HomeMy WebLinkAbout17-18468 �_ �
CITY OF ZEPHYRHILLS
5335-8TH STREEI'
($13)780-0020 �$��$
BUILQING PERMIT
PERMIT INFORMATION - L-OCATION INFORMATION
Permit Nurrtber: 18468 Address: 6'[24 9TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: RO�F REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPL(CABLE Lot(s): Block: Section:
Square Feet; Subdivision: TYSON
Est.Value: Parcel Number: 02-26-21-0160-00200-0060
Improv. Cast: 7,000.00 OWNER INFORMATICIN
Date issued: 5110I2017 Name: MASSEY DAVIDA
Total Fees: 105.00 Address: 6124 9TH 5T
Amount Paid: 105.00 ZEPHYRHILLS FL 33542-3518
Date Paid: 5/10/2017 Phone: 813-469-2232
Work Desc: REROQF TPO FLAT ROOF AREA
CONTRACTOR S APPUCATION FEES
TLC ROOFING LLC REROOF RESIDENTIAL 105.00
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1
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' Ins ections Re uired
DR IN R(70F IN P
TAPE JQINTS ROOF INS,� a"�
FINAL ,�'�- �-�Y�/
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Flarida 5tatute 553.80 (2)(c)the
locat gavernment shat! impase a fee of four times the amounfi of the fee imposed for the initiat inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NQTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property fihat
rnay be found in the public recards of this count}r, and there may be additiana( permits required from other governmentai
entities such as water management, state agencies or federal agencies.
"Warning to owner: Yaur failura to record a natice af commencement may resu[t in your paying twice for
impravements ta your property. If you intend to obtain financing,consult with your lender or an attorney
6efare recording your notice af commencement."
Complete Plans,Specifications Must Accompany Application.All wark shall be pertarmed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
v
CONTRA SIGNAT PERMIT C7FF1 R
PERMIT EXPIRES IN 6► MONTHS 1NITHOUT APPRt}VED INSPECTION
CALI. FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR{)TECT CARD FROM WEATHER
a�aaeo-aozo City of Zephyrhills Permit Application Fax�1&780-0021
, , Building Department �j(��^]/ 2_I 2'�
V l / (��� J
Date Received Phone ConWct for Pertnitting 813 312_ 4895
-1-1Z-IT�-rr
Owners Name Owner Phone Number
ow�ergaaa�ess 6124 9th St.ZEPHYRHILLS FL 33542 ownerPnoneNumber
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 6124 9th ST ZEPHYRHILLS FL 33542 �oT# 0
susoivlsioN TYSON FIRST ADDITION pARCEL IDI� 02-26-21-0160-00200-0060
(OBTAINED FR067 PROPERiY TA7C NOTICE)
WORK PROPOSED NEW CONSiR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL REPAIR
, PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONS7RUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK REROOF EXISTING FLAT ROOF WITH NEW TPO
BUILDING SIZE 20 SQUARE SQ FOOTAGE 1242 HEIGHT �
, QBUILDING $ 7 OOO.00 VALUATION OF TOTAL CONSTRUCTION I
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�� ���i
QPLUMBING $ -
QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION
QGAS Q ROOFING � SPECIALTY � OTHER �-����
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �}�1��
. � l��l �
BUILDER COMPANY
SIGNATURE REGIs7ErtED Y! N FEECURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEe cUaa�d Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N F�cUaREN Y/N
Address License#
MECHANICAL COMPANY
" SIGNATURE �REGISTERED Y/ N FEE CURREN Y/N
Address License�
SIGNATURE /L���f✓ e�/ ��""� TLC ROOFING LLC N
Address 20736 HIGHPOND LN DADE CITY FL 33523 ucense� CCC1328205
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Pertnit for new consWction,
Minimum ten(10)working deys after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&7 dumpster,Site Work Pertnit for subdivisions/large projeds
COMMERCIAL Attach(2)complete sets of Building Plans ptus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit fw new consW cdon.
Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciliUes$1 dumpster.Site Work Pertnit for all new pro)ects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
� Dlrections:
Fill out appticatlon completely.
Owner 8 Contractor slgn back of application,notarized
If over E2500,a Notice of Commencement is requfred. (A1C upgrades over 5T500)
'^' Agent(for the contractar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTiNG (copy of contrad required)
Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to°deed"restrictions"
which may be more restrictive than County reguiations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
, contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. if the
contractor is not Iicensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
, intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 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 the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Trans ortation Im act Fees and Recourse Recove Fees ma a I to the construction of new buildin s chan e of
P P ►Y Y PP Y 9 � 9
use in existing buiidings, 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 be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to �I
receiving a"certificate of occupanc�'or final power release. If the project does not involve a certificate of occupancy or '
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact �
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): if valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law--Homeowners
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
I hereby made to obtain a permit to do work and installation as indicated. I certity 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 I
certify that I understand that the regulations of other government agencies may apply to the intended 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 Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to 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 engineer
, licensed by the State of Florida. I
- 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 material 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 i
the conditions of the building permit issued under the attached permit application, for lots less than one(1)
acre which are 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 to 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 if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building 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.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR I ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDE O AN ATTORN Y BEFORE RECORDING YOUIZ TICE OF COM ENCEMENT.
FLORIDA JURAT(F.S.1 .0
OWNERORAGE . .c' CONTRACTO� '
Subscribed an bswo (or affirtned)befor �s Subscribed and s e{er-aff�rtne e this
Y
Who is/are personally known to me or has/have produced Who is/a y rsonally known toJ�e or has/have produced
as identification. 1 / as identifica6on.
r
No[ary Public , °`'�� L"�-�" �`-' � Notary Public
Commission No. Commis i
=:��� ':�= Commission
Name of Notary typed,printed or stamped Name of �r+��st�ire��mber 12,2��8
�'�,p��;°�`�� Bonded Thru Troy Fain Iusurance 800-385-70f9
� � � Illlllllllllll!lIIINIIIIIIIIillllllllllllllllllllllllllllll �
2017067322 �
Permit No. Parce!ID No
� NOTiCE OF COMMENCEMENT
stateot FLORIDA coo�tyor �1.1 C (`,�(7 I
THE UNDERStGNED hereby gives notice fhat improvement will be made ro ceAain real property,antl in aaordance with Chapter 719,Florida Stalutes, �
the(allowing informetion is provided in this Noflce of CommencemenY. �S� . �I
1. Desuiption of Property_Parcel identifiration No. �� "�C l,n��� " �����''J t7�� -•�i'L��y�
SUeetAddress: ��f:lF ����1.� . '
2. GeneralDesaiptionatlmpiovement_t�44 9;�Jh .�D^.���d"d�S ��,P+•0 <.d0� Y'bA�.�.
1`'��Jd� `.O�e�� '�',��
3. Own�er Infartnation w Lessee infortnatian i1 the Lessee Conlraded lor Ihe improvemenl• .
�,1��/DQam��rY�'�
G'r�y 97 ��: � �I F�
Z�y,e �u�
Address Ci� Siate
Interest in Property: D���VE�
Name of Fee Simple Titleholder.
(II diHerent from Ovmer listed above)
�d`�� TLC ROOFING LLC City � State
4. Contrac[or.
� Name P O BOX 1745 DADE CITY FL.
