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Home My WebLink About21-2524City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 ----- ----- BAR-002624-2021 Issue Date: 08/13/2021 i IIII!!!J! III!! 1111111!11 Jill I Jill I I 111111111-14,11 MmffmTjrEm= P-,* - - & 6 is & - I - WIMM"Er accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. TURE 813-780-(�t City Of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received (i Phone Contact for Permitting %- Lv —4 W 6 Owner's Name 1 g el` Q _ Owner Phone Number " Owner's Address ` Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS rsrKcl � LOT # I t k ` SUBDIVISION {� \ \�G PARCEL ID# V'" g 1 ^ `° (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH B INSTALL 8 REPAIR PROPOSED USE Q SFR O COMM OTHER TYPE OF CONSTRUCTION� BLOCK FRAME L STEEL ffj DESCRIPTION OF WORK �^® fiir" III-) BUILDING SIZE SO FOOTAGE HEIGHT -� rare—� �°-re-rrr rr erTm BUILDING lR1yr y e VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS 0 ROOFING ® SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [YES NO Address /0? /Y License# ELECTRICIAN COMPANY SIGNATURE REGISTERED YIN FEE CURREA Y I N Address License# PLUMBER COMPANY SIGNATURE REGISTERED YJ N FEEcuRREn Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED YIN FEE CURREA Y / N Address License # OTHER COMPANY��_ SIGNATURE REGISTERED LFEE CUIR�RE"A�� Y / N Address License 11111t1t11111i111i)111111111111111liltIIIIitiill[11111111IffillIfIII 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/ Slit Fence Installed, Sanitary Facilities & 1 dumpster, Site Work Permit for subdivislons/Earge 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, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. Al 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 $2800, a Notice of Commencement Is required. (AIC upgrades over $7500) *" Agent (for the contractor) or Power of Attorney (for the owner) could 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 (PloUSurvey/Footage) Driveways -Nat over Counter if on public madways..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. or contractors UNLICENSED undertake workk,Rthey may beer gRACTOR uiited o be licensed InBactco dance with state and €ocalhe owner has eregulations. Ifrthe 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 Divislon--Licensing Section at 727-847- 800g. 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 IMPACTIUTILITItS IMPACT AND RESOURCE RECOVEkY 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, ff 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 718, 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 Llen 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 wfll'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 certtfy 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 dnderstand that the regulations of oftier 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, WaterlWastewater 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 ill will be used only to fill the area within the stem wall. cfill material is to be used in any area, I certify that use of such fill v011 not adversely affect adjacent - ifproperties. 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 goad faith to inform the owner of the permitting conditions set forth In this affidavit prior to commencing construction. I underooed InstallationsJhst asara a permispect may ally be re Included he d for electrical work, plumbing, signs, wells, pools, air condi#ioning, gas, o 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 per issuance, or if work authorized by the permit insion s suspended or abandoned or a period of six (6) months after the time the work is days andewfil demonstrate may be requested, in writing, from the Buildfmg,Offlciai for a period not to exceed ninety (90) y justifiable cause for the extension, If work ceases for ninety (90) consecutive days, the jab is considered abandoned. MM ENCEMENT MAY RESULT IN YOUR WARNING TO OWNER: tftRFROVEMENTS TO YO R PROPERTY. iIF YOU INTCE OF O ND TO OBTAIN FINANCING, PAYING TWICE FORno= ro rnRn,NG YOUR N6nQE OF CpMMENC9M9NT. 7 � ME o ist rep i f��erut?ta me or naslnays pr asidentifloafion. GO *TO ' s n sworn t s by or hasthave produced a isl re rs, as identificaiion. Notary Public Notary Public commisslon Nm Ft IiL ES Name of Notary typed, Printed toe mpad 7n ii of 2A,a621 v rues CO i,C� o a3ust 16,Q2 s ' t.'. eiholarySarvlcaa gcndedTi�ru6ud9 0 p1i11 �211C.5 er>Cnt �'�F,t 1t1,�Q� cps e� idad'Sp:c gu�,9ntNn,t�,t • BCIS Home Log]. I User Registration Not Topics Submit Surcharge Slats & Facts Publications Contact Us 1 13CIS Site Map Links Search d*")Product Approval USER: Public User fto &ctAWrWLMM > Ero4Mc_or_Apqfl=oa_§e ro > Application I,& > Application Detail MFL # FL13521-R7 *-. Application Type Revision Code Version 2020 Application Status Approved Comments ALL WORK SHAt L COMPLY WITH P Archived CODES FLORID� BUILDING CODE, REVAILIM Product Manufacturer Amarr Garage Doors/Entr NATIONAL ELECTRIC CODE ' Address/Phone/Emall 165 Carriage Court A" THE CITY or- ZFPHYRH'ILI,S Winston-Salem, NC 27105 ORDINANCES (336) 251-1307 robert.richardson@entrematic.com Authorized Signature Robert Richardson robert,richardson@entrematic.com Technical Representative Robert Richardson REVIEW DATE AU0 0 Address/Phone/Email 165 Carriage Court W (336) 251-1307 RHI S inston-Salem, NC 27105 CITY OF ZEPH-Yi robert.richardson@entrematic.gr�AN EXAMINER___ Quality Assurance Representative Danny Joyner Address/Phone/Email Amarr Garage Doors 165 Carriage Court Winston-Salem, NC 27105 djoyner@amarr.com 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 Thomas L. Shelmerdine Evaluation Report Florida License PE-0048579 Quality Assurance Entity Intertek Testing Services NA, Inc. - QA Entity Quality Assurance Contract Expiration Date 01/01/2027 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) 619NI-7-40111111 AtanA"r YAM ASTM E1996 2017 ASTM E330 2014 DASMA 108 2012 DASMA 115 2012 Equivalence of Product Standards Certified By Florida Licensed Professional Engineer or Architect