HomeMy WebLinkAbout20-631 sa o"n City Of ZephyrhillS PERMIT NUMBER` `x
l
5335 Eighth Street
ti �-
-" Zephyrhills, FL 33542 BGR 000631-2020
'•� Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 09/04/2020
Permit Type: Building General (Residential)
Property Number Street Address,=n= °M
5525 10Th Street
Owner Information Permit Information Contractor lnformafion'
Name: ANR GROUP&TRUST LLC Permit Type:Building General(Residential) Contractor: SMART CHOICE ROOFING
Class of Work:Reroof LLC
Address: 3750 Gunn Hwy STE 303 Total Valuation:$7,300.00
TAMPA,FL 33618 Total Fees:$76.50
Phone: •(502)744-6890 Amount Paid:$76.50
Date Paid:9/4/2020 11:50:14AM
Project.Description . A
REROOF SHINGLE 7 SQ/7 SQ MODIFIED
Application'Fees .
Building Permit Fee $76.50
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 subsequent reinspection.',
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit 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 add fee 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.
CONTRACTOR SIG URE PE IT OFFICE
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 Permitting41
Owners Name . -' l ' . i r � Owner Number. f�'— `f
Owners Address[
Owner.Phone:Number
Fee Simple Titleholder Name Owner Phone Namber
Fee Simple Titleholder Address
dOB ADDRESS JZ t C5 s�' f""C. > ' LOT#
SUBDIVISION � '`�a - (3� 1,r�`il? Lt ii P_ARCEL.tD# .((� `�f ' j{� "' �' a3'" �� C3'
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED.. NEW.CONSTR .. ADD/ALT �;. SIGN 0 C]. DEMOLISH
R
; INSTALL 8 . .REPAIR,
PROPOSED USE SFR'.- 0 COMM-, Q: OTHER . ,—t^C)C,"__ 771
TYPE OF CONSTRUCTION L_J ' BLOCK r- - 'FRAME, STEEL
DESCRIPTION OF WORK h t t� � n t `7 S. 0 d i j
BUILDING SIZE SQ FOOTAGE HEIGHT'
=BUILDING $ 300 VALUATION OF TOTAL-CONSTRUCTION.
=ELECTRICAL- . $ AMP SERVICE 0 PRQGRESS.ENERGY W.R.E.C.
=PLUMBING
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ''4,
=GAS ROOFING FT sPECIALTY.F----I• OTHER
FINISHED FLOOR ELEVATIONS' FLOODZONE AREA. =YES':'' NOS•
BUILDER COMPANY :icSZtr>: eft ?dau >s:r;
SIGNATURE !REGISTERED.-. Y/..N• w FEE
Address E icense#
ELECTRICIAN COMPANY, :.
SIGNATURk REGISTERED I Y/.N`;°= FEE`,' RREp,
,
Address 'CIcense
Ij�LUMBER COMPANY
SIGNATURE REGISTERED I Y'7 KN "''' `FEE G.U(RR�EN. Y 7 N':..
Address ;l idense'#-(
MECHANICAL COMPANY
SIGNATURE, REGISTERED Y/• N t.` -FEE CU(RRREEt,,�Y
Address :.•LICenSe#:
OTHER. COMPANY S►? ti� cOfC
�SiGNATURE / '`�" cREGSSTERED. Y h-W -:FEE CURREI` Y
cc�--�- !
Address i�i c .t !`}� .i -� License:# �� (`j j j Ct
RESIDENTIAL Attach:(?).',Plot,Pians;.(2)setsof�Suiiding',Plans;,.(1),setof.Energy Forms;R O�W;Permit.for:new.construction, r .
Minimum ten(10yworking days-eftor•subrriitwi date.-'Rt gitiredonsite,Construction Pians.-Stormwater Plans w/Slit Fence,lnstailed,,
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 submittai,date. Required onsite,Construction Plans;Stormwater Plans.w/Slit Fence installed,
.Sanitary Facilities.&'1 dumpster.Site Work Permit.for all now projects.All commercial requirements must meet compliance
S..IGN PERMIT Attach(2)sets of'Engineered°Plans:'
`*"PROPERTY:SURVEY required.for,all.NEW construction.
"Dlrectlons:
Fill,out appiication'completely.
