HomeMy WebLinkAbout18-19280 CITY OF ZEPHYRHILLS
5335-8TH STREET
� ; (813p8o-oozo �9280 I
BUILDIfVG PERMIT �
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 19280 Address: 37148 CULLENS TRAIL
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: 03-26-21-0180-00000-0800
Improv. Cost: 7,990.00 OWNER INFORMATION
Date Issued: 2/13/2018 Name: ROWE BEULAH
Total Fees: 120.00 Address: 37148 CULLENS TRL
Amount Paid: 120.00 ZEPHYRHILLS FL 33542-0661
Date Paid: 2/13/2018 Phone: 614-314-7833
Work Desc: FOUNDATION REPAIR
CONTRACTOR S APPLICATION FEES
ALL FLORIDA RAM JACK LLC BUILDING FEE 120.00
�
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Ins ections Re uired
FO TER 2ND ROUGH PLUMB MI C INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
� ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
' DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
� REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever i�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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
, IVO OCCUPANCY BEFORE C.O.
-- _._ �_\
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�saao-ao2o City of Zephyrhills Permit Application �� (�-'��-0o2i ��
Building Department . Q ���
� Date Received `���`�
Phone ContactfoiPermitting
Owner's Name Owner Phone Number ��"1� �
Owner's Address I � � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS . � I�-I VI ' 1 � _ I I�J LOT# �
SUBDIVISION � AS � PARCELID# ( ' '- -���1�; Q�
' /(OBiAINED FROM PROPERTY TA7C NO710E)
WORK PROPOSED B NEW CONS7R e ADD/ALT � SIGN Q Q DEMOLISH,
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER � l �
I TYPE OP CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �-4��JI(�C..V� �W �'��� I I� � 1/ k�71-L 1 � � (yJG{,1� 1�
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
' OPLUM8ING $ / /, /'� /�C��� _
`J �7
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
a ��
v
�GAS Q ROOFING Q SPECIALTY 0 OTHER � �� , y�_ /! �_ �������� ,
��(�t�s CJJ�C-L.__ /("`JY'_
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO n �
��' 1�
BUILDER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER ��� � COMPANY �ll GICn c� �m A `-�
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � ��V G � License# �����,`
Illllllllllllltlllllllllllltlllllllllllllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
""PROPERTY SURVEY required for all NEW construction.
Directions:• j
Fill out application complelely
, Owner&Contractor sign back of application,notarized r
If over E2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW I
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
02-08-'18 1a.03 F1�OM- T-397 P0001/0001 F-�85
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c�ty of zepnyrnii�s
533� 8th Street
�ephyrhilis, Flarida 33542
I ATTN: BUILDING DEPARTNfEN� .
' RE: AUTHORIZATI4N FQR PERMITTINC
Gaod Afternoan,
Please be �dvis�d that the below individuals ar� authorized to signlpick up permits
und�r my license number CGC1�12371:
Kathl�en Rice
Tony Brown
R�Cky Woadail
D�nna Jones
Sincer�ly,
� �_ �1�
. � � w ��,�
John Buczynski
President
'f6�46 SGh�er Blvd.
Huds�n, FL 346G7
(7�7) 44��55�2 office
(727� 857-6909 f�x .,�'�;�a�..` . o�k��do �s � � „?
www.allftorida�ramjack.com � ;�. �, r�r�rPuai�a-s�auo�aorrd� `
jahnnybson�s��mail.com �41"""���Q++���a�37�� :
}� • �4r comm.�xptre�11tar 5�Z02i:
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�RAMJ�I�K"
----� I
All Flarida Ram�ack� 16646 Sche�rr Bir�d.-�Hudson,FL 34657 �
� Toll�ree: 1.88$.934.9669(1.$88.9-�ix N"ow)Phone: 727.447,5502��'ax: 727.857.6909
�c�vvv�w.allfloridarami�ck.com CCrC#1S1237Y
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NOTICE OF DEED RESTRlGTIONS: The under.signed;:understands;that;tk�is:permitmay;be;subject.to .d.e,�cJ;:.tesf�iction's.;°;;
which�mayybe~more<r,estrictive;;than-Counfy�regtil�'tions .`Thezur�ia'ecsig�iedtassum'es�T�`span's�i�iliit`y#or�cam�pEian�ris'with��an}i"�``.:
applica6le�deed�estric#ions. . „ ' �rir:;�;:`��"}:���'�'._
• �. .. _ , ==_.�
UNI:tCENSED. CONTRACTQRS AND`CQNT�2AC�'QR RESP.�N51BiL:tT�ES:° �f=the�btiviierwhas:ti�redwa:�contractor or ;.
contractors to undertake work,;�they,,�ma�r;rbe,�requiced�ta be�licensed in acaordance wikh.state�;and��locat:;r,egulationsr��.�if�the�=�.: '
�.,v�.�,,:� -
contcactoc is.not.licensed::as:,required !i`�y'�aw;.6o#h�the owner�=and'�eorifEactor�rriay>;ti'e ici#ed4�or a::misdemeanor violation� ;��?
under state 1aw. if tiie owner-ar.infende�,�.,cor�tr;actor are�uncertain as ta what.licensing requirei�ents;�may�:appty�for�<ffie���'� �
�;;-:"r;��,a::k+a:.,,�;r.,.d.k.;..,�,-<.>-:,. g
intended work,..they�areradvised to contact�fhe Pasco County"Building tnspecfiarr`Division,-Licensing.Section.at 727�847- �
8009. Furfhermore, °if the owrnerltas�litrec!`�-a::coritcactar�or cont'rac#ors, he is advised ta�.;have�#he;=con�ac#or{s:}lFs�gaj:_��;;;�
portians of#he cantractor Block.of th,is application.far which they-.will.be-resp.onsible.>:If:yau,,as,the_awne'r'sign as,`:�the ��
cantractor., that rnay 6e an indicatior�=that'he�is not properiy�Ilcensed ancl�`ls no�t entifled to perm�tting priviiegeszin:Pas,co;r+�..,��
Cou;nty. ' �
TRANSPORTATIQN-1MPACT/.UTILITIES-IMPACT AND RESOURCE RECOVERY FEES:�The undersi�ned understacnds ,. `;,;
-��,;:.�_--
tliat�Transportation Impact Fees and Recourse Recovery fees;:may���pply to:the conshvc;tion,of new_;.b.ui�dings,.�cttangetof=�y``��
use�ln_existing�buildings,;or<:expansiorntaf;�;ezisting-buildir�gs, as specified in Pasco County Ordinance number 89-07�..an�4 ::;.
