HomeMy WebLinkAbout15-16011 I ,
CITY OF ZEPHYRHILLS ,
` ' S335-8TH STREET '
• , , (sis)�so-oozo_ 011
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16011 Address: 39106 6TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book: �
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-001.00-0280
Improv. Cost: 2,990.00 OWNER INFORMATION
Date Issued: 2/18/2015 Name: HOME BODY ENTERPRISES OF FL INC
Total Fees: 75.00 Address: 37136 ORANGE BLOSSOM LN
Amount Paid: 75.00 DADE CITY FL 33525-1812
Date Paid: 2/18/2015 Phone: 813-956-5992
Work Desc: REROOF.RUBBER
CONTRACTOR S APPLICATION FEES
.BARTLETT ROOF NG OF C NTRAL F REROOF R SIDENTI 75.00
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Ins ections Re uired
RY ROOFINSP
TAPE JOINTS ROOF IN�
FINAL � '�-6 -i.�
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.
"Warn' g to owner: Your failure to record a notice of commencement may result in your paying twice for
impr e ents our pro rty. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Com le PI ecifi ions Must Ac ny Application.All work shall be pertormed in accordance with
C' and Ordinances. NO OCCUPANCY BEFO C.O.
�
- �� I
CO RA NATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
.,
a�saso-oozo --�ity of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved' Phone Contact for Permitting —
�
Owner's Name d � � Owner Phone Number
Owner's Address �-U �1� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Sfmple Titleholder Address
JOB ADDRESS � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK I`
BUILDING SIZE SQ FOOTAGE� HEIGHT I
I
BUILDING $ G�' �, VALUATION OF TOTAL CONSTRUCTION �
6'
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ '
� �� l I ��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I
GAS ROOFING
0 Q Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATI S FLOOD ZONE AREA DYES NO
,
� � �
BUILDER �/� COMPANY
SIGNATUR �i REGISTERED Y/ 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#
�THER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;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 Facilfties&1 dumpster;Site Work Permit for subdivisionsAarge 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 conshuction.
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 all new projects.All commercial requirements must meet compliance
51GN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW,,construction.
�irections: •
Fill out application completely.
Owner&Contractor sig�back of appllcation,notarized
If over a2500,a Notice of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Application�Only)� . ,
�eroofs if shingles Sewers Service,Upgrades AIC � Fences.(PIoUSurvey/Footage) ; ` ' -,-. .,
Driveways-Not over Counter if on public roadways:.needs ROVI/ ' , , ' �
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 CONTR�►CTOR 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 wrhich 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.
TFZA(dSPORTATION IMPACT/UTILITIES III�P�ICT AND RESOURCE REC�VERY 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.
CONTFtACTOR'SIOWIVER'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 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 $ Rehabilitative Services/Environmental Flealth Unit-Wells, Wastewater Treatment,
Septic Tanks. ._
- US Envi�onmental Protection Agency-Asbestos abatement. �
- Fede�al 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 Iots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENl' FOR THE OIRIfVER, 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 Buildirig 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 wr' ing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for th xtension. If work ceases for ninety(90)consecutive days, th\job is considered abandoned.
WI4RNING TO O _ R:__ OU AILURE TO RECORD A NOTICE OF COM ENGEMEN_T__MI�Y_RESUL�T It�YO114�----
PAYING I O IMP flflENTS TO YOUR F'ROPEIZTY. IF YOU I E D TO OBTAIN FIN�►NC G, CONSULY
iNITH YO R E A► A7YOFZNEY BEFORE RECORDING YOU O IC O COMWIE ENT.
FLORIDA RA (F .0 )
OWNER CONTRACTOR
Subscrib d o(or a d)before me this Subscrlbed and sw before me this
Who islare personally known to me or has/have produced Who Is/ar son to m has/have produced
as IdentlficaUon. as identification.
