HomeMy WebLinkAbout12-13748 CITY OF ZEPHYRHILLS
5335-8TH STREET
. (si3)�so-oo20 13748
BUILDING PERMIT
Permit Number: 13748 Address: 5121 10TH 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: 11-26-21-0010-20500-0030
Improv. Cost: 900.00
Date Issued: 1/09/2013 Name: DIEFENBAKER, ROBERT & CAROL
Total Fees: 60.00 Address: 5121 10TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 1/09/2013 Phone: (813)788-5825
Work Desc: GARAGE DOOR REPLACEMENT SIZE/SIZE
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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 wmply 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� pians 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 Acxompany Application. All work shall be performed in acwrdance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�.0�.
CONTRACTOR SIG ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
„ 8�3-780-0020 City of Zephyrhilis Permit AppliCation Faz-81�-780-0021
�
Bwldmy Depanment
� Date Recerved -� �.,''- S phone Contact tor Permitt�ng ! V ��� ' _��
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Owner's Name Owner Phone Number
Owner's Address ^12� � �� T+G ( `�+ Owner Phone Number ��
Fee Simple Tilleholder Name Owner Phone Number ��
Fee Simple Tiqeholder Address �
JOBADDRESS 21 SJ � 1 S {� 33�42- LOT# �
Sl16DIVISION r ( S PARCELID# 11� `�� ZI -VO ID- cr�,.�V�'� v���
(OBTAINED FROM PROPEf1TV TAX NOTICE)
WORK PFOPOSED e NCw COrvsTit 8 ADD/ALT � SIGN � � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER -�
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � �--�
DESCRIPTION OF WORK L ulJ ��� ��- �' ���r'�
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BUILDING SIZE SQ FOOTAGE � HEIGHT �
�f CP,-�IT*,P'r'�T��TITT�TTi"TTrTT�TrT�T�TTT�TTrTrTTTfTI'7TTTr
�BUILDING � ��,+�,.� VALUATION OF TOTAL CONSTRUCTION
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�ELF_CTRICAL � AMP SEAVICE � PROGRESS ENERGY W.gE.0
C�`��-� ���c ����'sa.�..
�PLUMBING 5 �,�/ ��ryi„e�t�- ��-
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
IJDD�- - klU�•`�
�GAS � ROOFING � SPECIALTY � OTHERL�Q.✓� ,
FINISHED FLOOH ELEVATIONS FLOOD ZONE AREA �YES NO
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BUILDER , COMPANY �'��V C�rA � OOIrS
SIGNATURE REGISTERED Y N URREn Y/N
Address �� 11 l. �1 J {r�Ls �-3 a✓7” License# C�ctas8�o5
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License k ��
PLUMBER COMPANY
SIGNATURE � aecisreaeo Y; N Fee cuaqen V/N
Address License H �_�
MECHANICAL COMPANY
SIGNATURE � REGISTFRED Y! N FEE CURRE� Y/N
Address License N ��
OTHER � � COMPANY �
SIGNATURE aECisTEaEO Y/ N FEE cuHREn Y!N �
Address License# ��
I 1 I 1 I I I 1 1 I I 1 1 I I 1 I 1 I I 1 1 I I 1 1 1 1 i ! I 1 1 I t I 1 I 1 I I t I 1 1 I I 1 I 1 I 1 1 1 1 I I 1 1 1 I 1 1 i 1 I I
RESIDENTIAL Attach(2)Pbt Plans,(2)sets ot Building Plans,(t)set ot Energy Forms;R-0-W Permit for new construction.
Mmimum ten(10)working tlays after submittal date Reqwred onsile,Construclion Plans,Stormwater Plans w!Sdt Fence installed,
Sanitary Facilities 8 1 dumpster,Site Work Permd for subdrvisions/large pro�ects
COMMERCIAL Attach(3)complete sets o�Budding Plans pWs a Ute Safety Page,(1)se�of Energy Forms R-O-W Permrt tor new construdion.
Minimum ten(10)working days after submitlal date Required onsrte.Consiruction Pians.Stormwaler Plans w!Sdt Fence mstalled.
Sanrtary Facilities&7 dumpster Sde Work Permit for all new pro�ects.All commercial requirements must meet comp6ance
SIGN PERMIT Attach(2)sets of Engmeered Plans.
"*'PROPERTY SURVEY reqwred tor all NEW construction.
