HomeMy WebLinkAbout19-21101 CITY OF ZEPHYRHILLS
' 5335-8TH STREET
(813)780-0020 1101
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21101 Address: 3527 PYRITE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0080-00000-3080
Improv. Cost: 7,400.00 OWNER INFORMATION
Date Issued: 4/18/2019 Name: KARAS, THEODORE & JEANA
Total Fees: 120.00 Address: 10078 RANDOLPH ST
Amount Paid: 120.00 CROWN POINT, IN 46307-9435
Date Paid: 4/18/2019 Phone: 219-765-5729
Work Desc: CONSTRUCT SCRN RM 10 X 14 W/SLAB POURED OVER EXISTING
CONTRACTORS APPLICATION FEES
BAHR'S ALUMINUM INC BUILDING FEE 120.00
(1
I � �
Ins ections Required
FOOTER 2ND ROUGH PLUMB MISC 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 pecifications 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
813-780-0020 City of Zephyrhills Permit Application Fax a 780-0021 ,/ ,[�
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� Building Department (r')� In CCpS1'1tiC17dn'
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Date Received Phone Contact for Permitting
Owners Name i C Owner Phone Number J
Owners Address 2- S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS .3 /� ' LOT#
SUBDIVISION evq f�dt PARCEL ID#
(OBTAINED FROM PROPERTY TAX
WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN =NOTILE)DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK e= FRAME = STEEL = V
DESCRIPTION OF WORK , ) ✓CCee%q CO r `t r 5 9 j
BUILDING SIZE kox i SQ FOOTAGE HEIGHT r---=
ttttttttter �� r � n
=BUILDING $ Pl VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ n !�V
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=MECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION (�
=GAS = OOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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BUILDER / :����CoMPANY
SIGNATURE REGISTERED FEE CURREN I /N
Address License#
ELECTRICIAN COMPANY
SIGNATURE F REGISTERED Y/ N FEE CURREN I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address i License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllll
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&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$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
r_
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"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)
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 CO ENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT D TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT---
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and orn f'rmed) fpre m this
by b I
Who islare personally known to me or hasrhave produced Who is/are ally no to or has eproduce
as identification. as identification. ---
Notary Public Notary Public
Commission No. iss n No.
�C? C tray
Name of Notary typed,printed or stamped Nanle of Notary typed,printed or sta ed
ROBERTHARTWIG
MY COMMISSION#GG039755
EXPIRES:OCT 18,2020
'° 01 Bonded through 1st State Insurance
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
1
Contractor/Homeowner: hum
Date Received: I
Site:
Permit Type: /°X 1 y Sc ree n �o v14, o v, b
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
PO ale C f .L , ���.L.,' �r dA L Lit tt,, k15 p�4,
This comment sheet shall be kept with the permit and/or plans.
c
/ARP
Kalvin rtzer—Plans Examiner Date C1.94tra or 6aKeowner
(Re ed when comments are present)
INSTR#2019063351 OR BK 9890 PG 750 Page 1 of 1
04/16/2019 02:15 PM Rcpt:2046331 Rec: 10.00 DS:0.00 IT:0.00
PauCa S. O'NeiC Ph.D., Pasco County CCerfe&ComptrotCer
Aenrril No. Parcel 10 No [�/T � �vA
NOTICE OF COMMENCEMEN �y
State of County of....
THE UNDERSIGNED hereby gives notice dial Improvement will he made to certain real property,and in accordance with Chapter 713.Florida Statutes,
Ow following information Is provided In this Notice of Commencement;
t. Descsiption of Properly: Parcel Identifica' n No.
Street Address:
2. General Description of improvement 1
3. Owner Information a Lessee into alion if the Lessee contracted for the improvement: /►
Address City r State
Interest In Property.
Nd ..f e..a;—.I.Tar.h„'l.'
