HomeMy WebLinkAbout16-17736 , .
�
% CITY OF ZEPHYRHILLS -
• 5335-8TH STREET
(813)780-0020 1 36
BUILDING PERMIT
� PERMIT-INFORMATION LOCATION INFORMATION
Permit N mber: 17736 Address: 39404 6TH AVE
Permi�t Type: RE-ROOF ZEPHYRHILLS, FL.
Class o�f Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squar�e Feet: Subdivision: ZEPHYR HEIGHTS
Est� Value: Parcel Number: 12-26-21-0040-00100-0010
Improv. Cost: 1,700.00 OWNER INFORMATION
Date �ssued: 9/15/2016 Name: SR TRUST
Tot I Fees: 45.00 . Address: 396 DORCHESTER DR
Amou t Paid: 45.00 VENICE FL 34293-7202
Da�e Paid: 9/15/2016 Phone:
Wor Desc: REROOF FLAT ON FRONT AREA OF HOME � �L ' Y� 2c� .�nu
CONTRACTOR S APPLICATI N F ES
MITCHELL ROOF SYSTEMS LLC REROOF RESIDENTIAL 45.00
� ` � �`��
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Ins ections e uired
DRY IN R OF INSP
TAPE JOI TS ROOF INSP
FINAL
REINS�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local i vernment 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 b 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.
"Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr�vements 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 performed in accordance with
I City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� �
CONTRACT R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Fl�rida Building Code Online Page 1 of 2
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Fl rida Departmentd BCIS Home I Log In � User Reglstration I Hot Topics � Submi[Surcharge � S[a[s&Facts � Pubilcatlons � FBC S[aff I BCIS Slte Map I Links �•Search.�
B sines --
P'ofess i �I y %" Product Approval `
�' USER:Publlc User
R gulation
Produc[Aooroval Menu>Produc[or Aoolication Search>Apolication List>Application DeWil
FL# FL16732-R6
Application Type Revision
Code Version 2014
Application Status Approved
Comments
Archived ❑
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,NJ 07054
(973)872-4421
li nda reith @tri nityerd.com
Authorized Signature Beth McSorley
lindareith@trinityerd.com
Technical Representative Beth McSorley(current)
Address/Phone/Email 1 Campus Drive
Parsippany,NJ 07054
(973)872-4421
bmcsorley@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation 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 Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 10/02/2017
Validated By John W.Knezevich,PE
0 Validation Checklist-Hardcopy Received
Certificate of Independence FL36732 R6 COI 2016 Ol COI Nieminen odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D2178 2004
ASTM D4601 2004
ASTM D4897 2001
ASTM D6162 2000
ASTM D6163 2000
ASTM D6164 2005
ASTM D6222 2008
TAS 110 2000
TAS 114 2011
I ttp://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu8obl%2fIZm6... 6/15/2016
Fll rida Building Code Online Page 2 of 2
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Equivalence of Product Standards I
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
- Date Submitted 04/13/2016
Date Validated 04/18/2016
Date Pending FBC Approval 04/19/2016
Date Approved 06/08/2016
Summa of Products
FL# Model,Number or Name Description
16732.1 GAF Modified Bitumen Roof SBS and APP modified bitumen roof systems
Systems
Limits of Use Installation Instructions
Approved for use in HVH2:Yes FL16732 R6 II 2016 04 FINAL A1 ER GAF MB HVHZ FL16732-
Approved for use outside HVH2:No R6.odf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:+N/A/-465 Created by Independent Third Party•Yes
Other:1.)The design pressure herein pertains to Evaluation Reports
one system.Refer to ER Appendix for all systems and FL16732 R6 AE 2016 04 FINAL ER GAF MB HVHZ FL36732-
maximum design pressures.2.)Refer to ER Section 5 R6.odf
for Limits of Use. Created by Independent Third ParLy:Yes
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Con[act Us.:1940 North Monroe Street Tallahassee FL 32399 Phone:850-4874824
The S[ate of Florida Is an AA/EEO employer.Coovriaht 2007-2013 State of Florfda.:.Privacv Statement:.Accessibili[v Sta[ement::Refund S[atemen[
Under Florida law,email addresses are publlc records.If you do not wan[your e-mail address released in response to a public-records reques[,do not send
electronlc matl ro this en[iry.Ins[ead,mn[act[he office by phone or by[raditional mall.If you have any questlons,piease contact 850.487.1395.•Pursuant to
Sectlon 455.275(1),Florida Statutes,effective Oc[ober 1,2012,Iicensees licensed under Chap[er 455,F.S.must provide the Department wlth an emall address If
[hey have one.The emalis provided may be used for officlal communicatlon with the Iicensee.However emall addresses are public remrd.If you do no[wish to
supply a personal address,please provlde the Department with an emall address whlch can be made available to[he public.7o determine If you are a Ilcensee under
Chapter 455,F.S.,please click here.
