HomeMy WebLinkAbout21-2673City of Zephyrhills
5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
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11 IFIRIIJIN 111111 NEW lI I Jill
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BAR-002673-2021
Issue Date: 09/13/2021
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VIT,
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.
NO OCCUPANCY BEFORE C.O.
24
Fl�-,��IGNATURE PEIMIT OFFICE()
T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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WORK PROPOSED
NJWCONSTRE] ADDIALT
Ed INSTALL REPAIR
SIGN
DEMOLISH
PROPOSED USE
SFR
t_�—��.J COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
f�T
t:d FRAME
STEEL
DESCRIPTION OF WORK.
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7 {
g � tr•
F{., a?' .
BUILDING SIZE
SO F TACaE
NEtCwifT
iJtLDaNG
$ 155
VALUATION OF TOTAL
CONSTRUCTION
E; LECTRICAL AMP SERVICE PROGRESS ENERGY W R1.0
=F'LUME#aNU
=MECHANICAL $ VALUATION OF MECIiANICAL. INSTALLATION
GAS ROOFING SPECIALTY = OTHFtR
FINtSHCD FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY ,,'" e `a } �r
SIGNATURE RscrsTSR Y I N Xt e CVRfiEh Y J Pd
Address r-
�— V 7
ELECTRICIAN COMPANY
SIGNATURE R�caisveRt to Y! N fEE WAREt. Y T N
Address License s
PLVMOERE=== COMPANY
SIGNATURE REGISTERED Y 1 N fEE GURREn 7 !t N
Address Oconee If
MECHANICAL COMPANY
SIGNATURE RFC31StFREQ Y I N FEE GURR) h Y t N
Pedrosa .,.,_......_......,..�.......__ Lrcense a
OTHER COMPANY
SIGNATURE RFCIisTER[L` Y I N fEE cvRRE� Y/ N
Address Licensa
!tl ifillllltli►it911II#!1lttI11i111PI1tlIfiM#IIl1Itt11t11#FIltt#ti
RESIDI.Atteca� [Z} Piot Flans, f2I seta of EtutlGi p Hens; ttp set rt Energy Forms, R-O t PaffiiFt for r ew, construction.
Minimutfl ten (t{}t wA.xttiny days eftet 6ubmYttdt da3e. Reaaulrect Cittsite, CQr+&tntCdian PtaTls, Stornwlatet Flans wr Sett Fence insiatted
Smrriary Fac tie$ a t dun Oster; Site Yd#rk Per rUf for su1 Hs orashdra protects
COMMERCIA#. Anscta t2) piete sets of EuEldtnp Harts pleas a kite Sataty Page: (t? set of E,riergy Farms_ R.r � a Farrnaf Far new construction
n once
instal
Mini±morn ten qt0} wostsing days Rner sutxrilti$l dots Roquired onsee, Consirucllon Ftarrs, StorrTiwdter Funs wt Silt Fence rnstatleca,
Sisriato y f-WilIes 5 t dornpster. Site VA04 Permit for all newt prolecis Alt commeec7et requrc*Monts must meet compirants
SIGN PERMIT Atiad (2) seta of Engmeered Flans
—PROPERTY SURVEY required for eii NEW construction
Directions:
Fri out appticaation completetY.
owricr 6 Contractor sign back of opp ,canon, notarized
of over $2500, s tfoitee of Commencement is raciutned, NVC upgrades over $7500)
•, A;ernl (for the contractor} or Power of Attonley {tor the Ow d,r} w.odr4 pe sorneone volh notarized letter from owner authonzing saute
OVER THE COUNTER PERMITTING {copy of conirect required}
Reroofs d shingles Sewers Services Upgrade$ AFC Fences tPlovSurueytFooiaget
Drive ways -Not over Gourilar it Gn Public roddwdys needs POW
1) Need manufacturing installation specifications.
2) Must meet sections R308 and R612 of the 2017 FRC,
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 perrnitted (framing, plumbing, and mechanical) unless otherwise
specified.
