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City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGC-001636-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/02/2021
•
Permit Type: Building General (Commercial)
Property Number Street Address
35 25 210010 08800 0000 7320 Gall Boulevard
Owner Information Permit Information Contractor Information .
Name: PROVEST TOWNVIEW LLC& Permit Type:Building General(Commercial) Contractor: FOSTER ROOFING
MISSION HILLS EQUITIES LLC Class of Work:Reroof ENTERP ISE INC
Address: 7348 Gall Blvd Total Valuation:$144,900.00
ZEPHYRHILLS,FL 33542 Total Fees:$1,131.75
Phone: Amount Paid:$1,131.75
Date Paid:3/2/2021 8:04:33AM
Project Description
REROOF TPO-SAVE O LOT
Application Fees
Building Permit Fee $754.50 Building Plan Review Fee $377.25
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.
4NTCTSIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78M20 City of Zephyrhills Permit Application Fax-813a8"021 a�
Building Department
Date Received Phone Contact for Permitting 1( -
[tlIHEHE "� `! H[tH!
Owners Name 1 V Y \ W �r ` Owner Phone Number Lip .1 O
Owner's Addressf5ls Owner Phone Number
Fee Simple Titleholder Name F Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3�O tt lV LOT#
SUBDIVISION 1 PARCEL ID# S Z, + g
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL v,=
DESCRIPTION OF WORK ¢ exit¢i S1Jr -k-b ^ T V. KO c E
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ 1-1' ` VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ �l AMP SERVICE Q PROGRESS ENERGY a W.R.I-C.
=PLUMBING $ � � L
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATION$ FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y I N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN FEE CURREN Y/N
Address A License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN i Y/N
Address t n/ License# 13 l—C�
[[H![H[[ JAX (2)
H!!! [[[[! E[[HE![[E!![H[[[[[[H[[[[H[ t[![![[!!ft[t �[[H[J
RESIDENTIAL 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,Storr owater 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.AU 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)
Rercofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Dfireways-Not over Counter if on public roadways..needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813a80-0021
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to'deed'restrictions'which may be more restrictive
than 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 property licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACTRMLITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
that Transportation Impart 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 Impart 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 limitedto:-
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland 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"W 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,1 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 1 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 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 or 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 COIAMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR I PRO MENTS TO YOUR PROPERTY.IF YOU I NO TO OBTAIN FINANCING,CONSULT
FLORIDA JURAT(F.S.1 . )
OWNER OR AGENT CONTRACTOR
41, nd swom ed are and (o fi b fare m th'
i re ersonall Im, to a or has/have produced Who's/a I to me or has/have produced
as identification. as identification.
N a 1 yyl c otary Public S�k:6
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Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
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1/19/2021• Florida Building Code Online
FLURADADPARTMONT OF (it. .
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Florid a r !-111I1, ProductApproval L USER:Public User
Product g0gyal Menu>Product or Application Search>Application List>AppGmtion Detail
FL# FL5293-R43
Application Type Revision
Code Version 2020
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1 Campus Drive
Parisppany,NJ 07054
(800)766-3411 ALL WO
mstieh@gaf.com COPES SHALL CO!
Authorized Signature Robert Nieminen i TONAL QR�CpSCJiL�NG COD PREVAILING
Ireith@nemoetc.cort�RO'�q�CITY OF- 0®E, F'
NCE HYRHrLLS
Technical Representative William Broussard
Address/Phone/Email 1 Campus Drive
Parsippany,NJ 07054
(800)766-3411
TechnicalQuestionsGAF@gaf.com
Quality Assurance Representative
Address/Phone/Email ��/��^Z 2
Category Roofing LA S� � r7�Y�HIL�4
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 the Robert Nieminen
Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date 12/17/2021
Validated By John W.Knezevich,PE
Validation Checklist-Hardcopy Received
Certificate of Independence FL5293 R43 COI 2020 01 COI NIEMINEN.gf
Referenced Standard and Year(of Standard) Standard Year
ASTM D2178 2015
ASTM D4601 2012
ASTM D4897 2009
ASTM D6163 2015
ASTM D6164 2011
ASTM D6878 2013
ASTM G155 2013
FM 4470 2016
FM 4474 2011
https://wwwfloridabuilding.org/pr/pi app dtl.asp)?param=wGEVXQwtDquwVcULes7wTHo0xyQC%2bdOLAwIRQBXylimc[YaUW8Xog%3d%3d 1/2
1/19/2021, Florida Building Code Online
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/22/2020
Date Validated 10/23/2020
Date Pending FBC Approval 10/30/2020
Date Approved 12/16/2020
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 R43 II 2020 10 15 FINAL Al ER FL5293-R43.pdf
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 R43 AE 2020 10 15 FINAL ER FL5293-R43.p ,df
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
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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 employee Copyright 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
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(1),
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 dick here.
Product Approval Accepts:
®® ® fCfPLf M
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Safe
https://www.floddabuilding.org/pr/pr app dU.aspx?param=wGEVXQwtDquwVcULes7wTHoOxyQcp/o2bdOLAwIRQBXylimc[YaUW8Xogp/o3d°/p3d 2/2
+
ONEMOjetc.
TABLE 21: STEEL.• • CONSTRUCTION, ••• e OR RECOVER
SYSTEM TYPE D-1: MECHANICALLY ATTACHED ROOF COVER
Insulation(Note 13) Roof Cover(Note 15)
System Deck MDP
No. (Note 1) Type Attach Membrane Fasteners(Note 11) Attachment (pef)
(Note 5).
EVERGUARD TPO:
,_..,..,. D�iilTec XHD'witliDtiilTec.2 3y$in. arbed X J Pl tes L8sihcM o:e;within_6hnchiwitle laps spaced
Miri 22"a:,t e B Orieiotmoie,layers,:any Prelim: :""OF'ON � F:„ _ :.q .; ,„;
5=416. _ v>g;U Yp = ,. EverGuard TPO or-1 Tec.#15.EHD;Fastener::with.Drill fec 2.4"Barbed 54 nch"o.c:.and sealed.wrth.aal.5-irtch•h�ea� 0:0
Grade 80steel com6+nat+0 min_1-inch attach :, T Si
Drill" ecT 2.4 Scoop Seam Plate tweld�
Drill-Tec XHD with Drill-Tec 2-3/8 In.Barbed XQPlates 12-inch o.c.within 6-inch wide laps spaced
S-417. Min.22 ga.,type B, One or more layers,any Prelim. EverGuard TPO or Drlll-Tec Eyehook AccuSeam Plates or Drlll-Tec#15 114-Inch o.c.and sealed with a 1.5-Inch -30.0
Grade 33 steel combination,min.1.5-inch attach EHD Fastener with Drill-Tec 2.4"Barbed Seam Plate or heat weld.
Drill-Tec 2.4"Scoop Seam Plate
Min.22 ga.,type B, One or more layers,any Prelim. Drill-Tec XHD with Drill-Tec 2 in.Double Barbed XHD 12-Inch o.c.within 5-inch wide laps spaced
S-418. Grade 80 steel combination,min.1.5-inch attach EverGuard TPO Plates 115-inch o.c.and sealed with a 1.5-inch -30.0
heat weld.
Drill-Tec XHD and Drill-Tec 2 In.Double Barbed XHD
Min.22 ga.,type B, One or more layers,any Prelim. Plates,Drill-Tec 2-3/8 In.Barbed XHD Plates,Drill-Tec 12-Inch o.c.in rows spaced max.114-inch
S-419. EverGuard TPO Eyehook AccuSeam Plates or Drill-Tec#15 EHD Fastener o.c. An 8-inch wide cover strip is heat -30.0
Grade 33 steel combination,min.1.5-inch attach with Drill-Tec 2.4"Barbed Seam Plate or Drill-Tec 2.4" welded over the stress plates.
Scoop Seam Plate,
Min.22 ga.,type B, One or more layers,any Prelim. Drill-Tec SXHD with Drill-Tec 2 3/4 in.Barbed SXHD 12-Inch o.c.within 6-Inch wide laps spaced
S-420. Grade 33 steel combination,min.1-Inch attach EverGuard TPO Plates 138-inch o.c.and sealed with a 1.5-Inch -30.0
heat weld.
Min.22 ga.,type B, One or more layers,any Prelim. Drill-Tec XHD with Drlll-Tec 2-3/8 In,Barbed XHD Plates 12-Inch o.c.within 6-Inch wide laps spaced
S-421. Grade 60 steel combination,min.1-Inch attach EverGuard TPO or Drill-Tec#15 EHD Fastener with Drill-Tec 2.4"Barbed 138-inch o.c.and sealed with a 1.5-inch -30.0
Seam Plate or Drill-Tec 2.4"Scoop Seam Plate heat weld.
Min.22 ga.,type B, One or more layers,any Prelim. Drill-Tec XHD or Drill-Tec SXHD with Drill-Tec 2 3/4 in. 12-Inch o.c.within 6-Inch wide laps spaced
S 422• Grade 80 steel combination,min.1-inch attach EverGuard TPO Barbed SXHD Plates 138-inch o.c.and sealed with a 1.5-Inch -30.0
heat weld.
Drill-Tec XHD and Drill-Tec 2In.Double Barbed XHD
Min.22 ga.,type B, One or more layers,any Prelim. Plates,Drill-Tec 2-3/8 In.Barbed XHD Plates,Drill-Tec 6-Inch o.c.within 6-inch wide laps spaced
S-423. EverGuard TPO Eyehook AccuSeam Plates or Drill-Tec#15 EHD Fastener 138-inch o.c.and sealed with a 1.5-inch -30.0
Grade 33 steel combination,min.1-Inch attach with Drill-Tec 2W'Barbed Seam Plate or Drill-Tec 2.4" heat weld.
Scoop Seam Plate
Min.22 ga.,type B, One or more layers,any Prelim. Drill-Tec XHD with Drill-Tec 2 In.Double Barbed XHD 12-Inch o.c.within 6-inch wide laps spaced
S 424. Grade 33 steel combination,min.1-Inch attach EverGuard TPO Plates 90 Inch o.c.and sealed with a 1.5 Inch heat 37.5
weld.
Min.22 ga.,type B, One or more layers,any Prelim. Drill-Tec SXHD with Drill-Tec 2 3/4 In.Barbed SXHD 12-Inch o.c.within 6-Inch wide laps spaced
S-425. Grade 40 steel combination,min.1-Inch attach EverGuard TPO Plates 114-inch o.c.and sealed with a 1.5-inch -37.5
heat weld.
NEMO ETC,LLC Evaluation Report 01506.09.05-R44 for FL5293-1143
Certificate ofAuthorizatlon#32455 7"'Edition(2020)FBC NON-HVHZ EVALUATION Revision 44:10/15/2020
02019 NEMO ETC,LLC GAF EverGuard TPO Single-Ply Roof Membrane Systems;(800)766-3411 Appendix 1,Page 67 of 127