HomeMy WebLinkAbout16-17277 CITY OF ZEPHYRHILLS
� 5335-8TH STREET �� �
� (813)780-0020 1727J/
�
BUILDING PERMIT ;�'
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17277 Address: 38435 NORTH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00100-0010
Improv. Cost: 9,450.00 OWNER INFORMATION
Date issued: 4/28/2016 Name: GOD'S SHARE PROGRAM INC
Total Fees: 127.50 Address: 38435 NORTH AVE
Amount Paid: 127.50 ZEPHYRFiILLS FL 33542-3549
Date Paid: 4/28/2016 Phone: •
Work Desc: REROOF RUBBER
CONTRACTOR S APPLICATION FEES
TLC ROOFING LLC REROOF RESIDENTIAL 127.50
� Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS R90F,J�1S� („
FINAL � I U �� �E�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�.� .
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a��-780-002o City of Zephyrhills Permit Applic ie —�"� Fa�e o2�
BuHding Departrnent /�'r���'�'�y � ',.-���?j_
4 `�' �
Qdce R��eiyQa r� / '� - ���� (,��C�. � `7 t Q
J 1 Phone CantacYfar tttn
Owner's Name r ' � �t�er
Owner's Address ,.3� O. Owner•Phone Number � �
Fee Slmple TlNeholder Name �` � Owner Phan�Number �-� �
,J�� �
Fee 3imple Titleholder Address "
JOB ADDRESS 'e._ LOT# �„_�
SUBdIV1StON � � PARCEL ID# ' �
. (OBTAINED FROM'PROPERTVTAX NOTICE),
, WORKPROPOSED �� NEwtONSTR ADD/ALT [� S{GR! [� Q bEMOLISH -
INSTAI:L �, REPAIR
PROPQSED•tlSE � SFR [� CQMM [� O'fFlER
TYPE OF CONSTRUCTION � BLOCK " Q FRAME C,� STEEL Q
DESCRIP11dN OF WORK
' J
BUiLDiNG°SiZE SQ FOUTAGE (1CJ ,FIEIGHT :
' QBUiCDINCa $ �r.��`'�u ��=�- �� } ,
i ��� VALUATIO(V"�OF TOTAL CONSTRI:ICTI (�' ��
/
QEl.ECTRICA� $ AMP SERVICE ' Q PRO�ES NERGY r W R.E.
� QPLUMBtNG $ - � 1 �
��� ' � � � 7 � o /�.�
QMECHANICAl. $ VAl:UATION t3F MECHANICR�INS7ALtAT10
I �� �
�
� ���
OGAS Q ROOFlNG...;Q SPECIALTY�[� OTtiER
FINISHED FLOOR El,EVATIONS ��� FLOOD ZONE AREA �]YES. NO
BUI�DER ,��' �� ���OMPANY " � � 1l12
SIGNATURE � �'",�',..E/ �� REGISTERED Y/ N FEE CURREA N.
Addres� L.laense# I � �
5�EC7RtC1AN COMPANY �
SIGNATURE �' REGISTERED Y/ N FEE CUltREA Y/N
Addres� , -.Cicense.# �— ��
P�UMBER CCIMP.ANY° , '
SIGNATURE REGISTERED r ,X/. N' :, FEE,CURRE� Y/N
Address License# � ,� —�
MECNANtCAI:. , ,.Ct1MPAMY
SIGNATURE � REGISTERED ° .Y.;/- N ,FEE CURREA , Y/�N•
Address . . t . . � License# � � �
OTHER � - COMPANY � ,
SIGN/1YURE REGISTERED 'Y% N:: � F.EE CURRE� ;, YI_Nt ..