.,Owner&Contractorisign.back•of-applioation,-notadzed.-
-if over$2500,:a Notice�of Commencement Is required. (A/C upgrades over$7500)
Agent,(for the Cc Iltradtdr)or Power of Attorney(for the owner)would be someone with notarized lefter from owner authorizing same
-OVER THE GOUNTER;PERMITTING (copy-of contract required)
Reroofs'if shingles ,: Sewers Service Upgrades A/C Fences''(Plot/Survey/Footage)
Orlveways-Not over`Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be.zubject to"deed" restrictions"
which may 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 hire'd''a contractor'or "
contractors.to undertake work,.they,may berequiredto�be licensed.in accordance with-state and local regulations.,.:If the
contractor is not licensed as required by law, both the owner and,contractor'mayI-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 Divisiori-"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 its 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'fiees., as may be.due, will.be identified;at the tim'e;'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 thwproject does.�not involve a certificate.of occupancy.or-
final power release;the fees. must.be._.paid;prior to permit issuance:" Furthermore, lf'Pasco County Water/Sewer Impact
fees are-due,they.mustbe.paid,:ptior to per. it issuance in_accordance with applicable Pasco County.ordinances.
CONSTRUCTION-LIEN LAW-(Chapter_71%,+IQrida Statutes,as.amended);:.-If;valuation.:ofwork is�$2,,500 OO;orImore,I
certify that I;'the° rs-peovide'd-with•a•cop applicarit; have beey of r.the "Florida Construction r Lien;Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and.Consumer Affairs., If the applicant.is:someone
other than the'bwne.r,.;I certifyrtFiathl'have`obtained a copy of,thb.Above described document and promise in.good faith to'
deliver itto the"owner",prior to commencement........
CONTRACTOR' OW„ ER'S;'AFFIDAVI7 I`certify that allahe informat on in this application is.accurate and that.all work
will be done in compliance with alG.applicable.lavbs regulating construction,.zoning-and-land;development. Application is
hereby.made to obtain a permit.to do °'indicated. Ncertify that no work.or installation'has
commenced prior to:issuance of-a:,permit;and theft-all.work.will•be,performed to-meet standards-of all laws.regulating
construction;.-',G.ounty..and''Cify`code%. zoning -regol4tions;% and land'"tlevetopmenf regulations 'in the jurisdiction.: I also
certify that'l understand'that the regulations of other governmenf:agencies may{apply.to4he-intended,work;,and that it is
my.responsibilitytwidentify-what actions I musttakoto be�ifi,coMpliance..S,dh,agericies-incl'ude'butare not_limited;to:.
Department of.'Environmental Protection-Cypress:%8ayheads,�Wetland Areas.and Environmentally Sensitive
Lands,'Water/Wastewater:Treatment..,.,: L: :
- -.,Southwest .Florida Water Management District-lNells, . Cypress, Bayheads,. Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls;b.-6ks, Navigable:Waterways:
Department of Health & Rehabilitative Services/Environmental,�Health"Unit:-Wiblls,, Wastewater Treatment;...
-Septic.Tanks.
- ,USd=hvitonmenta[Proteetion Agency Asbestos abatement. - - -
Federal Aviation Authority-Runways.= - - -
I understand.that the following restrictions.apply,to,;the-use of fill:-
Use offile'isnot:allovlied-in'FloodiZon.e:'V"-unless expressly permitted.
If the fiill rnaterial is to be used in Flood Zone'"A% it is'understood that-a drainage',plan.addressing a
"compensating,=volume" wilt be submitted at time of.permitting which is prepared..by a,professional engineer,
licensed by the'State of Florida.
If the fll..material>is to:be used'in:.Flood Zone ''A":in connection with a permitted building using,stem�wall
construbtI6, l certify.that fill will'be-used only to fill the area withinthe stem-wall.
If fill lnatetial:is:.to be used in any-area, I certify that use of such:fill will not adversely affect adjacent;
propertie's-;::af;u§e.::of.;fill.:is.found to adversely affect:adjacent.properties,the owner may tie cited for violating
the:condltians of,.the-+building permit issued.under the attached permit application, forlots less than one (1)
acre:wt icHti:ara,elevated byffll,:an.engineered drainage::plan is required.
a
If I amatt e,rAGEN `ROR TNElOWNER, I promise in good faith td.informJhe;.owner:of the.p_ermitting iconditions set forth"in
this:affitla�`I'if'priotati cbri,mm nei%construction. I understand;that.a separate permit may be required for electrical.work,
...4., .s..:l".
plumb"", signs lNeils °:}Bois�air�=,conditioning, gas; or other'.installations=not-specifically included Aril.the•application. A•
permit 6, d'shal(6,4�consfrued;fo:.be a license to proceed with;the work and not.as authority to violate, cancel, alter, or ;
set asict �ahyYp�ovlsiolts ofztheYtech'rtiical-cones, nor shah issuancerof,a permit prevent the Building Official from.ahereafter .
requiring arcbo'ectiow6f:'er~tors,,n�plans; construction or violations-bf any.codes :"Every:permit issued.shall`become invalid
unless tl'a.woftiau#hoFiedbysucfapermit:is commenced'within ix months,of;.permit:issuance, or if work authorized*by
the perntiit is'sGspendedkorabandoned'foc a,period-of six;(6)months after4the-aime'the workis commenced. -An extension
may be.req�►ested, in,writing;;from{tthe;,Building'Official for.a�p'eriod`not to exceed ninety(90) days and will.demonstrate .
justifiable:cause forthe'extension:"'If work.ceases°for ninety(90yewsecutive.days,the.job is considered abandoned.
WARNING TO OWNER*:,-YO.UR-',.FAILUR-E�T.0 RECORD A:NOTICE_OF.C.OMMENCEMENT.MAY.RESULT.1K.YOUR
PAYING-TWICE` ORIIVI(P O1/EIVIf=NTsTO`�YO.UI 'PR pERT1f:' ''IPYOI)fN ENI " d'OB7AIN'FINANCIkd CONSU4T
WITH-YOUR,!LENDER:'OR:'AN'ATTb.RIVEY B 1=0lR iRECC>RdfN:G'YOUR,Nit TIt E-'OF'.GOMMENCEMENT.
FLORIDA JURAT'(F.S:'1-17.03)°'""
OWNER,OR AGENT CONTRACTOR'
subscribed and'swom'to':(or-affirmed)before me this ub'scti6eil,and swom.o; rmW b ore me this
Who Is/are personally known to me or has/have produced Who is/are personally kn wn to me or has/have produced.
as identification. as-identificatiom
Notary Public
�� N
Commission No. Commission No. �� t 2. 0` .9
Name of Notary typed,printed or stamped Name of-Notarylyped,printed or.stamped — ,0 C7
O Gel 94 2`
, /c '��:
OR11)
'���flllllll�`
INSTR#2020139871 OR BK 10164 PG 1939 Page 1 of 1
SIH 08/26/2020 09:50 AM Rcpt:2197169 Rec:10.00 DS:0.00 IT:0.00
Nikki Aivarez-Sowles-Lea..Pasco Qounty Clerk&Comptroller
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
State of CLL-1 . Courtydr__ rat
THE UNDERSIGNED haoby gives. UW Improvement Wig be made to certain MW property,aid In aC=ft=with Ctrapter 71 S.Flerift SWMes,
to falizzing i ftInaton Isprffhdcd in tits Notice of Gsrim t fi�,, O
1. -Desaip�r of Propatt.Parcel idau ifoatda No, h0f-H �f O P f, L iL c t+s L'71T.i 0 et
GCj /o 2
St-�tAddess: 5�'S 7_ l a'��l� ._i�'�a i{ bit Ids , (=C 3��Y 20
z. Generat Desorption or improvement Aa ryjo rf
3. Owner lw=jpon or Lcss_^o W=.Tlaton.if ttrJ L.cc cor&=41:d W WcarrravrT#=t
a �1 N.l 1 Lt w '�L arc �W l�
Addmss j- City Stabs
IntenrFlSt in Proporty.
Name of Fee Simple Titleholder.
