HomeMy WebLinkAbout19-21939 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21939
BUILDING PERMIT
PERMIT INFORMATION LOCATION'INFORMATION _
Permit Number: 21939 Address: 6143 19TH ST
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: ZEPHYR BREEZE
Est. Value: Parcel Number: 02-26-21-0190-00000-0330
Improv. Cost: 1,048.00 OWNER INFORMATION
Date Issued: 10/22/2019 Name: WOODALL, DEBRA J.
Total Fees: 75.00 Address: 6143 19TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/22/2019 Phone: (813)766-4760
Work Desc: GARAGE DOOR REPLACED 9 X 7
CONTRACTORS APPLICATION FEES
PRECISION GARAGE DOOR SERVICE BUILDING FEE 75.00
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Ins ectio Required
FO TER 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, 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 I AT E PERMIT OFFI R
PERMIT XPIR SIN 6 MONTHS WITHOUT APPROVED INSPECTION
C LL F R INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Oct. 0, 2019 9:46AM _ No. 0525 P. 1
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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.
CONSTRUCTION LIEN LAW i(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that 1, 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'SIOWNER'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.
If.1 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 commending 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 AGENT CONTRACTOR MIA J15-,
Subscribed and sworn to(or affirmed)before me this sworn to r fli e m th'
by TMW bv----.,
Who is/are personally known to me or has/have produced Wild is/are personally knOwn to me or hasfii� ro - edL�
as Identification. as Ident,ication
Notary Public lalr-J�2 WaL Notary Public
Commission No. Com i ion No..0
Name of Notary typed,printed or stamped Name of Notary typed,printed'dir-s
;1ro Detsmber 12,2021
Oct. 8, 2019 9:46AM No, 0525 P. 2
Florida Building Code OrAine Wage 1 of 3
Business Professional Regulation
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Product A"raval
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FL FL13521•RS
Application Type Revlslon
Code version 2017
Application Status Approved ALL WORK SHALL CON'PLY WIT14 P
CODES FLORIDA BUILDING CODE,REVAILING
comments NATIONAL ELECTRIC CODE,
Archived C1 AND THE CITY OF ZEPHYRHIILLS
ORDINANCgS
product Manufacturer AnlarrGorage DOOM/Entrematic
AddreW/PhonelEpiafi 165 Carriage Court
Winston-Solent,NC 27105
(336)2SI-1307
robatrichardsort@entrematic.com
Authorized Signature Robert Richardson
robert.richardson@entrematlexom
Technical Representative Robert Richardson REVIEW DA*T 2019,.
' AddrtsstAhonel6mag Wrnst�amsatett�u c 271os DID'OF ZEPHYRHILL
(336)251-1307 PLAN EXAMINER
robert rlchardsan6entr+ematic.cam
Quality Assurance RepreserKative Danny 3royner
Address/PhonelErnall Amart Garage Doors
165 Carriage Court
Winston-Salem,NC 271+05
djoyner@amarr.com
category Ectertor Doors
Subcatagary Sectional Exterior Moor Assemblies
Compliance Method evaluation Report from a Vida Reo fired Architect or a Ownsed
Florida Professional Engineer
Cl Evaluation deport-Nardcopy Received
Rorida Engineer or Architect Narne who developed Thomas L.Shelmerdine
the Evaluation Report
MOO License PE-004OS79
Quality Assurance Entity Intertefc Testing Services NA,Inc.-QA E00ty
Quality Assurance Contract Expiration Date OVOi 2027
validated By Steven Ft.Urich,PE
0 Validation Checidtat-Hardcopy Received
Cerrtiliirate of Independence FL13SZ1 RS C t�s Statement of tndeeendence 2n+7.adr
Referenced Standard and Year(of Standard) gUpdag ew
ASTM161996 2009
ASTM E330 2002
DASMA 10B 2012
DASMA 115 2012
Equivalence of Pmddct standards
Certified By Florida Licensed Professional Engineer or Architect
E U2521 R5 FfiWM DASMA 2OS and 115 2008 vs 2012,odf
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r�oniuA
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: Lev,5))Ty�
Date Received: d ' 0
Site: /�2 /
Permit Type: l �
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.
4A,; ' - OCT 1 .5 2019
Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)