HomeMy WebLinkAbout19-22082 CITY OF ZEPHYRHILLS /
5335-8TH STREET
(813)780-0020 22082
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22082 Address: 5134 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book: -
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-20000-0015
Improv. Cost: 11,400.00 OWNER INFORMATION
Date Issued: 11/22/2019 Name: GUZMAN PATRICIA ANN
Total Fees: 150.00 Address: 5134 19TH ST
Amount Paid: 150.00 ZEPHYRHILLS, FL. 33542-2169
Date Paid: 11/22/2019 Phone: (813)469-5701
Work Desc: REROOF TPO
CONTRACTORS APPLICATION FEES
TLC ROOFING & CONSTRUCTION INC REROOF RESIDENTIAL 150.00
1/ 1 �
1
DRY IN ROOF INSP Ins ections Re uired
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.
CO RAC SIGN R 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 IrICI A Owner Phone Number ^3
Owners Address !� Y�c Owner Phone Number
Owner Phone Number
0E 40C 49
L :�
JOB ADDRESS 5y ( / L T#
SUBDIVISION PARCEL ID# // lD P�L/ I1 v 000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL B REPAIR
PROPOSED USE = SFR = COMM = OTHER o
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK
-_ �] h -tern, ev,
BUILDING SIZE SQ FOOTAG HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING $ /►,�(E,?/
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v (J
=GAS = ROOFING [fir1000o, SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER ` COMPANY / ifs `L[ [Aof e.
SIGNATURE REGISTERED Y/ N FEE CVOREN I Y/N I
Address �� [ Dl'i Af ad&& �j License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
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 L11 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 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),corriplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum-fen(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers ___ ,Se;vice.Upgrades„A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on,public roadways..needs ROW
NOTICE OF DEED The undersigned understands that this permit may ba subject to"deed"
restrictions
vxh�hmaybemnnereathctivothgn <�ounty 'u|at� no. Theunderni0nedmsoumeermoponaibi|i y �.-rcomp||a' ~r '
applicable dead restrictions.
— —~' ~'z
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o 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 {avv both the owner and contractor may be cited for a misdemeanor violation
under state |nvv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised bo contact the Pasco County Building Inspection Division—Licensing oobonot737-G47-
8OO8. Fu�hermona. if the ovvnmr hma hined a oontnactor or contnactoro. he io adviamd ho hava th� contneotor(m> sign
portions of the "contractor B/ooh^ of this application for which they will be responsible. If you, as the owner sign` 'as the
contnontor, that may bean 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 now/ buildings, ohenQm of
use in existing buiidinQa, or expansion of existing buiidings, as specified in Pasco County Ordinance number0B-O7 and
90-07' as amended. The undersigned also underetando, that such fees, on maybe due, will be identified at the time of
permitting. |tio further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to
receiving o "certificate of occupancy' or final power release. If the project doemnotinvo|vaooerthicoteof000upanoyor
final power no|eane, the fees must be paid prior to permit issuance. Furthannnna. if Pasco CountyVVotmr/Sewar Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713. Florida Statutes, as amended): |f valuation of work |o $2.5OO.0Oor more, |
certify that [ the app|icant, 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"ovvnar~prior tocommencement.
CONTRACTOR'S/OWN ER,S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet mbsndanjo of all laws regulating
construction. County and City codes, zoning regulations, and land development regulations in the jurisdiction. | 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 ofEnvironmental Protection-Cypress Bayhagde. VVeUand Areas and Environmentally Sensitive
Lands,VVahmnMeohawoaterTreatment.
- Southwest Florida VVotmr Management Diotrict-WaUs, Cypress Bayhmade, Wetland Aream, Altering
Watercourses.
' Army Corps ofEng{neero-SeavmaUm. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Sen/iceo/Envinonmental Health Unit\WaUn, Wastewater Treatment,
Septic Tanks.
' US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runxvaya.
| understand that the following reo1rictionsopp|yto the use nffill: '
- Use of fill is not allowed in Flood Zone^V^unless expressly permitted.
- If the fill material is to be used in Flood Zone "4°. it is understood that a drainage plan addressing a
,.compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- If the fill material in to be used in Flood Zone ^A" in connection with m permitted building using stem vvo||
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, | certify that use of such fill will not adversely affect odionmnt
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 /mnn than one (1)
acre which are elevated by fill, an engineered drainage plan |arequired.
|f| amnthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical vvmrh,
plumbing, migne, wells, poo|a, air nondiUoning. Qaa, or other installations not specifically included in the application. A
permit issued nhoU be construed to be g license to proceed with the work and not as authority toviolate, oanoo|, a|ter, or
set aside any provisions of the technical oodem, nor shall iasuance of permit prevent the Building Cffioin|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 ioaVonoe, 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 reqummhsd, in writing, from the Building Official for o period not to exceed nineb/ (8O) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TORECORD ANOTICE 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 NOTIGE�C�MMENCEMENT.
FLORIDA JUR/TlF.G. 11z0a) - --
�
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed an sworn to(or a 1rn'1W6s&xexae1Wis
Who is/are personally knownto me or has/have produced Wh,;,irye rrt!nally known to.me or has/have produced
as Identification. as Identification.
Notary Public Notary Public
Commission No. Commission No ~---
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 7� rog
Date Received:
Site:
Permit,Type: Ule V►ao-ye cal` h f�h l� Ali `v !��v G n'�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
E:.
This comment sheet shall be kept with the permit and/or plans.
Kalvin S ' zer—Plans Examiner t Contractor and/or Homeowner
(Required when comments are present)
State Certified#CCC1330893.
00206
TLC Roofing & Construction, Inc.
Licensed*Bonded•Insured
Free inspections.&Estimates
Residential•Commercial•All-Roof Types
Jeremy Hooks: 40Years Experience David Lycans:
$1.3-312.4595 Email:.-ticroofingflorida@gmaii.com 813-713-1313
PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT
do-
Name e�C��"► Street
,
Street `t r7
1 1ll �d�✓` y! City Z_Id4yrly, �S
City State FL, Zip-
State Zip Owner of Property
Phone Number Fax Phone Number A/3'�/L9��"?t�+Fax
�
We hereby pro se to furnish all the materials and perform all the labor necessary for the completion of:
4 Hemove existing roof O Replace bad fascia boards at$ per foot
❑ Remove existing built up roof Cl Install feet or ridge vents
❑Dry-in with ❑Synthetic ❑Peel&Stick ❑ Install Master Rib Metal Roof System
0 Install new galvanized valley metal ❑ Install 1"Insulfoam
.0'rnstall new kw*boots ❑Install 2"Insulfoam
❑ Install new exhaust vents ❑Install 25 yr.fungus resistant 3-tab shingles
Install new drip edge, color ❑ Install 30 yr.fungus resistant dimensional shingles
0 Install new flashing as needed ❑Shingle manufacturer color -
El Replace plywood at$ per sheet stall TPO,white rubberized roofing membrane
❑ Replace rotten trusses at$ per foot ji-Other.- xrrsr� can r,,3; 4
Woodwork is an additional charge,see pricing above. 0 Md ;6Yrs•'7 N e"j
e/.0 dIr r"n
-
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 and
specifications submitted for above work and completed in a substantial workmanlike manner for the sum of 5 L
with payments to be made as follows.Payment due in full on completion unless otherwise noted: ThankYou.
Credit cards accepted,additional 4%charge.
Any alteration or deviafion from above specifications involving extra cost will
be executed only upon written orders and will become an extra charge over
and above the estimate.All agreements contingent upon stakes,accidents or.
delays beyond our control.owner to carry fire,tornado and other necessary Officer/Agent
insurance upon above work.Compensation and Pubtic LiabRy insurance on
above work to be taken out by RooTing Contractor. Note:This proposal,may be withdrawn by us if not accepted
within ;0 days.'
Client gives permission to drive on driveway to deliver materials.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepte o are�aut�horiddo the work as
specified.Payment will be made as outlined above. t
Accepted Signature
Date Signature
iNSTR#2019190388 OR BK 10002 PG 2380 Page 1 of 1
11/06/2019 03:31 PM Rcpt 2106379 Rec:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
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5134 19TH ST _
REMOVE AND REPLACE TPQRl1BBFR ROOF _
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Florida Building Code Online 11/13119,2:29 PM
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BCIS Home I Login I User Registration I Hot Topics I Submit Surcharge I Stats&Facts I Publications I Contact Us I BCIS Site Map l�Links I Search
Florida
.: Product Approval
- '��USER:Public User
Product Approval Menu>Product or Application Search>Application List>Application Detail
ALL WORK SHALL COMPLY WITH PREVAILIP40
FL# FL5293-R36
CODES FLORIDA BULDING CODE,
Application Type Revision NATIONAL ELECTRIC CODE,
Code Version 2017 AND THE CITY OF ZEPHYRHILLS
Application Status Approved
ORDINANCES
Comments
Archived
REVIEW D V 2 0 2019
Product Manufacturer GAF CITY OF ZEPHYRHI
Address/Phone/Email 1 Campus Drive PLAN EXAMM
ER
Parisppany, NJ 07054
-V
(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
TechnicalQuestionsGAF@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
- Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 12/17/2021
Validated By John W. Knezevich, PE
Validation Checklist- Hardcopy Received
Certificate of Independence FL5293 R36 COI 2019 01 COI NIEMINEN.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2011
FM 4470 2012
https://www.floridabuilding.org/pr/pr app_dti.aspx?param=wGEVXQwtDquwVcULes7wTHo0xyQc%2bdOLmd709rQQtHsbObfAwNgnkA%3d%3d Page 1 of 2
Florida Building Code Online 11/13/19,2:29 PM
FM 4474 2011
TAS 114 2011
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 08/14/2019
Date Validated 08/15/2019
Date Pending FBC Approval 08/21/2019
Date Approved 10/15/2019
Date Revised 1O/1812019
Summary of Products
FL# Model,Number or Name Description
5293.1 EverGuard TPO Single-Piy Roof Single-ply,thermoplastic polyolefin roofing systems
Membrane Systems
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL5293 R36 II 2019 08 FINAL Al ER FL5293-R36.odf
Approved for use outside HVHZ:Yes Verified By: Robert Nieminen PE-59166
Impact Resistant: N/A Created by Independent Third Party:Yes
Design Pressure: +N/A/-502.5 Evaluation Reports
Other: 1.)The design pressure noted in this application FL5293 R36 AE 2019 08 FINAL ER FL5293-R36.Rdf
relates to one specific assembly in the ER Appendix. Refer to Created by Independent Third Party: Yes
the ER Appendix for all systems and associated max. design
pressures.2.) Refer to ER Section 5 for Limits of Use
D r xt
Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.Coovright 2007-2013 State of Florida.::Privacy Statement::Accessibility Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic
mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.*Pursuant to Section
455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have
one.The 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,FS.,please click here.
Product Approval Accepts:
Credit Card
Safe
https://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquwVcULes7wTHo0xyQc%2bdOLmd709roQtHsbObfAwNgnkA%3d%3d Page 2 of 2
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