HomeMy WebLinkAbout16-16960 ' CITY OF ZEPHYRHILLS
__ 5335-8TH STREET 16960
' '� � (813)780-0020
, BUILDING PERMIT
. PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16960 " Address: 39707 QUARTZ DR
Permit Type: RE-ROOF " ZEPHYRHILLS, FL.
Class of Work: ROOF R�EPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE
Est. Value: Parcel Number: 24-26-21-0060-00000-1750
Improv. Cost: 2,490.00 OWNER INFORMATION
Date Issued: 1/29/2016 . Name: GRAHAM JAMES L & SANDRA E
Total Fees: 50.00 . Address: 6795 SHILOH RD
Amount Paid: 50.00 GOSHEN OH 45122-9585
Date Paid: ,1/29/2016 Phone: (513)515-3587
Work Desc: REROOF RUBBER
CONTRACTOR S - - APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 50.00
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Ins ections Re uired �
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL �-2� �
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 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 Plan , Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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NT TOR 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 Zephyrliills
BUILDING PLAN REVIEW'COMI��NTS
Contractor/Homeowner:
�Ar'`E-�� �_." r
Date Received: ���� "��
Site:� � 3 � 7� 7 �C�L � 2
Permit Type: y:J:.r d 6!1 ��
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Approved w/no comments. Approved w/the�ielow comments: ❑ Denied w/the below comments: ❑
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Tlus comment sheet s a p p
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Kal in Switzer s Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent .
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Date Recelved ' Phone Contact for Permittln
�
Owrner's Name � lr !�l'1 Owner Phone Number ��- �( tS� �
Owner's Address - b� ��✓I�� '"✓� Owner-Phone Number
Fee Sfmple Titleholder Name Owner Phone Number -
Fee Simple Titleholder Address a
JOBADDRESS � �70 �� C�J� LOT# �
SUBDIVISION PARCEL ID# � �-� - Q�(OD-���,( 7�
(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 Q BLOCK ' Q FRAME [� STEEL Q
DESCRIPTION OF WORK �� �''
BUILDING SIZE � SQ FOOTAGE HEIGHT ,
QBUILDING $ � � VALUATION'OF�TOTAL CONSTRGCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � °���� C PANY -' -�, •, . � ;�'f_
SIGNATURE � REGISTERED Y/ N FEE CURRE� ,Y/N .
Addresa Lfcense#
ELECTRICIAN COMPANY
SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMP,ANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGIS7ERED Y;/ N Fee Cu�te� � Y/N
Address ' License# I
OTHER � COMPANY .
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N-. .
Address �+• - License#
RESIDENTIAC Attach(2)_Piot Plans;.(2)sets•of_Building Plans;(1)set of Energy=Fortns;R-0=W Perm�it for'new.construction,
Minimum ten.(10)working days.after.submittal date.•Required onsite;Construction Plans;Stormwater�Plans w/Silt Fence installed,
Sanitary Facilities&�,1-,dumpster,Site Work=Rermit for subdivisionsAarge projects � `-`�� '
COMMERCIAL Attach(3)complete sets of Buildin"g�Plaris plus a L'ife Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction.
Min(mum ten(10)working days'after submlttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Permit for all,new proJeots:All commercial requlrements must meet compilance
SIGN PERMIT Attacfi'(2)"sets of Engtneered;P.lans:.. -; � �
""PROPERTY SURVEY reguired for.all NEW construction.
Dlrectlons:
Ffli out applicatlon completely.
