HomeMy WebLinkAbout05-4143
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4143
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
4143
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 3835 LAUREL VALLEY BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
4,150.00
4/25/2005
75.00
75.00
4/25/2005 Phone:
RE-ROOF AND REPLACE CEILING PANELS IN KITCHEN & FAMILY ROOM
Name: WILLIAM EVANS
Address: 3835 LAUREL VALLEY BLVD
ZEPHYRHILLS, FL. 33542
~ H
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~~
IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Rcpl: 874419
OS: 0.00
04/14/05 _----
11111111111111I11111111111111111111111111I1111I111111111111I
2005072188
Rec: 10.00
IT: 0.00
Dpty Clerk
JEO PITTMAN~ PASCO COUNTY CLERK
04/14/05 0.,: 39pm 1 of 1
OR BK 6323 PG 203
NOTICE OF COMMENCEMENT
State of Florida
Permit No.
rl \ (.}.
.
County of
Key No.
-VQAJG>
N\4
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida State Statutes, the following information is
provided in this Notice of Commencement:
1. Description of Property: Parcel No. d.l..\" d.to. ~, . oo3Q .. OOOOt) .. D~O
U-AO.d wI Mpa.LA.D
3. Owner Information: Name \.lJ ~ t \. \ q, "^- ~ '" q,,,,.s
Address "3 'il3S ~u.rd JoJJe.y '1~ity ~~ r h'. llL.StateJ: L
Phone No. ""9 -.)-C1'f~ Fax No. '"'l \(1. Zip ~g~~
2. General Description of Improvement
R 4. Contractor: Paul Schaper Roofing & Construction, 8949 Gall Blvd., Zephyrhills, Fl33541
5. Surety: Bauer & Associates, 12210 HWY 301, Dade City, FI 33525
6. Lender: Name/Address: 1"414--
7. Persons within the State of Florida designated by Owner upon who notices or other
documents may be served as provided by Section 713. 13(1)(a)(7), Florida Statutes.
8. In addition to himself, Owner designates the following person to receive a copy of the
Lienor's Notice as provided in Section 713 .13(1 )(b), Florida Statutes:
Paul Schaper, 8949 Gall Blvd, Zephyrhills, FL 33541
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the
date of recording unless a different date is specified.)
Signature of Owner:
c{.
/ /(.
,,' k {~-~- ,f: 1 v"" (
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I.. \
~.
L,-<j:;,,,L_.-
I
Owner Printed Name: / t/ / -, I ,"/1Iyl\j
tL/ .').L
ill: C' I ~7-r-<'1 2.. ~- -- L S"-<S ,- u
I~~
(
; -<.,I-e,
Personally Known
'. '...
S>\,orn to and sub,",,"Qed before me this~day of ~
Notary Public: /
(Type, Print, or Sta
2005
,"""11" SUZANNE DOUGLAS-ALLEN
...... ..."i'\'t' PUr/I,
/?~~~Y\Notary Pu~1iC - S:ote of Florida
0'" . '=MyCommlSOOll~0ct25.2007
'.;,;J,: >Y Commission # DD243970
""(!OFF\.O\,,
II"III\~\\ Bonded Bv N'l'TIonol Notarv'~~.':~f1 ~
[I part] NOTICE OF COMMENCEMENT .doc
'li"'~"l?~~l'!;,~_,,~'~'Vj""-
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
PHONE CONTACT FOR PERMITTING
OWNER' S NAM~LU: 11 ~~l""- [J'J~
JOB ADDRESS3~~~ . LOJd VA\\~ 1&..uJ
PHONE 779-:J.9Xj
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I D # J4" ~ ~ ~, - VO 3t> . OOC'l() .#> o 3d-{)
10BTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
DADDITION
DALTERATION
o REPAIR
o INSTALL
D SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI - FAMIL Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
CJ RESTAURANT
La ~ ~~~
& HEALTH DEPARTMENT APPROVAL
u-i LSh~)
SQUARE F TAGE .