�-F-1--4-N�1-a-d-NNI--i--4-1-1-L-i�-i-F.1-{--F�1-d-4�i-�i-F.�HF�.�:-V.FI--F�4-F-�..I�H4�d-' '...-F:�-1-i�-i-1�-4-{--NI-1�-L�•1-1--f-
Directions:
Fill out applicanon completety
Owner&Contractor sign back of application,notar¢ed
It over$2500,a Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(tor tne contractor)or Power oi Attomey(for the ownen would be someone wnh notanzed letter irom owner aNhonzing same
OVER THE COUNTER PEflMITTING (Front of Apphcation Onlyl
Feroots d shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter it on public roaaways.needs ROW
NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be sub�ect to"deed"restnctions"
� which may be more restrictive ihan County regulations The undersigned assumes responsibifity 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 [o be hcensed in accordance with sta[e and local regulauons. 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 reqwrements rnay appty 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
porUons of the "contractor Block" of this application for which they wdl be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly hcensed and is not entitled to permitting pnvileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersiqned 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 ot 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 Ume of
permitting It is further understood that TransportaUOn Impact Fees and Resource Recovery Fees must be paid pnor to
receiving a "certificate of occupancy" or final power release If the project does not involve a certificate of occupancy or
finai power release, the fees must be paid pnor to permit issuance Furthermore, ii Pasco County Waier/Sewer Impact
fees are due,they must be paid prior ro 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
dehver it to the"owner"pnor to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT I certify that all the iniormation in this application is accurate and that all work
will be done in compliance with ali appiicable laws regulating construction,zoning and land development. Application is
hereby made to obtam a permrt to do work and installation as indicated I certify that no work or mstallation has
commenced pnor to issuance of a permit and that all work wdl be performed to meet standards of all laws regulating
construction, Counry and City codes, zoning regulations, and land development regulations in the �urisdiction. I also
certrfy that I understand that the regulations of other govemment agencies may apply to the intended work, and that rt is
my responsibility to identrfy what actions I must take to be in compliance Such agencies include but are not hmited to.
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Flonda Water Managemenl Distnct-Wells, Cypress Bayheads, Wetland Areas, Altenng
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Waste�water Treatment,
Septic Tanks.
- US Environmentai Protection Agency-Asbestos abatement.
- Federal Awation Authonty-Runways
I understand that the following restnctions apply to the use of fiil:
- Use of fill is not allowed m Flood Zone"V"unless expressly permitted.
- If the fili 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 protessional 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 on�y 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 It use of fill is tound to adversely affect adjacent properties, the owner may be cited for violating
the conddions of the bwlding permrt issued under the attached permit application, for lots iess 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 commenang construciion. I understand that a separate permit may be required tor electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speciflcally included in the apphcation A
permit issued shall be construed to be a license to proceed with the work and not as authonty to violate, cancel,alter, or
set aside any provisions of the technical codes. nor shall issuance ot a permit prevent the Building Offu;ial 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 vaork 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 penod not to exceed ninety (90) days and will demonstrace
�ustifiable cause for the extension. li work ceases for ninety(90) consecutive days,the�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 FINANCtNG,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S 117 03)
OWNER OR AGENT CONTRACTOR � ��
Subscribed and swom to(or aflirmed)before me[his Subscribed and swor � (or umed)bef e this
by bY � e
Who is/are personally known to me or has/have produced Who is/are personally kno_ wn� [ _o me or has/have produced
as identification as identifica6on
Notary Public �+�JC./��`�— �� _Nolary Pubhc
Comm�ssion No Commission No
0.V'rP� OU.S ;:�:*"°�,'va<''-- 7ARREENOUSE
,':: ISSION#D�J 820134
Name of Notary typed.pnnted or stamped Name of Notary typed.pnnted or stamped �*� � ' � E�p�RES.September 23,2�12
�u
"���'�P f3ondedTnruNotaryPublicUnderwnters
� �.�01•F J�:
Bonita SpringslNaples ManateelSarasota Palm Bay,Nero Beach
(239)498-4478 1177 Cattlemen Road Pt.St.Lucie/West Palm
� � � ` � Sarasota, FL 34232 500 Kitterrnan Road
' Cape Coral/Ft.Myers (941)371-7242 Port St �ucie, FL 34952
� 2620 N Tamiami Trail (888) 435-0552
� N Ft. Myers, FL 33903 North Port/Englewood
� � � (239)540-6888 (941)423-8888 Sebring/Okeechobee
(888)435-0552
Jacksonville Ocala/Clermont
* (904) 281-9199 (352)243-9111 Sun City
(813)634 2742
Lake City/Gainesville Orlando
l 1 + ' PO Box 1756 (407) 859-5195 Tampa/Brooksville
SZ?Wti� �L � � Lake City, FL 32056 (813)224 0123
/ �r (386)754-3667 Orlando Wholesale Center
irQAf�-�p�irpASt 1723 Premier Row Titusville/Palm Bay
Lakeland/Winter Haven Orlando, FL 32809 (888)435-0552
�,,.. (863) 965-2719 (407) 331-0804
Port Charlotte/Punta Gorda
1298 Market Circle Unit 1-D
Port Charlotte, FL 33953
(941)629-2400
Power of Attorney/ Permit Authorization
Attention: City of Zephyrhills Date: 01/07/2013
5335 8th Street
Zephyrhills, FL 33542
I, Dallas Miller, license holder and qualifier for D&D Garage Doors, do hereby aut.horize the following
person(s) to apply for, receipt for, sign for and do all things necessary to obtain p�ermits in the City of
Zephyrhills for D&D Garage Doors.
Authorized personnel:
1. Bonnie Mielke
2. Luis Gonzalez
3. Chris Howard
This authorization is to remain in effect, unless cancelled in writing, by the undersigned.