5) This is for replacement (glass for glass) only, if you wish to change from 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 remain or) wind OWS Until final inspection.
8) No work shall start without permit first,
too
NO'S
T&MM,
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sit
TORE 1854 STORE PHONE� (813) 838-9000
LOWES OF ZEPHYRHILLS, FL, S
CONNELL
0-21 GALL BOULEVARD SAL SPERSON, TERRY MC
ErHYRHILLS, FL 33541, SALESPERSON 0� 2525196
Date: 08/08/20
This is only a Cluote for the merchandise and services printed betow. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon wnrch the entire agree-
ment, including the specifically completed pages of this document. the Terms and Conditions included with this docurnent, the applicable portion(s) of Lowe's receipt, and any
other addenda or attachments hereto, shall be referred to herein as this "Contract,'
PjLAaE_R_E_AQjt1r? �NTIR�_QQ_QW
Lowe's Registration or Contractor License Number i Lowe's Contractor Name
Florida Contractor License Number CGC 1508417
MERCHANDISE AND INSTALLATION SUMMARY
33670,4458FJPMD, STK. PFJCSE4453-1/4-INX11,116-INX8-FT .PFJCSE445 3-1i4-INX11116-INX8-FT: EMPIRECOMPANY THE -QTY3
66646:07832 1 S T K : 1-2-8 ROYAL PVC BOARD: 1-2-8 ROYAL PVC BOARD: METRIE INDUSTRIES INC - QTY 3
98458 -107526: STK, RML 8-FT WHITE PVC BRICK MOULDING: RML 8-FT WHITE PVC BRICK MOULDING -1 METRIE INDUSTRIES INC - CITY 3
156650: 146DET25E: STK: 7/16-4-6 DE PT PICKET - 7116-4-6 DE PT PICKET: CM TUCKER LUMBER COMPANIES LLC - QTY 3
209626:02018 : STK: 8-FT PRIVACY LATTICE: 8-FT PRIVACY LATTICE : METRIE INDUSTRIES INC - QTY 3
238343, 2826: STK ; 1-4-8 ROYAL PVC BOARD 1-4-8 ROYAL PVC BOARD: METRIE INDUSTRIES INC - OTY 3
238345: 2827: STK: 1-6-8 ROYAL PVC BOARD 1-6-8 ROYAL PVC BOARD. IVIETRIE INDUSTRIES lNC - CITY 1
312284 OGS540608-AG : STK: 5/4-6-8 STANDARD DECKING: 51,41-6-8 STANDARD DECKING: SUNBELT FORES-3-1 PRODUCTS "."ORP - 01-Y I
8
Sionre 185l1 ProjeCt No 6&,-705696 for PA'TTY BOLEN Paqe
314407: 0GL10408-AG: STK : 1-4-8 TREATED APPEARANCEE GRADE: 1-4-8 TREATED APPEARANCEE GRADE: SUNBELT FOREST PRODUCTS
COOP - CITY 3
1798627 - 818SCEXHFL SOT 514 : STK KW SA N CLEMENTE HDLST MB SMT -. KW SAN CLEF ENTE HDLST €OB SMT: KWIKSET - OTY I
F -Materials Price
Install Interior Doors - No
Install Entry Doors: No
Install Sliding Patio Doors - None
Patio Doors Above 2nd Story: None
Install New Double Storm Screen or Security Door " None
Remove and Replace Double Door: None
Cutback Flooring: None
Cutback Drywall - None
Aluminum Wrap Single Door With Sideldes .- Norre
Aluminum Wrap Double Door With Sidelights: None
Lead safe practices: No
Permit Fee -. Yes
Access fee - None
Additional Work Charge -1 Yes
Install Exterior Doors Yes
Install Patio Doors : Yes
Install Hinged or French Patio Doors: 1
Install New Single Storm Screen or Security Door 1, None
Remove and Replace Single Door: None
