HomeMy WebLinkAbout19-20970 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20970
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 20970 Address: 3502 BERYL LN
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: 24-26-21-0020-00000-08
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 3/14/2019 Name: DAWSON, MURRAY&VICKI
Total Fees: 67.50 Address: 20-30 CEDAR ST
Amount Paid: 67.50 PARIS ON N& OC2 CANADA
Date Paid: 3/14/2019 Phone: 905-464-8239
Work Desc: INSTALLATION DOUBLE DOOR PATIO
CONTRACTORS . APPLICATION FEES
HOMEOWNER BUILDING FEE 67.50
�I
Ins ections Required
FOOTER 2ND ROUGH PLUMB MIS(; 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)1the
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.
CONTRACTOR 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 by--� UJ-"Dii Owner Phone Nu 9
Owner's Address D 1:_::-P__x1 L Owner Phone Number
Z. PIL14fiff-L FL- 335 Owner Phone Number
JOB ADDRESS 35Z> L-AqW,--- Zt-PqJRJL(_,ZJ LOT#
SUBDIVISION I ee'01 rZA&f�\ 10V)t\,fiC— JO PARCEL ID#Oc/ t - C000— C-)cy-ycv— 0a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL
DESCRIPTION OF WORK A) 57741-1 0 a 9 4 rf o 'D L
BUILDING SIZE 7 SO FOOTAGE= HEIGHTF_____
4
UILDING eo VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 - SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS -7, FLOOD ZONE AREA =YES NO
......................
BUILDER eOMPANY d /—/r".0
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
.PLUMBER COMPANY L_
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# F
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY FEE CURREN
SIGNATURE REGISTERED
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 subdivisionsfiarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction.
Minimum ten(10)working days after submittal dife�. 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.
...... ......
'41gC4ttl4l I
---- ---------
D Ions:
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/Fo6tage)
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 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.
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 OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGEN CONTRACTOR
Subscribed and sw to or a ki nbef{)re m is I Subscribed and s orn (or,affirme bef re m�is i
3—$- t byil -(� ` 1 by CIA
Who is/are per Wally known to me or has/have produced Who is/ar personal kn wn to me or has/have produced
y1 as identification. �� a L as identification.
ti
Notary Public R.e Notary Public
o missi n o. Commissi No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
41&
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site: 3 6o z- Zer-A L
Permit Type:
Approved w/no comments. Approved w/the below comments: 11 Denied w/the below comments: ❑
1411 (( nffat Pft)JVtt 4d1dVd (1A1tA4jb,-e1
This comment sheet shall bekent with the permit and/or plans.
MAR
Kalvin Utz lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
r ionaa nuuumg uoae vnime Page 1 of 3
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' Product Approval
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Product Aooroval Menu>Product or Application Search>Application List>Application Detail
FL# FL14569-119 /
Application Type Revision
Code Version 2017
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by
the POC and/or the Commission if necessary.
Comments
Archived ❑
Product Manufacturer JELD-WEN q�`
Address/Phone/Email 3737 Lakeport Blvd �/
(800)535Klamath a3936 R 97601 No-,
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fbcl@jeld-wen.com /O 0
ONOTH�F F/Oge�U�';a�Y�
Authorized Signature Rylee Sumner Fricks RO/Nq�c CNIq a,;/G
fbcl@jeld-wen.com NCFS, CFZFp�96 `006 ,' R1eI/�/�/
NI
Technical Representative JELD-WEN Corporate Customer Service
Address/Phone/Email 3737 Lakeport Blvd.
