HomeMy WebLinkAbout19-21341 a sir' CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21341
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit Number: 21341 Address: 5836 12TH 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: 11-26-21-0010-03800-0130
Improv. Cost: 19,199.00 OWNER INFORMATION
Date Issued: 6/05/2019 Name: BARNES, SHARON
Total Fees: 210.00 Address: 5836 12TH ST
Amount Paid: 210.00 ZEPHYRHILLS, FL 33542-3738
Date Paid: 6/05/2019 Phone: 813-368-8374
Work Desc: REROOF SHINGLE / FLAT ROOF TPO
CONTRACTORS APPLICATION FEES
PARLAMENT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 210.00
1�
I
Ins actions Required
DRY IN ROOF IN P
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Rennspection 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.
CO TRACTOR SIGNATfJAE PERMIT OFFICZR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
ZephyrhiO FL 33642
(813)780-0020
ROOFING INSPECTION AFFIDAVIT
Permit No.:
� |cenamd under Chapter 4GB. Florida Statutes oms(n):
Contractor nginae[___Architpot__Bu||ding |nmpecto[_
LiooneeNo. LCC [l|
Onor about did personally inspect the:
Check: RoofDeckNaO|n ryi edge X
Check which was used: 3O#hdt___Pewi and 5t|ok-\-01her(List
At the foil in
000neso'
Based upon that examination, | have determined the installation was done according to the Hurricane
Mitigation Retrofit Manual(Based un Section 583.844. Florida 8tatuteo).
Signature:-_
STATE OFFLORIDA
COUNTY OF PASCO
JAMIE CURNUTTce—_ Notary Public,State of Florida
Notary Pu__State of Florida
�
�
�
|
'
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting It -75k-h '=5-7/
a " . . . . . . . 111off-411
Owner's Nam: . . . .Ow'ner"Phone Number
Owner Phone Number
Owner Address 36 kl�
Fee Simple Titleholder Name I I Owner Phone Number
Fee Simple Titleholder Address. I
JOB ADDRESS 16^%3,L LOTS
SUBDIVISION IIi'�v of PARCELID#F ')6: 3100- 61-,- --,9 I-DA31 0-Q
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW C0176 ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM tJ OTHER
TYPE OF CONSTRUCTION BLOCK = FRAME = ST7L
IV
DESCRIPTION OF WORK
BUILD _�IZE,)4G SO FOOTAGE HEIGHT
. . . . . . . . . . . . . . . . . . . . . . .
F '.ILDING VALUATION OF TOTAL CONSTRUCTION
7ELECTRICAL 7 AMP SERVICE Q PROGRESS ENERGYQ W.R.E.C.
=PLUMBING I$
=MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION
S
=GAS 52—ROOFING = SPECIALTY = OTHER 0S
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. . . . . . . . . . . .
0 -
BUILDER COMPANY (—Ta r h_M-eAA_ Cjb,)�k
SIGNATURE REGISTERED Y1 N FEE CURREN L_IL N
Address rJJ 13&� License#1 IOU- [SaEw
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_KLN_j
Address 7 License
PLUMBER COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURPEK YIN
Address License
MECHANICAL COMPANY =
SIGNATURE REGISTERED YIN FEE CURFLEK
Address I License#F_
OTHER COMPANY =
SIGNATURE REGISTERED Y1 N FEE CURREN
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plan.-,(1)Set of Energy Forms;R-OW 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&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.
I I I I S 1 5 1 1 1 1 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Directions:
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(PloVSurvey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
CCC1329729
CRC1329809
PARLAMENT
Roofing & Construction
12880 Automobile Blvd., Suite L
Clearwater, FL 33762
Office: (727) 571-4110 Fax: (727) 571-4112
WWW.PARLAMENTROOFING.COM
Office: (727)571-4110 Fax: (727)571-4112
City of '7,aoh( ILh 1'85-
[- I - I
_,e h following to act as my agents in obtaining permits in
se 7c hereby���nz� e
R or
1�t all projects.