Owner 8 Contractor sign back of appltcation,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
" Agent(for tFie contractor)or Power of Pittomey(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if an public roadways..needs ROW
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NOTICE OF DEED.RESTRICTIONS: The undersigned under�tands:th�t.thls.pQrmlf.may_:be_sub)ect to°deed"restrlctions"
which may,tie.°more�:restctctive-th�n Gounty'��egulatlons. �The�u�dersigned assumes re"sporisibtitty for compliance witli�any
applicable`deed restrictions. _ � _
UNLICENSED CONTRACTORS .AND -CONTRACTOR RESPONSIBILITIES:- -If the owner has -hired�a contractor or
contractors to undertake work, they may.be cequired.#o;be.l(censed In accordance.with state.and•local regulatlons:�if�the
contractor_is:not Ifcensed as requlred�by law, both'the owner and-cont�actur�may be��cited�for�a-misdemeanor violation
under state law. If the owner or Intended�contractor:are.,uncertaln as to what Iicensing;requirements�may=apply«�orrthe �
: . - =
intended work, they are advtsed to contact tFie Pasco County Building inspeation Divl§ion—Ltcensfng Section at 727-847-
8009. Funhermore, ff the owner has �Mred a cont�actor o� contractors. �he (s advised'to have the contractor(s), sign
portions of the "contractor Block" of this,applicatlon for_whlch they will.be respo�sible...If you, as.-.the owner"slgn as the
coM�actor, that may be�an indication that he is�not.properly licensed and'is r�ot entitled to perm[tting privileges tn Pasco
County. � _ . •
TRANSPORTATION,IMPACTIUTILITIES=IMPAC`-T�ANb-RESOURCE RECOVERY FEES:-The undereigned understands
that Transportatfon Impact Fees and.Reco.urse Recove.ry.Fees may;apply�to�the construction of new buildings�..change�of
use in existing buildings,�or;expan'sion-of•,ezistin,g`6uildings, as specffied.in Pasco County Ordinance number 89-07 and
90-07, as amended..�.The undersigned also understands, that such fees��:as<may�be:due,:;w,lll:�be identified at the`time of�
permitting. It is further'understood that Transportation Impact Fees and Resource Recovery�Fees.must be patd prior to
receiving a "certificate of-occupancy" or flnal�power�release. :If-the project;does:not,involve.a.certificate of occupancy or
flnal power release; the#ees mu�t�be paid prior to permit issuance. Ft��thermore;ff Pasco,County�lNater/Sewer�lmpact �
fees are due, they.must be�paid prior to permit•Issuance-in accordance with.appltcabl�Pasco:County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� f.lorlda Statutes��s aen�nd�d): 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 Gu(de" prepared by tFie Florida Depa�tme�f of Agric.ulture and ConsumerAffairs. If the appltcant is someone
other than the�owner", I certify that I�have.obtained�a copy.of the above..rfes.crlbed docurt�ent�and:pcomise in,good faith to ,
deliver it to the'ownec"•�pdo�.�to�cornmencementc ' `
CONTRACTOR'S/OWNER'3 AFFIDAVIT: 1 ce�tify that ail the-Information in�thi.s application is accurate and that all work
will�be done in compliance with all applicable'laws regulating construction, zoning and land development. Applicatton is
hereby made to obtatn .a permit to do_work.and installatlon as Indlcafed: °I certffy 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 regulaking-
construction, County and City codes, zoning regulations, and land development regulations-in the�Jurisd(ction. �I also
certify that I u�derstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify.what.act(ons I must take to be,in:.corrlpllance. Such agen`cies include but��are.not Iimlted to:
- Depa�tment of Environmental>Protection-Cypress.Bayheads, Wetland Areas and Environmentaliy Sens(tPve
Lands,WatedWastewater Treatment.
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- Southwest Florida Water Management. i�istrlct-Wells, Cypress. Bayheads�, Wetland Areas, Altering
Watercourses. -
- Army Corps of Engineers-Seawails, Docks, Navtgable Waterways.
- Department of Health 8 Rehabilltative Seniices/Environmenfal Health Unit Wells, Wastewater Treatment,
Septtc Tanks. - � _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatton Authority-Runways. �
I understand that the following:restrictions appiy to the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly.permitted.
- If the fill materlai is to be used: in �Flood Zone "A", It. is understood that a drainage plan addressing a
"compensating volume" will be submitted at�ime of permitt(ng which (s prepared by a professional engineer
Itcensed by the-State-of Florlda:
- If ihe fill materlal .is to ,be used in Flood Zone °A" (n�connectlon�wlth:a permitted building using stem wall
� construction, I certify th.at fill�v�all:be used only.to.fill the area within the�stem�wali.
