HomeMy WebLinkAbout18-19594 CITY OF ZEPHYRHILLS
5335 -8TH STREET
(813)780-0020 19594
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19594 Address: 38184 MEDICAL CENTER DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0070-00000-0051
Improv. Cost: 5,700.00 OWNER-INFORMATION
Date Issued: 4/24/2018 Name: AKKANNAPPA HIMANAND & SRINIVASA
Total Fees: 105.00 Address: 17815 SAINT LUCIA ISLE DR
Amount Paid: 105.00 TAMPA FL 33647-2715
Date Paid: 4/24/2018 Phone:
Work Desc: REROOF TPO
CONTRACTORS APPLICATION FEES
MITCHELL ROOF SYSTEMS LLC REROOF COMMERCIAL 105.00
DRY IN ROOF INSP Ins ections Required
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 OFFItXR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �
Date Received:
Site: g t S LL �e-cu"Coj ajjcr
Permit Type: kmp— over ,,/�h ��U/�,� -Flo mem J,,I-ecl�
Approved Who comments:❑ Approved w/the below comments: l Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvin Switzer-P s xaminer Date Contractor and/or Ho er-'
(Required when comments are present)
Mitchell Roof Systems LLC
02/05/18
3015 Whispering LN
Wesley Chapel, FL 33543
(813) 312-2126
tmitchell@mitchellroofsystems.com
State Certified Roofing Contractor UC.#CCC1329714
Proposal
Proposal Submitted TO:
DR Akkannappa
38180 Medical Center Ave.
Zephyrhills, FL 33540
(813)503-1234
WE HERE BY SUBMIT SPECIFICATIONS AND ESTIMATE FOR:
TPO Roof(.045 Mil)
• Remove gooseneck vents in preparation for new GAF EverGuard roof membrane (.045
Mil)
• Mechanically attach TPO membrane to deck using corrosion resistant screws and
barbed seam plates and heat weld all seams.
• Install new gooseneck vents and parapet wall flashings.
Total
$5,700.00
*All labor and materials to be guaranteed for 10 full years*
Price includes all labor and specified materials to complete job, clean up and disposal of all job
relate debris and any permitting and inspections required.
Acceptance of Proposal:$2,850.00 material deposit due upon acceptance of proposal,Balance due upon completion
of above specified work.
Home Owner
Date
Contractor
Date
1
Owner's Name I c Owner Phone Number
Owner's Address. F (S_ L V S _ �� 14wi('_F Owner Phone Number '
Pee Simple.Titleholder Name - -` OwnerPhone Number
Fee Simple Titleholder Address
JOB ADDRESS Y I g L t't�C16G. 2 V e Z. k,I t LOT#
SUBDNISION PARCEL"ID# . 3S Z$ ' Z/ D"n ]o -o a'0 t)0_ 06 —
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK.PROP.OSED NEW CONSTR'e ADD/ALT 0. SIGN 0 Q DEMOLISH
:E] INSTALL 'REPAIR
PROPOSED;USE 0 SFR Q -COMM 0 OTHER
TYPE`OF CONSTRUCTION 0: -BLOCK = ;FRAME STEEL 0.
DESCRIPTIONOFWbRK'� `o�� OVCX Usvri' ��� �,�jei' �l�fc Meun�r :n�
-BUIL'614 ;SIZE SQ'FOOTAGE •.�38 a. :HEIGHT
i
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
=ELECTRICAL $, AMP SERVICE = PROGRESS ENERGY W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
i
=.GAS ROOFING• Q SPECIALTY 0 OTHER
t
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
i
:BUILDER COMPANY
SIGNAtURE REGISTERED Y•/ N' : FEE CURREP• Y/N. '
i
Address Ucense;#
'ELECTRICIAN .. COMPANY
SIGNATO& REGISTERED Y/ N ' "FEE CURREh Y/N '
License#
P.lUMf3ER?G :
COMPARIY
CURREnSIT Y/ N. , EE
I
Address. License#:; ::.'
1WECHAMdAL' :.COMPANY,SIGNATURE-ISTERED Y/:N FEE CURREM ." Y'/N
Add%®gW-y I V license.#
-OTHE12`. :: - _ COMPANY. t�C'1. I!. F-'C—
REGISTERED .' -.Y I:N FEE•OURREN r Y/N
'Address- x Q'(y:_ f C<?�2 i. �3r�`vi L=.jv -License# Fro 3 7'
r
RESIDF�ITIAL rAtta'c3 (1)Blot;t?laris,:(2)jsefs?oI✓BUllding Plans;'(1 jsef of EnergyForms;•_R-O,W Permit_fornew;constiilction,:•
< NUnimurq tten�(10)y�ofking daysaft®tsutimittal.:date: Require e onsite;Construction Plans Stomi.Water Plans w/Silt Fenceiristalled;
Sanitary7Faciliti®s�&s,1�,dumpsteC,;S(fel_.W�rkPermit:for:subdivisions/farge'proJQcts.:, . ..
i
`;COMMERCIAL Atta65(2)complete'sefs of-BullalwPlari's""plus a Llfe 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,
Sanityry-Facilities,4:1 dumpster.Site Work Permit W-*6II=n6i:projects.All commercial requirements must meet compliance
1.
SIGRI::I?ERMIT -Atiko ij2)se`tseof Er)gineered PI`aris- .,
°'°'PROPERTY SURGEY, egulred for alI.NEW construction:._
_ _
- -
Florida Building Code Online Page 1 of 2
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Product Approval
Public User I
Product Approval Menu>Product or Aoollcation Search>Application List>Application Detail .
p ?" FL# L 30R10 C�
Application Type evision.
Code Version 014
Application Status Approved ,p' `r/
Comments REV I E N ®ATE �2-®--/X ,
Archived ❑ CITY®cF�gZE�PHYR i CCCJJJ
PLAN Go�O°9!lO Ij
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,NJ 07054
(973)872-4421
liridareith@trinityerd.com
Authorized Signature Beth McSorley
lindareith@trinityerd.com
ALL WORK SHALL CONVEY W1
Technical Representative Beth McSorley(current) CODES FLOR16A 8�lith�i�� PREVA1LINO
Address/Phone/Email 1 Campus Drive NATIONAL ELECTRIC CODE-
Parsippany, �,
(973)872- 42 NJ 07054 AND THE CITY OF ZEPC°6YRHILLS
bmrsorley@gaf.com ORDINANCES
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 02/09/2017
Validated By John W.Knezevich,PE
® Validation Checklist-Hardcopy Received
Certificate.of Independence FL16730 R10 COI 2016 01 COI Nieminen odf
Referenced Standard and Year(of Standard) Standard Year
TAS 110 2000
TAS 114 2011
TAS 131 i995
Equivalence of Product Standards
Certified By
Sections from the Code
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/o2fIZm... 12/15/2016
Florida Building Code Online Page 2 of 2
Product Approval Method Method 1 Option D
Date Submitted 10/17/2016
Date Validated 10/21/2016
Date Pending FBC Approval 10/21/2016
Date Approved 12/13/2016
Summary of Products
FL# Model,Number or Name Description
16730.1 EverGuard TPO Single Ply Roof Thermoplastic polyoleffin single ply roof systems
Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:Yes FL16730 R10 II 2016 10 FINAL Al ER GAF EG
Approved for use outside HVHZ:No TPO HVHZ FL16730-R10.Ddf
Impact Resistant:N/A Verified By:Robert Nieminen PE-59166
Design Pressure:+N/A/-502.5 Created by Independent Third Party:Yes
Other:1.)The design pressure herein pertains to one Evaluation Reports
system.Refer to ER Appendix for all systems and maximum FL16730 RIO AE 2016 10 FINAL ER GAF EG
design pressures.2.)Refer to ER Section 5 for Limits of Use. TPO HVHZ FL16730-R10.Ddf
Created by Independent Third Party:Yes
Back Poets
Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is 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-mall address released In response to a public-records request,do not send
electronic mall to this entity.Instead,contact the office by phone or by traditional mall.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 emalls 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 click here_
Product Approval Accepts:
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