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HomeMy WebLinkAbout19-22016 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22016 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22016 Address: 5221 1 ST 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: SHAW LAKE RIDGE Est. Value: Parcel Number: 10-26-21-0040-00200-0050 Improv. Cost: 3,500.00 " OWNER INFORMATION Date Issued: 11/15/2019 Name: TAYLOR, LILA Total Fees: 90.00 Address: PO BOX 2238 Amount Paid: 90.00 ZEPHYRHILLS. FL. 33539 Date Paid: 11/15/2019 Phone: (813)748-4515 Work Desc: INJECTING POLYURETHANE FOR CELL FILL ONLY- STABLELIZE CONTRACTORS APPLICATION FEES RAM JACK FOUNDATION REPAIR BUILDING FEE 90.00 "N'r-19 Ins ections Required FOOTER 2ND ROUGH PLUMB MI C INSULATIONCEILING- 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 SIG A-TURE 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 • Data Received Phone Contact�for Permitting L owner's Name 1 owner�Phone Number Owner's Address 13�6 I-e0*10L. Owner Phone Number Fee Simple Titleholder Name I IOwner Phone Number Fee Simple Titleholder Address JOB ADDRESS _14, 2 LOT# SUBDIVISION. PARCEL ID# i�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR WALT SIGN DEMOLISH EP INSTALL 8 (0 PROPOSED U SFR = COMM OTHER W�AGM.M V7WMUL(_ TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL DESCRIPTION OF WORK e_(Jk BUILDING SIZE SO FOOTAGE HEIGHT I . . . 11 . . . I . . . . . . I I.. . . . . . EBUILDING 0,0 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W,R.E.C. =PLUMBING $ L5,; =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO b5 ' . . . . . . . ...*-- B LDER 0(b'6ANY SIGN kTURE_ REGISTERED N FEE CURREN Y/N AL Ul Address License ELECTRICIAN COMPANY REGISTERED L Y/N SIGNATURE F N J FEE CURREN Address License# F__ PLUMBER COMPANY SIGNATURE REGISTERED —1 Y/ N I FEE CURREN Y/N Address I License# MECHANICAL COMPANY F_ SIGNATURE REGISTERED I Y/ N FEE CURREN L_XLN J Address I License# F— OTHE COMPANY I SIGNATURE REGISTERED I YIN FEE CURREN I;Y�/N Address License# 11111111111111111111111111111111111111111111111111111111111111111111 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 onsits,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. . . . . . . . . .­ x . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . .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) Reroc;fs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) 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 IMPACTIUTILITIES 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 COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR TTORNEY BEFORE RECORDING YOUR NOTIC&OF COMMENCEMENT. FLORIDA JURAT(F.S.11 7. OWNER OR AGEN CONTRACTO01 S b cribed�qd sw to or a ed efore meth' Su c'b sworn to ffirm efor met is ,��2�Ill'bv ��can IC1 \�\NNIIIIUI!►II,j,� ��IIIIIIIUII/,� WhcJ a rsonal kn o me or has/have produced o Isla r own to me or has/have produced ` \\\��� HlEEB(/ //// CC as identification. QS•••1ION.• 0�\ P5 Rc�OF / 'GO OT 3i Etoi• i •G� ST3 `�•' .fig P Y/ �/ N PuU • 4 JGU J2 �• ry Public �ry.y * C rr�nsiioon No. p �/� CoAission No. #GG329899 Z'2 GG 3298 M�� �`!`^ rev�`2-2 1?>U-CG�P_0 ��'•��, A 0.�1�`0�,� 0;0- 9 Namd*f Notary typed,printed or stamped Name of Notary typed,printed or stamped %9.p yjD�b/dc dg` •'•O� � A•.�b4c Undecs;.•OQ-ded ////UB[lC,STA��F \\\ ����1!/I 1111111111�10 P/Ifll! INSTR#2019173279 OR BK 9987 PG 3311 Page 1 of 1 10/10/2019 03:10 PM Rcpt:2098497 Rec:.10.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller PwrdNa. P.rnlmNo Ip-a.lc.