HomeMy WebLinkAbout08-8462 • CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8462
BUILDING PERMIT
Permit Number: 8462 Address: 5754 16TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07400-0120
Improv. Cost: 7,820.00
Date Issued: Name: REED BILLY JR.
Total Fees: 105.00 Address: 5754 16TH ST
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/27/2008 Phone: (813)714-8698
Work Desc: INSTALL 17 WINDOWS
BAHR,RANDY KEITH BUILDING FEE 105.00
^ Q �
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
• CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8462
BUILDING PERMIT
Permit Number: 8462 Address: 5754 16TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-07400-0120
Improv. Cost: 7,820.00 :.
Date Issued: Name: REED BILLY JR.
Total Fees: 105.00 Address: 5754 16TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)714-8698
Work Desc: INSTALL 17 WINDOWS
r b'
BAHR,RANDY KEITH BUILDING FEE 105.00
111111 IIIIIJIIU
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.
e 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
II
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
C ntract omeowner:
Date Received:
Site: ��
Permit Type:
Approved w/no comments:D Approved w/the below comments: Denied w/the below comments: D
1150 4 /r s
This comment sheet shall be kept with the permit and/or plans.
Kalvin Swi —Pl s Exaner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department J J Date Received /� / J p Phone Contact for Permitting ( I I I-- f
Owner's Name X67 C_< r Owner Phone Number 7/1/ d'?/
Owner's Address S 7s/ (0�� V T�`QC Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address ( L/
JOB ADDRESS S 7SY 76�� v �� LOT# I d J 7 /
SUBDIVISION ct5 Of Z rLi/J I PARCEL ID# l/b.4 W OO/d-' ã79'c1.. O!ck)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR B ADD/ALT = SIGN = MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK/ = FRAME = STEEL = OTHER
DESCRIPTION OF WORK G/)cJ 4-! / Sl/( /e Aj /l[.ff Lll//JOLf
BUILDING SIZE I SQ FOOTAGE J HEIGHT
= BUILDING $ 7' VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
= PLUMBING $ I c
= MECHANICAL J$ VALUATION OF MECHANICAL INSTALLATION
GAS = ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS J
FLOOD ZONE AREA =YES =NO
SIGNATURE ' ' 46"�lsAlCD COMPANY f �`�L�t//l �CC�
REGISTERED Y/ N FEE CURRENT Y/N
Address yr "0 /� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N J FEE CURRENT I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address 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)complete sets of Building Plans plus a Life Safety Page;(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 IMPACTIUTILITIES 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
the job is considered abandoned.
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
WARNING TO
IC OWNER: YOUR FAILURE TS YOUR PROPERTY.TO RECORD A TICE OF COMMENCEMENT MAY RESULT IN YOUR
IF YOU INTEND TO OBTAIN FINANCING CONSULT
PAYING TWICE.FOR IMPROVEMEN
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.$. 117.03)^� n/J / q`1 .x CONTRACTO
/ OWNER OR AGENT bscr b d sworn to(�o ed)bef r me/this o,2(1CT�bsbedsavor to r firmed be e me this � � G/Xl�Jl1
Y " Who Is/are personally known to me or has/have produced
on ly known me or has/have produced as identification.
as identification.
Notary Public
Notary Public
Commission No.
2mmission
Name of Notary typed,printed or stamped
Name of Notary typed,printed or stamped
STATE OF F-L'
STATE IIIIIIIIIIII111111111111111111111111111111111111l
THISIST INGISA 11111 11111111
TRUE N FILE 2008154587
OR OF PUBLIC RECOR SS MY
HAND A F.FIAL.,S H AY OF Rcpt: 1209822
Pee: 10.00
DS: 0.00 JED P ;CLER CMCUli C f 10/23/08 IT: 0.00
Dpty Clerk
BY ' TV CLERK
p �1� NOTICE OF COMMENCEMENT
JED PITTMAN PASCO COUNTY CLERK
10/23/08 02:02 m 1 of
OR BK 7952 1
Permit No.
PO 1609
Property Identification No. //oL =a2/ dd/d- 07Ydp1- 0/dW
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with
Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal description:) P8 / /t_/V /. //t J73c,L
a)Street Address: $75y (p rJ I ,/'LtJ43 c ' f
2.General description of improvements: )
Utd 7 cep �` dd f t2� c . /�
3.Owner Information
a)Name and address: 4 .1/4 y S7Sy /G J/ &J- -
b)Name and address of fee simple titleholder(if other than owner) —�—z
c)Interest in property
4.Contractor Information Q / / /
a)Name and address: {I4/fir t( -4' 117 ,, �p yf/(f �-p/� ,�1iy Q / ZO,C�r/l /j
b)Telephone No.: Fax No.(Opt.)
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No.(Opt.)
6.Lender
a)Name and address:
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address:
b)Telephone No.: Fax No. (Opt.)
8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a)Name and address:
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specified):
WARNING TO OWNER: ANY PA3�IVIENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO /
IBn re o�wner caner';Auth ri O cedDirector/Partner/Manager
Print Name
The foregoing instrument was acknowledged before me this I -t day of o /" 2odf b /�
. • as 0101.4r , by 4 V
in fact)for - J (type of authority,e.g. officer;trustee,attorney
(name of party on behalf of who instrument was executed).
Personally Known x ` Cf
OR Produced Identification Notary Signature�-
Type of Identification Produced Name(print)
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORMS/NOC,rvsd2007 S' a re of Natural Person Signing XRY P -STATE OF ORIDA
artwig
Commission#DD652189
Expires: OCT.16,2009
BONDED THRU ATLANTIC BONDING CO.,INC.
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Florida Building Code Online Page 1 of 2
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Product Approval
USER:Public User
• Product Approval Menu>Product or Application Search>Application List>Application Detail
FL# FL4091-R2
Application Type Revision
° } Y Code Version 2004
Application Status Approved
Comments
Archived
Product Manufacturer Custom Window Systems, Inc.
Address/Phone/Email 1900 SW 44th Avenue
Ocala, FL 34474
(352) 368-6922 Ext 207
mlafevre@cws.cc
tt Authorized Signature Michael LaFevre
{
. t mlafevre@cws.cc
4IjITechnical Representative Michael LaFevre ##
Address/Phone/Email 1900 SW 44th Avenue
u Ocala, FL 34474
(352) 368-6922 Ext 207
MLaFevre@cws.cc
Quality Assurance Representative Ralph Emminger##
Address/Phone/Email 1900 SW 44th Avenue
e= Custom Window Systems, Inc.
} Ocala, FL 34474
(352) 368-6922 Ext 208
Ralph@cws.ccp @cws.cc
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Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications, Inc.
Validated By
Referenced Standard and Year(of Standard) Standard Year
AAMA/NWWDA 101/I.S.2-97 1997
Equivalence of Product Standards
http://www.floridabuilding.org/pr/pr app dtl aspx?param=wGEVXQwtDquz931%2b4g5fa... 4/15/2008
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