HomeMy WebLinkAbout19-22124 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22124
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22124 Address: 5134 9TH ST HISTORIC
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-19400-140
Improv. Cost: 3,800.00 OWNER INFORMATION
Date Issued: 12/02/2019 Name: BUCHANAN, BRAD &BRENDA
Total Fees: 60.00 Address: 5134 9TH ST -HISTORIC
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/02/2019 Phone: (813)714-9337
Work Desc: REROOF SHINGLES
CONTRACTORS APPLICATION FEES.
QUALITY ROOFING INC REROOF RESIDENTIAL 60.00
I �- ► I
DRY IN ROOF INSP Ins ections Required
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
'0000 &_ f��.
(fnNTC SIGNAT RE PERMIT OFFI R
ER RES 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
i1Z..I I 1717071717,171-rTI-M .......... 4
Owner's Name `� Q/IO l� Owner Phone Number
Owner's Address J[ Owner Phone Number
Owner Phone Number
JOB ADDRESS l
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM = OTHER a-
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK 1 0 b1) 1115 mew
BUILDING SIZE SQ FOOTAGE HEIGHT AD �]
=BUILDING $ R� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ (�(� AMP SERVICE = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY LA, I
SIGNATURE REGISTERED Y/ N FEE CURREN Y
Address ®156 —33�' 9_3 License# it C_C13 ®�
ELECTRICIAN COMPANY :.
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 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 aftersubmittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary.Facilities�A dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach.(2)'complete sets:of Building;Plans pubs a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum!en(10)_working�days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
--Sanit'ary`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. (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'Upgmdes A/C- Fences(Plot/Survey/Footage)
Driveways-Not over Counter'if on public ioadways;'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$2,5.00.00 or more, I
certify that I, 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, 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.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"W-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, alter, or
set aside any provisions 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 violations 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 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 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 NO . MMENCEM N
FLORIDA JURAT'(F.S.117.03)
—OtrlNER OR AGENT _ CONTRACTO
subscribed and swom to(or affirmed)before me this ;Subscdnbed a d sworn�ro,656
No
Ma
hi
by t
Who is/are personally known tg me or has/have produced is/ark a sona� kproduced
as identification. pi as identification.
Notary Public Notary Public
Commission No. Commission No.
re I(A4
Name of Notary typed,printed or stamped Name of Notary typed, rinted
S MALDONADO
El
ission#GG 346275
s June 18,2023
Thru Troy Fain insurance 800.3W7019
Quality' Roofing 056
Bradle Miller Roofin LLC
Y 9 .ka z
State Certified#CCC1328205 l 2
Licensed•Bonded•Insured
Free Inspections&Estimates
William M.Stephens Residential•Commercial•All Roof Types. Bradley B. Miller
813-312-7338 30 Years Experience 352-467-2001
Email: bradleymillerroofing@gmail.com
PROPOSAL SUBMITTED TR WORK TO BE PERFORMED AT
Name L Street
Street L4 2 City
City State Zip
State Zip Owner of Property
Phone Numbera3 Fax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
remove existing single roof ❑ Replace bad fascia boards at$ per foot
❑Remove existiingg built up roof ®'install 20 feet or ridge vents
g6ry-in with VSynthetic ❑Peel&Stick ❑ Install Master Rib Metal Roof System
O,IInnstall new galvanized valley metal ❑ Install 1"Insulfoam
Ufnstall new lead boots ❑ Install 2°Insulfoam
[tTinstail new exhaust vents. , c 01 1125 yr.fungus resistant 3-tab shingles
install new drip edge, I�1/,/ color Insta1130 yr.fungus resistant dimensional shingles
❑Install new flashing as neededp W1,6ingle manufacturer color
❑Replace plywood at$_ 71� per sheet ❑ Install TPO,white rubberized roofin membrane
❑Replace rotten trusses at$ per foot ❑ Other: k� o e- d ®:n
Woodwork is an additional charge,see pricing above. e��.�aa Asa e/� a���� tu�Dl�&.j"DOW
5-Year Leak and Workmanship Warranty
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings anA
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of$.wkw _
with payments to be made as follows.Payment due in full on completion,unless otherwise noted. Thanklio'u.
` 0090 t �l t mac. CEO eT n --:/�r79/4redit cards accepted,additional 4%charge.
Any alteration or deviation from above specifications Involving extra cost will
be executed only upon wrman orders and win become an wdm charge over [ ��.�,/ r .�
and above the estirnats.All agreements contingent upon stdl®s,aocldents or
delays beyond our control.owner to carry fire,tornado and other necessary lCer/Agent
insurance upon above work Campensatlon and PublIc tfabRay Insurance on
above work to be taken out by Rooting contractor. - Note:This proposal may be withdrawn by us if not accepted
within 46 days.
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The abWrn'
specifications and cond"'ons tisfactory and are hereby accepted.You are authorized to do the work as
specifiet will be m e as in abo
Accepted 12Signature
Date Signature
INSTR#2019204574 OR BK 10015 PG 1499 Page 1 of 1
12/02/2019 03:22 PM Rcpt:2113292 Rec:10.00 IDS:0.00 IT:0.00
Nikki AlvarezSowles.Esa.,Pasco County Clerk&Cornntroller
O�4to
/ NO710E OF-COMMENCEMENT
SOteof.. l�/o!'i• Camtyd ��. . ,
THE UNDERSIGNED:her0W-9Kss nolbe that.1nVvvemeM will be made to cerlsln real property,and ln'accordance with Chepter:713,Florlda St UW%
thaSoDovdng Gdornatlon Is provided In'this Notice of Commencement. D
'1. Descdptlond Prop W.t!Nel Idan' noi
-
` z
2 General Description �m .
Awn o 'Fa o o �_�n�__ �O_�iF_ 9 f
3 Owner Information or irdbrawtorr.fthe' eontrectad.fo[thebrprwement,
FL
.Addily
er� C
ln PropeAy [l WAref
Nameof FeeSlmpfe Titleholder
(If difieran frem owner listed above).
• .'state.
4. tractor
' address Gry.
Cu�ctors Telephone No.: •�'—.1 1 .33 p 3
5. Surely..
Name.
Address City Sate
Amount of Bond: S. T"eteplwns No.:
A. Lender:
Name
Address City b
Lendp s Telephone Nox
7. Persons witliie,the State d Florida.designated by,-the owner upon whom'no&tiq'or ddwr:documerrfs'may 'served es,prov)ded by
3eatfon:713.J3(1)Ia)(/),Florida Statutes: '
Name
Address City. State
'Telephone Number of Designated Person:. --
8; In addition to'himsetl;the owner designates of_
m recelve:a cdW of the Uanors Notre as provided lnSeotlon 713,13(1)(b);Flaide Smtutm
Telephone Number of Personor.Entity.Designatedby Owner.
9. Expiration date of Notice of.0ommencemeM(the•expiration date may not be before Bw completion of eonstruction-and final paymadH to.the
contractor,but Wil.be one ysarfmni the date of reconling drdess a d8eienA data is'spsdfi ):
:WARNING TO OWNER:./Coy PAYMEMS;MADE BY THE OWNER=AFT'ER THE;EXPIRATIONOF7}E.NOTICE OF•COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS-UNDER CFWPTER 713, PART 1„SECTION 713.13. FLORIDA STATUTES AND CAN
�SULT IN.YOUR PAYING TWCE:FOR)MPROVEMENTS-TO YOUR PROPERTY. A-.NOTICE OR.COMMIN6 EN{'MUST.BE
RECORDED AND POSTEDaN'THE:JO&SITE BEFORE THE.FIRST'1NSPECTION IPYOU,INTEND TO OBTAIN FlVW NG,CONSULT
WITH.YOUR LENDER OR AN ATTORNEY'BEF& COMMENCING WORK OR-RECORDING YOUR.t�TICEOF`OOMMENCEMENT,.
Under penally d:perJuty;I-declare that I have read the"fotagoing.radoe.of'commencement and that the facts-stated:thetein are true to thebest
.of.my.WnjtyZend ballet.
