HomeMy WebLinkAbout19-20796 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20796
BUILDING PERMIT
.PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20796 Address: 6907 DAIRY RD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: . Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 02-26-21-0010-01000-0000
Improv. Cost: 12,535.00 OWNER INFORMATION
Date Issued: 2/11/2019 Name: CITY OF ZEPHYRHILLS
Total Fees: ��ll Address: 6907 DAIRY RD
Amount Paid: U ZEPHYRHILLS, FL. 33542
Date Paid: Phone:
Work Desc: INSTALL HURRICAN SHUTTERS- FEE WAIVED
CONTRACTORS APPLICATION FEES
WEST SHORE CONSTRUCTION BUILDING FEE 0.00
7
o/
Ins ections R uired
FOOTER 2 D ROUGH PLUMB 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.
CON URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/T1 L ECO INC.
TILLIT TESTING & ENGINEERING COMPANY
WALTER A.TILLIT,JR.,P.E. tilWco@aolNo..com
FL 44167
PRODUCT E!`'�p A UATION REPORT FL E.B.Li eE. 'nseNo.0006719
REPORT NO.: 11-1205.06
ZEWEWDAT
DATE: December 5,2Q11 CITY 0yrzEP t� qr '
IyUILDIN OFF10 f,
PRODUCT CATEGORY: Hurricane Shutters - _...
PRODUCT SUS CATEGORY: Bahama Shutters
PRODUCT NAME: ASSA/Bertha HV Bahama Shutter
SUBMITTED BY: A.S.S.A./American Shutter Systems Association,Inc.
4268 Westroads Drive
West Palm Beach,Florida 33407
L:PURPOSE OF EVALUATION:
This is a Product Evaluation Report issued by Walter A. Tillit, Jr., P E. (System ID #
1906) to the American Shutter Systems Association, Inc. (A.S.S.A.), based on Rule
Chapter No. 9B-72.070,Method 1 d of the State of Florida Product Approval,Department
of Community Affairs-Florida Building Commission.
This product is being issued an Evaluation Report as described herein, and has been
verified for compliance in accordance with the 2010 edition of the Florida Building Code,
and to verify that the product is for the purpose intended at least equivalent to that
required-by the Code. '
This Product Evaluation Report shall be subject to review and revision in case of a
Building Code Change that may affect its limitations and conditions.
2. EVIDENCE SUBMITTED:
21.PRODUCT EVALUATION DOCUMENT(P.E.D.)s
Drawing No. 11-137,titled"ASSA/BERTHA HV BAHAMA SHUTTER", sheets 1 thru
7 of 7,:including sheets 3A,4A, 5A and 6A,prepared by Tiltefi%,j signed and sealed
by Waiter A. Tillit, Jr., P.E.; dated 11/22/11. This dra g}*ajTJ0 1�part of this
Evaluation Report. ` . . .�G...... • `�'�'
s
6355 N.W. 36th Street, Suite 305, Miami, Florida 33166 -Phone: (305) 871-1530 -Fax: (305) 871-1531
813.780.0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Depanment
Date Received
i Phone Contact for Permitting lJ
"Tl-rT'1"t 1 1 1l-r 1
Owners Name L+GLJ Owner Phon Number e r$�_ _ rM
Owners Address i r Owner Phone Number I
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address V
JOB ADDRESS O ,r _ LOT a
SUBDIVISION PARCEL ID#C4_G?7 ~W l —om�7qO O
tOBTAINED PROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONs1R F-1 ADD/ALT = SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION [�' BLOCK = FRAME = STEEI. 0
DESCRIPTION OF WORK ds
BUILDING SIZE 1 7771 SO FOOTAGE[ HEIGHT —�
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=EIECTRICAL AMP SERVICE PROGRESSFNERGY = W.R.E.C.
=PLUMBING s J
i
=MECHANICAL IS
I VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPF.CIALrY = OTIIf•R
FINISHED Fi OOR ELEVATIONS 11 FLOOD ZONE ARFA L IYFS NO
BUILDER COMPANY �WG�4 IS�'C� tT1CX� r
SIGNATURE 1 REGISTEREDC�'r �LI/ N FEE CURREn YIN
Address Z J (�^� 3 is
ELECTRICIAN COMPANY
SIGNATURE NEGISTERED Y/ N_ FFE CURREK Y I N
Address � � License N
PLUMBER COMPANY
SIGNATURE REGISTERED V/ N I FEE CURREA Y I N
Address --� License 0
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE1 __Y/N
Address License N C_
OTHER COMPANY
SIGNATURE l RF IiISTFRFD FEF LURRFn Y r N
L Y!__N._ L�---'-
Address F— License A F I
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Budding Plans;(1)set of Energy Fonns:R-O-W Permit lot new construction.