Produet Approval Aaepts:
�� eChs`ck �
SCNRi\'Al4TIiICS
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ttp://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu8obl%2fIZm6... 6/15/2016
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- 813-7 0-0020 City of Z�phyrhills Permit Applica#ion Fax-813-780-0021
4• Bufiding Department
Date Recetved -f j� 1�p Phane Coatect for Permi�ting '' �) �f Z _ �t 2 C�.,
Qwner's Mam � ��a i ��2 r Owrner Phame Number ,
Owner's�Addr ss. �g p � �1'�cV e 2�'"��S;� Owrner Phane Number �/ Yf/ � �7'�J��J �
Fee Simple Ti lehoider tdame �� � Ovuner Phane fdumber �^ �
Fee Simple Ti leholder Address
JOB AUDREB 3�7 O�J ���f�1v z.��`� L 3�S"�`�Z_ L�T# [��
SUBDIVIStOPI � � PARCEL ID# 1'Z���'-2'�" �4 y0 �t����► .- �y `�
� (OBTAIIdED FROM PROPERTY TAX NOTICE)
WORK PRQP SED � IVEW CONS�R ADDIALT � SIGN Q Q DEMp1.ISH
e INSTALL 8 REPAIR
'' Pf20P.t}SED SE'- 0 SFR Q C4MM' �� OTHER�
- TYPE�OF CONSTRUGTIOiV - � BLOCK • Q FRAME � STEEL -Q .-
I � /�► �1 �t
DESCRIPTIOIV"OF WORK ` ��C7t7't" � `�L F-47�L'1 c L bes � �e� . �- S-����
� " - t c-�J�73z t C
BUIL`DIPIG`Si E �� �_ SQ FOOTAGE �_�D �.IiE1GHT
� OSU{ DING � ' �-J� � � VALUATION�OF'TOTAL CC7NSTRUCTiON
/
[�EL C'FRIGAL r> � AMP BEFtVICE 'Q PROGRESS ENERGY Q W.R.E.C.
L
�PL �IBING � �_
QME FtANlCAC � � VALUATtON OF MECHANICAL.tNSTALiATtORt
QGA � � FtOOFl�I�S Q SPEClAE.TY �� OTHER
FINISHED.FL�JOR EGEVATIONS ��---�^� FLOOD ZONE AREA QYES , NO
BUILDER CO�liPAFiY
SIGN�4TURE REGI5TEREp Y/'N FEE GURRE� Y/N
Addres License# �� I
EL�c;tRic� ca�i�,�Y
SIGNATURE � ` REGISTERED Y/ N FEE CURRE� Y%N
�� ,, s
Addres Cicense.#.��__ � �
. PCUMBER,:; COMP�►tYY -
SIGNATURE r %REGISTERED- Y:•/ N- . �FEE GURRE� Y`/N
� :; :
�ddres , Liaense# � �
. � � �
N{ECHANIC x - CQMPANY
� .�SIGNATURE ' - REGISTERED Y/ iV FEE GURRE� Y/N
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'�' - . .
Ad'dres - � ' " � � License# � �
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.�o�r����� _,:;��� �.,� .. .- �� co�n�aiu�r ���iE=c.�.e.it ���_ S . e�� ��.�.
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� -SIGNATURE:� : ' '� REGISTEREp Y�/ N FEE GURRE� Y/N ,
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�►ddres - ;�.I�.� c ., e .� .,� L��1E 3.�� �License# ��� i32 9�/� �.
:,':RESIDENTI � `.� Attacfi..(2):Plot�=P}ans;�(2}'sefs-�of Building�P(ans;{1}set�of Eneigy,Forrris;'R,O-W Perrrrit foE new conshuctian, �
. �:.._, ' .. . , :
�� •Minimum';ten°,(1U)wo,rking;day,s aft`e'r.:subinittal-date. 'Required`bnsite;"ConsVuction Plans,Stormwater Plans w/Silt Fence installed,
_,.. .. .. :, :
. ., - �;����;t.. .� :-::,.t.�....
,.. .. � .
- .. 8ariftary;,F,a�til9ties»8��1adumpster,SEte:Wotk�Petmi#for,sutidi'visions/large pro�ects � .' . '� _ :_ '
�,,C�M�IERCI Attachw(2)''coriiptefe"sets�of Buitiiing`Ptans pius a Life Safety Page;(1)set of Energy Farms.R-O-W Permit far new constniction.