•der listed above)
Ad .^.ity,` 'State
4. Contractor.
Jeb�1(141 Is
as 14C city ta'S to
Contractors Telephone J
5. Surety.
Name
Address city State
Amount of Bond: S Telephone No.,
6. Lender:
Name
Address City State
Landers Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Sedan 713.13(1)(a)(7),Florida Statutes:
Name
Address City Stale
Telephone Number of Designated Person:
a. In adman to himself,the ovmer designates of
to receive a copy of the Llenors NOlice as provided In Section 113.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner: _
9. Erapiration date of Notice of CortunenOemenal(the etapbatlan date may not be before the completion or construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penally of perjury.I declare that I have read the foregoing notice at commencement and that the facts stated therein are true to the best
of my krrawtedge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signatw ee,or Owners or Lessee's Authorized
C61cer eMorlPartnedManager
Sign ory's TVOffea
m cl
The foregoing instrument amawledg ,
ed before me Ws day of 204 by f to
as 11�g (type of au ad flee, ea,et array ct)for
(name of whom instrument vas d).
Personally Known[}QR,Produced III tfi of Notary Sign e
Type of Identification Produced Name(Print)
R08ERT MOM
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'4/26/21� Florida Building Code Online
BCIS Home Log In User Registration Hot Topics ! Submit Surcharge Stats&Facts Publications I FBC Staff i SCIS Site Map Links i Search
Honda
'' Product Approval
.USER:Public User
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Product Agoroval Menu>Application Detail
FL# FL7561-114
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived ?l
Product Manufacturer Elite Aluminum Corporation
Address/Phone/Email 4650 Lyons Technology Parkway
Coconut Creek, FL 33073
(954)949-3200
dk@dokimengineering.net
Authorized Signature Do Kim
a dk@dokimengineering.net
Technical Representative Bruce Peacock
Address/Phone/Email 4650 Lyons Technology Parkway
Coconut Creek,FL 33073
(954)949-3200
bpeacock@elitealuminum.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
r Subcategory Products Introduced as a Result of New Technology
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 Do Kim,P.E.
the Evaluation Report
.r
Florida License PE-49497
Quality Assurance Entity QAI Laboratories
Quality Assurance Contract Expiration Date 12/30/2022
Validated By James L. Buckner,P.E. @ CBUCK Engineering
Validation Checklist-Hardcopy Received
' Certificate of Independence FL7561 R4 COI Cert of Indecendence.p�d
Referenced Standard and Year(of Standard)
Equivalence of Product Standards
Certified By
� 6
Sections from the Code
1709.2
hftps://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDgsgJkzX72BeuCecN82vc%2bRBYM6sOHgAjmo%3d 1/2
4/26 Florida Building Code Online
Product Approval Method Method 2 Option B
Date Submitted 08/15/2017
Date Validated 08/16/2017
Date Pending FBC Approval 08/20/2017
Date Approved 10/10/2017
. 15umma of Products... r, ,- x,
FL# Model,NtimBer'or'Name., ' 'Description• ..
7561.1 Aluminum/Aluminum Composite 3"/4"/6"x0.024"x1lb EPS Composite Panel,3"/4"/6"x0.032x1lb
Panels EPS Composite Panel,3"/4"/6"x0.024"x2lb EPS Composite
Panel,3"/4"/6"x0.030"x2lb EPS Composite Panel,
31•
Limits of Use Installation Instructions
Approved for use in HVHZ:Yes FL7561 R4 II 2017 FBC-Elite Aluminum Corp-Install
Approved for use outside HVHZ:Yes Instruct.pdf
,° • , Impact Resistant: No Verified By: Do Kim,P.E. PE 49497
Design Pressure: +80/-80 Created by Independent Third Party:Yes
` Other:In HVHZ,not to be used in structures considered Evaluation Reports
living areas per FBC Section 1616 unless impact protection is FL7561 R4 AE FL 7561 Evaluation Report-2017 FBC.pdf
provided.See installation drawing for nominal allowable design Created by Independent Third Party:Yes
pressures and spans.
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer._C_oRyri ht 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic
mall to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.-Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address If they have
one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal
address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,
please click here.
Product Approval Accepts:
FM
Credit Carol.".
Safe
y
https://www.floddabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQvADgsgJkzX72BeuCecN82vc%2bRBYM6sOHgAjmo%3d 2/2