�5-cri-l0-c oda -��rsS't� NOTICE OF COMMENCEMENT swed VLOPDq Cawdyd e4sr-O THE UNDEMOWD hIn"Ww mom amb pouw"No I*nimsto aaluI nd popMF.OW In aamdma%0 rJWK 713.FIoAw SYhtw. dw fafbwhp Ydamlla Ypip W Edda NoladCwmwsmt 1, Ondp"dFrawlr.Paredwmlleaum Na.Sl""%,rSL(kW_61k)eg AXha��t{,rrf1C 81K e3. SbadAddwe 5_7AI }_ZE+MAA DaV, Pi- -2 S4')- a c.�wdDnafpna+ao-�w.a.n��u�R�"T'trtAnlE �IC!- 3. 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A WW61�OF C0WM RECORDED AND PORTED ONTHE JOB SITE BEFORE THE FMU INSPECTIOIL ff YYppU INTEND T6 OBTAIN FNU{NCINLi CONSULT YOUR LENDER A1EY BEFORE COIAEtICINGY1pR1LOR RBCORDING YOUR NOTICE OF COMhENCENENT. crow �r \\ //�A rwdUwTapanpntlbdeomnweemwdrktlrldMlMddMfodMnhb totlrbwl Psi rL COUNTY OFPA9 t , �, *� � dpnrwlww.a ww AiAw4ad i IRiQ,liE1p1 :7} TlwfaapaYp • '�peo ,1Qd.,rdg��mL96y (._t is Tetylor two Drame y,a4,a11ar.Inaftanmwyrnfawrw //�e111H181111\�r of td Wd Pm-AW&wwnpnQPraddldwddorimpl� +�awRgn.n s4l;��l d lr,1.l�lt/y TypadldwikdtmPmdmw 0L- NnwO" V4���!// en SC G RAMJACK Ram Jack foundation Repair GAGCLT-CLT-00000133 Office • (866)735-3085 NC 66113 -6340 TN 6 833 518926 COST FOR SERVICES Fox - o@ra jackse. Email info@ramjackse.com Conf denfial inlonnofion lof Gam Jack use only Driven Pile depth exceeding_ft.will be charged extra$_/ft. Name:_ i_t T�11�(C 42 2'Helical Pile depth exceeding_ft.will be charged extra$_/ft. Phone:%11-1 N —44-1 Email: 5'Helical Pile depth exceeding_ft.will be charged extra$_/ft. Poly materials exceeding2 lbs.will be charged extra$�/lb. Address: S LZI 1� T. 7-C Q hd QQ- X 0( 63, �t:y— initial Here The following items are recommended to enhance the future performance of your foundation. We feel an obligation to inform you of potential problems if these items are not corrected: Services Services Services Recommended Adjustments Total Declined Accepted (Initial) Piles:Area_(Proposed_Piles) $ $ $ $ Piles:Area_:(Proposed_Piles) $ $ $ $ Piles:Area_:(Proposed_Piles) $ $ $ $ Piles:Area_: (Proposed_Piles) .$ $ $ $ Piles:Area_: (Proposed_Piles) $ $ $ $ Piles:Area_ (Proposed_Piles) $ $ $ 2 \. $ Polyurethane Injection:Area,,.:(Propose ��W LBS) $ oo $ S� $ ) o $ _7 _ Polyurethane Injection:Area_:(Proposed_LBS) $ $ $ $ Polyurethane Injection:Area_:(Proposed_LBS) $ $ $ $ Carbon Fiber Straps:Area_(Proposed_CF) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Mobilization $ $ Third Party Engineering & Permitting Fees: $ $ $ $ (Required&Non-Refundable) 1 <' ^� Total:$ 7� $ d Total Due Ram Jack Services: Total Due Engineering/Permit: $ 'TOTAL DUE UPON COMPLETION: *PAYMENT DUE UPON COMPLETION OF EACH SERVICE* The Costs for Services described above is port of the contract which also includes the Service Plan,and Terms and Conditions. 40 40 'er Signature Date Ram Jack Representative Signature Date � 5� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: b Date Received: Site: 1 �ZZJ f (3T— Permit Type: 1 ' ` ( 4,b ^0-) 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. OCT' 3 1 2019 Kalvin er—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) PROJECT SUMMARY: 1. THIS PLAN IS INTENDED TO STABILIZE THE FLOOR/SLAB AND FILL VOIDS AND PREVENT PROGRESSIVE SETTLEMENT IN THE SOFT NEAR SURFACE SOILS BY THE INJECTION OF CHEMICAL GROUT WHICH EXPANDS IN—SITU, FILLING VOIDS AA ING SUPPORT THE FLOOR/SLAB. ,-(kA` %. kjCTION POINT SPACING HAS BEEN SELECTED ON rl)llk'll•�r E,THE BASIS OF BUILDING FLOOR/SLAB DISTRESS, APPARENT 1��;a�3l3�,.'DiNG G®� SOIL SUPPORT FAILURE AND IMPOSED LOAD. ;jOD ® @��s THE CONTRACTOR IS RESPONSIBLE TO LOCATE ANY iD C! UTILITIES AND ADJUST