HomeMy WebLinkAbout20-900 `rr Cityof Ze h rhill
p Y PERMIT FNUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BAR-000900-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 10/21/2020
Permit Type: Add/Alter (Residential)
. P�operty'Numtiera - Street,Aiidress
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12 26 21 0280 00000 0070 39601 Kennedy Avenue
�,Owner:lnformation• Permit information ,s , z Contractor Informat�on�;..i {
Name: DELIJAH SOLIS Permit Type:Add/Alter(Residential) Contractor: COASTAL GREEN
Class of Work:Add/Alter Residential
Address: 39601 Kennedy Ave Building Valuation:$10,000.00 — yV
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ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: Mechanical Valuation:$0.00
Plumbing Valuation:$0.00
Total Valuation:$10,000.00
Total Fees:$135.00
Amount Paid:$135.00
Date Paid:10/21/2020 11:45:29AM
Projec`tDescription K #
REPLACE 10 WINDOW S/S
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°ApplicationFees _K < ,r• ., w,. :.
Building Plan Review Fee $45.00 Building Permit Fee $90.00
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 SIGNATLAE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
9/18/2020 Florida Building Cade Online
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Code Version 2017 FL# 23505.4
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FL# Type Manufacturer Validated By Status
LF 23505- Revision Soft-Cite LLC Ryan 1. King, Approved
R2 FL#:FL23505.4 P.E.
is ory Model:d.Series'Barcelona"Model"SH30P" (813)767-6555
Description: Extruded PVC Single Hung"Non-Impact"Window-(O/X
Configuration)
Category:Windows
Subcategory:Single Hung
'Approved by DBPR.Approvals by DBPR shall be reviewed and ratifled by the POC and/or the Commission if necessary.
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida Is an AA/EEO employer.Cop_yright 2007-2013 state of Florida.::Privacy 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 mall.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 smalls
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,F.S.,please click here.
Product Approval Accepts.
®� ® �iiwli
REVIEW DATE OCT 2020
CITY OF ZEPII�6YI�l�I ALL WORK SHALL COMPLY WITH PREVAII►liti .
PLAN EXAMINER CODES FLORIDA BUILDING CODE,
NATIONAL ELECTRIC CODE,
AND THE CITY OF ZEPHYRHILLS
ORDINANCES
https:/iflofdabuilding.org/pr/pr app_Ist.aspx 1/1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
e Building Department
Date Received — Gphone Contact for Permitting 813 512 _ 6014
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Owner's Name SOLIS DELILAH Owner Phone Number 813 545 9339
Owners Address 1 39601 KENNEDY AVE ZEPHYRHILLS,FL 33542 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 39601 KENNEDY AVE ZEPHYRHILLS,FL 33542 LOT#
SUBDIVISION LINCOLN HTS PARCEL ID# 12-26-21-0280-00000-0070
(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 0 FRAME = STEEL =
DESCRIPTION OF WORK Window replacement,size for size
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ 10,000 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ •/
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION=GAS = ROOFING 0 SPECIALTY = OTHER ff,,
13,1
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V-
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER �f//�� �/ COMPANY Coastal Green Energy Solutions
SIGNATURE \ REGISTERED Y/N FEECURREN Y!N
Address 6710 Benjamin Rd#200 Tampa,FL 33634 License# I CGC1523579
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED YIN I FEE CURREN Y!N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEECURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
I'm
II.ITIII.III.IIII3fI SIR NXIIIIIII..IIIIIS.#1e'flt.IS§IS2IfVRINIffII1iLlll..-t3iERI
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,Stornwater 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.
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 an public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
r ' Building Department
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.1 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,WaterMastewater 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.117.03) T/
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and sworn�}.p(or affirmed)before me this
by Co(5 20,0 by 1���naXf Coci�Q'4L
Who is/are personally known to me or has/have produced Who is/are personally known to me or hasthave produced
as identification. as identification.
Notary Public ( Notary Public
Commission No. Commission No.y ��w N k 7
Name of Notary typed,printed or stamped Name Of Notary typed,printed or stamped
LYNDSAY MIJAL
,- MY COMMISSION#HH 013619
EXPIRES:June 23,2024
��1FOF00" Bonded Thru Notary Public Underwriters
Sketch of Residence
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STATEWIDE PRODUCT APPROVAL SUBMITTAL
Revision Date: 5/24/04
Coastal Green Energy Solutions
Application/Permit#: Building Address:sj,�' 3'3 5'-4 7- Owner: contractor:Robert Cornelta
Openings: Sliding Glass Doors,Exte wing Doors, Overhead Doors, Fixed Glass,Windows, Mullions, Skylights
1**Pressure Product Approval Product Model#or Glass Attachment Approval Expiration
*Qty r—D—T—T Manufacturer Category Number/Seq#. Name Series Type/Slze Method Entity Date
10 145 s5&b.;-A 5"3c-1111? S%C-1-4
only one entry required for Multiple units of the same size and Design Pressure
D=Design Pressure T=Max.Test Pressure
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