Address $�3-713-1313 �'ry state
CanUac[ars Telephone No,:
�
J5, Surery:
p Name
�
� /y�� Addreu Cily Stale
��y�A/� Amount of Bond: S Tdephane No:
m���
8. Lender
Y Q�� Name
a
W
�.-�� Address Ciry State
o d Lendefs Telephone No..
c� E
Q �p 7. Persarts within the State ot Florida designated by Ihe amer upon whom notices or ofher dowments may be served as provided by
a m�� Sedion 713.13(7)(a)('�,Flwida Stalutes
0
t��� Name
a m�� -
."'i. /��
W HM)! Address City State
o N Y Telephone Numher of Designated Person:
N�m B_ In addillan to himsalf,the atmer desfgnates oi_
j�0 to receive a mpy of Ihe Lienofs Notlrc as provided in Sectinn 713.13(1)(b),Fbrida Slatutes.
a� Telephone Number of Person w Enlily Designated by Owner:
9. E�iraUon dafe of Nolice of Commencement(Ne e�i26on dale may not be before the mmplelion of conshuCian and fmal payment to Ihe
wntrador,but will ha one year from Ihe date of recormng unless a QAierent date is spedfied):
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRA710N OF 7HE NOTiCE OF CONmAENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 RORIDA STAMES, AND CAN
Y RESULT IN YOUR PAYING i1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NO11C�OF COMMENCEMEM MUST BE
L RECORDED qND POSTED ON THE JOB SfTE BEPORE 7HE FIRST INSPECTION: IF YOU INTEND TO 08TAIN FINANCING.CONSULT ;
� WITH YOUR LENDER OR AN ATfORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEM'. �
~ UnGar penalty of perjury,1 Cetlare t�at 1 have read Ihe foregang no' comrnen ment an0 V�at the facis statetl Iherein are We to Ihe Desl
V ot my knowledge and belieL � ��
m � STATE OF FL RIDA (� I
��Q COUNTY OF�,SC,Q l�
�,y� Si ure nf es m l�ssee,or Qwrce w s marsf
� OfBter/DireclorlPaAnedAAanager
��x ��jJ%V�-�t'.� �
a� • SignatoysTiUrJOffice I
~� The foregoing inswmen[was aclmowledgetl bef`ore me Ihis�day at �A� ,zoi7cy���..\/D�• �S�V
� Y as A°7U�/R/L Q� T pe ot aulhoriry,e.g.,atflcer,Wstee,atlomey in faa)tor
� • (nam on 6ehalf of whom ins ment was exeale�.
�m� Persoaalry Known�0�Produ�idencit�rafton , � Notary Signature
��N Type of Idenmcafian Produred, Name(Print) DA W.LYCANS - --
ra�� ���- , i
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�c m , . .�°"s•"_"-,,
�� •, �;�; ..`�` "!ti,� DAVID W LYCANS
- � ` = =�' ' MY COMM�SSION#FF177819
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• , �?�~� EXPIRES November 18�2018
wpdatalbcslno6cecommencement�c053048 ' (�)�`� FloridaAlatarySeevice.com
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�� � ; . �,� �.������ F�py�lpp,,COUNT'f OF PAS�O
G THIS IS T�Ci RTIFY THAT THE FOREGOING IS A
u�u�. ,�A T���p,Np CQRRECT CQPY OF THE QOCUMEN`�
� � ,� ` ', * O N FILE OR OF PUBLIC RECORD IN THIS OFFICE
In C�nQ"k�e�r�:Sc � W�T SS MY HAND AI�ID OFFI C I A L S E A�T H I S
� . ' �,, �` � --�0'NYILFCLE K&C MPTROL�
��, PAULA S
'� �88y � � DEPUTY CLERK
0
��`��OF��.��`�� BY
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Product Aooroval Menu>Product or Aooltcation Search>Aoolicatlon Lfst>AppticaHon Detalt
":°'=�,°s� ' FL# FL1Z772-R4
' Application Type Revision
Code Version 2014
Application Status Pending FBC Approval
Comments
Archived ❑
Product Manufacturer Mule-Hide Products Co.,Inc.
Address/Phone/Email 1195 Prince Hall Dr
aeloit,WI 53511-5481 A��WdRK SHALL C��i�s�y��•�H
(608)365-3111 Ext 809 PREVAILING CODES
lindareith@trinityerd.com FLORIDA BUILDING COQE,
+VATIONAL ELECTRIC CODE,AND
Authorized Signature Timothy McFarland C�n'�F ZEPHYRNILLS ORDINANGES
lindareith@trinityerd.com I
Technical Representative Tim McFarland �
Address/Phone/Email 1195 Prince Hall Dr
Suite A
Beloit,WI 535115481
(608)365-3111 �EV�E� �1�.�� (f�•�
tim.mcfarland@mulehide.com Q
CITY OF�EI�F9YRFi1L �
Quality Assurence Representative p�� ���I����
Address/Phone/Email
Category Roofing I
Subcategory Single Ply Roof Systems �
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
Qualiry Assurance Entity UL LLC
Quality Assurance Contract 6cpiration Date 08/24/2018
Vaiidated By John W.Knezevich,PE
�I Validation Checklist-Hardcopy Received
Certificate of Independence FL12772 R4 COI 2017 O1 COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2008
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equivalence of Product Standards
Certified By
Sections from the Code
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsmFBcODh9XI... 5/4/2017
State Cerfified#CCC1328205 Phone:H�-TLC-ROOF
(844-852-7663)
EmaiL-ticroofingllc@aol.com
T!C Roofing
Licensed •Bonded •Insured
Free Inspections 8�Estimates
Jeremy Hooks A* Residential •Commercial •All Roof Types David Lycans
30 Years Experience
(813) 312-4895 � � ' www.TLCRoofingFL.com (813) 713-1313
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
Name ,� ti+ � . Street
Street _I� City
City � r �' State Zip
State Zip � Owner of property
Phone Number 3-`�C `7�3�Fax Phone Number Fax
We hereby propose to fumish all the materials and perform all the labor necessary for the completion of:
❑ R move existing shingle roof ❑ Replace bad fascia boards at$ per foot
�'Remove existing built-up roof ❑ Install feet of ridge vents
❑ Dry-in with ❑ Synthetic ❑Peel&stick ❑ Insfall modified bitumen (granulated)torch down roofing -
❑ Instal{new galvanized valley metal black,white or other color
❑ (nstall new lead boots ❑ Install 25 yr.fungus resistant 3-tab shingles
❑ Install new exhaust vents ❑ Install 50 yr.fungus resistant dimensional shingles
E�nstall new drip edge, color ❑Shingle manufacturer color
E(Install new flashing as needed , Q Install TPO,white rubberized roofing membrane
❑ Replace plywood at$ per sheet ❑Other: �� �r>c�tr�4
❑ Repair rotten trusses at$ per foot
*Woodwork is an additional charge, see pricing above
All material is guaranteed to be as spec�ed, and the above work is to be performed is accordance with the drawings aon�
specifications suBmitted for above work and completed in a substantial workmanlike manner for the sum of$ ` �
with payments to be made as follows. Pavment due in full on completion, unless otherwise noted.Thank You.
Credit cards accepted,additional 4%charge.
My alteralion or dev(ati�irom above speafications tnwtving e�dra costs will
be executed onty upon written orders,antl will become an e�dra charge over
and above Ihe estimate.All ag�eemenW contingent upon strikes,ecadents or Officer/Agent
delays beyand our cantrol.Owner to carty fire,tomado artd other necessery
insurance upon e6ove xrork.Compensetion and Pubfic Liability Insurance on Note:This proposal may be withdrawn by us if not accepted
above work to be faken aut by Roofirg Contractor.
within days.
Ciient gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby ac pted. You are author�zed to do the work as
specified.Payment will be made as ouUined above.
Acceptec! Signature �✓ �
Date Signature
,
r . + e O� o
„JWi11DH� .
- _ ::��.i-�_ ' -
����� wI
�k "-�_ .
w` -
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ��1� /� � ` /�-l�
Date Received: �����
Site: _ � / ZC� � ` �
Permit Type: �p� � �-
Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the pernut and/or plans.
� ���� �� �
Kalvin Switz lans Examiner Date Contractor and/or Homeowner
(Required when comments are present) �
�
I
i