James Rayl 11624 Ocklawaha Drive., Leesburg, FL 34788 R400453793440
Jacknel Diaz 2712 West Tampa Bay Boulevard.,Tampa, Florida 33607 D265420804240
Richard Ruggieri 4699 Coynti:;t /I;Dive Lot#286, Holiday, Florida 34690 R260756720810
'Z�;'
License Holder
STATE OF FLORIDA, COUNTY OF PINELLAS
Sworn o and subs ibed bef re me the T day ofjaf Lp- 2019. By
ho is personally kno by me or.
produced as identific *
�ho is personally kno b�
Itif 1c
�- ary Signatu e
BRIANA M.DACHNIEWICz
Notary Public,State of Florida
MY Comm.Expires Aug.24,2122
No.GG 229690
OPdANDO JACKSQMaLLE
300 International Parkway, Suite 104 4651 Salisbury Road, Suite 275
Lake Mary, FL 32746 Jacksonville, FL 32256
Office: (407) 949-9196 Office: (904) 999-6612
INSTR#2019093310 OR BK 9916 PG 692 Page 1 of 1
Q,� 06/04/2019 11:08 AM Rcpt:2060183 Rec:10.00 DS:0.00 IT:0.00
VV Paula S. O'.Nei�Ph.D., Pasco County CCerfe&ComytroCCer
Permit Number
Parcel ID Number
NOTICE OF COMMENCEMENT
State of Florida Tmm AREA WRES8MDMR CLERK OF THE COURT CMrnF!CATION
County of Pinellas
THE UNDERSIGNED hereby gives notice that Improvements will be made to certain real property, and in accordance with Section 713.13 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.tJescxfption of property{kga/description); Cf Y &F gI /WNi l � l �G S L.Ufs J -/it,1 S l V�c,F 3'g 0''r-U j„ft
a)Street{M Address: -51 31, 1 5-- 47;�e-C4
2.General description ro ments:
3.owner Infonrlation or Lawe information if the Lessee contracted for the improvement:
a)Name and address: 6 64h S T 3 35
b)Name and address of fee simple tifleholder(d different than Owner fisted above)
c)Interest in property: pcu
9.Contractorltrformation faW'IC,r—e«.,.'X ["cfi%^q C e-ASAn'-c
a)Name and address: Gam$O 6 i p siyi cG��.,� je.- / -3' 3 76 ;2
b)'telephone ido.: 7- o 17 51�/U Fax No.:(optional}
S.Surety(d applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond: $
a)New and address:
b)Teelephone No.-.
1.Petsons coo"the State of Florida desisted by Oenet upon wham notices or outer dmments maybe served as povided by Sector
713.13(1)(a)7.,Florida Statutes:-
a)Name and address:
b)Telephone No.: Fax No.:(optional)
8.a.ln addition to himseM or herself,Owner desgmtes of
tc'n3ceiMe a copy of the Lienor's Notice as provided in Sediori 713.13(1)(b),Florida Statutes.
b)Photee Number of Person or entity designated by Owner:
9.apirati in date of notice of=nmenaement(the expiratlar data may not be before the completion of constuction and final payment to the
contractor,but will be 1 year from the date of recorcling unless a different date is .20
WARMING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART L SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR INPROWEMENTS TO YOUR PROPERTY.A M0710E OF COMMENCEPAENT 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 COMMEMCtMG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I dactwe that I have read the foregoing notice of commencement and that the fads stated therein are true to the best of my
MpOlip and belief.
(Sigrok"ofowrfer or ieasea,or Q m es or Loma's(Aiffior zsd 018 ) (Print Nwme and Pro+ndeSfgr Wys Tft a kg)
The fo ng insfrume rLt was adunowtedged before me this 4q day of -�TW't-e - ,20
by ,t/j ��>f n P S as rl lL] A" , (Mm of aueuait),19•ofrroer,trustee,eeomey in faco
for 'es
(Name of Peraon) (type of auftrfly,...e.p.am—.trust m.aftomey rn fact)
for (name of rty on om instrument was executed),
Personally Known ❑ Produced ID ��..
T of ID �(051- 19' �� --otq Notary Signature
�- - ---------• --------—-----. Hama
NOTARYSTAMP Notary Puboc P toofF,orlda
W Carom Exgtres Feb.19,2023
No.GG 303417
i
. ,COUNTY OF PASCO
tors rS ro CERTIFY THAT THE FOREGOING ISA
r`= tE CORRECT COPY OF THE DOCUMENT�.ND
r" P!t-E O OF PUBLIC RECORD IN THIS OFFICE "irj= r� "' •
W)TN�:SS MY HAND D OFFICIAL SEAL THIS Y J`
-~/ 13DAY OF
-
A p L, CL RK&COMPTROLLER— " €�
�t3 7
B DEPUTY CLERK ��
CCC1329729 CCC1.327351
• CRC1329009 CIICO16377
PARLAMENT
Roofing & Construction
QRLANQO CLC-ARWAYFR JACKS9!l1fJLl.G
364 CooPerPalut Parkway 121100 Aulatuabile filed.Suite 1. 46511 Salltbuq RvAd,suite z7r,
APOPIM.IFL32703 Clearwater.n 33762 larlmonvilbr.Ft.3z256
IDIIICN(407)949-9196 011ice:(727)571-4 130-Pau 1727)$71.4112
SALES CONTRACT
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Address: 5-SUL, 11-vo Sri;;-:W- r— Date.
air. Wills State, FLU —Zl
Email: 111.ca—M I—county. pa'g-C.0
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SCIS Home Log In User Registration Hot T-Pla Submit Surcharge St-ts h Facts Publications FOC SUff BOS Site Map Unks Search
Product Approval
USER:Public User
Product Aplanvof Menu:,Product or AoRligation Search>APPricetion List;,Application Detail
Fl.# FL10264-R13
Application 1YPe Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer Firestone Building Products Company,LLC.
Address/Phone/Email 200 4th Avenue South
Nashville,TN 37201
(317)575-7017
grzirbowskikelth%1LT"?,-&-IALL COMPLY WITH PRF-VAILING
Authorized Signature Keith Grzybowsk]CODES FLORIDA BUILDING CODE,
grzybowsklkelth�JK- ELECTRIC CODE,
AND"TRW OF ZEPHYRHILLS
Technical Representative ORDINANCES
Address/Phone/Email
Quality Assurance Representative RE-VIE-ki"I DAT"JUN
Address/Wone/Emall I L
C ZEPHY
.,ITY OF
Category Roofing PLANS 'E-XAN1R`4_F"
L
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report-Har4copy Received
Florida Engineer or Architect Name who developed Robert Niemlnen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 09/11/2020
Validated By John W. Knezevich,PE
Validation Checklist-Hardcopy Received
Certificate of Independence FLI0264 R13 COI 201701 C01 Nlemlnen.pdf
Referenced Standard and Year(of Standard) Standard year
ASTM-D6878 2011
FM 4470 2012
FM 4474 2011
TAS 114 2011
UL 1897 2012
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/30/2017
Date Validated 10/03/20I7
Date Pending FBC Approval
Date Approved 10/08/2017
Summary of products
FL Model,Number or Name Description
10264,1 Firestone UltraPly TPO Single Ply Thermoplastic polyolefin(TPO)roof systems
Roof Systems
Limits of Use Installation Instructions
Approved for use in HVHP:No FLID264 Ri3 11 20 7 DQ FINAL Al ER 1jitraPt IM FL102fi4-
Approved for use outside HVHZ:Yes R13,odf
Impact Resistant:N/A Verified By:Robert Nleminen PE-S9166
Design pressure:+N/A/-49S.0 Created by Independent Third Party:Yes
Other:1.)The design pressure noted In this application Evaluation Reports
relates to on particular assembly.Refer to the ER Appendix FL�64 R13 AE 2017 09 FINAL FR UltraplyTPD FL10264
for all assemblies and associated design pressures.2.)Refer $l3.D
to the ER,Section 5 for Limits of Use. Created by Independent Third Party:Yes
iaatx Next
Contest Us:.2601 Blair gone Road.Tallahassee fl 32399 Phone:850-07-1624
The State of Florida is an AA/UO employer,copyright 2007-2013 State of Florida,::privacy Statement::A= ibtit_. _tv Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released to response to a public-records request,do not send electronic
mall to this entity,Instead,'contact the office by phone or by tradltlonal mail.U you have airy quastlons,please contact$50.487.2395.-Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,ikemees licensed under chapter 455,IS.must provide the Department with an email address N they have
one.The malls provided may be used for official communication with the 8eensee.however email addresses are public record.If you do not wish to supply a personal
address,please provide the Department with an ema0 address which can be made avaltoble to the public,7b determine Uyou are a licensee under Chapter 455,FS.,
please dick JIM.
Produet Approval Accapto.
Credit Card
I
t
TiMN JER®
• . 'td�'�1zE7�>�s llH;f�D.t�E��':r�R�Ei�fC1�t��Rlf,�tf.�.oRREROf�i<�TEAytr�f>k�cRiREGDNER ,
S kiB Sa i:'ti11Et5CdAMQAt "%0,jMSt3LAT10t4,!0hi1�lDROt FCS3llER
System Deck Top Insulation Layer
No.. {Note 1) Base Insulation Layer Type Attach
Roof Cover(Note 16) MDP(psf)
Fasten
UUVA0tV tP.Q SYSTEaRS
W-1. Min.25/32-inch plywood at (Optional)One or more layers,any Min,1-inch RESISTA Note 2 1 per 4 R' UltraPty TPO/UP-BA,LVOC-BA- 30.04
max 24-inch spans combination,loose laid 1168,LVOC-BA
W-2 Min.19132-inch plywood at (Optional)One or more layers,any UitroPly TPO/UP-BA,LVOC-BA-
max 24-ineh spans combination,loose laid Min.2-tneh I50 95+GL Note 2 1 per 1,781t= 1168,WBBA-P 45.0
W3• Min.15/32-inch plywood at (Optional)One or more layers,any UltroP)y TPO/UP-BA,LVOC-BA- e
Min,1-inch RESISTA Note 2 1 per 2.67 fe -45.0
matt 24inch spans combination,loose laid 1168,LVOC-BA
W 4 Min.15/32-inch plywood at (Optional)One or more layers,any = UltraPly TPO/UP-BA,LVOC-BA-
max 241nch spans combination,loose laid Min.1-Inch RESISTA Note 2 1 per 1.6 ft 1168,LVOC-BA -45.0
W 5 Min.15/32 inch plywood at (Optional)One or more layers,any UltraPly TPO/UP-BA,LVOG BA-
max 24-inch spans combination,loose laid Min,0,5-inch iSOGARD HD Note 2 1 per 2.67 it! 1168,LVOC-BA -45.4
Min.15/32-inch plywood at (Optional)One or more layers,any Min.0.5-inch SECUROCK G sum-Fiber UttraPly TPO/UP-BA,LVOC-BA-
W-6. max 24-Inch spans combination,loose laid Roof Board Note 2 1 per 4 ft' 1168,LVOC-BA 45.0"
W-7 Min.7/16-Inch APA rated (Optional)One or more layers,any UltraPty TPO/UP-BA,LVOC-BA-
OSS at max.24inch o.c. combination,loose laid Min.tl.25-inch Dens Deck Prime Note 2 i per 2.67 fe 1168,LVOC-BA,WBBA-P 45.0
Min.23/324neh plywood at (Optional for Recover)Min.1.5-inch thick
W. max 24inch spans one or more layers,any combination, Min.0,25-inch Dens Deck Prime Note 2 1 per 2.67 ftz UitraPiy TPO/UP-BA.LVOC-BA -45.0°
loose laid
Min.19/32-inch APA rated
W 9 plywood or min,7/16-inch (Optional)One or more layers,any Min.0.254nch Dens Deck Prime or Note 2 1 per 2.13 fe UltraPly TPO/UP-BA,LVOC-BA• 45.0'
APA rated OSB at max.24- combination,loose told SECUROCK Gypsum-Aber Roof Board 1168,LVOC-BA,WBBA-P
Inch o.c.
