HomeMy WebLinkAbout08-8644 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8644
BUILDING PERMIT
Permit Number: 8644 Address: 6105 20TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR BREEZE
Est. Value: Parcel Number: 02-26-21-0190-00000-0100
Improv. Cost: 526.23
Date Issued: Name: RICHER, JUNE & EDWIN
Total Fees: 52.50 Address: 6105 20TH ST
Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542
Date Paid: 12/18/2008 Phone: (813)782-2247
Work Desc: REPLACE EXTERIOR SIDE DOOR
J&G CARPENTRY INC BUILDING FEE 52.50
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one 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."
k - /F-t7 �
CONT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: IT6 ( C '-r i\4Y
Date Received: l 2-- 1 b - 08
Site: (p105 0 5 2�
Permit Type: (aC CL
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comm sheet shall be kept with the permit and/or plans.
Kalvin witzer—PlanTE) miner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department (U(
Date Received 3 Phone Contact for Permittin J I I,4 - J 1'-iJ
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number I c...r
Fee Simple Titleholder Address I çQ._r>,C.-.
JOB ADDRESS 'r" , LOT#
SUBDIVISION PARCEL ID#I 0 (cr'Qr
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED El NEW CONSTR ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME Q STEEL Q OTHER
P
DESCRIPTION OF WORK I ? c.sck.. or- I
BUILDING SIZE I SQ FOOTAGE I HEIGHT
BUILDING $ fZ GI3, I VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING $ I
Q MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES =NO
BUILDER Q , ,��- COMPANY
SIGNATURE REGISTERED Y/ N F CURRENT Y/N
Address 7Pk1G- License# '
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License# (—
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License# F
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I 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 submittal date. Required onsite,Construction Plans,Stormwater Plans W/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL, Attach(3)sets of Building Plans;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit Fence installed,
Sanitary Facilities&1 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
If over$2500,a Notice of Commencement Is required. (A/C upgrades over$5000)
** 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 (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
I
�,£R
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, 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.
- 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
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 lob is 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 AUORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. /r
FLORIDA JURAT(F.S.11 03) r
OWNER OR AGENT_______________________11 CONTRACTOR
Subscribed and swom (or afli d b�f -m e this Subscribed and sworn to(or a )before is
// y Ja FY .
Who is/are p nal y kno to me or has/have produced Who is/are arson ly know a or h shave pro cad
as identification. as identification.
Notary Public
Notary Publi
Corn _isslon No. - _ Commission No.
Na o ota ed, or stamped �r p e d, t ,� °°` . '',•'
o `4 Notary Public State of.lorida
Shelly Beswick o�pav"�®L Notary Public S"ai
C o My Commission;DFJ;'45030 ? Shelly Besw ck
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MIAMFDADE
MIAMI-DADE COUNTY,FLORIDA
METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE(BCCO) 140 WEST FLAGLER STREET,SUITE 1603
PRODUCT CONTROL DIVISION MIAMI,FLORIDA 33130-1563
(305)375-2901 FAX(305)372-6339
NOTICE OF ACCEPTANCE (NOA) www.miamidade.aov/buildingcode
Jeld-Wen,Inc.(OR)
3737 Lakeport Boulevard
Klamath Falls,OR 97601
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials.The documentation submitted has been reviewed by Miami-Dade County Product Control Division
and accepted by the Board of Rules and Appeals(BORA)to be used in Miami Dade County and other areas
where allowed by the Authority Having Jurisdiction(AHJ).
This NOA shall not be valid after the expiration date stated below.The Miami-Dade County Product Control
Division(In Miami Dade County)and/or the AHJ(in areas other than Miami Dade County)reserve the right
to have this product or material tested for quality assurance purposes. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA
reserves the right to revoke this acceptance, if it is determined by Miami-Dade County Product Control
Division that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein,and has been designed to comply with the Florida Building
Code,including the High Velocity Hurricane Zone.
DESCRIPTION:
Series "Jeld-Wen STEEL" 6'8" WIE Outswing Glazed Insulated Steel Door w/wo Sidelights-N.I.
APPROVAL DOCUMENT: Drawing No. S-2105,titled"Series Wood Edge Glazed Steel Outswing Door
up to 9'-0"x 6'-8"with&without Sidelites",sheets I through 8 of 8,dated 12/13/2001 with revision D dated
10/01/2007,prepared by PTC,LLC,signed and sealed by Eric S.Nielsen,P.E.,bearing the Miami-Dade
County Product Control Revision stamp with the Notice of Acceptance number and expiration date by the
Miami-Dade County Product Control Division.
MISSILE IMPACT RATING: None Impact Resistant
LABELING:Each unit shall bear a permanent label with the manufacturer's name or logo,city,state and
following statement: "Miami-Dade County Product Control Approved",unless otherwise noted herein.