Addre�s °`�� . , , ,- _ , "Gcense# � �
RESti}ENTIAL:: �'�Attach.{2},Ptot:P..lans;(2}�sefs_of=Bulldtng�'f?i�ans;(1}setof�Energy'Famis;:R-O=VtiI:,Perrt%itfor,n`euv„ciins#ruction, , ��
,. .. ,-. , .„.,..� ,
, . Mlnlmum�,ten�(10);wo:rking;d"ays;aftei;sutiinittal:d"ate:±:Requlred onslte,�ConstrucBbn°Plans;Stortnwater�Plans w/Sllt Fence installed,
���Sanitary FaGltUes;&�1$dumpste,r;f-SIte.WorkhPermlt.for:"subdlvlslonsAarge proJecks�,:='�~'��;�'.:.:'� ' '
_ __ COMMERCIAI. Attach(3)'coinpleta�sefs'of Building P!"a�s.ptus a Life Safety Page;{1j set of Energy Farms.R-O-W Permit for new canstructton. ----
Minfmum ten(10)worktng days'after submlttal dake. Required onsite,ConsUucUan Plans,Stormwater Plans w/Silt Fence Installed,
SaNtary Facllitles!i 1 dumpstar.Site Work Permlt for al!'new'prcJeots.-All commeicial requleements must meet campltance
SIGN PERMIT AttacFi{2}'sefs of'Engliieei;ed�Plans,Y�;.;,,rc��;. ..... .,. .. - ,
•`""PROPERTY SURVEY reguired,for all IVEW constructlon..
Dlrecttons: .. ._...:'x�.. , � .
Ffll out applicatlon wmpletely.
Qwner&Contrackor slgn back-of app4ica�an,notarizec4
If vver a2500,a Notice af Cbmmencement is required. (NG upgrades over S750d)
.. --�.=;�r u;;-".•> . ._
Agent(for the contractor)`ar:Powe�ofAttomey(fiS��tFie�dwner)would be�someone with natarized letter from owner suthodzing same
'OY,ERTHE Ct�UR1T6R,PERM1'fTING._.�.. (�mnt-of-ApPlication Onty} ' .
Reroofa If shingles Sewers Servica Upgrades A/G Fences(PlodSurvey/Footage)
Drlveways-hlot aver Counter ii an pubflc roadways.:neeils i20W
�.
; a� Florida Building Code Online ' Page 1 of 2
1.
r
� . • "=} �.�r�n�, '�_" - -"'+A�- -.--'--�-,.�-.�^,.„-,-�_.,—� -`...�Q."�_',a,,,� _.
�." �.�..T q , ` �%�.:,�r�., ``_�; �`;._,,.�o - _ .�
�� D ��i'���.7 O yF-�' ts- --cp � �5 � ���/ _'��r I � �.-.�_
' �rl `°°¢�iF i�4.3°���",.tF_�6lF � a b �.-.- �:,.�.-_.�'�.:�,._iV,'• _:�+ i'
�.�,�,t;..:�. _ ' ' - -- -��-`� -<� ���.: -P�:
Florida Cep�rtment� BCtS Home i Log In : User Flegistration Hot Topics ; Submit Surcharge : Stats&Facts � Publtcations FBC Staff { BCIS SI[e Map i Ltnks � Search ;
Busines�) ,.s'�'n
Professib��l �E't�� ProductApproval
��_ �USER:Public User
Regulation
�� Product Aooroval Menu>Product or Aoolication Search>Aoolication Lis[>Appllotlon DeWil
�l,�.,ac�da�z j;"� FL# R12772-R3
_�.��a-•a ,m...%.;.:
Application Type Revision
Code Verslon 2014
Application Status Approved
Comments
Archived �
Product Manufacturer Mule-Hide Products Co.,Inc.