THE INJECTION POINT LOCATIONS TO CON REfE G�� AVOID DAMAGE TO SAID UTILITIES. �A� WIND SPEED 140 MPH 3sec GUST .,—APROX. LOCATIONS OF EFFECTED POLY EXPOSURE "C": GROUT AREA IMPORTANCE FACTOR II JECT SPECIFICATIONS: EXSTNG. // I PROJECT IS BASED ON THE INSTALLATION OF STRUCTURE X. 200LBS OF CHEMICAL POLY GROUT. THIS PLAN COMPLIES WITH THE STRUCTURAL REQUIREMENTS OF THE FLORIDA BUILDING CODE, 6TH EDITION (2017) THIS IS NOT A SINKHOLE REMEDIATION: NO EVIDENCE HAS BEEN FOUND OF ANY CURRENT SINKHOLE ACTIVITY TO THE BEST LAYOUT OF MY KNOWLEDGE AND EELIEF SCALE: 1"= 15'-0" \\\���\�i�t11/����i E. FOUNDATION STABILIZATION PAUL E. HAGLER, P.E. 0 TAYLOR RESIDENCE ENGINEERING CONSULTANT 1 '' 5221 1ST ST, ZEPHYRHILLS, FL 33542 "CIVIL — STRUCTURAL RAM JACK FOUNDATION REPAIR GEOTECHNICAL ENGINEERING" =Q SrAr�of ; 14403 N. MAIN STREET FPE 20158 �_ •,�,�. 4J JACKSONVILLE, FL 32218 1280 HEATHER RIDGE BLVD A ' off✓ CHEMICAL GROUT DUNEDIN, FL 34698 - �•�� PLAN Phone: (727) 738-9025 p {JAi¢tjy13 k FPE 20158 a a RAMJACK Power of Attorney October 22, 2019 Re: Business License & Permits TO WHOM IT MAY CONCERN: 5221 1ST ST ZEPHYRH ILLS FL 33542 I, A. Benjamin Reichard licensed contractor #CBC1261618, hereby authorize the following person(s) to obtain permits and/or sign any and all documents related to building permits applied for and issued in my name with my license number. Allen Catoe White Carlos Kuster Launce Levison Barry Buckelew Raymond Bulland Bill Brown Rob Pyewell William Thomas Gary Burden Tony Brown Lonnie Quinn Brodie Nuneviller Ashlee Burden Sincerely, Benjamin Reichard Ram Jack Foundation Repair CBC1261618 877-726-6372 Subscribed and sworn to before me this 22 day of October, 2019Click here to enter text., Benjamin Reichard personally appeared who®is personally known t _e or❑produced as identification,and who did/did not take an oath. N9N E.0,;tip +���9?x� 0% ,�sslo'y'�'o'S�• Notary Public Signature Seal ;� NOTA&k�o•; UA a A , &A(I A0Ott 800-ro , essgnature t/11 �• 114403 N. MAIN ST. JACKSONVILLE, FL 32218 1 866-735-3085 OFFICE I PAUL E.HAGLEP, P.E. Engineering' Consultaht "Civil.-$o-zictio-al- 0'eotechp.idal Engineering" 1280 HrATHrR RiDrjr BLvo FPE 20158 voia::(727)7,,38-9025 DUNEDIN.FLORIDA 34698 1-:-NIAIL:pchagicr@ginaii.com FAX:(727)139-9565 December 2,2019 Zephythills Building Department 5335'8th St. Zpphyrhills,FL 3.3542 re: Completion of Chemical Grouting Taylor Residence 5221 1 St St Zdphyrhillsi FL 33542 Permit#220,16' Gentlemen- The engineer whose:signature appears below,,has verified placement of 118.'pounds of RJ1P 24 chemical grout:under a potion of the residence at'-the above captioned.location.The grout was placed by Ram Jack Foundation Repair, LLC as located on the permit drawing, and completed on 11/18/2019. The grout was placed utilizing.a lbw pretsure grout pump, and thequantity'of grout pumped.was sufficient to fill,the suspected void under a portion of the structure. It is our professional opinion that:the portion of the residence has.been stabilized and that there. is n,o evidence of new or continued settlement activity at this location. No cosmetic repairs were, made'by Ram Jack'Foundation Repair, LLC. In compliance with Florida statutes.627.707, this report and the rernediation program Was prepared.under the supervisionof a Registered Professional Engineer whose field of expertise is Geo-Technical Engineering. Shoul6ou htvef ouestiogs or desire additional information, please call. Thank,you,. No 20150 P aul,E..,,H- agler, FPE:iO i58 cc; Ram Jack Foundation Repair, LLC