HomeMy WebLinkAbout12-13703 CITY OF ZEPHYRHILLS
5335-81'H SIREET
(si3)�so-oo20 13 03
• BUILDING PERMIT
Permit Number: 13703 Address: 3438 TOURMALINE DR
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE RV RESORT
Est. Value: Parcel Number: 24-26-21-0080-00000-2820
Improv. Cost: 1,500.00 :�:� �
Date Issued: 12/12/2012 Name: HACHE, RONALD
Total Fees: 67.50 Address: 3438 TOURMALINE DR
Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542
Date Paid: 12/12/2012 Phone: (978 771-8793
Work Desc: REMOVE PATIO DOOR REPLACE W/INSTALL 4 WINDOWS
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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� 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 properly. 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 performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
, �
CONT OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received /—�j--� �i phone Contact for Permfttin __
Owner's Name • Q�6�f e Owner Phone Number ���'� l— ��
Owner's Address Y�� /O!.(�. �i� _� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADORESS �O!�G� �1�1 G(` �N t' �� �P �/(� � �C LOT� 0 Q2
SUBDIVISION � PARCEL iD# � — Z'��Z�` C3V gO— �C�C�v— 7(�jZ,p
(OBT/VNED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK� Q FRAME Q STEEL
' o
DESCRIPTION OF WORK �e�0�i e `h � � Gu fc� Gt�!Gt�Gy/
BUILDING SIZE SQ FOOTAGE�� HEIGHT
�BUILDING S %�D VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING a ��j) �
� v
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER / t �� COMPANY C����"G��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N fEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess License# � —�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new consUuction,
Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed,
Sanitary Fadlities�1 dumpster;Site Work Permit for subdivislons/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 afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"""PROPERTY SURVEY required for all NEW consVuction.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage)
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 responsibitity 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 Iicensed 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 misdemeano� 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 cont�actor 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that T�ansportation 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 unde�stands, 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, Florfda 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 pe�mit 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
ce►tify 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 timited 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 ihe 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 prope�ties, the owne� 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 pe�iod not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY B O E RECORDING YOUR NOTICE OF CO N E ENT.
rLORIDA JURAT(F.S. 1179 `� /
OWNER OR AGENT� � CONTRACTOR �
��scr�b�d an b�wo�to or afflrmed be this Subscribed and swo to r aiflrmed) e th s �
lS z /�'�8-��- by� Q L
Who 1 re personally knov+m to me or has/have produced Who Is/a��'perso�ally k�to me or haslha��ve�f�ontl
�j v.�r 4«n�- as IdentlBcaBon. ��� �'�"
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Notary Public
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Com I ion �,,,"°" i„_.►AC�ELIN�NG ' C �: JA
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Florida Building Code Online Page 1 of 3
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• , BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats @ Facts Publications FBC Staff BCIS Site Map Links Search
Bu51t1�S�f -- ,
Professiorial �Product Approval . '�
USER:Public User \
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� ��" ���� Product Aooroval Menu>Product or Aoolication Search�AOOlication List>Application�eWil
; ,^�',�•R'°°°h��;-° FL# �, FL1435-R10
Application Type Revision
Code Version 2010 �
Application Status '�1,� Approved i
*Approved by DC�.Approvals by DCA shali be reviewed and
�, ratified by the PO�and/or the Commission if necessary
Comments j
Archived �
Product Manufacturer PG ies
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275 ��7 �O A���
(941)486-0100 Ext 22318 y�. �1i _
druark@pgtindustries.com I���Sr��i�i`�� ���f�"�Q��
g�aN���,�tL�'��`r'1��`,1��)�l�l�n��-'���
Authorized Signature Jens Rosowski n�`'�Q� ,'��,����� +� '�^'1�'+1
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jrosowski@pgtindustr�5��.�,q�ng��lli��`� � � j��j`� , '
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,���*`111'� �
Technical Representative Jens Rosowski
Address/Phone/Email 1070 Technology Drive
Nokomis, FL 34275
(941)486-0100 Ext21140 �
jrosowski@pgtindustries.com ,' ���lh'�'yj�__
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Quality Assurence Representative -•N '�-::p}�"a�i'���j�--�"S (�
Address/Phone/Email "' ' ��%�_,.a_.
�?,a�.�:: ,-�',t�-i,M►.NE.f��_
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency Keystone Certifications,Inc.