HEIGHT
BUILDING SIZE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY y~RMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. ~~
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ' ~.~~
~
PERMITS REQUESTED ~75'~lbJk
J
VALUATION OF TOTAL CONSTRUCTION
$
Cb'b
\ . a..~Oi
o BUILDING
o ELECTRICAL
AMP SERVICE
D Progress Energy D
W.R.E.C.
D PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: D BLOCK
o FRAME
o STEEL
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNATURE
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" wh~ch
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE D OT NEED TO RECORD AND POST A "NOTICE OF OMMENCEMENT".
STATE OF FLORIDA ~
COUNTY OF t"CtAt.D
The foregoing instrument was RC~~ledged
Before m~ this~~day of ~ , 20~
by .l~,\ ..,) L~~r
(name of person acknowledged)
~ is personally known to me, or
STATE OF FLORIDA~ 0
COUNTY OF ~c.
The foregoing instrument was acknowledged
Before me thiS~y of rV'\.o.re.h. , 2QQ.5
by Ju.lu U'
\
(name of person acknowledged)
~ho is personally known to me, or
and who
and
pe of identification)
not take an oath
o who
gement
nowledgment
d
Name typed, printed or stamped
---..
SCK)ffPEf/{ Roofing, Inc.
8949 Gall Boulevard. Zephyrhills. FI 33541
PH: (8131 782-0920 & (3521 567..asaO Fax: (8131 715-4875
STATE CERTIFIED BUILDING AND ROOfING CONTRACTOR ~C8-C059817 and ~CC-C058134
SERVING FLORIDA'S FINEST HOMES & BUSINESSES SINCE 1976 www.schaperconscruccom
Name \'f\ ~ \.0, \ \ \~ ~V ^'^- S
Address ~ 'I S ,~.Uv("~ \J ~ \~ '-\\v u '.
~~\.i-r\,\\\ ~ ~ 3. ~ S'l-\~
\ \
Date L\ j" ) 0 S--
~..
Phone :-1.1Q - 1.Cr~q
..
City/County
Parcel #
We hereby propose to furnish materials and labor necessary for the completion of:
Shingle Re-roof
1. For the shingled portions of the home, remove old rooting materials to chy-in. taking precautions to protect the
building and the landscaping. Groom the deck and reset existing decking nails.
2. Replace bad wood other than herein agreed for at .i' ~ i o~ per man-hour plus materials marked up a
:LS-7Q contractor's fee.
\...J \..., 4
3: Install ~V.M.'V'-.\J^ eaves drip with all edges sealed with plastic cement
4. Install 0 l\. ~ layer(s) of ASTM 15 lb. Asphalt shingle underlayment
5. Install galvanized valley metal for the length of all valleys. Valleys will be closed.
6. Install new lead boots over vent pipes and replace metal vents with new.
7. Chalk lines shall be struck to assure proper shingle exposure.
8. Install '3 0 year l-..\-A~ Class a self-sealing fungus resistant
Manufacturer. ~~~"" ~ Col
9. Six It;." COIIOSionresistantnails shall be installed pc:r manufacturers .
Outions
Hurricane nail the deck to the rafters to meet cum:nt SBCCI code. ·
TnstalI <:) feet of aluminum ridge vent.. ·
:c;.~\J~ "~~-QAt- ~~ 'f"<1o&- t'\'1u~O\) O\J~'f.-,~ ~ ~\"\. ~~ -Ar~ ~'^'\'1
~"l.u ~ 4\v\~'f\.,) ~_l\.'-'N. C M{'(){1- J\V.J.A.\"f\.\JAA. .fL)'')~ M~~ ~)",^--L ~n c..
*See Pricing Section
[3pat] SHlNGLE RE-ROOF.doc
Pap 1 of'1.
SClCJlrnlJ{ Roofing, Inc.
Shingle Re-roof continued. . .
