HomeMy WebLinkAbout20-1107 Ffl City of Zephyrhills12986RWIMINUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BAR-001107-2020
Phone: (813)780-0020 Fax: (813)780-0021 1 Issue Date: 11/25/2020
Permit Type: Add/Alter (Residential)
Property Numtier, �„ �=fig x �*� �n � Sheet Adtlress
03 26 210150 00000 0180 16706 North Lake Drive
Owner Information MM Pe mit Information L Contraactor Infoormation
Name: ROSWELL&ELLEN WALLWORK Permit Type:Add/Alter(Residential) Contractor: BANKO OVERHEAD DOOR:
Class of Work:Add/Alter Residential INC
Address: 6706 Northlake Cr Building Valuation:$2,254.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00
Phone: (860)935-9005 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00 Y I
Total Valuation:$2,254.00
Total Fees:$76.91
Amount Paid:$76.91 I
Date Paid:11/25/2020 12:16:01PM
Pro'ect Descri tion .,
GARAGE REPLACEMENT 16 X 7
Apt p i a ion Fees w
Building Permit Fee $51.27 Building Plan Review Fee $25.64
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
K
9
Bas Home Log In User Registration ( Hot Toplcs Submit Sumharge Stats&Facts PubkWons Contact Us BCIS Site Map Unks ( Seamh
6bfida
Product Approval
USER:Public User
Product Aauroval Menu>Product Or Aogll_cotion Search>Aocpa+tlon Ust>Application Detail
4- FL# FI.15504-115
Y Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Clopay Building ProaB'f/ w"DATE NOV
Address/Phone/Email 8585 Duke Blvd. ; 2
Mason,OH 4504 jj y� OF ZEPHy Q
(513)770-6062OPLAN E haIAlE6 Hj
mwmterfield@clopaycom M Ltl R
Authorized Signature Scott Hamilton ALL WORK SHALL IDLY
shamilton@clopay,co CODES FLORIDA BUILDING
WITH PREVAILING ELECTPtIC CODErCODE,
Technical Representative AND THE CITY OlyEp
Address/PhoneJEmall
flRDINANC I HYRHILLS
Quality Assurance Representative
Address/Phone/Email
Category Exterior Doors
Subcategory Sectional Exterior Door Assemblies
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 Scott Hamilton
Evaluation Report
Florida License PE-63286
Quality Assurance Entity Intertek Testing Services NA,Inc.-QA Entity
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Gary Pfuehler
Validation Checklist-Hardcopy Received
Certificate of Independence EL15504 R5 COI Certification of Independence of Validation Entity=
Gary Pf L er pdf
ELISS04 RS COI Statement an Independence of Evaluation En i -
ScottHamilton 12 24.p
Referenced Standard and Year(of Standard) Standard Year
ANSI/DASMA 108 2005
ANSI/DASMA 115 2005
ASTM E1886 2005
ASTM E1996 2006
ASTM E330 2002
TAS 201 1994
TAS 202 1994
TAS 203 1994
813-780-0020 City of Zephyrhills Perillit Application Fax si3-780-6021
Building Departmenf
Date Received jPhoge0ontactlo permliti.0
Ownaes Name
LAJr, Owner Phone Numb",
Ownees Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple'neeholderAddress
JOBADDS S �Ake— Y LoTf
SUSDIVISIO N PARcEL J2/9d I
WORK PROPOSED 'E] NEWCONSTR ADDIALT SIGN(OBTAINED FROM PROPERTYMN(MCE)
DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR = COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Ej FRAME C7 STEEL
DESCRIPTION OF WORK Aov� 16- -7 .0111* 13
BUILDINGSIZE I —j SQFOOTAGE= HEIGHT
VALUATION OF TOTAL CONSTRU07TON
=ELECTRICAL I$ MP 81_FMCE Q PROGRESS ENERGY F--j KRZO.
=PLUWaING
I
=MECMWICAL is VALUATION OF MECHANICAL IN ON
cl�[
=GAS ROOFING SPECIALTY F--j OTHER
FINISHED FLOORELLVATIONS I FLCODZONEAREA =YES No
.... . .. . ... .. . .. . . .. . . . . ..... . . .. . .. . ... . . . . . . . ..
