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09-9600
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9600 BUILDING PERMIT 77 u a w ' a 1 D E E Z 1 Permit Number: 9600 Address: 5150 4TH 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: 11-26-21-0010-15600-0160 Improv. Cost: i 700 .00 nti ',0- 7 . �7 : 51 5 w ,ff : a 0 Date Issued: 10/02/2009 Name: LEIGHLY, ROY THOMAS & JO ANN Total Fees: 87.50 Address: 3433 LITHIA PINECREST RD #358 Amount Paid: 87.50 VALRICO FL 33596 Date Paid: 11 42/2409 Phone: (813)684 -2156 Work Desc: REPLASE . WINDOWS /SMALL PLUMB/ 2 DOORS SIZE /SIZE .°; - A7 E' " , ad, 3 OWi tgtr Si , ? f - F ) I r " Hs •W - BUIL.IN FEE 52.50 PL BIN 35.00 C f \ f 9 F•• 2ND ROU H 'LUM: MI IN LATI•N ILIN 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 improvemen • your property. If you intend to obtain financing, consult with your lender or an attorney before - • rdin • your noti of commencement." CONTRACTOR SIGNATURE PERMIT OFFI FR 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 Contra r omeov &5j, Date Received: Site: o.1��5 .". X , 0 Permit Type: ,„ Vj ) iita, . 7477 o 1.lva a1 Approved w /no comments: Approved w /the below comments: Denied w /the below comments: ❑ ■ i) D iZ Ta 3 r ' 2°7 F:43„C., ,f c,-r 2D 04 2) Sin c-c /00 OracifiA pfoe„(),„„ is ty 77 rn . Ov�% #1 • A 0r 1 I) ion 6ii,", el 57) / A V4 / ) ca /f 6e et ►10 ti) ,ed , This comment heet shall be . ept with the permit and/or plans. Kal ' - Sw • • . " xaminer Date Contra •r and/or Homeowner (Required when comments are present) - Si : L .„ ..t..,r-.--.41:.--'::'' '''' .,. ..:.,, .„.„,.,..,.: N.. . . .; „--i ft 14-• r.r., ..... _ \.‘'. .c:-. 1 p 4j. 9 '•■•\` t:■ . .g. .„9i,5 i b . i - (-- ' ,...„,.. tt ' •.:..-,,',4.'- , .47 c) • R W R W Building Consultants, Inc. B Consulting and Engineering Services for the Building Industry N.O. Box 230 Vakicu, F1.33595 P1 ,, $ I ;.659.9197 Facsimile 313354 9 Fkmida 8(1;11(1a Nmiestiional Engireers Certificate of Au[honzatian No. 9813 Product Evaluation Report Report No.: FL- 10991.5 R2 Dale: August 19, 20(19 Product Sub Category Manufacturer Product Name Category Window Horizontal Slider Aiside Window Company Model 0202 3773 State Road Horizontal Slider Cuyahoga Fails, 011 44223 "Non - Impact" Phone 330.922.2108 Scope: Product Evaluation report issued by R W Building Consultants, Inc. & Lyndon F. Schmidt, P.E. (System ID # 1998) for Aiside Window Company, based on Rule Chapter No. 9B- 72.070, Method 1A of the State of Florida Product Approval, Dept. of Community Affairs - Florida Building Commission. RW Building Consultants and Lyndon F. Schmidt, P.E. do not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. Limitations: 1. This product has been evaluated and is in compliance with the 2007 Florida Building Code structural requirements excluding the "High Velocity Hurricane Zone ", 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection, this product is required to be protected with an impact resistant covering that complies with Section 1609.12 of the Florida Building Code. 4. For through the frame anchoring in 2x stud construction, anchoring of these units shall be the same as that shown for 2x buck masonry construction. 