HomeMy WebLinkAbout20-621 D
" Cityof Ze h
p Y rhills
PERM ER"''
5335 Eighth Street .
Zephyrhills, FL 33542 BAR-000621-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/09/2020
Permit Type: Add/Alter (Residential)
Property Number Street Address
04 26 210030 OODOO 0020 6438 Brentwood Drive
• Owner Information Permit Information.` Contractor Information "
Name: ROBERT&ANNE BENEDINI Permit Type:Add/Alter(Residential) Contractor: BAHR'S A INUM INC
Class of Work:Add/Alter Residential
Address: 6438 Brentwood Dr Building Valuation:$3,250.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (352)521-2697 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$3,250.00 1
Total Fees:$84.37
Amount Paid:$84.37
Date Paid:9/9/2020 9:62:21AM
Project Description..
CONSTRUCT SCRN RM 12 X 16 ON EXISTING SLAB
Application Fees
Building Plan Review Fee $28.12 Building Permit Fee $56.25
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 subsequent reinspection.
Notice: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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 PE IT OFFICE
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 8/1 9/2020 813 990 ..7880
Phone Contact for Permlttln
Owners Name ANNE BENEDINI Owner Phone Number 352.521.2697
Owners Address 16736 Gall Blvd,Zephyrhills, FL..33542 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 6438 BRENTWOOD DRIVE LOT
SUBDIVISION SILVER OAKS PARCELID# 04-26-21-0030-OOD00-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT ® SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR COMM ® OTHER lAluminurn
TYPE OF CONSTRUCTION = BLOCK FRAME = STEEL =
DESCRIPTION OF WORK 12x 16 NEW SCREEN ROOM ON EXISTING CONCRETE SLAB
BUILDING SIZE 12x16 SQ FOOTAGE 192 HEIGHT
®BUILDING $3250.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS
_ = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER [�,OMPANY I Bahrs Aluminum
SIGNATURE ZED I JYJN I FEE CURREA Y N
Address 8607 Gall BIVd,Zephyrhills, FL.33541 License# I CRC057444
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y 1 N FEE CURRE1 Y/N
Address 1 License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREA I Y/N
Address License#
IIIIIIIIIIIIIIIIIIIII1111111111111111111111111111111111111111111111
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 onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requlrements 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 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/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 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 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'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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S '1 7
OWNERORAGENTr)' *03)(U) . , -AlkJ11-: CONTRACTO
zi b R Subscribed and sw tobaffirtpd)before this Subi lbod and to or affl )b foe met s
mo� 11 ),
b P
AM 2Y ON
Who lq_a onallj known to me or has/have produced Who known In m,or has/have produced
as identification, as Identification.
-Notary Public Notary Public
Commission Commission
bx-ONA 'AP-t-A,-7,S
Name ol'Not 1yp-0d-pd611,c1_0r�smpcc1
DIONA AA S
Notary public,State of Florida DIONA ARFARAS State
Florida
Commission No.GG2866W Notary Public,State of Florida
a Commission Expires 12125022 Commission No.GG2866603
N! Commission Expires 12/25/2022
1 low
'4-2t o-Z1-0 0 30-pa'W p-co2t,-)Permit No. Parcel 10 No"'I
NOTICE OF COMMENCEMENT
State ol, FIQ680, County of co
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 Comm manta
1. Description of Property, Parcel Identification NMTIU-2-1-0056-061)(DO-(no2l Q
?)Y-P!3�Qca 'evo,
Street Address: U FL '-335,42-
2. General Description of Improvement.Me\n mem, Q_x'-I n Q'
3. Owner Information pLLpssee Information If the.Lossee contracted for the Improvement:
(9(4312;- aL
0 a 41 Address CRY I state
Interest In Property;
0
L Name of Fee Simple Titleholder.
4L� 0 I .j ix (It different from Owner]
listed above)
%--*
LU0 r= Address city state
0
6 4. Contractor.
(a c'6 CO C. M ab 01&11� 16VA i QVI&4 rh�—" F—Lof U ma —
Address city I I state
3 L Contractor's Telephone No.: 15,-T&Z• j
C'4 0 4)
<"*-O ri 0Z3 5. surety.
