HomeMy WebLinkAbout20-679 m
Lill City of Zephyrhills
. ERMIT;a:NUMBER :��`
5335 Eighth Street
Zephyrhills, FL 33542 BAR-000679-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/17/2020
Permit Type: Add/Alter (Residential)
Property.Number Street4Address
10 26 21 0120 00000 1000 37350 Derbyshire Drive
Owner Information` Permit Information ` Contracfor.lnformation
Name: RONALD&JUDY SHIRK Permit Type:Add/Alter(Residential) Contractor: DISCOUNT GARAGE DOOR
Class of Work:Add/Alter Residential INC
Address: 37350 Derbyshire Dr Building Valuation:$1,749.00
ZEPHYHRILLS,FL 33542 Electrical Valuation:$0.00
Phone: (813)715-2634 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00 n r� JiCJ
Total Valuation:$1,749.00 J� I
Total Fees:$73.11
Amount Paid:$73.11
Date Paid:9/17/2020 9:10:34AM
Project-Description
GARAGE DOOR REPLACEMENT 16 X 7
Application Fees
Building Permit Fee $48.74 Building Plan Review Fee $24.37
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.
G
CONTRACTOR SIGN TURF 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 Phone Contact for Permittingg 352 631 - 5018
1 1 1 1 1 1 1 1 I l l i l
Owner's Name Ronald & Judy Shirk owner Phone Number 813-715-2634
Owner's Address F37350 Derbyshire Dr Owner Phone Number
Fee Simple Titleholder Name I NSA Owner Phone Number
Fee Simple Titleholder Address N/A
JOB ADDRESS 37350 Derbyshire Dr, Zephyrhills, FL 33542 LOT# 100
SUBDIVISION Wedgewood Manor PARCEL ID# 10-26-21-0120-00000-1000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT ® SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE ® SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Garage Door Replacement- Same Size 16x7 FL#10737.10
BUILDING SIZE I SQ FOOTAGE HEIGHT
®BUILDING $1749.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i
,i
BUILDER COMPANY Discount Garage Doors Inc.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 7293 Sunshine Grove Rd, Brooksville, FL 34613 License# CBC1254791
ELECTRICIAN COMPANY
SIGNATURE N/A REGISTERED Y/ N FEE CURREN
Address License#
I
PLUMBER COMPANY
SIGNATURE N/A REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE N/A REGISTERED Y/ N FEE CURREN Y!N
Address License#
OTHER COMPANY
SIGNATURE N/A REGISTERED Y/ N FEE CURREN
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
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 fen(10)-working clays otter submittafaate`Requfred-onsite,Construction Plans,Stormwater Plans w/-SilfFence-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.
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;oyer 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.
I 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 AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed d sw rn to(or affirmed)before me this
by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public AA Notary Public
Commission No. C mmission No.
Name of Notary typed,printed or stamped iWg of Notary typed,printed mped
,,�131L.N.U. L NNDA AN KRUMHOLTZ
Y COMMISSION#CG 336772
EXPIRES:September 7,2023
nded Thru Notary Public Underwriters
7293 Sunshine Grove Road
Brooksville, FL 34613
Toll Free (866)420-DOOR
www.DGDoors.com
Discount Garage Doors, Inc.8 State Lic. #CBC 1254791
September 4th, 2020
City of Zephyrhills,
I, Jack Dickerson, give permission for Teresa Diaz to pull permits on my behalf any
permits needed for Discount Garage Doors, Inc. from the City of Zephyrhills Building
Dept.
Sincerely,
J
ckerson
nt, Discount Garage Doors, Inc.
The foregoing instrument was acknowledged before me on this 4th day of September,
2020 by Jack Dickerson who is personally known to me.
ate:
Signature of Not c
L-INDA AN7KRUMHOLTZ
Y COMMIS72UPIRSS:S3Wd6dThtuNuters
STATEWIDE PRODUCT APPROVAL SUBMITTAL 2241
Revision Date:
6/2/2020
Application/Permit #: Building Address: Owner: Contractor: Discount Garage Doors, Inc.