Signature of license holder: ��
Da as Miller
License # CBC1258205
State of Florida
County of `�C�rc�SO�-C�-
The foregoing instrument was acknowledged before me this 1�h day ofSa�r� . , 20�, by
�Q� IC.LS Nli I(�r who is personally known to me� has produced
as identification. �
��
������. TARREE HOUSE Signature
�SP{yY{'(iB�i�i
(Notary Se )'_°+ .^: Notary Public-State ot Florida
; ; •_My Comm.Expires Sep 23,2016 ar e ' i��,(SP.
=;, �;° Commission#EE 203072 � � f�
�''%°;;��'� Bonded Through National Notary Assn. PYI tlt2Cl N 81'Y12
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � ,E. `� �,�,.,' =�1,�/�0'�� �.,�1`�
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�
Date Received: � � " .� 5� �1�.�
Site: .�/;�� ' �D p"1y ,�'� -
Permit Type: l ' 3-? f''���,,,
,
Approved w/no comments• Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pemut and/or plans.
� /
Kalvin 'tzer lans Examiner Date Contractor and/or Homeowner
(Required when comments aze present)
Tp: 81318000�1 From: 813-291-6585 12-28-12 9;46am p. 6 of 11
DEC-28-2012 10:44 From: To:8137800021 Pa9e:6�11
�'lorida Buildir�g Cvde Onlin,e Page 1 of 5
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CODE,NATIQNAI-�'-�c��IC CODE AND
` ' —..--., F�,� F1.82a8-R�,o ('ITY OF ZEPHYRHIL=LS OR.�INANC�S
Y - -•-��'� � ApPIIteGOn Type ReWS�on
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Applicatlon S�atus Approvetl
Comment5
Archived
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Droduct Manufacturer WaYne-Dalton,a divisian of Overhead Door C����1�" U�������_�
Address/Phone/Email 3395 Add�son Orlve �;lTY' OF ZEPHYRHiLLS
PerlSaCOla, FL 32514
(850)475-60D0 �L�PJS �XA�IINER
g[aylor�Wayne-balton.com ��'-----� � -
authorizea Slgnawre Greg TdYlo�
gtaylor�Wayne-DalCOn.com
TethAital Representative Greg Taylor
Atldr255/PMone/Email 9395 Addison Drlve
PensaC0la, FL 32514
(850)47A-9896
gtaylor�wayne-daltan.com
Qua��ry Assurance RepreseMative
Address/Phone/Email
Category Exterior poors
Suhca�egory S2ctlonal Exterior poor A55emblles
Compllance Methotl Evaluatlon Report from a Florida ReglStereG Arthitect or a UeEnsetl
Ftorida Profess�onal Engineer
r E�e�uatiDn RlpOrC-Nardcopy RBeeWed
FIoNOa Engineer or Arch�tect�lame who Mark A.Sawicki
developed the fvaluatlan Report
Flor�da Lic¢nse PE-72613
QualltV Assurance Entlty (htertek Testing$�rvlces NA�nc. -ETL/Warnock Hersey
QuaGty Assurance Contraet BxpiraCion Date 03/06/2020
Validated 6y �effrey P ArneSOn,A.E.
F Val�datlon Che[kIISt•Hardcopy Recelved
CeRlFlCate of Lndependence �82ae Rio crn intleoen0encw wavne-oalCOn Door 2010.ndP
FL8248 R10 GOI Mevtt Sawidci IfW ceK-DdP
RePerenCed Stentlard 2nd Year(oF$Wndard) S�andard Year
AN$[/DASMA-7lOB 2002
ANSI/DASMA-115 2005
rAS-zox x994
TAS-202 1994
Tn5-203 1.99a
http:l/wrv�v.�Axidabuilding.org/pr/px app_dtl.aspx?pararn=wGEVXQv►rtDqujmeb8GbxRy... 9/22/2012
To: 813T800021 Fiom; 813-247-6585 12-28-12 9:96am p. 4 of 11
DEC-28-2012 10:43 From' To:8137800021 Pa9e:4�11
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�'loxida Building Code Online Page 1 0�'�
FL if MQdei,Number o�Name Descri tion
8248.1 600a/8100#i101 9`Max wieth. f,4'Max height.Glezing avallabte in top or
Intermedlate sectlon.
Umits oi Use i�seallaeion I�strud+ons
Approv�d for use�n HVH2t No �a?�8 R10 II i]01 327oio ce4.oef
Approved(Or u9e outside HVNZ:Yes FI A7L4.RIO n ]amb cennP �°^-5s,�},�,pm�,nG-PtO.odF
Lmpaet Reslstant:No F�A248 R10 ti 7raclt_�.yQQlg�,gn���,t PSO.ndF
pesign Presaure: t22.90/-z6.3o venfled Sy:Mark A. Sawicki FLORIDA PE 72613
Other:Glazing is�ac Impact resistant a�d does not meet the Created by�ndependent Thfrd Party: No
reqvlrements for wina-bome OeDris regions. Evaluation Reports
p A7qg Ri0 AE fl000 eval edf
Createtl by lndependent Third Party:No
http://www.floridabui�ding.org/pr/px_app_dtl.asp�?pauram=wGEV�QwtDqujz�ebBGbxRy... 9/22/2012
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