5. Site conditions that deviate from the details of drawing FL- 10991.5 require further engineering analysis by a licensed engineer or registered architect. 6. See drawing FL- 10991.5 for size and design pressure limitations. Supporting Documents: 1. Test Report No. Test Standard Testtnq Laboratory Signer! by ATI 63479.02-501-47 AAMA/WDMA/CSA 101 /I.S.2/A440 -05 Architectural Testing, Inc. Michael L. Mackereth Alt 80747.02- 501 -47 AAMANVDMA /CSA 101/I.S.2/A440 -05 Architectural Testing, Inc. Lynn George 2. Drawing No. Prepared by Signed & Sealed by No. FL- 10991.5 RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. 3. Calculations Prepared by Signed & Sealed by Product Anchoring RW Building Consultants, Inc. (CA #9813) Lyndon F. Schmidt, P.E. Buck Anchoring RW Building Consultants, Inc. (CA 119813) Lyndon F. Schmidt. P.E. 4. Quality Assurance Certificate of Participation issued by Architectural Testing, Inc., certifying that Alside Window Company is manufacturing products within a quality assurance program that complies with ISO /IEC 17020 and Guide 53. Lyndon F. Schmidt, P.E. FL PE No. 43409 PF 1393 Shoot 1 of 1 nlin..009 'am 61NV11OBNOO ONIOIiffl 'M tJ Elooz 0, 60f£f 'ON 3'd • iPtu+vAs '� uOP I S310N 7V213N30 S321l1SS321d SNOISIA3 I .1°1' t' .. I � a NDIS30 ` OUVA313 1VOIdAt. AB 31Y0 `ON m En £ t46 'oN OI ! 0 aloolil3JO0 '"- cioOU tw Wo9 lbu3 loualciOJd iO OP3JOLi •A'18t 3SSV 2 fl 10 Wd to M ~ O $ L616'64P'£ty :"ON ...yd N $ 15..) 'I CBC££ -- 14 ODIJIOA O£L X09 .0 1 ON . sl vnnsM00 ONiuline 213OfS 7VINOZ WON a 41 -,re t;YttWB^SGC ,.J:0n00ad ai vi • ai C / ' ? ■ Z cl t„ W Y J 3 w W co X P ` x - I >< 1 k 1..... 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Box 230 Volr{co FL 33595 O Z O Phone No 813.859.9197 9. t' I (.t PART OR ASSEMBLY: Florida Board of Professional Engtneere l o , u '1 X m NO, DATE BY VERTICAL do HORIZONTAL o °'ttieate Authorisation No. 9813 CROSS SECT /2 O REVISIONS Lyndon F. Schmidt, P.E. No. 43409 f.' 2008 4 .W. BUIt. DING CONSULTANTS INC. 'JNI 51NV11nEN0:7 EINI01 lg 'M'!I Boa,: ( 801 'oN '' - 3 . <1 VIUNDS %I uoP l 91VkI0HONY 3Wbaj 3' NOfIB SNOISU138 ��, £ '°N v � n�urv� A 31V0 `ON o Y N s? ,nI sl..ul8u3 Iau p was col.K. A :A181 i3SSV ZiO. r a j 1• `' ,3, 4 Of 0 LBIC5 Q'£i9 :'aN •uWd p Z' O <tl scs££ v o wn 0£Z •a8 'O' /j/� 1/' 83011S 1V.NOZWOH � & 5g i 'ON1 'S1NVfn$NOO JNIOVn " L 43 : p jad. siu.wnao0 :.1.304:10:.1.304:1021d 0021d 3 XXVW 1 . — ' . '71 9 M a_ 1 a x '� 4X w La Lai - I 1 II .• .;. r• I ' • • • ' • U g2 2 m Z _ xw O I'M r— `li 1 J U ,_ O + ., O •,... 0 1 c til a a m ° � O C z C#-- x p tx E 4 t. 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T N, n 0 y i m-i z z .+�.7 z - xu, �o P =n I o ° m ° i H 1 SdDNVNICRIO STiffilaHddZ 10 AIID = ' - ., (INV dGOD DRUDU'Il'IVNOIIVN ` GOD b(7'" 1 ' zj: a '4311\36 DNIGlIf1H VQ11101d `SIQO3 DNIZIVAMI z TIV H.IIM AIdIJIOD TIVHS MOM'I'IW Z Z PI o i o - - 82.0" MAX. OVERALL. FRAME HEIGHT 0o u w u -z O X V N V Z > M Ca °o X CO o m -- 79.25" MAX. OVERALL PANEL HEIGHT O x a 3 x 0 �%C: G'. W O O O O N O D Z v N o r- m 1. • -C m 0 + + 0 u, -i z P' O Z 71 MI m O La 2 C . i W m 0 0 o o rg m '' 4 i `r+ E PRODUCT: Documents Prepared By. DISTINCTION SERIES 4-3. ILDING CONSULTANTS. INC ° _ 3'0 x 6 GLAZED .FIBERGLASS at., o. Box 230 Vetere° 'FL 33005 I - DOOR INSWING / DUrSN?NG " Pen. - w°. 