___ __-80-07', as arriended:�Tiie tindersigned�also,unctetstari�9s,>that such;�fees;=as'may,��ie=<due, wiH�_6e::iclentif3ec4�afigttae�:time=of"�`=`��`;:
permitting. -1t is further�understood that�Transportation impaGt�FeesF�and Resource:�Recovery.Fees must be paid priar.to �
. rece,iving.a."certificate.of occupancy."or final,:power release. tf the.p�oject°iioes not��inYolve:a'cettificate of occupan'cji�ai:`:�z: ;
......
final�power-r.elease,.#he,#.ees:must<be::paid�prior to permit`.issuanc,e:,,:Furtiiermore,,-if�Pasco,County Water/Sewec;[mpact�:=�� �
'1�1.+t .7: ni. .. ..
fees;are due, they must;be_:paid prior�fa:permit�issuance,in'aacordance with`applicable:Pasco�County ordinances. �
' G{?NSTRUCTIQN��IEN 1_AW(Chapter 713; FtorfdaStatutes,as amended}: If valuatlon o€wark is$2;50Q:0}O;or.%nore,�la.i:��.
certify .that I, the applicant,�have .been-.rprovided with--a �copy=.;of.��the °Florida•�Construe#ion__Lien .Law--:Homeowner's
� Protec#ion Guide" prepa�ed'`by�the�Florida Department of Agriculture and Gansumer Affairs. If the applic�nfi is;,so�neone,..,
Y v-zxu�,,; t-
� otherthan the`bwner�,'I eertify.thatl:ha�e obtained a copy of the above descri�ed document�and,:pcomise�in�go.o.d';fai#h�to. ����
' deliver:.it.ta�the�"owner,,"::prior;to::coiiiinei�icement:' " � -
CONTRACTOR'S'IOWNER'S�AFFtDAV.tT:.;�.I,eert.ify that aIF-the inf.armation in this application is accurate anrl�that alr wark
will be done in compliance with all applicable�laws regulating const�uction, zoning-and,land�develapment. Application is
= hereby made to abtain.;a::permi#�#o�-.do,.�work-and installation as�ind�cated. I�cerEify fhaf na work ar:instal�afion��.has
: commenced prior to issuance of-a pe�mit and-�th�t all work will be perfarmed to.meet standards of all laws �egulating �
� construction, County and City codes, zoning regulatians, antl land development regulations��ri.:the jurisdiction.. �=f��also
, cert'riy that i understand that the regulations of ather government agencies may apply�to the interided work, and tiiaf it is :
my cesponsibility to identify what actions I must take to be in compliance. Such.agencies include:but are nat.limi�ed;to: �
,.Department af Envirorirrien#al`�Rro#ection-Cypress Bayheads, Wetland Aceas and Ei�viranmentally Sensitive
' Lands,WateNWastewater Treatment. ;
Southwest Florida Water Management Distrlct Wells, Cypress Bayheads, Weiland Areas, Altering .
� Watercourses. � •
Army Corps of Engineers-Seawalls, Dacks, Navigable 1Naterways.
= Department of Heaith L� Rehabiiitative Services/Environmental .Health Unit 1Nells, Wastewatec Treatment,
' Sept�e:'Tank's. �
; US Environmerital Protecfion Agency-Asbestos abatemen#. .,
, Federal Aviation:Authority-Runways. �
' I understand thaty;ttte=fo!lowing restricfions apply to the use of�!!: �
, � Use af fil(is not allowed in Flood Zone"V"unless expressly.permifted. '
. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
� ' "compensating volume°will be submitted at time of petmitting which is prepared by a professianai eng�neer �
' licen$ed.6y the State of.Florida. �� �
' - If the f EI-rnateria!�is-to be used in Flood Zone "A° in connecf�on with a permit#ed building using stem .wall
� cflnstruction, i cer#ify that fitl•wil�be used oniy to fill the area-within the.stem wall.
; If fill� material is ta•be used in�any area, ! certify that use of such��fill wil! not adversely a�fect adjacent
� praperties. If use.of fiif is faund ta adversely affect-adjacent properties, the owner may be cited for viola#ing
the condi#ibns of:tlie building;permit�issued under the attached-.per;mit_application, for.lots�less than one (1)
' acre wtiich-are-elevated by fill,an eng�neered drainage plan is requi"red. ,
If I am the AGENT FOR.THE.QWNER;�:I°:pramise in goad faith to infarm the owner of..#he:permitting�conditions set forth in
this,affidavit prior°Co comr►iencing con5truction. P understand that a separate permlt may be required for etectrical;work,
plumbing, signs,,welis, ,paals,_,air canditioning,.gas, or�ottie"r'`installations not specifically inciuded in the application: A � .
permit issued shall'be�canstrueif�fo 6e a license=to proceed with"ttie work and.nat as:authority to violate, cancel, al`ter, or
set:aslde any provisians of tFie"fechnical codes, nor shall issuance of a perrnit prevent the Building fJfficia!firom thereafter
requiring.a correctian of errors in',plans;�construction or violations of any>cades. �Every perrriit issued�shall become i;nvalid
untess the work authorized by such permit fs commenced within,siic months of permit Issuance, or if work aufhar�zed by
the permit is suspended.ar abandoned#or;a�period�of six(6)`months.after the time the work i�commenced. An extension �
may be requested;,in��wri#ing, f�om tlie Buildi�g=0fficial for a period not to exseed�ninety(9Q) days and wiA�demoristrate '
justi€fable cause f��the extensian: ,If,wor.k ceases far ninety{90}consecutive days,the jab is cansidered abandoned�.
