HomeMy WebLinkAbout20-22745 CITY OF ZEPHYRHILLS
5335-8TH STREET
r (813)780-0020 22745
BUILDING PERMIT
,PERMIT INFORMATION LOCATION INFORMATION-
Permit Number: 22745 Address: 5410 23RD 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: ZEPH�. HEIGHTS
Est. Value: Parcel Number: 12-26-.'- 4' 040-00500-0030
Improv. Cost: 15,157.00 OWNER INFORMATION
Date Issued: 4/16/2020 Name: LONAS JEANETTE
Total Fees: 180.00 Address: 5410 23RD ST
Amount Paid: 180.00 ZEPHYRHILLS, FL 33542-
Date Paid: 4/16/2020 Phone: (813)519-4650
Work Desc: REROOF TPO
CONTRACTOR S , APPLICATION FEES
PARLAMENT ROOFING & CONSTRUCTION REROOF RESIDENTIAL 180.00
I �v�
Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP 20
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.
ONTRACTOR SIGNATU E PERMIT OFFI R
PERMIT EXPIREk1A 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
12/16/2019 Florida Building Code Online
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Product Approval Menu>Product or Application Search>Aaalication"St>Appliention Detail
FL# FL17800-R2
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived WOFlK W kLL<)OMK`�"T�PREVAILING
CODES FLORIDA SUIL01"�ODEr
Product Manufacturer IKO Industries LWATIOidQ►l ELECTRIC CODE.
Address/Phone/Email 40 Hansen Road M9 TI'IE•CITY OF ZEPHYRI"IILI-S
Brampton,N0N-U141ICES .
(905)457-2880 4581
wllllam.liu@iko.com
Authorized Signature William Llu APR p g 2020
william.liu@iko.com REVIEW DATE
Technical Representative Bob Metz CITY OF ZEPHYRHIPLAN EXAMINER
Address/Phone/Emall REMCO of Pinellas
456 Avila Circle NE
Saint Petersburg,FL 33703
(727)776-5261
rmetzOO1@tampabay.rr.com
Quality Assurance Representative Don Shaw
Address/Phone/Email IKO Industries LTD
120 Hay Rd.
Wilmington,DE 19808
(717)579-6706
don.shaw@iko.com
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Test Report
Testing Lab PRI Construction Materials Technologies,LLC
Quality Assurance Entity FM Approvals-QA
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Locke Bowden P.E.
Validation Checklist-Hardcopy Received
Certificate of Independence FL17800 R2 COl FM-COI 2015.p_of
FL17800 R2 COl PRI CMT Cert of Independence.pdf
Referenced Standard and Year(of Standard) Standard Year
D3161 Modified to 110 MPH t 2016
D3462 2010
E108 2011
TAS 100 1995
TAS 107 1995
��141�d/2019 Florida Building Code Online
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FL# FL2569-1117 All WORK SHALL COMPLY
* Application Type Revision CODES FLORIDAILDINt
Code Version 2017 NAT101VAL ELEC6U1LDIhIG COD AfCItN�
Application Status Approved AND
-r E CITY p ZEP ODE, ,
ANCES HYR1.11LLS
Comments
Archived
Product Manufacturer Soprema,Inc.(Canada) REVfEW DATE
Address/Phone/Email 1640 rue Haggarty C 1 i MpnYF�APR
Drummondville,NON-US � HI
(819)478-2400 NCR
memathieu@soprema.ca
Authorized Signature Marc-Etienne Mathieu
memathieu@soprema.ca
Technical Representative Marc-Etienne Mathieu
Address/Phone/Email 1688 Jean-Berchmans-Michaud
Drummondville,NON-US 00000
(819)478-2400 Ext3327
memathieu @soprema.ca
Quality Assurance Representative Jean-Francois Cote, Ph.D.
Address/Phone/Email 1640 rue Haggarty
Drummondville
(888)811-3145
jfcote@soprema.ca
Category Roofing
Subcategory Undedayments
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 the Robert). M. Nierninen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 07/18/2020
Validated By John W. Knezevich,PE
f Validation Checklist-Hardcopy Received
Certificate of Independence FL2569 R17 COI 2019 01 COI NIEMINEN.pdf
Referenced Standard and Year(of Standard) Standard a`,.. Year
ASTM D1970 2015
ASTM D4798 2011
ASTM D6163 2008
FM 4474 2011
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Product Aoproval Menu>Praduck or Appiicatian Search>AQpiication List>Application Det>eH
¢.,. FL# FL17650-RI
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
Product Manufacturer CELLOFOAM NORTH AMERICA INC
Address/Phone/Email 1917 Rockdale Ind.Blvd.
Conyers,GA 30012
(404)304-2915
hkarasopoulos@cellofoamna.com
Authorized Signature Harry Karasopoulos
hkarasopoulos@cellofoamna.com
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Roofing Insulation
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 the Zachary R.Priest
Evaluation Report
Florida License PE-74021
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 12/31/2020
Validated By Locke Bowden P.E.
