HomeMy WebLinkAbout12-13684 CITY OF ZEPHYRHILLS
. • 5335-8TH STREET °
(si3)�so-oozo �84
BUILDING PERMIT �
Permit Number: 13684 Address: 5944 FOREST LN
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: FOREST VILLAS
Est. Value: Parcel Number: 10-26-21-0110-00000-0010
Improv. Cost: 828.00
Date Issued: 12/07/2012 Name: DEUTSCHER REBECCA
Total Fees: 60.00 Address: 48 BOGUS HILL RD
Amount Paid: 60.00 NEW FAIRFIELD CT 06812
Date Paid: 12/07/2012 Phone: 863-602-6766
Work Desc: INSTALLATION GARAGE DOOR 9 X 7
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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.
"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."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
LG��-�
CONTRACT TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 �,,,
/- Building Department
' 9 �13 �76 -- y3-�6-
Date Received ��'� -- � phone Contact for Permittin
Owner's Name � U7��Cl�✓"' Owner Phone Number �(5.3 (�Z- O O
Owner's Address ��o VS /� r„� �i'�`G�p' �2 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address hi� �
JOB ADDRESS � �� O ,�t� ��° � /j i� � � ,3•�� LOT# �
SUBDIVISION �/t� ��� PARCEL ID#�U�26-2I-D// -. C90dd G — 00,�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN � MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK /�'c � � O/"' / x � �` � ���5�
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING ($ h -� VALUATION OF TOTAL CONSTRUCTION � ��� v�
� �2S
� ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
0 PLUMBING �$ � /�/�
� � �v
� MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION
C��-� ' �
� GAS � ROOFING � SPECIALTY Q OTHER -�.�
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO vR� ����"`
� (2
BUILDER _ _- � COMPANY /�'��A�v ,�'XX'..S�e/'�'�Z'P C�'�1�3
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address � � JL�O�Ie /GC/�C��✓�` � License# G/��s��'63
.�.�762
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
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fo�ms;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,Construc6on Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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(PlotlSurvey/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
cvntractor 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 appiication 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 IMPACTlUTILITIES 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.
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CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed 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 if is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
the ob is considered abandoned
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j
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. 3)
OWNER OR AGENT � CONTRACTOR
Subs ribe and sworn to(or rmed)b e me t
Sub cnbe and swom to(or a�rmed)b e me this ��2d / �,b
� L b �� or has/have produced
o is/ e p on y cnown e or has/have produced Wh is/are o as identification.
as Identiflcation. P
o� q �.
o��5 p�`��'�p1�`� Nota�� �
`,,,��� '�''tiO��o� ``�c'�e�e`'4'ti5�,0'ti�
,� ,- � ". -�� � Commission No. a 1 �v,�,�'
Commissfon Na , - v�� , :�
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�~, '�'� V �
� ������ v Name of Notary typed,printed or stam ed 4
Name of Notary typed,printed or stam _�� P o�'P L�:
„ �`��° � ��:`_�
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contracto�Iomeowner: ,
Date Received: _��l•.�✓� ��-'--s��
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Site: :�. ��'Y ��f3�,.e-S� ���
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Permit Type: �
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Z-
Kal S r—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
Pasco County Parcel: 10-26-21-0110-00000-0010 001 Page 1 of 2
uata Current as of: Weekly Archive - Saturday, December 01, 2012
Parcel ID 10-26-21-0110-00000-0010 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
DEUTSCHER REBECCA Ag Land �p
48 BOGUS HILL RD ��d $5,552