Validated By Steven M. Urich, PE
Validation Checklist- Hardcopy Received
Referenced Standard and Year(of Standard) Standard Year
AAMA/WDMA/CSA 101/IS2/A440 2005
AAMA/WDMA/CSA 101/IS2/A440 2008
ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002
ASTM E1886 2005
ASTM E1996 2002
ASTM E283 2004
ASTM E330 2002
Equivalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsbCUITKe120... 11/28/2012
Florida Building Code Online Page 2 of 3
Product Approval Method Method 1 Option A
Date Submitted 08/16/2012
Date Validated 08/21/2012
Date Pending FBC Approval
Date Approved 08/23/2012
Summary of Products
FL# Model,Number or Name Description
1435.1 SH-200(Prev.4000) Aluminum Single Hung Window(Inc. Pass-Thru)
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 RSO C CAC SH-200 Certification B.ndf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 02/16/2013
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for FL1435 R10 II SH-200 b.�df
design pressure,size and anchorage Information.The Verified By: A. Lynn Miller, PE 58705
Pass-Thru version was not tested for water infiltration. Created by Independent Third Party No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH 2O0.odf
Created by Independent Third Party: No
1435.2 SH -400 Vinyl Single Hung Window
Limits of Use Certi�cation Agency Certificate
Approved for use in HVHZ: No FL1435 R10 C CAC 190-777.�df
Approved for use outside HVHZ:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No O1/21/2015
Design Pressure: N/A Installation Instructions
Other: Piease see the Installation Instructions for FL1435 R10 II SH-400.odf
design pressure,size and anchorage information. Verified By: A. Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH 400.pdf
Created by Independent Third Party: No
1435.3 SH -500 WinGuard Vlnyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No fL1435 R10 C CAC SH-500 Certification B odf
Approved for use outside HVHZ:Yes Quality Assurance Contrad Expiration Date
Impact Resistant:Yes OS/27/2014
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for FL1435 R10 II SH-SOO.odf
design pressure,size and anchorage information. Verified By: A. Lynn Miller, PE 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH SOO.pdf
Created by Independent Third Party: No
1435.4 SH-800 WlnGuard Multistory Aluminum Single Hung Window
Limits of Use Certi�cation Agency Certificate
Approved for use in HVHZ: No FL1435 R10 C CAC 190-427.0 odf
Approved for use outside HVH2:Yes FL1435 R10 C CAC 190-428.O.�df
Impact Resistant: No Quality Assurance Contract Expiration Date
Design Pressure: N/A 09/07/2013
Other: Please see the Instaliation Instructions for Installation Instructions
design pressure,size and anchorage information. FL1435 R10 II SH-800.odf
Verified By• A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval SH-800 odf
Created by Independent Third Party: No
1435.5 SH-2100 Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 RSO C CAC SH-2100 Certifications B odf
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 03/18/2013
Design Pressure: N/A Installation Instructions
Other: Please see the Installation Instructions for FL1435 RSO II SH-2100.odf
design pressure,size and anchorage information. Verified By: A. Lynn Miller, P.E. 58705
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqsbCUITKe120... 11/28/2012
Florida Building Code Online Page 3 of 3
. , Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval-SH 2100 odf
Created by Independent Third Party: No
1435 6 SH-2200 Vinyl Single Hung Window
Limits of Use Certification Agency Certificate
Approved for use in HVHZ: No FL1435 R10 C CAC SH-2200 Certifications�df
Approved for use outside HVH2:Yes Quality Assurance Contract Expiration Date
Impact Resistant: No 10/21/2013
Desfgn Pressure: N/A Instaltation Instructions
Other: Please see the Installation Instructions for FL1435 R10 II SH-2200 edf
design pressure,size and anchorage information. Verified By: A. Lynn Miller, P.E. 58705
Created by Independent Third Party: No
Evaluation Reports
FL1435 R10 AE Prod Eval SH-2200 odf
Created by Independent Third Party: No
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Con[act Us 1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida :Privacv Statement A[tessibilitv Statement Refund Statement
Under Florida law,email addresses are publit records.If you do not want your e-mail address released in response to a public-records request,do no[
send electronic mail to this entity [nstead,contact the o�ce by phone or by traditional mail.If you have any questions,please contact 850.487.1395.
*PUrsuant to Section 455.275(1),Fiorida Statutes,effective October 1,2012,li[ensees licensed under Chapter 455,F.S.must provide the Department
w�th an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,please click here
Product Approval Accepts:
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: /��'1��� ���e--
Date Received: � l 2-�5--� Z-
Site: ?��F 3� �GC r /h Ql!�'i e �f—
Permit Type: ��-�'h� ��l�db'� �.5����Gch�G��
Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit andlor plans.
jZ� Z
Kalvi Switz -Pl Examiner Date Contractor and/or Homeowner
(Required when comments are present)
,