HomeMy WebLinkAbout20-22615 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22615
` BUILDING PERMIT
INFORMATION LOCATION INFORMATION
Permit Number: 22615 Address: 37913 PRAIRIE ROSE LP LT 4
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: WALNUT GROVE TOWNHOMES
Est. Value: Parcel Number: 15-26-21-0210-00000-0160
Improv. Cost: 898.00 OWNER INFORMATION
Date Issued: 3/13/2020 Name: SICKMEIER, BEVERLY
Total Fees: 67.50 Address: 37913 PRAIRIE ROSE LP
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/13/2020 Phone: 317-840-5773
Work Desc: REPLACE GARAGE DOORS Cgjn
CONTRACTORS APPLICATION FEES
PRECISION GARAGE DOOR SERVICE BUILDING FEE 67.50
-g�,�cL no--PPrxl cArd
Ins ections Required
FOOT FOOTER 2ND ROUGH PLUMB MI 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.
CUPANCY BEFORE C.O.
ONTRACTOR IGN TUR PERMIT OFFI R
PERMIT EX IR 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 T>e m1—�-
f '
Date Received Ph , f 7� -7 Y e G
one Contact for Permitting O(�10 �i
Owner's Name /G ,00-oe g aeo f Owner Phone Number 117JO/ "J/T3
Owner's Address Q.//•/C e L Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simpl e�Titleholder Address
JOB ADDRESS 3 -791 5 //`�i 1/�/G ry LOT#
SUBDIVISION PARCEL ID# S oLF/G����o� ®��® _8/4
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STE
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE= HEIGHT
r-rrrrrrrI r-9�rrrr-r�w�rrr
I?TB'UILDING $ M VALUATION OF TOTAL CONSTRUCTION X
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER ��� COMPANY
SIGNATURE ? •� REGISTERED Y/ N FEE CURREN Y/N C
Address J/%3 P/�OfY9��fi�� �Vp� License#'�c -/ /C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LAI N
Address License#
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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,Stornwater 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.
i-F4-t-I--�1-��1--�t--I-t-1--�F-I+N-f-t•-�4i�1--F. . . . . . . . 1--FBI-a-t--4a-1--t-4.. . ...i-F-1.-1.-
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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C 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 reritrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable dried 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]UTILITItS IMPACT AND RESOURCE REcovEky 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 eXp2nslon 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'pald 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
car* 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 car*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,z9nirig 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, Weiland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland Areas, Altering
Watercourses.
Amy Corps of Engineers-Seawalls,Docks,Navigable Waterways.
• Department of Health & Rehabilitative Sdrvices/Environmentat 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 thL-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 'A7, 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`A7 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 VNII not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may 156 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, sighs, wells,pools, air conditioning,gas,or other Installations not specifically Included in the application. A
permit issued shelf 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 shelf issuance of a permit prevent the Buildirig 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 COMMENC T.
FLORIDA JURAT IRS.117.03)
OWNERORApENT CONTRACTOR
Sub sworn f,p, or affirme?erbrp me this Subscritogda tQ Id sworn JDr affirmed fare 0 this
to Oby ---r7,M .1
I§KX an me or hasthave produced
Who Istar onally kn o me or h s/have produced Who is/are o�� as Identilication.
as Idengfication.
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Notary Public
2!727
Commission No. commission No
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Name of NoE�F—typed,printed arstaTRV RE`(�b crqtfjzm commission#GG 245621
�o,�Sq puse, - � I n If GG 245621 10,2022
0 Commission 1p� e 91� Expires August tary
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City of Zepbyrhills
BUILDING PLAN.REVIEW COMMENTS
Contractor/Homeowner:
Date Received: 0 o I O� 0,;�-0
Site: 37 9 j 3 &.,,y��
Permit,Type: ��t'hc � ' Y1Y 7G
Approved Who comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet h all be kept with the permit and/or plans.
NAR
Kal ' ttaer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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FL 0 FL13521-RS
Application Type Revision
Code version 2017 ALL WORK SHALLVOMPLY WITH PREVAILING
Application Status APProved CODES FLORIDA BUILDING CODE,
NATIONAL ELECTRIC CODE,
Comments AND THE CITY OF ZEPHYRHILLS
Archivaa ❑ ORDINANCES
Product Manufacturer Amam Garage Doorr/tcrltremaht
AftW/Phone(Email 165 Comage Court
Winston-SaleM,NC 27105
(336)25hiirdw AEVIEW DATEMAi
rgber 2020
t.richerdson�entr8matic.
CITY OF ZEPHYRHILL
Authonxedslgrteture Richardson
,o'AV EXAMINER
rob triebaSonfentrematiccm
TeebAlcai Representative Robert Richardson
Address/Pirone/Emali i6S Carriage court
Winston-Saleln,NC 27105
(336)251.1307
robert richardson"vernatic.com
Quality Assurance Representative Danny Joyner
AddreWlRhone/Emaii Amar►Garage Doors
165 Carriage Court
Winston-Salem,NC 27105
djayner@+amarr.com
category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
Compliance method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professlonal Engineer
Q Evaluation Report-hardeopy Received
Florida Engineer or Architect Name who developed Thomas L.Shelmardine
the Evaluation Report
Florida License PE-000579
Quality Assurance Entity Intertak Testing Services HA,Inc.-QA Entity
Quafty Assurance Contract Explrarion Date 0210YZ027
validated By Steven M.urich,PE
E Validation Checldtst-iiardoopy Received '
Certtflcate of Independence &.3521 PS 01 $t2tLyment at ndeoendence 2 1g17.odE
Referenced Standard and Year(of Standard) ,Standard Year
A"E1996 2009
ASl`M E330 2002
DASMA 108 2012
PASMA 115 2012
Squivalence of Product$tandard$
CeRtlled By Florida Lleensed Profasslonai Engineer or Architect
FLIMI a E*±uly 6ASMA 1118 an, i��2nOS vs 2012.od!
I
hq://www.floiidabuiftS.org/pr/pz app del.upx?param=wGF-VXQwtUquynOFPzOliead... 7/27/2018