Threshold Support . None
Cutback Siding: None
Aluminum Wrap Single Door -. None
Aluminum Wrap Double Door: None
Total linear feet of custom trim to be Installed : None
Customer understands scope of the project :'Yes
Additional Mileage : 0
Additional Work - Build up sill and custom trim
Comments : No Comment
Additional Specifications:
Labor Charges
Notatton, Lovi's vval not rnaj�,e Structural modificat;Qns. fe.move cabne!ry to accortirnoal ce, new apohance. or Jpgrace eisclmai
Additional i��Crfications;
LEAD SAFE INFORMATION: Fectera, ana aripzcabfe stale laws tequae tral You be puvvJed vvlh a 'ead hazard ofofmat,(_-n pafrphiiel such lie Penova!e Rtgf-,t, Impoirai-I LejdHaz-ilo Inhwn'trots
f Farnsies, Chda Cart, Providers and Scnocss By sgmng this Cont€ac,, You acK,-.owiedge . av5nq :ecemol a Copy of INS nforrnafion paalpfvel befrxe tvtnk tie'gan Y"x; of sle poleritizii r6k, 01
the leac hazard exposwe from renovat ,on aclivdy to be perloirneii cn You! dvvehnq urul of faoWly, A ciapy of tree p"Wripfflef ;5 also ava>lauie <as the foWwng Vvetisite
Far more in.1comat*/n see nqfp, ejs , "y/1"a,
penctc-rt contractors tne w gr,t to lake pootogiagris of Ine Premises vvnere instaRamn Services Moe pe- u
work perfofrm�,d at the Premises -lated to ifs, Contract and arcvocar�;y gtants to, Lowe 1, aH li�jht, tMe., untefest m and to the pholvoqfaphs tot usc- ml� ail markets and me&a. raoldi*odi-,,, Irl pelpetuoty
Customw aulticinzies Lov�ps to copynght, use ano ptir-hsh the photographs ini pwr,! and;ca electfc,�mcally, zmdaq:��,�s thalLovve'srr,,,� 01, -1
is I -goT�,1pns tot �tny puipose- includ� g, b� t
fcjtilomef to Ingtiw fc� the ieft�
pubhr-1tv- itwnmg and Web ccinu,,ra, By i,1,4aWq het e, Cust3mer —;rees to the twegaim-, ",-4
NOTICE TO CUSTOMER -PRICE CALCULATIONS: in 0fder to prcplefly p-eflow, Une r-1s!aWW10ri �f crlaw� G"Xxje cuwfac;, P�_Ce, 4�x Goo"u's tnian rc� txtsk(i on
fox,,tacle ol the Prcq,,,,ct A�ea As i resug, thiL pal-b��,s wqri-,-e inzt lt�e� P:,�,,e slatc-d �ri trds Cor"Tract is v;,J'I,f,� M 1he eMA01"i,�j Goex),,,, 1P lu,
Store 18,54 Project No- 685-705696 "or PATTY BOLEN Page 2 ot 8
r... - ,. „ . a.".., r... -.. ..:. x ;.. , ; a � 1ne ty x 'e 3 De F l f'- o 1 e ....';rjunt 0. 6'ac :x Fe qua rw a t() `frjmn inc- (,;.4$mracT
f€I 'l.e ca''ts<:t.Q tssa�,t,axi:tt � .°��f.,. ,tsrc�a rr;r:� «�xr,�wt.i,�; <��tu�s1 :t�,�s�srY r�.�t�,� ,xf tt� st�t�.,�i r�+: <-.. ,.sr�.,l t=4�: t���.r, ,i�,t a� c�..< aar�r<< 1 � .> , , i
y
w
y .W .s . ,.,... -„ s- ,.c- ,.es. es receipt r ;s s re z, agrees raA .t.f ,:�+(cMs 4...>: Mal the �,€..,,. t,td;.t.;:#�._ ;ti ce €. )sts tie�"tch m,-t ` riot be refu 1d ev, orP'ce ilie"
#€�?�€uzwiir�� w5a5i�,t_ €3� aat�dtad2� tkt<� C�(attreve €.h�.d. �.�iatx?a7=^."r 3,.nEttrk<i..dStl. � rr,e,.e,�Y ctr �.�,> rr, €,,:� �.t., tsci t~t~�:, a, , .�
installation Services ate perfofined..