. Minimum ten(10),working days after submittal date. Required ansite,Cnnstruction Plans,Stormwater Plans w/Silt.Fence installed,:
r• ' Sari(tary FaaiEities 8�1 du'rnpstec.Site,Work Permlt for�all�new projects.All commercial reguirements must meet.comp]iance _
,:�SIGN°PERM 1' Atfacli`(2)sets a,fi:Engineer�d Rlans:�-�. �� ."- � '
.^- ***"FROPERTY BURVEY.,required for aII.NEW canstruction.
:'=Ditections: �_> , , . ,
� Fill':out pplication complstely.
Owner Gontractor s9gn back of appitcaUon,notacized
If o"ver 2500,a�iotice of Commenc�ment is required. (A/C upgcac9es over$7500)
-"-_,P.�n^:���lY:�
• *" Agent(�`r�ttie°cbntractoc)�or Pawer`of Attomsy{fbr�ttie�owner)woutd-be sameone with notarized Istter from owner authorizing same
::OVE�'t'HE. OUNTER�.PERMITtING._, (copy-of-contract-required)
= Reroofs if sh ngles Sewers Servlce Upgrades A/C Fences(P,lot/Survey/Faotage)
'drlveways-Not over Counter if an public r6adways..needs ROW
. '—__ , c�a'S_..---+. i.!��'3�,�� .�...J..a^.�i�)
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WOTICE.OF DEED RE§TRICTIONS: The undersigned understands.that_this permit may be subject to,"deed",restrictions"`';",
which:rria .be�:more�cestrictive.than�:Count re ulations: The�:undersi ned�assumes:�es onsi6ili, `fo��com��'liance uvith:an�"�-`�"
y . . - Y 9 9� P tY P Y
applicable deed restrictions. -,,,_ , - _,--�.:;:�_,:
,,...,...�.,z..;�_
UNLICENSED;CONTRACT,OR� AND CONTRACTOR RESPONSIBIUTIES: �If tfie•owner�has�hired��a��contractor or
contractors to undertake work,.they may;be.requiced to be.licensed in accordance with state and.local.regulations��rlf�tfie:��'�:� �
contractor-is not-licensed as;required�by law, botti'�the o�niner-and=comt�acfo�-,rim"ay��6e�cited��for�.a�misdemeanor viola'tion -
under state law. If the owner or intended:contractor are uncertain as to what licensing reguirements'�may:,apply>for::tFie;��`'
intended�wonk;�they are advised to contact'the Pasco County Building Inspection'Division'-Licen'sing Section afi 727=847- �
8009. Furthermore, if the owner has hired'a contractor or contractors, he is advised to:;have the contractor(s)._sign ..,; ;
portions of the "contractor Block° of this application_for which they.will..be.responsible. -If-you,,as�,fhe�"owner``sign•as�the� �
contractor, that may be an indicatiorr that he is not properly iicensed and is nof entitled to permitting�privileges in Pasco:_, -
CountY• . . � . . ._ .. - -_ , :: :_ - .. .
TRANSP.ORTATION IMPACT/UTILITIES IMPACT AND-RESOIIRCE RECOVERY FEES: The'undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may�apply_to the construction of_new buildings, cfiange�of=��= _.;
use in existing buildings, or expansion.of.existing buildings, as specified in Pasco County Ordinance number 89-07 and-
90-07, as amended. The undersigned also understands,�that such fees, as-may:b,e�due, will .tie;identified aY�tlie�time�of�'�-�' �
permitting. It is further understood tliat Transportation-linpact Fees�and Resource�'Recovery,Fees must be paid prior to �
receiving a "certificate of occupancy" or final,.power release. If the.project does not involve a ceitificate of occupancy,�.o�:.���
final power release,.the fees.must be paid prior to permit issuance. Furtfiermore, if,Pasco County Water/Sewer„Impact,�;--
fees are due,.they must be paid prior to permit issuance in accordance with~applicaple P'asco County ordinances. � 1
CONSTRUCTION LIEN LAW(Chapter 713; Florida Statute�, as amended): If valuation of work is$2,500.00:.or.more,.l.;�,;�,,.
certify that I, the applicant,,.have been. provided.with a copy_ of the "Florida Construction �Lien..Law-Homeowner's
Protection Guide"-prepared by tlie"Florida Department of Agriculture and Consumen�Affairs. If the applieanf is someone:
other than the°owner", I•certify that I have obtained a copy of the-above desc�i6ed'document�and promise=in good.faitli;to:.
deliver it to the,°owner"prioc to commencement. � ' ' ' � - J
CONTRACTOR'S/OWNER'S AFFIDAVIT:_.I.certify:that all�the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and:land-development. Application is
hereby made to obtain a permit-.to do,work and installation� as indicated. I certify that no�-work or installation=�-has
commenced prior to issuance of a permit and that all work will be performed .to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in;the jurisdiction: I also
certify that I understand that the regulations of other government agencies may apply to the interided work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental P�otection-Cyp�ess Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Watenrvays.
- Department of Health 8� Rehabilitative Services/Environmental .Health Unit-WeIIs,�.W.astewater Treatment;
Septic.'i`anks. ' -
- US Environmental Protection Agency-Asbestos abatement.
- Federal,Aviation Authority.-Runways. -
I understand that tHe f.ollowing rest�ictions apply fo the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material,is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engirieer '-
licensed by the State of,Florida.
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
construction, I certify that.fill.will be used only to fill the area within the stem wall.
- If fill mate�ial is to be used in-any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating �
the conditions of tlie�building permit�issued under�the attached permit application, for lots less than one (1)
acre which-a�e elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in ,
this affidavit prior fo commencing construction. I.understand that_a separate permit may be required for electrical,work,.
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A - .-
permit issued shall be�construed�to be a license to:proceed'with the work and�not as authority to violate, cancel, alter, or
set aside any provisions of�the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter ,
requiring a correction of errors in;plans; construction or violations of any codes. Every�permit=issued�shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or ifi work authorized b.y �
the permit is suspended.or abandoned�for a period.of six(6)montlis after the time the work�isbcommenced. An extension
may be requested, in writing, from the Buildirig-Official for a,.period not to exceed-ninety (90) days and will demonstrate '
justifiable cause for the extension: If,work ceases for ninety(90)consecutive days, the job is considered abandoned. -:
11VARNING TO OWNEIt: YOUR FAILURE_:TO�.FtECORD,A.NOTICE OF COMMENCEMENT MAY�-RESULT IN YOUR '
PAYING TWICE.FOR,IMPROVEMENTS,-TO YO,UR.PROPERTI(..;IF YOU..INTEND�TO,O�TAIN FINANCING� CONSULT
VUIl'H-Y-OUl�L�NDEla-C��-AM-ATTO!?NEX 3EFORE:lZECOR'�-!NC�'OIDR(�lOT'iCE GF-COi'ifliflcPli�c`viEni i_. - -- - -– —
FLORIDA JURAT(F.S.117.03) • �
OWNER OR AGENT CONTRACTOR � �
Subscribed and swom to(or affirmed)before me thls Subscrlbed and swom to(or affirmed)before me this '
by by
Who is/are personally known to me or has/have produced T= Who is/are personally known to me or haslhave produced
as idenUfication. ._�:�. as identlficatlon.
Notary Public Notary Publlc
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of fVotary typed,printed or stamped
r4�
usan Ritter op.osal#U9U716-U1 -Cioogle llocs rage 1 oi �
Mitchell Roof Systems LLC 09/07/16
3015 Whispe�ing LN �
Wesley Chapel,FL 33543
(813)312-2126
tmitchell @mitchellroofsvstems.com
State Certified Rooflng Contracbor LIG riCCC1329714
� Proposal
Proposal Submitted TO:
Susan Ritter
39404 6�'Ave
Zephyrhills,FL 33542
susa n.ritte r1@�m a il.com
WE HERE BY SUBMIT SPECIFICATIONS AND ESTIMATE FOR:
Low slope re-roof&solar vent Installatlon •
1. Remove improperly installed roll roofing membrane,underiayment and asphalt shing(es at tie-in.
2. Nail exposed raof sheathing using 8d ring shanked nails.
3. Install GAF Liberty SBS self-adhered base.sheet and SB$Cap over properly prepared roof deck.(color:
White)
4. Install solar powered roof vent on shingie portion of home.
Total $1,700.00
• All grounds to be cleaned up on a daily basis. All bushes, shrubs, and flowers to be
protected.
*All labor guaranteed 5 full years*
Price includes all labor and specified materials to complete)ob,clean up and disposai of all job relate debris and any permitting
and Inspectfons required. �
� Acceptance of Proposal:Terms as follows.Homeownerto supply dumpsterfor job related debris.Balance of$1,700.00 due
upon completlon of above specified work.
Property Owner Datec���
Contractor � Date
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