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20-279
may �i D Y City of Zephyrhills PERMIT NUMBER' 5335 Eighth Street Zephyrhills, FL 33542 BGR-000279-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 06/30/2020 ` . Permit Type: Building General (Residential) Property Number. -'.,y 1 Street Address 1126 210010 16700 0180 15216 7Th 5218 7Th St Owner Information Permit Information Contractor Information Name: HOUSING INDEPENDENCE INC Permit Type:Building General(Residential) Contractor: MG EXCELLENT SERVICES Class of Work:Reroof CORP Address: 5013 Knollwood PI Total Valuation:$19,000.00 TAMPA,FL 33617-8427 Total Fees:$202.50 Phone: Amount Paid:$202.50 Date Paid:6/30/2020 9:42:57A o Project Description SHINGLE ONE SIDE&TPO ON OTHER SIDE Application Fees Building Permit Fee $135.00 Building Plan Review Fee $67.50 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. I -- waL*-)L-*rn CONTRACTOR PE r 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 Permitting 2 rrrrrr= ,RV"T _Dx Owner's Name e1$1Af,* 49 Owner Phone Number F 0 Owner's Address 15613 )CA Ll ->,4 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number -77- Fee Simple Titleholder) JOB ADDRESS F _57' L7cl t, LOT# SUBDIVISION F PARCEL ID /'0- AU700, idi A% (OBTAINED FROM PROPERTY TAX NOTICE) WORK-PROPOSED NEWCONSTRR ADDIALT Q SIGN Q 0 DEMOLISH INSTALL REPAIR Z7 PROPOSED USE Q SFR Q COMM Q OTHER I TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL DESCRIPTION OF WORK 4ta_p� Ak-1 BUILDING SIZE SO FOOTAGE Wj 901/ HEIGHT =BUILDING 1$ 110,46T] VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING 1$ 01� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS rr FLOOD ZONE AREA =YEt,-` NO — - 1 BUILDER S. )P .COMPANY "_:�e! .K '. 1 - 1 . 71 SIGNATUREL REGISTERED 0,"",FEE CURRE Lij�e n- 52f FT S, Address ELECTRICIAN ,COMPANY SIGNATUW#_ REGISTERED Y N_ 1:,: '.FEE,cuRR N L A _XLN J Address Lic PLUMBER ;COMPANY .-SIGNATURE 'REGISTERED Y/ N.1" ' FEE CURREN Address License#-1 MECHANICAL COMPANY SIGNATURE REGISTERED Y IN FEE CURREN LILN_J Address License# COMPANY OTHER �IGNATURE REGISTERED Y/ N. FEE CURREN Address License J *I t RESIDENTIAL Attach(2)Plot Plans;(2),sets.of•Buildlng,Plans;(1),set of.Energy Forms;R-0,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&I dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a LifeSafety 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&I dImpster.Site Work Permit for all now projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of,Engineered Plans: "'*PROPERTYaSURVEY required for all NEW,coristrubtlion. .... ------ ------- 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,_,"_''(copyof contract required) Reroofs if shingles aewers '.':"S6rvIt4 Upgrades.A/C Fences'(PlottSurvey/Footage) Driveways--Notover Couniei;)f I'on" e. blic'ibadwayt-n ads 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 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 exxisting 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-713i Florida Statutes, as amended): If valuation of work is$2,600.00 or more, I certify that 1, 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 obtalned 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 ali 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.alh work will be.performed to meet standards of all laws regulating construction;-County.,.an&dty 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',,WaterMtastewater Treatment.. - Southwest Florida Water Management District Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks,.Navigable Waterways. Department of Health & Rehabilitative Services/Environmental tHealth'Unit Wells, Wastewater Treatmenti Septic Tanks. - US`Environmental Protection.Agency-Asbestos abatement. Federal Aviation Authority-Runways:' understand that the fallowing,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 "compensatingvolume" 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.