HomeMy WebLinkAbout16-17875 I CITY OF ZEPHYRHILLS �'
5335-8TH STREET
. , i (813)780-0020 17 5
BUILDING PERMIT
"' I PERMIT INFORMATION LOCATION INFORM�►TION
Permit Njumber: 17875 Address: 5736 17TH ST '
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est�. Value: Parcel Number: 11-26-21-0010-08000-0180
Improv. Cost: 6,000.00 OWNER INFORMATION
Date lssued: 10/31/2016 Name: SUTTERFIELD DOLAN JR& TERI
Total Fees: 97.50 Address: 5736 17TH ST
Amo�nt Paid: 97.50 ZEPHYRHILLS FL 33542-4408
Da�e Paid: 10/31/2016 Phone: 813-394-0049
Work Desc: REROOF METAL
CONTRACTOR S APPLICATION FEES `
TRIPLE CROWN ROOFING INC REROOF RESIDENTIAL 97.50
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Ins ections Re uired �
DRY IN R�OF INSP
TAPE JOINTS ROOF INSP
FINAL 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
I first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC�: 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
I before recording your notice of commencement."
Comp�ete 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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CONTRA T R SIGNATURE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o��-,ou�vLu Gity af Zephyrhiiis Permit Appiicatian Fax-813-784-4021
Building Department
Date ReGeived, f(�._�(�.-l � Phone Contaat for P4rmittfng ��� �3� - �?a t'�
Owner's Name ��G�'� S'l���j�G�j Owner Phone Number ,l� � � '- ��
Ownar's Addres �7� �/ �✓7� � �/Y�� �/��►nar Phone Number `
Fee"Simple Tittei aider Name Ownar Phone Flumber
Fee Simple Tit1e oider Address
JQB AQDRESS '�3 �a � � cS��i'c� �-7� LOT# �
SUBDIVISIQN � � PARCEL ID# /! '��' �������� a�'�� ~���'�
(OBTAINED FROM PRQPERTY TAX NOTICE)
WORK PFtOPOS D e NEw CONSTR 8 ADD/ALT [� SiGN Q Q DEMOL�SH
tNSTAIt REPAtR
PROPOSED US Q SFR [� GdMM � OTHER
lYPE QF CONS�UCTiON Q BLOCK Q FRAME Q STEEL Q
DESCRIPTIQN QF WORK /7d�dv�r�rr, ��„s c�i� /1C �a�e��v�ts' ������/�i�/ lrh �2
BUILDiNG SIZE) �— � SQ FOOTAGE oC� HEIGHT �_���f���a�� �itcs�
�BUI�Q NG � j'���� VALUATION OF TOTAL CONSTRUCTION
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QEIEC fRlGAI �$'�� �� AMP SERViCE � PRdGRESS ENERGY Q W.R.E.C.
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QPLUM�ING $ '��j�
OMECH� NICAL $ VALUAT(QN OF MECHANICAI(NSTALlATION �������
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QGAS � ROQFING Q SPECIALTY � QTHER � ��
RNISHED FLQO ELEVATtONS FLOOD ZONE AREA QYES NO '�
BUII.DER COMPAFiY
SlGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# �y ��
El.EC?RICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address Ucense# �` �
PI,UMBER � � � COMPANY
SIGNA7URE REGISTEREq Y! N FE�CURRE� Y/N
Address License# � ` �
MECHANICAL CQMPANY
SIGNATURE REGISTERED Y/ Pf FEE CURRE� Y J N
Address Liaense# �— ` �
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f3�'HER -i�i����-E!Y 7 GJNlae[�!y l�lj,l��s'Dw-.� ,Coff �'�i
SIGNATURE REGfSTERED Y t N ' FEE CURRE� Y/N �
Address ��Q f�'��U� G� ,�f��rC,. }��5� License# �-���G17�'�7(� �
R6S{dEN7fAL Attach(2}Plo#Plans;(2}sets of Building Plans;{1)set of Energy Forms;F2-O-W Permit for new t�nsttuctlan,
Minimum ten(10)worktng days after submittal date. Required onsike,Construction Plans,Stormwater Ptans w/Sitt Fence instatled,
Sanitary Facilities&.1 dumpster,Site Work Permit for subdlvistons!large proJects
COMMERCtAL Attach(3�complete sets of Buildtng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construetion.