Minimum ten(10)working days after submittal date. Required onsile Construction Plans,Stormwater Plans w/Sill Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivlslonsilarge 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 onsile Construction Plans.Stormwater Plans w/Sill Fence installed.
Sanitary Facilities&I dumpster.Silo Work Permit for all now 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 Allomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Rerools It shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Nol 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
r 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 1 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, Welland 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)consocutivo 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 NOT1128 OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT _ _ _ CONTRACTO _ _ __—
Subscribed and sworn to(or affirmed)before me this Subscrhh''ed and swo�f�{to or affirmed) ore me lhis
—by — -- -- — �J_1..-- bY..l f.� �J ( fUl 7
Who is/are personally known to me or has/have produced Vito Is/are personally known to me or has/have produced
as identification. _ as idenlification.
-^---_----- --- __--Notary Public tL V� -b------------- otary Public
Commission No. Commission�No.
---- 9i..�A_..K P �h,_- --- HEIDI M HUNTER
Name of Notary typed,printed or stamped Nmotary typed,printed or stamped
MY COMMISSION#GG049282
�' oi� �.•' EXPIRES November 21,2020
INSTR#2019022962 OR BK 9857 PG 193 Page 1 of 1
S/LJ 02/11/2019 01:24 PM Rcpt:2027633 Rao:10.00 DS:0.00 IT:0.00
fl TauCa S.O'Neil Tcuco County CCerk&Cam
ptro1TgK_
Permit No. v Parcel ID No �2- �1-� Q •^�by ,
NOTICE OF COMMENCEMENT
Stale of eCTQ� County of
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identi6calion No.
0Z—�—ZI—00I 01�—�7
Street Address: 6�0 Qnc ,, K��-0a� . C� 1�,,
2. General Description of Improvement ..L1�2'SCL . 1. -l cs
3. Owner Information or Lessee information if the Lessee contracted for the improvement: CI N77>nik\((S
�n ..
ress
Add City �T State
Interest in Property: DVZr-'8-
r
Name of Fee Simple Titleholder:
(If different from Owner listed above)
Address �R`k QS W•K�, ' . `—4 C' y n ^ State
4. Contractor: r �JC�Sh a"o'�Q ..tcrr
I91J�} �01Jc9. —1Y��L1v1d�`P5
Address O 1 City Stale
Contractor's Telephone No.: Z�^(py Z'U IO �i C.I 1 � city
5. Surety: k)*!Q (�f�icr'CU
Name
Address City Slate
Amount of Bond: $ Telephone No.:
6. Lender:
Name
Address City State
Lendefs 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
Section 713.13(1)(a)(7),Florida Statutes: 1 ,
_ I^421�Y, pe.tr..1
Name
Address City State
Telephone Number of Designated Person:
B. In addition to hPalf,the ffer des m�ales �1 7 r,�lr'1 c�C 1�1 d J T —of—
AP—=to receive a copy of the Lienoess Notice as provided in Section 713.13(10),Florida Statutes.
Telephone klumber of Person or Entity Designated by Owner: —"�8 V•—O7�Z
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of c nstruction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified): Z^t l�ZEYLO
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 of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
✓ ��., �v
COUNTY OF PASCO
Signature of Owner or Lessee,or OwneH or Lessee's Authorized
Officer/Director/Partner/Manager
Signatory's Till ffice
The foregoing instrument was acknowledged before me this,4LZX-y°Y / by
as (type of authority,e.g.,officer,trustee,attorney in fact)for
(name of part on behalf ofwhom instrument was executed).
Personally own OR r duced Id ificallon❑ Notary Signature 44,�5.
Type of Identification Produced Name IP,int
E%td
LOIII L HILLAAN
Notary Pubtic•state of Florida
Cammlfsf GG 101111My Comm.Expires AA 13,2922
through National NoUry Assn. -
wpdalafbcs/nolicecommencement_pc053048
Westshore Construction Corp Invoice
2857 Executive Drive
Suite 120
Clearwater, FL 33762
Invoice#: 103-99
Invoice Date: 1/11/2019
Due Date: 1/11/2019
Bill To: Project:
Zephyrhills Fire Dept P.O. Number:
Karen Miller
6907 Dairy Rd
Zephyrhills FL 33542
Date Description Amount
1/11/2019 See contract 12,535.26
TERMS:
Deposit of$6,267.63 -PD on 1/11/19 by K. Miller CC xxxx5147-Receipt
#061160
Total $12,535.26
Payments/Credits -$6,267.63
Balance Due $6,267.63
PRODUCT EVALUATION &&MR'i`NO 11-12M @S 2
a
2.7.TEST REPQRTB:
Large missile impact and cyclic loadings in accordance with ASTM E-1886-05 and
E 1996-05 Standards as per action 1609.1.2 of the Florida. Building Code. Uniform
Static loads in accordance with Section 1715.5.3 per ASTM E-330 Standard.
