HomeMy WebLinkAbout18-20017 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20017
BUILDING PERMIT
PERMIT INFORMATION' LOCATION INFORMATION
Permit Number: 20017 Address: 37347 DERBYSHIRE 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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-000000-092
Improv. Cost: 2,500.00 OWNER INFORMATION
Date Issued: 7/26/2018 Name: MITCHELL JOSEPH ETHAN & RAELYN S
Total Fees: 82.50 Address: 37347 DERBYSHIRE DR
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 7/26/2018 Phone: 828-552-0226
Work Desc: INSTALL 2 WINDOW
CONTRACTORS APPLICATION FEES
HOMEOWNER BUILDING FEE 82.50
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Ins ections Required
FOOTER 2ND ROUGH PLUMB MSC 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ONTRACTOR SIGNATURE 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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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: f�� l /
Date Received:
Site: 373547
Permit Type: 2— Awt>i� ` T
Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑
I
This comment sheet shall be kept with the permit and/or plans.
Kalvin Sivitze Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Z_` Phone Contact for Permitting —
Owner's Name Joseph E. Mitchell Owner Phone Number 828 52-0226
Owner's Address 1 37347 Derbyshire Drive, Z'hills Owner Phone Number
Fee Simple Titleholder Name I Joseph Ethan Mitchell Owner Phone Number
1'
Fee Simple Titleholder Address 37347 Derbyshire Drive, Zephyrhills, FL 33542
JOB ADDRESS 37347 Derbyshire Drive, Zephyrhills, FL 33542 LOT# 92
SUBDIVISION Wedgewood Manor PARCELID# 10-26-21-0120-00000-0920
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED MM mmmmmi ADD/ALT = SIGN = = DEMOLISH
Rx INSTALL REPAIR
PROPOSED USE Q SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK Install 2 replacement windows in Den (room QSE corner of house)
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $2, 500 .00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
3 �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ]
=GAS = ROOFING 0 SPECIALTY = OTHER l
FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO
.
BUILDER X� ! COMPANY (Owner)
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address 3 y 4r r �``�'� 1J r, License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREK
Address License#
OTHER COMPANY
SIGNATURE REGISTERED LY/ N FEE CURREN
Address License#
111111111111111111111111..1111111111111111111111111111111111111111111
RESIDENTIAL Attach(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/Slit 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 submittal date. Required onsite,Construction 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 Plans.
" PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . . . . . . . . . . . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2600,a Notice of Commencement Is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOtICE'OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a certificate of occupancy or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided ;with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained'a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in-compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of•a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone W" unless expressly permitted.
- 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 permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. 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 extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
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.
---FLORIDA JURAT-(F.S-11 7._03
OWNER OR AGENT ! g-C *4 CONTRACTOR ( *kb
Subscribe and swprn o(or affirmed)befo4e rr�e this Subscribed and swo to(or affirmed)before,me this
1�byJ�+s P.n I, F7: tN1��c L.r�11 '742--lb by ��ta.n I, ybr o,Ic 1...r 1 I
Who is/Are personally k own to me or has/have produced Who i are persona ly known to me or has/have produced
F`, xs 4� OW Itsf as identification. >"-L� L��e�►s-e, as identification.
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i & � Notary PublicC�25�..LL Notary Public
Comm s Ion N Commi PNo.
Name of Name of No ry, p c{,pri )PIR EDWES
Y JACQUELIN •S
Commission#FF 150422
;: Commission#FF 150422 =.;
-` Expires December 12,2013 �. Expires December 12,2018
± e: q + e`. Fein Insurance 900395.7079
Bonded Thm Troy Fain lneuranee 00D•385dD19 �) ••'�P� Banded TMu Troy
Document Title: Doc No: FRM BI-02
�. Structural Performance Rev No: 6 Page: 1 oe 1
KF,YSTONE. Certification
CLRTIYICATION�.INC.