Openings: Sliding Glass Doors, Exterior Swing Doors, Overhead Doors, Fixed Glass,Windows, Mullions, Skylights
"Pressure Product Approval Product Model#or Glass Attachment Approval Expiration
`Qty D T Manufacturer Category Number/Seq#. Name Series Type/Size Method Entity Date
1 Wa ne Dalton 352070 N/A Double Wood Laos Komish N/A
Only one entry required for Multiple units of the same size and Design Pressure
*"D= Design Pressure T=Max.Test Pressure
(2)12 CA COMMERCIAL'L'FRAME REVISIONS
TOP BRACKETS ATTACHED WITH(4) PI REVISED MODELS
1/4-2oa7/8•SELF DRILLING SCREWS CRT 1/22/14
(2 THROUGH STRUT AND TOP h%VIE&E400P HAZE1007XM/S
(-I SECTION DOORS WITH—T P2 UPDATED GLAZING
1 (10)3'18 GA BD KSI U-BARS 1 AND LOUVER DESCRIPTION
p O 1 14'TO 16'2' LOCATED AS SHOWN 4 CRT 5/9/14
13 CA ROLLER SLIDE ATTACHED I PJ UPDATED TITLE BLOCK
TO BRACKET WITH 5/7G-18 BOLT ,,, ESC 10/3117
&NUT IN THE CENTER SLOT (9)SECTION DOORS NTH P4 ADDED MCDELOSSO
- (9)3-18 CA 80 KSI U-BARS PCR 32177
ADD(z)1/4-14><7/8' DE7Ap A 14•TO 16.2" LOCATED AS SHOWN C 11/15/79
SELFoR.=CPoMP111E SCREWS
(INSIDE OF EACH INSIDE END HW !_.-
2'STEEL ROLLER NTH B'GRADE
1144 OR EQUIVALENT STEM AND —�--�— �- (e)SECTION DOORS WITH
7/16-PUSH NUT AT EACH ROLLER (a)3'18 GA 80 KSI U-BARS
LOCATION LOCATED BETWEEN THE �o 10'TO 14'2' LOCATED AS SHOWNN
BRACKET OR HINGE(EXCEPT 1
PUCHNUT LOCATED ON THE TOP
AND BOTTOM ROLLER IS LOACIED
OUTSIDE OF BOTH BRACKETS).1/4•
MAX BETWEEN PUSH NUT AND
OUTER HINGE l (7)SECTION 80 DOORS WITH
10'TO 13'2• ------ (7)3'18 EC 80 K51 U-BARS
(2)14 EACH E BODY
DYE ENDD W11H QETA6..H — .__._-..--._..___ LOCATED AS SHOWN
(4)1/4-14ZAI SELF
DRILLND CRIMPTIE SORE
S.
I{e SECTION DOORS WITH
10'TO 13'2" (8)3'• $° 8 CA 80 K51 U-BARS LOCATED AS SHOW
14 CA WIDE BODY, - —
INTERMEDIATE HINGE ° ^ l
ATTACHED WITH(4) ° 41.1
1/4-14K7/8'SELF DRILLING
WITH
CRIMPTITE-SCREM -- - - --- -- - - - -- {s)6CA 80 DOORS ARS - - --- --- - - - -
- - � (5)3'18 GA 80 K9 U-BARS
DETAIL C LOCATED AS SHOWN
(4)SECTION DOORS WITH
.. - .: (4)3-18 CA SD KSI U-BARS
LOCATED AS SHOWN
2 CA EXTENSION BRACKET
ATTACHED WITH(4)1/4-14K7 8' (3
SELF DRILLING CRWPTiTE
14 CA BOTTOM BRACKET O Q
ATTACHED WITH(2) ® O 6 ALL U-BARS SHALL BE ATTACHED WITH(2)
1/4-14x7/8'SELF DRILLING 1/4-14K7/8'SELF DRIWNC CRIMPTITE SCREWS
CMMP71TE SCREWS THROUGH AT EACH HINGE LOCATION AND BETWEEN ALL END
STRUT AND BOTTOM BRACKET HINGES AND INTERMEDIATE HINGES A MINIMUM OF
'D(1)1/4-14K5/B'SELF (14)FASTENERS ARE 10 BE USED.
