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HomeMy WebLinkAbout22-3493City of Zephyrhills 0=111 I 5335 Eighth Street M Zephyrhills, FL 33542 BGC-003493-2022 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 01/21/2022 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. 11 MIRIVIR11 iffli"7111 ;11111111111 . A, - It, .. 0 MF= �� R-T.M.T17171-TIMP-Mr. ME Complete Plans, Speccations add fee Must Accompany Application. All work shall be performed ir accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE :2 41-TiTift ;011 W PErha omcEf ITHOUT APPROVED INSPECTION 2 ho'010TAVIN City of Zephyrhills Permit No.: licensed erChapter468, Florida Statutes as a(n): Contractor. Engineer — Architect— Building Inspector_ {/ License No. /Yl��- /]5��3' Dnoradid personally inspect the: Check: Roof Deck Nailing Dry in V Flashing and Drip edge Check which was used: 30# felt— Peel and Stick— Otherl examination, I have determined the installation was done according to the Hurricane IM-Ftfii Malnual (Based on Section 553,844, Florida Statutes). /U STATE [}FFLORIDA COUNTY OFPASCO` ' Sworn to d subscribedb ore this day 813a80-0020 City of Zephyrhills Permit Application Fax-813-180-0021Yy Building Department , Date Received / Phone Contact for Permitting W ) �` - �- .. _..... am ! Owner's Name Owner Phone Number Owner's Address 0 u ` d Owner Phone Number a —�Fee Simple Titleholder Name E Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS ) LOT# SUBDIVISION -0 1 L PARCEL ID# `p z t - C a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q DEMOLISH B INSTALL 8 REPAIR PROPOSED USE SFR F__] COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL O DESCRIPTION OF WORK! JO t�," f BUILDING SIZE SO FOOTAGE C=m===mom HEIGHT =BUILDINGS VALUATION OF TOTAL CONSTRUCTION f Gl �?- L =ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS ® I FLOOD ZONE AREA =YES NO BUILDER ( COMPANY &tt4 1 r SIGNATURE ( REGISTERED { Y / N FEE CURREN Y / N Address J °f License #� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y I N Address License # F_��� PLUMBER COMPANY SIGNATURE REGISTERED YIN FEE CURREN Y / N Address License # MECHANICAL COMPANY -- SIGNATURE REGISTERED ;;; FEE CURREN Y / N Address E= I License # OTHER COMPANY I^ SIGNATURE REGISTERED Y / N FEE CURREN I 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 813-180-0020 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 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 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 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 & 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, 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) 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 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 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. FLORIDA JURAT (F.S. 1 OWNER OR AGENT Subscribed and swo to (or aff rm I bef re me this t tt-2_9 by Who is/are personally known to me or vdueed was) dentification. e s4'1 Notary Public Commission No. Subscribed and sworn It affir�ed) b�orree me this _( .- t b �T —.1° W o is/are personally known to me or WA44pr ;oe T as identification. Notary Public Commission No. NLyped rinted r st d Name o ota 'typed, prime i or stam ed N'a�aritte ©f Flstrida Nptay € ubc State of Florida Alicia Herweh-Cannon 'Alicia Herweh-Cannon v My Commission GG 218378 r far My Commission GG 218378 Expires 05/16/2022 Expires 05116/2022 NOTICE OF COMMENCEMENT State of FLORIDA County of Pasco Property Irent No: 10-26-21-0020-00000-0100 THE UNDERSIGNED hereby gives notice that improvement will be made to certain red property, and in accordance