Test reports prepared by American Testing Lab of South Florida, Reports No. 051 Q.01-
06, dated 03/01107, signed and sealed by William Mehner, P.E. and 0621.01-07, dated
05113/09,signed and sealed by William Mehner,P.E.and Henry hatten,P.E.
Ll STRUI>`AL F.t�IGI1�11 MG CALCULATItB1VS:
On ASSABertha HV Bahama Shutter for maximum anchor spacing vs.design wind,load
and shutter span based on rational and.comparative analysis, and in accordance with
sections 1604 and 2002 of the Florida Building Code. Calculations prepared by Tilteeo,
Inc.,dated 05/21/08,signed and sealed by Waiter A.Tillit,Jr.,P.E.
On ASSA/Bertha HV Colonial Shutter for Now Air Foil Louver Blade component#Al,
as an option to Louver Blade Component A,based on rational and comparative analysis,
and in accordance with sections 1604 and 2002 of the Florida Budding Code,as well as
section 8.5.2 of ASTM E 1996-05 Standard. Calculations prepared by Tilteco,Inc.,dated
10/08/09,signed and sealed by Walter A.rd it,Jr.,P.E
3.AMP
MU P`AM RESISTANCE:
Large missile impact under section 1609.1.2 of the Florida Building Code, as perASTM
E 1886-05 and E 1996-05 Standards,qualifying missile Type"D"(basic protection).
L;WMD 1 ADS RES AMj.*
ASSA/Bertha HV Bahama Shutter has been verified to sustain wind pressures
corresponding to wind zones 1,2 and 3 per ASTM E-1996 Standard Maximum Shutter
Span shall be as indicated on sheet 7 of 7, of Product Evaluation Document (P.E.D.),
drawing No. 11-137. Maximum Anchor Spacing shall be as indicated on sheet 7 of 7,of
Product Evaluation Document(P.E.D.,drawing No. 11-137. ASSA/Bertha HV Bahama
Shutter has been verified for code compliance to work as a porous wind load resistant
storm.shutter assembly;as per ASTM.E 1996-05 Standard,Section.3.2.8.
Olpf/ i11v11���
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PRODUCT EVALUATION REFQRT NO.11-12@5.116 3
' S.INSTALLATIOIY:
Shall be performed strictly in accordance with the details indicated on sheets 3 thru 6A of
7,of Product Evaluation Document(P.E.D.),drawing No. 11-137. Minimum separation
to glass shall be as indicated on sheet 7 of 7,of Product Evaluation.Document (P.E.D.),
drawing No. i 1-137.
6.H&U�RIAL QBRACTERISTICS AND SPECIFICATIONS:
Shall be strictly in accordance with General Notes and Components indicated on sheets 1
and 2 of 7 of Product Evaluation Document (P.E.D.), drawing No. 11-137. Anchor
specifications shall be as indicated)on sheets 1,4,.4A, 5, 5A, 6 and 6A of 7, of Product
Evaluation Document(P.E.D.),drawing No. 11-137.
7LIMITATIONS AND CQNDTI' ON O
7.1. Shall be strictly in compliance.viith General Notes No. 1; 2, g, 9, 10, 11 and 12,
indicated on sheet 1 of 7,of Product Evaluation Document(P.E.D.),drawing No. 11-137
Prepared by Tilteco,Inc.and signed and sealed by Walter A.Tillit,Jr.,P.E.
7.2. Product shall not be installed within HIGH VELOCITY HURRICANE ZONES as
defined on section 1620.2 of the Florida Building Code.'
7.3.Product shall only be installed into Poured con=W,concrete block,and wood frame
structures.
7.4. Product shall only be installed within Wind Zones 1, 2 and 3 as per ASTM E 1996-
05 standard.
Product Evah ation Report prepared by Walter A. T[llit, Jr., P.E. (Florida License No.
44167),President of Tilteco,Inc. (Florida EB-4006719).
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