertain as�ta what licensing-requirements may apply fot-#lie
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has liired a contrac#or• or-contractars, he�is�-advised�to have tlie contractor{s)�sign'
portians of the "cantractor B(ock" af this�application for which they wil! be responsibte: If you, as the awner s�gn as the
contractar, that may be an indication that he is not properly licensed and is not en#itled to permitting'privileges in Pasco�
County. �
TRANSPORTATION IMPACT/UTILITIES IIlAPACT A(VD RESOURCE�RECOVERY FEES: The undersigned understands
that Transporkation Impact Fees and Recourse Recovery Fees may apply to the cortstruc#ion af new buildings, change af
use in exisfing buiidings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89•07.and:
90-07, as amended. The��undersigned.also understands, that such fees, as may kie due, will be�identified at the time af
permitting. It is further understood that Transportation Irt�pact Fees and Resource Recouery-Fees rnust be paid prior-,fa
receiving a "certificate of occupancy" or final power release. If#he-project daes na# invalve a certificate of accupancy or
�rtal power rslease, the faes rmust be paid p�ior to permit issuance. Fu�thermore, if Pasco County WaterlSewer-Impac#
fees are due, they must be paid prior fo permit issuance in accordance wifh applicable Pasco County ordinances.
CCINSTRUCTION LIEN LAW�Chapter?13, Florida Statutes,as amended): If valuation of work is$2;5QO.OQ or m'ore, !
eertify that i, the applicant, have�been provided with a �copy of fhe "Ftorida Canstrucfian �Lien [.aw—Hameowner's.
Pratectian Guide" prepared by the Florida Department of Agriculture and Consumer�Affairs: If the applicant is�sameone
other than the"owne�', 1 cefify that 1"have o6tained a copy of the above described documenf and�promise in good fai#h to
deliver it to the"owner"priar to cammencemenf.
CONTRACTOR'S/QWNER'S AEFIDAVlT: �1 ce�tify that�all the infarmatian in this application�'is accurate and that a!l;work
will be done in compliance with all applicable taws regulating construction, xoning and land deveiopment. Applieation is
hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installation has
commenced prior fo issuance.of a permit anci that aH wark will be pertormed ta meet standards of all�laws regulating
construction, County and City cades, zaning regulations, and land development regulations in the jurisdiction. I alsa
certify that 1 understand #hat the regulatians af ather govecnmen#agencies may apply ta the intended wark,,and that it is
my respansibility to identify what actions I must take#o be in compliance. Such agencies include but are not limited to:
- Department af Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensit9ve
' L'ands,Water/Wastewafe�Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Departrrtent af Health & RehabiNtative ServieeslEnvironmental Health Unit-V1leIIs, Wastewater Tr�atrnent,
Septic Tanks.
- US Environmenta!Protection Agency-Asbestos abatement. ;
- Federal Aviation Authorify-Runways.
I understand that the following restrictions apply to the use of fill: `
- Use of fill is nat aElowed in Flood Zone"V"unless.expressly permitted. -
- If the fill� material is #o be used in Flaod Zone "A"�, it is understood that a drainage plan addr�ssing a
"compensating valume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. '
- If the fill material is to be used in F.load Zone "A" in connection with a permitted building using stem wall
canstructian, t certify that fill will be used only to fl!the area within the stem walE. '
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. lfi use of fill is faund to adversely affect adjacent properties, the owner may�°be cited far violating
the conditions af the building permit issued under the attached permit application, for tats fess than ane (1)
. acre which are eleva#ed by ftll, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, i promise in good faith ta inform the owner of the permitting conditions set farth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, walls, pools, air canditioning, gas, ar other instalEations not specifically included in the applicatian. A
permit issued shall be construed to be a license to proceed with the work and not as authority tn violate, cancel, alter, or
set aside any provisians of the technical codes, nor shali issuance af a permit prevent the Suilding Official#rom thereafter
requiring a correction of errors in p(ans, construcfion or vialations of any codes. Every permit issued sha(i become invalid
unless the wo�k authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the perrrrit is suspended ar abandoned far a period of six(6}months after the time the work is6,cammenced, An extension
may be requested, in writing, from the Building OfFicial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the e}ctension. If wark ceases for ninety{90)consecutive days,the job is cansidered abandaned.�
WARNlNG TO OWNER: YOUR FAlLURE TQ RECORQ A NClTICE tJF COMMENCEMENT MAY RESULT !Id YOUR
PAYtNG TWIGE FOR IMPROVEMENTS 7`O Yf3UR PROPERTY. 1F YQU t TEND C7► TAiN FINANCING,CCINSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR OTICE F OMMENCEMENT. {
- - FCQf21DAJURAT{F.S.11?.03) - — - -- ---_ :--- ___—
OWNER OR AGENT CONTRACTOR
Subscribed and swom to{ar affirmed)before me this 8�u�6s�c�rl�b� nd swom { affirm � efar me this �
bY -F.���by r a r �, �
Wha is/are personally known to me or has/have produced Wh�a,iS/ar ersonally oown to e or has/have produced
as Edentif�cation. ��` C� as tdentiftcation.
Notary Pubtic Notary Public
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Commission Na Commi on No.
