HomeMy WebLinkAbout15-15958� �
CI OF ZEPHYRHILLS
� 5335-8TH STREET
:
(813)780-0020 ._ 58
� B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15958 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 i
Improv. Cost: 2,100.00 OWNER INFORMATION
Date Issued: 2/17/2015 Name: FLORIDA HOMES LLC
Total Fees: 75.00 Address: 3119 FERNDALE ST
Amount Paid: 75.00 HOUSTON TX 77098-2009
; Date Paid: 2/17/2015 Phone: (772)209-0135
Work Desc: REPLACE 10 WINDOWS SI E/SIZE
CONTRACTOR S APPLICATION FEES ' ,
LE IN BUILDI G FEE 75.00
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� Ins ections Re uired
FO ER 2ND R U H PLUMB MISC INS LAT N CEIL NG I
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 omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the foll wing reasons: a)wrong address b) condemned work resulting I
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for ',
inspection when called e) permit not pos ed on job site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, there may be additional restrictions applicable to this properly 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 m nagement, state agencies or federal agencies.
"Warning to owner: Your failure to record notice of commencement may result in your paying twice for
improvements to your property. If you int nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans,Specifications Must Accom any Application.All work shall be performed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
CONTRACTOR S E PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
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ity of Zephyrhills
BUILDING LAN REVIEW COMMENTS �
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Contractor/Homeowner: �
Date Received: — d �ls
Site: 7 �1 ��
Permit Type: �'j) � �� e f ��T—
Approved w/no comment Approved w/t e below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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� Kalvin �itzer—P s Examiner Dat Contractor and/or Homeown r
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(Required when comments are present) �
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. CCLELLAN, INC:
060 Anchorage Way
CI arwater, Florida 33755
, F ST LC CBC#1259633
727-455-1173 cell
727-447=6614 fax
Property Address: s mcc(�a.verizon.net 22 Jan'15
,
4749 5th St, �'
Zephyerhiils, Florida
ATTN: Frank Lindberg
Momingside Funding PROPOSAL
2370 Ri�Blvd#200 U�lir�dows
Houstson, TX
We propose to open a new pe it.to finish the window installation
for above address for the sum of$2,000.00.
If there are any questions,.please contact e and I will be happy to assist. �
Sin erely,_..
C
' Sig Clellan
,
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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
uilding Department
, Date Recai�ed — � � Phone Cont ct for Permitting Z/ 7`S�- �
Owner's Name fY�dY'd1! + ���� ` Owner Phone Number
Owner's Address � /,�/�e� f{�o`. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �7� 5 �' / � � -�a �` •c,�It, I C . LOT# �
SUBDIVISION P CEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B AD /ALT � SIGN Q Q DEMOLISH
INSTALL RE AIR
PROPOSED USE Q SFR Q C MM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q F ME 0 STEEL Q
DESCRIPTION OF WORK Gv�-�X9-u� � �
BUILDING SIZE SQ FOOTAGE HEIGHT
, �BUILDING $ VALUA ION OF TOTAL CONSTRUCTION
Z� 1�(J
DELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ )r��� �P�.� �
�� GC__� �
QMECHANICAL $ VALUA ION OF MECHANICAL INSTALLATION �1„�p��S'
1����on
QGAS Q ROOFING Q S ECIALTY 0 OTHER ��.
FINISHED FLOOR ELEVATIONS FL OD ZONE AREA YES NO
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' BUILDER 2S 1 COMPANY ��U-r �� h (�L
SIGNATURE REGISTERED Y/ N FEE C RRE� Y/N
il
Address � �v O �,�,e.i-, � '�� License# e�����-S����
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
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;( )set of Energy Forms;R-O-W Permit for new construcdon,
Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permi for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal da e. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permi for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'*"PROPERTY SURVEY required for all NEW nstruction.
Directions:
Fill out application completely.
Owner 8�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 Attomey(for the owner)w uld be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING, � ��(F[ont;of Appl'ication;Onl )
Reroofs if shingles Sewers ,��3eryice,Upgrades, NC' :. -.E nces(PIoUSurvey/Footage)
Driveways-Not over Counterif on public roadways..needs RO '
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 COPITR�►CTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance�nrith 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 IIIAPACl'AND RESOUFtCE itECOVERY 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 powrer 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.
I CONSYRUC710N LIEN L�111A1(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'SIOWNER'S AFFID�►VIT: 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 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 8 Rehabilitative Services/Environmental Flealth 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 conneciion 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�►GENT 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.
1iYARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVE�AENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
VIIITH YOUR LENDEI2 OR�►N ATTORNEY BEFORE RECORDINC�YOUR NOTICE OF COMMENCEIIAENT.
FLORIDA JURAT(F.S. 117.03) , -
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or afflrmed)before me thfs Subscrfbed and wom t o affirmed)before me this
by l-20�(� by S, G�� a S. �CGl r�c`y-�t�J
Who is/are personally known to me or has/have produced Who ts/a p rsonally k�own to me or has/have produced
� as Identlfication. -�-f' : ��(•iC.2��sZ as iden6fication.