CW3 to I
<]Cr-tr Name
L j Address city state
C'-4 o
to S ra C Amount of Send:S-- Telephone No.:
C-SZ;
a(11 6. Lender.
0 Name Address city
CL Lenders 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:
Name
Address city state
Telephone Number of Designated Person:
a. In addition to himself,the owner designates of
toreceive a copy of the Ltenoes Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or FAIlty Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a dtiferent date is spodfied):
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.
Underpenalty of
per UILdeclare that!h foregoingnotics commencement and that the facts stated therein are true to the best
I_ a
BONA AWARM
STAEF
CO o NOWY Parr, W Sho of AM
We
Na 002M Signature of Owner or,Losses,arClwher's or Lessee's
OflcerlDirectorlPartner onager
Signatorys Trio/office
The foregoing instrument was acknowledged before me this ink, day of 2020by
_ss. (type of authority.e.g.,officer,trustee,atto. ey In fact)for
0 a rjy on behalf offNhom jostrument was executed).
Personally Known El OR Produced!Identificalic, Notary Sign tum vyg--:T�
Typo of Identification Produced L Name(PH ) Iwo, -NI�GL-3
wPdBtaroWnoUcewmmenooment_pc053048
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bProduct
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d [0-
r ���"� sex USER:Public User
product Agproval Menu>Product or A—Tication search>gonlication Ust>Application Detail
(� ;:�}r..�i=�'" FL# FL7561-A4
>; ALL WORK SHALT.COMPLY WITH pREVAILIiVt
Application Type Revision Code Version 2017 CODES FLORIDA BUILDING CODE,
Application Status Approved NATIONAL ELECTRIC CODE,
AND THE CITY OF ZEPHYRHILLS
Comments
ORDINANCES
Archived
Product Manufacturer Elite Aluminum Corporation
Address/Phone/Email 4650 Lyons Technology Parkway SEP 0 9
Coconut Creek,FL 33073 REVIEW DATE ZQZQ
(954)944-3200 �����d.�l�l-I�RI�IL
dk@dokimengineering.net �-1 7-1
FLAN EXAMINER
Authorized Signature Do Kim
dk@dokimengineering.net
Technical Representative Bruce Peacock
Address/Phone/Email 4650 Lyons Technology Parkway
Coconut Creek,FL 33073
(954)949-3200
bpeacock@elitealuminum.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Products Introduced as a Result of New Technology
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed the Do Kim,P.E.
Evaluation Report
Florida License PE-49497
Quality Assurance Entity QAI Laboratories
Quality Assurance Contract Expiration Date 12/30/2022
Validated By James L.Buckner,P.E.@ CBUCK Engineering
Validation Checklist-Hardcopy Received
Certificate of Independence FL7561 R4 COI Cert of Indeoendence.pdf
Referenced Standard and Year(of Standard)
Equivalence of Product Standards
Certified By
Sections from the Code
1709.2
-
Product Approval Method Method 2 Option B
Date Submitted 08/15/2017
Date Validated 08/16/2017
Date Pending FBC Approval 08/20/2017
Date Approved 10/10/2017
Summary of Products
FL# Model,Number or Name Description
7561.1 Aluminum/Aluminum Composite 3"/4"/6"x0.024"x1Ib EPS Composite Panel,3"/4"/6"x0.032x11b
Panels EPS Composite Panel,3"/4"/6"x0.024"x21b EPS Composite
Panel,3"/4"/6"x0.030"x2lb EPS Composite Panel,
Limits of Use Installation Instructions
Approved for use in HVHZ:Yes FL7561 R4 II 2017 FBC-Elite Aluminum f om-Install
Approved for use outside HVHZ:Yes Instruct.Rdf
Impact Resistant:No Verified By: Do Kim, P.E.PE 49497
Design Pressure: +80/-80 Created by Independent Third Party:Yes
Other:In HVHZ,not to be used in structures considered living Evaluation Reports
areas per FBC Section 1616 unless Impact protection Is FL7561 R4 AE FL 7561 Evaluation Report-2017 FBC.Ddf
provided.See installation drawing for nominal allowable design Created by Independent Third Party: Yes
pressures and spans.
[tack tdext
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Cogyricht 7007-2013 State of Florida.::Privagg Statement::Accessibility Statement;;Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail 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 emails
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,FS.,please click here.
Product Approval Accepts:
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