�__ ,
� WARNING=�TC?�Q1f1INER;.„YOUR.,FAI[,URE;.T�-RECORD:.A..NOTIC� C}F COMMENGEMENT MAY�RESULT !N YDt1R
PAYING TINICE'F4R�IMPROVEMENTS��;:QYO,UR:PROPERTY.;.IF YOU�.INTEND'�TO+OBTAIN��FIMANCING,CONSULT
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Cl�O�ZC��'lyI'�11115
BUILDING PLAN REVZEW CON�'►�ENTS
Contxactar/Homeowner: __L'����/U,f�����.,�1� ; �l t?� ,�,��-'
, /
Date Received: / ��//��
s�t�: �3�/ir� r��/�/�i�s ��i/
�
Permit Type: ��7�'��.� ,�� ���C� �/��? S.
Approved wtno comrnents: Approved wlthe below comments: ❑ Denied wlthe below comments: ❑
;
This comment sheet shall be kept with the permit and/or plans.
,
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' 2�,,"f�-l
Kal ' Swi r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
��..
�
City of Zephyrhills
5335 8th Street
Zephyrhills, Florida 33542
ATTN: BUILDING DEPARTMENT
RE: AUTHORIZATION FOR PERMITTING
� Good Afternoon,
Please be advised that the below individuals are authorized to sign/pick up permits
under my license number CGC1512371:
Kathleen Rice
' Tony Brown
Becky Woodall
DannaJones
Sincerely,
�_- -
John Buczynski
President
16646 Scheer Blvd.
Hudson, FL 34667
(727) 447-5502 office
(727) 857-6909 fax
www.al Ifloridaramiack.com
, johnnybsongs@gmail.com
' .�J ��'1�lAC�1►'
�
�
All Florida Ram Jack� 16646 Scheer Blvd. �Hudson, FL 34667
Toll Free: 1.888.934.9669 (1.888.9-Fix Now) Phone: 727.447.5502 �Fax: 727.857.6909
www.allfloridaramjack.com CGC #1512371 �
, _ , �
DURABLE POWER OF AT'f OItNEY
(�.S.§709 as amended in 2011)
II n '
BY THIS DURABLE POWER OF ATTORNEY,:I,.B�ulsh.A..Rowe;( Principal ) of
Pasco County, Florida, �ppQint as my attorney in.fact to m�nnage my affairs as�indicated below,
Michael C. Rowe. Upon the death, failure or inability of 1Viichael to act�as my attoFney in�act,
then I appoint Carn1 E. McClure to act as donee of this power. Upon the�death,fai�ure or
inability of Carol to acf as my attomey in fact, then I appoint C.onnie L. Baker��o act�as donee of
this power. Upon the death, failure or•inability of Connie to act as my attom�y��in faet,then I
appoint Dana P. Rowe ta act as donee of this power.
By this instrument I hereby revoke any power of attorney, durable or otherwise,that I may
have executed prior to the:date of�this durab.le.power of attorne.y. �
This durable power of attorney is not affected by subsequent incapacity of the principal
except as provided�by F.S. §709,�and shall be,exercisable.frorn the:d�ate of execution.
1. Power to.Convev Real P�roper��tv.
My attorney in fact shall have a11 power without prior court approval to convey, buy, sell,.
lease, loan, trade��or mortgage any�real;propert�.�specifca��lyFincluding.homestead�real p�operty
described as: '
3:7148 Cullens Trail, Zeph.yrhills, Florida 33542
more particularly described as:
Lot 80, S�TEPHEN'S�GLEN AT SILVER OAKS PHASE THREE, according to the=map
. or,plat the�eof, as the same is recorded in Plat Book 32, Pages 54 and 55, of the Public
Records of Pasco County, Florida.
Parcel no. 03-26-21=0180-00000-0800;
AND . ..
38601 Otis Allen Road, Zephyrhills, Florida 33�54_0 �
more particularly described. as:
Lot 4,�THE GROVES, according to the map or plat thereof, as recorded in Plat Book 23,
Page(s) 69, of the Public Records of Pasco County, Florida.
Parcel no. 26-25-21-0050-00000-0040.
2. C��netal C�raat f Pdwer. I
I hereby grant to tny attorn�y in fact authority to e�e�rcise or perfiirm any act, power, duty,
right or obligation whatso�ver that�now have vr may. hereafter �cquire, relating to any person,
matter, tiansaction, or at�,y interest in property owned by me, including, without lunitation, my
interest in all real property, including homestead real prop�rty, all personal property,�gible or
intangible; all properiy held in any ty�e of joint te�ancy, including a t�nancy in common,joint
tenancy with right of survivorslup, or a tenancy by the entirety; all property vver which I hold a
� general, limited, or special power of appointment; choses in action; and all other conixactual or �
. . .. . . .
statutory nghts or elect�ons,�including,but not l�uted to, any nghts or ele�tions in any probate or
similar proceedirigs to which I am or may become entitled; all as to such praperty naw a�vned or
hereaf�er acquired by me.
I grant to my attorney in fact full�power and authority to do everything necessary in
rxercising any of the powers herein granted as fully as I might or could do if personally present,
with full power of substitution or revocation. Except as otherwise limited by applicable law, or
� t erform without rior�
b tlus durable ower of attorne , m attorriey in fact has full authority o p p
Y P Y Y
�ourt approval, every act authorized and specifically enurnerated in this durali�e power of
�ttorney. I hereby ratify and confirm that my attorney in fact sha111awfully have, by virtue of this
3urable poWer of attorney, the powers herein granted, including, but not limited to, the following:
a. Autliority to conduct banking transactions as provided in F'.S. 709.2208(1).
b. Collect all sums of money and other property that may be payable or belongi.ng to
ne, and to execute receipts, releases, cancellations or discharges.