W-10. Min.15/32-inch APA rated (Optional)One or more layers,any Min.0.254nch SECUROCK Gypsum-Flber Note 2 1 per 1.6 fe URraPly TPO/UP-BA,LVOG BA- -45.0
plywood at max.24-inch o.c. combination,loose laid Roof Board 1168,LVOC-BA,W88A P
Min.19/32-Inch Min.0.54nch SECUROCK Gypsum-Fiber iy
plywood at (Optional)One or, Layers,any : U1traP TPO/UP-BA,LVOC-BA- _45 0
W-11. max 24-inch spans combination,loose laid Roof Board,Dens Deck or Dens Deck Note 2 1 per 1.6 ft 1168,WBBA-P
Prime
N 12 Min.15/32-inch APA rated (Optional)One or more layers,any Mtn.0.5-Inch SECUROCK Gypsum-Aber Note 2 1 per 2.13 ft' UltroPiy TPO/UP-BA,LVOC-BA- _52.5
plywood at max,24-Inch o.c. combination,loose laid Roof Board I I 1 1168,LVOC-BA
Min.15/324nch plywood at (Optional)One or more layers,any Min.0.5-Inch SECUROCK Gypsum-Fiber UltroPly TPO/UP-BA,LVOC-BA-
J•13. max 24-Inch spans combination,loose laid Roof Board Note 2 1 per 1.78 fe 1168,LVOC-BA -67.5
VRAPLYTP03tR S75TECJis
14 Mtn.7/16-inch APA rated (Optional)One or more layers,any : UltraPiyTPO XR i XR St1ck,12-
O58 at max.241ncfi o.c combination;loose laid Min.0.25-inch Dens Deck Prime Note 2 1 per 2.67 ft inch o.c,or hot asphalt(full -45.00
coverage)
trior Research and Design,UC.d/b/a Trinity i ERD Evaluation Report F8970.02.08-R13 for FL10264R13
tificate of Authorization##9503 a EDITION(2017)FBC PEON-HVH2 i:VALUATION Revision 13:09/30/2017
cared by; Robert Nieminen,PE-59166 Firestone UitroPiy TPO Single Ply Roof Systems,(317)S75-7017 Appendix 1,Page 4 of 69
iSN [I fi ER®
t + ran ats-� w�o i riiw? iibns o;r RED F ��a •ac)ar�.a pvta
Sj'S'f 6 IFi �:ill 43HAM +L�7cr l�tcNEbTS.t71fAAHtORt,�OA1b�b•ROOFCQIfiER
System Deck Base insulation Layer Top Insulation Layer Roof Cover(Note 16) MOP{psf)
No. (Note 1) Type Fasten Attach
Min.19/32-inch APA rated UltraPly TPO XR/XR Stick,l2-
W 15 plywood or min.7/16-inch (Optional)One or more layers,any Min.0.25-inch Dens Peek Prime or .
APA rated OSB at max.24- combination,loose laid SECUROCK Gypsum-Fiber Roof Board Note 2 1 per 2.13 fit inch o.c.or hot asphalt(full 45.0
Inch o.c.
coverage)
Min.15/324nch APA rated {Optional)One or more layers,any Min.0,25-ineh SECUROCK Gypsum-fiber t UltraPlyTPO XR/XR Stick,12-
W-16. plywood at max.24-inch o.c. combination,loose laid Root 8card Note 2 1 per 1.6 ft inch o.c.or hot asphalt(full -45.0
coverage)
ULiRAPLvt9.0 SA-Symms
W-17. Min•15/32-ineh plywood at (Optional)One or more layers,any Min.1-inch RESISTA Note 2 1 per 4 fit UltraPiyTPO SA,self-adhered -30.0'
max 24-inch spans combination,loose laid
W-18. Wn.15/32-inch plywood at (Optional)One or more layers,any Min.0.5-Inch SECUROCK Gypsum-Fiber Note 2 1 per 4 fit UitraPlyTPO SA,self-adhered -37.5'
max 24-inth spans combination,loose laid Roof Board
W-19 Min.19/324nch plywood at (Optional)One or more layers,any Min,24nch ISO 954 GL Note 2 1 pet 1.78 f? UltraPly TPO$A,self-adhered -45.0
max 24 inch spans combination,loose laid
W-20. Min.i5/32-Inch plywood at (Optional)One or more layers,any : e
max 24-Inch spans combination,loose laid Min.1-inch RESt57A Note 2 1 per 2 7 ft UltraPly TPO 5A,self-adhered 45.0
W 21 MIn.15/32-inch plywood at (Optional)One or more layers,any :
max 24-lnch spans combination,loose laid Mtn.1-inch RESI57A Note 2 1 per 1,6 ft UltraPly TPO SA,self-adhered d5.0
W 22 Min.15/32-inch plywood at (Optional)One or more layers,any Min.0.5-inch ISOGARO ND Note 2 1 per 2.7 fe UltraPly TPO SA,self-adhered -45.0'
max 24-Inch spans combination,loose laid
W-23. Min.7/i6-inch APA rated (Optional)One or more layers,any Min.0.25-Inch Dens Deck Prime Note 2 1 per 2.67 fe UltraPly TPO SA,self-adhered -45.0'
OSB at max,24-inch o.c. combination,loose laid
Min.23/32-inch plywood at (Optional for Recover)Min.1,54neh thick, :
VJ-24. max 24-inch spans one or more layers,any combination, Min.0.25-inch Dens Deck Prime Note 2 1 per 2.67 fe UkraPly TPO SA self-adhered 45.0�
loose laid
Min.19/324nch APA rated
V-25 plywood or min.7/16-inch (Optional)One or more layers,any Min.0.25-inch Dens Deck Prime or Note 2 1 per 2.13 fit UltraPly T"elf-dher.d -45.01-
plywoodAPA rated OSB at max 24- combination,loose laid SECUROCK Gypsum-Fiber Roof Board
Inch o.cMin.15l32-inch APA rated_ (Opttonat)One or more Layers,any Mln.0.25-Snch SECUROCK Gypsum•Fiber x at max 24-inch o.c. combination,loose laid Roof Board Note 2 1 per 1.6 ft UltraPly T
27 Min.19/32-Inch plywood at (Optionai)One or more layers,any Min.0.5-inch Dens Deck Prime Note 2 1 per 1.6 ft2 UltraPly TPO SA,self-adhered -45.0
matt 24-Inch spans combination,loose laid
28 Min.15/32-Inch APA rated (Optional)One or more layers,any Min.0_54nch SECUROCK Gypsum-Fiber Note 2 1 per 2.13 fit UltraPly TPO SA,self-adhered 52.5
plywood at max.24-inch o.c, combination,loose laid Roof Board
,g Min.15/32-inch plywood at (Optional)One or more layers,any Min.0.54nch SECUROCK Gypsum-Fiber. Note 2 1 per 1.79 ftt UitraPiyTPO SA,self-adhered -67.5
max 24-inch spans combination,loose laid Roof Board
trier Research and Design,LLC,d/b/a Trinity)ERD Evaluation Report F8970.02.08-R13 for F1.10264-R13
ificate of Authorization R9503 6TM EDiTiON(2017)FBC NON-HVHZ EVALUATION Revision 13:09/30/2017
ared by: Robert Nleminen,PE-59166 Firestone UltraPly TPO Single Ply Roof Systems,(317)575-7017 Appendix 1,Page 5 of 69
I
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STATE OF FLOR16A
MARRIAGE RECORD
TYPE RN UPPER CASE lmt mwlAll
USE BLACK INK
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03S4 OR 1K 41$13 PB 1779
(APPLICATION NUMBER)
APPLICATION TO MARRY
t nooxaw�nENwF�wi _ s HATE OF.e1R 1 T+E7
HARTIN JOSEPH GRASSING'ER _ 12-09-58
Ei TfY(2, IOCATgN I1N7Y 3e STATE •• +I®HTMPLAGE( Nbfae{re CuN7J
�ST�-� PASCO FL 3354 PA-
53 MWEM NAME(79?i[Mffl*,L*V - _.•.. .w (nN.aEnO 6 DATE of ORTH(MMA ...N
SHARON JOAN GUYNN FLANNERY 02-03-61
7A ZCI'IY,_TOJ(31,ORLOCATON T&CCU l..M._ 7c 6TAT 6 EiRR4PLACE(3MOrfVpgn LAi�p
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JED PITTMAN
RK DC CLE CIRCUIT COURT
a"• "y r, CERTIFICATE OF MARRIAGE
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Official Records - Instrument. Detail
View Document
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Instrument Detail for 2004238210
Instrument Y 200423821.0
2004-12-23
Time �- 9:39AM
_Book_ 6162
Documentcim��
#Pages -- -- --- - _�
Recording Fee $0.00
MiSceftaneaus -
Legal LS BL38 CTY ZH •
Idjxedj1 ;iName T eYPONIN J Grantee.
Exc6lldnce...Always
Pasco County Clerk&Comptroller fl 2016
1
www.pascocierk.com/public-sup-svcs-resu#s-or-instr-detail.asp?mdgs=l&tbgs=2004238210
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Department of Health•Vital Statistics
STATE OF FLORIDA (STATE FILE NUMBER),
MARRIAGE RECORD
n IN UPPER CASE I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
USE BLACK INK
This Qcgngence nOlvtlld Onten wl of deer,
dIO1R°'C°u>fly coal,qp0m the`= J2008042323
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m0 fOUNTY CLERK
24c ia:i of
OR 8K 7790 PG 1885
(APPLICATION NUMBER)
APPLICATION TO MARRY
R-
l'ORwws?4*%m(FYa,A6,LSe,Wq Z.DATE OF BIRTH Q.m&D.y.Ynq
DAVID PAUL BARNES 01/19/1971
I..RESIWNCE-(31T,To,m.L bo 34 LTAINTY k.NTATE {.BIRTHPIACE(5lre w Fottign Carta
583512TH PASCO FLORIDA 33542 CALIFORNIA
ZEPHYRHILLS
5�6RIDE'S NAADi(F'n.1.AWD..Wq' S7FLANNMY-
6,DATEOFBOttH5=h D",Y—)
SHARON JOAN FLANNERY 02/03/1961
7..RE5IDENCE-CIry,T-%-,—6- AL1.7OM Y 7u.STATE B.BIRTHRA[8(St.h.F-1p Country)
583612TH PASCO FLORIDA NEW YORK
WE7HEAFFUCA EDI TMISCERDF)C TE,EA FOR 1 ORHCRSEL►,STATCT TTNGINFORMATION►AOYIDEO
••�•� ♦ ON TiDA RECORD IS CORRECT TO THE BESTOF OUR KNOVA. ME AND BELIEF,THAT NO LEOAL 08JECTDN TO THE YARRIAOE
� NOR THE ISSUANCE ULT:IieE TO AUTHORIZE THE SAME IS KNOWN TO lL9 AND HERESY APPLY FOR UCFAnIETO MARRY.
�?07SVd 3 1S OFOR(1nM omcL-14 ) A Im NUMCKIRED AM MURN TO BEFORE WON(DATE)
February 25, 2008
d _ _
D PITTMAN Clerk of Circuit Court 11�67GNA (7/LI(1 �1.�1 t)
+ O ►• a ,A` ,tl ; NATURE RI (Si6n full mpg 'I Il5Ue5C e O
// February 25, 2008
', •'�. �1J!#-0. ,'• &XIfn OFFI 16.SICNAT OFOY L eck inq
�...
�� JED PITTMA Clerk of Circuit By: DC
,"
• 7 x ' '1 LICENSE TO MARR
AUTHORIZATION AND UCEN6E IS/IEREBY GIVEN TO ANY PERSON DULY AUTHORIZED BY THE LAYYS OF THE STATE OF FLORIDA TO RFORN
/A. • �'1 1, - AISARRIAOE CEREMONY WITHINTHE STATE OF FLORIDA ANO TO SOLOMNIZE THE MARRIAGE OF THE ABOVE MANED PERSONS.THISUCENSEYUST
Y ' ' BE USED ON OR AFTER THE EFFECTIVE DATE AND ON OR BEFORE THE EXPIRA710N DATE IN THE STATE OF FLORIDA IN ORDER TO BE RECORDED AND VALID.
,�.. `,••..•,->;, ' I,LUUNTYINSUMOUCENSE IS.DATEUC(NSEIMUED 14)ATEUCEMSEEFFECTIYE If.EXPIRAT1(M DATE
°1 PASCO 2/25/2008 02/2912008 04/28/2008
IO;MONA aERz E gnb"TREE 2%,BYD.0
/r JED PITTMAN
o r ►By: RM
I,-'yrt d f^.�. F Clerk of MARRIAGE
Court
\ 1) " •'•�•.• \J �� t INBIEer CFAfiFTH TINE ASSYE RAVED CE�IOEWERA�BYR SI YUARRRIIAGGEEDA W AN ELMTR THE IA190FTRE STATE OF FLORIDA.
yiB ILA Null 11.DATE OF GE @SaoN,Dry,Yew 1t CFTY,TOWN,OR LOCATIONOF LfARR1AU
D.. OF qONYIUST;BLACK DIX) ZTc. '10TprnmpaF �oaoam7) ,
r r A
--SEAL TRIE PERaoNIERFnnC3RU10[[Y SI TI x ,.2 , (•�. "L 33S
1: "LSD 3'f 1
.SKMAT CITO CEREASUNY
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NOTICE opDEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
wnmn 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` —e an---'—tion- ---he---'----` --------'^~~^~`~~,—^~~gp'`^`e~^''a"~~
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—Homeowners
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'ownero prior to commencement.
CONTRACTOR'S/OWN ERIS 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,WaterMastewater Treatment.
' Southwest Florida Yvate, Management District-Wells, Cypress Boyhuoun. YYoVomj 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-*,r unless expressly permitted.
.. the .,. material is o be used .. ,== Zone ". it is =ve.omnv that a ummoaw plan onn"000mp o
.compensating volume"will be submitted at time of permitting which is prepared by professional engineer
licensed uy the State mFlorida.
- If the fill material is to be used in Flood Zone"A" in omnnaohvn with a permitted building using stem wall
construction,|certify will be used only m fill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such ,0 will not adversely anwm 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 provisions of the technical codes,nor shall issuance of a permit
xuno�iuno(onn�inn|una monvonu� violations uvdao' Every �event the ��=~a��oa/u~cial - -'
requiringreafter
/—iu
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 for a 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 TOOWNER: YOUR FAILURE To RECORD A NOTICE or COMMENCEMENT MAY RESULT|mYOUR
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.
OWNER OR AGENT C
Subscribed and swom to(or affirmed)before me this _affirmed).befo-re-rVto,this—
Who Is/are personally known to"°",h.aslhave produced W
Notary Public kll�ziv_ Notary Public
Commission No.
CITY OF / / / BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
...REMOVE
® o NOT.
t:
ADDRESS FA DATE PERMIT
ILA, -
'` ThiJo,Il.o"win F adu�'itions.or.corredioiifik6 l Fie;rr,�^de before the job
THIS JOB,HAS NOT BEEN COMPLETED: 3 9' - -_-
v+iill%be'beceFfed:`
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 78�-��2� FAR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
• thb installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
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City of Zephyrhills;. ROOFING INSPECTION AFFIDAVIT
Permit No.:
f Rodc Icensed under Chapter 4OB Florida Statutes aom(n)
Co uUding |napecbo[___
License No. -|��
C)nor about. |d personally inspect the:
Check: Roof Deck Nailing ryi aahingandDdpadQ
Check which was used:3O#fd\___pme|and SUnkXOther(List
At the f�|
address._..
Based upon that examination, | have determined the installation was done according to the Hurricane
Mitigation RetnzfitManual(Based on Section 553.B44. Florida 8tatubam).
'
Signature:
STATE OF FLORIDA
COUNTY OF PASCO
S rn and subscribed rbe re this day 040 / 19
ur
MY COMM biiiies Nov,ill,2023
No.GO 932786
Notary Public State"' Florida '
\
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