HomeMy WebLinkAbout19-21302 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21302
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21302 Address: 5239 10TH ST HISTORIC
Permit Type: ADDITION/ALTERATION IZEPHYRHILLS, 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: 11-26-21-0010-18200-0010
Improv. Cost: 1,000.00 OWNER INFORMATION
Date Issued: 6/13/2019 Name: HARM, MARTIN & LESI
Total Fees: 67.50 Address: 5239 10TH ST -HISTORIC
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/13/2019 Phone: 813-784-0844
Work Desc: REMOVE DOUBLE WINDOW REPLACE W/FRENCH DOOR
CONTRACTORS APPLICATION FEES
KERNS FAMILY CONSTRUCTION CO BUILDING FEE 67.50
Ins ections Required
FOOTER 2ND ROUGH PLUMB M119C INSULATION EIL N
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 ns,S ecifications 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.
OR 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-813-780-0021
Building Department
Date Received Phone Contact for Permitting --
Owner's Name 7 AwvA Owner Phone Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS +'aryju o V LOT#
SUBDIVISION PARCEL ID# ( - - V 0( D 7-0 V — UO 10
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR ADD/ALT SIGN 0 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK FF/RA(�M{{E�� ^(a ��S STEEL �y��
DESCRIPTION OF WORK QVt c6v� pif o1") w ms4f b.Q avyi k o/ a r k.u-,
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ t 000 ,do VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING $ # P ON
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Q51 a31 l�
GAS ROOFING Q SPECIALTY 0 OTHER 1
FINISHED FLOOR EL IONS FLOOD ZONE AREA DYES NO
BUILDER /�� COMPANY S CAM
SIGNATURE GISTERED K Yy N FEE CUR I,
Address License# arCCU
ELECTRICI COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN 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 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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 Attomey(for.the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING _t- ;;(copy of'contract,reguired)
Reroofs if shingles .,Sewers Service Upgrades_A/G�., ':':Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on.put.ic'roadways:.needs;ROW
NOTICE OF DEED RESTRICTIONS: The undersic ned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulati ns. The undersigned assumes responsibility for compliance.with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRAd TOR 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 contract r are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pas ,o County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a co tractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this applicatior 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 ND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Rec very 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 unders ands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transporta ion 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 issua ce in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florid Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided Nith a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departm mt 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 hat all the information in this application is accurate and that all work
will be done in compliance with all applicable laws egulating 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 regul tions, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of othe 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 Managem nt District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Doc s, 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.
understand that the following restrictions apply to thie use of fill:
- Use of fill is not allowed in Flood Zone° " 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 FlooJ 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 iss ed under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engin�Iered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in ood faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I u derstand 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 roceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor hall 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 comm nced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period o six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Offi ial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases fo ninety(90)cons�tiv- s, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RE ORD AN TICE OF C MENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR QRO IRTY. IF YO TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE R CORDING Y NOTICE OF COMMENCEMENT.
FLORIDA-JURAT(F:S. 117.03) I
OWNER OR AGENT CONTRAC
Subscribed and sworn to(or affirmed)before me this Subscrib a d s orn to(or a efore me this
by
Who is/are personally known to me or has/have produced Who' /ar rsonall known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Com ' ion
E BOGES
Name of Notary typed,printed or stamped Name of Notary �G 2
December 12,20 7019
�','� „R�`'•• BondedTlwTrolF�ntnsuronc� _.
_anion
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: aX�LtA-Pn
Date Received: Z 3
Site: �� �I s 1!
Permit Type: �ticG1 �� �11dw K�Q lace
T
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.
NO 2 8 2019
Kalvin S it r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
The Home Depot Special Order Quote
Customer Agreement#: H0247-174861
Printed Date:4/3/2019
eo
Customer: CONSTRUCTION KERNS Store: 0247
Pre-Savings Total: $1,671.68
FAMILY
Associate: KIRK Total Savings: ($250.68)
Address: 11927 PASCO TRAILS BLVD
BROOKSVILLE,FL 34610 Address: 30144 US HWY 19 N Pre-Tax Price: $1,421.00
Phone 1: 813-294-5158
CLEARWATER,FL 33761 Price Valid Through:Phone: 727-784-3800 4/10/2019
Phone 2: 813-294-5158
Email: TKERNS@KERNSCONSTRU
CTION.COM
All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products.
Call Width=48"
1
. Call Height=80"
MASONITE. Mill Width=47.25
PATIO DOORS Height=78.25
Catalog Version 71
100-1 Right Hand Outswing 47.25 x 78.25 Smooth Fiberglass $1,671.68 $1,421.00 1 ($250.68) $1,421.00
Unfinished
Begin Line 200 Description
Line 100-1—
Masonite Smooth Double Prehung 47.25 x 78.25 Glass Style=Centennial 10 Sill Finish=Antique Black
Call Width=48" Low-E=Hard Coat Is this unit Energy Star Certified?=No
Call Height=80" Exterior Door Finish=Unfinished Florida Product Approval Number=22363.4
Width=47.25 Jamb Width=4 9/16" _ Design Pressure=+4%40
Height=78.25 Frame Type=Primed Wood Is this a Re-Order?=No
Product Type=French Jamb Color=Unfinished Room Location
Door Handing=Right Hand Outswing Brickmould=No SKU=827584
Nominal Door Width=24" Handleset Style=None Estimated Lead Time=24 days
Nominal Door Height=80" Lock Preparation=51/2"Double Bore Vendor Name=S/O MASONITE DORFAB E
Material=Smooth Fiberglass Lock Prep Inactive Door=No Bore Vendor Number=60028777
Glazing Style=Standard Glazed Astragal=High Performance Customer Service=1-877-431-3667
Product Line=Designer Series Hinge Type=Standard Catalog Version Date=02/18/2019
Door Style=Full Lite Fin H��ALL WORD 5hA1 .00 WITH INto
CODES FtORIDA BUILDING ,End Line 100 Description
NATIONAL ELECTRIC CODE, Ps.
AND THE CITY OF ZEPkIYRMILLS � IG�'� :NAY;"2 8 2019
ORDINANCES CITY OF ZEPHYRHILL
PLANS EXAMINER
2 C
Page 1 of 1 Date Printed:4/3/2019 5:06 PM