�c. Settle any account %n which I have any interest and to�pay or receive the ba�ance c
hat account as the case may require. ,
d. Borrow money on such terms and with�such securi�ty as my attorney in,fact may
!link fit and to execute all notes, mortgages and other instruments that my attorney in fact finds
ecessary or desirable. �
e. Draw, accept, end�orse or otherwise deal with ariy checks or other commercial o�
iercantile instruments for my benefit, specifically includirig the right to make deposits and
nthdrawals from any bank, savings and loan or credit union accounts.
f. Redeem bonds issued by the United States governnnent or any of its agencies, a=
, ther bonds and any certificates of deposit or other similar assets bel�nging to me.
g. Sell bonds,shares of stocks,warrants,debentures, or other assets belonging to me,
and execute all assignments and uther iasbvments necessa.ry or proper for transferring them to
the purchaser or purchasers, attd give good receipts and discharges for all money payable in
respect to them.
' h. To execute stock powers or similar documents on my behalf and delegate to a
� transfer agent or sunilar person the authority tv register any stocks, bonds, or other securities�
either uito or out of my name or nominee's name.
i. Sell, rent, lease for any term, mortgage or exchange any real estate or interests in
it, including homestead properly, for such considerations and upon such terms and conditions as
my attorney in fact may see fit, and execute, acknowledge and deliver all instruments conveying
or encumbering title to property owned by me alone as well as any owned by me and by any other
person,j ointly. If I am married,the attorney in fact may not mortgage or convey my homestead
property without joinder.of�my spouse or my spouse's legal guardian or attorney in fact.
j. To represent me befor,e the Treasury Department in connection with any matter
involving my federal taxes in which I am a party,to make, sign, execute, verify and file any
return required to be rnade�under.the revenue laws of the United States, or the Internal Revenue
Code; or under the statutes of any state and to file any claim for refund, offer and compromise or
application for a closi�ng agreement, receive refund checks, execute waivers of any period of
limitation, request extensions of time, execute any waiver of restrictions on assessment for
collection of any tax, and execute Petition of Appeal to the United States Tax Court.
k. To col�lect, receive, transfer, liquidate, deposit, in�est or retitle any pension
accounts, pension monies or individual retirement aecounts whether held by my former
employer, bank, brokerage or insurance company or other institutions. '
1. To enter into any safe deposit box leased by the principal or to cancel or renew
any existing lease of any safe deposit box, or to enter into a new lease of safe deposit box on
behalf of the principal. �
m. To hold, s.ell;mortgage, lien, invest or reinvest any assets whether real or personal
property that are registered or located anywhere in the United States'or world.
n. To execute an IRS power of attorney form.
o. To create, continue, operate, liquidate, sell or merge any business entity in which�
may have any ownerslup nghts.
p. To buy, sell or lease a motor vehicle, motor home or vessel and to execute any anc
aIl private and government documents required to buy, sell or lease a motor vehicle, motor hom�
_ nr veccPl
q, To ex�ute an�y doaument on my behalf for the purpose of qualifying for any
public/private benefit; and if when applying for Medicaid benefits, my income exceeds the
income cap,to creat�an irrevocable income trust and to transfer so much of my income to said
trust as wiU enable me to quali�j►for Med�caid benefits.
.
The above owers conferred u on m attorne in fact extend to all of m ri t� title and
P P Y Y Y � �
interest in such property as I have described above�and in which I may have an interest jointly
�vith�n,y other person, whether in an estate by the entirety,joint tenaacy or tenancy in common.
3. Limitations.
' . .
e in
Notwithstandi� the owers conta�r►ed in this durable ower of attome , m attorn
� P P Y Y Y
f�ct may not:
a Perform duties under a contract that requires the exercise of my personal services;
b. Make any affidavit as to my personal knowledge;
' c. �Tote in any public election on my behalf;
d. Execute or revoke any will or codicil, trust agreement or amendment, on my
behalf, eYcept a Medicaid Income Tr�st;
e. Create, amend, modify, or revoke any document or other disposition effective at
' my death or transfer assets to an existing trust created by me unless expressly authorized by this
power of attorney; or
f. Exerci�e powers and authority granted to me as trustee or as court-appointed
fiduciary. '
4. Standard of Care.
Except as otherwise provided herein, any attorney in fact named herein is a fiduciary who I
must observe the standards of care applicable to trustees as described in F.S. §737.302. My
attorney in fact is not Iiable to third parties for any act pursuant to this durable power of attorney
if#he act was authorized at the time. If the exercise of the power is improper, my attorney in fact
is liable to interested persons for damage or loss resulting from a breach of fiduciary duty by my
attomey in fact to the same extent as the trustee of an express trust. If my.attorney in fact has
accepted appointment either expressly in writing or by acting under the power, my attorney in
fact is not excused from liability for failure either to participate in the admitustration of assets '
subject to the power or for failure to attempt to prevent a breach of fiducia�y obligations
'. +t,AMA1�Na.._
, �
� 5. In�Qretation and Governina Law.
This instrument is executed by me in the State of Florida, but it is my intention that this
power of attorney shall be exercisable in any other state or jurisdiction where I may have any
property or interests in properiy. '
This inst�vment is to be construed and interpreted as a durable power of attomey as
provided for in F.S. §709, as this statute may be amended from time to time. The enumeration of
specific powers herein is not intended to, nor does it, limit or restrict the general powers herein
granted to my attorney in fact. Tlus instrument is executed and delivered in the State of Florida,
and the laws of the State of Florida shall govern all questions as to the validity of this power and
the construction of its provisions.
