HomeMy WebLinkAbout09-8865 CITY OF ZEPHYRHILLS i
5335-8TH STREET
(813)780-0020 8865
BUILDING PERMIT
Permit Number: 8865 Address: 7221 APPLEGATE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0060
Improv. Cost: 1,000.00
Date Issued: Name: GLAZEWSKI, ROBERT & JOYCE
Total Fees: 52.50 Address: 7221 APPLEGATE DR
Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542
Date Paid: 3/03/2009 Phone: (813)778-4038
Work Desc: REPLACE GARAGE DOOR
3-R GARAGE DOORS, INC BUILDING FEE 52.50
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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 cording your notice of commencement."
ONTRACTO I NATUR 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
5335-8TH STREET
(813)780-0020 8865
BUILDING PERMIT
.a.
Permit Number: 8865 Address: 7221 APPLEGATE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: ALPHA VILLAGE
Est. Value: Parcel Number: 35-25-21-0050-00000-0060
Improv. Cost: 1,000.00
Date Issued: Name: GLAZEWSKI, ROBERT & JOYCE
Total Fees: 52.50 Address: 7221 APPLEGATE DR
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)778-4038
Work Desc: REPLACE GARAGE DOOR
fps'. II! ;:0. ,., ,J', ,I-o'a_ •V1."
3-R GARAGE DOORS,INC BUILDING FEE 52.50
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„ ,:aE C y i.uiitIurtiiuuuI
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."
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department / tJ/1'
Date Received Phone Contact for Permittin j ���`�= U JJAA
Owner's Name 1V — JO Owner Phone Number
i Owner's Address v' k k k— t S u Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number I I
Fee Simple Titleholder Address �,�1
JOB ADDRESS ' i`�' LOT# II
SUBDIVISION C kt • PARCEL ID# ✓S
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE E SFR Q COMM Q OTHER I
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL Q OTHER
DESCRIPTION OF WORK I QQL& Yd 0 Mt-
BUILDING SIZE I SQ FOOTAGE I HEIGHT C�
BUILDING Is
1„ Z) VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ lM AMP SERVICE PROGRESS ENERGY Q W.R.E.C,
PLUMBING $
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C �✓( `h
Q GAS Q ROOFING SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N N
Address I I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y I N
Address I I License#
MECHANICAL COMPANY
SIGNATURE EGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
OTHER O PANY f3f 6ci-tJ->
SIGNATURE GISTERED I Y/ N I FEE CURRENT I Y/N
22 an�—
Address I J S Z 3 License# 1
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/Silt 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
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'SIOWNER'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 job 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.`t117.03)
O Dll� CONTRACTOR
SW' and sworn to(or affirmed) me this`! Subscribed and r a rme is
by by
Who i /are personally known to.rTtor hash ve produced Who,iNePersIlY�nown to me or has/ av produced
?�, c - as identification. �� as identification.
tary Public
Public
Com Commission DD 734406 Commission No.
HOBBIES.SWETLAND
DL)734406
Expires February 22,2012 ii
Expires February
r „ Banded Thai Troy Fain Nuisance 800.3857919
Name oNotary pe Name of Notary Neurence8003B57019
1NALUATION ENTITY MANUFACTURER
Gary Pfuehler,P. I Product Evaluation Report Clopay Building Products Company
5665 Green Oak Court for Florida DCA 8585 Duke Blvd.
Fairfield,OH 45014 Mason,OH 45040
Evaluation Report# 73W4-09 513.770.4800
Statement of Comaliance:
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:
Z Outside the HVHZ: 1606.1 Wind Loads(tested in compliance with FBC 1707.4.3.1,ref.ANSI/DASMA 108 or TAS 202)
❑Inside the HVHZ: 1619 Wind Loads for HVHZ(tested in compliance with FBC 1707.4.3.1,ref.TAS 202),
1625 Cyclic Tests for HVHZ(ref.TAS 203), 1626 Impact Tests for HVHZ(ref.TAS 201)
Description of Product: Steel Pan(min.25 ga.)Single-Car(up to 9'0"wide)WINDCODE W4 Garage Door
Design Pressures:+25/-32 Test Pressures:+37.5/-48
Specific Models and Technical Documentation:
Model Test Report Drawing No. Comments
HCN-120 A/B 300159-Rev07 Glazing approved per HCN-185C,HCN-3.Low head room track
approved per HCN-126.
76W4 HCN-120 A/B 102429-Rev00 Glazing approved per HCN-185C,HCN-3.Low head room track
approved per HCN-126.
42W4,48W4,55W4 HCN-120 A/B 102046-Rev05 Glazing approved per HCN-185C,HCN-3.Low head room track
roved per HCN-126.
4RSTW4,6RSTW4 HCN-120 A/B 102137-Rev02
Glazing approved per HCN-185C,HCN-3.Low head room track
roved per HCN-126.
4RSFW4,6RSFW4 HCN-120 AB 102409-Rev0l Glazing approved per HCN-185C,HCN-3.Low head room track
roved per HCN-126.
2RSTW4 HCN-120 AB 102430-Rev00 Glazing approved per HCN-185C,HCN-3.Low head room track
roved per HCN-126.
Glazing approved per HCN-185C,HCN-3.Low head room track
110RW4, 120RW4 HCN-120 A/B 101979-Rev04 roved r HCN-126.
H73 W4,H500W4, HCN-120 A/B - Model uses horizontal reinforcement;door height does not affect
102485Rev02
H76W4,H94W4performance.
H4STW4,H6STW4,
Model uses horizontal reinforcement;door height does not affect
H2STW4 HCN-120 A/B 102491-Rev0l performance.
Model uses horizontal reinforcement;door height does not affect
H4SFW4,H6SFW4 HCN-120 AB 102576-Rev0l 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 Independence of Evaluation Entity I hereby certify that(1)I have no financial interest in Clopay Building
Products Company;(2)1 am an independent licensed Professional Engineer in the State of Florida; and(3)1 comply with the criteria
of independence as stated in 9B-72.110 F.A.C.
Signature:
Gary P ehler,P.E. ALL W ORK SHALL CO IPLY WITH ALL BUI DIl`G
Florida P.E.No.49850 P D
Date: 9 "'"`-u,'E EC'TRICICN�DE C�S�
f 4 to`QTY OF ZEPHYRHILL5 ORD
VIEW DATE
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03/02/20@9 16:09 8137886773 RYMAN CONSTRUCTION PAGE 01/03
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