BUILDER 11MOSCOMPANY
SIGNATURE TEM I Y/N FEECURRM LffjN J
Add. P�—� Llcenss#
ELECTRICIAN COMPANY r
SIGNATURE REGISTERED I Y/N FEECURM
Address Licansef
PLUMBER COMPANY = _YIN-1
SIGNATURE REGISTEREDI YIN FERCURRFA L
Addreqsr License#
MECHANICAL COMPANY I
SIGNATURE CuRft Ly
RMISTERED I Y/N FES N L—j
Address Llcenspf
OTHER COMPANY
SIGNATURE REGISTEM I YIN FEECURM L_YLN J
Address License#
O
I I I I if I I I it III fill I I It I If It[I [I 111"11111 Its I I I I III III R-
RESIDENTAt Attach(2)PlotPlaris;(2)sets OfEWIdIng Plans,(1)s6tofEnOrBY Formal -WpermItfornewLonstuctlon,
Miclamm fen(10)wajjrjg days after submittal date.Required onsile,Construction Plans,Stormwater-Plans wl Silt Fence Installed,
Sanitary Fadililas&I dumpster,Site Worki3eanl(forsubdivIslonsfiarge projects;
COMMERCIAL Attach(2)complete sets DfBuHdfng Plans plus a Ufa Safety fte,(1)setofEnemy Forms.R-O-W Pennitfornew construction.
Minimum ton(10)working days aftersubmitial date.Required onsIto,Construction Plans,Stormwater Plans w/Silt Fence Installed,
SanifeTy Facilities a I dumpster.Site Work Permllbr all new projecla.AJI commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
" PROPERTY SURVEY mqulredfbr all NEWconstructlDrL
8 1 1 1 14; 1 t
Directions:
Fill - I
Fill out applIcation completely,
Owner&ContraclorsIgn backol'appilostlon,notarized
If over$2600,a Notice ofCommencernont is required. (AIC upgrades over$7600)
Agent(for the contmolor)or Power ofAttomey(for the owner)would be someone with notarized letter from ownerauthorbing same
OVER THE COUNTER PERMITTING (copy of contract required)
Remofia If shingles Sewers Service Upgrades No Fences(Plot/Survay/Foolage)
Drivoways-NotovarCounterifon publIcroadways.meads ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to'deed'restrictions"
whldh 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 slate 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 IMPACTIUTILiTIES 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
Anal power release,the fees must be paid prior to permit Issuance. Furthermore,If Pasco County Water/Sewer impact
fees are due,they trust 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,1
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 1 have obtained a copy of the above described document and promise in good faith to
deliver it to the'owner"prior to commencement.
CONTRACTOWSIOWNER'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 alto
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 Sayheads, Weiland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management Dlstrfot-Wells, Cypress Bayheads, Weiland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
Department of Health & Rehabllltai(ve ServloeslEnvimnmentat 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 thb use of fill:
- Use of fill is not allowed in Flood Zone'V'unless expressly permitted.
- If the Ali material Is to be used In Flood Zane '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 tha All material Is to be used in Flood Zone'A"in connection with a permitted building using stem wall
construction,I cer ffy that All will be used only to ii the area within the stem wall.
- if Ali material is to be used in any area, I certify that use of such fill v)llf not adversely shot 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,sighs,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 Butidldg Official from thereafter
requiring a correction of errors In plans,consttuctlon 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 9 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,front 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 I
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT' ""-"�— �'�"�"' _ CONTRACTOR
subscribed end on br stfir�me erorp me this subscribed end swum affirmed Pore a this
so sfara p own to me or ava produced o le/are� me or hesmave pro�oed
as identification. as Identlecatlom
r%�� .�. —I'7 NotanttiwlhYd'p3��j NotaryPublio
Commission No. t1OU�'-.�iGG�2 Zit` ammtssion Na. DOUGBu Gig 4316
cow �a ohs oVetnber11,2023
Name of Notary typed,pdnl ARA
d �t vgd0 Name orNotary typed,printed or stamped t Etl(1 �tNglrtY
Gery rz
ze8 '"i ° tsstdtdSnNEudB
*� l
4