(if different Isom Owner listed above)
Adarass 1
s. Contrwor ljf/s%S�' State }
A- 3 _.Na .l t tl1aCts l'Q' LTV11 Jam` [i/''4Y tL(ti13 7✓.'?�, 7"�
dOess' state
Contrectofs Teloptrone No.: -'ca
5. surety:
Name
Address CRY Spiv
AmcuniorBaKi:L TeiopharNo.:
8- Lertdsr:
Address Name City State p �d
Lsndat's.,-Wwne No.: a
7. Persons nittin the State of FlorIM designated by th=crnw tw'"m vi:om no_cra or ct=Cite-ran23 may to eerYed es provided by
Sectiwt 713.13(1)(a)(T),Florida Stahues
Name
Adbea3 City State
Telephone Number of Designated Person: .,.
8, is aMlion to hinrre8,the awrwr damig star
to ro'xtr a t'�d tlw Lrcr:ars Nr�cc as prc,','�..,°d�;SaGon 713.73(1)@),Flr;r%it Steadas
Telephone Ntn fiber of Person or Entry Dosigrawd by Owner
9. Expiration date of Notice of C=rr„-ncomom(to exprason data may not be tore the completion of co nubudton and trwl paymard to the
iLx
contractor,but will be ate year from the dete of re=&Q u}Vess a different date Is spadgWy. O i
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT2 �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CWIER 713, PART 1 SECTION 71313 FLORIDA STATUTES, AND CAN tt�t O. )
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPLRTY. A i4&k 1 OF CowuliNCEMENT MUST BE ,, E y
WITH YOURLENDE AND RTED AN ATTORNEY BEE BEFORE FORE COMMENCIHE NG WORK OR RECORDINGST INSPECTION, IF YOU
NOTICE TO A OF COMMENCEMENT.TAIN LT a o,� fQj
lope lam. that I have read the foregoing nobw of commrencam rd and fiat the Nazis stag Omani are tree to the t� d ' O
rII4,.0't dx N
STATE OFFLORIOA
COUNTY OFPASCO
Sobtafe of L W-n-r IR' or Ownces or Lasses's AWtwrvsd = Or
OfrrCeAMA
OireUo"llP�aniS ' O 0
�Q /
"��f 9. U 'ta to
SWurtoys Title/Office ` « - � _N
,,t� to U U
The foregoing Insbxanort was adao*Wdged befono me this J day ol �� �1:M jcin--� r 2 �. `� c ti
(typo of auttorty,e.g.,am=.tmstoo.a in fact)Tor _Q� � p�� >�
tnam of Wvmrinstnunarrtwase cy `p �
Personally Known❑gg Prmhxced Idertif-stiat tit,./ Notary Signatrae Y fl O }` U
Type of lden iticoon Produced J^7/)F No ee(Pdrd) j a
♦�5µ*'yr, RAYMER MONCADA
NOTARY KOX•STATE OF Fl.omm
, Rea COMMISSION#GG 833673
Mg Commission Expires 12/01/23
Regulation
rI
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Product Approval Menu>Product or ADDlicatlon Search>Application List>Application Detail
• FL# FL16709-R6
Application Type. Revision
Code Version 2017
Application Status Approved
Comments
Archived ❑
A(L]L/�WaHK,SHALL C®
Product Manufacturer CertainTeed,LLC(tC'W"'gS FLORIDAl�AL
Address/Phone/Email 20 Moores Road 'Rfj ONA E - R1C C NG COD F�f��VA1LffV�
mark .h 54r O�9 Malvern,PA 1935AND THE NE C��® PHYH,' �a
mark.d.hamer@saln- $� •�'1 B L
Authorized Signature Mark Hamer +�
mark.d.hamer@saint-gobain.com
Technical Representative Mark D.Hamer
Address/Phone/Email 18 Moores Road
Malvern,PA 19355
(610)651-5847. V'EVV
Mark.D.Harner@saint-gobain.com C/7 OF
DATE SC^ O
Quality Assurance Representative PLAN EjZEPHYR
HI
Address/Phone/Email R
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
❑ Evaluation Report-Hardcopy Received
i
Florida Engineer or Architect Name who developed Robert Nleminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 11/13/2022
Validated By John W.Knezevich,PE
u Validation Checklist-Hardcopy Received
Certificate of Independence FL16709 R6 COI 2019 01 COI NIEMINEN.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6162 2008
ASTM D6163 2008
ASTM D6164 2011
ASTM D6222 2011
ASTM D6509 2009
FM 4470 2012
FM 4474 2011
RAS 117 1995
V.
Equivalence of Product Standards
Certified By