HomeMy WebLinkAbout21-2519Phone: (813) 220-4031
Building Permit Fee
•
02519-2021
Issue Date: 08/13/2021
[10MG 11=1 T 4=6 0111
Building Valuation: $1,910.82
Electrical Valuation: $1 00
Mechanical Valuation:
Plumbing Valuation: $1.00
Total Valuation: $1,913,82
Total Fees: $74.33
Amount Paid: $74.33
Date Paid: 8/13/2021 12:48:56PM
$24,78
entities such as water management, state agencies or federal agencies.
. 9 . 0 1 to - -
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
ell%
0 TRACTORSIGNATURE PEfAIT OFFICEU
PERA/IT'EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
WE"T -. =Isino] 7, 1171
C#"ity of Zephyrhill
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021 1
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
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
[VI
PEfIT OFFICEt)
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Application Type
Code Version
ii
Product Manufacture?
Address/Phone/Email
iII
Address/Phone/Emall
I
Category
Subcategory
Compliance Method
Certified By
ALL WORM S8AL= .
`ka �
CODES FLORIN NATIONAL Si�tL PN = C00F
) DIN ; HE l OF FP"R ILLS
Atrium Windows & Doors
rw Welcome Center Blvd.
Welcome, NC 27374
:0K Ext 413596
/
Luanne Harris r,� .;
300 Welcome Center Blvd, LA
Welcome, NC 27374 A
(800) 542-9118 Ext 413596
luanne.harris@cornerstone®bb.com
Exterior Doors
a
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Documentation fromapproved Evaluation or Validation
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'•. 'a • i • i i .i�f i s,. _ �, 1�; �� ' u«ins � .:". : ♦ • :: # i�.
2/291,2020
at Validate,*'
0
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Date Pending FBC Approval
Date Approved 10/02/2020
summate of Products
Number or Name
'311/312/378 Sliding Glass Door
R-PG35*-1797x2Ol9 (71x$O)-SD (311), R-PG35-2407x2019
(95x8O)-SD (312), R-PG30-1899x2426 (75x96)-$D (312), 11-
PG3S-1829x2O83 (72x82)-SD (378)
Limits of Use
Certification Agency Certificate
Approved for use In HVHZ: No
P13:::
Approved for use outside HVHZ: Yes
t ImpacResistant: No
6 R13
Design Pressure: N/A
FL11646 R13
Other. All doors shall utilize safety glazing in accordance with
1 FL i 1 —64-6- R I I
the FBC. All frame components are fabricated from extruded
1 Ell PIS U"'M
vinyl (PVC),
-W
ELjj§A6 ;Z13 AC
L11§46 R13 Of
Quality Assurance Contract Expiration Date
06/30/2022
Installation Instructions
ELLJ§. w3 11 ATR023l$a2D1Z--QL-1LPdf
Verified By: Hermes F, Norero Ft. PE *73778
Created by Independent Third Party: Yes
Evaluation Reports
FL11646 R13 AE PERS453 S--,2qjA:Qj-MPdf
Created by Independent Tir hd y: Yes
Part
613-780-0020
City of Zephyrhills Permit Application
Building Department
Date Received
Phone Contact for Parmittin
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Owner'sNarre kkocck-,Q
Owns, Ph.. Number
Owners Address
tl�
Fes Simple Titleholder Name
CIA
Dr-
Owner Phone Number
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
N
T N
SUBDIVISION
PARCEL 01 [03-?10 -2-1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADDIALT SIGN
DEMOLISH
INSTALL
REPAIR
PROPOSED USE
SFR
COMM OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME L STEEL
DESCRIPTION OF WORK
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BUILDING SIZE
SQ FOOTAGE
HEIGHT
1:2116ILDING
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
$
AMP SERVICE
PROGRESS
ENERGY = W_R.E.C.
=PLUMBING
$
/ w
=MECHANICAL
$
VALUATION OF MECHANICAL
INSTALLATION
a"" ..` ar"
=GAS
Q ROOFING
SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS
FLOOD ZONE AREA
=YES
NO ", X 'r,
vj, Cr
BUILDER COMPANY [Lejqel` i%t: olo_
_66RREK�y
SIGNATURE IL REGISTERED FEE /N Li -4- 1 ',3 C -3 J 1 7
License 0
M1�{
ELECTRICIAN COMPANY
SIGNATURE REGISTERED FEE CuRNIV,
Address License At
PLUMBER COMPANY
SIGNATURE REGISTERED N
Address License $
MECHANICAL COMPANY =
SIGNATURE REGISTERED L_Y_LN J FEECURREN
Address License#
OTHER COMPANY I
Y1 N FEE L
SIGNATURE Lluiwj - _Y.LN J
Address License I
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. Requited onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & I dumpsler; Site Work Permit for subdivislons/large projects
COMMERCIAL Attach (2) complete sets of Building Plans Plus 8 Life Safety Page; (1) Sat of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal dots. Required onsits, Construction Plans, StOrmweter Plans wl Silt Fence installed,
Sanitary Facilities & I dumpster. Site Work Permit for all now projects. Ail 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 3 Contractor sign back of application, notarized
if over $2500. a Notice of Commencement Is required. (A/C upgrades over $7500)
Agent (tor 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 AJC Fences (Plol/Survey/Foolage)
Driveways -Not over Counter it on public roadways. needs ROW
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 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
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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with a0 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, Welland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Welland 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
OWNER �®R AGENT 4L _,tJUAg44, CONTRACTOR
_,be p Del
u scmed d wor or a 5 Del in this jj subscribed ant sworn to (of affirmed) before me It"s
y by
o P, Ily 0�
."y 0�ri i" or ....... ..
Vft S)a o p to me or hasMava produced io �W" personally known to me or hasmerve producocl
as identification as identification,
commission No
13, 667
Ji EXPIRES: September 17, 2021
Bonded Thru Notary Public Underwriters
Commission
Name of Notary typed, printed of stamped
Public
n
Ill
it
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u
DATE: '713 /2021
NAME: SHAWN MRPHY
ADDRESS: 6410 LAURELWOOD DR
CITY/STATE/Zjp: ZEPHYRHILLSI FL 33542
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1) Need manufacturing installation specifications,
2) Must meet sections R308 and R612 of the 2017 F,B,C
3) If windows are to be installed inside the historical district, they will need to be approved
by the historical committee,
4) No other work shall be permitted (framing, plumbing, and mechanical) unless otherwise
specified,
5) This is for replacement (glass for glass) only. If you wish to change frorn screen or vinyl
windows to glass, then additional information is required.
6) All windows to wall connections shall be left visible for inspection.
7) All labeling and stickers shall rernain on windows until final inspection,
8) No work shall start without permit first,