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HomeMy WebLinkAbout10-10132 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10132 BUILDING PERMIT ', Auxv ,`fa C.a e au a Permit Number: 10132 Address: 4844/ 4846 9TH 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: 14- 26 -21- 0010 - 02000 -0140 Improv. Cost: 11,330.80 :_! - 4 ; :! Date Issued: 2/17/2010 Name: THOMAS, LINDA Total Fees: 135.00 Address: 4844/4846 9TH ST Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/17/2010 Phone: Work Desc: REPLACE 10 WINDOWS SIZE FOR SIZE : - � � � . z�� � 5 �� `�' ..., ;,;.,. f`� " � 6'w$ ' xv � ��. .. .. ., ers DURAMADE WIND•WS & b. • R INC BUILDING r E 135.00 L ,v • .:•'. d g ...€ ;., , .a a ? �( .. '} ` ? ; � T . ,� .. ,, �,.. x i :`a L s r € ... `� � .. s::: .ECG .. §.0, F••TE 2ND R• H PLUMB MI INSULATION EILING 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." /// _ '_ i►. / CONT C • R SIGNATURE PERMIT OFFI ti 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 10132 BUILDING PERMIT Permit Number: 10132 Address: 4844/ 4846 9TH 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: 14- 26 -21- 0010 - 02000 -0140 Improv. Cost: 11 330.80 Date Issued: Name: THOMAS, LINDA Total Fees: 135.00 Address: 4844/4846 9TH ST Amount Paid: C ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: REPLACE 10 WINDOWS SIZE FOR SIZE �� 42 / 1 DURAMAPE WINI •W & D• •R IN BUILDING FEE 135.00 O P L eZ u :? A/ 0C_ vti F• • R 2ND R• U H PLU L B MISC , ., INSULA I s N EILIN 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." 6 e.a.- - ay 44 i CONTRACTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 7suilding Code Online S(-'4-16/(-- Page 1 of 2 ..4„rc mmi y Affasrs BCIS Home ! Log In ' User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links . :. ;;Product Ap " ir , USER: Public User Comrt irrty Product Approval Menu > Product or Application Search > Application List > Application Detail EINESEREMENNEMSUREI xae4;«rvr, r ss FL # FL261 R4 st ir..1..cc1.+4. #, Application Type Revision Code Version 2007 aroa� .,, Application Status Approved - Comments Archived /-� Product Manufacturer PGT Industries �I le "'S - /( Address /Phone /Email 1070 Technology _�•,� ✓ I Noko(941) m4 i s, FL 1600 3427 5rIT2'1 '�/ 0 pF ZEPHVRHILLS rumS EXAMINER_ f Authorized Signature Lucas Turner (turner @pgtindustries.com Technical Representative Lucas A. Turner Address /Phone /Email 1070 Technology Drive Nokomis, FL 34275 11 i ' `, `'',�.�, c JTT' +, i5 I. i (941) 480 -1600 r Iturner@pgtindustrieS.COm 1 V'�ijj (j ( �I L I )t-,1It \ LUll ! ,) s ' , J Quality Assurance Representative (. '.i, Z, ,, III C!'' N, T C Y Of �,�, � u ' iii �� � �� ,��1. 1 vC. Address /Phone /Email Category Windows Subcategory Mullions Compliance Method Certification Mark or Listing Certification Agency Miami -Dade BCCO - CER Validated By Miami -Dade BCCO - VAL Referenced Standard and Year (of Standard) Standard Year TAS 201, 202, 203 1994 TAS 202 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 12/10/2008 Date Validated 12/12/2008 Date Pending FBC Approval 12/17/2008 http://www.floridabuilding.org/pr/pr app dtl.aspx?param=wGEVXQwtDqu... 7/22/2009 rr7 Juilding Code Online Page 2 of 2 Date Approved 02/03/2009 Summary of Products FL # Model, Number or Name Description X lx Heavy Wall Mullions Aluminum Tube Mullions j�Limlts of Use i Certification Agency Certificate Approved for use in HVHZ: Yes FL261 R4 C CAC 06- 0125- 07.pdf Approved for use outside HVHZ: Yes FL261 R4 C CAC Letter Mullions.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: N/A 06/28/2011 Other: Please see Miami -Dade County Notice of Acceptance Installation Instructions (NOA) #06- 0125.07 for product performance information, FL261 R4 II 06- 0125- 07.pdf and mullion clip anchorage details. Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports Created by Inde.endentThird Party: 261.2 ix Standard Wall Mullions Aluminum Tube Mullions Limits of Use ,Certification Agency Certificate Approved for use in HVHZ: Yes FL261 R4 C CAC 06- 0125- 06.Ddf Approved for use outside HVHZ: Yes FL261 R4 C CAC Letter Mullions.