Address/Phone/Email 1195 Prince Hall Dr
se�oit,WI 53511-5481 ALL WORK SHALL COlb1PLY WITH ALL
(608)365-3111 Ext 809 p�VAILING CODES,FLORIDA BUILDING
lindareith@trinityerd.com
CODE,NATIONAL ELECTRIC CODE AND
Authorized Signature Timothy McFarland CITY OF ZEPHYRHILLS ORDINANCES
lindareith@trinityerd.com
Technical Representative Tim McFarland
Address/Phone/Email 1195 Prince Hall Dr
Suite A
Beloit,WI 535115481 �� ���� ��'
(608)365-3111 ,����_
tim.mcfarland@mulehide.com
c��Q������iL��
Quality Assurance Representative �� ��� ��
Address/Phone/Email ������ c
I Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
�1 Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report , �
Florida License PE-59166 '
Quality Assurance Entity UL LLC
Quality Assurence Contrect Expiretion Date 06/OS/2017
Validated By ]ohn W.Knezevich,PE
' r� Validation Checklist-Hardcopy Received
Certificate of Independence FL12772 R3 COI 2015 OS COI Nieminen.odf
Referenced Standard and Year(of Standard) SWndard Year
ASTM D6878 2008
� FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of Product Standards
Certified By
Sections from the Code -
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsmFBcODh9XI... 4/20/2016
� Florida Building Code Online Page 2 of 2
�
Product Approval Method Method 1 Option D
Date Submitted 03/20/2015
Date Validated 03/27/2015
Date Pending FBC Approval 03/31/2015
� Date Approved 06/22/2015
Summary of Products
FL# Model,Number or Name Description .
12772.1 Mule-Hide TPO-c Single Ply Roof Thermoplastic polyolefin single ply roof systems
Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL12772 R3 II 2015 03 FINAL A1 ER MULE-
Approved for use outside HVHZ:Yes HIDE TPO-c FLi2772-R3.odf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:+N/A/-495 Created by Independent Third Party:Yes
Other: 1.)The DP noted in this application pertains to one Evaluation Reports
particular assembly.Refer to the ER appendix for all FL12772 R3 AE 2015 03 FINAL ER MULE-HIDE-
assemblies and DP's.2.)Refer to ER section 5 for Limits of TPO-c FL12772-R3.odf
Use. , Created by Independent Third Party:Yes
Back Next
Contact Us::1940 North Monroe Street.Tallahassee Fl 32399 Phone:850-487-1824
� The State of Flodda(s an AA/EEO employec Coovriaht 2007-2013 State of Florida..:Privacv Statement::Accessibilitv Statement::Refund Statement
i Under Florida law,email addresses are public records.]f you do not want your e-mail address released in response to a public-records request,do not send
, etectronic mail[o this entity.Instead,contact the office by phone or by traditional mail.If you have any quesUons,please wntact 850.487.1395.'Pursuant to
, Sedion 455.275(1),Florida Statutes,effective ORober 1,2012,Iicensees Iicensed under Chapter 455,F.S.must provide the Department with an email address if
they have one.The emails provided may be used for official communiotfon with the licensee.However email addresses are public record.If you do not wish to
supply a personal address,please provide the Departrnent with an email address which can be made avaflable tn the pubiic.To determine if you are a licensee under
Chapter 455,F.S.,please didc here.
, Product Approval Axepts:
. � � eChsF' �
securitt'�tcnctci
I �
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsmFBcODh9XI... 4/20/2016
_ �. 11 � `� � -�� �.�
. . . � � � _
t �,/� ; � a�,� �
I • ' � � aTA1'ii �
CMlR/�T♦IF�IR}D � c r
t\\tL t�TL� �L(`_",
�.� �1.� / � �� �'.� � {, . �
(y �. ,�� , �,�,a�`�5
l� �...�.�. �� - , - ` .�a� PRtJP {aSAL '
ESXIMATES�
�CM.i.MIKE THURSTON
Offi+�e: 352-437-4{173 Cell: 352-fi50-?10'E Page t�a. of Pages
TO: PHQNE: DATE• -
y�1��`�� ��� c�� ���`d� i����'- �.���" � �� z '� ��-� ,
JOB NAME/LOCATIQN ��'
�� � {��� ' � ' y-'T( ��''' DEPARTMENT: OFFICE: FLOOR:
✓
� JOB NUMBER JOB PHONE:
We hereby submit speci�cations and estima#es for: ��
�1; � � � ���,r'''i'� �, / 1���-�'� , ,` y�� ,
L�c,% 1' /�
� ' � ��' -� � ��.��f,�� - —;��� �:� ���-���`�:
����r�� �. � �� � - � �- ,�
� �;;
� s
� j'! . �2 ����' � `'�i�y /,�,�'�'�''�" �'v'�!� 2� ` .frc .1a� ��
•f � yJ
� � � �
, cS% . Q',�� �z� �`� � �'�� ��t� ��
�z�� .���' �/� _
, .� � ���� � � �� � � � � � � � �
�����- � �� � � /�
�
, . .� ��� �� -
. �,. , �� ��-
G� �� �;� .