Minimum ten(10)working days after submittal date. Required onslte,Canstruation Pians,Stormwater Pians wl Siit Fence instatled,
5ani�ary Faciltties&1 dumpster.S(te Work Permit for al!new proJects.Al!commerc►af reqnirements mus#meet comptiance
SIGN PERMIT Attach{2)sets of Engineered Plans.
'""PROPER7Y SURVEY required for all NEW consttucfion.
Dtrecttons:
Fill out appl cation completely.
Owner& nhactor sign back of appltcaUon,notadzed
If over$25 Ot a Notica of Commencement fs requfred. (AIC apgrades over 57500}
" Agent{for e contractor}ar Power of Attomey(for the owner}wouid be someone with nota�ized letter from owner authorizing same
DVER THE COUNTER PERMITTIN.Ca (Frant of Appfication Onty)
Reroofs If shingl�s Sewers Service Upgrades A/C �ences(PlotlSurveylFootage}
Driveways�Not over Gounter if on public roadways..needs ROW
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�OTICE OF DEED RESTRECTIONS: The unders(gned understands that thts.p��m(t.may.be sub]ect to°deed"restrlctions" r �
�hich may be:more cestrtc#ive:than County regutatfons. �The understgned assumes responsibility fgr campliance with arijr
ipplicable deed restricti�ns. �
INt�ICENSED CONTRACTGRS AND- Ct?NTRACTOR RESPCIAISIBELlTtES: di the owner has hired a cantraator ar
:ontractors to undertake work, they may be required.ta be:licensed in accordance.with state.and�local regulations. If the
;ontractor is not Ifcensed as required-by law, both the owne� and contractor may be clted far a misdemeanor violatton
inder state iaw. If the owner or intended contractor are uncertain as ta what ticensing.requirements may appfy�for tha
ntended work, they are advised to contack the.Pasco County Bullding Inspection Dlvlslon—Licensing Section at 727-847-
1009. fur#hetmore, 1# the owner h�s hlred a contractar or can#ractors. he is advised to haue the contractor{s) slgn
�o�kions af the "contrackor Block° af this appliaation for whfah they will be responsible. If you� as.the awner sign as the
:o�kractor, that rnay be an indication that he fs not.properly Ilcensed and !s not entltled to permikting privlleges !n Pasco
�ounty.
�RI�NSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOV'ERY FEES: The undersigned understands
hat Tcanspa�tation impact Fees and Reca�urse Recove.ry.Fees may apply to.fhe constnlction of new bulldir�gs, change of
�se in existing buildings, or.expanslon af exis#in,g buildings, as specifled in P�sco County Ordinance number 89-0'7 and
30-07, as amended. T'he undersigned also understands, that such fees, as�may�be�due,:wlll be tdentified at the t€me of
�e�mitting. It is further undersfood that Transportatian impact Fees and Resource Recovery Fees must be paid prior ta
•eceiving a "certiflcate of occupancy" or final pawer.release. .If the project doe�s �ot Involve a cerkificate of occupancy or
�inal pawer release, the fees must be paid prior to permi# issuance. Furthermore, if Pasco County 1NaterlSewer.Impact
`ees are due, they�mus#be-paid prior to permit issuance-In accordance wlth applicable Pasco�County ordinances.
CONSTRUCTI�N UEN LAW(Chapter T13, Elorlda StatutesF as amended}: if vatuatlon of work Is$2,500.00 or mare, l
�ertify that I, #he appiicant, have.been provlded with a copy of ther "Florida Canstructlon Lien Law—Hameowne�'s
Pro#ectton Guide" prepared by the Flarida Department of Agrtculkure and Consumer Rffairs. If the applicant is sameone
�ther than the"owne�', t certify thaf 1 have,obtafned a copy,of the above.described document°and promise in,good faith to
deliver it to the°owner"prior#o commencement.