- f;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 wl:`iich.;arpe.�.elevated.,by fill, an-engineered drainage, rainage plan is required. If I am:the AOENT'FOR THE:01NNER, I promise in good faith to Inform the.-owner of the permitting conditions set forth in this affidavit`prior:to:cominencing construction. I understand that a separate permit may be required for electrical work, plumLiing;rsigns;:wells;:pools conditioning, gas, or other installations not specifically Included in the-application. A permit'issued shall be constr.Ued"to.be a license to proceed with;the work and not as authority to violate, cancel, alter, or set aside.any:provisions"of�the'techriical codes, norshallissuance:of a permit prevent the Building Official from thereafter requiring�.a correctiari:-of errors°in-plant, construction or violations-of any codes:-Every permit issued shall become invalid unless tfie;wotk;authorized;bvvsuch permit is commenced within six months of permit issuance, or if work authorized..by the permit�w-suspended-or abandoned-for a-period of six,(6)months after the 11me'the work is commenced. An extension may be requested,-in,writing, from the.Building Official for w period not to exceed ninety (90) days and will demonstrate justifiable cause forth'6!extension:"^If:w6rk,cease§,fbr 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 TWICEfOR tMPK0VEMENTS:TO YOUR°:PROPERTY: IF YOI.14N: END TO'OBTAIN FINANCING,CONSULT WITH YOUR LEND.EROkAN ATTORNEY BEFORE.'RECORDING YOUR N TtWOF COMMENCEMENT._ FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this Subscribed'and swo (or a ed) efor rn s by by Q Who Is/are personally known to me or has/have produced /are personally known to me or has/have produced as identification. ,J►2tIr2tS CttQit42 as identification. c Notary Public Lev Notary Public Commission No. Commiss No. u Name of Notary typed,printed or stamped Name of Notary typed,pri ut,_stamp f}0EL1tdE B •. *:Commission#GG 27t 117 �. 4Y Expires December 12,2022 ••pTEOFf��Pd Bosrded'StwTray�aln Insurance 800.385-7 'RegulationBusiness & Professional ra nn �w BCIs Home I Log In I User Registratlon I Hot Topics I Submit Surcharge Stats&Facts I Publications I Contact Us I BCIS Site Map Unks I Search I rl •UO ,//,�'� �Product Approval � USER:Public User 6 Product Approval Menu>Product or Application Search>Application List>Application Detail • FL# FL5293-R40 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 ALL WORK SHALL COMPLY WrrI4 PIMAILINO Authorized Signature Robert Nieminen CODES FLORIDA 13UILDING CODE, Ireith@nemoetc.com NATIONAL ELECTRIC CODE, AND THE CITY OF ZEPHYRHILLS Technical Representative William Broussard ORDINANCES Address/Phone/Email 1 Campus Drive Parsippany,NJ 07054 (800)766-3411 TechnicaiQuestionsGAF@gaf.com Quality Assurance Representative REVIEW DAT Address/Phone/Email CITY OF ZEPHYRHI Category Roofing PLAN EXAMINER 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 12/16/2022 Validated By John W.Knezevich,PE © Validation Checklist-Hardcopy Received Certificate of Independence FL5293 R40 COI 2020 01 COI NIEMINEN.Ddf Referenced Standard and Year(of Standard) Standard Year ASTM D6878 2011 FM 4470 2012 FM 4474 2011 TAS 114 2011 Equivalence of Product Standards Certified By Sections from the Code t � Product Approval Method Method 1 Option D Date Submitted 04/09/2020 Date