�
. --
� ��
� . ����� ����}�
We Prapas+�ta fu�ish ma#e�ai and labar-complete and in ac�rdance with#he abave specifications,for ttre sum a�: _'�I
Dollars:$ '� �� Cac�
Payment ia be made ss foilows:
AII materiai 3a puaranteec!ta be se spacit�ed,A9 woric to be campSeted in a pra(eesiama�manner
accordinq to shutdard praaticea. My atteratkin or deviation irom the ebave specKicqtbne whkh
involve extra costs will be made anly unpon receipt of an author¢ed,written chsnge oMar and will de
shoum on subsequerst irnoicea as am�mts over abave the arigir�i estimats.If is ucsderalaod thet we A���d���
wili rtot be perulized.for delaya causeG by atrikes,ecadenLs ar ofher detays ceusad by aets oi Gacl.
Our warkers are covered by Wafcer's Canpenaetion insurence.4wner agreea w hurrish all odier Signature
apPropriate and necessay Inaurance r,overages,
Note: This proposal may be withdrawn by us if not accepted within
ACCEPTANCE E?F PROPOSA�- The above prices,spec�catiansand conditions are satisfacfory and are accepted.You are autharized to
do the work as spec'�fied. Payment wi(I be m as outiined abave.
Signature
�`�
Signature + � � � ��---�"""� Date of Acceptance:
TLC Roofing & Construction, Inc.
28830 Midnight Sta� Loop
Wesley Chapel, FL 33543
Pasco County Building Department
7508 Little Road � �
New Port Richey, FL 34654
To VVhom It May Concern:
This letter is being provided to document my authorization for Judy
Irene Thurston or Travis Michael Thurston to request and obtain any
required permits on behalf of TLC Roofing&Construction, Inc.,which is
a qualified roofing contractor under my certified roofing contractor's
license (License # CCC1330893)
If you have any questions, or need additional information, please
contact me at (352)-467-200.1.
Sincerely,
� Bradley B. Miller �
TLC Roofing& Construction, Inc.
The foregoing instrument was ackr:ow(edged before me this I ,day of �P�� f , zo►l�
by grar!i pA a m� �J�.r ,who is psrsonally knawn to me or has
�llC@d FL D'L fn 4(�o� �Z{,3 3U 3 y as idantific�tion and who did taka an oath.
��.•�""P�•,, ELIZABETH 0.PAFIAS
�� ��� ,'a°,v u;`�; Notary Publtc-State of Florida
� : ;•; Commisslon�FF 215253
=j�o"��,?;� My Comm.Expires Mar 30,2019
Bonded through National Nata�y Assa
o '
� '�h��a-"'c����,
�'
;n�',,..�.;e<'' - _
_ i
_ {.
{-, ' :
City of Zephyrhills
BUILDING PLAN REVIEW CORrIlVIENTS
Contractor/Homeowner: �- l.�
Date Received: /' ��jp
Site: �..�C��,�.� /��v�, ���'�.
Fermit Type: ��A J J�2 v- T�.'��� ~
Approved w/no comments. Approved w/the below comments: ❑ Denied w/the belaw comxnents: ❑
�
,,.
. ,
This camment sheet shall be kept with the permit andlor plans.
f` '" ��� �c,�
Ka in -Flans Examiner Date Contractor andlor Hameowner
� : (Required when comments are present)
�
I IIIIII IIII�IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII .�`!
