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Home My WebLink About09-8987 CITY OF ZEPHYRHILLS 5335-8TH STREET �si3>�so-oo20 8987 BUILDING PERMIT ,,,. ..,,^ �...�;.:•-,>,. .�Y ;:�; ...„ ,..Y.�-F.�, .;:,,, .. ,_ .. e� � ' .. ..:.'°'. ,j• •,:Y=ti. �. . , • . .. . . .. . ... ,r-. ... -... :..< . .> Permit Number: 8987 Address: 39638 AMETHYST WAY LT 213 Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 2426-21-0050-00000-2130 Improv. Cost• 2,000.00 e�;��:r��a��,. a:..,.. ;° .�<; Date Issued: 4/06/2009 Name: � GRAY, THOMAS & CHRISTINA Total Fees: 60.00 Address: 39638 AMETHYST WAY LT 213 Amount Paid: 60.00 ZEPHYRHILLS, FL. 33540 Date Paid: 4/06/2009 Phone: 863 602-8254 Work Desc: CONSTRUCT 3 X 23 SHED ONTO EXISTING SLAB �=:�'� � .,�� `�;a ��:;�, {>.: ;�,�� ,� . .�.; ��::�;�'��:±��.,:�.�;,p ...,. �e�:...:€s�{4�: ,�� •,� :�.Nc, i=� cs:..�- .a�?; i:�::ss y'=i<: cHOMEOWNER p BUILDING FEE 60.00 _� �--�U ^ . j/ — �7 —�� .,F,^ .. ry . . . . �. .� :�� s:� ..� �<':`�a.i ^'`,� �� a°''6�?;i f`�5:��^^a�' �wt�>:n ' _�,1�' ;�.;;' �, ,�• :�.'�`FI,.�.`=a �, �i ,.... ,ry..,s . . ... -��.. *>', , ,.: . . ' . . .. '.,, :' .. . ..• FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site fi� 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 rr�ay 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." CONTRA T R SI NATU PERMIT OFFI R PERMIT EXPIRE N 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , �+tie� '( .:,,��:� " City of Zephyrhills BUII,DING PLAN REVIEW CONI�'�NTS Contract�r/Homeowner: ��T�.j�''✓lGc..3 ��G�..' Date Received: ��3�� ' 3°1 � 3 � �- M ��ys -� �� site: Permit Type: �.oris�-c� 3 X 2 3 �`�o� oti` e�r`��►`� s�a�6 Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑ i S�1 � �Pz 6� Us� 6� � . , fivc� � �3� t�1 �f �� a �u��rc.�i � ��'� �.�, .ed' a� cc 1�.�-e1 �c9�ce��'D� � � � �o .�S �� S� � .%�l�N-G ~ _ � d • � �J �`�__��I J Y � � I ,� �� 1 � �,��a�,�� c�� This comment sheet shall be kept with the permit and/or plans. Kalvin Switzer—Plans Exazniner Date Contractor an or o eowne (Required when comments present) s�s-�so-oozo City of Zephyrhills Permit Application � Fax-813-780-0021 Building Department �J- ��(J� �� Date Received — ,��f� Phone Contact for Permitting -- Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simpl Tit�eholder Name '0�� Owner Phone Number ��' ��—��"�� Fee Sim le T�eholder Address \� �V�'�� w � JOB ADDR E S. �MC�--� ' LOT# C� SUBDIVISION '�-'-�,��-s� �� PARCEL ID# �. � � ''`� 2�_ i6-zl-vd ,00 zi3a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR � COMM Q OTHER TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER DESCRIPTION OF WORK � ��-• �`� v�C �� "L �'�v�' BUILDING SIZE �, ` S4 FOOTAGE �� HEIGHT \�\ BUILDING $ a� VALUATION OF TOTAL CONSTRUCTION "L �Da � � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. � PLUMBING $ � MECHANICAL �$ � VALUATION OF MECHANICAL INSTALLATION � � GAS 0 ROOFING 0 SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ONO c BUILDER COMPANY ;�� W�"�� SIGNATURE � REGISTERED Y/ N FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y! N FEE CURRENT Y/N Address License# �_ � MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# � OTHER