HomeMy WebLinkAbout22-4065City of Zephyrhilis
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAR-004065-2022
Issue Date: 05/16/2022
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.
! I I I !! I •I I ! !• I I !• I I♦I I ! I ! I•! I ! I I I•I I ! 1 1 11 111 a I a , I If - #
'llIjjIjjII:;'�
11 1 11 � 511111 1
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
MEN WIA110"
PEfIT OFFICEU
ff WTT 0 =9 MOT I TV M-1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
MONICA WATSON
Data Received
5/1312022 Phone Contact for Permitting 1( 813 1 269 -- 99615
!I! ii i
N.m
Owner's Name WILMA KYLLO Owner Phone Number
1 1 1
Owner's Address [4801AIRPORT RD#1 19 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS E480:1:A:1R:P=0RT:=RD #119 ZEPHYRHILLS, FL 32878 LOT It
SUBDIVISION ZEPHYR ESTATES E CQNDQ PARCEL to# [ 13-26-21-0130-00100-1190
(DETAINED FROM PROPERTY TAX Nt Ticil
WORK PROPOSED E] NEW CONSTR ADDIALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM, OTHER
J
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE SO FOOTAGE HEIGHT
'll -tv kk4V *-it Vill ILAVIll X11LICAAW 9 14,killl tv rXiLkt,
=BUILDING L4575 25 _] VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL, AMP SERVICE PROGRESS ENERGY = W.R F C
=PLUMBING S
BP 4065
=MFCHANICAL VALUATION OF MECHANICAL INSTALLATION
= GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS =�_J FLOOD ZONE AREA =YES NO
BUILDER COMPANY LOWES HOME CENTERS I PETER ANTHONY CAFARO fit
SIGNATURE U REGISTERED Y/N FEE ��RREN
Address License # CGC1508417
ELECTRICIAN COMPANY
SIGNATURE REGISTERED
Address License IF
PLUMBER COMPANY
SIGNATURE REGISTERED i c.L,.,,
Address License#
MECHANICAL. COMPANY
SIGNATURE REGISTERED L_11 N J Fee_cuRREs_ Y/N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y I IN _J FEE CURREN Y/N
Address License #
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 suarl date. Required onsite, Construction Plans, Stermwater Plans w/ Sift Fence installed,
Sanitary Facilities & 1 dumpstoc Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach (2) complete sets of Building Plans plus a Life Safety Page, (1) set of Energy Forms ll Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed,
Sanitary Facilities & I 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
It over $2600, a Notice of Commencement Is required, (A/C upgrades over $7600)
.. Agent (for 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)
Retools K shingles Sewers Service Upgrades NC Fences iPlot'Surveyd'ootage)
Driveways -Not over Counter it on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONSThe undersigned understands that this permit may be subject to 'dead" restrictions' which may be more restrictive
than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILMES: 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- It 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—Lioensing Section at 727-847- 8009,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) 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 property 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 cemy that 1, the applicant,
have been provided with a copy of the 'Honda Construction Lien Low —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 infornnation 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. 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 10 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, WaterNVastewater 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 ServicesJEnvironmental 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 peninit issued shall be construed to be a license to proceed with the work and not as
authority Inviolate, 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 it 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
MrAb
91 PM 1�&#J aU WE 21 Z�1,M011IMEN
CONTRACTOR
Subscribed and sworn to (or affirmem before me this
islare personally known to me or hasmave produced
as identification,
Notary Public
Commission No,
kia-m-e-0-FRiTtary —typed, panted or `st8mp&_d____ - — -----
Customer Name: Wilma Kyllo Date/Store#: #1854 /3/22
Window Type: Pella250/fiange Matthew Perisic
4801 Airport Rd #11 g Zeph 727-504-7187
Wtl
H'
Bask, no trim $185
3
555
73
49.3/8
#1,2 factory mulled
Basic, with trim $250
3
37.1/4
#3
oversize 109-150 $l00
2
200
Oversize 150+ $100
Impact upcharge $50
Field mulling $45
Cover holes after inspection estimate
special molding estimate
150
scaffling upcharge estimate
3.floor upcharge estimate
400
TOTAL INST CC.COST PRICE:
1305
FLORIDA SERVICES SOLUTIONS INSTALLED SALES CONTRACT
LOWES AUTHORIZED REPRESENTATIVE SALES ID DATE CUSTOMER NAME
Laurence Izzo 1542164 02/07/2022 Wilma Kyllo
S I OR F, NO, STREET ADDRESS
1854 7921 GALL BOULEVARD
y STAT C
ZEPHYRHILLS FLORIDA
I E L F, PHO N F,
(S13)838-9000
LMA',
lavy izz 0@lowes Com
STREET ADDRESS
4801 AIRPORT RD
ZIP Cly
33541-4319 Zephyrhfils
TELEPHONE
5074214820
EMAIL
noerriailftmail,com
LOWES CONTRACTOR LICENSE: LOWES REPRESENTAI IVE LICENSE," CREDITfDESIT CHECK
CCC1326824, CGC15OB417, rota
CRC1327732. FR04517, FRO1584,
FR06140
STATE
Florida
LCC CARD
ZIP
335,42
GIFT CArD
This is only a quote for the merchandise and services printed below. pAi iA,AgALQL§j#jD fgnPg-%
This becomes an agreement upon payment and issuance of a Lowe's receipt, upon pay-ment, the entire agreement, including the
specifically completed pages of this document, the Terms and Conditions included with this document and any other addenda and
attachments hereto, shall be referred to herein as this "Contract," PLEASE READ THIS ENTIRE DOCUMENT, INCLUDING THE
"NO
��No 4��§ "' TERMS AND CONDITIONS," AND "ADDENDUM" CONTAINED WITHIN THIS CONTRACT ON THE FOLLOWING
ES �BEFF SIGNING,
INSTAL I ATION S'RFFT A F195
4801 AIRPORT D'D
CITY
Zephymills
STATE ZIP
Florida 33542
MERCHANDISE,KND INSTALLATION SUMMARY: (I.E. ITEM NUMBERS, COLORS, DIMENSIONS, CONSIDERATIONS).
nm
Product
Lowes will install three Pella 250 double -hung windows. All will have SunDefense Low-E and Argon gas, Lowes will pull
permit,
CONTRACT TOTAL $4,575,25
Payment (100%) $4,57525
Store 1854 LOWE—S OF ZEPHYRHILLS— FL - Contract - 290793 - Page 2 of 27
12/29/2020 Florida Building Code Online
FL * FL16813-R6
Application Type Revision
Code Version 2020
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC
and/or the Commission if necessary.
Comments
Archived
Product Manufacturer Pella Corporation
Address/Phone/Email 102 Main St.
Pella, IA 50219
(641) 621-6096
pellaproductapproval@pelia.com
Authorized Signature TROY FARR
tbfarr@pelia.com
Technical Representative
TROY FARR
Address/Phone/Email
18600 NE WILKES ROAD
PORTLAND, OR 97230
(503)405-9176
tbfarr@pelia.com
Quality Assurance Representative
Pat Bortscheller
Address/Phone/Email
102 Main Street
Pella, IA 50219
(641) 621-1000
PJBortscheller@pelia.com
Category Windows
Subcategory Double Hung
Compliance•d Certification Mark or Listing
Certification Agency Window and Door Manufacturer Association
Validated By Terrence E. Lunn, PE
Validation Checklist - Hardcopy Received
Referenced Standard and Year (of Standard) ajanLarA YAM
AAMA/WDMA/CSA 101/I.S.2/A440-08 2008
AAMA/WDMA/CSA 101/I.S.2/A440-11 2011
LOMMEZrom;
Product Approval Method
Method i Option A
11/02/2020
https://www.floridabuilding.orWprlpr appjd,aspx?param=wGEVX tmmTSTNdVPsXhbN%2fBZIMTgiVvIUvF5[XPyUWigYO7xPpw%3d`Yo3d 1/2
12/2912020
13� ==
Date Validated 11/03/2020
Date Pending FBC Approval
Date Approved 11/10/2020
Summary of Products
FL
#
Model, Number or Name
Description
16813.1
250 Series Double Hung Window
48" x 63" vinyl non -impact single window with interlock
reinforcement
Limits of Use
Certification Agency Certificate
Approved for use In HVHZ. No
A 6 C CL 411-
1 Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
04/25/2023
i Design Pressure: +30/-30
Installation Instructions
Other: Configurations of glass shall conform to the current
Fj 813 R6 11 Drawing_jakQLp_df
ASTM E1300 standard.
Verified By. Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party: Yes
116813.2
250 Series Double Hung Window
36" x 72" vinyl non -impact single window with fully reinforced
stiles & rails
Limits of Use
Certification Agency Certificate
Approved for use In HVHZ-. No
R6 C CAC CCL 4 -d:14kL2k-22,p&
Approved for use outside HVHZ: Yes
FL16R13 R6 C CAC CC - - 33 Of
Impact Resistant: No
Quality Assurance Contract Expiration Date
Design Pressure: +30/-30
08/29/2023
Other: Configurations of glass shall conform to the current
Installation Instructions
ASTM E1300 standard.
FL16813 R6 JU�LJDQaowin 1868A.odf
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party: Yes
116813.3 250 Series Double Hungkdow
36" x 63" vinyl non -impact single window
Limits of Use
Limits of Use
Certification Agency Certificate
I HZ' N 0
Approved for u n HVHZ:
Approved for use In HVHZ: No
6 r C L 411-H-1
eHVHZ. Yes
use outside
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
04/25/2023
Design Pressure: +35/-35
L'stanclard.
Installation Instructions
- F
Other: Configurations of glass shall conform to the rrent
I rations of glass shall conform to the rrent
L16813 R6 II Drawing ,9,1�f
ASTM E1300
Verified By: Warren W. Schaefer P.E. 44135
i
Created by Independent Third Party: Yes
Evaluation Reports
FL1013 RE AE—Dr-awin
Created by Independent Third Party: Yes
https://www.floridabuilding.org/prlpr_appjtl.aspx?param--wGEVXQwtDqtmmT$TNdVPsXhbN`/*2fBZ1 MTgiWlUvF51XPyUWiqYO7xPpwo/o3d%3d 2/2
FL # FLI.6813-R6 el
Application Type Revision
Code Version 2020
Application Status Approved
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC
and/or the Commission If necessary.