with Secfion 713 of the Florida State Statutes, the following information is provided in this Notice of commencemPis C 1. LeplDescriptlon: PINE GROVE PB 2 PIS 15 COM SIN COR LOT 10 FOR POBTH NO2DG 02'12'W 172.00 FT TH N88DG 28' 05'*E 623.71 FT TH S02DG 02' WE 47.00 FT TH S88DG 28' 050W 93.04 FT TH S02DG 02' WE 60.00 Fr TH N88DG 28' 05[ ... I Street Address: $923 Gail Blvd Zephyrhilb Fl 33542 2. General Description of Improvement: TPO 3. Owner Infomation or Lessee information if the Lessee contracted for the improvement a) Name and address: ZEPHYR LLC 7162 READING RD STE 730 CINCINNATI, OH 45237-3845 b) Name and address of it* simple titleholder (if other than owner): NIA c) Interest in property: Owner 4.Contractor: Paul Schaper, 8949 W Blvd., Zephyrhflls, FL 33541 -Ph: (813) 782r0920, Fax: (813)71�48751 5. Surety: NIA. 6. Lender: Name/Addmss: N/A 7. Identity of person within the State of Florida designated by owner up'on.who m notices or other doduments may be served as provided by Section 713.13(lXa)(7), Florida Statutes-. a) Name and address: b) Telephone No.: —Fax No. (opt) 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice provideI in Section 713.13(l)(b), Florida Statutes: Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541 - Ph: (813) 782-0920 - Fax: (813) 715 9. Expiration date of Notice of Commericoment (the expiration date is one year ftn the date of recording unless a different date is specified): — ------- WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AMR THE ]EXPIRATION OF TIM NanC—]KQF COMIW.NCEMENT ARE CONSIDERM UdPROPEIR PAYMENTS UNDER CHAPTER 713, P"T 1, SECTION n3.1% FLOMA' STATUTE,% AND CAN RESULT IN YOUR PAYING TMCE FOR MPROVEMY.M To YOUR PROPERTYA NOTICE OF - , - COMIENCEMEN'r MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPKMOX'W You, WMI) TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ANATToRNEY BEFORE commENcTNG woR�,oR RIUC-OkliNG YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Sljp_w�aturcof �rc'wOwnceiK��YGWOM=Miw The fore 0 instrument was acknowledged befom me this2c) day of 2&, by as oMcertrustee, atlorne� in-f" for t (name of party on be f of whom instrument was executed). Personally'Known OR Prod tification 1.�� Signature Produced of Identification ANN ROSS f5irr, 4HHI 054741 Un-,;l Lxptro Oct 19, 4014 A SS Not" COMW�'41 R �iH 05474-1 bznires oct My COMM, State Of Florida, County Of Pasco This is to certify that the foregoing is a ""' true and correct copy of the document ' x . on file or of public record in this office. J01} Witness my hanc and official seal this day a 1 .° Nikki Alvarez -Bowles, Esq., Clerk & Comptroller Pasco Counw, Florida By -a.- Deputy Clerk lillm�lm,w,lwaw\�WI)RI�i'm�\klk)b'lm",W�14"kA%Ip,Mlk��R W1111 NOMAMIMMOOM=9�­1 � BCIS Home : Log In User Registration Hot Topics ' Submit Surcharge Stats & Facts Publications Contact Us BCIS Site Map Links Search dProduct b Approval 0 r USER: Public User R"pRMyALM_Mu > Erq uct ar ApRLiqgfl a Se r h >_pj&a ap tt&n List> Application Detail FL # FLI559-R15 Application Type Revision Code Version 2020 Application Status Approved Comments Archived Product Manufacturer Duro-Last Roofing Inc. Address/Phone/Email 525 Morley Dr. Saginaw, MI 48601 (989) 753-6486 Ext 2296 ajanni@duro-last.com Authorized Signature Janni Al ajanni@duro-last.com Technical Representative AL Janni Address/Phone/Email 525 Morley Drive Saginaw, MI 48601 (800) 248-0280 ajanni@duro-last.com Quality Assurance Representative Address/Phone/Email Category Roofing 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 06/09/2025 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) EL1559E15 QQJ_1021 01 COI �LIE�MINEN P L f SARROArd YAM ASTM D4434 2012 ASTM G154 2012 ASTM GISS 2013 FM 4470 2016 FM 4474 2011 TAS 114 2011 UL1897 2012 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 04/07/2021 Date Validated 04/12/2021 Date Pending FBC Approval 04/14/2021 Date Approved 06/08/2021 FL # Model Number or Name 1559A Duro-Last Single Ply Roof Systems for use in FBC non-HVHZ jurisdictions Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ. Yes Impact Resistant: N/A Design Pressure: +N/A/-1,025 Other. 