Schauer Rooftnsz. Commitment to Oualitv
-All work shall be carefully supervised and completed by workmen skilled and knowledgeable in methods needed to
produce high quality work.
-The job site shall be kept clean daily for the duration of the job and the grounds shall be left clean of all roof related
debris after completion.
-The yard shall be swept with a magnet.
-The contmctor shall provide permit. workman compensation, and general liability ~.
eCarpentry. authorized change orders and worle. which are not covered under the scope of work outlined ~ shall be
perfonned on a time azufmaterial basis unless otherwise agreed upon.
.-..
MANUFACTURER & CONTRACTOR WARRANTY (S)
Upon completion of the work and payment of all monies owed, Contractor shall issue:
1. A ~ year WiSUi:IIlty for workmanship limited to leaks caused by any component install by the contractor.
2. Shingle manufacturer shall provide a 30 year limited WiSUcsuty.
...............COldract .. ..............
VISible T &: M Allowance
g;.k-...-.A. '/..-sJo +- ()\"( \.)<>c)~
S -:c.... cl'-l ~J-.
S ~c:.A",~
S ~<:..'v L-"
s ~_\v.kJ..
Shingle Reroof as described herein
Modifications ~cA"~ 1"UM.~.J. t C~~t-~ o~ it\~\J~
~ ~ \ ''''J ~.N\U ~ ''^ ~ ~ lu- ~ ~ \ "\ kJWA. 0"1\,\ b
TotaIagJocor:d upon price, labor md JmderiaI
TERMS $ 5""00. c:1~ ~ ~~ ~
Qv"", f \~ \ ""^- '
p~~.., l.rou,OoJI,1"' 4-((-tJ~ ('.L~:tI 'f61
Price valid for . (30)
Collection costs if any. together with interest shall be added to the contract: price if payment default occurs. Cancellation
of the contract after the 72-hour grace period shall incur a onmiJ1Sll fee.
CONTRACT TOfAL:
s ~ \ S-O. CJ 0
~c~
Schaper Rooting. Inc. Representative
I ~ the above price: and t.cnm; you arc authorized to begin worlc.
Date
4-/1- 0 S-
Signed,
~J;jjJ~ (9~
Date
Signed
[3patt1.SHINOtE RE-ROOF.doc:
P8pZof2
, .
. -::-- .' J .
Florida Building Code Requirements for Asphalt Shingle Attac:hment
Chaple, 15 Rocl Assemblies and Rooftop SllUdUteS 01 the 2001 FIcrida ~ Cade (FSC) c:anlains ~ s8dians addras3ing altacnment of asPhalt
shlngles- .
Sedan 1507.3.1 appaes to the enlIre Stale 01 Florida except the High Velac'ty Hurrlcane Zone (Miami-Cade and Btcward Counlles OI'lIy).In.windzcna
below 110 mpll. 4 nails !:Ier strip shingle are required. In winct::anas 110 mph 1M greater. the number at nails that were used to Il~ ei/l'let' AS11d 03161
(mod"dfed to 110 mph) or M-QC PA 101-95. Of as require4 by lhe manufadutv. as lndlc:ated in lhe tab/ellelow mll3t Ile used. Produd:s wilh. a P.lJami.Oade
NOA are a=plable for use in the en lIre slate. .
Sedan 1514.7 applIes only to the High Veloc:ity Humcane Zane (Miami-Oade and Srcwatd eounlJes .only) and states that the shingles must be iNtalred In
compliance wilh the product conlratapproval. RAS 115 and no less than S approved roa&lg nails or olllet' appt'OYed I'astaning d..nc:es (He Section
1518.7.3.21. NOTE: In Miarni-Qade and Braward count/a only. 6 nails persltfp shingle Me be used even if a shingle has pa~ed M.QC PA107wilh fewer..
. nails at' fasteners.. .
. .
