HomeMy WebLinkAbout20-303 O
'FtOf71DH' City Of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000303-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/01/2020
Permit Type: Building General (Residential)
Property Number Street Address .
33 25 21 0000 02100 0000 7201 Ash Street
Owner Information Permit Information Contractor Information '
Name: NATHAN&GAIL GEIGER Permit Type:Building General(Residential) Contractor:ALVAREZ ROOFING
Class of Work:Reroof
Address: 7201 Ash St Total Valuation:$3,325.00
ZEPHYRHILLS,FL 33542 Total Fees:$84.93
Phone: (813)393-0889 Amount Paid:$84.93
Date Paid:7/1/2020 9:23:29AM
Project Description
MODIFIED REROOF
Application Fees
Building Permit Fee $84.93
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."
Colmplete 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 SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Hugh MacDonald Construction Inc.
10825 Tom Folsom Rd.
Thonotosassa,F133592
(813)986-4968 fax(813)986-4745
C00011342 RC0052900 � 00
Q _
aulX 1, 2020 om
. y � � 3
City of Zephyrhi.11s
To Whom It May Concern:
Kent Hegarty
Has my authorization to pull roofing permits within City of
Zephyrhills Florida.
License numbers OCC1329562 (Alvarez Roofing)
RC0052900 (Hugh MacDonald Construction)
If you have any questions regarding the foregoing, please do not
hesitate to contact our office. Your consideration is greatly
appreciated.
Respectfully Submitt d,
1
Hugh. MacDonald
HUGH MA.CDONALD CONSTRUCTION
Sworn to and subscribed to before me this 1 day of July, 2020.
Who is personally known to me
Notary Public
MELINDA HEGAATY
4:Notary Publio-state o4 Florida
'_• commission*GG 9t 2054
My commission Expires
��' iiii QatObef 17.2023
813-780-0020 City of Zephyrhills Permit Application ^ 13-780-
c Building Department `
Date Received
g
✓ Phone Contact for Permitting
Owners Name Nathan
L e e r Owner Phone Number 8 13—3 1 3- ® O S
Owners Address 72-0 1 A S{l S7 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7�o I AS%, S t 1 /� nLOT#
SUBDIVISION PARCELID# a ' �I-0000 - d 2l00 -0000
(OBTAINED FROM PROPERTY TAX NOTICE(
WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM EX OTHER 9— O
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL =
DESCRIPTION OF WORK Tear off+ Re-roof t%s;Ang CertaiA-recd M.d;fICot 8i'tkvnCn Roof Systfwn
BUILDING SIZE SQ FOOTAGE N 40 HEIGHT �� (�I 0 •1�
ZT>< Z-><iTCfCrEi-�FtCCCiT(-i-IC-i-ICL-C-C-L"S-S-L-L-L-;-i-w-ff- �S'TS-><C-CC✓<>«�>«C-�C-C-tZZZ-S-�
UILDING $ 4 G VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 7 J AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY -AI V QY ea- RODE l„
SIGNATURE op REGISTERED Y/N FEE CURREN Y/N
Address 1082,5 -ravn rotsOW1 Cw License# CC1 p51I
{ o'2,
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address I 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 I License#
1112111all11111111111.1E111111LiI11it111111.111111I11111ii141111111IRA
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,Slormwater 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,
Sanita Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attadfiry(2)5et9';11 Engirieeied"Plans: "
—",,ROPERTY�SURVbYerequired for.all.NEWSconstruction:
Directions:
Fill out application,cpmpletely. t
Owner&Contractdr sign back of application,notarized
If over$2500,a Notice'bfCbtnmencementis required:(AIC upgiides,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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to"deed"restrictions"which may be more restrictive'
than bounty regulations.The undersigned assumes responsibility for compliance with any applicable deed restrictions. ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:If the owner has hired a conlr8dtor 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:l'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'm'ay 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"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that aJ 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'usd�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 pemmit 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 cohditions set forth in'dhis 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 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 YQLJR LENDER OR AN ATTQRNEY BEFORE RECORDING Y TIQ5 OF qOMMEKEMERL
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR ��kllyfc
Subscribed and sworn to(or affirmed)before me this ubsc bed and sworn to r ffirmed)befor4�me this
by ,0 . by - %7R 2�f_�dYv L3J��
Who is/are personally known to me or has/have produced Who is/are Personally kno to me or has/have produced
as identification. ////���1 ���asideentification.