CUNTRACT4R'SlOWNER'S AFFIDAVIT: i cerkifj+that all the Mfarmatian In.t@�is applicatEon is accurate and that all work
�rill'be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to abtain .a permit ta .do warlt.and installatlon as indtcated: 1 certify that no wock or installat{on has
commenced pr(or to issuance of a permit and that all work wiil be perFormed to meet standards of a8 laws regutating�
construckion, Caunty and City codes, zaning regulations, and land davelopment r.egulatians-in the jurisdiction. I also
cettifyr that E understand that the cegulatlans af other gavernment agencles m�y apply to the intended work, and that it is
my responsibility to identify what actions I must take ta be,in,compliance: Such agencles include but are not Iimited ta:
- Department of Environmental Protection-Cypress.Bayheads, Wet4and Areas and Envlronmentaliy Sensit�ve
Lands, WatedWastewater Treatment.
- Sauthwest Flo�ida Water Management- .Disirict Wells, Cypress. Bay_heads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navlgable Waterways,
- Department af Health & Reliabilita#ive ServlceslEnvironmental Health Unit Welis, Wastewater Treatment,
Septic Tanks. _
- US Environmental Protectfon Agency-Asbestos abatement.
- Federai Aviation Authority-Runways.
I understand that the following,restrictions apply to th�use af flll:
- llse af fill is na#allvwed 3n Flaod Zone°i!"untess expressly permitted. �
- If the fill material-is #o be used in �Flaad Zone "A", it Is understood that a drainage plan addressing a
°compensating volume" wiii be submttted at time af pecm[tting v+rhich is prepared by a professiona! engineer
Ilcensed by the 5tate af Florida.
- lf the fill materia) [s to be used in Flood Zone "A° in�connection�with.a permitted building using stem wall
� construction� 1 ce�fi#y that fill wllt�be used onty.ta.till the area within.the�stem•wa11.
- If fill material is to be used in any area, I certify that use. of such flll will not adversely affect adjacent
propertles. lt use of fill is found to adversely.a�fect adJacent•prop�rties,.the owner may be cited for violating
the conditions af the building.permit issued�under the attached permit applicatfon, far lots less #han one ('I)
acre whlch are etevated by tiU,an engineer�d drainage plan!s required..
tf I am the AGENT Ft)R TME OWNER, I,;promise#n good faith ta Inform#he owner of the permitting conditions set forth in
this affidavit�prior to commencing construction. I understand that a separate permlt may be requlred 1'or electrlcal work,
plumbing, signs, we11s, paals, alr conditioning,.gas, or a#her tnstal4atians not spec�ically included-in the application. -A
permit issued shail be constr.ued to be a license to prnceed with the wark and not as authority to,violate, cancel, alter, ar .
seE aslde any provisfans of the technical codes; nor sha41 issuance of a permlt.prevent the Bulidlrig Offlalal from thereafter
requiring�correction af enors in pians, construction ar vloiations of any codes. Every permit Essued shalt become invalid
unless the work authorized by such permit.�is.comm�nced�withln,six months,of_,permit_issuance._or-if dvork authorized=by- ^ �� - �
the=perm�t ts suspended-or-.abando�ed for a pe�riod uf-six{6)m�nths.-after the tlme t�ie wark is commertced. An extension
may be requesked, in writing, from the Building.Offialal for a period not to exeeed ninety(90) days and�will demanstrate
just�fiabie cause for the extension, if work ceases,foc ninety(90}consecutive dayst.th 1Jbb is considered abandaned.
WARNlNG TO CIWNER: YOUR.FAlLURE.TO,RECORD A NIJTICE.OF�CONIMENCEMENT NtAY RESUI.T IN YOUR
PAYtNG TWICE.FOR tMPRt3VEMENTS TO YCiUR�.P.ROPERTY. IF YQU�INTEND:TO QBTAiN�FINANCINC,�C{�NSUl.T
WI'TH YOUR L��1DE�.OR,pN A�'TORNEY�BEPORE•RECORDING'YQUR NOTIC `OF GOMMENCEMENT
F�ORlDA,lURf1T(F.S.'!9Z.Q3�_ -------- -- --— ____ — - -
OWNER OR A(3ENT CONTRACTOR
Subscribed and swam to{or affirmed}befcre me this 9abscribed and swom to{ar afftrmed)�betore me tlils
by -by ..
Who Islare personally known to me ar haslhave praduced Wha is/are personally known 4o me or haslhave produced •
as Identll9cation, as ldenUftcatlon.
Notary Publle Natary PublCe
Commisslan No. Cammisslon No.
Name of Notary typed,printed or stamped Name oi Notary typed,printed or�tamped
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Product Evaluation Report
GULF COAST SUPPLY& MANUFi4CTUR/NG, LLC.
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Florida Product Approval #11651.Z7 R2
Florida Building Code 2014
Per Rule 61 GZO-3
Method: 1 -D
Category: Roofing
Subcategory: tUletai Roofing
Compliance Method: 61 G20-3.005(1)(d)
NON HVHZ
Product Manufacturer:
, Gta9f Coast Supply & li�anufacturing, LLC.
14429 SW 2nd Place, Suite G30
Newberry, FL 32669 �,+�`"""''��,
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Engineer Evaluator: ' •
Dan Kuhn, P.E. #75519 ;�= No, 75519 ,� �
Flarida Evaluation ANE ID: 10743 =1 : ---- � �. � _
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Validator: �.,`�`S;�� OR�D P �\���.�
Locke Bo�+rden, P.E. #49704 '..S�pMq� ENG�.••
9450 Alysbury Place 't+��� �''
Montgomery, AL 36117 ���30���5
Contents:
Evaluation Report Pages 1 — 5
L#11651.27 R2•JUNE 15,2015
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Compliance Statement: The product as described in this report has demonstrated compliance with the
Florida Building Code 2014, Sections 1504.3.2, 1504.7.
Product Description: GulfRibT"' 3/a" Rib Roof Panel, Minimum 29 Ga. Steel, 36" Coverage,through
fastened roof panel over Minimum 1x4 Wood Purlins over one layer of Asphalt
Shingles(optional)over minimum�/,6" OSB or minimum 15�2" Piywood Decking
Non Structural application.
Panel Materiai/Standards: Material Minimum 29 Ga. Steel, ASTM A792 or ASTM A653 G90 conforming to
Florida Building Code 2014 Section 1507.4.3.
Paint Finish Optional
Yield Strength. Min. 102.Oksi
Corrosion Resistance: Panel Material shall compiy with Florida Building Code
2014, Section 1507.4.3.
Panel Dimension(s): Thickness: 0.0142" Minimum
Width: 36" Coverage
Rib Height: 3/a" Major Rib at 9" O.C.
Panel Fastener: #9-15x1.5" HWH with sealing washing or approved equal
�/a" minimum penetration through plywood.
Corrosion Resistance: Per Florida Building Code�014, Section 1506.6, 1507.4.4
Substrate Description: Minimum 1x4 No. 2 SYP wood purlins over maximum one layer of asphalt
shingles(optional)over min. �/6" OSB or min.�S�z" thick over supports at
maximum 24" O.C.The 1x4 wood purlins 5hall be fastened to the wood rafters
(24" O.C. Max)with (2)9 x 2'/z" Deck Screws per rafter(Minimum 1�/8"
penetration into wood rafter). Design of 1x4 wood purlins, OSB, plywood and
OSB/plywood supports are outside the scope of this evaluation. Must be designed
in accordance w/Florida Building Code 2014.
Design Uplift Pressures: Table"A"
Maximum Total Uplift Design Pressure 101 0 psf �
Fastener Pattern 9"-9"-9"-9"
Fastener Pattern Spacing 24" O.C.
Design Pressure includes a Safety Factor=2.0.
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Code Compliance: The product described herein has demonstrated compliance with the I
Florida Building Code 2014, Sections 1504.3.2, 1504.7.
Evaluation Report Scope: The product evaluation is limited to compliance with the structural wind load
requirements of the Florida Building Code 2014, as relates to Rule 61 G20-3.
Performance Standards: The product described herein has demonstrated compliance with:
• UL 580-06-Test for Uplift Resistance of Roof Assemblies
� • UL 1897-04- Uplift Test for Roof Covering Systems.
� • FM 4471-199�, Section 4.4 Foot Traffic Resistance Test
Reference Data: 1 UL 580-94/1897-98 Uplift Test
Force Engineering &Testing, Inc. (FBC Organization #TST-5328)
Report No. 117-0407T-09, Dated 11/16/09
2. FM 4471-95, Section 4.4 Foot Traffic Resistance Test
Force Engineering &Testing, Inc. (FBC Organization #TST-5328)
Report No. 117-0238T-09E, Dated 07/21/2009
3. Certificate of Independence
By Dan Kuhn, P.E. (FL#75519)Q Kuhn Engineering, LLC
, (FBC Organization#ANE ID: 10743)
Test Standard Equivalence: 1. The UL 580-94 test standard is equivalent to the UL 580-06 test standard.