NOTICE of ARBITRATION TION AGREEMENT
This Contfact provides that ail Claiarrs by Customer oa I cr.. `s r i be t salve., by BINDiNG ARBITRATION Cu l , nw ania € owe's GIVE UP THE RIGHT TO GO TOCOURT to n urce this Contract
(EXCEPT for matters that n,,ay be taken to SMALL C LAI-NIS COURT). t.o Peas and Cusic nni;r'S lig?1,15 Brat! rya aetar�ra; ed by a NEUTRAL ARBITRATOR TRATOR aria NOT a judge 0; ;urn La c's and Custrtrner
are crrtgtiec to a FAIF? HE:,ttFtEN, But the arbtttatiort urod;eitasas are SIMPLER Arlt7 t.9oRE Lltvtl'iEC Ti-fAta RULES APr''t_6CAE3LIM IN t;CTtar"ti art>€trrs4r r :tom rs on., we as enforceable as any cc;ufi u=-
er and we subject to VERY LIMITED REVIEW BY A COURT. FOR PAC€RE DETAIL ' RevN eov, aie section oilers ARBITRATION AGREEMENT. WAIVER OF JURY TRIAL AND r AIVER OF CLASS
ACTION ADJUDICATION fourid or the Terms and Conditr ns of this Contract,
SUB -TOTAL
51554.
.TAX
S Cl.
DELIVERY
$ 0.
ORDER TOTAL €
$ 1554.
BALANCE DUE �
Work is to commence upon reascinabie Ja € of Contractor v� hich is anticipated to b� _.. f it€II in dale.
"
Estimated CC3ri€p$tlfrl date 15 _ �. w_Ilttl ECk.
All items listed in this contract and specification sheet(s) are to be Installed under conditions agreed upon at time of purchase and at the prig appearing
on this -contract -form. Thisassumes sound existing substructures,superstructure and points of attachments, Extra labor or material incident to installation
necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom-
er, DO NOT SIGN THIS ONTRA T UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS OF THIS CONTRACT, RACT, Y SIGNING
BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERIAS AND CONDITIONS SET FORTH ON
THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE,
y $ ,. # # 1t � db Xi ; � i� : sk y: !► 1V Y �t ► tIC
�# • � .� - !; aw Via` `s !♦ r r s; r k r
3 < re 185,4 Prot r ct No- 6857 t:>696 €Ui PA I t Y C'sOLEN Pa.,Qe 3 of 8
CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COrvi-
PANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,
AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
WITNEss bU'R H�ND ,At S�AL(S) BELOW THIS t DAY OF ic-z
�SL . .. ...... ......
By -
(Seal)
Print Name:
City SW'e " Ptownce Zp/Postijl Code
(Seal)
Pnra Narne
co-Gvvner of Wgtness —(Seal) I
uustomer acknowledges receipt of a true copy which was completely filled in prior to Custorner's execution hereof - You the customer may cancel this transaction
at any time prior to midnight on the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an explanation of
this right.
Store 1854 Pf ojec, No 6,85 1705696 lo� PATTY BOLEN 8
wimm
Application •.