� , ; 2016057184 =
Key No. Permit No. Rcpt:1763124 Rec: 10.00 �/
DS: 0.00 IT: 0.00
04/14/2016 E. M. , Dpty Clerk
NOTICE�F COMMENCEMENT
PRULR S 0'NEIL�Ph D.PASCO CLERK 8 COMPTROLLER
THE UNDERSIGNED hereby gives notice that improvement will be �j4/14/201 09:4 am 1 of_1_
Made to certain,and in accordance vuith Chapter 713,Florida State OR BK �35� P� ,76�T
Statues,the following information is provided in this Notioe of
Commencement:
1. Description of Property: Parcel No.: �2^26—Z/�OdB�-aoiao—DOi p 3�'y�s Noyt-h .Au� ��`t�-���lS
{Legal description�ofthe property and street address if available) FL �335}�z
2. General Description of Improvement: �
/�Fa a h'! - a 6 l�6o m �'ix � s vr if TP Gd ' e �Cc��e,e
3. Owner Info�rriation: Na e: o `s S�R.� PR� ka /NC.
Address:v��4�� �dr� A'Ir� _City s State�Zip 335 Z
Interest in Property:
Name and Address of Fee Simple.Titleholder(If other than owner) :
�4. Contractor: Name: TLC ROOFING LLC
Address: PO BOX 1745 City DADE�CITY State FL Zip 33526
. Phone No. 352-473-4073 Fax No. 352-473-4073
5. Surety_ Name Amount of Bond:$
Address: City State_Zip
Phone No. Fax No.
, 6. Lender: Name: cn J' �9� a�K-
Address: q a/! �3 ua City r/s State�Zip 3�v Z.
Phone No. ��3� 3— 8!2 Z Fax No:
7. Persons within the State of Florida designated by Owner upon whom notices or other documerits may be
' served as pro�ided by Se�tion 713.13(1)(a)(7) Florida Statutes. �
, Name:
Address: City State�Zip
Phone No. � Fax No.
8. In addition to himself or herself, Owner designates of
To receive a copy of the Leinors Notice as provided in Seetion 713.13(1)(b), Florida Statutes.
9. Expiration date of Notice of Commencement(the:expiration date is 1 year of cecording unless a diffierent
date is specified.)
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER'AFTER THE EXP1RA710N OF THE NUTICE OF COMMENCEMENT ARE
CONSIDERED IMPRQPER PAYMENTS UNDER CHAPTER 713,PART 1,SEC 713.13,FLORIDA STATUTES,AND CAN RESULT iN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMAAENCEMENT MUST BE RECORDED AND P05TED ON THE
JOB SITE BEFORE THE FlRST IWSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUFt LEHDER OI2 AN ATTORNEY
BEFO 1NMENCI�ORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. _
X ��i ���'� l l��'.n//
Signa re of wner:or Owner's Authorized OfficedDirectorlPartnerMlanager Signator�s TiGelOffice
"•Si nature Requfred by same below by'X^mark"'
State of ��r-����- County of � �-o
The forgoing instrument was acknowtedged before me this�day of 20,�by w 1.�.• �" � ,
Printed narne of person acknowfedging)
as fi°�
(fype of authority e.g_,office tee a omey in Tac�) e of party on behalf f o Inst nt was executed} .
�s,�.L a-no--�
Signature of Notary Pnnt ype or Stamp IVame of Notary
Personally known�OR Produced Identification
Type of Identifica6 n Produced: .
� RENDA U ANAt�
Verrficatton pursuant to.SecHon 92625,Fbflda Statutas:uniler Penaltles of pe r�;a���elarq thatI�iav �a�d�e�or�pin�a d that the facts
statad ln It ace true to tha hest of my knowledge and belfef. „ __.�� � - Natdfy�u IC- tate o On —
_ .—��.Y.— ---_----. - '••+-, =My.Comm.-Expices-Jan 31,2017_ _. -- - � —
—' -'�� �- � ' � � � =;'� ��'o;� Gommission#EE 866092
°'e�";����P�, .Bonded Through Nalional Natary Assn.