HomeMy WebLinkAbout18-20049 CITY OF ZEPHYRHILLS
5335-8TH STREET
" (813)780-0020
20049
BUILDING PERMIT f
- PERMIT INFORMATION. = LOCATION INFORMATION
Permit Number: 20049 Address: 5237 3RD 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: 11-26-21-0010-12600-0081
Improv. Cost: 7,950.00 - OWNER INFORMATION
Date Issued: 8/03/2018 Name: LANIER, PAMELA
Total Fees: 120.00 Address: 5237 3RD ST
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 8/03/2018 Phone: (813)299-7927
Work Desc: REROOF METAL
CONTRACTORS APPLICATION FEES
SUNRISE CONTRACTORS INC REROOF RESIDENTIAL 120.00
WA
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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.
CONTRACTOR SIGNATURE PERMIT OFFIgVR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
O� o
' 14:0II I U n
0
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received: `7- 4,6— b
Site: 6-,? 3:7 13'-4 v !
Permit Type: `af Q
Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
i c�J
This comment sheet shall be kept with the permit and/or plans.
Kaly n S —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 7� Phone Contact for Permitting 2 �Z —�936
Owner's Name q tic G(t LG. '1 Owner Phone Number l 3' 2� ' 7 42
Owner's Address 52 S f Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS a,37 S LOT#
SUBDIVISION PARCEL ID# 11' Zb -.2 1 ' OO O• A2,600 ' OcO k
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER a,t�cv-
TYPE OF CONSTRUCTION BLOCK Q . FRAME = STEEL 0
DESCRIPTION-OF WORK f V �t 1 S
BUILDINGSIZE SQ FOOTAGE= HEIGHT
=B.UILDING $ 7 Q�d VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $ ,'1e
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /+
=GAS E2�OOFING = SPECIALTY = OTHER
FINISHED!iFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER+, COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N' FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE-, REGISTERED j YJ N:. FEE1CURREI% L-Y/N
Address License# i -
OTHER; z®� COMPANY n t 1vc. S' ^n G .
SIGNATURE REGISTERED Y/ N -FEE CURREN til
G _Q St� ',-�Ch...
V•t..
Address 6 e7��— 3 3 7:16 License# `e C 13 Z- 3 1 Q
RESIDENTIAL
Mitemum tienot'POIanAs� ^sda Building
ed onsi'_oRtructin-Pin ,S ew.consrPlann,,,.
( ) g y q tormwater 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. (AIC 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 Ferices(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs,k6w,'-
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 rfor compliance:with any;:
applicable deed-restrictions:
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 1f the owner has:.hired a contractor or
contractor is not licensed as-required by law,, both the owner and contractor maybe cited for -misde�� ns:' lthe
eake wor 'contractors-to undertk.the m a 6e re' uired'to be licensed in accordance with.-state and_'-local re
me6noanor violation
under state I,aw. 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 Buildi`ng1nslie'dori Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has'hired a contractor or.contractors,. he..is advised to.have the''60httadtdr{Si)�sign
portions of the "contractor Block" of this application far 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 a id'.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 1, 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: !;certify that.all-the-information in.this.-application-is accurate,and that alt 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,WaterMi'astewater 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.
I understand that the following restrictions applyto the use of fill:
Use of fill is not allowed in Flood Zone W"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 OHS 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 promis6ln 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 in,
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 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.
WARNING TO-OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE,FOR IMPROVEMENTS,TO.YQ.UR PROPERTY.`iF YOU INTEND10 OBTA►i'N FINANCING,'CONSULT
WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y OUR.NOTIC,E'OF.' MMEN.CEMENT.,-
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or affirmed)before me this Su b�be and sworWo(or affirmed)before me this
—t by r
Who is/are personally known to me or has/have produced Whp4s/are pgsonally IT own to me or has/have produced
as identification. ¢-Zti Wsu as identification.
Notary Public Notary Public
Commission No. Comm`ssio c.
eeES
Name of Notary typed,printed or stamped Name of Note rt tlmmr ^.::rvYfsan ln5a;arco 00{•::.,; ".
' t , .. I IIIIII IIIII IIIII IIIII IIIII IIII
2018118999
Permit No. Parcel ID No 1 k -2.6'Z t. 00 10 kZ6 O0' 00
NOTICE OF COMMENCEMENT
�
state of ` W«\Yl" County of C} e-d
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement /.�
1. Description of Property: Parcel Identification No. I CO• W` 12400 COSN
Street Address: rp 2-3'7
2. General Description of Improvement Qb0 ue,; Uj /—tel-'
3. Owner Information or Lessee information if the Lessee contracted for the Improvement
PA-?"E i_A-%1E9,
Address q City 'k TRW-
Interest in Property. t0 �O
Name of Fee Simple Titleholder. 1�
Of different from Owner listed above)
Address City State
4. Contractor. c-Name2- too
4C—
,•� tl V .n, CI PG���S9w� State .
Address
Contractor's Telephone No.: y
5. surety. Rcpt-1974012 Ree: 10.00
Name DS: 0.00 IT: 0.00
Address City 07/16/2018 K. A. , Dply Clerk
Amount of Bond:$ Telephone No; PAULA S.0'NEIL,Ph.D.PASCO CLERK 6 COMPTROLLE
S. Lender. tv 9-- 07/16/2018 11:36am 1 of 1
Name OR BK 9757 PG 546
Address City State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
Cl�� lS
Name
Address City State
Telephone Number of Designated Person: 727• 7Z9-29 n
8. In addition to himself,the owner designates of
to receive a copy of the Lienoes Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,l declare that I have read the(oregdng notice of commencement and that the facts stated therein are true to the best
a my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Slgnalure ofownir or Lessee,or Owner's or Lessee's Authorised
Of8cer/Dlrector/P&tnedManager
Signatory's Tide/Office
The foregoing instrument was acknowledged before me this Cloy of fi4 —2011 by_&t IR]LID2
as 1L1,1ot (type of authority,e.g.,officer,trustee,attorney In fact)for
(name o party on behalf f whom Instrument was executed).
Personally Known❑9F3 Produced Identification Notary Signa
Type of Identification Produced �L 1 Name(Print)
;••'irA"P LAURALHYSELL
r; Notarypublic-State ofRorida
Commission a GG 128327
-,k , My Comm.Expires Aug 5,2021
"o`��•"••; 8anded through haticralNataryAssn.
wpdata/bcs/noticecommencementtc053048
STATE OF FLORIDA,COUNTY OF FIASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
o®� TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC qECORD IN THIS OFFICE
WITN AND ANDFFICIAL SEAL TMY HHIS
In�Gaf'We?rusC
A , DAY OF ,-_ X 2
PAULA S.O'NEIL,CL &CO TROLLER
1887 BY DEPUTY CLERK
��� OF
Jacqueline Boges
From: Jacqueline Boges
Sent: Monday, July 30, 2018 12:05 PM
To: Audrey McGuire
Subject: plan review for 5237 3rd st
I place in mailbox plan need review for CRA zone metal reroof.Once you review please return plans back to building
dept as they will be apart of the permit.
Thank you
Jackie Boges �-'..
.513-790-0020 ext 3513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine, but it is He
Himself we have."Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately.
rForce n Engieering&Testing Inc.
"953i0.
1 Riniblewood Drive
Humble,TX 77338
Product Evaluation Report
TRI COUIVTY METALS
29 Ga. Ultra-Rib Roof Panel over 15132"Plywood
Florida Product Approval # 4595.21 R4
Florida Building Code 2017
Per Rule 61G20-3
Method:1—1)
Category:Roofing
Subcategory: Metal Roofing
Compliance Method:61G20-3.005(1)(d) ALL WORK SHALL CONIFLY WITH PREVAILI
NON HVHZ CODES FLORIDA BUILDING CODE,
NATIONAL ELECTRIC CODE,
Product Manufacturer: AND THE CITY OF ZEPHYRHILLS
Tri County Metals ORDINANCES
301 SE 16 th Street
Trenton,Florida 32693
Engineer Evaluator:
Terrence E.Wolfe,P.E.#44923 REVIEW DATE
Florida Evaluation ANE ID:1920 CITY OF ZEPH -
YRHILLS,
Valiclator: PLAN EXAMINER
Brian Jaks P.E.#70159
Contents:
Evaluation Report Pages 1—4
C E N
NO.4499
*C
7: .0. STATE OF
St2b afrimms
aim41,,'
0
1j#..ONAL S040*
FL#4595.21 R4
Aujzust 14, 2017
. .
r7Force E�n�gineering&Testing In
11tm*4T 77338
Compliance Statement: The product as described in this report has demonstrated compliance with the
Florida Building Code ZO17,Sections 15043.7,15O4.7.
Product Description; Ultra-Rib Roof Panel, Min. 29 Ga. Steel, Bh^ Wide, through fastened roof panel
over one layer of asphalt shingles (optional) over 15/32"APA Plywood decking.
Non'Structura|App|ication.
Pame|rNatehal/Standemda: Material: Minimum z9 Ga.Steel conforming tu Florida Building Code 2o17
section1SO7.43.
Yield Strength: Min.80.Oksi
Corrosion Resistance:Panel Material shall comply with Florida Building Code
2017,Secdnnz5O7/4.3.
Pane|oimension(n): Thickness: 0.0105"mio.
Width: 3d"maximum coverage
Rib Height: %"major rib at 9"O.C.
Panel Fastener: #9'15x1-1/2"HVVHVVnodQrip with sealing washing or approved equal
X"minimum penetration through plywood
Corrosion Resistance:Per Florida Building Code 2U17,Section ISO7.4.4.
Substrate Description: One layer of asphalt shingles/felt paper(optional)over minimum 15/32"thick,
APA Rated plywood over supports at maximum 24"O.C. Design of plywood and
plywood supports are outside the scope nf this evaluation. Substrate must be
designed in accordance w/Florida Building Code ZO1T
Allowable Design Uplift Pressures:
Table"A"
Maximum Total Uplift Design Pressure: 63.5 psf 101.0 psf
Fastener Pattern Type: #1 #2
Fastener Spacing: 24"O.C. 24"O.C.
°Design Pressure includes a Safety Factor=2.0 '
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FL#4595.21 R4
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Force Engineering&Testing Inc.
19530 Ramblewood Dore
I-Iumblc,TX 77338
Code Compliance: The product described herein has demonstrated compliance with
The Florida Building Code 2017,Section 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 2017,as relates to Rule 61G20-3.
Performance Standards: The product described herein has demonstrated compliance with:
UL 580-06-Test for Uplift Resistance of Roof Assemblies
■ UL 1897-2012-Uplift Test for Roof Covering Systems
W FM 4471-92-Foot Traffic Resistance Test.
Reference Data: 1. UL 580-06 j 1897-04 Uplift Test
Force Engineering&Testing,Inc.(FBC Organization#TST-5328)
Report.No.136-0099T-14A,B
2. FM 4471-10,Section 4.4 Foot Traffic Resistance Test
Force Engineering&Testing,Inc.(FBC Organization#TST-5328)
Report No.136-0027T-12C
3. Certificate of Independence
By Terrence E.Wolfe,P.E.(No.44923)@ Force Engineering&Testing,Inc.
(FBC Organization#ANE ID:1920)
Test Standard Equivalency: The UL 1897-04 test standard is equivalent to the UL 1897-2012 test standard.
The FM 4471-10,Foot Traffic Resistance test standard is equivalent to the
FM 4471-92,Foot Traffic Resistance test standard
Quality Assurance Entity: The manufacturer has established compliance of roof panel products in
accordance with the Florida Building Code and Rule 61G20-3.005(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 2017,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.
`�titall�lljJ,+
e,e�N.0 E, �• yi, i,,
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�jCr�
STATE OF ,•�,�f
O RI ID A 4r�`•►
smm ors E`•. �'
.► • 'S .
wawa
FL#4595.21 R4
August 14, 2017
Force Engineering&Testing Inc.
19530 Ranibtewood Drive
Hurnble,TY 77338
Underlayment: Per Florida Building Code 2017,Section 1507.1.1 and manufacturer's installation
guidelines.
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: Based on the dimensions of the structure,appropriate wind loads are
determined using Chapter 16 of the Florida Building Code 2017 for roof cladding
wind loads.These component wind loads for roof cladding are compared to the
allowable pressure listed above.The design professional shall select the
appropriate erection details to reference in his drawings for proper fastener
attachment to his structure and analyze the panel fasteners for pullout and
pullover.Support framing must be in compliance with Florida Building Code 2017
Chapter 22 for steel,Chapter 23 for wood and Chapter 16 for structural loading.
A. No.
STATE OF ;a
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CAA �I�SS• .t%\ %
aWMM I�� N!!1{{{t,t
FL#4595.21 R4
Aujzust 14, 2017
MINIMUM 29 GA. ULTRA—RIB PANEL
TYPE #1 FASTENER PATTERN AT 24" O.C.
36" PANEL COVERAGE
CONONUOUS TAPE SEAL
FOR USE 014 SLOPES
LESS MEN 3:12
#9-iS x 1-1/2' WOODGRIP HWH W/ WASHER
ONE LAYER OF SHINGLES OVER ONE LAYER OF 30# FELT (OPTIONAL)
OVER MINIMUM I5/32' PLYWOOD
MINIMUM 29 GA. ULTRA—RIB PANEL
TYPE #2 FASTENER PATTERN AT 24" O.C.
36" PANEL COVERAGE
3" 6"
CONTINUOUS TAPE SEAL
FOR USE ON SLOPES
lfSS THEN 3:12
#9-15 x 1-1/2' WOODGRIP HWH W/ WASHER
ONE LAYER OF SHINGLES OVER ONE LAYER OF 30# FELT (OPTIONAL) oaQ��� eE P�aRtee
OVER MINIMUM 15/32' PLYWOOD �b �(�°°°o o e o Iv
• gLS.. o . . y ,
e . Pl0.44� 3 ' e . p
'State of modaft _ °
C.C.A.
aa ,D ,� AOF
°A®W�(ONAL ;,;n
uauneoeu�a°
e13ae0-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021
Building Department =
Date Received i - 3jQ
' Phone Contact for Permittingrrrrrrrrrril.
} 'b'
Owners Name Q M G I C.-Z e v Owner Phone Number 742 i
7-1 Owner's Address 52 " S f Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple!Titleholder Address
JOB ADDRESS 7 2 - ''S LOT#
SUBDIVISION 60u E cI S PARCEL IN '11'26'?V''60 O ,2ZOO 060 1
ii-
1.., '- '(OBTAINED FROM PROPERTY TAX NOTICE)
WORK'Fl Q CiSED = e NEW CONS`I-k ADD/ALT 0 SIGN = Q DEMOLISH
INSTALL 'REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Lis ' BLOCK_ Q,, FRAME 0 -STEEL' 0_ .
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ "" VALUATION OF TOTAL CONS
I;
7 CONSTRUCTION
4�0 „
=ELECTRICAL $. •- AMP SERVICE _ PROGRESS ENERGY Q W:R.E.C. ;
S
=PLUMBING $ j
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=iGAS ED---ROOFING = SPECIALTY = OTHER,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES N.
BUILDER( COMPANY
'- SIGNATURE REGISTERED - °Y/ N+ ' FEE CURREM 11-Y/N .
i
Address'.., License#'
-ELECTRICIAN COMPANY
SIGNATURE• REGISTERED'. Y./ N " Ft E CURREn .'.. .YTN;, .
i
Address'',. License#:
PLUMBER` ;COMPANY '
SIGNATURE - REGISTERED. Y'/;Pf:,, FEE'CURRFN.;. : -'Y/N-.1.-: .`-.'
Address :„ ,- License#
MECHANICAL;:. COMPANY'
SIGNATURE --.'. _ ': `.,'•:-': - REGISTERED Y./-N.;' .FEE6Cl1RREn
Address. License#;
COMPANY n t as X<i.G:
SIGNATURE •,,'•, : .. _...•REGISTERED._ :YIN ,.FEE CURREh_,�:. Y/
AdiireSS _a License#. C (f 2..,-..__::-:r_?S�J_�-^,';:ter:i�a.1r,''i.:'': :•. ..:::� •• -
RESIDENTIAL "'Attach;(2)PIot;Plans;;(2)sets,of_Bulldng:Flans;;(1)set;of energy Forms;,R 9 W;Permif,fo new construction;..•.. .,
Mlnl'mum ten_(10)_woiking ays aftersubmittardate. Required onslte;Constm'c0on Plans;Stormwater Plans w/Sli'Fen_ce installed,
Sanitary`Facilities 81 dumpste-r•Site Work Permit for subdivisionsRarge projects
-„;"COMMERCIAL Attach(2)complete sets 6f•Building6Plans plus a Life-Safety.Page;.(1)set of Energy Forms.R-O-W Permit for new construction.
'Minimufii.1en(10)working days,after submittal date:,Reguired'onsite,ConsWction'Plans,:StorrnwaterPlansw/SIR Fenoe installed,
Sanitary Faotlitlee 81 dumpster Site Work Permit for all new projects.All commercial requirement's must meet compliance,•'
S,;SIGN PERMIT Atta'cii(2)seis`of Englneere Pions .<
""PROPERTY SURVEY:required:for•,a11 NEW construction.,.
=.Directions:' •
:Fill`out applica0on completely.,.,-Owner B:Contr a.c torsfn b ;of,app,l,i,c;a f�o rn;.,no ta�ri zed i g eireIfover$2500,alloticeofCommencemntsquired;:;,
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(AIC upgrades over-$7500)
:Agent(for thexbritraotor)or Powerof Attorney(for the owner)would tie someone with notarized letter from owner authorizing same
OVER:THE:COUNTER P_ERMI`I.TTING ,f„.;(F?PY of contras required)'•.,_..,, -._„
'Reroofsifshingles Sewers ; ;Senrioe;Upgrad-s,' C-""Fences'(PIoVSurvey/Foofage)
Driveways-Not over Counter..if on public roadways..needs'ROW"'