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Home My WebLink About17-18473 CITY OF ZEPHYRHILLS '� .. _ , 5335-8TH STREEf � (813)780-0020 1847 BUILDING PERMIT � PERMIT INFORMATION � =�-LOCATION INFORMATION � Permit Number: 18473 Address: 5318 5TH 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: 11-26-21-0010-12300-0175 improv. Cost: 4,426.00 OWNER INFORMATION Date Issued: 5/10/2017 Name: DECKER ROSEMARY& DECKER KRISTE Total Fees: 60.00 Address: 5318 5TH ST Amount Paid: 60.00 ZEPHYRHILLS FL 33542-4044 Date Paid: 5/10/2017 Phone: Work Desc: REROOF TPO 7 SQ CONTRACTOR S APPLICATION FEES ALAN'S ROOFING INC REROOF RESIDENTIAL 60.00 �O � � ;: Ins ectio `�iired DRY IN ROOF INSP TAPE JOINT OF I 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 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 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 Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. ; I ' �� , C TRACTO S URE PERMIT OFFI R P RM T EXPIRES IN 6 MOIVTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER aia-�ao-oozo City of Zephyrhills Permit Application Fax-81&780-0021 , , 6uilding Department Date Received ��V � phone Contact for Permittin Owner's Name ��U�Y, l. ( Owner Phone Number Owners Address C�� • Owner Phone Number Fee Simple TiOeholder Name Owner Phone Number Fee Simple TiUeholder Address JOB ADDRESS cJ �� • �fl V �� LOT�! �� SUBDIVISION PARCEL ID# � D �a UI � (OHTAINED FRON PROPERIY TAK NOTIL� WORK PROPOSED e NEW CONSTR 8 ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR q�¢ PROPOSED USE Q SFR Q COMM � OTHER ��TI/ TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK l.� �V� � �l"O 1 V /�� BUfLDfIJG SiZE 8Q FOOTAGE� HEIGHT � �BUILDING � �f��) �Q VALUATION OF TOTAL CONSTRUCTION F O��q'��C"E��'� �e QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q I�.� dABUI�p�N S �I PLUMBING $ C��OF ZEpH�TRlC COp�,a 0 I�� RHILLS ORDINANC� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' /!��f�� j l � QGAS Q ROOFING Q SPECIALTY Q OTHER �EV/F� FINISHEDFLOORELEVATIONS FLOODZONEAREA QYES NO c/�On Dq�`� �,�i� �� , - �� I� PHy,�\ �� 'r �� ' 1�G• �NER'`��S ; BUILDER ��i� COMPANY SIGNATURE �e • REGISTERED Y 1 N FEE CURRE� Y 1 N Address 4�J e b i,U � License# Q � �a ELECTRIGAN COMPANY SIGNATURE REGISTERED Y/ N FEECURREt� Y/N Address License# PLllMBER COMPANY SIGNATURE REGISTERED Y/ N FEECURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTFRED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEECURREA Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcGon, Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans wl Silt Fence installed, Sanilary Facilities&1 dumpster,Site Work Permil for subdivisionsAarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Fortns.R-0.W Pertnit for new construaion. Minimum ten(10)working days after submittal date. ftequired onsite,Construction Pians,StormwaterPlans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sels of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely. Owner&Contractor sign back oi application,notarized If over$2500,a Notice of Commancement is required. (A!C upgradas over$7500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wi[h notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) 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 regulations. 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 licensed 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change 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 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 receiving a"certiFicate ot occupancy"or final power re4ease, ff the project does not invoive a cestificate 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. CONSTRUC710N LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is a2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's 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 application is accurate and that all work wili be done in compliance with a11 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 woric will be pertormed 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 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,WaterlWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health B� 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. - 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 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 1 am tfie AGE1dT FOR