8i059.9197 d0 o z \. Fnorlaa Boers of Prof eyonal •tewent PART DR ASSEMBLY R (.I m ' -i W GIUaC°i° Of wlsaa 9813 4. I 'A_ ..1--, ' NO. DATE �. TYPICAL ELEVATIONS: DESIGN REVISIONS PRESSURES do GENERAL NOTES Wootton W. , P, 04158 9S ISS '. R. ' M ?PPP.M SNOISVON cep - 6 Z �r NOLL33S SS083 AR 31V0 'ON j i''' IMOZILIOH V 1VJLL83A o . z ri96 QN' o .f 3 lQ 3 v uscoeu3 to Wad 7o, Now opy old - s0 10V4 — *t t 3 .:. n t Zed. WINrr9 Ir , * 0 14 .uayd 5)NLAY�}p // 9NMMSNI 8000 \ z $ I sssc • � r ' I v Xtri s N cr � 3 Ag P.+� W^ SSV1J838t' 03ZY70 «I3 17lIQ02Fd . . 6 4 ` ru •uurtnNaa Ymmine QV S31EL3S N0I1O+ltf5i0 j 0 e o o 0 e o 0 00 1 z oz zo,- . ,z. o Ewa °�. iv o \ • 111 *tfll -- Nv. f ' T1 + fi E.-• , 1� a t\ U'2 minium W in J L 33VdS ?VHS � N — • ; L —E zci 9 e . a-.2' 0 z i U m o p `! ► Z. 4% W 06. © a ii � 0 \�\\ \�, , 14\ V) EL ,d: r .:/O r N a \ �'� to y Cu7 W .� �� O Li ._ ) CC ¢ Z 1/1 Misir Y DzU_ T i M , : ' - : Ili � �� 3�VdS put-is � j xrow .tr/ j _ (..,,,L) 'era e "NM .,t /1 -L �. 5 o N ° Q. ®o e a w ZI _ IZ W �a� t _Allik i . j 'r1 ri' ' /iii e U 0 4 1 It .• ' ." RIR z O G . :. , 1.. :..- •-. el O e e - ' 1_ ... lr7 1111111-1.1-- ' _z.--,,,, e p it -- , 8 ®® e (.6 a) . 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INC I ( I 3 Z \ 3 O INSWINGG / ODU Phone No ?813. 630.91 .33595 R CO Tn i 1.. _ PART OR ASSEMBLY: Flwme Board or Pnoreealenal naln «re • 4.- N - Certificate a nut e. Said _ m ° ' NO, DATE BY BUCK & FRAME z- 6 REVISIONS ANCHORING .y, P.E. N 54138 1 .t ?`OJ E31 - 91Wrr:U31f1.634 :4,- 5J . Z.::' W LA GI i..4 N �N E3 10 tV N N N;N , ..• -• V 1 , V O to CO V CA .Cn. 4, G E3 frt ImN -. 0 10 0 V 01 VI a Li N a.t0 CR V m , E0 4. W N� I I I °` C�4v '� �..2 R ; - r� � . Um � c :�f�*, nrx \ � ` C '' 2 ° rn ry cn ( t d .., o. Z y � ' TM N x'1 'rl 1 Z7 a rr w�� ll g� y la�� ti ____ = o CO m I . -= a Z 1.375" - ` i R '+ 'n a 1 a -4 if zP `m s"�}`�`'1 x �' P sg$��5^ 4 mr^c�iv�zs Ell a 2 1 - N a z �I., 1 Ar. p y ��+ �e r ‘IN — Z \ .563 ' 1 1.375" \ �( ® m `\ ,T- �{ R ��\`\ , f x .125" --1 }� 0 1.250 ° n — A in y = 1.759" w e 1- o ' ,\ _ 0, 5 co p ,. �\ - ,9 73 m -0 ;,', xj � to o f m _ � r7 �: ci N n 0 m A o m En. M ?C,0. \ \ \\ I 0.975 / IW \ \\ m x u TI - 1 11)() `� m -•-I t— .750" 4 Z # o ' _ co 1.208" .250" 1.278" t N m o o ' r 0 $ o .� N �' V. n? y -1-1 % '1 1.585" I-•--- I 65 N h C R 17;3 %%VI (n -.-I Fes -_ 750" to I o 1.250" ' '. : Y PRODUCT: oorwroonte Prepared' EN- N OtSf1NC7ION SERIES OW4.OlNC G CONSULTANTS, � INC. g m 0 673. 5'0" X FIBERGLASS WP•o. -Box 230 Void= FL 33592 1 $ Z \ DOOR INSWRIG / OIfTSWING prix No.: 813.659.9197 W -I w PART OR -ASSEMBLY: Florwc Board of Prof- • .I Epa9eers ? '� Cerdfloo Of helix.... No 9613 I NO, DATE BY 841 OF MATERIALS, GLAZING s DETAILS & COMPONENTS L- 57--,P6=. REVISIONS wendeu W. • . - NO 54138 R W R W Building Consultants, Inc. Consulting and Engineering Services for the Building Industry P.O. Box 230 Valrico, FL 33595 Phone 813.659:91.97 Facsimile 813.754.9989 Florida Board of Professional Engineers Certificate of Authorization No. 9813 Product Evaluation Report Report No.: FL- 8134.1 R2 Date: November 25, 2008 Product Category: Window g Product sub - category: Double Hung Cry 7 r (( .� "��,� n•� r 7, i...? Product Name: Series 0201 Extruded Vinyl Double Hung Window "Non- Impact" ALL WORK SHALL COMPLY WITH ALL Manufacturer: Alside PREVAILING CODES, FLORIDA BUILDING 3773 State Road CODE, NATIONAL ELECTRIC CODE AND Cuyahoga Falls, OH 44223 CITY OF ZEPHYRHII,I.,S ORDINANCES Phone 330.922.2108 Scope: This is a Product Evaluation report issued by R W Building Consultants, Inc. and Lyndon F. Schmidt, P.E. (System ID # 1998) for Alside based on Rule Chapter No 9B- 72070, Method Id of the State of Florida Product Approval, Department of Community Affairs- Florida Building Commission. RW Building Consultants and Lyndon F. Schmidt, F.E. do not have nor will acquire financial interest in the company: manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use in locations adhering to the Florida Building Code (2007Edition) See Drawing No. FL- 8134.1 prepared by R W Building Consultants, Inc. and signed and sealed by Lyndon F. Schmidt, P.E. (FL # 43409) for specific use parameters. Lyndon F. Schmidt, P.E. FL No. 43409 November 25, 2008 PF1273 Sheet 1 of 3 Limitations 1. This product has been evaluated and is in compliance with the 2007 Florida Building Code structural requirements excluding the "High Velocity Hurricane Zone ". 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment to base material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product is required to be protected with an impact resistant covering that complies with Section 1609.1.2 of the Florida Building Code. 4. For 2x stud framing construction, anchoring of these units shall be the same as that shown for 2x buck masonry construction. 5. Site conditions that deviate from the details of drawing FL- 8134.1 require further engineering analysis by a Licensed engineer or registered architect: 6. See drawing FL-8134.1 for size and design pressure limitations. Lyndon F. Schmidt, P.E. FL No. 43409 November 25, 2008 PF1273 Sheet 2 of 3 • Supporting Documents A Drawing 1. Drawing No, FL- 8134.1 prepared by R W Building Consultants, Inc. (Florida Board of Professional Engineers Certificate of Authorization No. 9813), signed and sealed by Lyndon. F. Schmidt, P.E. B Tests 1. Testing: per ANSI/AAMA/NWWDA 101/I.S.2/A440 -05 as performed by Architectural Testing, Inc. and reported in test report . ATI 62508.02- 501 -47, signed by Michael L. Mackereth. 