COMPANY StGNATURE REGISTERED Y/ N FEE CURRENT Y!N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""*PROPERTY SURVEY required for a�l NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of appiication,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(PIoUSunrey/Footage) Driveways-Not over Counter if on public roadways..needs ROW Pasco County Parcel: 24-26-21-0050-00000-2130 001 Page 1 of 1 Search Acaain Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as of: Weekly Archive - Saturday, March 21, 2009 Parcel ID 24-26-21-0050-00000-2130 (Card: 001 of 001) Classification 00 - Vacant Residential Mailing Address Property Value GRAY THOMAS E &CHRISTINA D Ag Land $0 39638 AMETHYST WAY Land $23,411 ZEPHYRHILLS, FL 335407443 Building $0 Physical Address Extra Features $28,707 39638 AMETHYST WAY ZEPHYRHILLS, FL 33540-7443 Market Value �52,118 Assessed (Save Our Homes) $52,118 Homestead 196.031 - $25,000 Legal DesCription (First 4 Lines) Non-School Additional Homestead Exemption - $2,118 THE EMERALD POINTE RV RESORT PHASE THREE Non-School Taxable Value $25,000 PB 38 PGS 7-11 School District Taxable Value ;27,118 LOT 213 Warning: A significant taxable value increase may occur when sold. Ciick here for detaiis and info. regarding the posting of exemptians. Land Detail (Card: 001 of 001) Line Use Description 2oning Units Type Price Condition Value 1 0100 SFR OOC2 2,787.00 SF $8.40 1.00 $23,411 Additional Land Information Acres 0.06 Tax Area 30ZH FEMA Code -- Residential Code EMPTCP2 Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DW C 2001 405 $790 2 FCB 2001 432 $14,978 3 FST 2001 228 $3,953 4 FCA 2001 720 $5,544 5 FSA 2003 192 $3,442 Sales History Previous Owner LANGLEY GARY WILFRED & Year Month Book/Page Type Amount 2007 � 04 7475/ 1157 WD $120 000 . 2002 04 4962/ 0341 WD $55,000 2000 02 4327/ 0554 WD $20,100 Search Again Show Ma� Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http://appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=26&rng=21&sbb=0050&bl... 4/3/2009 5' , �-�:.�•..._.._..... � -':� _.� � — B ; .,, '� • . . , 3'TYP INTERNAL ANGLE OR 'U' CLIP CONNECT KNEE HRACE TO COLUMN - � W/ .05' 'U' CHANNEL DR GUSSET PLATE, FASTEN W/ S,M.S, @ EACH (1) 20' #5 GR�UND ROD TIED T❑ FTG STEEL AT CONNECTION PT.CCORROSION RESISTANT> ELECTRICAL H�X LOCATIDN ��NTINUDUS 3'x3'x,125' POST STUD TO DBL TOP TYPICAL LOCATED PER PLAN (18' �.C. MAX) --i6'MAX � 3'x.032' ALUM SKINx48' SNAP-N-LOCK 1/4' X4 1/2' LG STRUCTURAL COMPOSITE PANEL ROOF � CORROSION RESISTADNET LApGgSECREW STRUCTALL CI-800-969-3706 JEFF DOMB EXT �18) C3�IP�/�'PA��I� @EFRONTWBBACK EDGE G INYL SIDING � VER T'YVEK 'x9'x,125'ALUM SMH VER 1/Z' CDX OR OSB FASTEN T� ALUM P�ST W/ C3) 3/8 DIA ASTEN W/8d NA1LS THRU BOLYS WASHERS&NUTS ' O.C.2 EDGES CORROSIDN I�ES;STANT 1 ' G;CIN FIELD DC BLE R�W 8 3' O.C. E BOTTOM ME BE�.�C �i7FC D L TOP PLA@EEACH NOTE� CONNECTION �F BEAMS TO WO�D WALL CTYPICAL 2 PLCS) 1 3/4'x2 1/8'xl 3/4' RECEIVING CHANNEL ' TUDS ❑ BE ALIGNED FASTENED TO 2'x6' ERUIV. FLOOR T� FLQOR STRUCTURAL MEMHER WITH <6) 1/4'x3' LAG SCREWS&WASHERS 2x9 BEAM FASTENED TO RECEIVING CHANNEL V/ CS> q10X5/8' SMS 1 BQTH SIDES C16 TOTAL-TYPICAL) c�RROSION RESISTANT . v z � it Y � � 3'x3'x.1P5' STRUCTURAL ALUMINUM COLUMN w � (TYPICAI P�STS LOCATE➢ PER PLAN) N.Z. �J y2 ' 0 �� AMPER PORT N� .V.W �p 3/8-16 HEX HD B�LT, WASHERS &NUT a W CORROSION RESISTANT <3) °a 'TPLAT 11 GA INTERNAL ALUMINUM BASE '� PFiEDRILL VERT FLANGES TTiC (3) 3/B' THRU B�LTS BL�CK BASE FASTENED TO SLAB COLUMN T❑ W/ C6) 1/4' DIAx2' EMBEDMENT TAPCONS SLAB • GRADE \3000 PSI 4' CONCRETE SLAB W. 6'x6' N10/M10WWM 8'x8' FOOTER 3000 PSI W/ 1 N5 DOWL CCNTINUOUS OR FIBER-FILL �VER 6 MIL P�LY FILM W/EDG S .LAPP�D 6'& TAPED OvER CLEAN C�HPACTED TERM E 7REATED SDIL TERMITE TREATincNT P ISIO PER F,B,C. SEC'.'*_r1NS#:04.2.68104.2.7 &SECTION �1816 AS FOLLOwS� A �'ERMANENT NOTICE 0 TERM TE PROTECTION WHICH IDENTIFIES THE TREATMENT PROVIDER 6SCHEDULE FOR RE-INa"r�CTION &TF?EATMcNT CONTRACT ' LL E PR�VIDED� THE SIGN SHALL BE POS7ED NEAR THE WATER HEATER OR ELECTRICAL PANEL D .W_ SMITH,P _E _ CARPORT � °F oe in coMptiance C.��`�,��°L�a"'�Q`e��e CAMPER PORT � wlndzone, In �v�nrtive-ame cin,r�aein�a�xs na�as�-ao r�oa��av [�a,a�,c�pr.�e � � � 10 �2 04 rwer wa 3608 p.w sMR P. �� D K S T 2 EhGINEER �ICENCE M33608 - � . , � ,� a� '� � ;, � � � � � � � f�" �► �' . :; � . . . . �- ,,�. . � . . . . - . � �; � � � � � � f; - .. � � .� � ,, � P � - `,� �� ...�.__.�__,___. ,, 1 ., .- �' � ; � u� � �: � �.�' �''1' j j� _ � Yr � ,� f .�D`' �O �?��=: 1� �' � G�'� i; 7�' � ' ;� � � C � ,� � � P �°�� ; � � � � � r �� ;� i� � � �1 � '� � ;, P � :,�:. � � ��M1.. � i �� ;, ;- 9 r � Q A.; �� d � �" � � y, ;. �X � .�.ee�+mrri�i. �" � ; ,+ � .�� ' �� ,, y?` � ''Lk: � � ir � ' r� � (e�� '! � l� � �V+ , I � � � � r °�; " �. � � � rf+ �x� . ; � � � � � � � � � �n _, � � � � � .,:� � � � � � �� ' � � � ! �� ;; �, � r � ��.�b � � � x � � � � � ; t � � o ��: �d. �- � .. _ , ; ; � ,. i ,��: �' � 9� E�,�` � A �x , - ,� � � � � ALL WORK SHALL COMPLY WITH ALL �EVI EVV ��T��✓� �� ' pREVAILING CODES,FI.ORIDABUII.DIIVG ��.�� Z�P��RHILLS�� CODE,NATIONALELECTRICCODEf4NT_) P�NS ��_��t�-- CITY OF ZEPHYRHILI.S�RDII�ANCES � ; - i� ; ii i' !�; ,,, f, � '� / � '( � � � , i, ..) ;i v v 1 i, i� � � � i� r '� � � �� , ;; �� , �, �: �: � �. �; � ; _ � � �, � � r �, �;� � � � � ;, � � � � �, ;� � � � + � � � � Q � � � � � � � � �� , '.� .�. � ,c � � . � � � � �- � � � ;, � a t , r. � �' i r � � i � f '�,r a � � � � � 1 � � +.s��`�� i � C11.LWU��tIHi,L�.,iJiti�Y:.: v,l�.,:�i.i tl pREVAILING CODES,FLORIDA BUILDI�IG � �� ' CODE,NATIONAL ELECTRIC CODE AND �E�� ; �e—�ry�F �E�HYR tLL � CITY OF 7EPH1'RHT�,LS ORDIlvANCES �� y,�ya.�� ; �� . . , ` �,.�� ` � � d ,, �n � A • �� ;; � � P � �. � � � �� cl � � r � U � f c� d �;� �" � ?�� .� � � � � _ � � ; � � 3 � � � � � � � Q � � � � � � � � � � � � � � � � �, � �— � � ALL WORK SHALL COMPLY WITH ALL t`� � � PREVAILING CODES,FLORIDA BUII.DING i, � � CODE,NATIONAL ELECTRIC CODE AND CITY OF ZEPHYRHILLS�R�INA�ICES j, i � q I� R�i/IEV�i' t3E1'"�'E �"�� I � � � t. C1TY��}��-lYRH� �: !�'�4N'� ��'�AJ11� �� .,�,.=�...:_H--...�.-. �: � I: �� i r� I (, !' � � � � 1 1 Q' � � � � ;, ,,,,, � r �; .,� � ° � ;: � � � � �� .-- -........