Klamath Falls,OR 97601
(800)535-3936
customerserviceagents@jeld-wen.com
com
Quality Assurance Representative
n
Address/Phone/Email �EnTYO ,0A1�Lrt� Mj�e
Category Exterior Doors /VS C Gcp' �1'f 13?019
Subcategory Swinging Exterior Door Assemblies %t•T �� CAS
Compliance Method Certification Mark or Listing
Certification Agency National Accreditation&Management Institute
Validated By National Accreditation&Management Institute
Referenced Standard and Year(of Standard) Standard Year
TAS 201 1994
TAS 202 1994
TAS 203 1994
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL14569 R9 Eouiv ASTM E84 Eguivalencv Letter SS 2017-08-31 odf
Product Approval Method Method 1 Option A
Date Submitted 10/02/2017
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquxTVBj riRCY... 3/14/2019
rlonda Building code unlme Page 2 of 3
Date Validated 10/03/2017
Date Pending FBC Approval
Date Approved 10/11/2017
Summary of Products
FL# Modei,Number or Name Description
14569.1 Contours Steel,Wood Edge Full Lite Door,Outswing,6'-0"x 6'-8"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NI006255-R7 Certificate.Ddf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 09/30/2019
Design Pressure:+60/-60 Installation Instructions
Other:Product must be Installed per manufacturer FL14569 R9 II 3W0509-03 Installation.odf
instructions as stated on drawing 3WO509-03 Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3392.Ddf
Created by Independent Third Party:Yes
14569.2 Contours Steel,Wood Edge Full Lite Door,Inswing,6'-0"x 6'-8"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NI006255.02-R3 Certificate.odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 06/30/2019
Design Pressure:+60/-65 Installation Instructions
Other: FL14569 R9 II 1WO509-04 Installation.odf
Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3393.odf
Created by Independent Third Party:Yes
14569.3 Contours Steel,Wood Edge Full Lite Door,Outswing,6'-0"x 8'-0"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NI006254-R5 Certificate odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 09/30/2019
Design Pressure:+50/-50 Installation Instructions
Other: FL14569 R9 II 3W0509-01 SS 2015-07-02 odf
Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3391.Ddf
Created by Independent Third Party:Yes
14569.4 Contours Steel,Wood Edge Opaque Door,Inswing/Outswing,w/or w/o Impact&Non-
Impact Rated Glazed Sidelites, 12'-0"x 6'-8"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NI011062 NI011062.01 Certificate odf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 04/30/2020
Design Pressure:N/A Installation Instructions
Other: FL14569 R9 II 3W032012FL Installation odf
Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3321.Ddf
Created by Independent Third Party:Yes
14569.5 Contours Steel,Wood Edge Opaque Door,Inswing/Outswing,w/or w/o Impact&Non-
Impact Rated Glazed Sidelites,8'-4"x 8'-0"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NIO11061-RI Certificate.Ddf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 04/30/2020
Design Pressure:+45/-45 Installation Instructions
Other: FL14569 R9 II )W072012FL Installation odf
Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3322.Ddf
Created by Independent Third Party:Yes
14569.6 Contours Steel,Wood Edge Opaque Door,Outswing,w/or w/o Sidelite,8'-11"x 6'-8"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NI011082-R1 Certificate Ddf
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant:Yes 08/31/2019
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquxTVBj*nRcY... 3/14/2019
rlonda 13ui1dmg uoae unnne rage s or s
Design Pressure:N/A Installation Instructions
Other: FL14569 R9 II S-2104 Installation.Ddf
Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3398.Ddf
Created by Independent Third Party:Yes
14569.7 Contours Steel,Wood Edge Opaque Door,Outswing,w/or w/out Sidelites,8'-11"x 8'-0"
Limits of Use Certification Agency Certificate
Approved for use in HVHZ:Yes FL14569 R9 C CAC NI011096-Ri-NI011096.01-
Approved for use outside HVHZ:Yes R1 Certificate.Ddf
Impact Resistant:Yes Quality Assurance Contract Expiration Date
Design Pressure:N/A 08/31/2019
Other: Installation Instructions
FL14569 R9 II S-2108-01.odf
Verified By: Hermes Norero 73778
Created by Independent Third Party:Yes
Evaluation Reports
FL14569 R9 AE PER3832.Ddf
Created by Independent Third Party:Yes
Back Mext
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Coovriaht 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 a-mall address released in response to a public-records request,do not send electronic
mail 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
emaiis 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:
Mug Mg® edg
Credit Card
safe
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquxTVBjriRCY... 3/14/2019