,.��'�iY tve��., JACQUELINE BOGES
Name of Notary t�rped,printed ar stamped Name af No � ,p� �
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t �)
sho�be beyond wad drexsing or siucco. o
O � a a
3. Whsn used tnlhe"HYHZ"fhis procluc!comp9sswilh Section 16?b otlhe Roritta Buildirg Code and doas rat �
require an impaci res'atant cwering. $ �m
4. When used tn araas avtsde ot the MYHPreR�+�9 wtnd bome debris protecfian tHs ptoduct comqieswRh
SecHon 1609.12 of tfia FBC arx!does not requYe on impoct res�tant cavedng.Thts produd meeh mfsdle �
tsvel'�"and tndudes FYhd Zons d as de6n¢d�A5TM E1996 and Sect3m 1604.T23 of the fBC.
5. Foe?xstudfram�nBCauWciiar4arctatfngoititssatmNsshaBbeihas¢neasthdfsha�mtarDtbuck � i
mosanry consMuthn. � N
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dcenssd engineer or teg¢tered trchMecf.
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, w R R W Building Consultants, Inc.
� � B Consulting and Engineering Services}'or Ihc Building[ndusiry
C P.O.Bo�23o Valrirn,FL 33595 Phona 613.659.9197
Florida Bourd of P�ofessio�ql Faiginecrs Certifiwte of Aulliori7ation No.9813
' . �
I ,
Product Sub Category ManuFacturer Product Atame
Cate o
Plastpro Inc. Smooth I Wood Grain l White Wood Grain
Exterlor Swinging 52Q0 W.Century Blvd. Rusttc/Mahogany
' Doors Exterior poor
Assem6lies ���9eles,CA Serles N Fiberglass boor
Phone 440.969.9773 Outswin -"Impact"
� Scope: Product Evaluation report issued by R W Building Consultants,Inc.&Lyndon F.Schmidt,P.E. (System ID#1998)for
Plas ro Ina,based on Rule Cha ter No.61G20-3,Method 1D of the State of Florida Product A roval De artment of
tP P PP , P
eusiness&Professional Regulation.
' RW Building Consultants and Lyndon F.Schmidt,P.E.do not have nor will acquire financial interest in the company
manufacturing or distributing the produd or in any other entity invotved in the approval process of the product named
LrmftaBons:
1. This product has been evaluated and is in compliance with the Sth Edition(2014)Florida Bullding Code(FBC)structural requirements
includinp the"High Velocily Hurricane Zone".
2. Product anchors sfiall be as listed and spaced as shown on details.Anchor embedment to base material shall be beyond wall dressing
or stucco.
3. When used in the"HVHT'this product complies with Section 1826 of the Fiorida Building Code and does nof require an impact
, resistant covering.
4. When used in areas outside of the"HVHZ"requiring wind bome debris proteetion this product complies with 5ection 1609.1.2 of the
� FBC and does not require an impact res(stant covering.This product meets missile leve!"D"and includes Wind Zone 4 as defined In
' ASTM E 1986 and Section 1609.1.2.2 of the FBC.
� 5. For 2x stud framing construdion,anchoring of these units shall be the same as that shown for 2x buck masonry construction.
6. Slte conditions that deviate fram the details of drawing FL-15180.4 requfre further engineering analysis by a licensed engineer or
registered architect
� 7. This product meets water infiltration requlrements for"HVHT'.
, 8. See drawing FL-t5180.4 for size and design pressure limitations. -
Supporting Documents:
1. Test Renor�No, Test Standard TesUna Laboratorv Sioned bv
, TEL 07-0223-1 7AS 201,202,203-94 Testing Evaluation Lab.,lnc. Wendell Haney,P.E.
TEL 01390365 TAS 201,202,203-94 Testing Evaluation Lab.,inc. Lyndon F.Schmidt,P.E
ETC 07-209-19303.0 ASTM D2843-99,ASTM D635-98 ETC Laboratories Ben Meunier
ASTM D1929-96,ASTM D638-03
ETC 0&209-20609.0 ASTM D2843-99,ASTM D635-98 ETC Laboratories Gurjinder Dhami
ASTM D1929-96,ASTM D638-03
ETC 06-255-17412.0 ASTM E84-05 ETC Laboratories Joe Doldan,P.E.
ETC 05-255-16776.0 ASTM G2&95,D2$43-99, D635-98, ETC Laboratories Joe Doldan,P.E.
D 1929-06,D638-03
2. Mlami-Dade NOA AAaterials Testina
10-1209.01 HP Polypropylene
140423.16 Saflex PVB Inte�ayer(Eastman Chemical Co.)
3. Drawin4 No. Preaared bv Si4ned 8 Sealed bv
{Vo.FL-15180.4 RW Building Consultants, lnc.(CA#9813) Lyndon F.Schmidt,P.E.
4. Calculatlons Preoared bv ,e=r=°"�'G<ra
,,,: „ r� Slaned 8 Sealed bv
Mchoring RW Building Consultants, Ina(CA#9813) t�;�~'' �,=.�`;�#���:�,�y���, Lyndon F,Schmidt,P.E.
ASTM E1300 Glass Load Lyndon F.Schmidt,P.E. �;` `--'.�•;', �ry,j V';,r t �,a
��
5. Qualltv Assurance - <� . �;
Certificate of Participa6on issued by National Accreditation and � ' ���:, ';�<�i��l a"� ;
� �e �
Management Institute,certifying that Plastpro Inc.is manufacturing products_ �" a ��'
within a quality assurance program that compties with ISO/IEC 17020 and '. . '
Guide 53. ' _ '�=� �
r , ^�1!�'
.. .._ .. . :;�t:�o
- � _ _ �`.;�� Lyndon F.Schmidt,P.E.
.,.�� �` a� FL PE No.43A09
"<�. '.,�';;_t '����.y;,��` 4124/2015
Sheet 1 of 1 :�,�;;;,��r,t,��-