2. Testing per ANSI/AAM.A/NWWDA 101/LS,2/A440 -05 as performed by Architectural Testing, Inc. and reported in test report ATI 62609.02 - 501 -47, signed by Michael L. Mackereth. C Calculations 1. Product anchoring for tested specimens is in accordance with manufacturer's published recommendations as substantiated by tested specimens reported in test report ATI 62508.02 - 501 -47, ATI 62609.02 - 501 -47. Additional product anchor analysis for Ioading conditions prepared, signed: and ' sealed by Lyndon F. Schmidt, P.E. 2. Buck anchor analysis for loading conditions prepared, signed and sealed by Lyndon F. Schmidt, P.E. D Other 1. Certificate of Participation issued. by Architectural Testing, Inc., certifying that Alside is manufacturing products within a quality assurance program that complies with ISO /IEC 17020 and Guide 53. Lyndon F. Schmidt, P.E. FL No. 43409 November 25, 2008 PF1273 Sheet 3 of 3 aslas 3• M .M�•.t SMION ldl13N39 Y S3lfl1SS3Md St+Illfa N. . L 7 -9 y -- '/� % NO S3Q 'NOQLYA7t3 l YJ)d L 31dQ 'ON c w . _. I ttae w ' o viW h 3 - W P.041 .pent! :A113K3SSY NO' 12Nd -- w a $ L616.659'£.tY "qt mow Z n saut e v ...um. ors �e •o a MOWN 9 102 3l8 1.11.1. v ` $ J .0.41 'stkf11f15N� owic�na Q� �OZ , ,� d AI ',amass., estmunco 301 :Lwow j o • c,, W v CC� z Cl. (/) z ° o cn n°. + 0 + glw T o 5 R 0 t_ z as a Adz n N oa o oWo x W m -1 6 mi Iv IT_ AS m . 0 P.- z N- C r) b J W W z ' J 1 0 4> p W O°° v 1 a d iHJ13H 311V2l3 1 cc •F/ •0 , .ZL :° 0 2 ;cV X LU W t `' 0 O p N LC) i F O 3Zp W Z lal o V WIG to ., �.. �- w>--. Z t,J o Cr) Lu rR v_,a �o:c°i o �Z ° ° ° (Y Z 71... z o W W: . y m ° �_. F=Z' �Z � -1 T � V p Q U,2 yQ�Q 2C Q, � W Z� fit vl y tt J mz y Q � - ^ Z U.� ° x z . W ow � 2 Qty 2 C . p p p'ti tt V t C� N in CI CU 1�■ W E a -i= maW cn K y�.p 6.m i I-- t4 1 W °"z CS 0 C m "p J z O efts. 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Ei In Ce zz O v 3 2' -Y Y 0 �. — . .OLO• � . p S, Q tWy S a s 2 .+ g ff 4 * * ' m m 0 ' � _ a �� v O 8 W W 8 c 4 ' m V 0 0 N :. N N i" D h W' W Z - -1 >> z 8 z z y 2 V , u -Z 8m0 (ypU� 3s V 11 X X y a K r V1. t 1 O . 0 0 u 41 'M 4 . X ": %t.' \ 0 fa M Li a - .N M w R1. b n 'r0 o. � .~- " ' h...O O, 2.0 < - - 1R 0 0 W F-: 0 IaOWt'66+P'dWI NDN' 9Nf1N - 'I9a 30S 1V S - 1lls6U!MR o 39M4 '0\faiDd1oo¢i - TDTt d\S DIOi:mlo dlsw4A+a • v1 a1 Page 1 of 1 Corky Leighly From: "Corky Leighly" <LEIGHLY @TAMPABAY.RR.COM> To: "leighly File" <leighly @tampabay.rr.com> Sent: Tuesday, September 29, 2009 9:34 AM retrofit partial drain replacement for water closet , lavortory, shower ,washing machine, partial water pipe replacement for water closet lavortory, show washing machine, water heater 9/30/2009 CITY OF ZEPHYRHILLS • 5335 - 8TH STREET (813)780 -0020 9600 BUILDING PERMIT Permit Number: 9600 Address: 5150 4TH 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 - 15600 -0160 Improv. Cost: 700.00 & 7. ... z AEA Date Issued: Name: LEIGHLY, ROY THOMAS & JO ANN V Total Fees: 87.50 Address: 3433 LITHIA PINECREST RD #358 Amount Paid: VALRICO FL 33596 Date Paid: 1 Phone: (813)684 -2156 Work Desc: REPLACE 2 WINDOWS /SMALL PLUMB/ 1 DOOR SIZE /SIZE H•M •■■ = : UILDIN FE 52.50 PLUMBIN 35.00 I�. b- 1-0- ,I 10.27 riccv Aram: ••T R 2 • - •U H - LUM: IN LATIN ILIN 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 rR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i. 0 i....5.H (a .t .. . _ a . 411 1 al C 1 13 0 M 4 4 . 0 BO men L J a, . cu 0 _ - -, 3 �•+ 01 t NA CIIIII I:I di a) --**" c - i Mit . 