RENEWAL of this NOA shall he considered after a renewal application has been filed and there has been
no change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change
in the materials,use,and/or manufacture of the product or process.Misuse of this NOA as an endorsement of
any product,for sales,advertising or any other purposes shall automatically terminate this NOA.Failure to
comply with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami-Dade County,Florida,and followed
by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed,then
it shall be done in its entirety.
INSPECTION:A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises and renews NOA#02-1216.09 and consists of this page 1 and evidence pages E-1 and E-
2,as well as approval document mentioned above.
The submitted documentation was reviewed by Jaime D.Gascon,P.E.
NOA No.07-0731.01
Expiration Date: August 15,2012
.( Approval Date: November 15,2007
-' yS o1 Page 1
Jeld-Wen,Inc. (OR)
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
A. DRAWINGS
1. Manufacturer's die drawings and sections.
2. Drawing No. S-2105,titled"Series Wood Edge Glazed Steel Outswing Door up to
9'-0"x 6'-8"with&without Sidelites", sheets I through 8 of 8, dated 12/13/2001
with revision D dated 10/01/2007,prepared by PTC, LLC, signed and sealed by Eric
S.Nielsen,P.E.
B. TESTS
1. Test reports on 1)Air Infiltration Test,PA 202-94
2)Uniform Static Air Pressure Test,PA 202-94
3)Water Resistance Test,PA 202-94
4)Forced Entry Test,PA 202-94
along with marked-up drawings and installation diagram of DoorCraft series OXXO
configuration Outswing and Inswing opaque wood edge steel door, prepared by
Certified Testing Laboratories,Test Report No. CTLA-961W, dated 10/23/2002,
signed and sealed by Ramesh C.Patel, P.E.
(Submitted under NOA#02-1216.09)
2. Test reports on 1)Air Infiltration Test, PA 202-94
2)Uniform Static Air Pressure Test, PA 202-94
3)Water Resistance Test,PA 202-94
4)Forced Entry Test, PA 202-94
along with marked-up drawings and installation diagram of DoorCraft series OXXO
configuration Outswing and Inswing glazed wood edge steel door,prepared by
Certified Testing Laboratories, Test Report No. CTLA-697W, dated 11/11/01, signed
and sealed by Ramesh C. Patel, P.E.with addendum letter dated April 11,2002 also
signed and sealed by Ramesh C. Patel,P.E.
(Submitted under NOA#02-1216.09)
3. Test reports on 1)Air Infiltration Test, PA 202-94
2)Uniform Static Air Pressure Test, PA 202-94
3)Water Resistance Test,PA 202-94
4)Forced Entry Test, PA 202-94
along with marked-up drawings and installation diagram of DoorCraft series OXXO
configuration Outswing and Inswing opaque wood edge steel door,prepared by
Certified Testing Laboratories,Test Report No. CTLA-697W, dated 11/11/200 1,
signed and sealed by Ramesh C. Patel,P.E.
(Submitted under NOA#02-1216.09)
Jaime D.Ga on,P.E.
Chief,Product Control Division
NOA No.07-0731.01
Expiration Date: August 15,2012
Approval Date: November 15,2007
E-1
Jeld-Wen.Inc. (OR)
NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED
B. TESTS(Continuous)
4. Test reports on:
1)Tensile Test,ASTM D 638-03
along with marked-up drawings and installation diagram of the"Trinity Lite Frame",
prepared by Certified Testing Laboratories,Test Report No. CTLA-1078H, dated
10/24/02, signed and sealed by Ramesh C. Patel,P.E. with addendum letter dated
April 11, 2002.
(Submitted under NOA#02-1216.09)
5. Test reports on:
1) Self Ignition Test,ASTM D 1929-96
2) Surface burning characteristics Test,ASTM E-84
along with marked-up drawings and installation diagram,prepared by Intertek Testing
Services, Test Report No. ITS J9906660-001, dated 04/08/1999,signed and sealed by
Douglas Tucker, P.E.
(Submitted under NOA#02-1216.09)
C. CALCULATIONS
1. Anchor verification calculations and structural analysis,complying with FBC-2004,
prepared by PTC, LLC, dated 06/29/2007, signed and sealed by Eric S.Nielsen, P.E.
Complies with ASTM E1300-98/02
D. QUALITY ASSURANCE
1. Miami Dade Building Code Compliance Office(BCCO).
E. MATERIAL CERTIFICATIONS
1. None
F. STATEMENTS
1. Statement letter of conformance,no financial interest and independence, PTC, LLC,
dated 06/26/2007, signed and sealed by Eric S. Nielsen,P.E.
G. OTHER
1. Notice of Acceptance No. 02-1216.09, issued to Jeld-Wen, Inc. (OR)for their Series
"Wood Edge Glazed Door w/&w/out Sidelites up to 8'4 x 6'8 Outswing", approved
,on 01/30/2003 and expiring on 08/15/2007.
Jaime D.Gascon,P.E.
Chief,Product Control Division
NOA No.07-0731.01
Expiration Date: August 15,2012
Approval Date: November 15,2007
E-2
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