HomeMy WebLinkAbout18-20298 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20298
BUILDING PERMIT
.. PERMIT INFORMATION ; . LOCATION:INFORMATION
Permit Number: 20298 Address: 38408 3RD AVE
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19100-0220
Improv. Cost: 18,000.00 OWNER INFORMATION
Date Issued: 10/02/2018 Name: BARTLETT, RICHARD
Total Fees: 380.00 Address: 38408 3RD AVE
Amount Paid: 315.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/02/2018 Phone: (813)997-4370
Work Desc: OFFICE REMODEL W/ ROOF REPLACEMENT
CONTRACTORS APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F BUILDING FEE 172.50
FIRST CLASS ELECTRIC INC ELECTRICAL FEE 75.00
LARRIE MEYER SERVICES INC ,(P�LUMBING FEE 67.50
BAHR'S PROPANE GAS &A/C, INC. ✓IVIECHANICAL FEE 65.00
Ins ections Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 performed in accordance with
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
Florida Building Code Online https://floridabuilding.org/pr/pr_appjtl.aspx?param=wGEVXQwt.
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SCIS Home Log In User Registration Hot Topics 1: Submit Surcharge Stats&Facts Publications Contact Us 1 BCIS Site Maps Links Search 1
Floridalci�d
Product Approval
i USER:public User
PLnduct Apaozy,1111M> Search>Applicatlon Lkt>Application Detail
FL# FL12772
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Mule-Hide Products Co.,Inc.
Address/Phone/Email 1195 Prince Hall Dr
Beloit,WI 53511-5481
(608)365-3111 Ex 09
llnc1ar@nemoetc.conf`lL-L
Authorized Signature Timothy McFarland CRDEj '911AL lt)A 8Uk L Co&DfP
lindar@nemoetc.c AA'191VAL OR , /ALjG)'W17
MD Nl ELECM'c C 'h ODA�,ReVAltl
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Technical Representative Tim McFarland EP4e a
Address/Phone/Email 1195 Prince Hall Dr INILLS
Suite A
Beloit,WI 535115481
(608)365-3111
tim.mcfariand@mulehide.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
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
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 06/01/2019
Validated By John W.Knezevich,PE
t Validation Checklist-Hardcopy Received
Certificate of Independence FL12772 R5_COI 2017 01 COI Nieminen.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2011
FM 4470 2012
FM 4474 2011
TAS 114 2011
Equivalence of Product Standards
Certified By
of 2 9/25/2018. 10:32 AM
rloncialiullamg Loge Vnllne Hops:fiuorluaou11uu1g.�lyryuyl_ayy_utl.a�ya:yzuatu—w�i v�ajw�.
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/11/2017
Date Validated 09/14/2017
Date Periding FBC Approval 09/15/2017
Date Approved 12/12/2017
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 Instructions
Approved for use in HVHZ:No FL12772 R5 II 2017 09 FINAL Al ER MULE-HIDE TPO-
Approved for use outside HVHZ:Yes c FL12772-R5.pdf f
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 pertalns to one Evaluation Reports
particular assembly.Refer to the ER appendix for all FL12772 R5 AE 2017 09 FINAL ER MULE-HIDE TPO-
assemblies and DP's.2.)Refer to ER section 5 for Limits of c FL12772-R5.odf
Use. Created by Independent Third Party:Yes
Back Itlext
Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida 5 an AA/EEO employer.Copyright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic
mall to this entty.Instead,contact the office by phone or by traditional mad.If you have any questions,please contact 850.487.1395.*Pursuant to Section
455.275(1),Florida Statutes,effective October 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 official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal
address,please provide the Department with an email address which can be made available to the public.To determine Ifyou are a licensee under Chapter 455,F.S.,
please click beg_.
Product Approval Accepts:
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TR1NffY 4 ER®
AP.PENDix 1:ATTACHMENT REQUIREMENTS FOR WIND,UPLIFT REsisTANCE
Table Deck Application Type Description Page
SA Wood New,Reroof(Tear-Off),Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 4
1B Wood New,Reroof(Tear-Off),Recover D-1 Insulated,Mechanically Attached Roof Cover 4
1C Wood New,Reroof(Tear-Off),Recover D-3 Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 4
1D Wood New,Reroof(Tear-Off),Recover E-1 Non-Insulated,Mechanically Attached Roof Cover 5
1E Wood New,Reroof(Tear-Off),Recover E-2 Non-Insulated,Mechanically Attached Base Sheet,Bonded Roof Cover 5
1F Wood New Construction F Non-Insulated,Bonded Roof Cover 5
2A Steel or Structural Concrete New,Reroof(Tear-Off),Recover B Mech.Attached Base Insulation,Bonded Top Insulation,Bonded Roof Cover 6-7
2B Steel or Structural Concrete New,Reroof(Tear-Off),Recover C-1 Mechanically Attached Insulation,Bonded Roof Cover 8-9
2B Steel New,Reroof(Tear-Off),Recover C-2 Mechanically Attached Insulation,Plate-Bonded Roof Cover 10-11
2D Steel or Structural Concrete New,Reroof(Tear-Off),Recover D-1 Insulated,Mechanically Attached Roof Cover 12-15
2E Steel or Structural Concrete New,Reroof(Tear-Off),Recover D-2 Insulated,Mechanically Attached Roof Cover(RUSS Strips) 16
3A Structural Concrete New,Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 17-18
38 Structural Concrete New,Reroof(Tear-Off),Recover C-2 Mechanically Attached Insulation,Plate-Bonded Roof Cover 18-19
3C Structural Concrete New,Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 19
4A LWIC New,Reroof(Tear-Off) A-1 Bonded Insulation,Bonded Roof Cover 20
4A-1 LWIC over Steel New,Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 20
4A-2 LWC over Structural Concrete New,Reroof(Tear-Off) F Non-Insulated,Bonded Roof Cover 21
SA Gypsum Reroof(Tear-off) A-1 Bonded Insulation,Bonded Roof Cover 22
6A Various Recover A-1 Bonded Insulation,Bonded Roof Cover 23
68 Steel Recover C-2 Mechanically Attached Insulation,Plate-Bonded Roof Cover 24
6C Steel Recover D-1 Insulated,Mechanically Attached Roof Cover 25
6D Steel or Structural Concrete Recover E Nan-Insulated,Mechanically Attached Roof Cover 26
6E Various Recover F-2 New LWC over Existing Roof,Bonded Roof Cover 27
The following notes apply to the systems outlined herein:
1. The roof system evaluation herein pertains to above-deck roof components. Roof decks and structural members shall be in accordance with FBC requirements to the satisfaction of the Authority Having Jurisdiction.
Load resistance of the roof deck shall be documented through proper codified and/or FBC Approval documentation.
2. Unless otherwise noted,fasteners and stress plates for Insulation attachment shall be as follows.Fasteners shall be of sufficient length for the following engagements:
Wood Deck: Mule-Hide Drill Point Fastener or Mule-Hide HOP Fastener with Mule-Hide 3 In.Insulation Plate.Minimum%-inch steel penetration,engage the top flute of the steel deck
Steel Deck: Mule-Hide Drill Point Fastener or Mule-Hide HOP Fastener with Mule-Hide 3 In.Insulation Plate.Minimum%-inch steel penetration,engage the top flute of the steel deck.
Structural Concrete: Mule-Hide HOP Fastener or Mule-Hide Fluted Concrete Nail with Mule-Hide 3 in.Insulation Plate.Minimum 1-inch embedment. Fasteners installed with a pilot hole in accordance with the
fastener manufacturer's published installation instructions.
3. Unless otherwise noted,Insulation may be any one layer or combination of polyisocyanurate,polystyrene,fiberboard,perlite and/or gypsum-based Insulation board that meets the CIA requirements of FA.C.Rule
61G20-3 and Is documented as meeting FBC 1505.1 and,for foam plastic,FBC Chapter 26,when installed with the roof cover.
4. Minimum 200 psi,minimum 2-Inch thick lightweight insulating concrete may be substituted for rigid Insulation board for System Type C-2(plate bonded roof cover)or Type D(mechanically attached membrane),
whereby the membrane fasteners are installed through the LWIC to engage the structural steel or concrete deck.The structural deck shall be of equal or greater type,thickness and strength to the steel and concrete
deck listings. Roof decks and structural members shall be in accordance with FBC requirements to the satisfaction of the Authority Having Jurisdiction. Load resistance of the roof deck shall be documented through
proper codified and/or FBC Approval documentation.
Exterior Research and Design,U.C.d/b/a Trinity I ERD Evaluation Report M35060.06.09-RS for FL12772-RS
Certificate of Authorization N9503 0 EDITION(2017)FBC NON-HVH2 EVALUATION Revision 5:09/11/2017
Prepared by:Robert Nieminen,PE-59166 Mule-Hide TPO-c Single Ply Roof Systems;(609)365-3111 Appendix 1,Page 1 of 27
h i TRINITY ER®
5. Preliminary insulation attachment for System Type D:Unless otherwise noted,refer to Section 2.2.10.1.3 of FM Loss Prevention Data Sheet 1-29(January 2016).
6. Unless otherwise noted,insulation adhesive application rates are as follows.Ribbon or bead width is at the time of application;the ribbons/beads shall expand as noted In the manufacturer's published instructions:
D Mule-Hide Helix°Low-Rise Adhesive(HELIX): Continuous to 1-inch wide beads,l2-inch o.c
➢ ICP Adhesives CR-20: Continuous 2%to 3%-Inch wide ribbons,12-inch o.c.
➢ OlyBond 500(08.500): Continuous h to 1-Inch wide ribbons,12-Inch o.c.using PaceCart or SpotShot application devices.
➢ Note:When multiple layers(s)of insulation and/orcaverboard are Installed In ribbon-applied adhesive,adhesive ribbons shall be staggeredfrom layer-to-layer a distance of one-half the ribbon spacing.
D Note.,The maximum edge distance from the adhesive ribbon to the edge of the Insulation board shall be not less than one-half the specified ribbons spacing.
7. Unless otherwise noted,all insulations are flat stock or taper board of the minimum thickness noted.Tapered polyisoryanurate at the following thickness limitations may be substituted with the following Maximum
Design Pressure(MDP)limitations. In no case shall these values be used to'Increase'the MDP listings in the tables;rather if MOP listing below meets or exceeds that listed for a particular system In the tables,then
the thinner board listed below may be used as a drop-in for the equivalent thicker material listed in the table:
➢ ICP Adhesives CR-20: MDP -117.5 psf (Min.1.0-Inch thick)
D OlyBond 500(OBSOO): MDP -315.5 psf (Min.0.5-Inch thick Poly ISO 1,H-Shleld or ENRGY 3)
➢ OlyBond 500(OB500): MPD -487.5 psf (Min.0.5-Inch thick Poly ISO 2 or ACFoam II)
8. Banded polylsocyanurate insulation boards shall be maximum 4 x 4 ft.
9. For mechanically attached components or partially bonded insulation,the maximum design pressure for the selected assembly shall meet or exceed the Zone 1 design pressure determined in accordance with FBC
Chapter 16,and Zones 2 and 3 shall employ an attachment density designed by a qualified design professional to resist the elevated pressure criteria. Commonly used methods are ANSI/SPRI WD-1,FM Loss
Prevention Data Sheet 1-29,Roofing Application Standard RAS 117 or Roofing Application Standard RAS 137. Assemblies marked with an asterisk'carry the limitations set forth in Section 2.2.10.1 of FM Loss
Prevention Data Sheet 1-29(January 2016)for Zone 2/3 enhancements.
10. For assemblies with all components fully bonded in place,the maximum design pressure for the selected assembly shall meet or exceed critical design pressure determined in accordance with FBC Chapter 16,and no
rational analysis is permitted.
11. For mechanically attached components over existing decks,fasteners shall be tested in the existing deck for withdrawal resistance. A qualified design professional shall review the data for comparison to the
minimum requirements for the system.Testing and analysis shall be in accordance with ANSI/SPRI FX-1 or Testing Application Standard TAS 105.
12. For existing substrates in a bonded recover or re-roof Installation,the existing roof surface or existing roof deck shall be examined for compatibility and bond performance with the selected adhesive,and the existing
roof system(for recover)shall be capable of resisting project design pressures on Its own merit to the satisfaction of the Authority Having Jurisdiction,as documented through field uplift testing in accordance with
ANSI/SPRI IA-1,ASTM E907,FM Loss Prevention Data Sheet 1-52 or Testing Application Standard TAS 124,
13. For System Type D,steel deck applications,the roof membrane shall be run with Its length perpendicular to the steel deck flutes.
14. For Structural Concrete Deck or Recover Applications using System Type C-2(Plate Bonded Roof Cover)or Type D(Mechanically Attached Roof Cover),the insulation is optional. Alternatively,min.0.5-inch HP
Recovery Board,Poly I501-HD,H-Shield HD or SecurShield HD or min.0.25-inch to 0.625-inch Dens Deck,Dens Deck Prime,SECUROCK Gypsum-Fiber Roof Board or SECUROCK Glass-Mat Roof Board or min.3/8-inch
Insulfoam R-Tech EPS or Fan-Fold may be used as a separator board,preliminarily attached prior to roof cover installation.The separator component shall be documented as meeting FBC 1505.1 and,for foam plastic,
FBC Chapter 26,when installed with the roof cover in Recover applications.
15. Lightweight Insulating Concrete(LWC)shall be cast in accordance with FBC Section 1917 to the satisfaction of the Authority Having Jurisdiction. For systems where specific LWC Is referenced,refer to current LWC
Product Approval for specific deck construction and limitations. For systems where specific LWC is not referenced,the minimum design mix shall be 300 psi. In all cases,the minimum tap-coat thickness is 2-Inches.
For LWC over structural concrete,reference is made to FBC Section 1917.4.1,Point 1.
Exterior Research and Design,LLC.d/b/a Trinity)ERD Evaluation Report M15060.06.09-RS for FL12772-RS
Certificate of Authorization#9503 6'"EDITION(2017)FBC NON-KVHZ EVALUATION Revision 5:09/11/2017
Prepared by:Robert Nleminen,PE-59166 Mule-Hide TPO-c Single Ply Roof Systems;(608)365-3111 Appendix 1,Page 2 of 27
-�TRINIT 'tR®
16. For adhered membrane systems,side laps shall be minimum 2-inch wide sealed with min.1.5-loch heat weld. Unless otherwise noted,membrane adhesive application rates areas follows:
Membrane Adhesive _ _ - - Method
Mule-Hide TPO-c Mule-Hide TPO-c Bonding Adhesive(TPO-c BA) Contact(both sides) 60 ft'/gal
Mule-Hide TPO-c Aqua Base 120 BA Contact(both sides) 120 ft'/gal
Mule-Hide TPO-c Fleece Back Aqua Base 120 BA Wet lay(substrate) 120 ft=/gal
Mule-Hide TPO-c Fleece Back Mule-Hide Helix°Low-Rise Adhesive(HELIX) Wet lay(substrate) FULL=continuous ribbons,maximum 4-Inch o.c.
17. For membrane systems attached using TPO 10-Inch Pressure-Sensitive RUSS,the underside of the membrane which comes in contact with the tape shall be primed with HP-250 Primer. The membrane shall be
secured by placing the primed portion onto the tape portion of the TPO 10-inch Pressure-Sensitive RUSS and roll with a steel hand roller to ensure contact.
18. For bonded membrane systems,unless otherwise noted,reference to"Mule-Hide TPO-c"membrane below also includes"Mule-Hide TPO-c EXTRA".
19. Vapor barrier options for use over structural concrete deck followed by adhesive-applied Insulation carry the following Maximum Design Pressure(MDP)limitations.The lesser of the MDP listings below vs.those in
Table 3A applies.
-VAPOR BARRIER OPDDrrsi STRUCf11RAL CONLRErE DECK;FdttOWED 65'ADHESIVE-APPLI - -- _"-
EDUtsuIATIONPERTAetE3'Ai
Option N Primer Vapor Barrier
Type Application Insulation Adhesive MDP(psf)
VB-1. Carlisle CAV-GRIP Primer F5'Air&Vapor Barrier or Carlisle VapAir Seal 72STR Self-adhering HELIX(RIBBON,12-inch o.c.) -97.5
VS-2. ASTM D41 Carlisle SureMB 90TG Base or SureMB 120 TG Poly Base Torch-applied HELIX(RIBBON,12-inch o.c.) .97.5
VB-3. ASTM D41 Carlisle SureMB 90 Base or SureMB 120 Poly Base Hot-asphalt HELIX(RIBBON,12-inch o.c.) -97.5
20. "MDP"=Maximum Design Pressure Is the result of testing for wind load resistance based on allowable wind loads. Refer to FBC 1609 for determination of design wind loads.
Exterior Research and Design,I.I.C.d/b/a Trinity I ERD Evaluation Report M15060.06.09-RS for FL12772-RS
Certificate of Authorization#9503 6°1 EDITION(2017)FBC NON-HVHZ EVALUATION Revision 5:09/11/2017
Prepared by:Robert Nleminen,PE-59166 Mule-Hide TPO-c Single Ply Roof Systems;(608)365-3111 Appendix 1,Page 3 of 27
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: h4k4j %
Date Received: 9-- 1 A--C 8
Site: :3ego e 3y-WAw _-
Permitt Type: ' OR- jj k t 4Y 1 11 k
Approved w/no comments Approved w/the below comments: Denied w/the below comments: ❑
,J I
CrD&
This comment sheet shall be kept with the permit and/or plans.
/ Ik 1. 23
Kalvin Switzer lans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
";'k
�151
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PEqduct Approval Mjanu>Product or ApOkati=Search>ApakAtjgz_LLA>Application Detan
FL# FL12772-115
Application Type Revision y17 0
Code Version 2017
A, . OP
Application Status Approved
Comments
Archived
Product Manufacturer Mule-Hide Products Co.,Inc.
Address/Phone/Email 1195 Prince Halt Dr
Beloit,WI 53511-5481
(608)365-3111 Ex 09
lindar@nemoetc.co L
COZ)E.S QSHALL COA4,Timothy McFariandV,47'/OjV' ROA
Authorized Signature lindar@nemoetc.c '8141DPLY W'7�1 A
"I aecrp/ "VG CO Re'6qx11VG
NIE c1r,OF C COOZ, De,
Technical Representative Tim McFarland
Address/Phone/Email 1195 Prince Hall Dr
Suite A
Beloit,WI 535115481
(608)365-3111
tim.mcfarland@mulehide.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
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 Nleminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 06/01/2019
Validated By John W.Knezevich,PE
Validation Checklist-Hardcopy Received
Certificate of Independence FL12772 R5 COI 201701 COI Nieminen.pdf
Referenced Standard and Year(of Standard) Standard
ASTM D6878 2011
FM 4470 2012
FM 4474 2011
TAS 114 2011
Equivalence of Product Standards
Certified By
)f2 9/25/2018, 10:32 AM
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/11/2017
Date Validated 09/14/2017
Date Pending FBC Approval 09/15/2017
Date Approved 12/12/2017
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 Instructions
Approved for use in HVHZ:No 12772 R5 11 2017 09 FINAL Al ER MULE-HIDE TPO-
Approved for use outside HVHZ:Yes c EL12772zR5,pdf
Impact Resistant-N/A Verified By: Robert Nleminen 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 R5 AE 2017 09 FINAL ER MULE-HimTP0-
assemblies and DPs. 2.)Refer to ER section 5 for Limits of c FL12772-R5.r)df
Use. Created by Independent Third Party:Yes
Fe---.-k] F..t
fjWtaLt_"::2601 Blair Stone Poadjaltahassee FL 32399 Phone:850-487-1824
The State of Florida Is an AA/EEO employer.Copyright 2007-2013 State offtrida.::Privacy Statement::Accessibility Statement:;Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic
mail to this entity.Instead,contact the offte by phone or by traditional mail.Ilyou have any questions,please contact 850.487.1395,-Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.The emab provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal
address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,
please clack here_.
Product Approval Accepts:
"M 0 F;-q Ei
Credit Card
Safe
2 of 2 9/25/2018, 10:32 AN
. Bartlett Roofing Of Central if toriba, I nc.
C/O Richard Bartlett
38408 3rd Ave. I Zephyrhills, FL 33542
(813) 782-5585 1 (352) 523-1944 1 (813) 973-7737 1 FAX (813) 780-1805
Email: roofingrichard@yahoo.COM Lic. #CCC 1325499
One of the Largest, Oldest, Most Dependable Roofing Companies in Central Florida
Specializing in Mobile Home White Commercial Rubber, Shingles & Color Metal Roofing
RESIDENTIAL • COMMERCIAL • MOBILE HOME
LICENSED - INSURED - BONDED
• MEMBER OF THE CHAMBER OF COMMERCE& BETTER BUSINESS BUREAU •
We do everything we can to maintain our A+ rating from the Better Business Bureau
Serving Zephyrhills, Dade City, Crystal Springs, Quail Hollow, Wesley Chapel, and Surrounding Areas.
We have re-roofed or repaired more roofs(20,000)in the past 44 years, than the four local leading roofing companies combined.
We do not charge extra fees for credit card purchase.Most companies charge 3 to 5%.
Date
Name ._f=9G - � ��►, , -� s ,f� ,
J
Address r 4n, ; �- 1 ` ' i��.i i;�.-�_.
Phone r
DESCRIPTION AMOUNT .
ft, �(Q, j it �Ql
i^`"'�-� h���h :1.3;'i C'� e�..,�'1,�fi�j� i �"-1 fl � )�d1��1 t't��`1'•l) } 1�(`{'� r t�'•_.�1 6'. �� I a��9'-"��>'�-^ F F��'.}•�'�� i��'�
i".. P�'��`��_;7 � s. l� t� _:�'.��'c :� r�,t-�.- - �'_�, `i'��,C,L�'rJ�,c.2 - , .\ ( �-•l�� f�
t��_�' �{�C�1`;�".i �r =�.� �. •} �_ Y U_f,•__1,.•-.,Z �._i`' (��� r�r..'L'— •o��Si .�4.i �i��_.Ey"t^ �t��_ t-J" �.} f 1
Home Owner:
Richard C.Bartlett,President&Owner A.Bartlett Roofing of Central FL,Inc.
THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra$35.00 per sheet 4 I Rotten fascia is$2.00 per linear foot. Total
ll-26'2l-U0l0-\9l80-O22V|�momn�uootv
' �` Property Appraise Page lofl
' ^
Data Current as Of: Week
Parcel ID 11-26-21-0010-1, 9100-0220 (Card: 001 of 002)
Mailing Address Property Value
Physical Address Extra Features $2,565
Le Just Value $41,147.
-gal 9999tiplign(First 4 Lines) Assessed (Non-School Arnendment 1) $41,147
See Plat for this
Subdivision Taxable Value $41,147
OR 1562 PG 655
Jurisdiction
Additional Land Information
FEMA
Acres 0.24 ITaxAreal i_ozc Code X Commerc a[ Codej M6ST2AB
Building Information - Use 17 - Offices (One Story) (Card: 001 of 002)
Year Built 1986 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring I Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 1.0
Line Description lSq. Feet
Repl. Cost New
Extra Features (Card: 001 of 002)
Line i ear Units Value
Sales History
Previous Owner: N/A
Month/Yea Book/Page Type 6OR-Code C ondition Amount
vacant $0
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
f
Date Received Phone Contact for Permitting
Owner's Name ` Owner Phone Number - -J ! 3
Owner's Address Owner Phone Number • a
Fee Simple Titleholder Name Owner Phone Number
Fee Simple:Titleholder Address ll
JOB ADDRESS Q LOT#
SUBDIVISION PARCEL ID# 1
(OBTAINED FROM P OPERTY TAX NOTICE),
WORK PROPOSED R
NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION Q F BLOCK 0 FRAME 0 STEEL
` e �
DESCRIPTION OF WORK o L-e
BUILDING SIZE SQ FOOTAGE HEIGHT
I
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
t�P3�. Vo
ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY W. E.C.
SZ]PLuMBING
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI
OG,AS ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES i Qi
I v'�
BUILDER ! COMPANY
SIGNATURE V, REGISTERE / Y FEE2 Y �n.Address g ,a— / ® License#
I
ELECTRICIAN �r b COMPANY S
SIGNATURE 1 REGISTERED Y/ N FEE CURREI, Y/N
Address r License# �_G"l> fl
PLUMBER' Y�r� �� � COMPANY
SIGNATURE P7 ' L�' REGISTERED Y/ N FEE CUR n Y/N
I&Address / 7 J License#
MECHANICAL
SIGNATURE REGISTERED Y/ N FEE CURREh Y//N
Address 1` 0--R License# VT
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh
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/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING . (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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 IMPACT/UTILITIES 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 of occupancy" 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—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"owner" prior to commencement.
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 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-Seawalls, 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. j
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 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 rnay'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 isbcommenced. An extension
may be requested, in writing, from the Building Official fora 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,
E
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM_MEN_CEMENT_MAY__RESULT IN XOUR-
-PAYING-TWICE-FOR IMPROVEMENTS TO YOUR PROPERTY.—IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR R NOTICE OF COMMENCEMENT. {
FLORIDA JURAT(F.S. 17M)-
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed re me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is Fare personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped