HomeMy WebLinkAbout16-16995 I CITY OF ZEPHYRHILLS � -•�'"��
5335-8TH STREET
i ` (si3)7so-oo20 6995
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16995 Address: 5733 9TH STREET
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-03400-0100
Improv. Cost: 4,500.00 OWNER INFORMATION
Date Issued: 2/03/2016 Name: SINGH LEONARD J
Total Fees: 90.00 Address: 5733 9TH ST
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-3764
Date Paid: 2/03/2016 Phone: 813-862-6263
Work Desc: REROOF RUBBER
CONTRACTOR S � APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 90.00
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- Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS O�NS
FINAL f
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 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.
OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR.INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Pr�������1 -> � Product Approval
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�;,'�}ql!F,�,9�,'.(¢,�rfl� Product Aoorova!Menu>Produtt or Aooli[atton earch>Aoolication Lis[>Applicatlon DeWfl
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'y`` � ``' � �# FL12772-R3
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�� ¢ Application Type 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 53511-5481 -
, (608)365-3111 Ext 809
linda relth @trin ityerd.com
� Authorized Signature Timothy McFarland �D��QpT
lindareith@trinityerd.com ��� �9I `�L S'�
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Technical Representative Tim McFarland �1'Ty�NA��o��s��IPIy�
Address/Phone/Email 1195 Prince Hall Dr
Suite A Z�pl�y L�I�C D��, D9 I�t�>`9LL
Beloit,WI535115481 �IlL Tf�l�' 8vll
(608)365-3111 S'pj�����9��C�t-
tim.mcfarlandQmulehide.com Ne �
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Quality Assurance Representative �
Address/Phone/Email ��1^�,�Cb�i �
.�s� `���,��.�
Category Roofing �J� ,� �'�L'�°' ,� •
Subcategory Single Ply Roof Systems ��,,�,��i,�r �/i� �
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Compliance Method Evaluation Report from a Florida Registere��chite��a Lice 8
Florida Professional 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 Assurance Contract Expiration Date 06/05/2016
Validated By )ohn W. Knezevich,PE_
� Validation Checklist-Hardcopy Received
Certificate of Independence FL32772 R3 COI 2015 O1 COI Nieminen odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2008
FM 4470 1992
FM 4474 2004
TAS 114 2011 I
Equivalence of Product Standards �
Certified By { j
L.�
Sections from the Code
httnS://www_flnridahi�ilding_�r�/nr/nr ann dtl_��nx.7naram=wC'TF.VXnwtnasmFRcO1�h9X___ 7/1�/2�15
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Product Approval Method Method 1 Option D
Date Submitted 03/20/2015
Date Validated 03/27/2015
i Date Pending FBC Approval 03/31/2015 �i
Date Approved 06/22/2015 ��
Summary of Products
FL# Model,Number or Name Description
1Z772.1 Mule-Hide TPO-c Single Ply Roof Thermoplastic polyolefin single ply roof systems
Systems
Limits of Use Instaliation Instructions
Approved for use in HVHZ:No FL12772 R3 II 2015 03 FINAL A1 ER MULE-
Approved for use outside HVH2:Yes HIDE TPO-c FL12772-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 F]NAL ER MULE-HIDE-
assemblies and DP's.2.)Refer to ER section 5 for Limits of TPO-c FL12772-R3.�df
Use. Created by Independent Third Party:Yes
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Con[ac[Us::1940 North Monroe Street,Taliahassee FL 32399 Phone:850-487-1824
The State of Florida is an Aq/EEO employer.Goovriaht 2007-2013 State of Florida.::Pr(vacv Sla[ement::Accessfbitiri Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your rmail address released tn response to a public-records request,do not send
electronic mail ta thfs entiry.Instead,contact the o�ce by phone or by traditional mali.If you have any questfons,please contad 850.487.1395.•Pursuant to
SecYion 455.275(1),Florida Statutes,etfective Odaber 1,2012,Iicensees licensed under Chapter 455,F.S.mus[provide the Department with an email address if
they have one.The emalls provided may be used for official rnmmunlmtion with the licensee.However email addresses are public remrd.If you do not wish to J�'�
supply a personal address,please prov(de the Department with an emall addrnss whfdi can be made avallable to the Dubifc.To detertnine if you are a Iicensee under r �
Chapter 455,F.S.,please ctick here. • \
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Vroduct Approval Accepts:
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201601088E
Permit No. Parcel iD No II��n ,? I U C�I�1^A��d O��C�
NOTICE OF COMMENCEMENT
State of p�''I Cl CL County of 'P�.�/��
THE UNDERSIGNED hereby glves notice that improvement wlll be made to certain real property,and in accordance wflh Chapter 713,Floride Statutes,
the following Information Is provided In this Not�ce of CommencemenL
t. Oeaorlptlon ot Property: Percel IdenHflcation No.I�o�(O �/ Od/O 0.3yQ O ���d
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Street Addrese: � ..„ r
2. General Deacription of Improvement . D
3. Ovmer Infortnallon ar Lassee Infortnation Nthe Lessee contracted fortha Improvement:
L�4nmr� Si�41j
�73� ��e"'�-�' �{L I I S �
Addresa ' City , J. State
Interest In Propetty:�.�� f u�IO� �'o O� �v.2� -P X�5tt n g �5��
Name of Fee Slmple TlUeholder.
(If diflerent hom Owner tisted ebove)
Addreas /�i�I p��/ � Clty Stete
4. ConVador. !1 ('Vi .r 17 I,Q,
� .3�ya�"�B�/-�v.�. �Z.enl��r�i�1)s �
Address Clty State
Contradora Telephone No.: ��� ��� - �_S�� 33 s�Z
5. Surery:
Neme
Address City StatO
Amountof Bond: S Telephone No,:
8. Lender.
Name � � � �
.p
� Address City State ���g • �` ���
Landera Telaphone No.: � ��,,.' �`, �� ��
�4 4 r o
7. Persons wfthln the Stete of Florida designated by the ownar upon whom notices or other documeMs may be served es provided by� ' s r �' � �
Sectlon 713.13(1)(a)(�,Floride Shatutes: • • P � o �
t
Name � ��Y � �
��' � •.�
Address Clty State �e
Telephone Number af Designated Person: � g�}
� - o
8. In addition to himseH,the owner deal0nates of_ ��� � • � '
to receive a copy of the Lienors Notice as provided in Sectlon 713.13(1)(b),Florfda Statutes. -
Telephone Number of Peieon or Entlty Designated by Owner:
W Y
9. Expiration date of NoNee of Commencement(the expiratlon date mey not be before the crompletfon of wnstructlon and 8nal peyment to the �Z V � W
conVectar,but wlli be one year from the date of recording unlesa e diffarent date Is specifled): ����_�J U
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � Z � O �y�J
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART t, SECTION 713,13, FLORIDA STATUTES, AND CAN � — U Cn O �
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 70 YOUR PROPERTY. A NOTICE OF COMMENCEMEMT MUST 8E � � O— 'J N � � '
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IPITEND TO 08TAIN FINANCING,CONSULT �- U` p � (aj� I- w �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. @.L w � (/) � O 1
Under nel of e u I declare that I have read the fore ain notice of wmmencemeM and thet the feda etated therefn are hue to the best � � _ � �
of my kn�owletydpe and belief. 9 9 . � �- ~ � ¢ �
W • � U U
STATE OF FLORIDA -- � _ � � �'
COUNTY OF PASCO � ' �� "'" Q � a W p Y
R1CNA�C.� S' n ure of Owner or Les ee,or Ownere or saee's Authorized Q � �
� �'���5 O ceNDlrectar/PartnerlManegar ' V = V ' W
X.,L�D �V�cTi� � l N�9' �./ }
F-
srg etory's rttle/Oflice � LL U
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The foregoing insWment was ecknowledged betore me thls�l day ot�Qp�/�,20�by �QN�/>!'� .�� o � C 1.L Z Q Z ) �
es v � (typ o uthorHy,e.g.,ofticer,truatea,attorney In fad)for LL („) U � �d �
on ot whom tnstrumeM waa ezacuted). o OO z O �
Peraonally Known 0 O�Produced Identi0catio� Notary Slpneture W � Q J
rype oi IdenlHication Produced�� i�-Pyl�_ Neme(Print) � Q �' Q � � LL' -
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Rcpl:1742619 Rec: 10.00 � ~ ~ O� a `�
DS: e.00 IT: 0.00
01/22/20I6 E. M., Dply Clerk
PfiULR S 0'NEIL,Ph D PqSCO CLERK 8 COMPTROLLER
01/22/2016 02:08 m 1 of 1
wpdete/bcelnoticacommencemant,pcU53048 OR BK 931� P� 3321
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City of ZephyrYulls ,
BUILDTNG PLAN REVIEW'COMNIENTS
Contractor/Homeawner: � ' ���,,}��""
Date Received; --� Z .—
Site:s c��c�� ��._
Permit Type: o<����%� �f'
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Approved wlno comments: Approved w/the tielaw comments: ❑ Denied wlthe below comments: ❑
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I �� This comment sheet shall be kept with the permit and/ar plans.
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Kalvin S itze � s Examinex Date � Contractor and/or Homeowner
(Required when camments are pzesent}