1 , CD Ce E "CZ ref ca _ 0 4.. .... w 11 En IIIC U1111 L. CD V _ ,- 0 mCi 3 \--- , E di CIL M NM /` = = Vf O m m H cn YJ it 4 ii cu \ \ 12 co 0 s 813 - 780 -0020 City of Zephyrhills Permit Application 1 ,fin Fax- 813 - 780 -0021 Building Department 6fj� Date Received 9 _ 0 Phone Contact for Permitting I � "`���"�" -- +-� _C s Owner's Name 7 \ \.,, �. I G 1 i 11 - � Owner Phone Number ‘71-1‘5",g, - Z j Owner's Address J 3 3 ) N j i` U I 0 '� j Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �( S o 7 10- • '/ /v Rit -() t- L LOT # SUBDIVISION PARCEL ID# � � 2 b - 2 1 ` U 01 D - -- 0 ) (, (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR I I COMM 1 1 OTHER TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME 11 STEEL I 1 OTHER I DESCRIPTION OF WORK X / W �� - 1/V . f API- 4 S Xg C BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ ; L1 0 VALUATION OF TOTAL CONSTRUCTION I 1 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY n W.R.E.C. PLUMBING $ 1 So I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 11 GAS 11 ROOFING I I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO BUILDER COMPANY ' 1 ►` 1 L N ` Y SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y / N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I Address 0 0 License # PLUMBER COMPANY SIGNATURE REGISTERED I r Y / N 1 FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # l OTHER COMPANY SIGNATURE REGISTERED I Y/ N j FEE CURRENT 1 Y/ N I Address License # F 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 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 Tots 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. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and swom to (or affirmed) before me this by by Who is /are personally known to me or has /have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. .- Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped • Return to: HODGES & CARLE, P.A. P. O. Box 548 Zephyrhills, FL 33539 -0548 This instrument prepared by: STEPHEN D. CARLE of HODGES & CARLE, P.A. P. O. Box 548 38410 North Avenue Zephyrhills, FL 33539 -0548 1 , ;1 L 41i Oak is 1[irtIRfUrt, Made this /(e day of ✓ Se ev 2009, ,between ALMA ANN HAGERMAN, single, whose mailing address is 807 Sunset Avenue, Murfreesboro, TN 37129, grantor* and ROY THOMAS LEIGHLY and JO ANN LEIGHLY, his wife, whose mailing address is Unit #358, 3433 Lithia Pinecrest Road, Valrico, FL 33596, grantee *. AitittS514, That said grantor, for and in consideration of the sum of -- FOURTEEN THOUSAND FOUR HUNDRED AND NO /100 DOLLARS ($14,400.00) ----, and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt of which is hereby acknowledged, has I granted, bargained and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being in Pasco County, Florida, to -wit: Lots 16 and 17, Block 156, Town of Zephyrhills, as recorded in Plat Book 1, page 54, of the Public Records of Pasco County, Florida; Property Appraiser's Parcel I.D. No. 11- 26 -21- 0010- 15600 -0160; and said grantor does hereby fully warrant the title to said land, and will defend the same against the lawful claims of all persons whomsoever. * "Grantor" and "grantee" are used for