HomeMy WebLinkAbout06-6135
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
../
6135
Permit Number: 6135
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: 5206 10TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19500-0110
1,290.00
9/28/2006
80.00
80.00
9/28/2006
TWO 2 WINDOW REPLACEMENTS
Name: SMITH, MARGARET
Address: 5206 10TH ST
ZEPHYRHILLS, FL. 33542
Phone:
. . ~61'3/n~
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REINSPECTlON 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.
. r ~~
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ACORDN CERTIFICATE OF LIABILITY INSURANCE OP 10 L~ DATE (MM/DDIYYYY)
WHITALU 02/28/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
J Ro1fe Davis Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 945255 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Mait1and FL 32794-5255
Phone: 407-691-9600 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Auto-Owners Insurance Co. 18988
INSURER B: Southern-Owners Insurance Co. 10190
White A1uminum Products, Inc. INSURER C: American International Special
PO Box 491292 INSURER 0:
Leesburg FL 34749-1292 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOO INDICATED NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR NSRE TYPE OF INSURANCE POLICY NUMBER DA IE iMMIDDNYI' DATE'IMM/D~ LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- ~~~~S (Ea occurence)
B ~ OMMERCIAL GENERAL LIABILITY 2061239605 03/01/06 03/01/07 $ 100000
CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000
~
~ Contractua1 per PERSONAL & ADV INJURY $ 1000000
company form GENERAL AGGREGATE $2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
n POLICY -txl- ~~8r n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
I--
A ..!.. ANY AUTO 4269310900 03/01/06 03/01/07 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Par person)
-
..!.. HIRED AUTOS BODILY INJURY
$
..!.. NON-OWNED AUTOS (Par accidant)
PROPERTY DAMAGE 5
(Per accidant)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT 5
l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG 5
EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE 52000000
C !J OCCUR D CLAIMS MADE BE9021326 03/01/06 03/01/07 AGGREGATE 52000000
$
~ DEDUCTIBLE 5
X RETENTION 510000 5
WORKERS COMPENSATION AND ITO~Y"LIMIi'S I IUE~-
EMPLOYERS' LIABILITY
ANY PROPRIETORlPARTNERlEXECUTIVE E L EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E L DISEASE - EA EMPLOYEE 5
~~EMt"~~v~S1~~s below E L DISEASE - POLICY LIMIT 5
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Reference: Cle1l Coleman License Ho1der CCC035617 and CBCOO1467
*Except as required by Florida Statute.
CERTIFICATE HOLDER
CANCELLATION
CIOFZEP
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10* DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
IZ REPRESENTATIVE
City of Zephyrhi1ls
5335 Eighth Street
Zephyrhills FL 33542
@ACORD CORPORATION 1988
ACORD 25 (2001108)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6135
Permit Number: 6135
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,290.00
Date Issued:
Total Fees: 80.00
Amount Paid:
Date Paid:
Work Desc: TWO 2 WINDOW REPLACEMENTS
Address: 5206 10TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-19500-0110
Name: SMITH, MARGARET
Address: 5206 10TH ST
ZEPHYRHILLS, FL. 33542
Phone:
j.:I~
REINSPECTlON 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.
~.
CONTRACTOR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813.780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
JOB ADDRESS
Fee Simple Titleholder Address L
ISdLJIo /Di.A
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~fjeeL I LOT # ~
PARCELID#ln-alo-oH-oo\O-IQSDD- OnD I
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN 0 MOVE D
D
D
l)..f
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Name I
I
D NEW CONSTR D
D INSTALL D
PROPOSED USE D SFR D
TYPE OF CONSTRUCTION D BLOCK D
I re?jJl,NJmenL
_ SQ FOOTAGE [
rJQ BUILDING 1$) J '1 D I CJD I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO
I I
~; '. ~)_ _Ill /'JEt:P t-I fl~{IJ1f{ f
~~~" ~_2:~~ ~= I~ 6~~"=".f ~"FE'
Address ~f-- _ . _G~ ~~ License# r~ll.f[{;{l ~i C~
ELECTRICIAN I COMPANY I I
SIGNATURE . REGISTERED ~ FEE CURRENT ~
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SUBDIVISION
WORK PROPOSED
AD DIAL T
REPAIR
COMM
FRAME
DEMOLISH
I
STEEL 0 OTHER I I
~/)/dJ W\f\~u.}S I
HEIGHT I I
OTHER
DESCRIPTION OF WORK
BUILDING SIZE
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
CJ
W.R.E.C
VALUATION OF MECHANICAL INSTALLATION
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
~
FEE CURRENT
~
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
~
FEE CURRENT
~
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
~
FEE CURRENT
~
Address
License #
RESIDENTIAL
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal da1e. Required ons~e. Construction Plans, San~ary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal da1e. Required ons~e, Construction Plans. Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans
-PROPERTY SURVEY required for all NEW construction
COMMERCIAL
SIGN PERMIT
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (for the owner) would be someone wrth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs SewersServi ce Upgrades AlC Fences (PloVSurvey/Footage)
Driveways-Not over Counter if on public roadways .needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) 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 properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-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'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. 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 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterlWastewater 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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use offill 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
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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if 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.
