HomeMy WebLinkAbout05-3910
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3910
Permit Number: 3910
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 6148 18TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3/01/2005
52.50
52.50
3/01/2005 Phone:
ENTRY DOORS AND NO CHANGE TO RIO'S 3 EA.
Name: STEVE WILKENS
Address: 6148 18TH ST
ZEPHYRHILLS. FL. 33542
FO U
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application,
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
W'-- ~.
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 + /
813-780-0020 FAX: 813-780-0021 ' ~I/O~
DATE RECEIVED ,
PHONE CONTACT FOR PERMITTING tJf~- 267- '}~() 'l..-
OWNER'S NAME
\tv ILtN/~(E:lJf
b/~f6 IC7tJ, $7.
PHONE ~/1z-L;31- g~1fr
JOB ADDRESS
ZqAYJ-Ad!.s
LEGAL DESCRIPTION: LOT(S)
BLOCK
33$~z-.
SUBDIVISION af/J~r
. rJ;l'-Uze Sot
PARCEL ID #
OZ-Z,b- 2(-- (j ,( "
66CO -o~ r:o
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: [JNEW CONSTRUCTION
[JADDITION
[JALTERATION
[J REPAIR
rtINSTALL
[J SIGN
[J MOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[J COMMERCIAL
[JMULTI - FAMILY
[J INDUSTRIAL
[J# OF UNITS
[J SWIMMING POOL
[J MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
12"/!l- It-f'J1IH liD 6t-S ~ M G PJrJ4E. 7D ~ D 5 ""$1lIt .
2- 11.s
(,0}5
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED, ~J
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~~ .~~
,J'L,
ENERGY FORMS.
8LDG.
PERMITS REQUESTED
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
[J PLUMBING
[J MECHANICAL
AMP SERVICE
[J Progress Energy [J
W.R.E,C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
[J STEEL
[J OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
SIGNATURE
I .. f/'Ik U~yr"- ().Fr-
COMPANY GO
STATE CERT OR REGI ST # C }ZL D';'~ f.o R
L 1 Y - () I :?>J1J
******************************************************************
BUILDER
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
/J~* * * * * * *11* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *; * *~* ~:5 * * I~* C: *~ / ~
OTHER/ II.. " COMPANY L---I Nt::: - .
SIGNATURE )JtlI1/(~ .', STATE CERT OR REGIST # ,G /ZLof"9ttL g
(71 u( 3,113
A. NOTIC,E OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than city regulations, The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B, 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
City of zephyrhills Building Department, 813-780-0020,
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Co~tractor Sections" of this ~pplication for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the city of Zephyrhills,
C.' TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that Ii the applicant, haye been provided with a copy 'of "Florida's Construction
lien Law _ Homeowner's.Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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,
E. CONTRACTOR'S/OWNER'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.
Appli~ation 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, City
codes, zoning regulations, and land development regulations in the jurisdiction, I also
certify that I understand that the regulations of other governmental 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code, Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for la
period of six months after the L,ine .the work is commenced, One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to 'the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOgS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 20--
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this_____ day of
by
acknowledged
, 20_
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and whoO did 0 did not take an oath.
Owho has produced
(type of identification)
and who 0 did D:l.id not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
LOWE.S
Companies Inc.
8529 South Park Cr.
Suite 430
Orlando, Florida 32819
Bus, 407/370-2872
Fax. 407/352-6309
Date:
zlZ-( (b S-
To: City of Zephyrhills Building Department
5335 8th Street
Zephyrhills, Florida 33542
From: Rebeca Alicia Banuelos-Bernard
I hereby authorize the following individual, Michael L. Berkman, to act as my agent to apply for, sign for and pick up permits
under my State Certified Residential Contractor's License, CRC 057468.
Homeowner Name:
~€f;€ rV/~S.
'-I'f& 18,tJ.. S-r
-z,el'Ay...A,/I..1
/z.-/I- €.1VftV(' /llm--
Address of Job:
City:
Type of Work:
Thank you for your assistance.
Sincerely,
J
@~J.M~, Lv.;m~
No.public
My commission expires
....b~~'A~:f~;?~.. Rebecca Velez
f*r~ .~;~ MY COMMISSION # DD176963 EXPIRES
"~'~/'.:': lanuary 12, 2007
....r,-:r;~9f;tt~~>~ BONDED THRU TROY FAIN INSURANCe, INC.
