HomeMy WebLinkAbout16-16996 CITY OF ZEPHYRHILLS
5335-8TH STREET �''� ,
. � (813pso-oo20 16996
BUILDING PERMIT
PERMIT INFORMATION ` LOCATION INFORMATION
Permit Number: 16996 Address: 4624 CHARTER ST
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: 14-26-21-0270-00000-0320
Improv. Cost: 4,200.00 OWNER INFORMATION
Date Issued: 2/03/2016 Name: SYKES MICHAEL C &SYKES SAMANTHA
Total Fees: 90.00 Address: 3535 RANGER PKWY
Amount Paid: 90.00 ZEPHYRHILLS FL 33541-8613
Date Paid: 2/03/2016 Phone: 813-788-4124
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 I SP
TAPE JOINTS ROOF INSP
FINAL �-C�I
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.
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ON CTOR 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: 1�'
Date Received: �— 2`S"�� II
Site:,: � � �d 2� ��u.-�F�•��� I
Permit Type: �� �k��
Approved w/no comments: Approved w/the�ielow comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit andlor plans. �
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Kal�'n 'tze — ans Examiner Date j Contractor and/or Homeowner
(Required when comments are present)
O'I/21/2CI16 12:16 #�6'7 P.Q01
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Pertnit No. Parcel ID No lya�n �� �0�. /� D��b 030�
NOTICE OF COMMENCEMENT
State of,�0���� County of �Q �� v
THE UNDERSIGNED hereby gives notice that impro�ement will be made to certain real property,and in aaordance with Chapter 713,Florida Statutes,
the following infortnetion is provided in lhis Notice of Commencement:
7. Descrlption of Property: Parcel IdenNflcation No./ �a� �a-7����� d��n
SlreetAddress:4I,�Q���G��"�'.r�` ��O-�Pir^'�f r`c ��S �/�C
2. GeneralDescriptionoflmprovement,�+��n� �(�3�- �� ,D/� '�xl � ) ✓lQ�
3. Owner Infortnation or Lessee infortnation if the Lessee contracted for the improvement:
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Address q/ �«1'�1 33s�/./
tnterest in Property: ������� d��� �'"6�Q `y
Name of Fee Simple Tflteholder:
(If different from Owner listed ebo've)
� Address �, � Clry State
Cantractor.
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Address e � C�g - City State II
Contractors Telephone No..� b oZ-SS�S ����
5. Surety:
Name
Address City State
Amount of Band: $ Telephone No..
6. Lender
Name I
Address City State
Lendefs Telaphona No..
7. Persons wRhin the State of Florida deslgnated by the owner upon whom notices or other documents may be served as provided by
Sectlon 773.13(1)(a)(7),Florida Statutes:
Name �G�O� .�� * �
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Address City State � �,�
Telephone Number of Dasignated Person: � y
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8. In addition to himselt,the owner designates oi_ � d � � �
to receive e eopy of the Lienors Notice as provided in Section 713,13(1)(b),Florida Stetutes. � ' � c�p
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Talephone Number of Parson or Entlty Designated by Owner: 7 ��
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9. Expiration date of Notice of Commencement(the expiratfon date may not be before the completton ot construction and ftnal payment to lhe � . �
contractor,bul will ba one year fram the date of recording unless a diHerent date is specified): �A' Q
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �� ' �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART t, SECTION 713.13, FLORIDA STATUTES, AND CAN �Q V* Y
RESULT IN YOUR PAYING TNICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
WITH YOUR LEND R OR AN ATTOR EY B�EFORE C MMENC NG WORK ORI RECORDI�G'YOURD O�T CE O COMM N10EMENTSULT (� �'�� _ w W
vz � or �� �
Under penalty of perjury,I declare that I have read the foregoing nof e of commencement and that the tacts stated therein are true to the best � O U � � O F-}-
of my knowledge and belief. � U' �T_ Q � �
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STATE OF FLORIDA �o""'@h Q � w Z � p
COUNTY OF PASCO � RICHARD C.BARTLE7T �� -� Q
AfY COAAttSstoN MFFo�Zo98 i nature of Ow ror o ner s or Lessee's Authorized �" LL p Q
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The foregoing insWment was acknowledged before me this y�day of,1Q���,20[�by Q��J¢
es d (type auth ' , .g fficar,t ee,attomey in fact)for � �L U [Y1 0 � U '
