HomeMy WebLinkAbout16-17028 CITY OF ZEPHYRHILLS
; � 5335-8TH STREET
(813)780-0020 17028
BUILDING PERMIT
PERMIT INFORIVIATION � . � LOCATION INFORMATION .
Permit Number: 17028 Address: 6833 SUNNIDALE DR
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: VALLEYDALE RO ASSOCIATION
Est. Value: Parcel Number: 03-26-21-0170-00000-1080
Improv. Cost: 5,350.00 OWNER INFORMATION
Date Issued: 2/10/2016 Name: LEWIS DURWOOD
Total Fees: 90.00 Address: 459 WISCASSET RD
Amount Paid: 90.00 BOOTHBAY ME 04537-4607
Date Paid: 2/10/2016 Phone: 207-633-3947
Work Desc: REROOF METAL
CONTRACTOR S � � APPLICATION FEES
COMFORT COVER SYSTEMS INC REROOF RESIDENTIAL 90.00
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Ins ections Re uired
DRY R OF IN P
TAPE JOINTS ROOF INS � .,
FINAL � J
REINSPEGTION 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
� 81&780-0020 City of Zephyrhills Permit Application Fa����-�eo-oo2�
R c Building Department
Dabe Received ','� ( 02 01 S, Phone Contact for Permitting 7 Z7 S!S _ '}(� �(
OwnePs Name �r��rvcA L�.r'�S Owner Phone Number a147��"��1�7
Owners Address �O�ia3 5 v v�v�;�v., �r Owner Phone Number �—
Fee Simple Tdleholder Name N � Owner Phone Number
Fee Simple Titleholder Address
r I
JOBADDRESS �$� S��r� c�-�e �r� LOT# ���i
9UBDMSION �4��e �1 m HP PARCELID� ��-a�'"Z(�ai�)0-6daa0^((280_
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT [� SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMIVI � OTHER oa
TYPE OF CONSTRUCTION Q BLOCK [� FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK �ec o�,c� (�Y1��o r��P �l o w.t w , 5'� ( p� �Y1 e�r�,�-�¢_.
BUILDING 31ZE a� K '¢����� SQ FOOTAGE 1��3 HEIGHT ��
Q BUILDING $ ��� � �o VALUATION OF TOTAL CONSTRUCTION
C] ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
Q PLUMBING $ 71� ✓ ��
� �u /��
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� r
��
Q CAS Q ROOFING Q SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES [�NO� �V
��
BUILDER COMPANY C-�'"'�`�Q�� �v��C � S�-s' ��
SIGNATURE REGISTERED / N FEE CURRENT /N
Address ��� �v r v�p� cS..f-. ��ea�c�e.r �33 7J� License# CeCOS�0 Q f
ELEC7RICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER COMPANY
SIGNATURE REOIS'fERED Y/ N FEE CURRENT 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/SiR Fence installed,
Sanitary Faalities&1 dumpster,Site Woric Pennit for subdivisionsAarge projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimurti"ten-(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence instalted,
Sanitary FaalRies&9 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans._ _
"""PROPERTY SURVEY requined for all NEW construction.
Directions:
Fill out application completely. .; , , ,, .
Oumer&Contractor sign badc of application,notarized ' "
If over;2500;�a`Notice of-Commencement is frequired. (A!C upgrades over 55000)
*' Agent(for tlie'contracfor)`o�Povirer of Att'omey(far the owner)would be someone with notarized letter from ovmer authorizing same
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OVER THE COUNTER PERMITTING��. (Fron�of qpplication Only)
Reroofsy Sewers'�� � Service Upgrades AIC Fences(PIoUSurvey/Footage)
Driveways�Not'ove��Coutite��if o�5-Petilic�Poadways..needs ROW
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I lllfil lllll[Cfll IIIII IIIII lllll lllll lllll llf[I IIIII lifl llll
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Permit Nu�rtber.