2. The UL 1897-98 test standard is equivalent to the UL 1897-04 test
standard.
3. The FM 4471-95 test standard is equivalent to the FM 4471-1992 test
standard.
Quality Assurance Entity: The manufacturer has established compliance of roof panel products in
accordance with the Florida Building Code and Rule 61 G20-3.005(3)for
manufacturing under a quality assurance program audited by an approved quality
assurance entity.
Minimum Slope Range: Minimum Slope shall comply with Florida Building Code 2014, including
Section 1507.4.2 and in accordance with Manufacturers recommendations. For
slopes less than 3:12, lap sealant must be used in the panel side laps.
, Installation: Install per Manufacturer's recommended details.
Underlayment: Shall comply with Florida Building Code 2014 section 1507.4.5.1 and 1507.4.5.2.
F #11651.27 R2•1UNE 15,2015
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Roof Panel Fire Classification; Fire classification is not part of this acceptance.
Shear Diaphragm: Shear Diaphragm values are outside the scope of this report.
Design Procedure: For raofs within the parameters listed on the load table, fastening pattern must
at a minimum meet those listed for the applicable wind zone. For all roofs outside
the parameters listed on the load table, design wind loads shall be determined
for each project in accordance with FBC 2014 Section 1609 or ASCE 7-10
using allowable stress design.The maximum fastener spacing listed herein shall
not be exceeded.This evaluation report is not applicable in High Velocity
Hurricane Zone. Refer to current NOA or HVHZ evaluation report for use of this
product in High Velocity Hurricane Zone.
L#11651.27 R2•JUNE 15,2015
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ENG�NEER LOAD TABLE: 29 Ga. GulfRibT"' Panel over 7x4 Wood Purlins
Buildings having a Roof Mean'Height s �0'-0"; Roof Slope: 2"/12" - 1�"/12" Gabfe o�r Hip Roof;Wind Speeds 120-
�170mph,Exposure C, Risk Category II, Enciosed Building, based on Fforida Building Code 2014
120 130 140 150 160 170
FASTENER
i IIND SPEED (MIN.1/4" SUBSTRATE ON CENTER ON CENTER ON CENTER ON CENTER ON CENTER ON CENTER
Penetration) SPACING SPACING SPACING SPACING SPACING SPACING
I ZONE 1 #9-15x1.5" 1x4 Wood 24" 24" 24" 24" ` 24" 24"
Purlins
ZONE 2 #9-15x1.5" 1x4 Wood Z4,. 2q.. 24.� 2q•• 2q�� 24"
Purlins
I - 1x4 Wood ' .
ZONE 3 #9-15x1.5" 24" 24" 24" ' 24" 24" � 24•,
� Purlins
1.)P;4NEL DESCRIPTION:GULFRIBT^^, MIN.29 GA.,GRADE 102,36"COVERAGE,3/4"TALL.
2.)Pf�NEL FASTENER:#9-15X1.5" HWH WITH SEALING WASHER OR APPROVED EQUAL
3.)MAXIMUM ALLOWABLE PANEL UPLIFT PRESSURE: 101.0 PSF C�?24" O.C. FASTENER SPACING BASED ON TAS 125, UL 580/UL
1897I TESTING.
4.)SUBSTRATE: 1X4 WOOD PURLINS OVER MAX. ONE LAYER OF ASPHALT SHINGLES(OPTIONAL)OVER MIN.'fi6" OSB OR MIN.�Sf�z"
THIC�K PLYWOOD.WOOD PURLINS ATi'ACHED TO WOOD RAFfER(24" O.C. MAX)WITH(2)9 X 2�/z" DECK SCREWS WITH MIN. 1'/e"
PEN&TRATION INTO WOOD RAFTERS. PURLINS,OSB AND PLYWOOD MUST BE DESIGNED IN ACCORDANCE WITH FBC 2014
5.)F�OOF SLOPE:ON ROOF SLOPES LESS THAN 3:12, LAP SEALANT MUST BE USED IN PANEL SIDE LAPS.
