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HomeMy WebLinkAbout19-21204 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21� BUILDING PERMIT / PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21204 Address: 5313 19TH 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: ZEPHYRHILLS COLONY Est. Value: Parcel Number: 11-26-21-0010-17700-0010 Improv. Cost: 5,400.00 OWNER INFORMATION Date Issued: 5/10/2019 Name: CROSBY BOBBIE J TRUST CROSBY BO Total Fees: 70.00 Address: PO BOX 789 Amount Paid: 70.00 ZEPHYRHILLS FL 33539-0789 Date Paid: 5/10/2019 Phone: 813-842-3460 Work Desc: REROOF SHINGLE 16 SQ/ 1 .65 SQ MODIFIED CONTRACTORS APPLICATION FEES WIDNER ROOFING INC REROOF RESIDENTIAL 70.00 DRY IN ROOF IN P Ins ections Required TAPE JOINTS F�OF 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 OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name Owner Phone Number Owner's Address 23 5� �'(� P©!J 7 Owner Phone Number S Owner Phone Number JOB ADDRESS TJ f 3 LOT# SUBDIVISION PARCEL ID# �Z�' —�` " 00((0"(77ofl — OL-) (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK S �c�a u�2 ASPS � 1:w 6,'5--S 16S� Sk�Ng/e c BUILDING SIZE F7 SQ FOOTAGE -ice s HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C. =PLUMBING $ /7 =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C1 � OTHER ROOFING SPECIALTY v 1 GAS = ,© _ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh Address License# ELECTRICIAN COMPANY SIGNATURE I REGISTERED Y/ N FEE CURREt` Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREr, Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI` Y/N Address I License# OTHER Gw. COMPANY I SIGNATURE REGISTERED Y/ N FEE CURREr, I WIN Address �� T'� U V 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/Slit 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: I[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'` `'-;..-(dopy-of.00ritract required) Reroofs if shingles Sewers..._. .. Servide'Upgiades,A/C`: Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEEDRESTRICTIONS: The undersigned understands that this permit may be subject to"deed" which may ba 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 |am\ both the owner and contractor may be cited for o 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. Fudherrnono, if the owner has hired e contractor or contnactoru, he is advised to have the contractor(s) sign portions of the "contractor 0ouh^ of this application for which they will be responsible. If you, as the owner sign as the comtnaotor, 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 tothe construction of new buildings, change of use in existing bui|dingo, or expansion of existing bui/dings, as specified in Pasco County Ordinance numnber89-O7 and 90-07. as amended. The undersigned also undarotando, 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 o ^oeddXoata of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power re|eane, the fees must be paid prior to permit issuance. Furthermore, if Pasco CnuntyVVobor/Sevver 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): |f valuation of work io $2.5O0.00ormore, | certify that |, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department ofAgriculture 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 itto the^ovvner"prior hncommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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. | certify that no work or installation has commenced prior to ioouonma of permit and that all work will be performed to meet standards of all |owo regulating construction, County and City codes, zoning regulations, and land development naQu|eUono in the jurisdiction. | also certify that | understand that the regulations of othar'gnvernmmnt agencies may apply to the intended vvork, and that it is nny responsibility bo identify what actions | must take tobe in compliance. Such agencies include but are not limited to: - Department ofEnvironmental Protection-Cypress Boyheoda. Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. ' Southwest Florida VVa1ar Management Ointrict-We||a, Cypress Bayheada, Wetland Aneeo, Altering VVobancourmeo. - Army Corps ofEngineenu'8eovxoUs' Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-WeUo, VVnetaxvabar Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authorib+Runvwuyo. | understand that the following restrictions apply to the use offill: - Use of fill io 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 professional engineer licensed by the State ofFlorida. - If the 0| material is to be used in Flood Zone ^A" in oonnaoti*n with a permitted building using stem wallmmnabuction. | ced�vthmt�UU v� beuamdon|ytofiUthe areawithin the stem wall. - If fill material is to be used in any area, | certify that use of such fill will not adversely affect adjacent properties. /f use of fill is found to adversely affect adjacent pnopertiam, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |mmo than one /1> acre which are elevated by fill, an engineered drainage plan is required. |[| gm 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. | understand that separate permit may ba required for electrical work, p|umbing, oigns, vve|o, poo|e, air conditioning, goo, or other installations not specifically included in the application. A permit issued shall be construed to be o license to proceed with the work and not as authority to vim/eha, oonne[ u|ba[ or set amide any provisions of the technical codes. nor shall issuance of 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 iosuanca, 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 naquaoted, in writing, from the Building Official for o period not to ennead 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 TORECORD A NOTICE OFCOMMENCEMENT MAY RESULT UNYOUR PAYING TWICE FOR IMPROVEMENTS l[O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY-BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT( ) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by b Who is/are personally known to me or hasthave produced Who is/are pe me or has/have produced as identification. as identification, moryPumio Notary Public Commission No. Commis�o/m ` 4 City of Zephyrhills a M 5335 8tn St Zephyrhills FL 33542 (813)780-0020 ROOFING INSPECTION AFFIDAVIT Permit No.: Z! I, L, 40— licensed under Chapter 468,Florida Statutes as a(n)', Contractor Engineer Architect_Building Inspector_ License No. CC-C - C> 7 �Z On or about 1. did personally inspect the: Check: Roof Deck'Nailing X Dry in Flashing and Drip edge Check which was used: 30#felt_Peel and Stick_Other{List} V" At the following address: 53(3 Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual(Based on Section 553.844, Florida Statutes). JjSignature �= STATE OF FLORIDA COUNTY OF PASCO Sworn to and subscribed fare t is day BY: No a tublric to of Florida JAC4UEUNE BOGES Commisslon#GG 216457 wr:Exom December 12.2Q22 BmWTinTroyFahbmtow800,85.701 INSTR#2019083410 OR BK 9907 PG 1172 Page 1 of 1 05/16/2019 02:01 PM Rcpt:2055303 Rec:10.00 DS:0.00 IT:0.00 Paula S.O'XeiC Ph.D.,Pasco County CCerk&Comptroaer Permit No. Parcel ID No I I 7 Fo 1)-oo(O- 1-7-70 o 04W6 �-`yA_ NOTICE OF COMMENCEMENT Stale of C-FY�`�'v County of A 17 C. THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes, the fallowing Information is provided in this Notice of Commencement 1. Description of Property: Parcel Identification No. �y I - 21 00('O 00 Street Address: i5.3(.3 2. General Description of Improvement V cS '(— e4 6-'W 3. Owner Informal n r Lessee Information if the Lessee contracted for theimprovement: Name /1 9,3 iErCn. �Jt�. ` 1 ��/C Address City State Q z V w Interest in Property: YA ,11 0 `ur � IWL- — J U Name of Fee Simple Titleholder: CJ O J r (If different from Owner listed above) CO) z fJ (� J O r Address City State 0 W N W 4. Contractor. ` pL W fn p ClName O = Z J Address City Sta LL ll l— 0 V 0 Contractor's Telephone No.: I �' ;�. 3 3�z7 Z W O O 5. Surety: Name Q Q L.L Address City State = 0 U Z U Q Amount of Bond: $ Telephone No.: U CO 6. Lender. FW~— d z O j Name OJ � OO = 00Z Address City State IUL U U Lender's Telephone No.: �" O 0 O t 01— zW 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by ill fn Q J W QJ Section 713.13(1)(a)(7),Florida Statutes: 1—' W LL — 2 off Name O Address city Stale Telephone Number of Designated Person: 8. In addition to himself.the owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Flodda"Statutes. Telephone Number of Person or Entity Designated by Owner: ® � a 9. Expiration date of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment to the C9 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 `{ 00w 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. t:` Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that th s stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO o ?vBr SHENRYWIDNER -Signature f d er or essp6i.of Owne L•essee's Auth ad S + 4' CammisslonA0t3182148 Officer/Director/Partner/M g Expires December 8,2021 'flornop andod'Pueudgmil firtiM SignattooJry'sTitle/Office The foregoing instrument was acknowledged before me this day of j cut ,20 a by 1( as t'-LA{��- �� (ty7.. p of au ority,e.g.,offi r,trus att may in fad)for n,,( (n rty o be of whom in ant s executed). Personally Known0f.QR Produced Identification❑ Notary Signature Type of Identification Produced Name(Print) r wpdatathes/nobcecomme ncement_pc053048 Florida Building Code Online Page 1 of 2 ;i�`x:,isa��;h:`��:::`..xSi�`•^"i'T;'��z�`?-,;;�ii'."'���;;,'�,:° :+*,�,.,�-s*�Tx:a;.— rz�a,5."'=;<S:.%',�' s'+�*,k:�".` P'.'"2l< �.;-;"�'.. ;`:�.�;,c,L•��`f az���ar,»s'�:t"='; ,;;,�.,;�.�„r„, ;�,,�+�fi}�;r,Y;;;-;�;�+.aF�����';cr;t{ y�- ���9,�:>-, •+ef« k r��:: ��i���?a�:y+ 'I;rr Lw..�.,'.%,.¢,..� ,�ti'kv y �ff.''.^��� '�s,}-�i'w2. .,?'✓.,G="x'I �}�,�t3�x+ro {.. .k �^r `k ;d:.��rt •a•�'Z;:.1. I:�%-i:° s.n zr�r .�� �}% af' �cr.a� .�g-``. �,+ �i �'f.re^,a�,�..����E'iLti'�'3''r�$.,� �y � r �� ������,Y.�o �'"i,, ..�'k'v •"�' i :ny,„fir{y�,F ,r.:t:;v„:,�,�. '���'�;_f���'z.:.„•.;�:�?m. ----- _ - 6 . BCIS Home Log In I User Registration r Hot Topics Submit Surcharge i Stats&Facts ! Publications Contact Us BCIS Site Map Links Search l a Product Approval r USER:Public User Pmduct Anoroval Menu>Product or Application Search>Application List>Application Detail ^"'A"'.s ' '' :*r'= FL# FL12772-R5 Application Type Revision Code Version 2017 Application Status Approved .4,5�O Comments (� Archived ❑ TO 0 J/J Product Manufacturer Mule-Hide Products Co.,Inc, Address/Phone/Email 1195 Prince Hall Dr Beloit,WI 53511-5481 (608) 365-3111 Ext809 lindar@nemoetc.com Authorized Signature Timoth lindar@nemoetc,com 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 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 ❑� Validation Checklist-Hardcopy Received Certificate of Independence FL12772 R5 COI 2017 01 COI Nieminen.odf 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 Sections from the Code httnc•//www flnrirlahnilrlincr nro/nr/nr nnn rltl-ncnx?nsrnm=wCTF.VXC)wtl)asmFBe0Dh9X... 10/9/2018 Florida Building Code Online Page 2 of 2 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 FL12772 RS II 2017 09 FINAL Al ER MULE- Approved for use outside HVHZ:Yes HIDE TPO-c FL12772-RS.Ddf 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 R5 AE 2017 09 FINAL ER MULE-HIDE- assemblies and DP's.2.)Refer to ER section 5 for Limits of TPO-c FL12772-R5.Ddf Use. Created by Independent Third Party:Yes Back Next 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-mail address released In response to 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 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: MWC1 ® R- M Credit Card Safe httne•/harunu flnrirlahn;1dina nra/nr/nr nnn rltl Acnx?nnrnm=w(TP.V'YOuA)ncmPRr.OT')h9X 1 n/9/?M R 4i SOLD TO-bx SHIP TV/ }f `i ADDRESS ADDRESS -7SO V 7 7 35-? 'Ali STATE,ZIP CITY,STATE ZIP CUSTOMER ORDER NO. F.O.B. DATE 5L313 10�,-- romm %UPPED mm Wff -L-W-