FoGo/f3arcelidentificationi�3umber. ��-��-�-1-�t?4-ctooaQ-lcsc�6 Rcpt:1744�E48 Rec: 20.00
DS: 0.@0 IT: 0.00
Preparedby;`�,,,,;�( G�'��c�t� 02/01/2016 L. K. . Dpty Clerk
Retum to: �-�'
�•��sc�-�,v�e�r SpS�",�.s� -_ _
i "2{t ��{^,����. PRULA S 0'NEIL,Ph D PRSGO GIERK & G4MPTR4LLEh
� C(�n..��e.c-� �'c-337s� ; 02pR1BK��w��1�m PG ��G
NOTlCE Of CC1NtMENGEMENT
State of Fioricla, Gounty af Q0.s�.c, - - - -- _ - -
The undersrgned hereby g'rves nati�e that improvr�ment wiil be made ta certain r�al property, and in aCcordance
wit�t Chaptet 713, Florida Statut�s, ttae fa��owing informatSon is provided in this Notice af Cammencernent.
1 Descriptbn of prope/ (Eec�al de�cription of Che prop`�'e�rty�, and st/r/e�et addressr i,`availabrle)
{n�5.�3 5.rvi.1 ctla� �r �^� CC��C ��� ��P�f d.�1 a ��7 f" .�P,�l2V r���S �L c�i�'�j4c�
2. Genesai description of improvemerrt
R�eroof �
3. Ov�rrter infartnattan or t�ssee infamsa#ion if fhs Lessae c�rrtractad far tfte im�rovefnent
Narrre 'ikr�,� ,1 C.� t'�
Ad dtess �b 33�,5��h;�-.P��t7_,,,� ;�.�A�.,,-l,�(Is�, -�[ ,335'��-
lr�i�tsst in Pr�p�ty t��.e.�' '
Name and actdress �f#ee simple tFtlehralder(�f d'rffet�r+t from Owner listed above)
Name N�
Address
4. Caniradrr
Nas�ne Rsb�cca J, Mays! Gomfart Cover Systems, Ir�c __ Te��phone Number 727-298-Ct955
Address 711 Tumer St, Cle,arwater, FL 33756
5. Sure#Y t��PPlicab{e, a capy of�e paymeni bond is attached) �
Name M1UA ' Te4ephone Numbet
qddress Amourtt of Bond �
6. l.ender �
Name N�A Telephone Number � I
A�Cf ress
T Persor�s within the State of�loricfa desigRated by C?wnar upon whom notices or other documer�ts may �
be sarved as provided try §T�3.13{1)(a)7, F}o►ida Statvtes.
►�l3me N1A Te�epnane htumb�r
Ad dress
8. lr�add�tiaft to hirnsetf or herseFf, Owrksr des4gr�afes tt�e foilowing to receive a copy of�he Llenors
Kot}ce as provided In §713.13{i)(b), Ftorida Statutes.
Name�A Telsphone Nurnk�
� Addr�Ss
9, Expiratian dabe of natice of commencemerrt (the e�iratian date may not be before fhe complekion of
constructiot�and fina!paymertt to t3�e contrac�or but wiii be 1 year fram the date of re�ording unless a
differertt date is specified) c�-1� � �7 '
WARi�1NCi TQ C1'tYPiEf�AttY PAYT�t�FTS 1VtfL0E BY TNE 04YFlER AFT'ER TN�EXPtRATiQN OF Tf-{E ti�OT10E OF COlA,[ENG�7r1ENT
q,RE Cpti;4lp�ti{}ApRpp'F�pqyil�NTS �,ITiDER G�T�R 713, PART I,SECT70N 7'13.13, FLGIRIDA STATUT�S, AND CAN
� RESLit.71N YDUR PAYlNG TYl10E FOF7 FMPRt7VEhiPM-5 TD YOUR Pt20PERTY.A NOTtCE OF CO#AJYIENCElr1EN7 4tUS7 BE
,. REt�RDED A?ID Pt1STED ON'fNE.St?B S1TE F.3�FORE T�iE�T It1SPECTiOH.IF YOU tN"FE3�0 TO OBTRlt��ittAldqNG,CONSUI.T
WiTH YOUR LENDER QFt AN AT70R1�I'�Y BEFORE GC�ENC�IVG WORK QR RECORDtNG YOUR NOTtCE O�G06tRiENt�tENT.
tlnder pettalty o€per�ur3r� I decE�rs that ( have tead the fiaregolrtg notic� of c�mmsnc�ment a�,d t�at ttte
farcts stated in it are true to the best af my knowi�dge and b�elief.