6.)L�OAD TABLE BASED ON WIND PRESSURES CALCULATED PER ASCE 7-10(KD=0.85)MULTIPLIED BY 0.6 PER FLORIDA BUILDING
COQE 2014
HIPROOF a Note:Dimension(a)is defined as 10%of the minimum width of the building or
�zoNez zoNea- `` 40%of the mean height of the roof,whichever is smaller,however,(a)cannot be
� ____, =-;a less than either 4°/a of the minimum width of the building or 3 feet.
C;�'. '. , RIDGE .' ,��' FASTENER PATTERN
� �'�\ ��-- i-----�' ,� 1 x 4 Wood Purlins @ 24"O.C.Attached to Wood Rafters
� ;' ,-------�- `, � w/(2) 9 x 2.5"Deck Screws @ Max.24"O.C.
�,� , zon,e, '.\�`; 9„ 9�� At Panel Lap
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,—eavE
/I E Z GABLE ROOF ia�
�=----' ------ v%a 1 #9-15 x 1-1/2"w/Sealer Washer Min. 7/16"OSB
< , �-------- -; ( )
' �, ' 9"-9"-9"-9" Fastener Pattern @ 24"O.C.
' ; \ _/,-RIDGE i Max. (1) Layer of Asphalt Shingles (Optional)
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FL#11651.27 R2•JUNE 15,2015
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TRIPLE CRt3�VN R�3t3FING, INC.
7144 ANDRE DR. � ZEPHYRHILLS, FL 3354I
� sl�-$33-7720
STATE LICENSE CCC049370
WWW.TRIPLE-CROWN-ROOFING.COM � LNAULT1953@A(JL.COM
S.P.ECIA.LI,ZING IN ALL T YPES OF METAL ROOF SYSTEMS
NAME PHONE DATE
„ I��'� �oQ�s�� �/:��~��;�-- c��� rc� ~�--J�
STRE T CITY � STATE Z1P
: ��� �M �`'„�-: �� �"2�,, �i '�•/-� /=� .3>5;+��. _;,
SALE MAN � I
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We h reby subxnit specification and work descrzption: �/ ) � d,,,� j��� ��-��� ���.c r�Y,s �
�� DUC �U°!��!7 vd',S � �u jlt�f�'�` Gr117"lr L?f yd.�JG� , �
. � � � -�:.�`'� l� � t''p����� �%'�'� �'�'�,y �
t��'7 �i� a��G- r'� D✓�t � ���"�r-� � r�! �
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� ,�'1;� ra .5''t""� f"?11.5'�:� �e�/�vc.�J,
� /{,�2 S //� r'�J( � LsJ'�ra� .e��7Li�t_�r s Q r.1�"a� .S�f�7�1,e•S /"�'��:� �� r�Go -�'s c�'r c�l�' t�u^G�"—.�r C3
/ /� ,�/�,/ � �f �
r�(�l �!� S��G r,� +�.�e.sT" ���JF"�G�^'1 D`t1�'/ i'/" f --�' .
`R „ la! �s'���^,.i/G�l�c�' //".$1// �'�'/'`�r/�`,
�'�t�� �.��'/��s �// ,�/�,��� d,���.�r,,���X���,�� � ,�'"' j , ,�f
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' TH ABOVE DESCRIBED Wt3RK WILL BE C4MPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF
( �, l>1�c� }. PAYMENT TO BE MADE AS F4LLOW5:$ .���� AS D�WN PAYMENT
.��i BALANCE OF$ "3I��1� DUE�,:�Q�!°�OM�L•"ETl.DN, �=�.-�"�'�' ,r°l �o.��"�
...�`fifl �/�� �'�'''.,�,,,41�,,.�„ �yt'.���` � ,3�' rs,�rfv�:' � ; ,���'r�',�l/�'P✓.�r
: *"ANY ROTTED WDOD DISCaVERED WIL.L SE AN EXTRA CHARGE AT A COST OF$ ��PER 1i2"SNEET�F
PLYWO(JD$ �,, 5%� Lin, Ft. Lumber.
