HomeMy WebLinkAbout20-232 D
1 City Of ZephyrhillS PERMITINUMBER J
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000232-2020
Phone: (813)780-0020
N .
'f Fax: (813)780-0021 Issue Date: 06/24/2020
Permit Type: Building General (Residential)
Property, Number.. Street-Address
02 26 21 0080 00100 0090 138426 New Case Avenue
Owner Information, Permit Information Conttactor lriformation'
Name: LAURA KEIDEL Permit Type:Building General(Residential) Contractor:A BARTLETT ROOFING &
f,teo e_ Class of Work:Reroof CONSTRUCTION SERVICE
Address: 38426 Newat, u Total Valuation:$6,750.00
ZEPHYRHILLS,FL 33542 Total Fees:$110.63
Phone: (813)777-5407 Amount Paid:$110.63
Date Paid:6/24/2020 8:18:11
Project Description
REROOF TPO
Application'Fees; ._
Building Permit Fee $73.75 Building Plan Review Fee $36.88
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.
C RACTOR SIGNATURE PE IT OFFICE
PERMI EXPIRES IN 6 M THS WIYOUR
UT APPROVED INSPECTION
CALL FOR INSPECTIO - NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received/ 3 '7 � _ �
I ^^ '' ,, /,, . �1( Phone Contact for Permitting
Owner's Name V�-kyra— I Cl� Owner Phone Number
Owner's Address 38Ta(z kJeto Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID# �� ' �� 'a o0 V- clom
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
_PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL I�Q ,'
DESCRIPTION OF WORK 14e LO �o�vUc � Raw �(a Imo/Lc-'aG � J
BUILDING SIZE SQ FOOTAGE= HEIGHT
®BUILDING $!QlJ�50 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
ZZIBUILDER COMPANYW_XA V(_
SIGNATURE r REGISTERED [A�y/ N FEE CUR n Y2/N
Address �Q � a License#
ELECTRICIAN COMPANY
:SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I 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 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&'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(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subtact 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"ownee% 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 8r 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"V" 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 r 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).
acr&W.hich,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 i
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 INTE D TO OBTAIN FINANCING, CONSULT
--WITH YOUR--LENDER-OR AN-A-TTORNEY BEFORE-RECORDING-Y-OUPN CE-OF_C MMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Is i ed d sworn to(or rmed)before is
by by
Who is/are personally known to me or has/have produced o s e nally known to me or ha
as identification. as identification.
Notary PublicC Notary Public
Commission No. Corn ssion
,.•�jpY JACQUELINE BOGES
Name of Notary typed,printed or stamped Name of Notary tbd WO
Expires MeLber 12,2022
„oa d, Bonded Thru Troy Fain Insurance 800 395dD19
///A. BARTLETT
ROOFING & CONSTRUCTION SERVICES, LLC
00FO C0100 .009cc
38408 3rd Ave. I Zephyrhills, FL 33542
(813) 782-5585
Email: Coreyh@abartlettroofing.com Lic. #CCC 1331965
RESIDENTIAL - COMMERCIAL - MOBILE HOMES
LICENSED - INSURED - BONDED
Date
Name
Address ;L` v AAc
Phone 5 WO 7
9 }DESCRIPTION AMOUNT
14) bill Al'O
&'t LeI&L I
C �--;a M bo-pu &xeL
h d
a# � 0
r114 J4 ' d4iky
� CQ ih 't
THANK YOU
Your Business is Appreciated
Payment upon completion unless previous arrangement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. .o�
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. :L0
1.5%process fee will apply to all credit card transactions. Total
=*Cerkified Signature Date
Wernher StaPperaooflng Contractor
I►8f ao
Florida.8uilding Code Online 9126119,4i24 PM
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I Product Approval
'4� ��,.r���isseat•ru�rc usar
Appliation Odell
FLU. fl5293=R35.:.
A'pti cat pDe Rpuisitin
Code Version 2017 ALL" OR"
SHALL
Status Approved CODES RLO HALL COMPLY WITH p
NATIONAL ER'DA B II DIN CODE RE�AI�INf�
Comments AND THE LECfl t r
Archived ORD1NAIyCES D�ZEPHyRHIC�$
Product,Manufacturer GAF
Address/Phone/Email 1 Campus Drive
P0rl9ppanV,.N3 07OS4
(800)756=3411
tristiieh�gaE:Com
REVIEW D
Authorized Signature Robert fVie{rtlnen ��* 2 4 ?0C
g
ireith,@Dnemoet �,�c.com i U .
PLAN
Technlcal'Represiintative William Broussard
Address/Phone/Email 1 Campus Drive
Parsippany,N3 07054 =.
(000)766=34ii
TechillcalQuestiorisGAF@gaf.Com
Quality Assurance Reprpsentative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or.a Ucensed Florida
Professional Engineer t
i
Evaluation Report-Hardcopy Received ('
Florida Erigineei or Architect Name who developed Robert Nieminen i
the Evaluttion Report
Florida Ucense PE-59166
Quality,Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 12/37/2021
Validated By Sohn W.Kne2evich,PE
Validation Checklist-Hardcopy Received
I
Certificate of independence
Referenced Standard and Year(of Standard) >Standar d Yteur
ASTM D6878 2(111
FM 4470 2012 e
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FM 4474 2011
' TAS 114
2011
Eglflvalence,of Product Standards
Certified Sy
Sections from the code
Product Approval Method Method 1 Option D
Date,Submitted :0.6/1912019
Date Validated 06/19/2019
Date PeW.Ing F6C Approval 06/22/2019
Date Approved 00/1312o14
Date Revised 08/14/2019
Summary ry cf Prodactq-
FL# Modeli.Number or Name i)esciiptloil.
5293.1 EveriSuard TPO Single-Ply Roof Single-ply,thermoplastic polyplefin roofing systems V
Memlirane Systems
Umlks of Use Installation Inststictioits
4pproved for use In.HVHZ:No F *, t5;z;�k4-26AI A,�=p.a.�Zgl4.3snlf
Approyed`.for`use outside 1ttNMZ:Yes Verified By.Robert.Mlernitieil'P&59166:
Ii;ipat t Resistant:N/A Created dy.Independent Third Party:Yes
Design Pressure:,+1V/Al-502.5 etraiiiatlon Reports
dMei-..1,).Tire design preSjl re slots#In this-application +�q q t j Ft "r Ff52r33=P.14,rxI#:
relates,to_o iii speelkassernbly In'•the ER Appendix.Refer to Created by Independent Third Party!Yes
the tat A}ipendwroean systems and associated max.design
pressures.2.)Re to ER Section 5 For Umits of Use
Colima 5.:26,0$lsir eig*�BR d Tatiabasste FL 3 Rec M=-95p.Aar-jam
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under 1WdA bhw,6rriaht addresses are public r"s.lI you do net wane your e-man aftess released in response.to a public records request,do notsend electtook
Triad to'tib entity tdstaad,contact the orrice by phone or by traomonal mad:it.you trays eiri 4 .Ihieaae c6ntad 85e.i87.1295.•tlusuarit m SxliM1
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IREFER TO NERGUARD-DETAX t7S1. C
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172
Specificatloh • Guj•dines
INSULATION A17'ACHMENTTABLE-MECHANICWYATTACHED SYMMS
(Meets FM attachment rotilrements.j
.:; NtCFF1LSZ8iEEtS:
F•tltn.tcr. .---Corn"
4%4 any 4 4 4
(1.2 rn tii.2 m)
polosts (1.2fnx2:4m) (13m-30m) 6 6 6
m m
4'xg 213'(33 mm) 5 5 5
(l.2mx2.4m)
4'x4't'ettite (LZ.mxL m2m) a S a a
4 x4 ~'
(1,2 m x 1:2 m) any e 4 s
Wood Fiber
4-W
(L2mx2.4m) any 6 6 6
4•x4• jk'zx
(1.2.mx1.2m) any 4 4 4
^ 4'x8 112' 1.2" 6 6
(1:2mi2.4in) (13Mm-30mm) 6 Y'
:-me•µ, y'� _ .a•.v� w ..�.;._��-,� .