singular or plural, as context requires. ?It i Mrrnf, Grantor has hereunto set grantor's hand and seal the day and year first above written. Signed, sealed and delivered in our presence: • / / —�/ LA`. Wit ess 1 - Sign name on *hie above ALMA ANN HAGERMAN Mar-i i)a ,4. .Lt n rl ot Witness 1 - Print name on line�e Witness 2 - Sign name on line above '-00/Z /0- 2.9■41/4,0 Witness 2 - Print name on line above II STATE OF TENNESSEE ) COUNTY OF _ 9� The foregoing instrument was acknowledged before me this /(p ., day of Se.. 1 1009, by ALMA ANN HAGERMAN, [ who is personally known to me, OR [ ] who has produced as identification. Signature of Notary Public Typed/Printed Name of Notary Public NOTARY PUBLIC Serial Number (if any) My commission expires: 11 /a/ /c3-O / U FIA 1i� OP s F< i = Ma�nwr ICI :DISCLOSURE STATEMENT FOR OWNER CITY OF.ZEPHYRH ILLS . -.BUILDING DEPARTMENT I � ) i I, • 1 G have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to r reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, . and upon completion will call for a reinspection before proceeding with the. building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one - family or two- family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, an ning regulations. • OWNER'S SIGNA l RE DATE cf.-1 ADDRESS 33 L, - r t 4 ��, f, n� a G..td. If,��'w, / 33 S/ PHONE C�/ . 6 2 i s WITNESS I ... a../s mil' PERMIT 7/ Masterforms /OwnersAffidavit/Nov07 Pasco County Parcel: 11- 26 -21- 0010 - 15600 -0160 001 Page 1 of 2 • Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Wednesday, September 30, 2009 I Parcel ID 1 11- 26 -21- 0010 - 15600 -0160 (Card: 001 of 001) Classification II 01 - Single Family Mailing Address Property Value LEIGHLY ROY THOMAS & JO ANN Ag Land $0 3433 LITHIA PINECREST RD # 358 Land $25,704 VALRICO, FL 335966302 Building $13,696 Physical Address Extra Features $217 5150 4TH ST ZEPHYRHILLS, FL 33542 -4033 Market Value $39,617 Assessed (Save Our Homes) $24,287 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non - School Additional Homestead Exemption - $0 See Plat for this Subdivision) ZH MB 1 PG 54 LOTS 16, Non - School Taxable Value $0 17 BLK 156 School District Taxable Value $0 OR 8178 PG 351 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning Q Units 0 Type D Price II Condition II Value I 1 II 0100 II SFR II 00R3 II 8,400.00 II SF II $3.06 II 1.00 II $25,704 I I Additional Land Information I Acres II 0.19 II Tax Area ll 30ZH II FEMA Code II X IlResidential CodeII ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1920 Stories 1.0 Exterior Wall 1 Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Gas Heat Convection A/C Window Unit Baths 1.0 _ I Line II Description II Sq. Feet II Repl. Cost New I 1 II UCP II 176 II $927 I 2 II BAS II 696 lI $24,812 I 3 II UOP II 160 II $856 I Extra Features (Card: 001 of 001) I Line II Description II Year II Units II Value I 1 II DWSWC II 1973 lI 116 II $104 I 2 II UDU -M 1980 II 1 II $113 Sales History I Previous Owner 11 HAGERMAN ALMA ANN I Year II Month II Book /Page II Type II Amount I 2009 II 09 II 8178 / 0349 II DD 11 $0 I 2009 II 09 