6. Third Partv.Reliance.
a. Any third party may rely upon the authority granted in my durable power of
attorney until the third party has received notice otherwise.
b. Until a third party has received notice of revocation pursuant to the terms
contained herein, partial or complete termination of the durable power of attorney by ,
adjudica�ion of incapacity, suspension by initiation of proceedings to determine incapacity, my
death, or the occurrence of any event referenced in this durable power of attorney, the third party
may act in reliance upon the authority granted in thi5 durable power of attorney.
t at has not received written notice hereunder ma but need not
c. A third h
P�3' . . Y� �
require that my attorney in fact execute an affidavit stating that there has been no revocation, ,
partial or complete termination, or suspension of the durable power of attorney at the time the
power of attorney is exercised.
d. Third parties who act in reliance upon the authority granted to my attorney in fact
hereunder and in accordance with the instructions of the attorney in fact will be held harmless by
me from any loss suffered or liability incurred as a result of actions taken prior to receipt of
written notice of revocation, suspension, notice of a petition to deternune incapacity, partial or
complete termination, or my death, A person who acts in good faith upon any representation,
direction, decision, or �ct of my attorney in fact is not liable to me or to my estate, beneficiaries,
or joint owners for those acts.
e. My attorney in fact is not liable for any acts or decisions made by him or her in
good faith and under the terms of this durable power of attorney.
� �
.
a. A notice, including, but not limited to, a notice of revocation, partial or complete
:rmination, suspension, or otherwise, is not effective until written notice is served upon my
ttorney in fact or any third persons relying upon this durable power of attorney.
b. No�ice rnust be in writing and served on the person or entity ta be bound by such
otice. Service may be in any form of mail that requires a signed receipt or by personal delivery
s provided in the Florida Statutes for service of process, and must otherwise be in accordance
rith F.S. §709.
8. Dama�es and Costs.
In any judicial action regarding this durable power of attorney, including, but not limited
o, the unreasonable refusal of a third party to allow an attorney in fact to act pursuant to the
►ower, and challenges to fihe proper exercise of authority by the attorney in fact, per statute, the
�revailing party is entitled to damages and costs, including reasonable attorney's fees.
9. Valid.i� �
This durable power of attorney shall be non-delegable, except as to the stock powers
�vluch may be delegated to a transfer agent per paragraph 2.h. herein, and shall be valid until such
ime as I shall die, revoke the power, or shall be adjudged totally or partially incompetent by a
:ourt of competent jurisdiction. I may revoke the power only by providing written nodce to my
ittorney in fact. All acts of my attorney in fact taken or done without actual knowledge of 1) my
leath, 2) an adjudication of my incompetency, or 3) my revocation are valid and effective, and
re hereby ratified and confirmed�.
, , � ... -_.- - � . ,, , , ; _. .:_ _ - , -
, . � . � - , '. - ., .- �*�::�.;�',. - •� : ��;;.�� , :,.:.:�`,� ,''- ,._.
�_ .•;. ... -- . � - _ � -• -,. _ �. .:�'�- ..��� =� • t�,;;�.;:�� � _ - - ' . - -
.:.ti."'.�"'�''Y '?` �=A`0'�}�`. ; .i•
.L , �
I hereby confirm all acts of my sttorney in fact pursuant to this power.
Any act that is done under this power betwe�n the revocation of this instrument and
notice of that revocation to my attorney in fact shall be valid unless the person claiming the
benefit of the act had notice of that revvcat�an.
This durable power of attorney is not affected by subsequent incapacity of the principal
except as pmvided by F.S. §709, and is exercisable from the date of executio�.
IN WITNESS WHEREOF, I have set my hand and seal on this l� day
of _ 2016. .
Signed, sealed and delivered � �
in the presence of: ,
� �
�L/'`.0
Beulah A. Rowe
� � .
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Acknowledged, sworn to and subscribed before me, this /�� day of
2016 by Beulah A. Rowe who is personally known to me who did not take an oath.
�
Notary Public
My commission expires: ��t;���;°�� suE wALKER
�,��,'�* MY COMMISSION#FF 160157
EXPIRES:October 30,2018
�'��oF��'+°! Booded Thru Budget Nobry Senices
I
:: ;
;
PAUL E. HAGLER, P.E.
Engineering Consultant
"Civil-Structural- Geotechnical Engineering"
12HO HEATHER RIDGE BLVD FPE 20158 voicE:(727)738-9025
DUNEDIN,F[,oxiDn 34698 E-tvtniL:pehagler@gmail.com Fn�c.(727)738-9505
January 17, 2018
Zephyrhills Building Department
5335 8th St.
Zephyrhills, FL 33542
Re: Foundation Stabilization
Rowe Residence
37148 Cullens Trail
Zephyrhills, FL 33542
Gentlemen:
The following is information regarding the proposed method of stabilization for the above
referenced project. A portion of the foundation and building wall where settlement has occurred
is to be stabilized and lifted. The wall has settled due to soft underlying soils. We have
determined that underpinning for the structure will stabilize the impacted portion of the wall in
the upper soils.
The proposed method of underpinning is the use of helical piles. These are augured into the
underlying soil until their load supporting capacity of approximately 11 tons is achieved. This
stabilizes the effect of poor upper soil strata and discourages further raveling. The top of the
pile connection system allows for adjustment and lifting of the floor to return the floor as nearly
as possible to its original elevation. Pile spacing has been selected on the basis of anticipated
relative soil density and imposed load from the structure.
It is our engineering opinion that the proposed installation will, when complete, provide
stabilization of the impacted portion of the floor in those areas where the underpinning is
performed.
NOTE: All RamJack helical piles have been certified as meeting ICC-ES, AC358, acceptance
criteria for helical pile systems and devices (Mandatory Compliance Date December 1, 2013).
In compliance with Florida statutes 627.707, this report was prepared under the supervision of a
Registered Professional whose field of expertise is Structural and Geo-Technical Engineering.
