HomeMy WebLinkAbout18-20180 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20180
BUILDING PERMIT
PERMIT INFORMATION LOCATION,INFORMATION
Permit Number: 20180 Address: 39017 SOUTH 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: SUMMERHILL
Est. Value: Parcel Number: 12-26-21-0100-00000-0060
Improv. Cost: 2,317.00 OWNER INFORMATION
Date Issued: 8/29/2018 Name: CAMACHO GEORGINA
Total Fees: 82.50 Address: 39017 SOUTH AVE
Amount Paid: 82.50 ZEPHYRHILLS FL 33542
Date Paid: 8/29/2018 Phone:1 813-702-2900
Work Desc: REPLACE GARAGE DOOR 16 X 7
CONTRACTORS APPLICATION FEES
PRECISION DOOR SERVICE BUILDING FEE 82.50
C ;
V
Ins ections Required
FOOTER 2 D ROUGH PLUMB MI SC 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)Wlth 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.
CONTRXETOR SIGNATURE PERMIT OFFItYR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Florida Building Code Online Page 1 of 3
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Product Aooroval Menu>Product or Application Search>Application List>Application Detail
FL# FL13521-RS
Application Type Revision
Code Version 2017
Application Status Approved
Comments P? � �4t�
Archived ❑ r(jw4�
®PY S I®�gt1140� 0 W
EL CI
Product Manufacturer Amarr Garage Door R
�40
Address/Phone/Email 165 Carriage Court® � ELIFC C C®®A,
Winston-Salem, rt '®o "t C F ZF_PVvi&4l-5
rober 25 hardso j PF-5
robert.richardson@e
Authorized Signature Robert Richardson
robert.richardson@entrematic.com
Technical Representative Robert Richardson
®F�
Address/Phone/Email 165 Carriage Court c1� p a���L
Winston-Salem;NC 27105
(336)251-1307 P�Y -S
robert.richa rdson @entrematic.eom
Quality Assurance Representative Danny Joyner
Address/Phone/Email Amarr Garage Doors
165 Carriage Court
Winston-Salem,NC 27105
djoyner@amarr.com
Category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
❑ Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Thomas L.Shelmerdine
the Evaluation Report
Florida License PE-0048579
Quality Assurance Entity Intertek Testing Services NA,Inc.-QA Entity
Quality Assurance Contract Expiration Date 01/01/2027
Validated By Steven M.Urich,PE
P
C/1 Validation Checklist-Hardcopy Received
Certificate of Independence FL13521 R5 COI Statement of Independence 2017 odf
Referenced Standard and Year(of Standard) Standard Year
ASTM E1996 2009
ASTM E330 2002
DASMA 108 2012
DASMA 115 2012
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL13521 R5 Epuiv DASMA 108 and 115 2005 vs 2012 odf
sf�7saoo2q j8/a �! City of Zephyrhills Permit Application Fax 813-780-002i
Building Department*
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Data Received Phone Contact
tforPermittina ( F
. . . . . . . . . . . . . . . . . . a I I I I I - . . .
Owners Name CAO Owner Phone Number ifs—70
Owner's Address 14,0/7 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1 .19017 5o07%14
vi ve. LOT#
SUBDIVISION lm-aer me-,oe& 0/00—,&000140—toot,6
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED F--1 NEW-CONSTR--T ADDIALT F---1 SIGN F--1 DEMOLISH
E-1 NSTALL REPAIR
PROPOSED USE E.4--�SFR Q COMM OTHER I
TYPE OF CONSTRUCTION = BLOCK FRAME STEEL = I
DESCRIPTION OF WORK brle*10 ' .4e Act 7,;V�11--rAl-5—
BUILDINGSIZE SQFOOTAGE HEIGHT
-r-1 I Z r-r-1 I r rrrn-7-1 I I I . I . . .
. . . . . . . . . . I I I I F A I I A . . I
=BUILDING 1' 231-7 — I VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 WR,E.C.
=PLUMBING $
=MECHANICAL i$ VALUATION OF MECHANICAL INSTALLATION 60
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BUILDER OMPANY
SIGNATURE J7Z.2
REGISTERED I Y/N I rEECURREN Ly 9� j II LN_J
Address 1APw License V1X -
111
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEEcuRREA L_Y.LN J
Address License#F—
PLUMBER COMPANY r
SIGNATURE! REGISTERED YIN FEE cuRREr, L_YI_N J
Address License#F-
MECHANICAL COMPANY F
SIGNATURE REGISTERED YIN FEEcuRREt, L_yl N J
Address 77771 Icense#
OTHER COMPANY [
SIGNATURE REGISTERED I YIN FEE CURREN
Address License#F—
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/Silt Fence Installed,
Sanitary Facilities&I durnpister,Site Work Permit for subdivislonsfiarge 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&I dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW construcrion.
.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I,ClIont
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 ofAttomey(for the owner)would be someone with notarized letter from owner authorizing same
OVERTHE COUNTER PERMITTING (copy of contract required)
Reroofs If shingles Sewers Service Upgrades Aid 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
90-07i 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$2,600.00 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:
- i 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 8, 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"V"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)
i 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.117.03)
OWNER'O EN CONTRACTOR
Su�bscri/bed�n swom t r of finned efore me this SAkbscribed IN swom to(or rrned befor a this
by . !/�G� 4 ,
Who is/are onally kno to me or has/have produced Who is/are y known o me or has/have produced
as Identi lion. as identification.
Notary Public ary Public
Commission No. Commission No.
vPU$ PHILREYES
Name of Ndt printftp l8a p8 Name of Notary typed,pdrI Ktuv. ed
w Expires August 10,2022 * * Commission#GO 246621
OFF v°Q� s,^d,dTnru Budget NOt+n N, c� Expires August10,2022
9�OFF<•eP\ BondedThru Budget NotWSWIM
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �/�GC�S t OA—/�O0/ ��fl//C63
Date Received:
Site: �39 Of 7 x n Ifif h lqV'ei
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.
Gene B cer Date Contractor and/or Homeowner
(' (Required when comments are present)
�6 � , cam` , 4-?1v