HomeMy WebLinkAbout07-6975
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6975
Permit Number: 6975
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7,710.00
Address: 38022 ME I AL CENTER AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0070-00000-0021
Name: KNIGHT,RANDOLPH
Address: 38022 MEDICAL CENTER AVE
ZEPHYRHILLS, FL. 33542
Phone: 813782-5543
105.00
105.00
8/27/2007
REROOF-RUBBER
hnCc~cf)
q ki 107
I~
REINSPECTION FEES: Reinspection fees will comply with Florida statute 553,80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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,
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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
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,"
/!
'SIGN RE PERMIT OFFI
PERMIT E IRES 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
Building Department
Fax-813-780-0021
f~q11
Owner's Address
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name
JOB ADDRESS
Fee Simple Titleholder Address I
I 3g O:J.. 1. JjV'uLof/c tA-( CulcA
I p~o ,~iki I'+'-~ uJJ-
Cl- NEW CONSTR C:=J ADD/AL T D
~ INSTALL ~ REPAIR
~ SFR ~ COMM D
TYPE OF CONSTRUCTION D BLOCK lli FRAME D
DESCRIPTlONOFWORK I f-......~ /10/ l.JJ,u- ~
BUILDING SIZE I ~ FOOTAGE ;)@ r--;IGHT I
14ue..
PARCEL 10#1 :5 ~. ~S- - cl.1- tp-)O- ~-(0:).:2\
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN 0 MOVE D
LOT# I
;A
SUBDIVISION
WORK PROPOSED
DEMOLISH
PROPOSED USE
OTHER
STEEL
I
D
OTHER I
BUILDING 1$ 771 {} . Qc) I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE C:=J PROGRESS ENERGY 0 W.R.E.C.
}
D PLUMBING 1$ I
0't~
D MECHANICAL 1$ ~ VALUATION OF MECHANICAL INSTALLATION
D GAS I;1<f ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
1"'111111111111'11111111"11'1'111'111111111111"'1'111111""'1"'11'1'1"11'11"'1"1"'11'11"111'11'11'"111""1111111111'111'1111111'111111
Y/N FEE CURReNT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y / N FEE CURRENT
Y/N
I
I
I
I
I
I
I
I
I
I
BUILDER
SIGNATURE
COMPANY
REGISTERED
Address
COMPANY
REGISTERED
ELECTRICIAN
SIGNATURE
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address License # I
OTHER I 12 Li VI ~ . Ro, "" ./ ~ "I::.e
SIGNATURE 11, ; N I F~EN.T..J I Y IN' I
Address License # I CCc.- I "3;' r SO ,.C
111111'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed.
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) 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 onslte, Construction Plans, Stormwater Plans w/ Slit 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.
1II1I1111I1III1111111111 J 1111111111111 J 11111111111111111111111111111111111111111111111111111111111111111111111111111 J 1111111111111111111111 1111111
Directions:
Fill out application cDmplBtely.
Owner & Contractor sign back of application. notarized
If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs 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 be cited for a misdemeanor Violation
under state law. If the owner or intended contractor are uncertain as to what licensing tequlrements 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 humber 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 wotk 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 limited to:
Department of Environmental Protection-Cypress Bayheads, VVetlandAreas 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 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 AN 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 LIse 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 thah 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 wor~.
plumbing, signs, wells, pools, air conditioning, gas, or other Installations hot 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 BLlildlng 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 lime the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days ahd will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job Is conslderad 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 FINANClNG, CONSULT
WI H Y E RNEY BE ORE RECORDING YOUR NOTICE MMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
Notary Public
Notary Public
N.m.ofNofmy~1~'0
I"JRF.I~~~~\ Bonded ThnJ Troy Fain Insurance 800-385-7019
,.
Parcel Information for: 35-25-21-0070-00000-0021 Card: 001
Page 1 of2
$~~rG.hA.9.gin Show Map Generalized Building Schematic Estimate Taxes Frequently Asked
Questions
Other Agency Data: Tax Collector School Board
Super Homestead Estimator
The online search system is currently unavailable. Information displayed below is from a weekly archive. SOH and Taxable amounts
may not reflect current values.