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: N/A 06/28/2011 Other: Please see Miami -Dade County Notice of Acceptance Installation Instructions I(NOA) #06- 0125.06 for product performance information, FL261 R4 II 06- 0125- 06.pdf and mullion clip anchorage details. Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: ; 261.3 2x Heavy Wall Mullions Aluminum Tube Mullions i Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL261 R4 C CAC 06- 0125- 08.odf Approved for use outside HVHZ: Yes FL261 R4 C CAC Letter Mullions.pdf Impact Resistant: Yes Quality Assurance Contract Expiration Date Design Pressure: N/A 06/28/2011 Other: Please see Miami -Dade County Notice of Acceptance '• Installation Instructions (NOA) #06- 0125.08 for product performance information, FL261 R4 II 06- 0125- 08.odf and mullion clip anchorage details. Verified By: Miami -Dade BCCO - CER Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: Back I Next 1 DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. Coovrioht and Disclaimer Product Approval Accepts: GEED http: / /www. floridabuilding .org /pr /pr_app_dtl.aspx ?param = wGEVXQwtDqu... 7/22/2009 MIAMF COUNTY 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) 375 -2908 NOTICE OF ACCEPTANCE (NOA) www.buildingcodeonline.com PGT Industries 1070 Technology Drive Nokomis, FL 3427 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: 1"x Std. Wall- Aluminum Tube Clipped Mullion - L.M.I. APPROVAL DOCUMENT: Drawing No. 6220, titled "1" STD. Wall, Elevations Aluminum Tube Clipped Mullion ", sheets 1 through 5 of 5, prepared by POT Industries, signed and sealed by Robert L. Clark, P.E., dated 04/28/00, with last revision on 05/30/06, bearing the Miami -Dade County Product Control Renewal Stamp with last the Notice of Acceptance number and expiration date by the Miami -Dade County Product Control Division. MISSILE IMPACT RATING: Large and Small Missile Impact 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 be 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 # 04- 0528.04 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. Gaston, P.E. l % / NOA No 06-0125.06 t1r`' ®p Expiration Date: June 28, 2011 _ 2 Approval Date: July 20, 2006 ±� Page 1 PGT Industries NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's die drawings and sections. 2. Drawing No 6220, Sheets 1 through 5 of 5, titled "1" STD. Wall, Elevations Aluminum Tube Clipped Mullion, prepared by PGT Industries, dated 04 /28/00, with last revision on 05/30/06, signed and sealed by Robert L. Clark, P.E. B. TESTS I. Test reports on 1) Uniform Load Static Air Pressure Test, per FBC, TAS 202 -94 2) Large Missile Impact Test, FBC, TAS 201 -94 3) Cyclic Loading Test, per FBC, TAS 203 -94 along with installation diagram of a pair of fixed alum. windows (00 configuration) 60" x 54" mulled together with a lx 2 x std. wall mullion, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL -2902, dated 01 /05/01, signed and sealed by Antonio Acevedo, P.E. "Submitted under NOA# 04- 0528.04" 2. Test reports on 1) Uniform Load Static Air Pressure Test, per FBC, TAS 202 -94 2) Large Missile Impact Test, FBC, TAS 201 -94 3) Cyclic Loading Test, per FBC, TAS 203 -94 along with installation diagram of a pair of fixed alum. windows (00 configuration) 80" x 76" mulled together with a lx 4x std. wall mullion, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL -2903, dated 01/05/01, signed and sealed by Antonio Acevedo, P.E. "Submitted under NOA# 04- 0528.04" 3. Test reports on 1) Uniform Load Static Air Pressure Test, per FBC, TAS 202 -94 2) Large Missile Impact Test, FBC, TAS 201 -94 3) Cyclic Loading Test, per FBC, TAS 203 -94 along with installation diagram of a pair of fixed alum. windows with a transom lite (0/00 configuration) mulled together with a lx 2 x 3/4" wall vertical mullion and a 2 x 6" x 1/4" wall horizontal mullion, prepared by Fenestration Testing Laboratory, Inc., Test Report No. FTL -2975, dated 01/23/01, signed and sealed by Antonio Acevedo, P.E. "Submitted under NOA# 04- 0528.04" C. CALCULATIONS 1. Revised Anchor Calculations and structural analysis, complying with FBC -2004, prepared by PGT Industries, dated 05/30/06, signed and sealed by Robert L. Clark, P.E. Jaime D. G : on, P.E. Chief, Product Control Division NOA No 06-0125.06 Expiration Date: June 28, 2011 Approval Date: July 20, 2006 E -1 • PGT Industries NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED D. QUALITY ASSURANCE 1. Miami Dade Building Code Compliance Office (BCCO). E. MATERIAL CERTIFICATIONS 1. Notice of Acceptance No. 04 - 0721.01 issued to Elco Textron, Inc., for Tapcon Concrete Anchor, dated 03/09/06, expiring on 01/08/11. F. STATEMENTS 1. Statement letter of conformance and no financial interest, dated 01/23/06, signed and sealed by Robert L. Clark, P.E. G. OTHER 1. Notice of Acceptance No.04 0528.04, issued to PGT Industries for 1" x Std. Wall - Aluminum Tube Clipped Mullions, dated 07/08/04 and expiring on 06/28/06. Ja II e D. Gascon, .E. Chief, Product Control Division NOA No 06- 0125.06 Expiration Date: June 28, 2011 Approval Date: July 20, 2006 E -2 F o a J N 1 N r � N o + � It+iir Z N ,, '-,L, z Iii ,a,,,immirmi + Q W 23 x 2 H 4 iiiii '1 o -,1 . Q z _ii_ 2 - R-c,-..,z. WZ j W 0a o .w ,, Ei Cl_ _ j S p ° o 0 a o Cr Ii 14: $ 0 m I- CC to p O � ! 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Product Approval Menu > Product or Application Search > Application List > Application Detail .,C. 45,mYr' Fx FL # FL12646 43m;, y Application Type New tevat NT Code Version 2007 i Application Status Approved REVIEW DATE ' '12 - Iv comments CITY OF ZEPHYRHILLS LS Archived - -- PLANS EXAMINER Product Manufacturer Gorell Enterprises Inc. � � ^' Address /Phone /Email 1380 Wayne Ave. Indiana, PA 15701 (724) 465-1839 rgibson @gorell.com Authorized Signature Richard Gibson " ' ± i j. rgibson @gorell.com Technical Representative ' " ' Address /Phone /Email Quality Assurance Representative Address /Phone /Email Category Windows Subcategory Double Hung Compliance Method Certification Mark or Listing Certification Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Association Referenced Standard and Year (of Standard) Standard Ye AAMA /WDMA /CSA 101/I.S.2/A440 201 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 05/15/2009 Date Validated 06/17/2009 Date Pending FBC Approval 06/24/2009 Date Approved 08/11/2009 'Summary of Products http://www.floridabuilding.org/pr/pr app dtl . aspx ?param =wGE V XQwtD q... 11/23/2009 i ~da Building Code Online Page 2 of 2 [FL # Model, Number or Name Description '12646.1 G5305 G5305 Double Hung R50 44 x 63 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12646 RO C CAC G5305 DP50 AAMA APC 44 x 63.0 Approved for use outside HVHZ: Yes 1 Quality Assurance Contract Expiration Date Impact Resistant: No 05/04/2013 Design Pressure: +50/ -50 Installation Instructions Other: FL12646 RO II P5305 fastener w wood stops 5- 11 -09. Verified By: American Architectural Manufacturers Association Created by Independent Third Party: Evaluation Reports Created by Independent Third Party: 12646.2 G5305 ,G5305 Double Hung R35 52 x 72 Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12646 RO C CAC G5305 DP35 AAMA APC 52 x 72.p Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 05/04/2013 Design Pressure: +35/ -35 Installation Instructions Other: FL12646 RO II P5305 fastener w wood stops 5- 11 -09. Verified By: American Architectural Manufacturers ,Association Created by Independent Third Party: Evaluation Reports • Created by Independent Third Party: Back I Next I DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. Coovrioht and Disclaimer Product Approval Accepts: ef ----" rm " http://www.floridabuilding.org/pr/pr_app dtl. aspx ?param = wGEVXQwtDq... 11/23/7009 R L ° 1 AAMA (Validator / Operations Administrator) CERTIFICATION PROGRAM • AUTHORIZATION FOR PRODUCT CERTIFICATION Gore il Windows & Doors 1380 Wayne Ave. Indiana, PA 15701 Attn: Dan Davis The product described below is hereby approved for listing in the next issue of the AAMA Certified Products Directory. The approval is based on successful completion of tests, and the reporting to the Administrator of the results of tests, accompanied by related drawings, by an AAMA Accredited Laboratory. 1. The listing below will be added to the next published AAMA Certified Products Directory. SPECIFICATION AAMAIWDMA/CSA 101/I.S.2/A440 -05 RECORD OF PRODUCT TESTED H- R35- 1321x1829 (52x72) COMPANY AND PLANT LOCATION CODE SERIES MODEL &PRODUCT MAXIMUM SIZE TESTED NO. DESCRIPTION Gorell Windows & Doors G5305 DH FRAME SASH 1380 Wayne Ave. GOR -1 (PVC)(X/X)(OG) 1321 mm x 1829 mm 1226 mm x 902 mm Indiana, PA 15701 (INS GL)(TILT)(ASTM) (4'4" x 6'0 ") (4'0" x 3'0 ") 2. This Certification will expire May 4, 2013 and requires validation until then by continued listing in the current AAMA Certified Products Directory. 3. Product Tested and Reported by: Architectural Testing, Inc. Report No.: 91291.01 - 501-44 Date of Report: May 13, 2009 Validated for Certification A ; ., , A ii t ed Laboratories, Inc. Authorized for Certification Date: May 14, 2009 Cc: AAMA 8 JGS Ameri hi ec ural an -cture Association ACP -04 (Rev. 8/06) D x Z 1 O S W Cn O "o m z r U m K °D fN >2 .. l Q( ZOO • 11 1■ II ° „no, 1 [ . w s o 1 s -7 m co z 0 > r 1 D cn m m =o m -1* m ...... L w n O/ W N O D > > vv vm M _ > N x Z D z O� * ZO -un Z =rn > oxi {Z OHO N m c Z nm - N - I m v al x = O v Z4 CA p c m 4 F n D D D a D —I m � _ �r v [ � �*+�1I D o* u) Z e O\ I Dn v O D o o o c_ D I L_ Z * Z ��1I� D r r r. '° F 0 ' " — j' , I�I� � o O ° z o I CA Z NEII I'`:.�III) N cn 0 1 T ■ R. o y 0 cn m R :r! - °- (n In v II Z O cn O c 3 III > z (/) 0 o \O r 1 D S N 1 - G a 0 r e; 0 3 s of Ze h rhills Permit A f -UO ;, 813 -780 -0020 City Y P Y �:7 1 � V - : 7 g i t ,f :).- 1 so 002 . Z -l� Building Department ,L (/h Date Received 2- - (0 Phone Contact for Permitt -- - i Owner's Nam:MOMS Linda Owner Phone Number g)3" 7$,2'7755 1 Tr Owner's Address p"{q Cilth SRe Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address (Inlay-to- JOB ADDRESS 41 /46 LOT # SUBDIVISION 11\0005 ` fa i .. PARCEL ID# 141 p l aI wfol p cco j 0140 (OBTAINED ROM PROPERTY TAX NOTICE) WORK PROPOSED L NEW CONSTR ADD /ALT I 1 SIGN I I MOVE 1 I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER I I TYPE OF CONSTRUCTION 1 1 BLOCK , I I FRAME II I � O STEEL I I OTHER I I DESCRIPTION OF WORK /Le IO W * ctow s V (zw foc srze, BUILDING SIZE SQ FOOTAGE HEIGHT zuzLn _ BUILDING $ t 1 O` ' ' Q VALUATION OF TOTAL CONSTRUCTION , I I ELECTRICAL $ AMP SERVICE I 1 n PR GRESS ENERGY IT W.R.E.C. (1_,/- , ( 2,4 PLUMBING $ . ( ���, I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION god ...... _ I GAS I 1 ROOFING I I SPECIALTY IJ OTHER FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA I IYES 1 INO r ' lira, BUILDER I /� ? t COMPANY ��1`�' I S SIGNATURE , i I 1� REGISTERED L LU FEE CURRENT TE1 Address I 5 /'J 11 Y FP.r n. I./C.f faille f 331470 License # C/CJIUI ELECTRICIAN "`J'J COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y / N I Address 1 License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I 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 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, 1 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. 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 \ j ob 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 0 MENCEMENT. FLORIDA JURAT (F. 1 / r / � ` tidal CONTRACTOR A` OWNER OR AGENT , . '� Subscribed and sworn to (or affirmed) . efore me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has /have produced as Who is/are personally known to me identification. produced as identification. Ification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped City of Zephyrhills BUILDING PLAN REVIEW COMMEINTS Contractor/Homeowner: / �aylvtle U Ohcid)s c() Date Received: 2-11-16 Site: L e ° c C` �" `_`_ l q 6 T Permit Type: Xe lace / 011.