Notary Public � Notary Public
Commisston No. Com (ssio No. .,� '�'p'�••, JACQUELINE BOGES
';k: Commission#FF 50
- '�= Ex ires December 12,2018
Name of Notary typed,printed or stamped Name of Notary typ .,'•%fi��� . 0188�Ii1(l��.F�"�^SUrance800.385•7019
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Florida Building Code Online Page 1 of 2
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BCIS Flome Log In User Registratlon Hat T i6 Submit Surcharge Stats&FacLs Pubiicadons FBC Stafi BCIS Si[e Map Links Search
Business
Professional _b"._e P�uddpproval
i �USfR:Public User
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FL# FL14039-R1 s'Yt��":Sl�.'��'�.�?,,�.j�`.�r):;�
Application Type Affirmation
Code Version 2010
� Application SWtus Approved
IComments
Archived
���:<<t=VV I�!-�TE �
c�TY � `IS"
Product Manufacturer Ply Gem Windows OF���yR�o�L� .
, Address/Phone/Email 433 N.Main St. {���
�S �
Rocky Mount,VA 24151 �������
R �
(540)484-6463 �_„
dstammen@plygemwindows.com
Authorized Signature Travis Arthur �
tarthur@plygemwindows.com
Technical Represenqtive '
IAddress/Phone/Email
Quality Assurance Representative
' Address/Phone/Email
Category Windows
Subcategory Single Hung
Compliance Method Evaluation Report from a Florida Registered Architect or a
Licensed Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name wh developed the Kristina S.Daugherty,P.E.
Evaluation Report
Florida License PE-68455
Quality Assurance Entity Natlonal Accreditadon&Management Institute
Quality Assurance Contrect Expiration ate 12/31/2017
Validated By Steven M.Urich,PE
Validation Checklist-Hardcopy Received
Certificate of Independence FL]103U_Ri CCI CO?�71"L-481Z;�dr
Referenced Standard and Year(of Sta dard) $tandard Year
AAMA/WDMA/CSA S01/I.S.2/A440 2005
Equivalence of Product Standards
Certified By
Sections from the Code
I a�rm that there are no changes in the new Florida
Buflding Code which affect my product(s)and my product(s)
are in compiiance with the new Florida Building Code.
I Dbcumentation from approved Evaluat oh or ValidaUon Entity Yes No N/A
https://www.floridabuilding.org/pr/pr_app dtl.aspx?param=vvGEVXQwtDqtGLR%2byCB... 1/20/2015
' Florida Building Code Online Page 2 of 2
I
Product Approval Method Method 1 Option D
Date Submitted 03/06/2012
Date Validated 03/06/2012
Date Pending FBC Approval
Date Approved 03/15/2012
Summa of Products
FL# Model,Numb r or Name Description
14039.1 4712/4812 Sin le Hung 4712FL/4712F/4812F Single Hung
Limits of Use Installation Instructions
Approved for use in HVH2:No � �
Approved for use outside HVHZ:Ye � � - ,.
Impact Resistant:No Verified By: Kristina S.Daugherty,P.E.PE 68455
Design Pressure:+50/-60 Created by Independent Third Party:Yes
Other: Evaluation Reports
-
Created by Independent Third Party:Yes
!- =_� �_^_':�
Contatt Us::�940 North Monr treat Tallahattm F ����1 phone:850.487-1824
�
The State of Florida Is an AA/EEO em0�oyer. r - ::privaa Statement::Accessibilib Statement::Refund Statement
Under Florida law,email addresses are public rds.If you do not want your e-mail address released In response to a public-records request,do not send
elecVOnic mail to this en[ity.Instead,conmc[the office by phone or by traditional mail.If you have any questlons,please mntact 850.487.1395.*Pursuant to
Sectlon 455.275(1),Florida Sta[utes,effective O ber 1,2012,I(censees Iicensed under Chapter 455,F.S.mus[provfde the Department with an email address if
they have one.The emails provided may be used or offiGal communim[lon with the licensee.However email addresses are public reoord.If yau do not wish to
suOP�Y a personal address,please provide the Depa nt wiM an email address which wn be made available to the public.To determine ff you are a Itcensee under
Chapter 455,F.S.,please dldc er .
� Product ApProvai AaePts:
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� � 127 W.Fairbanks Ave.
� �eCtVOlC�rk .�;�� su�t�4�s
FBPE Certificate of Authorizat on No:zs5io Winter Park,FL 32789
4Q7.644.6957 PH
407.b44.23fi6 FX
infa@certwrks.cam
September 2,2010
TCi: . Whom Et Ma Concem
FROM: Kristina S.Da gherty,F.E.
Registered FI rida Professional Engineer#68455
PRODUCT
NAME: 4712/4812 S ngte Hung Window
MANU�'ACTURER: Ply Gem Win ows,Inc.
433 N.Main �G PO Box 559
Rocky Moun VA 24151
Dear Sir(Madam},
To the best of my knowledge,the a ove-mer�tioned product cor�forms to the 2007
' edition af the Florida Building Code
Please note that I do not have, nor ill I acquire, a financial interest in any company
manufactur�ng or distributing the p oduct{s}for which the reports are be'rng issued.
1 also do nat have,nar will l acquire any�inancial interest with the taboratory that
performed the test(sj,or with the E gineer witnessing the test(s�and sealing the test
, report(sj.
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Kristina 5.�au�he�;P.E.
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Florida Registered Professional Eng neer#68455
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