NEW FAIRFIELD CT 06812-2804 Building $40,959
Physical Address Extra Features $2,003
5944 FOREST LN
ZEPHYRHILLS FL 33542-3259 7ust Value ;48,514
Assessed (Save Our Homes) $48,514
Le4al Descriation (First 4 Lines) Homestead 196.031 - $25,000
FOREST VILLAS UNRECORDED PLAT Non-School Additional Homestead Exemption - $p
LOT 1 DESC AS COM AT THE NE
COR OF SECTION 10 TH N89DEG38' Taxable Value #23,014
40"W 671.73 Ff ALG THE NORTH 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 Use Description Zoning Units Type Price Condition Value
� 0100 SFR OOR4 3,470.10 SF $1.60 1.00 $5,552
Additional Land Information
Acres 0.08 Tax Area 30ZH FEMA Code �Residential Code FVLALPI
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1980 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
� 1� BAS 1,108 $46,314
2 UOA 64 $418
3 FSA C4 $920
4 � FGR 288 $4,807
5 � ��P 75 � $460
Extra Features (Card: 001 of 001)
� Line Description Year Units Value
1 DWA 1980 300 $170 —�
2 � FIRE PL 1980 � 1 $390
3 � CLFENCE 2000 1,370
$547
4 UDU-M 2000 � 1 $32g
�5� FDS 2001 160 $568
Sales History
Previous Owner DEUTSCHER REBECCAANE REV TR
Month/Year Book/Page Type DOR Condition Amount
Code
li/2012 8784/ 2336 Qup�a�m 11 Improved $0
Quit Claim ����
http://appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21&sbb=0110&b... 12/6/2012
. EIoT�-ia Building Code Online
, ' Page 1 of�
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BCIS Home log In User Registration Hot Topics Submit Surcharge Statr&Facts Publicadons FBC Staff BCIS Site Map Links Search
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USER:Public User
�� Product Aoproval Menu>Grodud or Aoplication Search>ADOlication List>Applicatlon Detail
FL# FL13521-R1
Application Type Revision
Code Version 2010
Appiication Status Approved
Comments
Archived
Product Manufacturer Amarr Garage Doors
Address/Phone/Email 165 Carriage Court
Winston-Salem, NC 27105
(336) 251-1309
danny.joyner@amarr.com
Authorized Signature Brandon Gentle
brandon.gentle@amarr.com
Tech�ical Representative Brandon Gentle
Address/Phone/Email 165 Carriage Court
Winston-Salem, NC 27105
(336) 251-1308
bra ndon.gentle@ama rr.com
Quality Assurance Representative Danny Joyner
Address/Phone/Email Amarr Garage Doors
165 Carriage Court
Winston-Salem, NC 27105
djoyner@amarr.com
Category Exterior poors
Subcategory Sectional Exterior poor Assemblies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who Thomas L. Shelmerdine
developed the Evaluation Report
Florida License PE-0048579
Quality Assurance Entity Intertek Testing Services NA Inc. - ETL/Warnock Hersey
Quality Assurance Contract Expiration Date Ol/O1J2015
Validated By Steven M. Urich, PE
Validation Checklist- Har�dcopy Received
Certificate of Independence FL13521 R1 COI Statement of Inde endence revised. df
Referenced Standard and Year(of Standard)
Standard Year
1,++..•//,,..,....�I,...;a„�...:ia._� �_��-�-- - ,., ., .-..,----� —
Florida Building Code Online Page 2 of 3
ASTM E1996 2009
ASTM E330 2002
DASMA 108 2005
DASMA 115 2005
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approvai Method Method 1 Option D
Date Submitted 12/13/2011
Date Validated 12/22/2011
Date Pending FBC Approval 12/27/2011
Date Approved 01/31/2012
- --------------------- —- ------------------
� ummary of Products
- - ----- --- — - ------
--- -
FL# Modei, Number or Name Description
13521.1 Stratford, Heritage and Oak Dwg. IRC-6016-155-26-I, Thru 16' wide.
Summit Models b00, 650 and 950
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL13521 Rl II IRC-6016-155-26-I drawinq 7-10
Approved for use outside HVHZ: Yes sealed.pdf
Impact Resistant: Yes FL13521 R1 II Retail Product Cross Reference
� Design Pressure: +37.0/-41.0 Chart.�df
� Other: Verified By: Thomas L. Shelmerdine FL PE# 0048579
Created by Independent Third Party: Yes
Evaluation Reports
FL13521 R1 AE IRC-6016-155-26-I Evaluation Renort
7-10 sealed.odf
Created by Independent Third Party: Yes
! 13521.2 Stratford, Heritage and Oak Dwg. IRG6009-150-15-I,Thru 9'wide.
Summit Models 600, 650 and 950
Limits of Use Installation Instructions
Approved for use io HVH2: No FL13521 R1 II IRC-6009-150-15-I drawin4 7-10
Approved for use outside HVHZ: Yes sealed.qdf
Impact Resistant: Yes FL13521 Ri II Retail Product Cross Reference
; Design Pressure: +35.6/-42.1 Chart.�df
Other: Verified By: Thomas L. Shelmerdine FL PE# 0048579
Created by Independent Third Party: Yes
Evaluation Reports
FL13521 R1 AE IRC-6009-150-15-I Evaluation Reoort '
7-10 sealed.odf
Created by Independent Third Party: Yes
� 13521.3 Stratford, Heritage and Oak Dwg. IRC-6009-169-15-I,Thru 9' wide.
Summit Models 600, 650 and 950
; Limits of Use Installation Instructions
! Approved for use in HVH2: No FL13521 Rl II IRG6009-169-15-I drawina 7-10
Approved for use outside HVHZ: Yes sealed.�df
' Impact Resistant: Yes FL13521 Rl II Retail Product Cross Reference
Design Pressure: +45.3/-51.2 Chart.ndf
Other: Venfied By: Thomas L Shelmerdine FL PE# 0048579
Created by Independent Third Party: Yes
Evaluation Reports
FL13521 Rl AE IRC-6009-169-15-I Evaluation Re�ort
7-10 sealed.�df
Created by Independent Third Party: Yes
13521.4 Stratford, Heritage and Oak Dwg. IRC-6016-140-24-G,Thru 16'wide.
Summit Models 600, 650 and 950
http://www.floridabuildin�.or�/pr/vr ann dtl.aspx?t�aram�vGEVXOwtDauvnOPErOHeedOlXYk15Di4tGs... 7/9/2012
Florida Building Code Online Page 3 of 3
' Limits of Use Installation Instructions
Approved for use in HVHZ: No FL13521 R1 II IRC-6016-140-24-G drawinq 7-10
Approved for use outside HVHZ: Yes sealed.odf
Impact Resistant: Yes FL13521 R1 II Retail Product Cross Reference
Design Pressure: +29.7/-33.8 Chart.odf
Other: Verified By: Thomas L. Shelmerdine FL PE# 0048579 !
Created by Independent Third Party: Yes
Evaluation Reports
FL13521 R1 AE IRC-6016-140-24-G Evaluation Reoort
7-10 sealed �df
Created by Independent Third Party: Yes
13521.5 Stratford, Heritage and Oak Dwg. IRC-6016-130-15-I,Thru 16' wide.
Summit Models 600,650 and 950
Limits of Use Instaliation Instructions
Approved for use in HVHZ: No FL13521 R1 II IRC-6016-130-15-I drawina 7-10
Approved for use outside HVHZ: Yes sealed.odf
Impact Resistant: Yes FL13521 RS II Retail Product Cross Reference
Design Pressure: +25.6/-29.1 Chart.pdf
Other: Veri�ed By: Thomas L. Shelmerdine FL PE #0048579
Created by Independent Third Party: Yes
Evaluation Reports
FL13521 R1 AE IRG6016-130-15-I Evaluation Re�ort I
7-10 sealed odF
Created by Independent Third Party: Yes
13521.6 Stratford, Heritage and Oak Dwg. IRC-6009-130-15-I
Summit Models 600, 650 and 950
Limits of U Installation Instructions
Approv for use in HVH2: No FL13521 Rl II IRC-6009-130-15-I drawinq 7-10
ved for use outside HVHZ: Yes sealed.�df
Impact Resistant: Yes FL13521 R1 II Retail Product Cross Reference
Design Pressure: +26J/-31.6 Chart.qdf
Other: Verified By: Thomas L Shelmerdine FL PE #0048579
Created by Independent Third Party: Yes
Evaluation Reports
FL13521 R1 AE IRC-6009-130-15-I Evaluation Re�ort
7-10 sealed odf
Created by Independent Third Party: Yes
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