HomeMy WebLinkAbout05-5271
CITY OF .7-EPH~HILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5271
Permit Number: 5271
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: 5438 16TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-14700-0210
1,230.88
12/20/2005
60.00
60.00
12/20/2005
WINDOW REPLACEMENTS
Name: HOLLEY, DAVID W
Address: 5438 16TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813 714-1779
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REINSPECTION 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.
work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
r ~~
CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERM~T A~~~L~fi~~un
BUI:LDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780.-0020- FAX: 813-780-0021
DATE RECEIVED
/...?-/ )' -or
PHONE CONTACT FOR PERMITTING
PHONE J')"5 "':,)/7' -/ ;> ,/:l
S~5JY
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
WORK PROPSED: []NEW CONSTRUCTION
o SIGN
PROPOSED USE: ~LFAMILY DWELLING
o COMMERCIAL
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
~TERATION o REPAIR 0 INSTALL
PARCEL ID # \\- ;;!to-dl _oOIO_\L.\iDb-6@..\c)
o MOVE
o DEMOLISH
OMULTI-FAMILY
o INDUSTRIAL
OJ OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL
(V t.v:; /, Cu, ~r!n tv)
BUILDING SIZE
SQUARE FOOTAGE
rl~.
5<\ rT'
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
***************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
-
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
********************************************~****~***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A. NOTICE OF DEED RESTRICTIONS
Th~ unde~signed understands that this p~rmit m~y be subject to ~de~d 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 contr~Ftors to undertake work, . they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
lieensed as required by law, both the owner and contractor maybe 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 portions of the ~Go~tractor Sections" of this ~pplication for which they
will be ~esponsible. If you, as ~he 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 indication that he is not properly licensed and is
not entitled to permitting privileges in the city of Zephyrhills.
C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, hay~ 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.
Appliqation is hereby made to obtain a permit to do work and instaliation as indicated. I
certify that no work or installation has commenced prior to issuahce of a permit and that
all work wiil be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land developmerit 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, Wetiand 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. ", i.t 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 ~nd 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, cons~ruction, 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 time. the work is commenced. One 90 day ~xtension 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 p~oject 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2 0..:..-
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
Owho has produced
(type
and wtioO did 0 did not
of identification)
take an oath.
o who has produced
(type of iden~~fication)
and who Odid [}:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
D:ISCLOSlJRE STATEMENT FOR OWNER.
C:ITY OF ZEP!IYRB::ILLS BUJ:LD:ING DEPARTMENT
have read and 'fully understand and
of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile" that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work."
4. That in the event the Building :Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice-to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation. lien laws, etc., where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
:Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or impr~vea
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building .or residence must be for your own use or occupancy. :It may not
be built or substantially improved for sale or lease. :If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. :It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.:I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by iaw.
Your construction must comply all applicable laws, ordinances, building
codes, and zoning regulat"ion .
OWNER'S
ADDRESS
PHONE
DATE
----
/2- /~-CJ) r
W:ITNESS
PERK:IT #
7921 Gall Blvd.
Zephyrhills. FL 33541
PhonG;3-~~
Fax: 813-83 - 1
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)ave Carlyle
ales Specialist
6"r' ~~L/
VB'S HOME CENTERS, INC.
. #1854
921 GALL BOULEY ARD
ffiPHYRHILLS,fL, 33541
(813) 838:'9000
Project #:
Customer Name:
Customer Phone:
Customer Address:
129486018
DAVID HOLLEY
(813) 714-1779
5438 16 TH ST.
ZEPHYRHILLS FL
33542
Project Name:
windows
Line Item
Frame Size
.
. .... " *':
Product Code
Description
Unit
Price
Quantity Total Price
~~OJ~~~.:..;.;.::.~'~'.;.~..;;~::"'.~~~;~~~~~:~.:.:~~.~~~:~t.:.:.:.:.:.:.:.:.:.:.:~.:.:.:.:.:.:.:.:.:.:.:.:.:.:':':':.:.:.:.:.:.:':.:.:.:.:.:.:.:.:.:.:.:'~i:.:':.:.:~:................~~~.................................
.~. :Division: Millwork ~ ~f?4...- i::30. "
.1 I I I \Product: Windows / :: /"l. (j71. :
"!Type: Single Hungs ""'~/So-<-: 7' t?:> .. cro "
Manufacturer: BetterBilt:
.. .. IM-iat: Aluminum ~,pc......... 'y --?' 9' CJ . &' u
:~~~~~~: ~~~~~~ion: Single~ ~~~tE'-~i "2 5'r CH9
:Appl.ication: Flange for Block Construction j, "" '7/'f & g
plazmg Type: 1/2" Insulated Glass ,/i ~ .;Jv,
iiPrame Size Width: 37":
'!Frame S~ Height: 38 3/8" -.i (IT"?
~~~~ ~::~: 33~' 3/8" ;1..3 / (;, 7.) l)
Glass Width: 34 5/8"
i!Exterior Color: White
:Hardware Color: White
$ash Style: Equal
JAW E Option: Low E with Argon Gas
Obscure Glass: No
Tempered Glass: No
Grids: Yes
kirid Pattern: Colonial
Top Liting: 3W2H
Bottom Liting: 3W2H
Screen: Included
Screen Color: White
~all Depth: 2"
0OO2._~-~.~;;";Biit"'~_"~ff__",",_~!!l!:3!-}~~~.'7!
iPS Size = 37" W x 50 5/8"S.74024FLG.....m.m.m..........mm..m...m....mm...........mmm.... :.