Validation Checklist-Hardcopy Received
Certificate of Independence FL17650 R1 C0I CNA15001.1 2017 FBC Product Evaluation EPS
Insulation.pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM C 578 N 2012
Equivalence of Product Standards °
Certified By
Sections from the Code
813-780-0020 City of Zephyrhills Permit Application- 21
Building Department
Date Received !�W Phone Contact for Permitting -
111 . 815611151111
Owner's Name Q L Z�I A Owne one Number 'IS3^
Owner's Address 4t D rd (�"1 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address '
JOB ADDRESS S"0 r S TZ LOT#
SUBDIVISION PARCEL ID# —O —00
,,....,,,((())) (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRe ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR = COMM = OTHER
TYPE OF CONSTRUCTION BLOCK = FRAME /= SIT
DESCRIPTION OF WORK ZSbg,it Qt'�C�`
BUILDING SIZE SQ FOOTAGE HEIGHT
ILDING $ 1 VALUATION OF TOTAL CONSTRUCTION lY✓
=ELECTRICAL $ l AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $ f �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f c
4 L
=GAS = ROOFING = SPECIALTY = OTHER
S
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn I Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREA Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address y License#
I OTHER I CA COMPANY ` R'DiFU J
SIGNATURE dO REGISTERED Y/ N FEE CURREh Y/N
Address 1 (� License# I Ccc 13 ,7Z9
Illtllllllllltllllllllllllllllllltllllltlltllltllltlltlllltllllllll
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,Stornwater Plans w/Silt 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&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 Upgrades A/C Fences(PloUSurvey/Footage)
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 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 Ar 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 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 NOTICE OF CCZMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Su�b�a�i e¢�p d sw to( r affi his-
by Eby }
Who is/are personally known to me or hasRrave produced W o is/are��eerso�nalyl known tom or has/have produced
_ as Identification. 6L,�Lt�t�C/S V 9A SAE- as identification.
Notary Public Notary Public
Commission No. C missio No.
Name of Notary typed,printed or stamped Na o(, ed1AP6QMJNL
Commission#GG 276457
'_. oPg� Expires December 12,2022
o."'„ BondedThn Troy Fain Insurance80M85d01g
v
r BID
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: /
Date Received: ,
Site:
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment s eet s a be kept with the permit and/or plans.
APR 0
Kalvin Swrtz Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
s
b.
CCC1329729 ,�\
CRC1329SD9
"A
PARLAMENT
Roofing & Construction
12880 Automobile Blvd., Suite L
Clearwater, FL 33762
Office: (727) 571-4110 Fax: (727) 571-4112
W W W.PARLAMENTROOFING.COM
Office: (727)571-4110 Fax: (727)571-4112
City of
I Jesse Rock, hereby authorize the following to act as my agents in obtaining permits in
i 1S for all projects.
James Rayl 11624 Ocklawaha Drive., Leesburg, Florida 34788 R400453793440
Jacknel Diaz 2712 West Tampa Bay Boulevard.,Tampa, Florida 33607 D265420804240
Joseph Mejias 4726 West Trilby Avenue,Tampa, Florida M223480932020
License Holder___ ��,/
STATE OF FLORIDA,COUNTY OF PINELLAS.
Sworn to and subscri ed before me the q day of -i / ,2019. By
moo . . who Is ersonal4 known me or
produced as identification.
Notary Signature
BRIANA M.DACHIVIEWICZ ,
Notary Public,State of Florida
My Comm.Expires Aug.24,2022
------ ------— — —--- - No.GG 229696
ORLANDO JACKSONVILLE
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#2020060750 OR BK 10084 PG 2606 Page 1 of 1
04/09/2020 01:55 PM Rcpt:2152483 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit Number
Parcel ID Number Z—24—2 1 --ac4o—oosoo—n OSb
NOTICE OF COMMENCEMENT
State of Florida THIS AREA is RESERVED FOR CLERK OF THE COURT CERTIFICATION
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.Description of property(legal description): Zit 64r {�ilah+s �DDN QL3 � �^ t L&T 3 'DV%5
a)street 0oN address: _ °' ` Z.,Ohy�A r l IS FL 3 35#2
2.Generol description of improvements:
3.Owner Information or Lessee information if the Lessee contracted for the improvement:
a)Name and address: 1lt*- •MQ ,� s�{!D Z3 cS-)L FL, 335'42
b)Name and address of fee simple titleholder(d different thah Owner listed above)
c)Interest in property: D w�a•r
4.Contractor Information
a)Name and address: wto„r,.....,•�./-�., ,•o, �'1�8'0 dbi Ce gl Ar ��� e V R— 3v 4 2
b)Telephone No.: 7 2? S'�ir �f%O Fax No.:(optional)
5.Surety(ii applicable,a copy of the payment bond is attached)
a)Name and address:
b)Telephone No.:
c)Amount of Bond: t
S.Lender
a)Name and address:
b)Telephone No.:
7.Persons I tin the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes:
a)Now and address:
b)Telephone No.: Fax No.:(optional)
8 a.ln addition to himself or Herself,Owner designates of
to receive a copy ofthe LienoPS Notice as provtded'iri Section 71113(1)(b),Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
g.Expiration date of notice of c6rnrnen6im*M(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be 1 year from the date of recordina unless a different date is ,20
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 IMPROVEMENTS 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 WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
t#*r penally of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are he to the best of my
lwtledge and 'tf L.c�As
(Sonature of For Lewes,or ers or a or3xed DAioeND1 dParbter/Alenmr) (pdrd Name and Provide ftnatmya Tdta/t7frice)
The frig instrument was acknowledged before me this day of -... ,Yjr l ,20 W
by (type of authority,e.g.offxer,trustee,aticmey in fact)
for ,as
(Name of Person) - - (type of authority,...e.g.officer,trustee,attorney in fact)
for (name of party whom instrument was executed),
Personally Known ❑
Produced ID `
Type of ID Notary Sign
Pnt nn , 00 Y-Z 1 .6'Z c ug
NOTARYSTAMP
TONY C.JACKSON
Notary Public.State of Florida
My Comm.Expires Jul.16,2022
No.GG 23ae44 j
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.
Wit s$,my hand d official seal this
Gad we nut day of 2�
` Nikki Alvarez-Sowies,Esq.,Clerk&Comptroller
Pascoptyjnty,Florida
. . ° 188 By C✓1`� , eputy Clerk