X� .�� .
Sigriahare ofQwc�sr or les.�ee,a Om�er's or Les.�.ee's Authonz�<1 OffcerlDiredaf?artrierfManager Sgratarys rrtle'0'`.ce
----r•y.,
The fore�gang irtstrvmertt was acknowledged bafor� me this 2� day af C�j � by ��A r�,a�,C�C� �- �����
mon, yea� r'�ame ot persor
�S for
�of e ;,e.g., , trustee. atio in!ad Name of party on behaif af wt�om irsstrumertt was exea�ed
o �-�'�t
Sigrr�r9 af IVQt�a'y PuWiC-Stata of Fkx'ida Print.type or stamp cornrrdssio�d riarrse of Notary Pub�c
'�'�'S�r'+�L�n
(]@�'SOt13U�f KfIC1WT1 `~ 0(� P aduceci ID �d'YP�i�, Notary Public State of F.lorida
T}1�8 0�I�? Pf�dUC�____�Z_�_� � . � : Edward Semeniuk
� ` My Commission EE 213208
�oF n.� Expires 08/p3/2016
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Florida Building Code Online „ Page 1 of 2
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,- ", _ BCIS Hame Log In User Registration HotTopia Submit Surcharge Sm�&Facts Publica[ions FBC Staft BCIS Site Map �l(nks Search
Businessi �� __ "
Professional ,j��u E�Pue;Approval
C�c,� ' �- ,�
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�_oc�c:a�o�c.a�� ,:>__ - ---' - -- .—_-_>Appli�tlon DeWil
" ' FL# FL2534-R8
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Application Type Revision .
Code Version 2014
Application Status Approved
Comments _
Archived
Product Manufacturer IB Roof Systems ,
Address/Phone/Email 8181 JetStar Drive ����'�
Suite 150 �''`Y�����+��� �.. ��
Irving,TX 75063 � � Y ����� �1�
(800)426-1626 Ext 227 � , �J <�
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phillip.david@ibroof.com ��� ��,, �'`"�/i j .e �`"�
��a'����.�. ,.�
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Authorized Signature Phillip David --��`�
phillip.david@ibroof.com - ,
Technical Representative Phillip David
Address/Phone/Email 2877 Chad Drive
Eugene,OR 97408
(800)426-1626 Ext227
Phillip.David@IBRoof.comPREV��C�LLCOMpLYWITHAL
Quality Assurance Representative IODE,NATIpNADELEC��DA BUILDING
Address/Phone/Email ��FZEPHYRHILLS p D�,��DE�
Category Roofing �vC�a
Subcategory Single Ply Roof Systems
Compliance Method Evaluadon Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurence Entity UL LLC
Quality Assurance Contract Expiration Date 05/O1/2018
Vaiidated By ]ohn W.Knezevich, PE
� Validation Checklist-Hardcopy Received
Certificate of Independence � �L2;�=i RS C"vi I_U�i, �:; ._Oi �;�2n;,r�en.L_t
Referenced Standard and Year(of Standard) Standard Year
� ASTM D4434 2009
FM 4470 lggz
FM 4474 2004
Equivalence of Product Standards
Certified By
Sections from the Code
Lu.—'//---'---11-_:�-�--'t_i� i i t.i n �r��r�r� .r� : r.r�r.. ��.. . �..... �
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Contract
' FL Lic. #CCC057091
(727)298-0955
(800)226-0955 711 Tumer St.