Notary Public / (,O"Z0 'L" Notary Public
Commission No. Commission No. �L7 Y v_q_-: 2
/(�
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
�0 Notary Public State of Fbrida
Menem I.Choron
My Commission GG 944322
� � Hxpir =0512024
INSTR#2Q20083336 0R BK 1 0 107 PG 1755 Page 1 of 1
0512712020 08:58 AM Rcpt:2165063 Rea:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Cleric&Comptroller
33.25-21-0000-02100-0000
NOTICE OF COMMENCEMENT
Staaol FLORIDA Countyaf PASCO
THE UNDERSIGNED homby gtvea notbe that Improvement wfil be made to CWtWn lea!property,and In aooardance with ChVW713.Ffaida SMUM,
trio foloWng Infomaton U provided In ft Nouce of Camaiwwamank
1. Oeaatpwnof Property:Paroel idenocataa No.33-25-21.008D•021 QW00
Sb9daddreaa: 7201 ASH ST ZEPHYRHILLS,.FL 33541.1119
2. t3msmaf Oeautptlpn of tmp:ovomesrt TEAR OFF 8r RE•ROOF
3. OwnarbdormatanorLosaoebtionrmltdta Cie LoaaooeooseWfar0roinprwmnettt: NATHANGEIGER
N=a ZEPHYRHILLS FL
Addroas Gty state
Intao~tt to Property:
Name of Foe StrnpTa T iVeWder.
(11 dtfere d from Owner toted abava) _
.. .. •. .... .. •Address• o' —•-r.r. — — Sue —
4. Con4sclor 131.VL BFZ R0.0FINA
10825 TOM FOLSOM RD THONOTOSASSA FL
Address CRY Stale
Conbadofe Telophona Na.: 813.989.4627
S. Sraety Name
Addwsa City state
Amount of Band:S Telophona Na.:
1
IL Lender.
Noma
Addruse City state
Lendeeb Teleptmo No.:
7. Pasons*12in the State of Flodda doeignaled by Cie owner upon%torn not&os or other doaaaads may be served as prodded by
8ed1on 713.13(1)(o)(7),FTodda statutaa;
Name
Address Clly Stets
Teteptrono Number of Ossignated Parson:
8. to add$tbri to WmsoV.Ow owner designates of_
to receive a copy oftbe Uaraa No5w as patvided in SmOon 713.13(T)(b),Rarlda Stabtea.
Telephone Ntgnbar of Person or EaUty Dostanaled by Owner.
8. Expkalion date of Notke of Comm r=nw t(chi expkagon date may not Do balers the campleton of constnzIlon and Mal paymmd to the
conbactor,butwAi be one yoar from the dste of recording urdoiss a 0ereat date Is apadfled):
—•_' -•---_ _ —�. .WARMNOTO OWNEM.ANY.PAYMENTAMADE.BY THE OWNER.AFTER M4E EXPIRATION OF TICEIRE-NO OF COMMENCEUaIENT.
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1 SEd'TiON 713.13 FLORIDA STATUTES:AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP6K. A NOTICE OF COMMENCEIMIT MUST BE
RECOROEO AND POSTED ON THE SOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO O8TAIN FKAXCIN4 CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury.I dodao that I have read the fomgoing aotce of commenownent end that the fads at lad UNNIn are buo to the beat
at my Wtowtedge surd recital. •
SS,TTATOFAAmanda CO& �/
NOTARY PUBLIC /�
STATE OF FLORIDA 3100ft or owrraror Lome.Or owners orLeaaee'sAud,xxfzed
OtttaedDlractartPadnnrlt�ionagar
ComaWC4294573
Exores v244023 siA� Y, p�j► r lr� r/.�.p t
Tho foregoing kWA"Ierrt�raa admowf d before MO Cds j_qk r PIAA 20 y_SS>•8 (s1.i..a—` IP I late„
(type of aulhotlly,ag.,obis,-04iae.aUonw 1.fad)for
y
On botl8i(of wfwm instrument was execled).
Parsond ly Known 0 W Produced Identflodton I1 Notary SI
Type oftdetibflanuanP woudEl!
.wpdatolbcslnoAcdoommancemen(yc0530d8 - .