This lable was !:I,epared by AlU.1A 10 summam:e tests conducted by AP.MA members on their !:ItOduc:ts 3M illustrates =mpllance with these shingle
altlc:.'vnent sections ol the Florida Builcflltg Code.
Go to lhe AFJ.IA websile . Www.3S!:Ihaltroorang.Otg . dlc:k on "news- to download an ~ al1ide "As;malt Shingles and the New Florida Building Cod.-
.U1a1 recenUy aOlpearec: in Florida ~ltJm . a publicatlan af Ille Florida Rooting. Sheet Metal incI Air CondIllaning Contralcn Assac:ialicn (FRSA).
Manut:ac:lur.r Product FBC S.ctfan 1507.3.7 li'aC;; ~.C:Uans 1518.1 and 1~18.1.:u
btvK:.o_ _ ~_...M
AS'T7.I .. --
- - D~161 .. M-OC PA - . Mlaml-C.d.. .
= = - =
(mod Co 110 ~ 101-9$ ~ t
mp/'l) CountY NOA."
utainTeed Cal"llCll'3elon Pte3ideneial Shake TT. r,. ARt y 5 Y 5 Y 6
enainTeed Cat"OOraelon Prdidendal Shake 1& AR) Y 5 Y 5 Y 6
eruinTeed COnlOraelon Crand Manor Shanllle IA ARl y 5 y 5 Y 6
eruinTeed COnlOradon Carnalle House Shanllle (& ARt Y 5 Y 5 Y 6
etuinTeed COnlOraelon Haeeeru 1& ARl y 5 y 5 Y 6
ertainTeed Cot"OOraUon LandlNrk T1.IAmbas.sador (A ARl Y ~ Y 4 Y 6
L.andmark 50 (&. ~ .
- el'tlinTeed Cat"OOr.lelon Irormerlv Landmark 40 &: AR) Y 4 Y ~ Y 6
Landmark 40 (t. ~
CenainT~ Cor.>at:Je'lon rronnerlv Landmark 30 &: ARl Y 4 Y 4 Y 6
Landmark PO &. AR I I
Cer:ainTeed Cot"OOradon (formerly Landmark Z5 ,. ~ y 4 Y 4 Y 6
Ce:uinTeed C:Jt"OOl'3elon CelocelC Dimensional 40 (A ARl Y 4 Y 4 Y 6
Cer:ainTeed Cot"OOraelon CeloeelC Dimensional 30 fA ARl Y 4 Y 4 Y 6
utainTeed Cot"OOradon Firehale ZOOO (A ARl Y 4 Y 4 Y 6
erulnTeec COl":2Ondon Hldl Sierra It. ARl Y 4 Y 4 Y 6
enalnTeed Corooradon Escaee IA ARl Y 4 Y 4 Y 6
mainTeed Cat"OOraden Hh.J1lands AR Y 4 Y ~ Y 6
el'tlinTeed Cot"OOradon Cla,uic Horl%Dn C&. ~ y " y 4 Y 6
CenainTeed Cat"OOradon CTZO (&. CTZO AR) Y 4 Y 4 Y 6
enainTeed Cot"OOraelon :enS I&. xrzs ARliFunllUSSuseet' ZS Y 4 Y 4 Y 6
eruinTeed Cot"OOracton XT30 I&. xno ARJ y ~ y ~ y f
... el'tlln T eed l..ol1lOradon l"lre:screen Plus ZOO(,) 1&Al<J 't 4 '( 4 Y Ii
Elk COrt)Or1Ition af Alabama RaLsed Profile (was Presdaue ZSl y 4 Y 4 Y 6
Elk COr:lor3elan ai Alabama Prdeloue (was Preselaue 30) Y 4 Y 4 Y 6
Elk COnlClr3e!an a( Alabama Prescloue ! {was ?resejoue 351 Y 4 Y I 4 Y 6
- Elk Comor3eian ol Alabama ?reseiaue Plus lwas ?reselaue Plus 40} ,-._. Y 4 Y I 4 Y 6
Elk CQI"l)Or3nan a( Alabama Pte3Cloue Callerv CoIIKlion y 4 Y 4 Y 6
Elk COnlCll"3UOn 01 Alabama CaoSlone 40 Y 4 Y 4 Y 6
