HomeMy WebLinkAbout18-20116 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20116
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20116 Address: 38721 9TH AVE
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: 11-26-21-0010-08300-0090
Improv. Cost: 872.00 OWNER INFORMATION
Date Issued: 8/23/2018 Name: GAMBOCORTO DANIEL & GAMBOCORT0 ,1
Total Fees: 97.50 Address: 38721 9TH AVE
Amount Paid: 97.50 ZEPHYRHILLS FL 33542-4103
Date Paid: 8/23/2018 Phone: 315-491-6095
Work Desc: REPLACE GARAGE DOOR 12 X6.6
CONTRACTORS APPLICATION FEES
PARKER DOORS BUILDING FEE 67.50
CONTRACTOR CERTIFICATE 30.00
r
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.
O 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
513-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
Building Department
Date Received �/� v / G (
7 1� Phone Contact for Permitting V7 - 3�s A
1 1 1 1 1 1 1 1 . . . . . . 111111111 1 1 1 1 1
Owners Name Owner Phone Number 1315-149 -
Owners Address 6 6{� �1Lr / Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address(� `t
V JOB ADDRESS f , t S LOT
SUBDIVISION PARCEL ID# f I" - Q d
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME yy= STEEL Q l l� y
DESCRIPTION OF WORK LI G 1 5 1 X I O W W 6 ^'
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ zo VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION X
o'=GAS = ROOFING 0 SPECIALTY = OTHER UV��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ES
42
BUILDER Q �, COMPANY A r t' 8
o r-
SIGNATURE REGISTERED Y/ N FEE CURRREEK Y/N
Address License# L9
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N En Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURR8%
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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,Stornwater Plans w/Silt 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 Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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$2500,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(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Faz813780-0021
Building Department
Date Received 7120 x
Phone Contact for Permitting
1 1 1 1 1, 1 1 1 1 1 1 1 1
Owners Name t� p bamid_ G (r Owner Phone Number -
Owners Address R r Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple TitleholderAddressn t,
JOB ADDRESS ( v� p 5 LOT#
SUBDIVISION PARCEL ID# I Q 10 "
(OEMAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ® NEW CONSTR 8 ADD/ALT = SIGN _ = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME yt= STEEL Q
DESCRIPTION OF WORK G1 1 5 1 c '1 X,C4. Gi A- K e, w`�ZO fj4 DOD(
BUILDING SIZE SQ FOOTAGEF-47 HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING = SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ES f 1!^
BUILDER A OMPANY r Y no
SIGNATURE �L i' REGISTERED Y/N FEE CURREN I Y!N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N Y/N
Address . License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
i
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREA I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address
License#
111111111111111111111111IIIIIIIIIIIIIIIIIItllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0.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 subdivisions/iarge 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,Stornwater 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. 1
—PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,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 WaterlSewer 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 1 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 OFCO19MENCEMENT..
FLORIDA JURAT(F.S.117.03
OWNER OR AGENT CONTRACTOR
ubscribed and svm t r rr��d� efore me this Subscnped a d swo o(or aled fo me this
Who is/are per.oo y�cuow ate me or hasihave produced Who is/are persa crown to me or ias/have produced
as identification. as identification.
AIAL
Notary Public Notary Public
Commission No. Commission No.
2ST#gfrfl`ootary typed,printed or stamped Name of Notary typed,printed or stamped
ALLAN DORMAN
MY COMMISSION#FF 145849 1�aY a� ALLAN DORMAN
* EXPIRES:October 10,2018 a°'.... c
Bonded Thrt Bodxt Notary Services � * MY COMMISSION#FF 145849
EXPIRES:October 10,2018
...l Bonded Thru Budget Notary Services
_WSJ o
�� IilOf11UR
O
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: ��i20Ag-
Site: 9/A Ale
Permit Type: - /"
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvin Sw' w—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Florida Building Code Online Page 1 of 6
41
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;Y a t/•''k'^ Yp'"- Pro duct Approval
USER:Public User
Prog.1 AI:n1nV<P..1 Me—>Prodlm nr Aoelication Seardl>Anntication list>AppBCatiOn Deign
FL a FL15279-RS
.``. Application Type Revision_. 1
Code Version
Application Status Approved y`y _w
t
Comments reapply 11/28/17
Archived
i
Product Manufacturer Clopay Building Products Company
Address/Phone/Email 8585 Duke Blvd.
Mason,OH 45040
(513)770-6062
mwesterfieid@dopay.com
Authorized Signature Scott Hamilton
shamilton@clopay.com
Technical Representative
address/Phone/Email
I
Quality Assurance Representative
Address/Phone/Email I
Category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
Compliance Method Certification Mark or Usting
Certification Agency Intertek Testing Services NA,Inc. i
Validated By Gary Pfuehler
Validation Checklist-Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
ANSI/DASMA 115 2005
ASTM E1886 REVIEW DATE 7-002
ASTM E1996 CIT�OF ZEPP-I — f
A>-fM E330 PLAN EMMINE
Equivalence of Product Standards Certified By Florida uc/i r�edRf tonal Engineer or Architect
F8C-(JASI•iA i0$=_ntriv.ndf
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Product Approval Method Method 1 Option A
1
Date Submitted 08/10/2017
Date Validated 11/29/2017
Date Pending FBC Approval
Date Approved 12/05/2017
Summary of Products
Go to Page = z'h 0 C0 Page 7/8 6 0
httn.-q'//Www.florid.gbiiiliitna nrrr/»r/nr a— A+I .,..,...�..
Florida Building Code Online Page 3 of 6
55S,4RST,6RST,4RSF,6RSF,211ST,
GD5S,GD5SV,GRSS,GR5SV,ARSS,
AR55V,ED55,EDSSV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:No L15279 RS C CAC Letter:aih oroof of contract and or tof of
Approved for use outside HVHZ.,Yes ln.sDection.od
Impact Resistant:Yes �L15279 R5.0 CAC W4 Listing inte-tek.pdf
Design Pressure:+2S PSF/-32 PSF Quality Assurance Contract Expiration Date
Other:Solid doors(no glazing)or doors with optional Impact- 05/21/2028
resistant glazing are impact-resistant(large missile impact). Installation Instructions
FLIS279 R5_11.300159-A-P.ev!6.De,
Verified By:Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party:
127.W+-161EAN-21`153:73,1500,75, Steel Pan(min.25 ga.)Double-Car(92"to 16'0"wide)
190844�,9%42,48,55,4RST,6RST, WINDCODE0 W4 Garage Door
4RSF;dii§r,GD5S,GOSSV,GRSS,
GRSSV,ARSS,ARSSVEDSS,EDSSV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ-No _&1.5279 R5 C CAC Letter�4ith groof of contract and nroaf-_1
Approved for use outside HVHZ:Yes
T'7 Impact Reslsfin�.:Yes k"M FLIS279 TZ5 C CAC �,%14 Listing Intertak.odf
Design Presdu&i-+24+SF/=2 Quality.Assurance Contract Expiration Date
Other.Solid doors(no glazing)or doors with optional Impact- 05/21/202.8
resistant glazing are impact-resistant(large missile impact). Installation Instructions
FL15279 R5 11 101711-A-Re,!15.pW
Verified By:Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports
Created by Independent Third Party*
15279.128 128 W4-18 PAN-21`153:73,1500,75, Steel Pan(min.25 ga.)162"to 18W wide WINDCODEO W4
190,84A,94,42,48,55,42B,488, Garage Door
55S,411ST,6RST,4RSF,6RSF,GOSS,
GD5SV,GRSS,GR5SV,ARMS,ARSSV,
ED5S,ED5SV
Limits of Use Certification Agency Certificate
Approved for use in HVHZ,No FL15279 R"S C C.AC Leiter With Woof of contract and oroof of
Approved for use outside HVHZ:Yes
Impact Resistant:Yes z'5279 P.5 C.'_L. 1%(4 Listino Intertek.od
Design Pressure:+2S PSF/-25 PSF Quality Assurance Contract!Axpiration Date
Other:Solid doors(no glazing)or doors with optional Impact- 05/21/2028
resistant glazing are impact-resistant(large missile Impact). Installation Instructions
FL15279 R5 11 101312-A-Re04.od
Verified By:Intertek Testing Services NA,Inc.
Created by Independent ThIrdiParty:
Evaluation Reports
Created by Independent Third Warty:
15279.129 129 W4-09 DSIE-11F471:GD2SP, Gallery/Artistry/Expressions.24 Double-skin Insulated EPS(exterior
GR2SP,GD2LP,GR2LP,AR2SP,AMP, skin 27 ga.min.;interior skin 27 ga.min.)Single-Car(up to 9'0"
ED2SP,ED2LP,4302,HDGC,6202, wide)WINDCODE&W4 Garage Door
SFC68,MFC68
Limits of Use Certification Agency Certificate
Approved for use in HVHZ-No FLi,5279 925 C C--NC Letter with ornor of contract and r..00f at
Approved for use outside HVHZ:Yes
Impact Resistant:Yes _FLI5279 R5 C CAC %114 Li_stinr Tntf,-jtgL_p_d_f
Design Pressure:+28 PSF/-29 PSF Quality Assurance Contract Expiration Date
Other,Solid doors(no glazing)are impact-resistant(large missile 05121/2028
Impact). Installation Instructions
FL15279 R5 11 103969-A-Rev'02.odf
Verified By:Intertek Testing Services NA,Inc.
Created by independent Third Party:
Evaluation Reports
Created by Independent Third Party:
15279.130 130 W4-09 PAN-2F441:G4S,GS4,G4L, Gallery/Artistry/Expressions:Steel Pan(min.24 ga.)Single-Car(up
GL4,GD4S,GD4L,GR4S,GR4L,G4SV, to 9'0'Wide)WINDCODE@ W4 Garage Door
GS4V,G4LV,GL4V,GD4SV,GD4LV,
GR4SV,GR4LV,E45,e4L,ED4S,ED41.,
E4SV,E41.V,ED4SV,ED4LV,SS4,SL4,
AMS,AR4L,SS4V,SL4V,AR4SV,
AR4LV
Limits of Use Certification Agency Certificite
Approved for use in HVHZ:No FLIS279 R5 C CAC Lettervifth oroof of contract and Proof of
Approved for use outside HVHZ:Yes M_s�c�L;Qn�_ d f i
Impact Resistant*Yes rLI5279 RS C CAC 1,'-14 Listin,n Intertek.pdf
Design Pressure:+25 PSF/-32 PSF Quality Assurance Contract Expiration Date
Other.,Solid doors(no glazing)are impact-resistant(large missile 05/21/2028
impact). Installation Instructions
FL15279 R5 11 103486-A-Rev0B.nd
Verified By:Intertek Testing Services NA,Inc.
Created by Independent Third Party:
Evaluation Reports I
Created by Independent Third Party:
115279.131
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