Authorization Report
Required By: PRO B1-03
CAR & Product ID Number: 190 - 1041
Issue Date: 01/07/2015
Revision Date: 01/07/2015
Expiration Date: 12/11/2018
Licensee Code: 190
This Certification Authorization Report(CAR)is issued by Keystone Certifications, Inc. (KCI)after full validation review
of the product specification documents for the product named below. This report is only valid when signed by an
officer of KCI, and indicates the product as manufactured by the company named below has been tested and meets
the requirements of the referenced standard and is eligible for the application of Keystone Certification Program
certification labels. The licensee stipulates in affixing certification labels to products, that those products are
representative of the specimen evaluated and documented for certification authorization.Only products bearing such a
certification label shall be considered certified. The information in this report can be verified at
www.keystonecerts.com.
Licensee Information: Product Information:
PGT Industries Model Name: HR5410 PVC Horizontal Slider XO
1070 Technology Dr. Operator Type: HS
PO Box 1529 Configuration: EM/AII
Nokomis, FL 34274
Max.Width: 75
Max. Height: 72
Referenced Standard: Product Rating:
AAMA/WDMA/CSA 101/I.S.2/A440-11 Class LC-PG65 1905x1829(75x72)-Type HS Neg DP=7
Qualifying Test Information:
Test Report No: FTL-802418026
Test Report Expiration: 12/11/2018
Authorized Signature: Keystone Certifications, Inc.
564 Old York Road, Suite 5
Etters, Pennsylvania 17319
Phone: 717-932-8500
Fax:717-932-8501
ALL
CODWOR���I,�LI COMPLY
NATION FL6RIDA BUILDING WITH PR
��ELECTRIC CODE CODE, OF BATE AND THE ZEPHYR ' P ZEPHYR
®RDfiES HILLS LAN EXA111�11IVER $
wavw.keystonece
Last Modified Date:07/12/2018 10:13:31
PO#:Joe Mitchell
BAHRS Job Name:
Job Address:
Quote# 5314913
AluminLIM & Construction
Ship Date:
Customer Copy Sales Person:Marty Monbarren
Line# Item Description Quantity Line Pricing
0001 HR5410 VINYL HORIZONTAL ROLLER 5410 Ordered: Sell Price Ext Price
(1.00) 2.00 $590.06 $1,180.12
Certification Type:AAMAA440 Frame Type:.625FLANGE
Unit Configuration:XO Vent Configuration:EQUAL
Size Selection:CUSTOM Size Ref:ACTUAL
Width:72.0000 Height:60.0000
a Actual Size:72 X 60 Rough Masonry Opening:73 3/4 X 61
MEN Wood Frame Opening:72 1/4 X 60 1/4 Egress Opening:31 1/16 X 55 1/16 SQFT 11.864
� Frame Color:W -White Glass Family:IG -Insulating
1.--- Glass Type:1/8"-1/8" Glass Makeup:IGA208A2
Glass:3/4"IG(1/8 AN-1/2 AIR-1/8 AN) Does unit need to meet Turtle Code:NO
Glass Color:G2 -GRAYLITE II Low E:ENERGY SHIELD
Argon Gas:NONE Privacy Glass:NONE--NONE
Grid Type:GBGF0563 -9/16"Flat GridBETWEEN Grid Color:W
Grid Style:STD Grid Location:CMPASSY
Grid Summary:LEFT 3A4D LITES(2V3H BARS) Grid Summary:RIGHT 3A41D LITES(2V3H BARS)
Reinf.Upgrade:NONE -None Screen Type:1816K -1816 Charcoal
Screen Frame Type:ROLLFORM Vent Latch:N
Window Opening Control Device:N Lock Type:SWEEP -Sweep Latch
Upgrade Hardware Finish:N Boxing Options:N -None
Acc Glass Breakage:N Decralite:N
CAR#:190-1042 TC1:Meets the requirements
TC3:ordinance for TC4:marine turtle protection
PositiveDesig n Pressure:50.0000 NegativeDesignPressure:50.0000
PANumber:FL 1844 EnergyStar:1.0000
Condensation Resistance:57.0000 UF:0.3300
SolarHeatGainCoeff:0.1400 VT:0.1300
VTCOG:0.1900
Location: Notes:
TOTAL SALE AMT: $1,180.12
TOTAL CUSTOMER $82.61
TAX:
$1,262.73
NET SALE AMOUNT: