HomeMy WebLinkAbout10-10728 CITY OF.ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10728
BUILDING PERMIT
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Permit Number: 10728 Address: 4749 5TH 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: MOORES FIRST ADDITION
Est. Value: Parcel Number: 14- 26 -21- 0010 - 03500 -0030
Improv. Cost: 1,150.00 -,, sF -: % 1 a1 . x, t .
Date Issued: 7/15/2010 Name: MATHEW, GEEVA & ANNA
Total Fees: 60.00 Address: 4749 5TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/15/2010 Phone: (646)416 -4476 b r #41 7
Work Desc: INSTALLATION WINDOWS (10)
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H•M •W - BUILII FEE 60.00
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F• • ER 2ND R•U H PL MIS I U I•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
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notic �. commencement."
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CONTRACTOR SIG' ^FURS PERMIT OFFIFR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED .
PROTECT CARD FROM WEATHER
813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021
Building Department 1077-
Date Received } —`( Phone Contact for Permitting
Name 7}14f4 � &EV4R(( 4l -Z� Owner Phone Num er ' 7 D T 7
Owner's Address i i -7 T `'s / 7 4ir G 235Y Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 79Y ` , 2 ' ` /i, T -33T'? - LOT #
SUBDIVISION PARCEL ID# /4&,% - � /- OD /o - 03, o e3 a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I • I SIGN n I I DEMOLISH
INSTALL REPAIR
PROPOSED USE La SFR I COMM 1 OTHER
TYPE OF CONSTRUCTION 1 I BLOCK fl FRAME 1 I STEEL n
DESCRIPTION OF WORK 7A/3 It ' ii' '!/ ' `Pu2.4l6'Yd A4 IA/4"-Ari -j3
BUILDING SIZE SQ FOOTAGE HEIGHT
(BUILDING $ /!, V / 7 (r) w VALUATION OF TOTAL CONSTRUCTION
(ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY Ii W.R.E.C.
IPLUMBING $
(MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
IGAS I I ROOFING n SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES NO
'41
BUILDER 1 /.4; 4P p " A 111 ' COMPANY
SIGNATURE REGISTERED I Y/ N J FEE CURREI I Y/ N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURREI I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y / N I FEE CURREIN I Y/ N I
Address
1 License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREIN 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 $7500)
** 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 if shingles 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 lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD T IF YOU COMMENCEMENT MAY RESULT IN
OBTAIN FINANCING, CONSULT TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
WITH YOUR LENDE' OR AN ATTORN a BEFORE RECORDING YOUR NOTICE OF CO +_ ENCEMENT.
FLORIDA JURAT (F.S. ,r 3) , I , / s 4 .
�' j �/(k t (� 1 ' • CO —
OWNER OR AGENT ' ( r - r Subscribed and sworn to (or - ' rme•) b-
;•. h ,
Subscribed.,and sworn to (, r - ' r i - d) before me thi / 7 b �S•Ca by „ice
h o �`( by ' n `h -,„.r Who is /are personally nown to me or ha /have produced
Who is/are personally known to e or has/have produced as identification.
as identification.
/- ;_ttla Z_ Notary Public
,, i ,---- Notary Public "` JACQUELINE BOLES
i Commis n N• f *c C. a n . .. m e _
C issio o ,nY ■ � Ex Decembe 12, 2 010
JAGuUtLINE BODES �F; , Qe"d.dTh Troy FdnM �ur.n r.a"yo. 1 7 0} P
*: i:; 1 Commission DD
�, Lr . ; :,,, - 12, 2010 Name of Notary typed, printed or stamped
Name of Notary."*.... n•.. . Troy Fein Insurance • aooaes7o,a
City of- Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: A ��` ( �,e L L 'GAS e.
Date Received:
Site: T 7f (-
Permit Type: 612Al d4
L5 apt en
Approved w /no comments: ❑ Approved w /the below comments: ❑ Denied w /the below comments: ❑
1 t4 c k I e'ri Q t 1A Si 'to in S C
P p„ oi 0,1 IL) a\rjoco3
This comment sheet shall be kept with the permit and/or plans. p i 4
7 I id 11,1
Kalvin witz r — P s Examiner Date Contractor and/o omeowner
(Required when comments are present)
DEC 28. 2009 11:17AM N0. 5738 P. 3
NOTICE OF PRODUCT CERTIFICATION
• CERTIFICATION NO: NI009082 -R3
DATE: 08/31/2007
CERTIFICATION PROGRAM: Structural
COMPANY: Atrium
CODE: A -447 -1
REVISION DATE: 05/224008
The "Notice of Product Certification" is valid only when Administrator's Seal is applied to the upper left hand
portion of this form and a certification label is applied to the product. This certification seal represents product
conformity to the applicable specification and that all certification criteria has been satisfied.
The product described below is approved for listing in the Directory of Certified Products at
www.NAMICertification.com . Please review, and advise NAMI immediately if data, as shown, requires
corrections.
COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION
Atrium Florida, Inc, Series "2500" Aluminum
3600 Port Jacksonville Parkway flange Single Hung Window
Jacksonville, FL 32226 Configuration: 0/X
Glazing: 1/4" Annealed Glass
STP PSF
Frame: W-4'4" Sash: W-4'3" Pos +75.0
H-6'1" H -3'0" Neg - 75.0
SPECIFICATION PRODUCT RATING
AAMA/NWWDA 101/LS.2 -97 H -R50
AAMA F588 -97 FER Passed
Glass Complies to ASTM E1300 -04e01
Product Tested By: Architectural Testing, Inc. ALL'r' ARK SHALL COMPLY WITH ALL
Report No: 52528.01- 801 -47 ° tiEVAIL J DE . FLORIDA EUILDLL `:i
Expiration Date: August 31. 201,0 Oo ; . TI AL ELECTRIC CODE AF)
7 TI( IiY ORDINANCES
Administrator's Signature:
NATIONAL ACCREDITATION AND
REVIEW DATE AGEMENT INSTITUTE, INC.
CITY OF ZEPHYRF ILLS 11870 Merchants. Walk Suite 202 , _,; i,, ,r - i it
PLANS EXAMINER Newport News, VA 23606 OF
TEL: (757) 594-8658 . EP. .fi !kJ fiLLS CtPINANC .
FAX: (757) 594 -8659
DEC. 28. 2809 11:17AMOnline NO. 5738'agtp. 2. i
11626.5 2500 in Sin. le Hung H-R40 48 x 84 H -1250 40 x 72 H -1245 48 x 72
AMENS, Limits of Use leptlfleathra A ey Certificate i
Approved for use In HVHZ: No 5-11,426 PO C CAC III007078ialtisPR.E
Approved for use outside IIVHZ: Yes FL,X1626' i_m_c_sAc NI00707B- R4.PDF I
Impact Resistant: No ri 11626 RO C CAC j J009378 --J P.� i
Design Pressure: N/A Quality Assurance Contract Expiration Date
Other: 11-R40 48 x 84 ri-R50 40 x 72 H -R45 48 x 72 08/31/2010 i
Installation Instructions
FU i A76 RO IT A,pW -04 2500 SH, Fen Aaaembly Iri n
NnyOli.ndr
} Verified By: Joseph A. Reed 58920
•
i Creates by Independent Third Party: Yes
I Evaluation Reports i
IL Created by Independent Third Party:
t 11626.6 12500 Flange Sln le Hung ' H -R50 52 x 73
I Limks of Use Certification Agency Certificate
i -11
Approved for use In HVHZ: No 5626 Rn - A NI0090R - R5.PDF
Approved for use outside HVHZ Yes Quality Assurance Contract Expiration Date
Impact Resistant: N0 08/31/2010
°' Design Pressure: 4-5D/ -50 \ Installation Instructions
Other: 8-11626 RO II ADW- 09, SH FlangaJnstallation
Ins l eggn5Adf i
1 Verlfled By: Joseph A. Reed 58920
Created by Independent Third Party: Yes
evaluation Reports i
ia Created b Independent Third Party: _
http: / /flondabuilding.org/pr /pr app dtl. aspx? param= wGEVXQwtDgsQl~c5K %2fTrZe0G... 4/24/2009
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f2SCLOSURE STATEMENT .FOR OWNER
CITY OF . JS 13rTTO2NG DEPARTMENT
•
•
have read and fully_ enderstand'and •
agree to the provisions of this instrument. •
.The undersigned .states and affirms that he or. she is desirous of constructing,
.renovating, adding to or 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 ei, 1 '1 comply with the following conditions:
1. That the owner and. he or she alone SE act as the builder for all phases of
• construction.
2. That the owner will comply with all provisions of the City of Zephyrs ills
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 buildi'.ng.
. 5. That the owner sh=11'assume full responsibility for the construction and will
• not expect_ supervision of his work from the City Zephyri+i 1"1 s Building
• • Department.
6. That prior to f4„a1 inspection any additional fees, including reinspection • •
•
fees, must be paid in full. A written request from this office s1-111
• 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 codes issued by the Florida
Industrial Commission. •
9. State law requires construction to be done by licensed contractors. You have
applied for a perm under an exemption to that law. The exemption allows
• 'you, as the owner of your property, to act as your own• contractor with c ert a i n
• . 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 residence or a far. outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
• The building or must be for your own use or occupancy. It may not
be built or substantially improved for sale or.lease.. If you seal or lease a
building you have built or substantially' improved yourself wit-Ili-re 1 year after
the construction is complete, the law Will presume that you .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 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 pert'oxm the work being dons. Any person. working on your blut1ding
who is not licensed must work Tuni-is+r 'your direct supervision and must be •
employed by you, which means that you must. deduct F.1.C.A. and withholding•taa
and provide workers' compensation.• for that employee, all as prescribed by law.
Your construction must comply *with.a.L1 licable laws, ordinances, bui1r n9
codes, and zoning- re- - 'ons
OWNER'S SIGNATURE nnm ' ()7r -/ S -0/0
PxabaL
•P ITNESS. • • PERMIT_ # •
• •
•
•
STOP WORK
By order of the Building Official: WilTiamA. cBurgess
All Building, plumbing, electrical and mechanical work
shall cease at the below mentioned property.
Address: 71 L3
Date: - 13 (I)
Code Enforcement Officer: #e
Contact the
Zephyrhills Building Department
5335 - 8th Street
813 - 780 -0020 S \
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