T41E OWNER,1 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 �t N o � set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter LL c" g requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid ' •� tt ui ° unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by W � � o the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension � ", O `� r may be requested, in writing,from'the Building Official for a period not to exceed ninety (90)days and will demonstrate % � � o justifiable cause for the extension. lfi work ceases for ninety(90)consecutive days,the job is considered abandoned. w ? � � O X � WARNING TO OWNER: Y UR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR U W " PAYING TWICE FOR IMP �VEMENTS TO OUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT } WITH YOUR LENDER O A A Y RE RECORDING YOUR NOTICE OF COMMENCEMENT. 2 FLORIDA JURAT(F.S.117.a3) °•`•I�Qa';u oWNERORAGENT � CONTRACTOR � :�� °..d, Subscribed and swor { r a ) re m this � bf�jq�Subscribed and sworn[o(or affirmed)before me this I _p � / b c, �o"= Y Y �'.7'• v��•- Who islare nal known o me or has/have produced Who islare personally known to me or has/have produced '�:'g�*� �? as i ntification. as identlfication. Notary Public Notary Pu61ic Commission No. Commission No. �lS�} �1 . C,E�I/OX Name of Notary typed,printed or stamped Name of Notary typed,printed or starnped i ' ai�-�ao-oozo City of Zephyrhilis Permit Application Fax-813-78Q0021 Building Department � Florida Building Code Online Page 1 of 2 � n,.�..� _ �_ - i� �. e : ' o n . " • � o - �� BCIS Home j Log In � User R2gistratlon � Ho[Topia � Submit Surcharge � Stats&Facts � Publications I FBC Staff i 8CI5 Site Map � 4inks 1 Search j Florida r�Ir ; �: Product Approval lf�� I F USER:Public User � � Li;s.c^u`'iis.�t,iG� Product Aooroval Menu>Product or Aoaticatlon Search>Anpiic�tion Lis#>pppllcation Detat) Ft# FL12772-R3 Application Type Revision Code Version 2014 Rpplication Status Approved Comments Archlved ❑ ProduCt Manufadurer Mule-Hide Products Co.,InC. Address/Phbne/Email 1195 Prince Hall Dr Beloit,WI 53511-5481 (60$}365-31i1 Ext8d9 lindareith@Crinityerd.com Authorized Signature Timothy McFarland lindareith@trinityerd.com Technical Representative Tim McFarland AddressJPhone/Emzai! 1195 Prince Hal!Dr Suike A Beloit,WI 535115481 (608)365-3111 tim.mcfarland@mulehide.cam Quality Assurance Representative Address/PhonelEmait Category Raofing Subcategory Single Ply Roof Systems Comp(iance Method Evaluation Report from a Fiorida Registered Architect or a Licensed Flarida Professional Engineer � EvatuaYion Report-Hardcopy Received Florida Engineer or Architect Name who developed Rabert Nieminen the Evaivation Regort Florida License PE-59166 Quality Assuranee Entity UL LLC Quality Assurance Contract Expiration Date SOJ0612�1$ Validaked By John W.Knezevich,PE � Vatidatlan Checklist-HBrdcapy Received Certificate of Independence FL12772 R3 COI 2015 01 COI Nieminen.pdf Referenced Standard and Year(of Standard) Standard Year ASTM D68?8 2408 FM 4470 1992 FM 4474 2(l04 TAS 114 2012 Equivalence af Product Standards Certified ey Sections fram the Code I ' https://www.flaridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsrnFBcODh9X... 5/10/2017 Florida Building Code Online Page 2 of 2 Product Approval Method Method 1 Option D Date Submitted 03/20/2015 Date Validated 03/27/2015 Date Pending FBC Approval 03/31/2015 Date Approved 06/22/2015 Date Revised 04/03/2017 Summary of Products FL# Model,Number or Name Description 12772.1 Mule-Hide TPO-c Single Ply Roof Thermoplastic polyolefin single ply roof systems Systems Limits of Use Installation Instrudions Approved for use in HVHZ:No FL12772 R3 II 2015 03 FINAL A1 ER MULE- Approved for use outside HVHZ:Yes HIDE TPO-c FL12772-R3 odf Impact Resistant:N/A Verified By: Robert Nieminen PE-59166 Design Pressure:+N/A/-495 Created by Independent Third Party:Yes Other: 1.)The DP noted in this application pertains to one Evaluation Reports particular assembly. Refer to the ER appendix for all FL12772 R3 AE 2015 03 FINAL ER MULE-HIDE- assemblies and DP's.2.)Refer to ER section 5 for Limits of TPO-c FL12772-R3 odf Use. Created by Independent Third Party:Yes 8ack Next Contac[Us::�601 Blair Stone Road Tallahas FL phone:850-487-1824 The State of Florida fs an Aq/EEO employer Goovriaht 2007-2013 State of Fior(da ::Privacv Statement::Accessibilitv Statement.:Refund Statement Under Florida law,email addresses are public remrds.If you do not want your e-mail address released in response W a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questlons,please contact 850.487.1395.*Pursuant to Section 455.275(1),Florida Statutes,effective Octaber 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for offic(al communiption with the licensee.However email addresses are public remrd.If you do not wish to suppiy a personal address,please provide the Departrnent with an email address which can be made available to the public.To determine if you a2 a Iicensee under Chapter 455,F.S.,please click here Produd Approval Accepts: �� t�l` � � Credit Card Safe https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqsmFB cODh9X... 5/10/2017 � - � I[�[IIl11111111111111111111111111111i11lllllllllllllllllllll Z017070182 Ropt:1862117 Rec: 10.00 Key No. Permit Na. ��'° �•�� ZT: �.�� 05l1012017 iy. F. , ppty Cierk NC3TICE OF CtJMMENCEMENT . ' . • PRULA 5.0'NEIL,Ph D.PASCO CI.ERK & COMPTROLLEF TtlE Ut+lC?ERSlGNED hereby gives notice tt�af imprcrvemer�i wiU be ` 0�J/�0/20� 1'1 m 1 of 1 Made to certain,and in aa,�rdance with Chapter 713, Florida State OR BK �� G ��" Statues,the foCiowing information is provided in this Not'sce of " Cb�mencement: 1. Description of Pro�erty: Parce! No.: � � �`�...�� 1 V 4�� O'�� {Legal desc►iption of the property and stree#address if availabte) 2. ene I D scription of Improvement; • 3. Clwner inform tion: Name: � .4t�dress: 531� S`�" b'�"• Cify S St�te�Zi}7�5'y c�. Interest in Property: Fee Simple Name and Address of Fee Simple Titiehoider(lf other#han awner) : - Con#ractor. Name: Alart's Roofnq, Enc ddress: 'l4498 Pance De Leor► Blvd City Broa�Csvi!!e State FL Zip 34601 hone No. 352-686-3330 � Fax No. 352-754-8902 5. Surety: Name Amount of Bond: � Address: � City State�,Zip Phone No. Fa�c No. 6. F.ender: Name: ' Address: City State_,,,i Zip Phone No. Fax No, 7. Persons wifhin the State of Florida designated by Owner upan whom notices or a#fier documents rnay be served as provided by Section 713.13(�}(a)(7} Florida Statutes. Name: � Addcess: City State�2ip Phone No. Fax No. S. In acldition to himself or hers�elf, Owner designafes N/A o# To receive a capy of the Leinor's Natice as provided in Section 713,13(1}(b}, Florida Statutes. 9. Expkatian date af Notice o#Commencemen#(the expiration date!s 4 year af recording unless a different date is specified.) WARNINC,TfJ OWNER:ANY PAYMENTS MADB BY THE OWNER AFTER TNE EXPIRATION OF THE NOTICE OF COMMENCPINENT ARE CONSIDERED lNFPROPER PAYMElHTS UNDER CHAPTER T't3,PART'{,S8C T13.13,FLQRIDA STA7UTES,AND CAlJ R�SU4.T(N YOUlt PAYING TWICE FOF2IMPRC7VEMENTS TO YOUR PROPER"fY.A NOTICE OF COMMEiVCEMENT MUST BE RECQRDED ANO POSTED ON THE JOB SITE BEFORE TN6 FiRS7 IiVSPEGT10At.IF YfltJ tPiTEND TO OSTAIN FtNAl�tC1NG,CONSUIT WfTtE YOLtFt L£Nt}fiR QR AN ATTORT+tEY SE�ORE GQMlYlENCING WORK QR l�CORDlNG YOUR NQTlGE QF CQMMENCEMENT. x ��! �i��--��`�"�� ' S/gnature v/Owner o�dwner's Aulhorized Gifieer/DlreetodPartnedManager 5ignattlry�8 TiU@/OffiCe ""Signatu Required by same belaw by'X"maric"' State of_ �� Caunty of � The forgoing insirurnent was acknowled ed befare me this„�day of .24�by C � �v► L l�c.rt (Printed name pf person ecknawledgingj as for (Type of a ority e.g.,oKca,trustee. ey in f�et) (Name ot paKy o behaFf pf wha inJsfruLment was aaceGuted} - c � t,�/ lT_� C.�{..,l V U!� Signature�of IVataty Prinf ` Type or Stamp Name of Notary _ Personally known OR Produced Identification TyPe of(den#ifrcation Producad: �Z. Ver3fieatlon pursuant to Sect3on 92.525,Flortda StatuWs:under Penaities of perjury,I dectare ltrat!have read the foregaing and that!he facts ' stafad fi it are Lrue c the best ot my kncwtedge and belieL j X ��, �V � , � Signatura of atural Persan Sigrti�g A ove •- I �'�. LISA M LEidOli �� Y . '�,;. "� � • : b1Y Cf7MMIS510td#FF227169 ��. , �'•.','ta� EXP�RES tviay 05.2U19 t�iC:�35t;�C'�� FtntWl,iNo5ary5titvicct.c�+r 1 � ' I ��r��S �� ° ' • � STA7�C1� �L�RI�A, CDUNTY OF PASGQ ' � fi�il�I�T�G�f�TIFY TM,AT TFIE FOREGQINC IS A �� ' � � TF�U�ANQ CORRECT G�PY OF THE DOCUME�dT � . u f��1'�`'"��,• � ON FI�E 0�OF PUBLIC RECORD iN THIS OFFICE ��L�,�°"� �('�.,��, ' �a WITNE�S MY HAND AND OFFICIAL SEAL THIS " ,�`''� � �r" DAY OF 2C��" � • � �� .��R'i i ey4'. pqIJLP�d�C)'NEIL, CLERK&C MPTROLLER � ' ' �' 6�@*�� DEPUTY CLERK � S�'AT�� B .