Sincerely�����`e,�'!Fd�����/�
�� .��'.---�-.�'� �i� I
`�� �;.-��c��s�,� %� ,
. .� �
. �
• ' ; �
_ . .
Paul €�i'agler sr�Te oF ,;��` ��
FPE 2 5 � �
a3 $.'. ,c A,r ? .
%.F`�;�.�oR�o cy�.\��
cc: AI��J r���6a�$��c��LLC
9��i�1���������
M�
{j
INDICATES APPROXIMATE LOCATION PROJECT SUMMARY:
OF HELICAL PILING 1 2 , 3 1. THIS PLAN IS INTENDED TO STABILIZE THE FOUNDATION AND �
6.0' • 8.0' • 8.0 • 5.0' PREVENT PROGRESSNE SEfiLEMENT IN THE SOFf NEAR SURFACE
27�, SOILS. '
0 2. THE PROPOSED MEfHOD OF FOUNDATION REMEDIATION IS THE
� USE OF HELICAL STEEL PIERS AUGURED INTO THE FIRM SOIL
•4 UNTIL A SUPPORTING LOAD OF 11 TO 12 TONS IS ACHIEVED.
3. PIER SPACING HAS BEEN SELECTED ON THE BASIS OF
BUILDING FOUNDATION DISTRESS, APPARENT SOIL SUPPORT
FAILURE AND IMPOSED LOAD FROM THE STRUCTURE.
o NOTE:
� THE CONTRACTOR IS RESPONSIBLE TO LOCATE THE EXISTING
N UTILITIES AND ADJUST THE HELICAL LOCATIONS TO AVOID
DAMAGE TO SAID UTILITIES.
WIND SPEED 140 MPH 3sec GUST
o EXPOSURE "C":
u� IMPORTANCE FACTOR II
�
5.0'
0
�
� 24.°' PROJECT SPECIFICATIONS:
.ON
THIS PROJECT IS BASED ON THE INSTALLATION OF
� 4 EXTERIOR STEEL HELICAL PILES. EACH PILE TO HAVE ONE
10" AND ONE 12" HELIX.
.0' 21.0' Z�
�c! a� THIS PLAN COMPLIES WITH THE STRUCTURAL
� ��o�� REQUIREMENTS OF THE FLORIDA BUILDING CODE,
0 0 � �m� yc 6TH EDITION (2017)
c�n� �
�' _ -0� ��� r
o �.o' o �y� �,� �,
1E.O� N N 1Z.O'`� � E�� ��
o � �
� �, � � �� THIS IS NOT A SINKHOLE REMEDIATION:
• � '$ �-- NO EVIDENCE HAS BEEN FOUND OF ANY
.L 21.0' � �� CURRENT SINKHOLE ACTI�V`���T(���TjH� BEST OF MY
S ITE P LAN � �� .� �,e KNOWLEDGE AND BELI�� . �-��i�, �//�
` ' � ♦� f�'---- ��` �i
SCALE: 1"=12'-0" �'� � � .,,`��` •'y`;''cE�sF ,'Q �i%
� � '� � .
FOUNDATION STABILIZATION PAUL E.�IAGLER, P.E. � : ��o2o�5s •;� ;
ROWE RESIDENCE ENGINEERING CONSULTANT " � ��
37148 CULLENS TRAIL, ZEPHYRHILLS, FLORIDA 33542
"CIVIL — STRUCTURAL r�9 . c�Tp,TE�� ;�dLl`
A LL FLO R I D A R A M J A C K GEOTECHNICAL ENGINEERING" ��•�'.,,, F \aP:���
16646 SCHEER BOULEVARD FPE 20158 i R �
HUDSON, FLORIDA 34667 1280 HEATHER RIDGE BLVD �/��������\\�
STABILIZATION PILE PLAN DUNEDIN, FL 34698 �,,,,�111e111���
Phone: (727) 738-9025 PAUL E HAGLER, FPE 20158
.�
RAM JACK� STEEL PILING AND LIFfI(dG BRACKEf ASSEMBLY TABLE 2 FOUNDATION ANCHOR MECHANICAL STRENGTH RATINGS:
HELIX ANCHOR SHAFT AND EXTENSIONS WITH 2-7 8—INCH TUBING --
� NUMBER 4340
' 1st HELIX ANCHOR DISC1 DIAMETER inches 10
'•"'�•"LL'" HELIX ANCHOR SHAFT LENGTH feet 5
HELIX ANCHOR SHAFT DIAMETER inc es _�
BACK SIDE ALLOWABLE AXIAL COMPRESSION LOAD ounds 12 000
0 o ALLOWABLE AXIAL TENSION LOAD ounds 12 000
PRODUCT NUMBER 4324
Hroanuu�auron ALTERNATE PRODUCT NUMBER 4340+4342
MECli1W�CALLY 1st HELIX ANCHOR DISC1 DIAMETER inches 8
ADIUSI'ABIE
e""°�T`ssa,�v 2nd HELIXANCHOR DISC1 DIAMETER inches 12
HELIX ANCHOR SHAFT LENGTH feet 5
�no�s� HELIX ANCHOR SHAFT DIAMETER inches 2_7 g
o��cxasoox.s•wnu ALLOWABLE AXIAL COMPRESSION LOAD ounds 22 250
ALLOWABLE AXIAL TENSION LOAD ounds 22,250
2.875'NdIsalLeadShah FOLDING FLOOR BRACKET
#4061.78 NOT SHOWN NOTE: INDIVIDUAL PILE SUPPORTING CAPACITIES ARE DEPENDENT
o RFNAINIMCOISTANCE ON THE LOAD BEARING CASPACITY OF THE UNDERLYING
o eEc 's' SUPPORTING STRATA
3xB HELICAL PILE CONFIGURATION
NOTE: THE NUMBER OF HELIX PLATES PER PILE VARIES FROM ONE (1) TO
THREE (3). THE DIAMETER OF THE PLATES RANGES FROM EIGHT (8) TO
��Z� �MIELVE (12) INCHES. THE NUMBER & DIAMETER OF HELIX PLATES IS
an=s �'S� GENERALLY DETERMINED BY IN SITU SOIL DENSIN AND DEPTH TO FIRM
STRATA.