II 8178 / 0351 II WD II $14,400 I 1973 II 01 II 0669 / 0416 1 1 $0 http: // appraiser .pascogov.com /search/parcel.aspx ?sec =11 &twn= 26 &rng=21 &sbb= 0010 &b... 10/1/2009 OCT -01 -2009 21:58 P.01 ALEi. TRI -AREA ELECTRICAL CONSTRUCTION, INC. 1110 NE Pine Island Rd. Unit 38, CAPE CORAL, FL 33909 * 239 - 573 -7235 FAX 239 -573 -3274 FACSIMILE TRANSMITTAL SHEET 'C0: mom: Jackie COMPANY: PAM Zephryhills 10/2/2009 r'AX NUMBER: TOTAL NO, OF PACTS INCLUDING COVER 813 - 780 - 0021 2 PHONE NUMBER: SENDER'S RIiFEREN'C NUMBER: E: YOUR RRFF.RF.NC R NUMBER.: Business Tax receipt ❑ URGENT 0 FOR REVIEW ❑ PL12ASE COMMENT ❑ PLEASE REPLY ❑ PLEASE RECYCLE NOTL•S /COMMENTS Hello, here is our new business tax receipt for Tri -Area Electrical Construction. Canyon please call me ® 239- 573 -7235 To make sure that we are all set to do work in your city. Thank you, Jodi Tri-Area Electrical Construction 239- 573 -7235 239- 573 -3274 fax • • OCT -01 -2009 21:59 P.02 ° ' City of Cape Coral CITY O F � Business Tax Receipt 17 .44 BT10 -62757 Issue Date: HOME BUSINESS ONLY A'40‘01°' DBA: TRl AREA ELECTRICAL CONST INC Owner Name: LEONE WI T Expiration Date: 09/30/2010 THIS RECEIPT IS FURNISHED PURSUANT TO FLORIDA STATE STATUTES, CHAPTER 205 AND CITY OF CAPE CORAL ORDINANCE 9 -72 AS AMENDED The law requires this receipt to be displayed conspicuously at the place of business so that it is open to the view of the pubic and available for inspection. Payment is due each year by September 30th, Payment after September r T he total d el is nquency penalty shall oxceed25% the month of October, plus an additional 5% for Each month the tax. A 25% penalty is imposed on any person engaged in any new business, occupation or profession without first paying a Cape Coral Business Tax. This receipt is for a business tax only. It does not permit the person/business to violate any existing regulatory or zoning laws of the state, county, or cities, nor does it exempt the business from licenses or permits that may be required by law. This receipt does not assure quality of work. Annual renewal notices are mailed on July t st to the address closing record at that bust e please come to our to h ve l the ness Tax due to a change in business name, ownership, location of records updated. Detach and post bottom portion CITY OF CAPE CORAL BUSINESS TAX RECEIPT 81 ape Coral Florida33990 T #: ( B O-6 6 C of Cape Coral — 1015 Cultural Park This Receipt expires September 30, 2010 Visit our website at www,capecoreinet DISPLAY FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS ION 1 FAIL I THIS TAX 15 NON REFUNDABLE - Location: 1914 SE 4TH ST Zoned: CITY O F Business Phone: (239) 573 - 7235 State License: v 0 Q' Number of Employees: �O �� Classification: . TRI AREA ELECTRICAL CONST INC to ,,. v HOME BUSINESS 1914 SE 4TH ST Classification Code: 999 4eala Issued Date: CAPE CORAL, FL 33990 Amount: $15,00 This document Is a business u tax only. cllile9 or does certification mpf licensee Is qualified. It does not from other taxes or permits he , may be requlr @d by violate any existing regulatory zoning laws of the Mate, h TOTAL P.02