Florida Building Code Online
Page 1 0[2
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Product Search Organization
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Overview
Product
Application
VIeW
Attachments
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User: Public User - Not Associated with Organization -
N~~JieJP-l
Application #:
Date Submitted:
Product Manufacturer:
AddresslPhone/email:
FL18
08/0412003
Masonite International
One North Dale Mabry
Suite 950
Tampa. FL 33609
Technical Representative:
Technical Representative AddresslPhone/email:
Steve Schreiber
1 Premdor Drive
Dickson, TN 37055
(615) 441-4258
sschreiber@masonite.com
Category:
Exterior Doors
Subcategory:
Swinging
Evaluation Method:
Certification Mark or Listing
Referenced Standards from the Florida Building Code: Section
Standard
TAS201
TAS202
TAS203
Year
1994
1994
1994
Certification Agency:
lntertek Testing Services -
ElL/Wamock Hersey
Quality Assurance Entity:
Validation Entity:
Date Validated:
08/1112003
Authorized Signature:
Steve Schreiber
sschreiber@masonite.com
Performance level of the product and conditions or
limitations of use:
None Known
httn:llwww.floridabuilding.org/pr/pr detl.asp ?IPT= 18&fm=ROSrch
3/29/2004
'--'"
--
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Product Approval Method:
Method 1 Option A
Application Status:
Approved
Page:
Page lit
Model Description
e Steel Door Units
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http://www.f1oridabuilding.org/pr/pr_detl.asp?IPT=18&fm=ROSrch
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3/29/2004
X
Opaque \nswing Unit
COP-WL-MA4101-G3
WOOD-EDGE STEEL DOORS
APPROVED ARRANGEMEN~
"'g ~
oUU;
:.UO'
....... "-"r
~--
Ith.
Note:
Units of other sizes are covered by this
report as long as the panel used does not
exceed 3'0. x 6'8".
Test DlllIIMIw CIrUIlclU 13026447A,
1302644~~7C IIllI COPITIsl
IllIIIcHI V MIbIx 13C128447A-001,
1302I4478-1lO1,I3ll8447C-001
==~..:.i.
....... AIIIemkD.canII .. MIsanIIe
:;;"t-~) orlhe
~ lIchnIcII CIlIIIr.
Single Door
MIIdnImlIllll sIzt & 3'0" x 6'1"
DeslDD Pressure
+76,0/-76.0
ImIlId WIIIIr unless IIIICiaIlInshl*I dIIlllgn Is IIIIll.
Large Missile Impact Resistance
Hurricane protective system (shutters) is NOT REQUIRED,
AcIuaI deIIgn ......1IllI1,.ct ......,......,... lor I spedllc buIding daign IIllI geognpIic IacIIian Is cIIIInnnlllrf ASCE 7-n:d1anal.
... or IDcII buIding c:ados apedly Ihe IICIlIan nqullld,
~.
MINIMUM ASSEMBLY DETAIL:
Compliance requires that minimum assembly details have been foDowed - see MAD-WL-MAOOO1-02.
MINIMUM INSTALlATION DETAIL:
Compliance requires that minimum installation details have been followed - see MID-WL-MAOOO1-02.
APPROVED DOOR STYLES:
D ~ I I I I
DO
DD DD llll DO
DD
IUh Iuch Tap31lnl 6-pIneI Now EngIInd 4-paneI EyIbnJw 41*11I 81811I
I I I I I
DD
9-panel 5-pnl 5-paneI. scroll E)'ebmw ~ ~brow 5-pnI. scroll
..
.--
J.... 16. 2llO3
o..c:onIIIUIIII_ alPllldocl..-_ --. .............
_ .....10....__
X
Opaque Inswing Unit
COP-WL-I\~A41 01-03
'''-...
WOOD-EDGE STEEL DOORS
CERTIFIED TEST REPORTS:
NCTl21o-2929-1
Certifying Engineer and Ucense Number. Gerry Ferrara, P,E. /11985.
Unit Tested in Accordance with Miami-Dade BCeO PA201, PA202 and PA203.
Door panels constructed from 26-gauge 0.017" thick steel skins, Both stiles constructed from wood.
Top end rails constructed either wood or steel. Bottom end raDs constructed from either wood or steel.
Interior cavity of slab filled with rigid polyurethane foam core.
Frame constructed of wood with an extruded aluminum threshold.
PRODUCT COMPLIANCE LABELING:
TESTED IN ACCORDANCE WITH
MIAMI-DADE seeD
PA2D1, PA202 & PA2D3
COMPANY NAME
CITY, STATE
'.,........i
P-;;I ~
lIIM-* ......,
---
H..
Till oa IIIvlew Cerllllcll813026447A,
1302644~~ IIId COPflest
='J7e.oot MIbtx I3C126447A-llOl,
pnnldIIlIkIlilIi.I~
lMIIIIbII fnIm.. ITSIWH IIIbIlla
(_.IIIIIn*D.com), !he IoIIsonIte
...... (_'--.cum) or lhe
.... tIcIIIaI C*IIIr,
To the best of my lmowIedge and ability the abon s1de-hlnged
ex1erior door ann conforms to the requirements of the 2081 florida
Building Code, Chapter 17 (Structural Tests and Inspections),
State of Aorida, Professional Engineer
Kurt Balthazor, P.E. - License Number 56533
.