3MA
aIAY'f��� 3.5'
OD�A
2.875'
THIS PLAN COMPLIES WITH THE STRUCTURAL
REQUIREMENTS OF THE F a{bA��[��fI���NG CODE,
6TH EDITION (2017) ������ He4���,.�/��� ',
�� �•. "�a� � � �
FOUNDATION STABILIZATION PAUL E. HAGLER, P.E. � ����' o � �'•.�= �
ROWE RESIDENCE � '=
37148 CULLENS TRAIL, ZEPHYRHILLS, FLORIDA 33542 ENGINEERING CONSULTANT � ; � �_
'�CIVIL — STRUCTURAL � � pF
ALL F LOR I D A R A M JA C K GEOTECHATICAL ENGINEERING°� ="� '. �AS� .���
16646 SCHEER BOULEVARD FPE 20158 '� 1��o��pQ',"��`� `
H U D S O N, F L O R I D A 3 4 6 6 7 1 2 8 0 H E A T H E R R I D G E B L V D � �' L OR,,- � ��
DUNEDIN, FL 34698 /����+` ����\
P I L I N G D E T A I L S Phone: (727) 738-9025 '''��/ '��;;'��``�
PAUL E h7�{�S�L��tl �E 20158
�
. , -� � � I ililll Illll IIIlI11II1IIIII BIIII IIIiI III�I IIIII IIIII IIII Illl
., 2018012324
� ' � .��. x,=„ •','-'�a {,t'�-.�-.,. -�•-r-• ' ' _ h'.Vlsl,���'T.�%�:=` _ ' _J
` "r`'�..J'�^.r�.�.,it:c�:a=i` ��
`�` �xRcpt:1926143 Ftec: 10.00 k'�
� DS: 0.00 I7: 0.00 �' ��`i
PermitNumber 01/23/2018 L. K. , Dpty Clerk �
Key Number �aj '��P"� f—Q( '00�_�� , �. . :}. �
b ;e,
PRULA S 0'NEIL,Ph D FRSCO CLERK & C011P7ROLLER
NOTICE OF CONEMENCEMEN7' � 01/23/2018 12:36 m 1 of 1 '�
OR BK P� �
State of Florida ���� 1��� ..� Y �
r,.
c N o.
.� rS - _..a:^.?t1T_"".-,r..�mee_'�'r67i>aA'+8>:.���.^�Ei'F u. ���
C o u n t y o f�rdd�-�'���.� `. . �.".�....�.."'.....�
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.of the
Florida Statutes,the following information is provided in this NQ ICE OF COMMENCEMENT. ,/�� ,-.
1.Description of property(legal description): �(�1P.11� C)e��� ��i�JCl ��� rr l�� � ' 'v �� ����`� `�
� ;a)Street(job)Address: � ' � � �. � Z "�
�2.General description of improvements: y' `l -
rr�lX1 i �( -
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: �� ' P� �11�T,�� �U D l a��lP.l��T�1� L-GD�U���� � �� ��'�Z
b)Name and address of fee simple ti�holder(if different than Owner listed above)
c)Interest in property: �1y V�l _ _
4.Contractor Information . �`V� �� �1, �r1,, �
a)Name and address: `�1 ��� �'�lY���((' �,�� � ��O�L'�l0 \� �k'��-G((��
b)Telephone No.: ��- L - ) �� Fax No.:(optional)
`1 J�� �
5.Surety(if applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
� c)Amount of Bond: $
6.Lender
a)Name and address:
b)Telephone No.:
7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.:(optional)
8.a.ln addition to himsetf or herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b)Phone Number of Person or entiry designated by Owner:
9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the"date of recording unless a different date is specified). ,20
I WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON
THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENC�NG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
' � �/I�c��� ���c,�� P��-
(Signatur of Owner or Lessee,or Owners or Lessee's(Authorized OfficedDirectodPattnedManager) (Print Name and Provide Signatory's Title/Office)
State of � ni�l C��� County of �l �p
The fore oing instrument was a nowledged before me this ���� day of ,20 ��
�li C,�'1��� ���`-�J a S A.�I�� �
b y (type o authority,. .e.g.officer,trustee,attorney in fact)
for .����"'���., DA NA R na of party on behalf of whom instrument was executed).
Personally Known .�] f�° uD1�•State ot.F�atlda �
•_ : omml�a� � ,t�0�1
Type of ID ;�, _
mm. z�p ro `
�''',�°���,'`�, Bonded tMoaph Natio a��t�t��gn.
� — - �
..a..;:_.1;.:awse.:..:Y�c.�F"a,..;%aa.F�;...�:n.L.xL'`,�.�+[i�4ah�w
� .;;�l6C�:LiC;1<j`�;?S��_:.��sAAi�$iA�1iU�
� �.���'i3rc�. �Y�I..rUi�IS:i CYL�Iiw����� a �l��l� ,
':� rY�S�,. �L'tliWlit2i0U m,Ct'�2�jE'i! II
: ��;` _`' y4!iis►�g.�a��c• ,�,5"a�a C�E!oii4s �
� ��j�`°'�' JVWVfi�J lUNF"u '
,y K..�,�..�.���r I
'� � RAMJACK
Florida Certified General Contractor# CGC1512371
3/6/2018
Zephyrhills Building Department
5344 9th St
Zephyrhills, FL 33542-4312
Attn: Jackie Boggs
Subject: Final Engineering for permit# 19280, Rowe Residence
Dear Jackie,
Please see enclosed final engineering documenting installation of 4 helical piles at '
Rowe Residence, 37148 Cullens Trail, Zephyrhills, FL 33542.