STATE OF FLO__R_IDA
COUNTY OF'
Signature d.Ownner od or.Ow pees or LesseetsAuthormed '
'Oft1cer0rodoAPaftw/Man2gw
tort's TRIalplNrre
Thefomptngki&umerdwas-acmuMed'Md'batoromethI-fG daY�200by L•7��lt�RC1CQ�»
es OLl]r1P12 (type.ofauttrortty:ea,ohlcer Wstoa,attm*yInfact)for..
( of o(be r tf wiw .instrumentwas mnecuted).
.Persataify.KnwwnQ(gaProduced;idemincation0. NotarySOV31um V(
Type of Identification Produced Name print) - Q
:.•i0 �% MARY K.HENDERSON
t' Notary Public-Stale of Florida
0Commission#GG 152519
' + My Comm.Expires Feb 10.2022
n cecommeneem
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A •
TRUE AND CORRECT COPY OF THE DOCUMENT '
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND OFFICIAL SEAL THIS
1r ERK&COMPTROLLER
BY /G DEPUTY CLERK
Florida Building Code Online 11/26/19,2:44 PM
lit
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Florida
Product Approval _
USER:Public User
Product Approval Menu>Product or Application Search>Application List>Application Detail
-
?'. �'z' FL# FL10124-R23
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany, NJ 07054
(800) 766-3411
mstieh@gaf.com
Authorized Signature Robert Nieminen
Ireith@nemoetc.com
Technical Representative William Broussard
Address/Phone/Email 1 Campus Drive
Parsippany, NJ 07054
(800)766-3411
TechnicaIQuestionsGAF@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
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 10/18/2021
Validated By John W. Knezevich, PE
v Validation Checklist- Hardcopy Received
Certificate of Independence FL10124 R23 COI 2019 01 Col NIEMINEN.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D1970 2015
ASTM D3161 2016
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquraeSeVCbdMQNZD6Zesy3Bo0yLwXhMdCm%2f2UhYSvpagQ%3d%3d Page 1 of 2
Florida Building Code Online 11/26119,2:44 PM
ASTM D3462 2010
ASTM D7158 2011
TAS 107 1995
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 08/16/2019
Date Validated 08/16/2019
Date Pending FBC Approval 08/21/2019
Date Approved 10/15/2019
Date Revised 10/18/2019
Summary of Products
FL# Model, Number or Name Description
10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hip/ridge
asphalt shingles
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL10124 R23 II 2019 08 FINAL ER GAF ASPHALT_
Approved for use outside HVHZ:Yes SHINGLES FL10124-R23.(Ldf
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
Design Pressure: N/A Created by Independent Third Party: Yes
Other: Refer to ER, Section 5. Evaluation Reports
FL10124 R23 AE 2019 08 FINAL ER GAF ASPHALT
SHINGLES FL10124-R23.odf
Created by Independent Third Party:Yes
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 45S,F.S.must provide the Department with an email address if they have
one.The emails 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:
NOV* 12-1
Credit Card
Safe
https://www.floridabuilding.org/pr/pr_app_dti.aspx?param=wGEVXQwtDquracBeVCbdMONZD6Zesy3BoOyLwXhMdCm%2f2uhYSvpago%3d%3d Page 2 of 2
D
City of Zephyrhills
n 5335 81h St
Zephyrhills FL 33542
(813)780-0020
a
P
ROOFING INSPECTION AFFIDAVIT
Permit No.: ��/2
,G� licensed under Chapter 468, Florida Statutes as a(n):
Contractor Engineer_Architect_Building Inspector_
License No. �3����
CCC,-
On or aboutOeCeM Cr5. 906id personally inspect the:
Check: Roof Deck Nailing Dry in Flashing and Drip edge
Check which was used: 30#felt_Peel and Stick_Other(List) . / C,
At the following ,
address: `
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:
STATE OF FL IDA
COUNTY OF PASCO
Sworn to and subscribed before this day
BY: K.-
NotaryPublic State of Florida
s .,��,RYP ,• KAYLAI(.BEDELL
{+ *. MY COMMISSION#GG 338087
;, p`•' EXPIRES:May ay
2023
Bonded Thru Notary Public Underwriters