; NO ORAL AGREEMENTS HAVE BEEN GiVEN OR ACCEPTED. THiS WRITTEN CONTRACT iS THE �;
ENTl�E AGREEMENT C4VERING ALL THE WORK TO BE PERFORMED ANDIOR MATERIALS TO BE
FURI�ISHEQ. THE WRITTEN P�RTION ABOVE IS TNE ENTIRE CQNSIDERATION FOR THE AMOUNT
�F T�E CaNTRACT. PURCHASER MAY CANCEL THIS CONTRAGT ANY TIME PRIQR TO MIDNlGHT �;
' OF Ta E THIRD BUSINESS DAYAFTER THE DATE PURCHASER SiGNED THIS CONTRACT. ;
� IT iS GREED:
Contra tor wiil do all said work in a good and warkmaniike manner and in strict accordance with the ordinancss,rules and requirements
� of the �ity, Tawn or Village, wherein the abave mentioned property is located. If purchaser shauld cancef this contact after time stated
above, the Purchaser agrees ta forfeit down payment paid. fn the event it becomes necessary for Gontractor to employ an attamey to
collect any sums due the Cantractor pursuant ta this.contract, then the Purchaser shal! pay all reasonabls attflmey's fees incurred by
the co tractar.This contract shalf nat be binding upon Contractor unti!accepted by them. Upan such acceptance by said company,this
contra�t shall be binding an me/us without any further noti.fication to melus. The undersigned prope�ky owner agrees that this contract
may b assigned for the performance of the work and labor required.by the tlescription of the work to be perfarmed. Upon assigned the
partie hereto consent ta the performance flf the work by and payrnent to such assignee of the amount of this cohtract.Any Alteration or
deviati n from above specifications involving extra casts will be executed only upon written orders and will become an extra charge over
and a ave the stated cantract amaunt.
_ NOTI .E TO THE_BUYER: (1� Do not sign this cantract before you read it-or if it contain�s any biank spaces. (2j You-- �
are e ti#led#o an exact copy af#he contract you sign.(3) Under the law yau have the right to pay off in advance
the f I)amount due and under certain circumstances to obtain a partial refund of the time charge.Owner acknowl-
edge' receipt of a true copy of this CONTRAGT.
, -� �.�-_� jr1 �� — /f.�
� - � `PURCHASER � DATE
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BY: riple Grown Raofin f Inc. DATE . PURCHASER. DATE
This contract is enforceable only when accepted by management of Triple Crown.
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City of Zephyrhills
� BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: /
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Date Rec lived: / /
Site: -5 7�� ��`� v7 '
Pernut Type:
� Approve w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
�I`� -
Kalvin Switze — s aminer Date Contractor and/or Homeowner
(Required when comments aze present)
� ^. ^_ _.
�i�������r��������3���t�������«�������������i�E�«�«����i� Rcpt:1809621 Reo: 10.00
�s: �.e�e ;z; a�.��
, .,- 201�163803 10/20/2016 J. R. , Opty Clerk
���No. ����o No /�aG-a!-ovio_ d'8�aaa-oi8�
� NOTiCE QF C031iMENCEMENT
Btate of ��'��� County of �+�5�''�
7ME tlNOERSifNEd herohy gives nof3ce thst Untarcvemarrt wi8 be mada ta carts3n resl D�#�+�X$��auordaace vAth Chaptar 713,Flodda Statutes,
tha foAo�Nng iniormarian is provlded fn this Notica af Cammenc,e�°nC /! ` �L rt�K�D
1. peeulptlon of Proporty: Parael identiflcatlon No. C.��(B�f'�iW�r�+��S �a I aU 5 y c.� l8�f P
sue�adar�s:�3J /�'':.S� 2��C�✓!,�/ls. � 33S'�ra GQ Li'3�'f 1 d'Gi 133.,�
� Z, General Da:,wiptlon of Improwme�rt �� �dp�'���
8. Owner Intartrrotlon or Lessee IMomratlan Nthe Lessee ntraded Tor tha improvanant_�/�
�o�� s����,�1�°
�9.�� "a"�°17.,r.,, Sf: Z�D�,,�ls�'//s �L. 33�s`5'�
naa�ss �����,.� cr ss��
� ime�m amaflnr:
Name at Fee Slmple 1dlehoMer. /1� '
(tf dittarorst tJn�nsr tisted aEwva}
Address � fy� Cily &tate
4. Co�adcr. >ll n/f �/�+e:J� ✓1O0 /.zS� ,
"7!�!b a�`t'�r�llc. l��r,, 2�����1.�._�L_ 3.�'S"„YI
Hda�� p� �r �7 s�ce
Ccr:trador"sTelepAonallo: t'S�3�jJ ���fT�
S. 6urety: �
Natna �
Addrass �� City Sffite
AmouM M Bond: S��•��„ Telephooa No.:
6. i.ender.