1.) See ER Section 5 for Limits of Use, 2.) The design pressure in this application relates to one specific assembly. Refer to the ER Appendix for all assemblies and max design pressures. 3,) Refer to FL31331 for FBC HVHZ, Description Thermoplastic, single -ply roof systems Installation Instructions EL1559R15__II 2Q_�! 04 07_EIPLAL AL_ER_P_Q_Rq- L_A5 1 F L �15 5 Q: & 1-5 pkf Verified By: Robert Nieminen PE-59166 Created by Independent Third Party: Yes Evaluation Reports 2021 J-7-fl—NAL E - LA_Si_W.K9z&1_5 � Off Created by Independent Third Party: Yes Qnja= :: 2601 Blair Stone Road Tallahassee FL 32399 Phone: 850-487-182 , The State of Florida is an AA/EEO employer. :; FXLv_aSy_*jqjqM= : : Accessibility Statement ;: &Ly_rld_a�Lt 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 $50.487.1395, -Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, RS. 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, RS., please click h_ere . 0QQ94_iAQ mini M­ I Credit Card Safe SCIS Home Log In User Registration Hot Topics Submit Surcharge j Stats & Facts Publications Contact Us 8CIS Site Map Links Search d bo Product Approval g ,,\p USIW Public User r Rmdu9—ARQmWm—erw > RrsAu-q-Qr-6PP > Appii ati n ist > Application Detail FL # FLI559-R15 Application Type Revision Code Version 2020 Application Status Approved Comments Archived Product Manufacturer Duro-Last Roofing Inc. Address/Phone/Email 525 Morley Dr. Saginaw, MI 48601 (989) 753-6486 Ext 2296 ajanni@duro-last.com Authorized Signature Lanni Al ajanni@duro-last.com Technical Representative AL3anni Address/Phone/Email 525 Morley Drive Saginaw, MI 48601 (800) 248-0280 ajanni@duro-last.com Quality Assurance Representative Address/Phone/Email Category Roofing 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 Nierninen Evaluation Report Florida License PE-59166 Quality Assurance Entity UL LLC Quality Assurance Contract Expiration Date 06/09/2025 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) ELL,5.59 R15 CQJI 2021 -DI—QOLhffMLN-ENP�qf SUMA"r YM ASTM D4434 2012 ASTM G154 2012 ASTM G155 2013 FM 4470 2016 FM 4474 2011 TAS 114 2011 UL1897 2012 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Date Submitted Date Validated Date Pending FBC Approval Date Approved N[777171= • mza.. •� Limits of Use Approved for use in HVHZ. No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: +N/A/-1,025 Other; 1.) See ER Section 5 for Limits of Use. 2.) The design pressure in this application relates to one specific assembly. Refer to the ER Appendix for all assemblies and max design pressures, 3.) Refer to FL31331 for FBC HVHZ. Description Installation Instructions LL1552 R15 Al ER DURO- LAST FLL559-R15.pdf Verified By: Robert Nientmen PE-59166 Created by Independent Third Party: Yes Evaluation Reports EL1552-BI-ILAlm 2-Q21_Q4 QZ FINAk-ER DVRQ- 1haTELL L59-Rjp f Created by Independent Third Party: Yes ContactUs:: ELQatJ5&_W_18_2_4 The State of Florida is an AA/EEO employer, Copyjjgbk2Q92.:�a f �Flld ;; EUXqQy 5jiIt%aLqDt AkqSgi �rt Statement :: BSL Statement Ii q0A_4l;#t%Q_ 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 click here 00101M Credit Card Safe mom=