\.....).
.IIIlI1&. 2003
OIIr___oIpl1duct ____..................._
dIIIII..lD....__.
,.~....
X
Opaque Outswing Unit
COP-Wl-MA4121-03
WOOD-EDGE STEEL DOORS
CERTIFIED TEST REPORTS:
NCTl210-2929-1
Certifying Engineer and Ucense Number: Gerry Ferrara, P.E. /11985.
Unit Tested in Accordance with Miami-Dade BCCO PA201, PA202 and PA203.
Door panels constructed from 26-gauge 0.017" thick steel skins. Both stiles constructed from wood. Top
end rails constructed either wood or steel. Bottom end rails constructed from either wood or steel.
Interior cavity of slab filled with rigid polyurethane foam core.
Frame constructed of wood with an extruded aluminum bumper threshold.
PRODUCT COMPLIANCE LABELING:
ltSltD IN ACCDRDANCE WIiH
MIAMI.DADE BCCO
PA201, PA202 & PA203
COMPANY NAME
CITY. STATE
~.
To the best of my knowledge Bnd Bblllty the above side-hinged
exterior door unit conforms to the requirements of the 2001 Rorida
Building Code, Chapter 17 (Structural Tests Bnd Inspections).
........... ......
---
1Ih.
{::j-;;t&.l.f
Test DIla ReviBw CerlIIIcalI13026447A,
130264478, 13026447C and COPlTest
~ VIIIdlItlan MIbIx 13026447A-001,
130264478-OO1.13D26447C-001
==~
I-Alllln*D.camI. .. .......
--/WW~or"
MIsanIIi lIdrical CIIlIIl.
State of Rorida, Professional Engineer
Kurt Balthazor, P.E. - License Number 56533
.
~:_al~___'-',doIIgn"'~
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X
Unit
MID-WL -IVIA0001-02
SINGLE DOOR
I'p-!
.
t
t
6'
TYP.
-- ... J--
..- -
... -
..r UNIT IT UNIT
13-15116' 17-118"
MAXIMUM
ON CENTER TYP.
_ ..._L--
... -
- -..
f'.linlOllIm Fastener Count
. 6 per vertical framing member
· 2 per horIzon1aI framing member
... -
- ...
Hille IIId strike ,lall. nqaln two
2-112- 10.. ICnIWI per IocaOon.
... -
- ...
Rough Opening (HO)
/ SEE NOTE 11
..- -
,
. Width of door unit plus 112"
. Height of door unit plus 1;4"
,~
- ...
,
,
t
l.~A
-..........., TtsI DIIIa RMIw CeIllIIcII8 ~ 130264478; 13026447C IIld COMtst IIePort VIIdIIlan MaIrIx
--- 13026447M101, 002. 003, 004; 7!:iJ!1J.~ 004; I3028447CoOOt, 002~~ plllVides
--=- IddIlIanIIInIonllIIIan ,1VIIIIIIt 1nIm.. m.m" 1-1IIIIrI*D.cam),1Ile wIlIIIle
...... 1-.masonIlLcom) or 1Ile MIlsonIIe B:l1nIcII CIIIlIr,
Latching Hardware:
. Compliance requires that GRADE 3 or better (ANSIIBHMA A156.2) cylindrical and deadlock hardware be Installed.
. UNITS COVERED BY COP DOCUMENT 11246*. 828&*. 3241*, 324&, 32&1 * or 3266
Compliance requires that S" GRADE 1 (ANSIIBHMA A156.16) surface bolts be Installed on latch side of active door panel- (1) at top
and (1) at bottom.
*Based on required Design Pressure - see COP sheet for details.
Notes:
1. Anchor calculations have been carried out with the lowest (least) fastener rating from the different fasteners being considered for use. Jamb and
head fasteners analyzed for this unit include #8 and 110 wood screws or 3116" Tapcons. Threshold fasteners analyzed for this unit include 18 and
110 wood screws, 3116" Tapcons, or Uquid Nails BuDders Choice 490 (or equal structural adhesive),
2. The wood screw single shear design values come from Table 11.3A of ANSIIAF & PA NOS for southern pine lumber with a side member thickness of
1-1/4. and achievement of minimum embedment The 3116" Tapcon single shear design values come from the I1W and ElCO Dade Country
approvals respectively, each with minimum 1-1/4" embedment
3. Wood bucks by others, must be anchored properly to transfer loads to the structure.
..
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