(nema of a on be o in ment executed). � � �a Z O J
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Personally Known�,O�Produced IdentKcatfon 67/ Notary Signature !i, V � O � p Z
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Type of Identification Praduced ��,J���-p Name(Print) ^ �- � O 0
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Rept:1741056 Ree: 10.00 F- — w J w
DS: 0.00 IT: 0.00 � �� �- �
01/15/2016 E. M., Dpty Clerk � ��� +��— Q }
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PRULR 5 0'NElL�Ph.D Pii5C0 CLERK B COMPTROLLER
01/15/20193 1�m 1 of 1
wpdeta/bcs/noticecommencement�c053048 OR BK P� 1753
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�.� Product Aonroval Menu>Product or Aoulicatlon Search>Aovlication List>Applintion Detail
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�:��-'�,"',-F�s,:�;u;,;��'�:�f FL# FL12772-R3
�a:�':�:=�:�`+�':�",�'�',�'�_ A lication T e
PP YP Revision
, Code Version 2014
Application Status Approved
� Comments
Archived ❑
Product Manufacturer Mule-Hide Products Co.,Inc,
Address/Phone/Email 1195 Prince Hall Dr
Beloit,WI 53511-5481
(608)365-3111 Ext 809 ALL WORK SH
lindareith@trinityerd.com p `�L.1.C'Q
Authorized Signature Timotn F C�E A�OC'OD$S,F p�DA�xH�LL
Iindare h@tnnityerd.com �jTYOFZ�pH R�1�O�C BUILDING
OD�,qND
Technical Representative Tim McFarland ���N�ES
Address/Phone/Email 1195 Prince Hall Dr
Suite A
Beloit,WI 535115481
(608)365-3111 �
tim.mcfarland@mulehide.co��`V�Cy�� �
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Quality Assurance RepresentaYive pI /`'1�
Address/Phone/Email � J�j���a ������
Category Roofin ,V I 1���
9 `�`1~`�.,
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
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 Endty UL LLC
Quality Assurance Contract Expiration Date 06/05/2016
Validated By ]ohn W. Knezevich,PE
� Validation Checklist-Hardcopy Received
Certificate of Independence FLi2772 R3 COI 2015 01 GOI Niemfnen odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2008
FM 4470 1992
FM 4474 2004
TAS 114 Z011
Equivalence of Product Standards
CertiFied By � }
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Sections from the Code
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Praduct Approvat Methad Method 1 Option D
Rate Submitted 03120J2415
Date Validated 03/27/2015
Date Pending FBC Approval 03J31J2015
Date Approved 06/22/2015
SummOry of Products
FL# Model,Number or Name Description
12772.1 ' Mute-Nide TPO-c Singie?!y Roof 7hermoplasGc polyotefin sfngie pIy roof systems
Systems
timits af Use i»statlation Instructions
Approved for use in HVHZ:No ,�t,12772 R3 II 2015 03 ,FINAL Ai ER MULE-
� Appraved for use outside HVHZ:Yes HIDE TP -c FL12772-R3.ndf
Impact Reslstani:N/A Verified By:Robert Niemineo PE-59i65
Design Pressare:+NJAJ-495 Created by Independent Third Party:Yes
Other:i.)The DP noked in this application pertains to one Evaluation Reparts
particular assembly.Refer to the ER appendix for all F112772 R3 AE 2015 03 FINAL ER MULE-HIDE-
assemb(!es and DP's.2.)Refer to EFt section 5 for Limlts of TPO-c FC12772-R�dP
Use. Created by Independent Third Party: Yes
Back Nezt
CQntact Us::1940 North Monroe Street.Talle(�,assee FL 32399 Phone:850.49z-1824
The State of Florida fs an AqtEEO emptoyer Son�[rlaht 2U07-2023 State of Rorida,::Privacv Sfatemen,�::p�ss4bitiN Statement::g�{qr�d Statement
Under Florida Iew,emaii addresses are pubiic remrds.If you do not want yaur e-mail address refeased In response to a public-records request,do not send
electron(c mail to th(s entity.Instead,contact the o�ce by phone or by tradiGonal mall,lf yau have any quesUons,please conGact 850.487.1395.�Pursuant to
SecUon R55.275{I),Flarida Statutes,effedive Oc[ober 1,2012,licensees ltcereed under ChaA�r 455,F.S.must pmvide the Department wtth an email address lP
they have o�e.7he emalts provided may be ased for ofiicial rninmuniotion wiEh tha tkensee.tiowever email addresses are pubtic record.If you do not w[sh ta /—'\
suppty a personat address,ptease D*e�ide the DeparYrneM with an email address which can be made availabie to the pubiic.To determine If you are a iicensee under l 1
Chapter 455,F.S.,please cllck here. ��
➢roduct Approval Aocepts:
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