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City Of Zephyrhilis PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BAR-001466-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/22/2021
Permit Type: Add/Alter (Residential)
Property Number Street Address
02 26 21 0300 00000 0130 6759 Basswood Circle
Owner Information Permit Information Contractor Information
Name: EILEEN BORER Permit Type:Add/Alter(Residential) Contractor:THE WINDOW DEPOT LLC
Class of Work:Add/Alter Residential
Address: 6759 Basswood Dr Building Valuation:$4,100.00
ZEPHYRHILLS,FL 33542-6612 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:'$4,100.00 11
Total Fees:$90.75
Amount Paid:$90.75
Date Paid:3/22/2021 2:29:05PM
Project Description
REPLACE SLIDER S/S
Application Fees
Building Plan Review Fee $30.25 Building Permit Fee $60.50
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
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Product Approval
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Product Aoproval Menu>Product or Application Search>Application List>Application Detail
• • FL# FL251-R33.2
Application Type Revision
Code Version 2020
Application Status Approved
*Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by
the POC and/or the Commission if necessary.
Comments
Archived (]
Product Manufacturer PGT Industries
Address/Phone/Email 1070 Technology Drive
North Venice, FL 34275
(941)486-0100 �(t,2
jrosowski@pgtindA f4 .&K SHAII.!Cain" �R*Y WITH F�F !/i�Il fhlC
CODES FL()RIDA BUILDING CODE,
Authorized Signature Jens Rosowski NATIONAL ELECTRIC CODE,
jrosowski@pgtindl sTddrm CITY OF ZEPHYRH ILLS
ORDINANCES ,
Technical Representative Lynn Miller,P.E.
Address/Phone/Email 1070 Technology Dr
N Venice,FL 34275 2 2
(941)486-0100 Ext 21142 REVIEW DAT 021
Imiller@pgtindustries.com CITY OF ZEPHYRH�
Quality Assurance Representative PLAN EXAMINER
Address/Phone/Email
Category ExterlExtehor
Subcategory Slidinor Assemblies
Compliance Method Certification Mark or Listing
Certification Agency Miami-Dade BCCO-CER
Validated By Miami-Dade BCCO-VAL
Referenced Standard and Year(of Standard) Standard Year
TAS 201,202,203 1994
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 10/26/2020
Date Validated 11/19/2020
Date Pending FBC Approval
INSTR#2021053944 OR BK 1 0303 PG433 Page 1 of 1
03/18/2021 11:30 AM Ropt:2274803 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller
FbrmKNa PWWID*
HWICE OF COMME3111MMENT
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813-780-0020 City of Zephyrhilis Permit;Applicatiion• Faz-813-780-0021
Building Department • -
Date Received
" PC) [t
Phone Contact for Permittin 79,7. ,S Ps,_
cc:7Owner's Name - G.t t' Owner Phone Number
Owner's Address C i r Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address JOB ADDRESS (0259 &5 UMA
t rl""' LOT#
SUBDIVISION C PARCEL ID# Qa_r9&P - ;R I -0,600 - 0000o
(OBTAINED FROM PROPERTY TAX-NOTICE)
i
WORK'P,ROPOSED, NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED`USE SFR 0 COMM, OTHER i
TYPE,*i.'6 7 STRUCTION Q BLOCK 0 FRAME STEEL Q
DESCRIPTION OF WORK eMoW2- C,C V^" c,SS Ckoo 42S� Or �Pe_
t3U11 DING:,SIZE._ So FOOTAGE HEIGHT
BUILDING $ , ' /^` VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL is AMP SERVICE = PROGRESS ENERGY' 0 W.R.E.C.
=PLUMBING $
c '
=MECHANICAL VALUATION OF MECHANICAL'INSTALtATiON
$
=GAS = ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER �_ a/ COMPANY LA 3
SIGNATURE 77JJ�G'''' REGISTERED N FEE CURFER LY/N
Address boat J06,, 94`9 Ucense# I 'lr" C (504 ID5
ELECTRICIAN COMPANY i
SIGNATURE' REGISTERED Y/ N FEE CURIkth
Address tlicense#
PLUMBER COMPANY
SIGNATURE REGISTERED 'Y'/"N FEECURRED' YI'N
Address License#
,-MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CUi2REn
Address License# I I
OTHER' rCOMPANY
SIGNATURE REGISTERED Y/-N 11 FEE CURREN
Address License#T
11 /7 E 1 1 1 1 /.1-'i./ / 11 / 1 /,.i-sly tir.l,;l tt l.Ih if=l.;;1,:1>4 / Lwi.:1 rl.l-=tf i .1 .1 / 1 1 i / .t{ CA I i ti .i 1 1.1 / .1 1 11 1 1.1 11
Attach:(?)Plot Plans; Srf (1:) ergy R-0-W Permit for,new.construction,
( )sets pQuildfng;Plans, �sat,of En Fomns; i,
Minimumq ten(10)�woilcing�days aRer.subreittal date. Required orlsite,;Construction Plans,-Storm Plans w/'Silt Fence installed,
Sanitary Facilities&_ ,0ifipster,Sita.Work P.erimllt'.fpr Wbdivlsloiislia'rge protects, i
COMMERCIAL. .Attach(2)oorr`iplete sets or-Building"Plans.plus a Ufe`Safety Page;'(1)�det'of Energy Forms.WO-W.Permit for new.construction.
Minimum teri(10j'woricing lays after subniittafdate: Required`on§ite.,,•Con'strudtion Plans,.Stormwater Plans.wl_Silt Fence Installed,
SanitaW Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT AttscW(2);bdts'bf Engineered,Plans. .,
•••'PROPERT,Y,SUR\/EY required forBt1-NEW.construc Uqn. i
Directions: ... -
Flil qut application campietely: '
Owner&Contractor sigrrt ad,6f.-;ppiicagon;notarized
If'over$2500,ahNotice'of.,Commencementis:requlred..:;(AIC upgrades:over$7500)
Agent(for the contractor)-or'Pohver'ofiAti6meya(for.the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER'PERMITTING' °(copyof contract required)
Reroofs If shingles ' Sewers' " Service.Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Nat:over:Counter if on'publi.G'noadwaW.needs;ROW
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j 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
wi ! certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
�•i. 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 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 NOT_I COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT - CONTRACTOR
j Subscribed and sworn to(or affirmed)before me this Subscribed and sworn lof(or affirmed)before
by by
Who is/are personally known to me or has/have produced Who is/ar perso allyy known to me or has/have produced
as identification. (r as identification.
TId
Notary Public Notary Public
Commission No. Commission Now. I�
Name of Notary typed,printed_or stamped Name of Nota?yl toed,-printed or stamped
CARLOS MALDONADO
Commission#GG 346275
Expires June 16,2023
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