«• Version
Status
Authorized Signature
ltmm«
• #f . ,•
3737 � Lakeport Blvd
8i1
fbcl@jeld-wen.com
ExteriorDoors
CODES FLORIDA BUILDING CODE,
NATIONAL ELECTRIC CODE,
AND THE CITY OF ZEPHYRHILLS
ORDINANCES
i
Referenced Standard and Year (of Standard) StIngard
ASTM E330 2414
TAS 242 1994
Equivalence of Product Standards
Certified By Florida Licensed Professional Engineer or Architect
FL13541 PIS+4 Letter ofgui enc �0 45 2424.
https:lhvww.lofidabuilding.orgfpr/pr app_dtl.aspx?param=wGEVXQwtOquyn4PErOHeeZaoNzG36psAMw5%2bzSiYgd5ggtydA%2flhw%3d%3d 1/3
Date Pending FBC Approval
Date Approved 12/17/2020
Summary of Products
- - -
Model, Number or Name
1-.. - ---i
Description
A Design Pro / Smooth Pro Studio
Pro 1
Single (X) Opaque Fiberglass Door,
rl
berglass
18'-0", Inswing and Outswing
Limits of Use
Approved for use In IiVHZ: No
Certification Agency Certificate
EL13541 RJR WOU296,I I-BILDdf
1 Approved for use outside NVII Yes
EL13541 KID C. C&C NjQjj2Q§Za1Q-w
Impact Resistant: No
Design Pressure: +50/-50
Quality Assurance Contract Expiration Date
Other.
03/30/2026
Installation Instructions
FL135JI gj§ 11 13541.1 Qj2:j9-QLWj
Verified By: Hermes F. Norero 73778
Created by Independent Third Party; Yes
Evaluation Reports
EL135 I gj At E 212 2Q-1 2-Q Qd
Created by Independent Third Party: Yes
13541,2
B, Design Pro Smooth Pro
single (X) Glazed Fiberglass Door, Y-0" x W-8" and Y-0" x
!-L-1
Fiberglass
W-O", Inswing and Outswing
milts-o-f-Use
Approved for use In 1I No
Certification Agency Certificate
EL13541 Ris c j;6r til 11 921.01;R11211f
Approved for use outside II Yes
EII 916
Impact Resistant: No
Quality Assurance Contract Expiration Date
Design Pressure: +50/-50
03/30/2026
Other:
Installation Instructions
EL13541 Ble 1 13
i 5AII 2 55 20
Verified By: Hermes F. Norero, RE, 73778
Created by Independent Third Party: Yes
Evaluation Reports
L13541 BID AE. EE82Z43 .9,$ 2Q2Q:jZ-QLWg
Created by Independent Third Party: Yes
13541.3
C. Design Pro /�mooth Pro Studio
Double (XX) Opaque Fiberglass its 6'-01' X 6'-8" and 6'-0" x
Fiberglass
W-O", Inswing and Outswing
Limits of Use
Certification Agency Certificate
Approved for use In III No
FL13541 IRZI Of
1 Approved for use outside II Yes
FL135 1 lZ1A CAC N1Q112QZz&UjW
Impact Resistant: No
Quality Assurance Contract Expiration Date
I Design Pressure: +50/-50
Other:
03/30/2026
tristallation Instructions
:11 1-111 qP OP0
-DP SIM XX EBC SS
Verified By: Hermes F. Norero 73778
Created by Independent Third Party: Yes
Evaluation Reports
EL13541 RIB ALRIJU2_4 .2 F25 2Q29-12-OZ,
Created by Independent Third Party: Yes
13541.4
Double (XX) Glazed Fiberglass Doorl W-O" x W-8" and W-0" x
Fiberglass
W-O", Inswing and Outswing
Limits of Use
*C=rUflca= Agency Certificate
Approved for use In II No
N�Pproved
EL13541 RIB Q.9;6r. N!
for use outside 1I Yes
EL13541 RlaS_C&C
XV9pact Resistant: No !'Quality
Assurance Contract Expiration Date
III P +501-50
03/30/2026
Othe
Installation Instructions
EL13541
alp Z N1 ASTM XX EK .55
Verified By: Hermes F. Norero 73778
Created by Independent Third Party: Yes
Evaluation Reports
httPs://www.floridebuilding.orglprlp�_appjtl.aspx?param--wGEVXQwtDquynOPErOHeeZaoNzG36psAMwS%2bzBiYqti5gqtydA%2flhw%3d%3d 2/3