State Of Florida,County Of Pasco
`fhla is to certify that the foregoing Is a
;, true and correct copy of the document
on file or of public record In this office.
r ' -V Wltne my hand a d official seal this
c rod v!c? day of l
Nikki Alvaratt Ips, Esq., lark&Comptroller
{� � Pasc Gou Wide p
' I8 7 BY l l , Deputy Clerk
a
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Product Approval
r USER:Public User
1.i�iat.ir tix�+
Product Approval Menu>Product or Application Search>Application Usk>Application Detail
y
• FL# FL16709-R6
Application Type Revision
Code Version 2017
Application Status Approved
Comments
Archived
r
Product Manufacturer CertainTeed Corporation-Roofing .J/if O0,
Address/Phone/Email 20 Moores Road g r�/ � ��Q ��d��( g�
(610)893 5400 Malvern,PA 55 ���1 'q �w�►' c� Q�,�QOZ��1
mark.d.harner@saint-gobain.com
Authorized Signature Mark Harper
mark.d.harner@saint-gobain.com
Technical Representative Mark D.Harper Address/Phone/Email 18 Moores Road REV'EW DATE JON A
Malvern,PA 19355 4
(610)651-5847 K1ITTY O�M HYRH1 2D
Mark.D.Harner@saint-gobain.com PLAN
�N�'R
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Modified Bitumen Roof System
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
11 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 11/13/2022
Validated By John W.Knezevich,PE
ED Validation Checklist-Hardcopy Received
Certificate of Independence FL16709 R6 COT 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
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 06/20/2019
Date Validated 06/20/2019
Date Pending FBC Approval 06/22/2019
Date Approved 08/13/2019
Summary of Products
FL# Model,Number or Name Description
16709.1 Flintlastic Modified Bitumen SBS and APP modified bitumen roof systems
Roof Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL16709 R6 II 2019 06 FINAL Al ER CERATINTEED MODBIT FL16709-
Approved for use outside HVHZ:Yes R6.Ddf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:+N/A/-97.5 Created by Independent Third Party:Yes
Other:1.)The design pressure in this Evaluation Reports
application pertains to the maximum design FL16709 R6 AE 2019 06 FINAL ER CERTAINTEED MODBIT FL16709-
pressure for one particular assembly for use in R6.odf
Zone 1(field area)of the roof.Refer to ER Created by Independent Third Party:Yes
Appendix for all systems and attachment
limitations.2.)Refer to ER Section 5 for Limits
of Use.
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Contact Us::2601 Blair Stone Road,Tallahassee FL 32399 Phone:850-487-1824
The State of Florida Is an AA/EEO employer.Coovrioht 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
mall to this entity.Instead,contact the office by phone or by traditional mall.If you have any questions,please contact 850.487.1395.-Pursuant to Section 455.275(1),
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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:
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Credit Card
7/2/2020 Zephyrhills,FL
Roof Affidavit
Roofing Inspection Affidavit
City of Zephyrhills Phone: 813-780-0020
5335 8th Street,Zephyrhills, FL 33542
Permit Number
BGR-000303-2020
Name
Alvarez Roofing
I am licensed under Chapter 468,Florida.Statutes•as-a(n)c
Architect Building Inspector Contractor Engineer
License Number
CCC 1329562
Personal Inspection Date I personally inspected the:
Dry in Flashing
and Drip ® Roof Deck Nailing
Edge
Check which was used: —
4}30 Pound Felt � Peel and Stick ;®) Other
If other,please explain:
2 ply self adhered modified bitumen roll roof system
Address of Roof Inspection
7201 Ash Street
Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit
Manual (Based on Section 553.844, Florida Statutes).
www.ci.zephyrhills.fl.us/FormCenter/Print?formlD=75&Preview=YES&Save=False&savedProgresslD= 112
7/2/2020 Zephyrhills,FL
Signature =
Jim Coston
State of Flo 'd
County of Pasco
Sworn to&Subscribed Before This Notary Public State of Florida
Day Melinda Negarty
MELINDA HEGARTY
ga° B��s Notary Public-State of Florida
_*�*= Commission #GG 912064
%
R�Q-O�w My Commission Expires
FFF'"... October 17, 2023
www.ci.zephyrhills.fl.us/FormCenter/Print?form[D=75&Preview=YES&Save=False&savedProgress[D= 2/2