HomeMy WebLinkAbout15-16003 \
CITY OF ZEPHYRHILLS
+-
� 5335-8TH STREET
(sis)�so-oozo 160
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
' Permit Number: 16003 Address: 37334 NEUKOM AVE LOT 44
Permit Type: RE-ROOF _ ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0090-00000-0440
Improv. Cost: 1,260.00 OWNER INFORMATION
Date Issued: 2/17/2015 Name: HUBBARD WESLEY R & NANCY C
Total Fees: 67.50 Address: 5203 BRUNELLO TER
Amount Paid: 67.50 FORT WAYNE IN 46845-8813
Date Paid: 2/17/2015 Phone: (260)615-2706
Work Desc: REROOF RUBBER
CONTRACTOR S APPLICATION FEES
P UL CHAPER ROOFIN I C RER OF RE IDENTIAL 67.50
,
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Ins ecti s Re uired
DRY IN ROOF INSP
TAPE JOIN ROOF INSP
FINAL � !
REINSPECTlON 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 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C .RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
� BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �A Vl., �C�ap L Q. �0 N 5T�11 G I l 01�
Date Received: 2 — � 0 — 1 S
site: 3 �7 3 3 Y AJ C u K o M AV�.
Permit Type: !`�C �D a t= !�U 313 ��
Approved w/no comments: Approved w/the 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 Sw' zer ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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a�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0027
' Building Department
Date Recelved Phone Contact for Pertnitting O� �,-- �ga'�
'17�" �
Owner's Name Owner Phone Num6er d�v
Owner's Address WL3 � /' Owner Phone Num6er
Fee Simple Titleholder Name � � Owner Phone Number
Fee Simple TiUeholder Address
JOB ADDRESS �7 3 3 0'✓l LOT# ���T'�
SUBDIVISION PARCELID# ��� �S' a�• ��9�' ��L�a' 7�
(OeTAINED FROM PROPERTY TAX NOTIC�
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
B INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK I a '-� 7 � Of� � S I� / O3 '�./`Y' ^
BUILDING SIZE �—� SQ FOOTAGE HEIGHT.� 1_�v�
\y `�l�
OBUILDING $ p0 T
I,a �, VALUATION OF TOTAL CONSTRUCTION _._
'�----
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q (ri.E c•---"-'"�
,�'"" � �,
�PLUMBING $ � �
0 MECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION _ ��
��
�J
OGAS Q ROOFING Q SPECIALTY 0 OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �f!
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BUILDER �� �OMPANY �� � ���'
SIGNATURE REGISTERED Y/ N FEE CUR n Y/N
Address (/ License# C« �J o/
ELECTRICIAN COMPANY
SIGNATURE RE�isrEa�o Y/ N �cuaaEn Y/N
Address License#
PLUMBER COMPANY �- �
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y 1 N
Address License'#
MECHANICAL COMPANY
SIGNANRE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 / 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 t 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcGon,
Minimum ten(10)woricing days after submittal date. Required onsite,-Construction Plans,Stormwater Plans w1 Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Pertnit 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 daje. Requlred 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 all NEW construction. -
Diractlons:• - , ' , ,
;� Fill out apptication completely. '
Owner&ConVactor sign hack of application,notarized '
r If over.$2500,a NoBce of Commencement is required. (AfC upgrades over 57500) - „ `
Agent(for tFSe,contractor)or Powenof Attomey(for Jhe owner)would be someone with notarized letter from owner authorizing same , ,
OVER THE COUNTER PERMIITING (Front of Applicallon Only) , _ .
Reroofs if shingles" Sewers ; Service Upgrades NC Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on puhlic 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 ,
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 entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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 I
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"owne�'prior to commencement.
' CONTRACTOR'S/OMINER'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 ce�tify 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 jurisdiotion. I also
certify that I understand that the regulations of other go.vernment 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, Wetiand Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbesfos 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 lise 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 pertnitting 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 wili 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 IMPROV ENTS TO YOUR PROPERTY. IF YOU INTEND TO OB AIN FINANCING,CONSULT
WITH YOUR LENDE OR AN ORNEY BEFORE RECORDING YOUR NOTICE OF C MENCEMENT.