(i s' 2 .El s1 Approved w /no comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ 0)4,e/e.." / This comment sheet shall be kept with the permit and/or plans. 2 C7 1/ / A , Kalvin Switze ' ans Examiner Date Contractor and /or Homeowner (Required when corments are present) Plan Review Windows & Doors 1) Need manufacturing installation specifications. 2) Must meet sections R308 and R612 of the 20Q7 F.B.C. 3) If windows are to be installed inside the historical district, they will need to be approved by the historical committee. 4) No other work shall be permitted (framing, plumbing, and mehanical) unless otherwise specified. II December 1, 2009 Contractors Letter of Authorization I, John Macleod, do hereby authorize Dennis Godsey, Denice Lannon, Mark Gensemer and Max Perdue to obtain and sign for all permits, registration and Occupational Licenses in all counties and municipalities in the State of Florida. Dennis Godsey, Denice Lannon, Mark Gensemer and Max Perdue are also empowered to obtain, complete and sign all documents, applications and registrations ith this limited P. • r of Attorney on behalf of me that may be re. • . to ac • - plish r issuance of all permits in the State of Florida. Air .. � Macleod Qualifier Florida State License CBC010111 Signed and Sealed this day of 2009 b l 01.C-- by John Macleod who is personally known to me. / Nataure : P` Notary Public State of Florida Virg inia Gonxalei 0 My Commission DD886023 '. qr r Expires 06/25/2013 11111111111111111 11111 111111111111111 11111 11111111111111 1111 2010022359 NOTICE OF COMMENCEMENT Root:1288848 Rec: 10.00 DS: 0.00 IT: 0.00 Permit No. 02/17/10 L. Korb, Dpty Clerk Tax Folio No. L'1i ._1Q(7rsirfim - ONO THE UNDERSIGNED hereby gives notice that improvements 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 .Descrip i n of property (legal deripi n) tot CI q I, S. 1 X 1,1 1e [ 1 t s1 g a) Street (job) Address: ll�}11ll.�r 14 . Zq i $ „ 1 an 2.General description of improvements: . , D / , ...1•411 A • _ " r #, t$ ree 3.Owner Information a) Name and address: li tall 11 a i I L ', ' i + ' Ai, , L f 335`1, b) Name and address of fee sim a titleholder (if other . owner) c) Interest in property Q(�nE jz. 4.Contractor Information � 337c,0 a) Name and address: . _, fl rat I' ,' III ,. ! 0I 5Z3 IL n/ /_ __, .i . /._/_ ' k b) Telephone No.: _al; 1, - /, r Fax No. (Opt. • - 1 ► • 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) _ PAULA S. o' NEIL, PRSCO CLERK & COMPTROLLER 6.Lender 02/17/10 12:51 m 1 of 1 a) Name and address: OR BK 8271 PG 1185 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(1Xb), 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 PAYMENTS 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 --)5 COON PI COUNTY OF PINELLAS O. Signature o er or Owner's A thO ffi cer/Director/Partner/Manager Print Name 1 Mows The foregoing instrument was acknowledged before p+ meethis I 1 day of Y , 20 IQ , by (.1)ryG( I jOQ�S as D0)r /G (type of authority, e.g. officer, trustee, attorney in fact) for 5U 1 (name of party on ehaif otwhom ins ment was executed). Personally Known OR Produced Identification Notary Signature �'W! Type of Identification ProducedRL,DL. Name (print) Den I i Lannon Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read thekaidnualgitilt the facts stated in it are true to the best of my knowledge and belief. / NOTARY PUBLIC FORMS/NOC.rvsd2007 ; ' � : STATE OF FLORIDA / . Signature of N , ral Person Signing (in line # "�� ` �' / ` Expires 1012112013 STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND A • OFFICIAL SEAL THIS f DAY OF A.. 2 01 PAULA S. O'NEIL, CLERK & CO -TROLLER BY ��_ YL�r DEPUTY CLERK