Validated 04/10/2020 Date Pending FBC Approval 04/14/2020 Date Approved 06/02/2020 Date Revised 06/08/2020 Summary of Products FL# Model,Number or Name Description 5293.1 EverGuard TPO Single-Ply Roof Single-ply,thermoplastic polyolefin roofing systems Membrane Systems Limits of Use Installation Instructions Approved for use in HVHZ:No FL5293 R40 II 2020 04 08 FINAL Al ER FL5 3-R40.0 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 R40 AE 2020 04 08 FINAL ER FL5293-1140.12df 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 Back Next Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an WEED employer.Copyright 20t 07-201,3 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(i), 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,F.S.,please click here. Product Approval Accepts: c�eai=ca�a�' (� 1 INSTR#2020088733 OR SK 10123 PG 161 Page 1 of 1 06rM2020 01:30 PM Rept:2174048 Reo:10.00 OS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County ClErk.&D0alPtrQIlP" — Permit No. parcel ID No NOTICE OF COMMENCEMENT State of county of <<'n. THE UNDERSIGNED hereby gives notice that YnprovemeM VA be made to cedoln real properly.and in aceordmxe with Chapter 713,Florida Statutes, the feiowing 6dannatfon Is provided M this Notice of Commencement / 1. Desce0oft of Properly:Parcol tilcd Idantbn Na /l-1' —0`/^QVl")^ Zt" ?.y,�n --- ?S StroetAddress -7 4*% 7fi 2. GeneW DescrW n of hnprovarm o � 3./f Owner Infermatlon or tosses Infomeilon It the Lam contracted for the improvement: V S) /!/GtNit�l7 '� Lo CI Address CRY State E �+ interest In Property Gr�1 h r1 1° ��' �l 8 5 T —' % .0 Name of Fee Simple TlItehohfer. O t0 Y Of different from Owner Rated above) N N � tp Address CRy Soto W e'm U 4. Contractor / e` • Q a AK Address City State C, a Conlradafs Telephone No.: td roC 6 a C 5. Surail/ w Q.t �°, Name o s;-1 E Address City State ' 0 `o c7 > Amount of Bond:S Telephone No.: j t0 N I� a S Lender Name t— .5 c 3 Z ct Address CRY State .. Lender's Telephone No.: 7. Persons whin the State of FWWa dedgnstad by the owner upon whom no0ces or other documents may be served as provided by a Sectlan 713.13(lIXO T),FTorlds Statutes Name Address CRY • Telephone Number of Designated Person: iG. In addition CQ himself,the owner deaigmatas of- -to recotve a copy of the Lk mofs Notice as provided M Section T13.13(1)Ib),Fiends Staines. Telephone Number of Person or Entlly Designated by Owner.. g. E3gft on date of Notice of Commencement(the 6WIF&tion data may net be Were the eomptetlon of cons>nmtlen and fled payment to the cortbacter,but will be one year from lire date of recording unless a different date Is specilled): ����s 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 PROP�FtTY, A NOTIC!'OF COMA�rf MUST BE •._ .. RECORDED AND POSTED ON THE JOB SITE BEFORE Tt{E INSPRonON._W YOU•tNTENDTO OBTAIN FINANCING.CONSULT _ Wftff yOUR•LENDER•OR AN•AT-reRNEY'BEFORECOMMEnGING WORK OR RECORDING YOUR NOTICE OF COMMENCEI aC Underpenalty w pp dury,II declare that I have read the foregoing notice of comttencemmA and that the fads stated therein ate true to the bed olmyknowledprid STATE OF FLORIDA COUNTY OFPASCO ^,•w,, MARVLCROOK tktuypubrk-StocfFwa Slgmatu of fsortosseesAuthorized CommisslaasGG11 0S, ORoev'O awMarineWanager /yet f�Iy� /eWeddiroutirWtla+dMeWYAtat90R `+ V' Slgna aTl elm ' The fbmgong boM me twas admoMedged before me thts—LLday of 4_ 20&0-by %o t p Qs L as (type of authority,e.g.,olRcor,trustee,allmq M taeq for. tt�� mama of pony on behalf Qof who/mohaftmint was ems. Peacn�y Kmw'm�2$Produced tdemtlIcatloi 0 Notary Signature 1Y��• { Type of Iden0cation Produoed Name(Print) A R4 L r noerrrertLpe053048