Please accept this documentation for your records and close the permit as work has
been complete on Feb 22, 2018. I can be reached at 727 643 1020. Thank you!
Sincerel ,
.
Kathy Rice
All Florida Ram Jack, LLC
16646 Scheer Blvd
Hudson, FL 34667
CITY OF ZEPHYRHILLS
5335-8TH STREET
' ' (813)780-0020 19280
BUILDING PERMIT
. : -_.._.. -. . _ . , _.__ ..._,,_..: :- :�_.. ... - - - -
- `- --._ -P�RMIT INFORMf!►TI�N� . � <: �LO.CATIO.N=INF.ORMATION
Permit Number: 19280 Address: 37148 CULLENS TRAIL
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: 03-26-21-0180-00000-0800
Improv. Cost: 7,990.00 _ . ; :�r��:::____..-_ -�- . - .--- . .. .. -- . .__._ _
-
,_. ,_ _: ,_ _.
-. .�::.:_:::.:::: -=OWNER�iNF.ORMATIO.N �_
Date Issued: 2/13/2018 Name: ROWE BEULAH
' Totai Fees: 120.00 Address: 37148 CULLENS TRL
Amount Paid: 120.00 ZEPHYRHILLS FL 33542-0661
Date Paid: 2/13/2018 Phone: 614-314-7833
Work Desc: FOUNDATION REPAIR
-_::_ _.......-_- .._ . - -., .__ .. ...--
-.- � ._.
� �- -- .. -
. `�- :_:,:.-_:_�:,:C,ONTRAC:T.OR�S. _ �-.�`..�:. . . ._ ., .. �.,_. ._._.. .._. ,APPLICATION_FEES ` _ �°.::�=....:.:::
ALL FLORIDA RAM JACK LLC BUILDING FEE 120.00
M1 --_ ry . -
_:-.- =. _-:_:. :::. -:-:Ins"e:ctiori5_:Re �uice:d' - � - -- . `
FOOTER 2 D ROUGH PLUMB MISC S TION CEILIN
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 requis��aments 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
! 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 perFormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� � _ ��
, CONTRACTOR SIGNATURE PERMIT OFFI R
PEitMIT EXPIRES YiV 6 N90NYHS WYTIi0U7 APPitO�lED INSPECTION
CALL GOR IR9SPECTIOiV - � ii0@JR NOTICE REQIl�RED
� PROTECT CAARD FROIW �lEA►THER
i
� �����'� �Q�.�O
t , _ ,
+ PAUL E. HAGLER, P.E.
Engineering Consultant
"Civil, Structural& Geotechnical Engineering"
1280 HEATFIER RIDGE BOULEVARD FPE 20158 VOICE:(727�738-9025
DUNEDIN,Ft,oxIDA 34698-5620 E-1vin1L:pehagler@gmail.com Fnx:(727)738-950�
March 5, 2018
Zephyrhills Building Department
5335 8th St.
Zephyrhills, FL 33542
re: Certification of Completion & Lift Record
Rowe Residence
37148 Cullens Trail
' Zephyrhills, FL 33542
Gentlemen:
The engineer whose signature appears below has verified placement of four (4) exterior helical
piles. The piles were placed by All Florida Ram Jack, LLC as located on the permit drawing.
Installation was completed on February 22, 2018. The piles achieved sufficient load bearing
capacity to support the weight of the building and to transfer that weight to the stabile soil mass
below. The placement of piles was based on the location of the foundation distress. This is
NOT a sinkhole remediation. No evidence was found of current or past sinkhole activity.
The method of underpinning by the use of helical piles has demonstrated long term success in
stabilizing structures with similar characteristics without additional settlement.
It is our professional opinion that the distressed portion of the foundation has been stabilized
and that there is no evidence of new or continued settlement activity at this location. No
cosmetic repairs were made by All Florida Ram Jack, LLC.
NOTE: All RamJack helical piles have been certified as meeting ICC-ES, AC358, acceptance
_ criteria for helical pile systems and devices (Compliance Date December 1, 2013)
In compliance with Florida statutes 627.707, this report and the remediation program was
prepare�qM���4���� ervision of a Registered Professional Engineer whose field of expertise
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FPE 2(f�(£�/fl11111����\
Attachment: Foundation Installation Record
cc: Michael Rowe
All Florida Ram Jack, LLC
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t7nd�tpiqninp..HcUcol irssmUaRWn;.Ctiamtca#ard LnmpucHan GreuHng
Bacimd tty a Natfansf Warrsty 7'Mt�
{•BB&�9F7X N01,V.
�oundation Installation Re�ord
Gustomer Name� Rowe.Residence Date.Starte.d: , OZf2212018
Cs�cation:371�48 Cullens Trail, Ze�hyrhills, FL 33542 Qate Gampleted: 02f22I2018
Foundation.I��stallarioii: Brac�et: 4038
Rus�i Pier or Lsngth
-- - - - - - Structure. .. _ —- -- - --
'.i?iet t�o. Heiiz.Descrip..' Leacii i�epth :� in"sta8ing P.SI Leveting -. �g,�,�ement . Remarics;T+Jpe ofi arivec 5k ar
S" t¢�r 12", Ezt. Ff. Reading PS1 2,5WScrew together or boft toge#her
14",18" fShaftf . {inchss}. :
�(: Helix:101.92° g' �:$ 200(3 1600 �1�16'' '. 5K.B
� Fletix1t319.2" rJs �� ����. �6�� �"��'��}' '�3� B
�; Helix.1p/12" �� Z2 2000 1600 S/8" SK.B
� 5 15 2000 .. 1600 5/16"
Helix.'tOt'f2" s _. .
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f:hereby certify:#he(og:of the helicai anchars:is#rue anci cflrrec#and personally abserved all.anchors
insta!led:and.noted.or�the.log,
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