�� Notary Public /.�?(�C� Notary Public
��Y•°,�" JAC
C m ssi Commiss o o. :��� Y�'-- Q�
,•�: � r FF 150422 = . :k, ommission#FF 150422
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Name of N ' edce800.305d019 Name of Notary " �� e ° Pd���ITIFp�Insurence800.3g5.70f9
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City of Zephyrhills �
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ' v��l�� �
Date Received: Z ^��^�J�
Site: Sgl� � 6�` �
Permit Type: `� (,� �� �
Approved w/no comments� Approved w/the below comments: ❑ Denied w/the below comments: ❑i
This comment sheet shall be kept with the permit and/or plans.
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Kalvi Switze ='r lans Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
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Date �/i�/20].5
N� �o�u� Body �n�cerpris�s o '�1. �nc. (GeaQ �iiaan,��
AddfGSS ,391Ci6' 6th ��e, Z�phqrhi �s, �L 33542 . .
. 833-9�6-�992 ' ' •
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ProduR Aooroval Menu>ProduR or Anolimtlon Search�Aoolfcation List>Application Detail
.-.y_,3�wrx�.Y., FL# FL5293-R5
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•�� �5,4;�;�=, Applicatlon Type Revision
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➢��- �,ry;„{f4�
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Comments ���-�IN��i�,,i�,� �,� ,
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Archived F���C.-ti�3L���,D�G I
., '4I-�p�,UP�BIIV Add�
Product Manufacturer GAF �"e��*���`d'�,�'(�,��q G
Address/Phone/Email 1361 Alps Road
Wayne, N]07470
(973)872-4421
I i n d a re ith @tri n itye rd.co m
Authorized Signature Beth McSorley
lindareith@trinityerd.com
P �`. C`�'���/f��R �i��
Technical Re resentative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg il-1
Wayne,NJ 07470 �
(973)872-4421 �,���{�
BMcSorley@gaf.com � ��/
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Quality Assurance Representative pL,q�s �'�-�`/�y�j�/ /�'l
Address/Phone/Emall E.�',��/� ��� C��,
Category Roofing �j�
Subcategory Single Ply Roof Systems �`�����•
Compliance Method Evaluation Report from a Florida Registered Archltect or a Llcensed
Florlda Frofessfonal Engineer
' Evaluatton Report-Hardcopy Received
Flortda Engineer or Archltect Name who Robert Nleminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity Underwriters Laboretortes Inc.
Quatlty Assurance Contract Expiration Date 04/13/2012
Validated By John W. Knezevich, PE
' Valldatlon Checkilst- Hardcopy Received
Certificate of Independence FL5293 R5 COI Trinitv ERD CI-Nieminen.,pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2006
FM 4470 lggZ
FM 4474 2004
TAS 114 2011
Equlvaience of Produd Standards
http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDquwVcULes7wT... 6/8/2012
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CeRified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 02/16/2012
Date Validated 02/21/2012
Date Pending FBC Approval 02/24/2012
Date Approved 04/03/2012
Date Revfsed 04/O6/2012
Summary of Products
FL# Niodel,Number or P9ame Descri tion
5293.1 EverGuard TPO Single-Ply Roof Single-ply,thermoplastic polyolefn rooflng systems
Membrane Systems
Limfis of Use Ynstallation Instructfons I
Approved far use in HVliZ: No FL5293 R5 II A1 er021612FINAL GAF TPO FL5293-
Approved for use outside HVHZ:Yes R5. df
Impact Resistant: N/A Vertfied By: Robert Nleminen PE-59166
Design Pressure: +N/A/-502.5 Created by Independent Third Party: Yes
Other: 1.)The design pressure noted in thls application Evaluation Reports
relates to one speciflc assembly in the ER Appendix. FL5293 R5 AE er021612FINAL GAF TPO FL5293-
Refer to the ER Appendix for all systems and associated R5. df
max.design pressures. 2.)Refer to ER Section 5 for Created by Independent l'hird Party:Yes
Llmits of Use
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