Elk COnlClr3elOn 01 Alabama Caoseene 40 wi Ft.X y 4 Y 4 Y Ii
AF Roval ~rei'" Y 4 Y 4 Y 6
CAl' Jumbo Roval Savereim Y 4 Y 4 Y 6
GAF Maraul.s WucnerMaz Y 4 Y 4 Y 6
CAl' nmberllne 30 mmberllne Z5l y 4 Y 4 Y 6
CAF Tlmbenlne Select 40 IOn... nmllerllnel y ~ y 4 Y 6
Al' nmllerUne Ulera y 4 Y 4 Y 6
CAl' SI.cellne y 4 Y 4 Y 6
i(;,Al' Crand Canvan Y 4 Y 4 Y 6
i(;AF CrandSeouala y 4 Y 4 In OI"Ollre:ss
CAF CouncrY Mansion. Y 4 Y 4 Y 5
GAl' Counuv Estaces y 4 Y 4 Y 6
~ens CominS! Cfassle & AR Y 4 '! 4 Y 6
~ens Cornin<< Suoreme A AR Y 4 Y 4 Y 5
!wens Cornln.. Prominence A AR Y 4 Y 4 Y 6
",",ens Cornln<< undlle PRO 30 &.AR COakrld"e 2.S ,. A Y 4 Y 4. Y 5
_ns Cornlntr akrlde PRO 40 &.AR {Oakrld"" 30 &. A: Y 4 Y 4 Y 6
wens CominS! alendlle PRO 50 &oAR tOakrld.... 40 &oA Y - 4 Y 4 Y 5
wens Comln<< Weacner<:uard ~O &oAR Y 4 Y ~ Y 6
A..'wiKO Roo/lnll Produ~. lnc. Class-Seal y 4 Y ~ In llI'Oft1!SS
AMKO Rcann ProductS. rnc:. CIa,uoSeaf AR y 4 Y ~ In Ol'llllnss
AMKO Rcann Produas.lnc. EIlca CIag.SuI AR y 4 . Y ~ In OI"Ollre:ss
AMKO Roo/ln Produces. rnc. Herltaft 30 AR . . y ~ y ~ y 6
AMKO Roann Produces. me. ASTM Herlralle JO AR Y ~ y 4 Y 5
AMXO Rcan." Produces. Inc. Henca" 40 AR Y 4 Y 4 Y 6
MIKO Rcann. Products. rnc. Ha1Ulle 50 AR Y 4 Y 4 Y 6
Florida Building Code Online
Page 1 of3
User: Public User - Not Associated with Organization-
Application #:
Date Submitted:
Product Manufacturer:
AddresslPhone/email:
Need Help?
FL250
09/24/2003
CertainTeed Corporation-Roofmg
PO Box 11 00
1400 Union Meeting Rd
Blue Bell, PA 19422
(610) 341-6678
Category:
Roofmg
Subcategory:
Asphalt Shingles
Evaluation Method:
Certification Mark or Listing
Referenced Standards from the Florida Building Code: Section Standard Year
1507.3 ASTM D3462 2002
Certification Agency:
Miami-Dade BCCO - CER
Quality Assurance Entity:
Validation Entity:
Authorized Signature:
Richard Snyder
allan.r.snyder@saint-gobain.com
Evaluationffest Reports Uploaded:
Installation Documents Uploaded:
Product Approval Method:
Method 1 Option A
Application Status:
Date Validated:
Date Approved:
Approved
09/24/2003
10/15/2003
http://www.floridabuilding.orglpr/pr _ det1.asp?IPT=250&RV=0&fin=ROSrch
2/17/2005
Florida Building Code Online
Page 2 of3
Page: Page 1 11
~
pp/Seq Product Model # or Model Limits of Use
# Name Oescri tion
Fiberglass Installation must comply
arriage House Shangle aminated shingle ith manufacturer"s
Iication instructions.