B 00 Division: Millwork
Product: Windows
frype: Single Hungs
!Manufacturer: BetterBilt
-------.---------------------------------- ::
$130.11
3
$390.33
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..: .! ~
Material: Aluminum
,!product Line: 3740
:!product Configuration: Single
Application: Flange for Block Construction
Glazing Type: 1/2" Insulated G1~s
:Frame Size Width: 37" .,.
\Frame Size Height: 505/8"
~Buck Width: 36"
!Buck Height: 49 5/8"
Glass Width: 34 5/8"
~Exterior Color: White
lIardware Color: White
Sash Style: Equal
:!Low E Option: Low E with Argon Gas
Obscure Glass: No
Tempered Glass: No
(irids: Yes
Grid Pattern: Colonial
[fop Liting: 3W2H
:!Bottom Liting: 3W2H
Screen: Included
Screen Color: White
Wall Depth: 2"
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~o~:.~;;;~~.;;.~.;;=-i:~~~~=--=.:-::~.m....m.....mmm........mm.....i ·
15/8" H :Division: Millwork
!Product: Windows
Type: Single Hungs
Manufacturer: BetterBilt
Material: Aluminum
Product Line: 3740
Product Configuration: Single
Application: Flange for Block Construction
Glazing Type: 1/2" Insulated Glass
Frame Size Width: 53 1/8"
Frame Size Height: 50 5/8"
Buck Width: 52 1/8"
:!Buck Height: 49 5/8"
~Glass Width: 50 3/4"
:Exterior Color: White
aardware Color: White
$ash Style: Equal
!Low E Option: Low E with Argon Gas
Obscure Glass: No
trempered Glass: No
:Grids: Yes
Grid Pattern: Colonial
trop Liting: 4W2H
:!Bottom Liting: 4W2H
Screen: Included
'Screen Color: White
Wall Depth: 2"
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!FS Size = 53 1/8" W x 38l3-74033FLG.....-------------..............u...------.........-------..............................' .
3/8" Hpivision: Millwork
Product: Windows
$139.17 .
$139.17
1
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Type: Single Hungs
Manufacturer: BetterBilt
Material: Aluminum
Product Line: 3740
Product Configuration: Single,-
!Application: Flange for Block Construction
Glazing Type: 1/2" Insulated Glass
Frame Size Width: 53 1/8"
Frame Size Height: 38 3/8"
Buck Width: 521/8"
.Buck Height: 37 3/8"
Glass Width: 50 3/4"
Exterior Color: White
!Hardware Color: White
~ash Style: Equal
~w E Option: Low E with Argon Gas
Obscure Glass: No
!Tempered Glass: No
Grids: Yes
Grid Pattern: Colonial
[rop Liting: 4W2H
Bottom Liting: 4W2H
Screen: Included
Screen Color: White
twall Depth: 2"
:i
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~iLead time is 14 Days.,
"'ManUlacfuier:".BetterBHT"""w,w"..,',.,"",...,.,.,"',.',',',.,',.,.,.,',.,.,',',',',"'".,.,',.,',',',,,'....,",','
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Division: Millwork
Product: Windows
[Type: Single Hungs
Manufacturer: BetterBilt
Material: Aluminum
Product Line: 3740
product Configuration: Single
!Application: Flange for Block Construction
Plazing Type: 1/2" Insulated Glass
Frame Size Width: 19 1/8"
frame Size Height: 38 3/8"
Buck Width: 18 1/8"
.Buck Height: 37 3/8"
Glass Width: 163/4"
Exterior Color: White
Hardware Color: White
Sash Style: Equal
Low E Option: Low E with Argon Gas
pbscure Glass: Yes
rrempered Glass: Yes (may extend lead time)
Grids: Yes
Grid Pattern: Colonial
rop Liting: 2W2H
!Bottom Liting: 2W2H
Screen: Included
Screen Color: White
jWall Depth: 2"
,.,','"','"',',',',',',',',',',',',',',',',','"",,,',',',',',",",',',...,','.',',',',',',','.',','.',',".,',...,""',.-!,t~:~,o,!~~~o,o~~o,o,o~o~,o,~o:r~,;.o'0'0'0'0<,0'0'0'0''''0'0'0'0'0'0'0'0'0'0'0,0'0'0'0'0'0'0''''0'0'0'0'0'0'0'0'0'0'0'0'0<'0'0'0'0'0'0'0'0'0'0'0'0'0'o'o'o'o'o'o'o''''ot".,.,..",~,!"~!~,~,~""""",,"",.,"',!,"""""""""""""'~,!,~!,:,~~:
0005
!FS Size = 19 1/8" W x 38
W8"H
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Project Total:
$1,230.88
,~sperson: DAVID CARLYLE (S1854DC2)
Accepted by:
....
Date: 12/19/2005
..'![!!~lmflt,llf![j!imi:~ll[1
This Millwork Quote is valid until 12/25/2005. This is an estimate only. This estimate does not include tax or
delivery charges. Delivery of all materials contained in this estimate are subject to availability from the
manufacturer or supplier. All the above quantities, dimensions, specifications and accessories have been
verified and accepted.
"
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