HomeMy WebLinkAbout06-6023
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6023
Permit Number: 6023
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5246 17TH S
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-17800-0140
1,090.00
8/07/2006
52.50
52.50
8/07/2006
REMOVEIINSTALL GARAGE DOOR
Name: VANNOY, WILLIAM
Address: 5246 17TH ST
ZEPHYRHILLS, FL. 33542
Phone: 813783-2429
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MISC,
MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a} wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
NO OCCUPANCY BEFORE C.O.
CONT I GNATURE ~~
L FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUI;LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED cnad.
PHONE CONTACT FOR PERMITTING (;;r:=, -7 <;s ~ 5S~G:,
OWNER' S NAM~'\ \~\(l.A.V' V CJ..J/vVb ~
JOB ADDRESS 'OdttC, li ~ ok
LEGAL DESCRIPTION: LOT(S) \'1, \5' BLOCK
PARCEL 10 # \\-a.(,-~_tO"l,<o-lJ85G-C>\4(!)
PHONE ~ 1\(,3 J 4 J. 0,
\,%
SUBDIVISION
WORK PROPSED: DNEW CONSTRUCTION
o SIGN
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE)
o ALTERATION 0 REPAIR ~INSTALL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK '~~V <<- ,I ~ ~lJ g(lj'~ E'..J kr
BUILDING SIZE
SQUARE FOOTAGE
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
~ILDING ,
$ I OQO. ttJ €)
VALf!lATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy [J
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
I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
,
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
~ STATE CERT OR REGIST i
****************************************************************
52 , so
COMPANY
~
:::::TU " ~r
?J(LCYAJ"'-~c..- l)~r~ ~YY\~~
STATE CERT OR REGIST "" Cf:(!.. J~3(!)'114
A. NOTICE OF DEED RESTRICTIONS
Th~ undersigned understands that this permit may be
may be more restrictive than city regulations. The
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 i~cal 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 "Cohtractor 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 I, the applicant, hays 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 inolude 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 prooeed 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 time 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMM CEMENT".
~fiR O::GENT
STATE OF FLORI. DA // a..A. ')
COUNTY OF r..{).- --
The foregoing instrument waJ1~~~owledged
Befory. me th~s ~ day of ~r , 2rf24
by 6tv.0:\- ~1YI~ .
(name of person acknowledged)
~hO is personally known to me, or
o who
subject to "deed restrictions" which
undersigned assumes responsibility for
STATE OF FLORIDA
COUNTY OF
The foregoing in~rument wahLacknO~ledge~
Before Ifte this -.:J. day of,,' 1> I...(}/~ " 20~
by '. .hCU),\ ~\~ MfJ----'l. -
~_1 (name of person acknowledged)
~o is personally known to me, or
o who
of identification)
take an oath.
identification)
n oath
ledgment
Name typed, printed or stamped
~ Angela Helms
! . Wr'/ Commission 00165587
',,; I Expires January 03, 2007
Of'"
Name typed,
printed or stamped
i"" a\. Angela Helms
,~ ; Wr'/ Commission 00165587
~ o,,.'.sf Expires January 03, 2007
3-R Garage Doors ~(}oJ.~
37325 S.R. 54W OHl-f A-f:
Zephyrhills, FI 33542 TJ,nf h/l'l({
8-1-C!)(O
Tel: 813-782-5926
Fax: 813-783-2645
2
ATTr'~:
JOB No.
VENDER No.
QTY
DESCRIPTION
I it
-0 X
/
~ ci ~ 0'; ~/
DIRECTIONS
JOB INVOICE
2496
DATE JRDERED ORDER TAKEN BY
P~[)NE 1 e~, ;'1;'1 FAX
JOB NAME
JOB LOC,",TION <!!'- .'
TOTALS
'-::/{ w/ltHf /?cZ;:>?"" U/(F (.A.JI)Y ,lVt1:'?-;:&1 10 I.?("'~,.,.,/j<:- ~ ,:;, JC, b ~
WOF1K/INSTALLED BY
iJATE INSTALLED
DATE COMPLETED
INSTALLERS SIGNATUP'::
CUSTOMERS SIGNATURE
OF APPROVAL
ORIGINAL
COST SUMMARY
1.I#Iht,. J!VI ~'r;OTAL LABOR
TOTAL MATERIALS
Pc"li/Itif Ptr~ -- TOTAL Mise,
..., "Ij c:J~ A DJ~~t .Il
/ j . ~<lfQSUB TOTAL
f+C4It Df~L.y
GRAND TOTAL
UNIT
PRiCe::
AMOUNT
~035nv
7
.
TAX
'/tJ10cC
"'-=
J:V ALUA TION ENTITY
G8ry Piuehler, P. E.
5665 Green Oak Court
Fairfield, OH 45014
Product Evaluation Report
for Florida DCA
MANUFACTURER
Clopay Building Products Company
8585 Duke Blvd.
Mason, OB 45040
513.770.4800
Evaluation Re rt # W4~09-DSI-F171
Statement of ComnJiance:
The Clopay Building Products Company sectional doors as described on the drawings listed below meet the design
and test pressures shown. Based on the testing and rational analysis detailed below, this product is evaluated to be in
compliance with the following provisions of the Florida Building Code:
I!I Outside the HVHZ: Wind Loads (tested in compliance with FBC 1714.5.3.1, ref. ANS1/DASMA 108 or TAS 202)
o Inside the HVHZ: Wind Loads for HVHZ (tested in compliance with FBC 1714.5.3.1, ref. TAS 202),
1625 C elie Tests for HVHZ ref. TAS 203 16261m act Tests for HVHZ ref. TAS 201
Double..skin Insulated (exterior skin 27 ga. min.; interior skin 27 ga. min.)
Description of Pro dud: Single..Qrr (up to 9'0" wide) WINDCODE(I) W4 Garage Door
Design Pressures: +28/.29 Test Pressures: +42/-43.5
'~~/t-
~JYt-
Specific Models and Technical Documentation:
Model Test Re ort Drawin
44OOW4, 4401 W4,
HDGW4, HDGL W4,
4300W4,431OW4,
4301W4
SP20W4, SE20W4,
SF20W4
66W4, 67VV4, 68VV4
H400VV4, H401W4,
H310VV4, H300W4,
H301W4
No.
Comments
HCN-21
101652-Rev06 Glazing approved per HCN~5A, HCN-5. Low head room track approved
per HCN-126. Nylon-Tire rollers approved per ITR-269D.
HCN-21
102049~Rev04
HCN.21
101652-Rev06
HCN-21
l02488-Rev03
Model uses horizontal reinforcement; door height does not effect
performance. .
Installation requirements: Installation must be in accordance with manufacturer's installation instructions.
Limitations and conditions of use: Jambs, lintels, sills or other structural elements required to prepare openings are not covered,
The design of the supporting structural elements shall be the responsibility of the professional of record for the building or structure
and in accordance with current building codes for the loads listed on the drawing(s) referenced above.
Certification of Indeoendence of Evaluation Entity: I hereby certify that (1) I have no financial interest in Clopay Building
Products Company; (2) I am an independent licensed Professional Engineer in the State of Florida; and (.3) I comply with the criteria
of independence as stated in 9B-72,]]0 F.A.C.
Date:
~~~L-
Gary Ffuehler, p, E.
Florida P. E, No. 49850
///if / '(/ r
Signature:
~\'1iW DATIl '
Eff" @fIIPKY
tlYlLDIJlfti OmelA
FILE: W4-09-DSI-Fl7 l-REvOO
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