Fiberglass 3 tab Installation must comply
lassic Horizon Shangle verlay shingle ith manufacturer"s
Iication instructions.
Fiberglass 3 tab Installation must comply
T 20 (and AR) ith manufacturer"s
hingle Iication instructions.
Fiberglass Installation must comply
rand Manor Shangle aminated shingle ith manufacturer"s
Iication instructions.
Fiberglass 4 tab Installation must comply
Hatteras ith manufacturer"s
hingle Iication instructions.
Fiberglass Installation must comply
Landmark 30 (and AR) aminated shingle ith manufacturer"s
Iication instructions.
Fiberglass Installation must comply
andmark 40 (and AR) aminate shingle ith manufacturer"s
Iieation instructions.
Fiberglass Installation must comply
andmark 50 (and AR) aminated shingle ith manufacturer"s
Iieation instructions.
Fiberglass Installation must comply
andmark TL ith manufacturer"s
aminated shingle Iieation instructions.
Installation must comply
Patriot AR ith manufacturer"s
Iieation instructions.
Presidential Shake (and Installation must comply
R) ith manufacturer"s
Iication instructions.
Installation must comply
residential Shake TL ith manufacturer"s
Iieation instructions.
Installation must comply
residential Shake TL ith manufacturer"s
Iieation instructions.
Installation must comply
T 25 (and AR) ith manufacturer"s
Iication instructions.
Installation must comply
30 (and AR) ith manufacturer"s
Iication instructions.
N~xt
;
COPyrlaht and Disclaimer; 4:>2000 The State of Florida. All rights reserved.
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http://www.floridabuilding.orglpr/pr _ det1. asp?IPT=25 O&RV=O&fin=ROSrch
2/17/2005
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhi11s, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECE IVED
c;j;~~
PHONE CONTACT FOR PERMITTING
OWNER'S NAME ~..u~ ll~Ol~ [v~
JOB ADDRESS 3CS35 ~ \)~\l~~a/
PHONE
I7c; ;' ;),981
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # ~ ~ doL, ~ d-I .. 0030'" oooozr 03d-l) (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
DADDITION
o ALTERATION
D REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
D INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J REST~URANT & HEALTH DEPARTMENT A.PPROVAL ~
DESCRIPTIONOFWORK~'t.. c,~~ ~ .~ IQ~~~~
BUILDING SIZE SQUARE FOOTAGE HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
& (1) SET ENERGY FORMS.
FORMS.
D
~5.'~
JtLp6 .
D BUILDING
D~
$ ~t '1 ;).0,
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
D PLUMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
BUILDER
SIGNATURE
STATE CERT OR REGIST # Ll> C. 05q~/7
*************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliahce with any applicable deed restrictions.
B. 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
license~ 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
City of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law _ Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for 'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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 YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM NCEMENT. JOBS UNDER
$2,500 IN VALUE DO OT NEED TO RECORD AND POST A "NOTICE OF COMMENC
STATE F FLORI~ n
COUNTY .OF ~~
The foregoing instrument w~~~lowledg:~
~~fore I.me).~t ~ ~ A ,2~
(name of1person ac1noWledged)
~who is personally known to me, or
wledged -'Ie
, 20~
l{lv h 0
o who
of identification)
take an oath.
Owho has produced
( ype of identification)
o did ld
nt
S i,.gna t
/
"'Der~tt!~'RQ~~w dgment
"~\Nolary Public - Slale of Florida
~ . ~M(CommisSlanElq::i€5 0(;125, 2007
" ~:
Name typed,
t.\..'P :rab~~ ~OtioM~MI\3IV~n.
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