FLORIDA JURAT(F.S.1 7.0
OWNER OR AGENT _ CONTRACTOR
Su sc' ed and swom to(o e t is Subs rib d and swom to( fi ed efo m [his
d .S .1/ �f�bY � --
o a ly kn L�tp�e or ha v Who Is/are personally known to me or s/have
t a�Oc��fi on. �-- i entificadon.
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','.yr mmission No. Commission No. - �= .EXP �
���qi�n��o• �srrt o�-' 011SS10f1
Name o o , or stampe Name of Notary typ rirf[ , ��ped
Florida �uilding Code Online Page 1 of l
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�' 'c ��.���4�°3�' Code Version 2010 FL# ALL �
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Application Type ALL Product Manufacturer Mule-Hide Products Co.,Inc.�
ICategory Roofing Subcategory Single Ply Roof Systems
IApplication Status ALL Complfance Me[hod ALL ;
�Quality Assurance Entity ALL Quality Assurance Entity Contract ExpiredALL i
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Search Results-Apqlications '
FL# Tvpe ' Manufacturer Validated Bv Status �
FL10703-R4 Editorial Change Myle�Hide Products Co., Inc. ]ohn W. Knezevich, PE Approved
Hfs� , �b at goryoSi gle Ply Roof Systems �954) 772-6224 �I
FL12772-R1 Revision Mule-Hide Products Co., Inc. John W. Knezevich, PE Approved I
. HiSCOry Category: Roofing (954)772-6224 �
Subcategory:Single Ply Roof Systems i
i'Approved by DBPR.Approvals by DBPR shall be reviewed and ratified 6y the POC and/or[he Commission if necessary �
Contac[Us: 1940 North Monroe Stree[ Tallahassee FL 32399 Phone:850-487-1824
The State af Florida(s an AA/EEO employer.CoovriaFi[,2007-2010 Sta[e of Florida. Privacv S[a[ement :Accessibilitv Statement: Refund Statemeni
Under Florida law,email addresses are public recnrds.•I(you do not want your e-mail address released in response[o a public-records request,do not
send elec[ronic mail[o[his en[ity.Ins[ead,contaR the office by phone or by[raditional mail.I(you have any questions,please contaR 850.487.1395.
'Pursuant[o Sec[ion 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chap[er 455,P.S.must provide the Department
wi[h an email address if they have one.The emails ptovided may be used for o�cial communication with the licensee.However email addresses are public
record.If you do not wish to supply a personal address,please provide[he Department with an email address whifi can be made available to Che public.
To determine if you are a licensee under Chapter 455,F.S.,please click here
Product Approval Accep[s:
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�� '`��e e;�'`''--i-`.'°:"=�`;� FL# FL12772-R2
:�i�'��i•n:i{F�.i�,�l°
�r.:v:-:;.�'xk,.:..;__::*;';_,_ qPPlication Type
Revision
Code Version 2010
Application Status Approved
Comnents
Archived
Mule-Hide products Co.,Inc.
Address/Phone/Email 1195 Prince Hail Dr
Beloft,WI 535 1 1-5481
(608)365-3111 Ext 809
linda reith@trinityerd.Com
Authorized Signature Timothy McFartand
lindareith@trinityerd.com
Technical Representative Tim McFarland
Address/Phone/Email 1195 Prince liall Dr
Suite A
Beloit,WI 535115481
(608)365-3111
tim.rrcfariand @mulehide.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report- Hardcopy Received
Fiorida Engineer or Architect Name who developed the Robert Meminen
Evaluation Report
Ftorida License PE-59166
Quality Assu2nce Entity FM Approvals- QA
Quaflty Assu2nce Contract Expi2tion Date 06/14/2015
Validated By John W.Knezevich, PE
ValidaYion Checkii5t- Hardcopy Received
Certificate of Independence Nieminen- 2013.odf
Referenced Standard and Year(of Standard) Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of ProduCt Standards
Certified By
Sections From the Code
Product Approval Method Method 1 Optlon D
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