IMMISUMUM
Technical Representative
Address/Phone/Email
Address/Phone/Email
Pella Corporation
102 Main St.
Pella, 1A 50219
(641) 621-6096
pellaproductapproval@pella,com
TROY FARR
tbfarr@petia,com
TROY FARR
18600 NE WILKES ROAD
PORTLAND, OR 97230
(503) 405-9176
tbfarr@pella,com
Pat Bortscheller
102 Main Street
Pella, IA 50219
(641) 621-1000
P)Bortscheller@pelia.com
Compliance Method Certification Mark • Ustinij
Certification Agency Window and Door Manufacturer Association
Validated By Terrence E. Lunn, PE
1 .1 Validation Checklist - Hardcopy Received
Referenced Standard and Year (of Standard) %&nd@jg y"Ir
AAMA/WDMA/CSA 101/l.S.2/A440-08 2008
AAMA/WDMA/CSA 101/I.S.2/A440-11 2011
Product Approval Method Method 1 Option A
Date Submitted 11/02/2020
Date Validated 11/03/2020
Date Pending FBCApproval
Date Approved 11/10/2020
Summary of Products
FL #
M del, Number or Name
Description
16813,1
250 Series Double Hung Window
48" x 63" vinyl non -impact single window with interlock
reinforcement
Limits of Use
Certification Agency Certificate
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
04/25/2023
Design Pressure; +30/-30
Installation Instructions
Other: Configurations of glass shall conform to the current
L16813 R§ II Drawing JB6�A.gd
ASTM E1300 standard.
Verified By- Warren W, Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party: Yes
16813.2
250 Series Double Hung Window
36" x 72" vinyl non -impact single window with fully reinforced
stiles & rails
j, Limits of Use
Certification Agency Certificate
Impact Resistant: No
Quality Assurance Contract Expiration Date
Design Pressure. +30/-30
08/29/2023
Other; Configurations of glass shall conform to the current
Installation Instructions
Verified By: Warren W, Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party: Yes
16813.3 250 Series Double Hung Window
Limits of Use
36" x 63" vinyl non -impact single window
Certification Agency Certificate
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
04/25/2023
Design Pressure: +35/-35
Installation Instructions
Other: Configurations of glass shall conform to the current
FL16813 R� 11 J2Ld!&jD J&ULpdf
ASTM E1300 standard.
Verified By: Warren W, Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party. Yes
16813.4 250 Series Double Hung Window
48" x 72" vinyl non -impact single window with fully reinforced
stiles & rails & HP package
Limits of Use
Certification Agency Certificate
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
i Impact Resistant: No
08/29/2023
Design Pressure: +50/-50
Installation Instructions
Other: Configurations of glass shall conform to the current
ASTM E1300 standard.
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
Created by Independent Third Party: Yes
16813.5
250 Series Double Hung Window
96" x 63" vinyl non -impact double window with interlock
reinforcement
Limits of Use
Certification Agency Certificate
Approved for use In HVHZ: No
FL1013 M C QAQ =411-B-14U-N-39-pd
Approved for use outside HVHZ-. Yes
Quality Assurance Contract Expiration Date
Impact Resistant: No
04/25/2023
Design Pressure: +30/-30
Installation Instructions
Other: Configurations of glass shall conform to the current
EL1012 R6 11 DrAviag—UM&Of
ASTM E1300 standard.
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
E1.1013 RE AE Qrawiag_1ff&&PJf
Created by Independent Third Party: Yes
'16813.6
250 Series Double Hung Window
72 1/2" x 72" vinyl non -impact double window with fully
reinforced stiles & rails
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ: No
F1_16�13 R6 C CAC CCL411-H-1461,2�-29_pdf
Approved for use outside MVHZ: Yes
EL16aja R§ !; !�Ag; g;QL41j-H-1461,3Q-3j,pd
Impact Resistant: No
Quality Assurance Contract Expiration Date
Design Pressure: +30/-30
08/29/2023
other: Configurations of glass shall conform to the current
Installation Instructions
ASTM E1300 standard.
FLlEa13 96 U__QLQAjftg 1�6!aA�pdf
Verified By: Warren W, Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FLJ�ajj a AE D[sjjNij0q_ja0_kp df
Created by Independent Third Party; Yes
x 63" vinyl non -impact double window
Limits of Use
Certification Agency Certificate
Approved for use in HVHZ. No
ELUM R� C g;AC p�f
Approved for use outside HVHZ: Yes
Quality Assurance Contract Expiration Date
Impact Resistant. No
04/25/2023
Design Pressure. +35/-35
Installation Instructions
T rrent)
FL16813 R6 11 Dowing_16k$Ap�ff
Verified By: Warren W. Schaefer P.E. 44135
Created by Independent Third Party: Yes
Evaluation Reports
FL16�13 R,6__AE (D2rawlin) JB6�A,pd
Created by Independent Third Party: Yes