Notary Public
Na
tvned, printed or stamped
Name of Notary typed. printed or stamped
J>"'-Y Pi\.
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Notary Public State of Florida
Anna L Perez
My Commission 00579381
Exoires 07/30/2010
~rl-Y Pu" Notary Public State of Florida
J>~ ~ Anna L Perez
~-;t-....i My Commission 00579381
-"0,,,0 Exolres 07/30/2010
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Florida Building Code Online
111A(19
http://www.f1oridabuilding.org/pr/pr_app_lst.aspx
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FL1909-Rl Revision VI Win Tech i ORLANDO L. BLANCO, P.E. Approved
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2555 ShlJmllrd Oak Boulevard
r,l/,haSscc, FIoridlJ 32399-2100
(850) 487-1824. Suncom 27'1-1824. F;t", (850) 4.1.4-8436
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69:2:0 912102:/61/5121
FJonda BUilding Code Online
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2400 Irvin Cobb Drive
Paducah, KY 42003
(270) 443-9622 ext 222
Ihatl@viwintech.com
Authorized Signature
Vladimir Knezevich
vjk@knezevich.com
Technical Representative
AddresS/Phone/l:mall
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Windows
Single Hung
Compliance Method
Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
P; Evaluation Rc:port - Hardcopy Received
Florida EngIneer or Architect Name who
developed tne Evaluation Report
Florida License
Quality Assurance Entity
Validated By
John W. Knezevich
PE-41961
National AccredItation and Management Institute
OR.LANOO L. BLANCO, P.E.
Cc:rtific:..te of independence
Referenced Standard and Year (Of
Standard)
Standard
AAMA 203
ANSI/AAMA/NWWDA 101/1.5.2
PA 201, PA 202, PA 203
Year
1998
1997
1994
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method
Method 1 Option 0
lof2
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http://www.fJoridabuilding.org/pr/pr_app_dtLaspx?param=WGEVX...
Date Submitted
Date Validated
Date Pending FBe Approval
Date Approved
09/21/2005
09/22/2005
09/23/2005
10/11/2005
Summilnr of Produc:U
FL# I Model, Number Dr N.me Description
.. " - .._---~ .- -
1909.1 Single Hung Impact Vinyl Flange or Fin Frame
Window
Umlts of Use (See Other) Installation Instructions
Approved 'or use I" HVHZ: Verified By:
Approved for use outside HVHZ: eVilluiltiDn Reporb;
Impact Resistant: PTID 1909 R1 T 05-492 SHI-DWGs.odf
Design Pl"essure: +/- PTID 1909 R1 T 05-492 SincleHunc Imc Recort.PDF
other: This product is not suitable for PTIO 1909 R1 T 05~93 SH-DWGS.Ddf
installation In the High VelOCity Hurricane PTID 1909 R1 T 05-493 SlnaleHuna Nonlmo Report.PDF I
Zone (HVHZ). This product may only be
installed on concrete, hollow concrete block
or wood substrates. For all other conditions,
site specific design shall be by this office or
our delegated engineer.
1909.2 " Single Hung Window Vinyl Flange or Fin Frame
Umlts of Use (See Other) Installation InstructiDns
Approved for use in HVHZ: VerIfied By:
ApprDved fDr use outsJde HVHZ~ Ev..luiltion Reporbi
Impact Resistant:
Design Pressul'I!I: -t-/-
Other: This product is not suitable for installation
In the High Velocity Hurricane Zone (HVHZ). This
product may only be installed on concrete, hollow
concrete block or wood substrates, For all other
conditions, site speclflc design shall be by this omce
or our delegated engineer.
18ackl I Next!
OCA AOmin~r1ll:ion
i>fIIMtftnenr III Community Affairs
Flori. IlUlldltJfI COde online
Codes iIIId StafHIsnls
2555 ShufrIllrd Oak BouJe"iltrI
Tallahassee, Aorfda 32399-2100
(8S0) 487-1824, Suncom 277-J824. Rlx (850) 414-8436
@ 2000-2005 The StlIUl of Florida. All rights res.rved. CODvrtaht and DisClaimer
Product ApPI'llVIII Accepts:
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