HomeMy WebLinkAbout19-21346 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21346
BUILDING PERMIT
RMIT,INFORMATION: . LOCATION°INFORMATION
Permit Number: 21346 Address: 38533 8TH AVE HISTORIC
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: 11-26-21-0010-10300-0115
Improv. Cost: 7,380.00 OWNER INFORMATION
Date Issued: 6/06/2019 Name: WOODWARD, JILLIAN
Total Fees: 120.00 Address: 38533 8TH AVE -HISTORIC
Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/06/2019 Phone: (727)364-8120
Work Desc: REROOF SHINGLE W/ FLAT MODIFIED ROOF
. - CONTRACTORS APPLICATION FEES--,...,
THE ROOFING COMPANY OF TAMPA BA REROOF RESIDENTIAL 120.00
� A
Ins ections Required
DRY IN ROOF INSP
TAPE JOINTS ROOF S
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80(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.
TTIACTOR 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 1(
. . . . . . . . . . . . . . . . 1111114 . . . . . . . . . . . . . . . . .
a
Owner Name 64 10-ro Owner Phone Number 77r?
Owner's Addressl vO Ft., �oaer(!�-r Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#1 11-,Q&-dl—W(0-lb-VO —0//5 J
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF--1 ADDIALT SIGN DEMOLISH
R INSTALL F--1 REPAIR
PROPOSED USE = SFR F--1 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL
DESCRIPTION OF WORK 144—ra 0
BUILDING SIZE SO FOOTAGE F—IT-1 HEIGHT
1
B LDING $ —7-2 13-0 VALUATION OF TOTAL CONSTRUCTION
:2 1 --
rELECTRICAL $ AMP SERVICE PR - ENERGY-ENER Y W.R.E.C.
=PLUMBING
�`-ever ' dap rt_S
=MECHANICAL $ VALUATION OF MECHANICAL INS LLATION
=GAS ROOFING'*-K SPECIALTY F-1 OTHER �� pereni'
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA NO
nn
JThi� cwo ol�BUILDER COMPANY orK
REGISTERED q'i -FEN Y I N
SIGNATURE (4N I E CURRE
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YJ N FEE CURREN
Address I License#
PLUMBER COMPANY =
SIGNATURE REGISTERED YIN FEE CURREN LKLN J
Address I License# F—
MECHANICAL COMPANY
• SIGNATURE REGISTERED I Y/ N. FEE CYRREk. LILN_J
Address I License#
OTHER• 'COMPANY
SIGNATURE I REGISTERED Y/ N FEE CURREN Y19
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
onstruction
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 subdivisionsAarge 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&I 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.
t.r4.ft I to 4s:.
Fill out application compiptely.
Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement Is required. (AfC: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(PIot/Survey/Fo9tge)
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 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: 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, Weiland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Weiland 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 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 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,after,or
set aside any provislorfs 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 violation's 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 is commenced. An extension
may bb requested; In writing,from the Building Official for a.0edod 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 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S 17.03)
OWNER OR CONTRACTOR
Cl 2�, Subscribed a Subscribed and swam to,(pr affi ed)bhfgre me this L� 00 q Mg I
LLJ 4-? 112
C%J Z7 oc—
tWho Is/are personally known to me r has/have produ&d -aR
tVbo is/are personally known mj�or haslhaveproduced
as identification. as Identification.
U) Cn&I
LLJ M
Cc -<�5
AGEN
and (or affirmed
Me Islam personally known a m>
CL. C�co
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>- U-1 Notary Public Notary Public
q 137.
-'V Coommission No. -719 .7 F Commission Na.No. -37-
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5.
N mk§p%lap�,ph Notary a nt�&46tafirpFd Name of Note typed,grin or stamped
INSTR#2019093663 OR 13K 9916 PG 1926 Page 1 of 1
06/05/2019 09:11 AM Rcpt:2060407 Rec:10.00 IDS:0.00 IT:0.00
PauCa S. O'NeiC Ph.D, Pasco County CCerk&Comptroller
NOTICE OF COMMENcEMEN'I
Permit No.
Property Identification No. 11-26.21-0010.10300-0115
THE UNDERSIGNED hereby gives notice that improvements will-be ntade to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
I. Description of property(regal description.)ZH MI31 PG 54 E 45 FT OF LOTS 11 TO 14 INCL BLK 103 OR 7577 PG 1950
a) Street Address:38533 STH AVE
2. General description of improvements REROOF I
3. Owner Information
a) Name and address:JILLIAN WOODWARD 3644 FIELDFLOWER CT LAND 0 LAKES FL 34639
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property OWNER
4. Contractor Information
a) Name and address: This RooMp company,5635 state Road 54.New Pad RIchey FL.34652
b) Telephone No.: 727-1110•3151 Fax No.(Opt.) 6ES-7cajM9
5. Surety Infomtation
a) Name and address:
b) Amount of Bond:
c) Telephone No.: 4 Fax No.(Opt.)
6. Lender
a) Namc and address:
7. Identity of person within the State of Florida jesignitted by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the fo lowing person to receive a copy of the Lienor's Notice as provided in Section
713.13(I)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(tfte expiration date is 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 IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE j
.COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE 0FIFLORIDA t
COUNT'Oif HEATHER PLO$,
•gna a OF cr ar Owur,s uthorized OlriecrDineta/PiMmMu.
mgcrCOMMISSIONp FF966395
EXPIRES March 19,2020 /JILL 2WARD
SONDIDTHROUGH PAntNante
Rtt INSURANCE COMPANY (
The foregoing instrument was acknowledged before me this 1 3 day of 20
as (type of authority,e.g.officer,ttustec,attomcy in fact)for
(name of party on behalf of whom instn meat was executed).
Personally Knowa�(_OR Produced Identification_ Notary Signature 11�
Type of Identification Produced Name(print) t-h_• f dT YI QJr 0 US
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I do �that'l�havcmad the foregoing and that the facts stated
in it are true to the best of my knowledge and belief.
rDttbtSINGUndiou .
Stpa N.naal Pmoa Sigaiy Alma
o f�',)6`:6L3.4>>�.6.i'�6V t IS A
•r� ` -
`�,FOREOOIN
THIS IS TO CEFiT1t Y .-OPY�Jr TH'
• D DUGU4v;EidT
p(;Ut.Rcv THIS OFFICE
TRUE HN t IC pEC04D IN ,
ON FILE OR OF PUB_ FFICI SEALT IS Tr>u
WITiiss MY HAND �
2 ' ry �..... ix
DAY O PTROLLF-P'
t C -
PAULA S DEPUTY CLERK "�g87
3 Generations Strong. t^lr�s/Ok r � �?
Serving the �i+� Cdi r.re-6--f'y—1,14W Y
Tampa Day Areal THE R001FIM; Licensed,Bonded n Insured
(727)916-'3181 --00 M PA N Y--- =1328373 _
(813) 6Q1-"8709 OLD FAgHIQNEDSBRYICE info8tampabayr00fs.c0ill� www.tarripabayroofs.tom
(866)700-4929saxi� I WE
DATE
OWNER � PHOflE _�.j r
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th EMAIL r`' iu �(Gtl r za
CiTY,8TATE,ZIP 7ytrr ✓Q IiOYy 010 YOUHEh12 ABO p`'G"t1J S
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SHINGLE ROOF RO of r`
(Cc CHECK ALL THAT APPLY
lY rs!' 1.Rocotd"ones at commsncenpnt with darts office an aft jabs Drat 32,SG0.00 sad pull aR 1104e11541)(Planits wilh lot"I a mldpaiitf.
2.Protect grounds,pool scream,driveways,garage door(a),AC unit(.&),pool pump's.and Paul acres""
e7 ��/ y.Remove oalcutta it I'. _ rooi do•n to wood dock. d
e((j((2 i.Clean and lnspocta0waiiNaafdnos.Anadd(ttansStstwgtbangrindiiwshavote"piatrroleadccdamagad IlBashingd.�nRlj..2 _--
CJ C7 (y S.Thoroughly htapact roof dock.Repiawtottendockir�atY_ a?� psrshaotatprywo0dandtort'^ParLAordaakl"ga a
/ / other wood work.Specialty lumber at i gg psr LF � "
(2(, g.Ro•nall wood dock pot Florida building cods with 8d dng a 11 naps every Van Phr000d or i e nalh pot decking board
d l�J t 1 7,Clean root dock all of s0 debris for o clean smooth sut4a.
8.Instal ens layer of post A stick undodayment over wood dock,htsfa0ad to manulsetwer spats and building code.
t,/ tvs 9.Inet-0 row 6'drip sdoo mllod at o mutmum width of S'.Drip edge add be avcdappsd a minimum of 7"with rooMg!!rjwa1Lln9uIWd bat"lln
,r motoh k install layer of roonng cement on top of drip edge(Oroy,white,battle,black,bfnan,gafvantcad.)fd1
t� �f0.inslnll C011416Toad SwIRStort sla for sblp ovor dtip edge nailed la manufacturer spec'.&.
0 0 0 1t.tnatall now 16"wida,20 gauoo metal In oil valleys,valley malal Shan be nailed It seated with fooling aomant along sdgoz.
000 12.tnstatt new Buttet boots around all plumbing stacks,nailed and soatodwnh tooling cement to code.(tonob,Sinks,d'uhwashera)a
000 13.Instug now Bullet Yanb,nailed and stated With roofing cement to codo.(kltctun A bathroom t"111f
000 It.Inaba new fluid shingles of your choice,nailed with 6 nails por building code and manufactura'sspoaincatl0m.
Gtiy &1%taltallprsmtumGrtainTwdniloted wants along ridge whore applicable,tnsta0adtomanufacturerspach. LF.
0 0 0.,/16.Install`VON set toot wants,Installed to manufacturer spectnad(IPproofs)
(,Yty t y 1T.InstaU CenalnTsM Shadow Ridge shingles along all hips,ddgos,and rdGred rants(itsnufaturar Rscomm enfadj
V dtV1 8.Clean and haul away snl job totaled debris to&Waved disposal faculty.
19.Hand clean sad magnetically swoop job silo for loose debris and nags.
/ /f�/20.FinalInspeedonwithcompanysupervisorandcustamertoensurela0%customersatisfaction.
r.J C7 tJ 2t.Ws wsil Install hot dippodgalvanlaed fasteners to prevent rust and nail pops.-
ECONOMICAL IPREFERRED / PREMIUM1 /
MANUFACTURER: CerF'a..}areQ AUWUFACIURFR: tr' n t4d MANUFACTURER: ept-& {'trtf
STYLE• arr ,z M STYLE La� sme: ZA0JM—& Pro
COLOR COLOR. •--�,,, COLOR: j
MUFACTURER'S FtARRANTY: WHUFACTURER'6WAARNi 1,C MMUFACTURER'8Y0UIRAHFY:_rr_t k
ALGAE WARRANTY:--^i 0Q- ALGAE WARRANTY: 1 D T rr ALGAE WARRANTY If' �t/
NONPRORATEOWARRAHTY y �f,,, NON PRORATtOWARRANiY� NOIIPRORATEDWARRAMY. /d t
6WNGLEWEiORT: ,20} ti. 6H91CLEYIEIGHT 12h's3 SH0IGLEVJ&Gl
W010 WARRANTY: 70 WU D WARRANTY: l y'0 wfID YlARRAItTY:_ f TLl MA�
tABORWARRANTY: 11 LABOR WARMLY:�, 7 tAILMARAANTY: B.u
PRICE: r1.4r.40 �� PRICE: .1 6 Urn t PRICE: wa7y 7QU ��
�tiszo�aeasi�lzri�s=r' '�iar9Z+EEAafirrr"uu:�.� r&usiat�ai'sitttjiat;;;�
•Paloo Includes shwh of plywood.&milt' G_o J noW foot of docktngs
•Pdw fr eludes�Bnoaf foot of fuseb boards
oPrtcoinctudor 'Ito lineal foot oft-0-andfor2NO
O price Inctiedos wind mitigation arm paid he h4L '
•Price includes two ply mocif0ed In dead valloy(a)(yes(ad--
0*Price Incudes two piy modlRad on Nat roof(.&),Flahioot(s(yo na)
0 Extended warranty,CorfsinTood 5-star warranty eovors labor for 25 years and material for 60 years non-promted.Add S _
. r.' CA �.j":;�.f".:��lr�x:.�+:�'yC�C=.��;i4i.P,L'.:1�,Rii:�{`• y.,'�.''`.Y,C�k ..,a. ai Y:,z t.. axr,.,.:.�:— ..�,:,,�,-;;.,
''•Lq)ti`�,�isioriui,{vri0tlsnp�atart ki whatdift¢t0'r�usfoB�its.tra,�gUre+lisp�t�tjotl:rrfr :.".zA�:a.r��,c�>~.���},•,�=k;..}�`i�'`•:"'�a�•',3�>., �; °i*=`�` ,
�4:e`t;awSkx•.r�^i•t'3. _Fu.�z. 13x. v..ka .+,-fit' �.ti'- '4k.5. -.R�_:A..�-1�� "t�.,x,�,..�;� ^-
Ifrepair size or dollar=-cunt requires a permit in accordance with local law,the Customer kresponsible for the permit fee.itaitial.—,-t _:1r
The labor and/or materials)required for ibis job will be furnished by The Roofing Compony of Tampa Day for a total of:(S &
1100 dollars).Payments are to be made is accordance with the terms and conditions,which are bereby incotpomted.
ACCEPTANCE OF PROPOSAL:Customer ban read sad underw @A ods thus toils ROOFING,LI.0 d THE ROOFING COBtPAN%'OF AatPA BAY
proposal,thetermaudemdidoms an"Ll documents reraeaeW therein andagrecs /J/ �f J/f
go be bound by their Mims.The shove prices,specifications sad coodtdons are Si titre' raS }
G r i /7 r[14
tmeby accepted The Roofing Compaay or Tamps Buy Is authorized to do the
wbrk as specified,bysignia8bclow Custom ad.s wtedgcsthatCanomaisthe By:
owner.or Is In privity with er fibs
Customer's Si as its:
Date: Date:
;YOU,T11E.,I3UY R,MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR'TO MIDNIGHT
. ; K(Ai,'Tk THIRD BUSINESS_DAY AFTER; TTIE;,DATE: t}F..,.'T S'.TIt NSAC1i'ION. SEE '1 E
g1'CACIIED.NOTIC);,Or CANCIaUkdON;FORM T OR i1N E7►1'T ANA TIQN OF'Tfi15 RIGHT.
"t: `' "_ `` 5635`Stafo:RoaS�F�'Nov+PottRictie .L - j
r' =,s� :y:i ::N)ajiinpA¢die;Sd.... •i. „_•„.>.:�:,f.,t....,..;.,,.:. Ye�F �4652 _s
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(72 7) 916-3151 0 Al RO A N Y- Licensed,Bonded
1 (E13) 6Q�.-8704 x ilxsured
OLD FASHIONED SERVICE info@tupabayroofs.com
(866) 7QQ-4929rax , -_ upabayroofs.com
aka www-tampabayroofs.com
OWNER ,
STREET i��R g th tl tt1`/ PHONE �.17 (p x(-of fatj DATE a �� ( k
% EMAIL
CITY,STATE,2JP ti
Z c r!<,'I(s FL 33 Haw DID You HEAR AtTOUT us?
SHINGLE ROOF
tco/ratr/► j CHECK ALL THAT APPLY
t.Record notice Of eommencemanl with clerks office an all jobs aver A500.00 and pull an t»sasaat,per fits with fecal municipally
2.Pit Job Inspection by company sup4rvisor prior fo Start of roof.*
d(y(y 3.Protsct grounds,pool screens.driveways,garage door a),AC unt$si,pact pampa.and pool Screens with plywood,hh paper,or pips to ensure Proper protection
i.Remove existing .��•-t�C roof doyen to wood dick. ( tayar(s)
l,Y/l7 (7/ $.Clean and inspect all wall nashings.An additional far will be required If we have to replace rusted or damaged wall&things.(i1W�h.
t,� Qr t� 6.Thoroughly IASpact roof deck.
W GK W 7.Replace Cotten decking at S G�do
t$ r sheet of plywood andror S G, Per L.F.of decking and all other wood wont.
Specialty lumber at S row Per LI Infllal:
Re nail wood deck per Florida bundtng coda ring shank coil nails avary 6"on plywood ar two noes pardeckNg board l7j ly/,( / 9.Clean roof deck off of all debris ror a efeSn smooth surface.
M ly �✓ 10.install one layer or peel d stick undedayment over wood deck,installed to manufecturerspec,and building code.
(/(/1t.Install new 6"drip edge nailed at a maximum width of 4".Drip edge writ ba ovedapped s minimum of 3"with rooMg cement bnbnad betwsm
/� metals.Install layer of roofing cement on top of drip edge(Gray,white,beige,black,broom,galvanized.)Initial::12•Ins tall CenainTeedSwlNStart starter strip ever ddp edge nailed to manufacturer spec's.
t90 O Q U.Install now 16'wide,26 gauge metal in all valleys,valley metal shall be nailed 3 sealed with roofing cement along edges.
,��j/�14.Install new Bullet Boots around all plumbing stacks,nailed and seated with roofing cement to code(tollsts,Sinks,dishwashers)*
LJ/�v/,Q�/�15,install new Bullet Vents,nailed and sealed with roofing cement to coda4kitchen d bathroom fansf
VC1 lam?r lY 18•install new fiatd shingles or your choice,nailed with 6 nails per building coda and manufacturory spocla lions.
l7 (a'17•Install premium CertalnTeed filtered vents along ridgo whrre appticabte,Installed to manufacbrnrs a.
�0 0 0 is.Install,_,4'offset roof vents,Installed to manufacturer specified.(N1p roots) �
G Q(19•Install CottainTasd Shadow Ridge shingles along ail hips,ridges,and filtered vents(NanufaturerRecommendad)
�by Qt e 20.Clean and haul away all job related debris to approved disposal facility.
/Qr Q(21.Hand clean and magnetically sweep job site for loose debris and nags.
(�JJ Q7 22•Final Inspection with company supervisorand customer to ensure t00%customersatisfactiorL
23.Install hot dipped galvanized fasteners to prevent rust and nail pops.* I
ECONOMICAL L^L l pRRFERRED PREMIUM
ktMFACTURER._i tt at•wTtttt d ' AA
MANUFACTURER: et lsn tt MANUFACTURER: Cer s., ttS
STYLE: XI s` — STYLE L.w wtar STYLE:_ an rt*r
COLOR: COLOR: COLOR: r
MANUFACTURER'S WARRANTY yr MANUFACTURERS WARRANTY: t .e+t MANUFACTURER'S WARRANTY:
ALGAE WARRANTY_ I o T i ALGAE WARRANTY: for ALGAE WARRANTY'. t
NON PRORATED WARRANTU_ S NON PRORATED WARRANTY. ♦ NON PRORATED WARRANTY:�(� r
SHINGLE WEIGHT 110• t SHINGLEWEIGNT 221:ui f li SInNGLEWEiGNF._ 2r 1
WiND WARRANTY: 10 WINO WARRANTY f� MO to WIND WARRANTY;
LABOR WARRANTY, G L LASOR WARRANTY:__ T ,rt`� LABORWARRANTY:
PRICE.,. Y PRICE: ` t171%o'?�! PRiCE: Ce
CUSTOMER'SiNITWS: CUSTOMERS1NITIALS: CUSTOMER'SiNHiAtS:
•Price fridurdes 7 sheets of ptyvn.W art Doo 74 _Jns i fleet irtg.*et of deck i
0 Price Indudes a2`t final feet of fascla hoard* i
•Price Includes I L lineal feet of 2 x4"and/or 2"x6".t �J
Price,Indudees:wind mitigation—paid in fun.• /7
•Price includes two ply m led!n dead Valle(s)(yes up l
0 Skylights(CM;SF (yes ,a ,Satellite MOO Inoj olar Panels(yes no) 'ghtning Rods(yes/no) hlmnay Cricket(yes f no)
+ Britt "tt� +f Two Pf.� adeFrt on FGc
tf Extended warranty,CertainTeed$-star warranty covers labor for 25 years and material for SO years non-prorated.Add$
,
*Items marked with an'asterisk is what differentiates'us from ouj eampetfliott. .:-•;;=:. ..:;
The labor,makdal endegU00nt required for this Job wiiibe Nrntshed by The Roofing Company for Ora IOW of:
(g & I1iTOdaBals)
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twraryeYeteaSryPersae,othtrlumwrlmybyee[sban0rroufdr6gtkpejodaaArexjobiraat�datysvtakf)'kaudla'hptSjedafihm6fkybmarcM .
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This-proposal Will be subject Wvrithdrawaf if not accepted within 15 days-
I HAVE READ,UNDERSTOOD,AND SIGNED THE PROPOSAL AND STATUTORY WARNINGS,THE TERMS AND
CONDITIONS AND ALL DOCUMENTS REFERENCED THEREIN AND AGREE TO BE BOUND SY THEIR TERMS.
AtxEpTANCE OF P P Respecituny 6ubm?bcL
bahvoks, OSALitrabnratxlnsspedPra6rdaMaondEorsaRSafis�ftaib3* JA iad'� THE R00F7kIG COMP
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MY
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Data: v✓y►7� By ,lam i.a • 1
doping Address:6635-State Road 50 New Port Richey,FL 34652
FLORIDA 139PARTMONT CA
• Professional • If
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Product Approval
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Product Approval Menu>Pro:duct or Applicatlon Search>Application List>Application Detail
FL# FL2533-R21
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived ❑
Product Manufacturer CertainTeed Corporation-Roofing
Address/Phone/Email 20 Moores Road
Malvern;PA 19355
(610)863-5400
mark.d.harner@saint-gobain.com
Authorized Signature Mark HarrierALL W
mark.d.harner@ saint-go bai q �K.
�,DFS F SH ACC
Akrigiv
At
Technical Representative Mark D.Harrier ®-rllL �y / �,
Address/Phone/Email 18 Moores Road OR���®�C�Ty 7 1C 0,0l Coll, ,
Malvern,PA 19355 �V(°,�� ��+�9� r
(610)651-5847
Mark.D.Harner@saint-gobain.com �b
Quality Assurance Representative k
Address/Phone/Email a
�7�41d 1�1
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licens Floridi3
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 03/09/2020
Validated By John W.Knezevich,PE
121 Validation Checklist-Hardcopy Received
I
I
Certificate of Independence FL2533 R21.COI"2018 01 COT COI COI NIEMINENodf
i
Referenced Standard and Year(of Standard) Standard Year
ASTM D6162 2068
ASTM D6163 2008
ASTM D6164 2011
ASTM D6222 2011
ASTM D6509 2009
FM 4470 2012
FM 4474 2011
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/11/2018
Date Validated 12/17/2018
Date Pending FBC Approval 12/19/2018
Date Approved 02/19/2019
Date Revised 04/17/2019
Summary.of-Products
FL# ., Model,.Number or.Name Description .
2533.1 Flintlastic Modified Bitumen Modified Bitumen Roof Systems
Roof Systems
Limits of Use Installation Instructions
Approved.for use,in HVHZ:No FL2533 R21 II 2018 12 FINAL Al ER CERTAINTEED MODBIT FL2533-
Approved for use outside HVHZ:Yes R21.Ddf
Impact Resistant:N/A Verified By: Robert Nieminen,PE PE-59166
Design Pressure:+N/A/-635 Created by Independent Third Party:Yes
Other: 1.)Refer to ER Section 5 for Limits of Evaluation Reports-.
Use.2.)The design pressure noted in this FL2533 R21 AE 2018 12 FINAL ER CERTAINTEED MODBIT FL2533-
application relates to one specific system. Refer R21,Ddf
to the ER Appendix for all systems and max Created by Independent Third Party:Yes
design-pressures.
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Contact Us::2601-Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824
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City of Zephyrhills
5335 81h St
Zephyrhills FL 33542
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
licensed under Chapter 468; Florida Statutes as.a(n):
Contractor_Engineer Architect_Building Inspector_
License No. CjCC 1 - c
2.0373
On or about_ 14119 did personally inspect the:
Check: Roof Deck Naiiing Dry in„ �! Flashing and Drip edge
Check which was used: 30##felt_Peel and Stick\l Other(List)
i
At the following
address: JS 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).
Signature:
f
STATE OF FLORIDA i.
COUNTY OF PASCO
Sworn to and subscribed before this day
BY: (i I
I
Notary Public State of Aida
�#Wpup Notary Public State of Fionce
Becky Woodall
My Commission GG 196217
a 8xpras 03114/2022