�.. ; ► , �, , f , i�C�T � ��T�1V��T � T P��MIT - �:� . # ,, o �.6 ��ERA.LD POiNTE BOAR� O� DI:�ECT4�S \ �3 j ��= �: I��4'�'E: �-`-�-�� C'��C,� �d�,,,s' - / P��RTY EVAi.�TA�'IOl� �t��VI1�I�'T�� Ai�PR:OV�D: � ` ,��-1` I3.�'TE: �r � ,� E�Ii�'TT�N DATE: Z� j� - � � _ L�T �1��.,�-�:�1��' �Q�ST � ,:�'ti=:��?�� ,�y;��a��t�o��C�i�.�.�_:��a.a�d of Dire.ct�or.�: .�,�.,—��,,��s r� ��`�-t . - � ' �.;�.��s� -�--.�`3 -- 3`��3� 3��rw�--��,`'c,��' �1�`'� P�o.ne nx��►�r where you can be reached �'�� ` � �`L' ��--�� ?'�:�eq�:��A�.:��roval:for th�e-foil+ov�.g.(must include drawing fvr any cc�s�i�tia��..l. add�:t�i.�ns /re�odeling /:landsca.ping, etc.). �e..v ;.S �� ---�-� -�.�'�a, � � �p $ -` '�`t- "-� a � � b"C�� ` � `nlA�' � 3` `_I-'�`- �,�.}�,�� Q-� '�.�fl�,`R�� `� ''�'c1'� 3� �t-t"'� � `�-�� S`C��-�� R�L'�� :�'` �gc� L� C�G` �1,�41 v Lot O�vne�'s ignature—'Y � Date'� -°�`� `�-��+'� Approv � Denied Prop�rt,�Ev.al�ation Comrn�ittee: ��?�i�;,�Q � '��.!. Date: � �J�� Board.of Directors: - `,�,, �� . � -�� E�n�'� �T R � � -3�- d� Date: Remarks: MIAMEQADE 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 Jeld Wen Inc. 3737 Lakeport Blvd. Kalamath Falls,�R 97601 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(AH�. This NOA shall not be valid aftcr 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: Series"6'-8"&8'-0""Single Outswing opaque Insulated Steel Doors APPROVAL DOCUMENT: Drawing No"DC9970",titled"6'-8"&8'-0 Single outswing Opaque Steel Edge", sheets 1 through 5 of 5,dated 12-07-07 and last revised on 02-OS-08,prepared by the manufacturer,signed and sealed by Nimesh Bhavsar,P.E.,bearing the Miami-Dade County Product Control renewal stamp with the Notice of Acceptance number and expiration date by the Miami-Dade County Product Control Division. MISSILE IMPACT RATING: Large Missile Impact Resistant Limitation: 1.Units are not rated where water infiltration is needed,unless complies with exceptions per FBC. 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. RENFWAL 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 renews NOA#02-1211.13 and consists of this page 1 and evidence page,as well as approval document mentioned above. The submitted documentation was reviewed by Ishaq I.Chanda,P.E. NOA No 08-0208.07 r�uuHi•oaoeeourntr Expiration Date: February 11,2013 �'� ��\J Approval Date: March 20P,2�00 8 0 ti Jeld Wen Inc. NOTICE OF ACCEPTANCE: EVIDENCE SUBMITTED A. DRAWINGS 1. Manufacturer's parts and sections drawings. 2. Drawing No "DC9970", titled "6'-8" & 8'-0 Single outswing Opaque Steel Edge", sheets 1 through 5 of 5, dated 12-07-07 and last revised on 02-OS-08, prepared by the manufacturer, signed and sealed by Nimesh Bhavsar,P.E. B. TESTS(Photo copies from files#02-1211.13),original test report conducted per SFBC,201, 202 and 203-94,now termed as FBC,TAS 201,202 and 203-94. 1. Test report on 1) Air Infiltration Test,per TAS 202-94 2) Uniform Static Air Pressure Test,Loading per TAS 202-94 3) No Water Resistance Test performed. 4) Large Missile Impact Test per FBC,TAS 201-94 5) Cyclic Wind Pressure Loading per FBC,TAS 203-94 6) Forced Entry Test, per PA 202-94 along with marked-up drawings and installation diagram of single outswing and inswing residential insulated steel doors,prepared by Certified Testing Laboratories,Test Report No(s) Test Report No. CTLA455W, dated October 11, 1999 and CTLA650W,dated January 03,2001 and,both signed and sealed by Ramesh Patel,P.E. C. CALCULATIONS: 1. Anchor calculations prepared by O.M.Engineering Services Inc.,dated 02-OS-08, signed and sealed by Nimesh Bhavsar,P.E. D. QUALITY ASSURANCE BY; 1. Miami-Dade County Building Code Compliance Office(BCCO). E. MATERIAL CERTIFICATIONS(Photo copies from files#02-1211.13) 1. Tensile Test prepared by Certified Testing Laboratories,Test Report No. CTLA455W, dated October 11, 1999,for steel samples,tested per ASTM E8-93a, signed and sealed by signed and sealed by Ramesh Patel,P.E. 2. Test Report No. ITS-J99006660-001,prepared by Intertek Testing Services NA, Inc., issued to Jeld-Wen Research and Development,dated Apri18, 1999, for samples of foam,tested per ASTM E 84-94"Standard Test Methods for Surface Burning Characteristics of Building Materials"and ASTM D 1929-91A"Standard Test Method for Ignition Properties of Plastics"; signed and sealed by Douglas Keith Tucker,P.E. F. STATEMENTS 1. Letter of conformance&"No financial interest"dated February O 1,2008,signed and sealed by Nimesh Bhavsar,P.E. 2. Laboratory Statement of compliance,part of the test report CTLA455W&CTLA650W, signed and sealed by Ramesh Patel,P.E. F. OTHER 1. This NOA renews NOA#02-1211.13,expiring February 11,2008. �s�� 1. L�,� Ishaq I Chanda,Y.E. 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N .DISCLOSURE STATEMENT FOR OWNER CITY OF.ZEPHYRHILLS�.BUILDING DEPARTMENT � --�- , have read and fully understand and agree to the provisions of this instrument. ?he undersigned states and affirms that he or she is desirous of constructing, renovating, adding tsa d reroo�ng his or her own domicile, that he or she actually occupies, or will occupy by domicile, and same is not for rent, lease or sale. 'rhat 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 pe�tinent 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 twafamily 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 buitt 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 emplo�red 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, and zoning cegufations. OWNER'S SIGNATU � r DATE3�Z'��``'L�a� ADDRESS �o PHONE � � `"�-_ �-- WITNESS PERMIT UMasterforms/Owners.A�davit/Nov07 � CITY OF ZEPHYRHILLS BUILDING DEPTMENT owner:��o�M'�'s G'�•�`1. Job Location/Address:.3�Lo3R ��`L—�� `� � Z''�''�n`��"�"'�-y Parcel I D #• �. O� �--��3 ��"" ' �35�"�O SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS y� I 5 � - �z� � � � ° z-� . 5 � 3�� p � � � � 3� �� -,�.o' FRONT PROPERTY LI E . — — — STREET — — — — — — — — — — — (NOTE EXEMPLES 1 &2). I I � 60' ia ia p E R X 0 I P S 10' �G IU 10' � T la 1� 14J' S I E N D G PROP06ID � 7U-SIN(HEFAh�.Y! 30'DOPIFX FxONT PROPERTY LiNE F�DHT PHOPFBfT LWE - -- STREEZ' -- - - - - - - - - - - -- S1RL�7' -- - - - - - - - - - 1. 2• Example 1. Setbacks for Rl &R2 Zoning. Example 2. Setbacks for R3 Zoning. A. UTILITY BUILDINGS MCTST SHOW SIZE&FOUNDATION INFORMATION.