(f�mir2:em)"" ''�1:3'j33'niml:; - '�:5�:=�''t:�=•�S,_;�.w^:' 5�-;,t ,.�;
(1,2 m)i 1.2 m)-
Expanded Pofystyrcne (i_Z m x 2.4 m) (13 mm-30 rn
213'(33 mm) 5 5 5
(2.2mx2Am)
Fanfold=,TAoorReec Fanfold- US`min(10mm) 2-1=2.1.2 2-1-2.1.2 2.1-2-1-2
back PVCanly
4'ag' I/4'-S/R'
Gypsum Boast, (1.2:m x 2.4 m) 16 mm-16 mm) 6 6 6
'Attachment requirements to meet determined uplift resistance am dependent on deck type,specific
fastener,etc.
'Fanfold attachment,spacing Is for-each 2'x 4'(610 mm x.12 m)section.
'Smooth P•V,6 must have 31 oz;(65/17o gr)polyinat sepxrat6r sh'eet'or fleece back.
'Includes approved VensOeck and_SECUROC.K.Roof Board piodum
83
s
C ' is ata Sheets
tNSULA71ONFASfENiNG.PA"TTERNSYXf(fthm x L2 N1)OOARDS
4
14,
. i.
I
24- Y :
7
127,
6 3
1
,
f 1 1
g"
�,.
ILI
61
i
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Ju1.02.2030 07:53 AM A BARTLETT ROOFING OF CEN 18137801805 PAGE. 1/ 1
INSTR#2020092009 0l1 sit 10117' Po 700 Pass 1 of 1
/w
06M 112020 03:32 PM Rapt:2170658 Roo:10.00 DS:0.00 IT:0.00
• Nlidd Alvarez"Sowle%Eq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT '
Permit No. �" y�lo�a� .
Tax Polio No.
TfS UNDERSIMED hereby Sivas notice do improvement will be made to certain real pt sly,and in accordance Milt
Chapter 713,Pioride Statutes,the fallowing hdormatlon Is provided in Ibis NOTICE OF COMMENCBMT.
i.uescriptiaa'oi'pra�perty(legaldos i anof ): a�• G� •oaf•oa.Qa� (vt +O�q
a)Street(lob)Address:
2.4eneral degcrlption of Ixnprovernaant(s):
JEW
3.Owner or Lessee atlon(f ossee own only If off a ed for�� ts) •T�
a•Name and address:
NO Av;e
b.Interest in proporty:
c.Name and address of t'se simple titleholder(ii'aher than owner):
4.Contractm InftmatioA ^",te
A dariitrlo Koonni tic t.,omv ovCS,Lidr wwo wa3 prl matt#, I-I_2t Z
a Name and address:
b,Ph pax Na(0pt,) Y
Phone number;o t
5.Swety lAia luaadon
a,Name and addrass:
b.Amount of bond$
a,Pho o number: Fax No.(opt.
o,under
of Name and addt=;
b.Phone numbs
7.Pwa0 within the State RIM orida dosigtated by dwner tip on who nFilWn or other dooua wtsmay ba serQ as providid by ,
Section 713.13t:1)(4)7.,Florida StdIitos:
e.Name and address:
is Phone number:
s.in addition to himself:Weir designates the foliowing p s)to receive a cxtpy of*6 Untie°s Not30 as providal in
Station 713.13(i)(b),Florida Statutes:
a.Name and address:
b.Phone aatntr►ber:
date or notice ot'coruinenaemant(the+sa: atim date is 1 ym bw a the dated recording unless at dilterent '
data is stpedW ,
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE
EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713,FART It SECTION 713.13,FLORIDA STATUES,AND
CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITF; .
BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINA►.NCING,CONSULT .
WITH YOUR LENDER OR AN ATTORNEY BEFORE C!O MMENCING1 WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Vwmexwu pursuant to Scctiosl qmS Lida Sttttates.Under penal(W aI'Itcx'jvq,I declare that I helt►e•
rad tlto fo regaing ad flat tba fate hk it are e that to the bed otoy 1wowWV and beft
of owner ar %or Owner's ar loLasoo's Authorl=d Reer%WorlPartaerlM�wger
91gnatosy'a'i'ittelMoar• •" ' '
ststeofFlorida
Cottttty ofmom
The i=29==
nowlaadged before ttto this date;oP .20,,E by
who is personally knoft to me or has produced
'*, w Q 77Q who did/did not take dui oath,
(Driver's License
&Aga
H PuNwamteotftwa SignMnomowy
• , T t+t#Iter Public
� ^
Pdn# Type,or stamp
contrulsalott0Name of Notary NbIle