- If flll materlal is to be used In any area, I certify tfiat .use. of such�flll wiil not adverseiy affect adjacent
properties. If use of flll Is found to adversely.affect adJacent prdperties,.the owner may be cited for violating
the conditions of the'building:permit i§sued under the attacfied permit application, for.lots less than.one (1)
acre which are elevated°by�flll,a�t englneered drainage pian is required. .
If I am the AGENT FOR THE 01MNER, Itpromise In good faith to inform the owner of-the permitting conditions set forth in
this affidavit prfor to commencing construction. I understand that a�separate permlt may be requlred for electrical work,
plumbing, signs, wells, pools, air candttioning, .gats.�or other installattons not,spec�icatly included�in the�application. .A
permit issued shall be construed to be a'Itcense to proceed with tNe work and not as:.authortty to,violate,cancel, alter, or
set asfde any provisions of the technical codes; nor shall issuance�of a.permlt.prevent the Bulldirig Otficlal from thereafter
requiring a correction nf errors in.plans,-constructton or iriolatlons of any codes. Every permit Issued shall become invalid
II unless the work authorized.by such permitis-commenced�within six.months of permlt issuance, or if work authorized by
the permit is suspended or.abandoned for a:period of six(6)montF�s after the time the�work�is commenced. An extension
may be requested, In writing,.from the Building,Official for a perlod�not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extension. If work ceas+es,for ninety(90)cons.ecutive:day.s,..the Job�is considered aba�doned.
WARNING TO OWNER: YOUR.FAILURE.TO..RECORD A..NOTIGE OF�COMMENCEMEMT:MAY�RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS�TO YOUR PRAPERTY: IF�YO.U�INTEND�'TD�OBTAIN�-FINtA(�CING��CONSULT
WITH YOUR LENDER OR A�I ATTOR��1(�BEFARE�RECORDING�YOUR'NOTI�E`OE`�OMAl1ENC��Rlf��T��_— --- __-
FLORIDA JURA�(F.S.117.03)
OWNER OR AOENT CONTRACTOR
Subscrlbed and swom to(or a(Hrtned)before me this Subscrlbed'and'swom`to(or aifirmed)�before me thls
by �by
Who is/are personally known to me or has/have produced Who is/are personailyknown to me or has/have produced •
, as Identlflcatlon. as IdentlftcaUon. .
Notary Public . Notary Publlc
Commisslon No: Commisslon.No.
Name of Nolary typed,printed ar stamped Name of Notary typed,p�inted or stamped
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��;j����;�(3�`^�:% BQS Home ; Log In User'Registration Hot 7opla ; Submit Surcharge Stats&Facts Publications FBC Staff j'BCIS Site Map �, Links �,Search
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���F �y�:'M���'���`�' A lication T e
PP YP Revision
Code Version 2014
Application Status Approved
Comments
Archived p
Product Manufacturer Mule-Hide Products Co.,Inc.
Address/Phone/Email 1195 Prince Hall Dr
Beloit,WI 53511-5461 ALL W
(608)365-3111 Ext 809 jJ 0�5'
linda reith @trinityerd.com
VAIL�G H����MP
Authorized signature Timothy McFariand CI��F ATIpNA��s FLp�D�ITg�L
lindare(th@trin(tyerd.com
ZEpHYRFIlL S RDCCp�AND G
Technfcal Representative Tim McFarland itdA�J
Address/Phone/Email 1195 Prince Hall Dr CES
Suite A
Beloit,WI 535115481
(608)365-3111 °�C V/��y ��
tim.mcfarland@mulehide.c
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Quality Assurence Representative �
Address/Phone/Email ��tS������L'�� /�
v/�/�' `7 �[i
Categoty Roofing ���� ��
Subcategory Single Ply Roof Systems ��
Compliance Method Evaluatlon Report from a Florida Registered Architect or a Licensed
Florida Professfonal Engineer
0 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 Assu�ance Contract Expiration Date 06/05/2016
Validated By ]ohn W. Knezevfch,PE
� Validation Checklist-Hardcopy Received
Certificate of Independence FL12772 R3 COI 2015 01 COI Nieminen odf
Referenced Standard and Year(of Standard) Standard year
ASTM D6878 2008
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of Product Standards
