HomeMy WebLinkAbout19-21240 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21240
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21240 Address: 5114 16TH 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: 11-26-21-0010-20300-0150
Improv. Cost: 5,800.00 OWNER INFORMATION
Date Issued: 5/16/2019 Name: MOREL JAMES I & JOYCE E TRUST
Total Fees: 105.00 Address: 5914 WILSON DR
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/16/2019 Phone:
Work Desc: METAL REROOF
CONTRACTORS APPLICATION FEES
GAVIN ROOFING REROOF RESIDENTIAL 105.00
V
QU
DRY IN ROOF IN P Iris ections Required
TAPE JOINTS 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 .,/l R���(, Owner Phone Number u
Owner's Address �!l 0A ® Owner Phone Number
1� Owner Phone Number
JOB ADDRESS S I b r LOT#
SUBDIVISION PARCEL ID# 1' " 2./ -I GHQ U 2 0 09 J
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR 8 ADD/ALT SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL =
DESCRIPTION OF WORK e PG/tG— SV /� T�G- U/bZ� S ��/l G- `G 72 2t
BUILDING SIZE SO FOOTAGE= HEIGHTutviiol
=BUILDING $�. O VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING I$ 4160- �J
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS EY ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address' License# �—
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY/N
Address License# �� I
MECHANICAL COMPANY
SIGNATURE REGISTE D Y/ N FEE CURREN Y!N
Address License# F —
OTHER y t OMPANY (1 I1 l AI
SIGNATURE ` REGISTERED Y/ N FEE CURREN Y!N
Address �.3 AI)G C/l License# ai, 1//pi- r�
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.
Direct)ons:
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
ITICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions,"
ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
Acable deed restrictions.
LICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
itractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
itractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
ler state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
nded work, they are advised to contact the Pasco County Building inspection Division—Licensing Section at 727-847-
19. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
'.ions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
nty.
WSPORTATiON IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
in existing buildings, or expansion of existing buildings, as specified, in Pasco County Ordinance number 89-07 and
117, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
nitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
living a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
JSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I
fy that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
ection Guide" prepared,by the Florida Department of Agriculture ands Consumer Affairs. if the applicant is someone
r than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
er it to the"owner"prior to commencement.
ITRACTOR'S/OWNER'S AFFIDAVIT: i certify that all the information in this application is accurate and that all work
)e done in compliance with all applicable laws regulating construction, zoning and land development. Application is
by made to obtain a permit to do work and installation as indicated. I certify that no work'or installation has
nenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
truction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. i also
y that I understand that the regulations of other government agencies may apply to the intended work, and that it is
;sponsibility 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.
?rstand that the followingr 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.
the AGENT FOR THE OWNER, i promise in good faith to inform the owner of the permitting conditions set forth in
fidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
ing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
de any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
ng a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
rmit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
e requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
ble cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. .
iNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
k JURAT(F.S.117.03)
-OR`AC,ENT '�? !C CONTRACTOR —
ed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
re personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
;ion No. Commission No.
Notary typed,printed or stamped Name of Notary typed,printed or stamped
INSTR#2019082535 OR BK9,906PG 2020 page 1 of 1
05/15/2019 11:31 AM Rcpt:2054825 Rec:10.DO DS:0.00 IT:O.DO
PauCa S.O.'NeiC PA.P.,Pasco County CCark&Comytroffer
Permit No. Parcel ID No -)U jq.3.90-P/
NOTICE OF COMMENCEMENT
State of county of
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.
Street Address:
Z General Description of Improvement
3. Owner Information or Lessee Information If the Lessee contracted for the improvement
Name
-S�y _10. j
Addrets city State
Interest In Property:
Name of Fee Simple Titleholder.
(if different from Owner listed above)
Address city -State
4, Contractor.
g
Narn'A 6,,, 'X 4-
3ddress city State
Contractor's Telephone No.:
S. Surety:
Name <ZI--
co 0 1
Address --- city state 0(D Z LLJ LA-a: C'0 ED IX of
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Amount of Bond;$ Telephone No.: 5 0 -J 0
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6. Lender. 0 0 C14 0
Name 0a -T-< IX Z)
LL Uj 1�- U.;
LLI C/)
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Address city State
Lender's Telephone No.: >- LL
0
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by 0 0
Lj
Section 713.13(lXaX7),Florida Statutes* >- Q
yj
Name
CI >- G ih, <
Address city State LL Ljj -.:) a LL
I & — X fL Z 0
Telephone Number of Designated Person: 0 <
C) a 0—j LL C' I--
LL
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8. In addition to himself,the owner designates Of LL Q Z
to receive a'copy of the Lienor's Notice as provided in Section 713.13(l)(b),Flo:rida Statutes. 0
0 1— 0
Telephone Number of Person or Entity Designated by Owner: W U) < Uj
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9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of consyu d final payment to the U-
contractor,but will be one year from the date of recording unless a different date is specified): F-.0
im
WARNING TO OWNER: ANY,PAYMENTS MADE BY THE.OWNER AFTER THE EXPIRATION or-THE dOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER113. 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 THIE.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,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knovitedge and b#qill 111111fito
(JA B 0& %
...........
STATE OF FLORIDA 0
COUNTY OF PASCO e
oo
Signal6rd of Owner orteTst Me Authorized r � 916
.*my Comm Exk,%0 Offic6r[Director/PartnerManager
March 17,2023
Na.GG 3'12453
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The foregoing Instrument iA me qp�,20)q,
,a'4'. ?rtwu- bwe.-� 0
A eofauthorl g.,o cer,trustee,a meyin fact)for a f a a be 0 strument s executed).
Personally-Known 0 OR Produced Identification Ed Notary Signs
Type of identification Produced lVDI"i-vus Name(Print)
wpdatalbes/noticecommencement_pcOS3048
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Product Aooroval Menu>Product or ADDlicatidn Search>Application List>Application Detail
FL# FL7271-114
MW
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer UNION CORRUGATING COMPANY
Address/Phone/Email 701 S KINQ ET.
SHALL COMPLY Vi { 2 • /A tLIVG92tW"DRIDA SUILDIA(910)483� �FAYTTVIL
jstieby@urJ1hr0l91ft% EC G.COf �
AND I HE CITY
Authorized Signature John Stie[ORDIl r EPWa[I'IILLS
jstieby@unioncorrru� tN m
:Technical Representative
Address/Phone/Email
Quality Assurance Representative C17- r
Address/Phone/Email rI !� L,F g�'`�` J
Category Roofing
Subcategory Metal Roofing
Compliance Method Evaluation Report from a Florida Registered Architect or a icensed Florida
Professional Engineer
Cl Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Bala Sockalingam
the Evaluation Report
Florida License PE-62240
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date 09/07/2027
Validated By Yoosef Lavi,P.E.
0 Validation Checklist-Hardcopy Received
Certificate of Independence FL7271 R4 COI CertificateIndeoendence.odf
-Referenced Standard and Year(of Standard) Standard Year
ASTM E1592 2005
FM 4470 2012
TAS 125 2003
UL 1897 2012
UL 580 2006
Equivalence of Product Standards
Certified By
Sections from the Code
1
Product Approval Method Method 1 Option D
Date Submitted 08/23/2017
Date Validated 08/28/2017
Date Pending FBC Approval 09/03/2017
Date Approved 12/12/2017
Summary of Products
FL# Model,Number or Name Description
7271.1 2-1/2"Corrugated Panel Min 26 ga.,24"wide through fastened panel with coverage"
width of 21-1/4"
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II Eva luationReoortC2174 l.Ddf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-129.25 Evaluation Reports
Other:Uplift load of 129.25 psf @ fastener spacing of 24" FL7271 R4 AE EvaluatlonReportC2174 1.'Ddf
o.c.over,19/32"thick plywood Created by Independent Third Party:Yes
7271.2 5V Min 26 ga.,24"wide through fastened panel over 15/32"thick
plywood..
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II EvaluationReo6rtC2174 2.Ddf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-66.3 Evaluation Reports
Other:Uplift load of 66.3 psf @ fastener spacing of 12"o.c. FL7271 R4 AE Eva luationReDortC2174 2.odf
Created by Independent,Third Party:Yes
7271.3 5V Min 26 ga.,24"wide through fastened panel over 19/32"thick
plywood.
Limits of Use Installation Instructions
Approved for use in HVHZ:No . FL7271 R4 IIEva luatiohkeportC2174 3.odf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:No Created by Independent Third Party:Yes
Design Pressure:+N/A/-120.9 Evaluation Reports
Other:Uplift load of 120.9 psf @ fastener spacing of 24"o.c. FL7271 R4 AE Eva Iuation Repo rtC2174 3.pdf
for Fastener Pattern 1.Uplift load of 85.8 psf @ fastener Created by Independent Third Party:Yes
spacing of 24"o.c.and 113.1 psf @ fastener spacing of 12"
o.c.for Fastener Pattern 2.
7271.4 5V Min 29 ga.,24"wide through fastened panel over 15/32"thick
plywood.or 7/16".thick.OSB
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II EvaluationReaortC2174 4.Ddf
Approved for use,outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-52.5 Evaluation Reports
Other:Uplift load of 52.5 psf @ fastener spacing of 12"o.c. FL7271 R4 AE.EvaluationReoortC2174 4.Ddf
Created by Independent Third Party:Ye's
7271.5 5V Min 26 ga.,24"wide through fastened panel over 15/32"or
19/32"thick plywood.
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II Eva luationReportC2174 5.Ddf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure: +N/A/-150 Evaluation Reports
Other:Uplift load of 150 psf in 19/32"thick plywood for FL7271 R4 AE Evaluation ReoortC2174 5.Ddf
Fastener Pattern 2 Created by Independent Third Party:Yes
7271.6 MasterRib Min 29 ga.,36"'wide through fastened panel overnom. 1"x
4"furring and 15/32".thick plywood or 7/16"thick OSB
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4_II Eva luationReoortC2174 6.Ddf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-114 Evaluation Reports
Other:Uplift load of 71 psf for Fastener Pattern 1&114 psf FL7271 R4 AE Eva luationReoortC2174 6.Ddf
for Fastener Pattern 2 Created by Independent Third Party:Yes
7271.7 MasterRib Min 29 ga.,36"wide through fastened panel over 15/32"thick
plywood
i
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II EvaluationReoortC2174 7,odf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-113.1 Evaluation Reports
Other:Uplift load of 56.0 psf @ fastener spacing of 24"o.c. FL7271 R4 AE.EvaltiationReoortC2174 7.'Ddf
&113.1 psf @ fastener spacing of 12"o.c. Created by Independent Third Party:Yes
7271.8 MasterRib Min 26 ga.,36"wide through fastened panel over 19/32"thick
plywood.
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II Eva luationReportC2174 8.odf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-114.3 Evaluation Reports
Other:Uplift load of 61.8 psf @fastener spacing of 30"o.c. FL7271 R4 AE Evaluation ReoortC2174 8.odf
and 114.3 psf @ fastener.spacing of 24"o.c. Created by Independent Third Party:.Yes
7271.9 ML200 Min 24 ga.,max 16"wide standing seam metal panel with
double lock seam over metal deck.. .
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4.II Eva luationRep6rtC2174 9.Ddf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240 .
Impact Resistant:N/A Created by Independent Third Party:Yes
-Design Pressure:+N/A/-116.0 Evaluation Reports
Other:Uplift load of 71.0 psf @ clip spacing of 36"o.c.and FL7271 R4 AE Eva luation ReportC2174 9.Ddf
.116.0 psf @.clip spacing of 12"o.c. Created by Independent Third Party:Yes
.7271.10 SL175 Min 24 ga.,max 16"wide snap-lock standing seam metal
panel over metal deck.
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL7271 R4 II Eva IuationReportC2174 30.bdf
Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam PE 62240
Impact Resistant:N/A Created by Independent Third Party:Yes
Design Pressure:+N/A/-86.0 Evaluation Reports
Other:Uplift load of 63.5 psf @ clip spacing of 36"o.c.and FL7271 R4 AE Evaluati6nReport6174 10:odf
86.0.psf @,clip spacing of.12"o.c. Created by Independent Third Party:.Yes
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