DRILLING?AMPER STANT - •-
SCREW
DETBILQ
T1}1111771
I
77045
"O
TE OF�
Q� `-.•FtORLD?'-- (y STATIC PRESSURE RATINGS APPROVED SIZES SCALE N.T.S. SIZE: A
cSS�ONAL� �` Wayne
DESIGN PS : +23 ./0 N25.00 MAX NDTH: 16'-2• DATE NAME
l IIIHIIIIIL ®D1alton,. 1FST(PSf): +34.50/-37.50 MAX HEIGHT: 24'-0' DRAWN 6/12/13 GRT
DWA7 A KORN K PE IMPACT/CYCLIC RATED(YES/NO): NO MAX SECTION HEIGHT:24°CHECKED
4576 COWMMOUNT No R�160 GARAGE DOORS MODELS 4600/4650/6600/6300/8500/8650/5150/5200/TM515/TM525�DRAMING
2 OF 2
LL E 779as DIVISION OF OVERHEAD DOOR PART N0. REV•
TXPE177BS8 3395 ADD150N DPoVEPRORS90NAL ENDNEERS SEA.PROVIDED ONLY FOR PENSACOLA•FTDAIDA 32514 WINDLOAD SPECIFICATION OPTION CODE 22412070 P4
VEWFlG710N OF W.NDLOAD CO UWCDON DEG0.s BSO 474-989D
f .p�
{
I {
I
i
1 C�� Ill
3f"i i
6
# i iol p o
777
�i',9 {: 9 �,� ,`�.. • .,. -.
If
, h
W1
Discount, Garage D s; Ind:: ' :�a � `;�; �a.�'�
lklftad —0 --A, 7291 T1, 3
mjit— a To[I ,
'Fi
;, -)00 -P667)
0
=m Gars ge Doors,17=, of a NC Dale: �4` --T_
IQUImy Saivke,At
11---LID
L'A
Phbn,:,i Af tA
JQb U S.
c OL
, vo nel-estgn:-- oil
6ub
'Pa
DoorHe;@m YES
CANTIC Heightsme.T1,13'of Door':Heiglit
wv hdibs: -(pi:fdA
ve-R ;vtd
,;,D C, EXTENSION Spring Pad,Nbede
d; YE 4i—N-D$40
s .
N Tj
v 0) 7- ,4 C). 2 ,,
YES! Header Roaded,
<N:DLk.
aor.)bmr,.Le--id"i of Sid6bucRs,And.Header: x S6
Eziz;mr.S.,,lebunks- ($Cjo.()O) YES NO Typp of Andhors: SLEEVE wooD,LAdS
A$-
"Tf
Y=S 598.00single) (S148.00double)
11�,00
0
IMPACT DESIGNER .......
Design
2 0 S C,
.W., 71
f$35.0c) OUTSIDE KEYED LO-C K.-'($7�61M)
it I jwtw' ,t ,1,' : ii-I
bning rc-M-MiAnd: VIJOGD(S40,00) PBERGLAsS8 8l4tN9USTeR;--
bq)'
4, 6 Opeire. 0 Brand- Re-Hanq.CYE�),'N'0,
mor ln2l0laflor:y
ES 0 Niodel.- BE0`,'CHA1Ntmn-..:-4.-- 'Kqp-d WIFL 8—,
M Proicflon-Plaqio,�ear Surge-Prote::53n and LED Bulb)':
ot YES:NO
--permi,
1L
J60
C�
77 Javo
p
77
T.,
TT7
it rot,I'
booR SOLD DO*
I�QACKA `APPL�"fQ 'GAAAGESrNM
MR,
i D p 4 gle to Ldc na re� O � I�.cwd ......
C
Jr .............
igna9aw
!q,3 t
M.N4, F
.7
if