Certified By � ;
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Sections from the Code
https://www.floridabuildin�.or�/nr/nr anp dtl.asnx?naram=wGEVXOwtDasmFRcOnh9X_.. ���ni�.n�s
� Flarida Building Code Online Page 2 of 2
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Froduct Approval Method Method 2 Option D '
Date Submitted 03J24J2015
Date Validated 03/27/2015
Date Pending F8C Approval 03/32J2015
Date Rpproved 06122I2015
Summary af Pradacts
FL# Model,Number or Name pescriptlon
12772.1 Mu(e-Hide TPO-c S]ngle PIy Roof Thermopiastic polyoiefin single pIy roof systems
Systems
Limits af Use Insta!lation Instructioos
Approved for use in HVHZ:No �L12772,�t3 II 2015 03 FINAL A1 ER MUtE-
Appraved for use outside HVH2:Yes HIDE TPQ-c FL12772-R3.pdf
Impact Resistant:N/A Verifled By: Robert Nieminen PE-S9166
Design Pressure:tNJAj-49S Created by Independent Third Party:Yes
Other: 1.}The DP noted in this appliCaYion pertalns to one Evaluation Reports
particular assembly.Refer to the ER appendix for all F'�12772 R3 AE 2015 03 FINAL ER MULE-HIDE-
assembifes and dP's.2.)Refer Yo ER sectian 5 for C3mits of TP4-c FL12772-R3.�df
Use. Created by independent Third Parly:Yes
8ack Nex
Contact Us::1440 North Monroe S(,reet.TallaheKee FL 32399 phone:B50-48J-S 824
The State af Flarida is an AA/EEO employer.�oovrinht 2007-2013 State af Florida.::Pdvacv Statement::A�ssibilitv Statement:;Refund Statement
Under Flarida Iaw,ernaR add�ses are pabfic records.If yau do not wa�t yaur e-mait address released in response W a pu611arecords request,do not send
electronic mail bo this entlty.Instead,tnntact the office by phone or by traditional mail.If you have any quesUons,please contart 850.487.1395.•Pursuant to
Section 455.275(1),Florida$Wtutrs,effedfve October 1,2012,licensees licensed under ChaD�r 455,F.S,must provide the Department wlth an ematl address if
they have one.The ematls proufded may be used for offidal coinmunication with the iicensee.However ema11 addressrs are puktic record.If you da nat wish to �
suppSy a personat addres,ptease provide the oepa�trnent w7th an emalt address whith can be made avaitable to tfi�e pubtic To determtne if you are a Iicensee under
Chapter 455,f.5.,piease dick�. �
Produd Approval Accepts:
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https://www.floridabuildin�.or�/t�r/nr at�n dtl.asnx?naram=wCxEVXOwtDasmFBcODh9X... 7/1 Ql201 S
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� .: �: ��c�tY�tt �.�Dfir�g �f �Ce�tr�r ,�'Yo�ib�, ���. � .
C/O Richard Bartlett �
38408 3rd Ave.
Zephyrhills, FL 33542 . � � ,
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companies in Central Florida PHONE
! Specializing in Mobile Home White,,Corntner�cial Rubber& Color Metal Roofing �813� 7H2-5585,
5�.�;bj('l;��i�:.�µ::twVe�'��`;i,
' RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737
LICENSED - INSURED - BONDED � (352), 523-1944
� • MEMBER OF THE CHAMBER OF COMMERCE Lic. #CCC 1325499
- � & BETTER BUS/NESS BUREAU •
Ser.ving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired more roofs(18,000)in the past 39 years, than the four local leading roofing companies combined.
We do not charge extra fees for credit card purchase:Mosf companies charge 3 to 5%. '
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Presiden�&�Owner�AJ-�a lett Roofing of Central FL, Inc.
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` Richard C.Bartlett I
THANK YOU !I
Your Business is.Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner. ,
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. �
Our workers are full covered b Workmen's Com ensation Insurance.Customer is liable for an char es incurred in collectin this bill. ,
Y Y P Y 9 9 �;
Rotten wood is an e�ra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per IineaF foot. / �� �� - I
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