Fax:(727)298-0111 COMFORT COVERSy5TEM5 ciea�wace�,FL 33756
PROUDLY ROOFING SINCE 1985
�� ��wo�c� �-� a��
PROPOSAL SUBMITTED TO �w� � PHONE �p�� 3c]i-�'1 CONTRACT DATE (-5� f�5��_
STREET ���3 ���,� � �1 —L' ��/' , MHP NAME U� I l�dal �
CITY,STATE,ZIP 7j����V-� i t` � t— — ��l.f� MHP"ADDR SS ��^-�"111 �Q I�' ��
� �-�= � ����v � �O l �
REPRESENTATIVE. �'�� �,n.� �:��:�� __ _�.AP�-ROX.-JO�STAR�-DATE �!� (�(��/►p+'i '
We hereby submit the following specificatfons and eatimates: Year Make: Model:
1. INSTALL COMFORT COVER SYSTEMS PATENTED ROOFING SYSTEM FOR THE
FOLLOWING AREA: 1�Q � v� �EY1n �
2. SYSTEM T.O BE INSTALLED:,��
_�WHITE GREY BEIGE
3. INCLUDE�DOUBLE—FO{L-FACED INSULATION AS INDICATED:
�2" nom. 3/4"nom. NONE
4. INCLUDE NEW VENTS, EXCLUDING FURNACE VENT;
(ELIMINATE DEAD AIR SPACE VENTS)
5. INCLUDE ALL REQUIRED PERMITS.
6. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE.
7. #�� SKYLITES TO BE INS7ALLED. NO INSIDE FINISH INCLUDED.
8. PROVIDE CONTRACTOR'S LIFETIME RESIDENTIAL LIMITED LABOR
WARRANTY AND MANUFACTURER'S LIFETIME RESIDENTIAL LIMITED
MEMBRANE WARRANTY TRANSFERABLE TO NEW OWNER FOR 15
YEARS FROM DATE OF THE ORIGINAL MEMBRANE INSTALLATION.
SPECIAL INSTRUCTIONS & EXTRA WORK(USE ADD1TlONAL PAPER IF NECESSARY)
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Y� � ;s F, ��� �5 �--F����S� ;�; � -f-�. c� ��� ��f�
�'��rn �v c: s��(�—�a SG � �.
NOTE:RETA/L SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER S/GNS THE FOLLOWING:
I certify that I own the land on which the structure ! am improving is permanentiy affixed Futhermore, ! have filed
a declaration with the Property App�aiser requesting the structure assessed as realty and it bears an "RP" decal.
�
SIGNATURE �� ��T-G ���-c,�-�-`� RP# (S)
CASH PRICE AND PAYMENT SCHEDULE: (Reference to a phase of construction means all work, materials and equip-
ment necessary to compiete that phase) Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the
following payment schedule I have the authority to order the above work and do so order as ouUined hereln,
�. Price $ ���j fj, p�j it is agreed that the seller will retain tide to any equipment or material tumished
until final&complete payment is made. An express mechanic lien is hereby
2. Tax $_ � � G� acknowiedged for security of this debt and the total amount will be paid within
3. Down Payment $ �', . c:�� �e�ms Sno""'.
4. Balance $ ���[) G Q i.jwe?herewith expressiy agree to pay�ot as a penalty but as liquidated
� ' damages,25%of the principal amount of this contract to Comfort
ON C911APLETION OF ALL WORK CoverSystems in the event of a breach of this agreement by I(we)for any
reason whatever
Terms: 37�Cash O Credit(Subjec "the approvai ot the Credit Sales Department.)
Author(zed __� , .
Signature % NOTICE TO OWNER
Do not sign this home improvement contract in
All material is guaranteed to be as specified.All work to be completed in a workmanlike blank,or before you read it.You are entiUed to a
manner according to standard pradices.Any alteration or deviation from above specifica- �oPY of this contract at the time you sfgn.Keep it
tions involving extra costs will be executed only upon written orders and will become an �o protect your legal rights.Buyer's right to cancel
extra charge over and above the estimate.All agreements cont�ngent upon strikes, on reverse side.
accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary
insurance.Our workers are fully covered by Workers Compensation Insurance.
�, I �
AcceptanCe of Contract—The above prices, specifi- Signature�.J ����'� "" `�`���
cations and conditions are satisfactory and are hereby
accepted.You are authorized to do the work as specified. Signature
Payment will be made as outline above.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: � (..�'1''�1�
Date Received: 2��—�,6
Site: (���3_3 ��ti/l���al� �
V
Permit Type: 'e /1/t
Approved w/no comments:L� Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
.� Z�/-G
Kalvi ' e� lans Examiner Date Contractor andlor Homeowner
(Required when comments are present)