Name �
Addreea � Clty 6lmte
I.eade�s Telepfsane No.:
7. persw�s withhi�tha Stata of Fbrida deslgnatad by the ovurer upon whom noUces ar other dowments mey be served as pmvlded by ,
Sectlon 713.13(1)(e)(�,Raride StaURea:
Name �
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I
Addrass CttY � State �
Telephona Nurt�6at ut�esignated Pereon. '
8. !n edddiaa to filmsag,tfia nwner deslgnatas � �'�
to racalva n wpy cf the LIenar's Natics as provided Irr Sedlon T13.13{t)(b},Ficrida Ststutas.
Talephone Number cf Persan or Entity qealBnaMd by Ownar.
9. ExCi�on date af tlatice of Com�rrem;emerd(the�piraiton dut�rrr�yy act be i�efare ths complatlan af ccnstructton and fmst paymam to the
contractor,bul w81 be one year from thu daLa oi rocording urdess a diflensM date Ma specTed):
WRRNINt3 70 OWNER: ANY PAYAAENTS MADE 9Y Tli@ OWNER AFTER THE EXPIRATION OF TNE NO'T�CE OF COMMENCEMENT
AR£GON510ERE0 tMFROPER AAYhSENT5 UNDER CNAFTEf2 7i3, PART i, SECTIt7N 71g13, Fi.ORIDA STA7UTE6, ANO CAN
REStS4T IN YOUR PRYtNG TV4tCE fOR tMPROVEMEN7S TO YOUR PROFERTY. A Na7ic� oF coMMENCEMEFtT MtlST 8E
RECORUED AND POSTED ON THE JOB 3RE BEFORE 7HE FlRST INSPECTION. iF Y0U INTEND TO OBTAIN FINANdNG,CONSULT
WffM YOUR LENDER OR AN ATTORNEY BEPOFtE COMMENClNO DUORK OR RECORDINfl YOUR NOTtCE t:If ENCEMENT.
Under panaliyt af patjuty,I dedate ihat t hava raad tfie fare9 aot3co of wrtanen an(1 t�mt the stat arei are Gve to ths heat
` at my knowledge and betief. ��,� ` ���.(.� /
� � L�\
67ATE pF FLORIpA ""�
COUNTY OF PASCO -
Slgnature of Oaner at Cessea,otOtiu+ar's ar Les s's o d
Ofl'iee d�InaetodPartner/Manegar
' ��
� St�natoty'sTitletOiflcs
The w goi p Instt�ane�d was aeknmMed ed befwe me th , day ot�20�Q,by� \��r �_$��'�,�,'�� i
l� 1.3�1b���►�� �of atdhasify.e.&.a}Ctcbr.tntstee,aito7rrey in tadj fcr ,
(na rty 6ehall wh Was executncp.
Persot�s8y Knorm(�Og Raducad Moatili�atlan� NataN&Ignature:
Typeotldar�leatlonProduaad��CaCt[1G:CaC1VF��tCP11� Neme(PttM}_ , _ .
ppULp 5.0'NEIL,Ph.O PFiSCO GLERK & C4MP7ROLLER +WY'4/r�h,�r �
10/2@/2016 1:0 m 1 of �,,�� Notary Public St+�te of Flarida j
OR 8K ���� p� -,����„ � . MicheEle Arnte
My Commission FF 410614 �
�o�fl� Ezpira&04121/2017 �
wpdatal6ed+rotis�wmn+encam.nt�Aa39Aa !
� ��.t-C�R�`
�J�• ,��' STATE OF FLORIDA, COUfVTY OF PASCO
�� • � THIS IS TO CERTIFY THAT THE FOREGOING IS A,
� : TRUE AND CORRECT COPY OF THE DOCUMENT
e��`,,,, �` ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
N ' l�y°�� =��� � ,� WITNESS MY HANDA D OFFI IALSEALTHIS
y} ' -' �_�AY OF 2 D��
� ��6i� �,�' PAULA S. O'NEIL,C ERK&COMPTROLLER
�t �;�;�°0 �>►� , , DEPUTY CLERK
— - — �