ParcellD
Classification
Land Detail (Card: 001 of 001)
escription ing Units I Type II Price
PROF.BLDG P 4,860.00 I SF II 4.75
Additional Land Information
Tax Area II 30ZH I Fema Code X I Comm Code I PPMA7AA
- Year Built 1985 USE 19 - Offices Professional or Medical (Card: 001 of
001)
Ext Wall 2
Roof Cov
Int Wall 2
Flooring 2
Heat
Baths
Mailing Address
KNIGHT RANDOLPH A
38022 MEDICAL CENTER AVE
ZEPHYRHILLS, FL 335401383
Physical Address
38022 MEDICAL CENTER AVE
ZEPHYRHILLS33540
Legal Description (First 4 Lines)
PASCO MEDICAL ARTS CENTER PB
23 PG 24 WEST 36.00 FT OF LOT
2
OR 1396 PG 1724
Line
1
Acres
Building Information
0.11
Ext Wall 1
Roof Str
Int Wall 1
Flooring 1
Fuel
AC
Line
1
2
Line
1
2
Sq. Feet I
1,440 I
~ 216 ~
Extra Features (Card: 001 of 001)
Description I Year I Units
PAV ASP 19 3,417
SWC 19 1~
Sales History
Concrete Block Stucco
Rigid Frame wlBar Joist
Drywall
Cork or Vinyl Tile
Electric
Central
Previous Owner
Year Month
35-25-21-0070-00000-0021 (Card: 001 of 001)
19 - Professional Service Building
Assessment (totals)
Ag Land
Land
Building
Extra Features
$0
$23,085
$95,793
$834
$119,712
$0
Total Assessment
Save Our Homes
Taxable Value
$119,712
Cond
1
None
Built-Up Tar and Gravel
None
Carpet
Forced Air - Ducted
2.00
Rep!. Cost New
$136,800
$6,175
Value
$692
$142
Book I Page
Amount
http://appraiser.pascogov.comlsearch/offline.asp?Sec=35&Twn=25&Rng=21 &Sbb=0070... 8/23/2007
TRADE NAMES 'OF PRODUCTS MANuF~CT.Uimi> OR LAB~ED BY APPLl~ANT:
TAJjLE 1 " '
, ' ,Test
" ' : Dimensions ' ' : SpeCifications '
~ '
nvi'>. I. LVVI J.JJIIVI
. .
f
;) ,;) L r I ~
ROOFING SYSTEM: ApPROVAL
Category: ' .
Sub-CategorY:
Material:
Deck TYpe; ,
Maximum Desien Pressure
Fire Classification:
Product Name
Sure-Weld, Sure-Weld EXTRA
Sure~Welq GSD, Sure-Weld HS
Carlisle Foallllilar Durapink
Insulation
Carlisle Foamular W' Board
Carlisle Foamular 150. 250, 400, '
404,600 '
CCW'702 Primer
CC\\T 702LT Primer
CCW 714 Primer
CCW 725 Vapor Barrier
Fast 100 Adhesive
Fast lOO-P Adhesive, :
Fast 102 Adlte$ive'
SlU"e-Weld Bond.1ng Adhesive, '
, S\Ue-Seal insulati,on Plates:
ApPROVED INSULATIONS: '
Produc,t Name
Pyrox, '\,Vhite Line
ACFoam Composite
ACPoam IT
'~
'U
Ii v. L' L J
I. L/ U
Roofmg
Single Ply
TPO
Wood.
45psf, ,
See Gerieral Limitation ~ 1 '
REVIew DATE '~'-~3-u . ,
CITY OF ZEPHYRH/LLS 7...
, PLANS EXAMINER 1<8
~
~LL WORK SHA~L COMPLY WITn Ail,
PREVAILING CODES, FLORIDA BUILDING
CODE; NATIONAL ELECTRIC CODE AND
' CITY OF ZEPHYRHILLS ORDINANCES,
Product Desaiotion
various ' TAS 131.., Remforced wn{te Or colored
, TPO meinbrane.-
various : rAS 131 Reinforced white or colored
l.'R TPO membrane.
. , ,
, various TAS.l10 , Extruded Polystyrene for,
, wbite or black mechanically,
TAs 110 ,fastened roof systems.
various , Ex~ruded Polystyrene
recovery board.
various TAS lIO ',' Extruded :Polystyrene
ins~lation
, various 'rAS 110 Solv~nt-Based Primer
various TAS ilO ", 'Low-Temp~tW'e Solvent-
Based Primer
various ,', 'rAS 110 Water-Based Primer
various TASllO' , 40 nUl Vapor Banier
various 'TAS 110 . Spray Polytirerhane Adhesive
various TAS iio " ' Sptay Polyurethane Adhesive
various ''TAS 110 Spray Polyurethane Adhesive
various TAS'l1,O ' Solvent-baScd bonding
adhesive..
27/8" d,ia. 'l"AS ll~' " , Metal. I?lates used for
insulation securement.
TABLE 2,
, Product Desc~p~o,~ ' ,
Isocyanurate Insulation,
, Isocyan'urate InsuJatlon with ~riite facer'
Isocyanu;rate Irisulation
Manufacturer
(With Current NOA)
Apache Products C~.
A1I~ ~oofing Corp:
Atlas Roafina Corp.
. NOA No.: 03-0514.03
~B~rat1oD Date: 08131/08
1~~~bAtC;LlOI08l03
T Pax0-2 of 8
Aug. I. LVVI j:jjrIVl
. '.
s r S l I I e
ApPROVED INSULA nONS:
, Pl"oduct Na~e ,
TABLE 2
, ,
Product Description
l'olyisocy'anuTate aP, HP-N, HP-H, Polyisocyanurate roof insulation.
HP-W
Sure-Seal lIP Recqvery Board
Surc...seal EPSlFiberboard
Sure Seal BPS Instiiation
Styrofoam
ISO 95+ Or.. 95+ .oW
Dens Deck
Sturdi-Top
Ultra/M~II
ENRGY 2. ENERGY ~, PSI-25
Fe.scoFoam
Retro-Fit
WOod Fi~rboard
High Density Wood Fiberboard
Perlite Insiliation Bo~d
Type X GYPs,!-m
XPS
Multi-Max, FA
Fiber Base,
Structodeck
ApJ;JROVED FASTENERS:
Fastener
Nwnber
, Product
Name
1., " Sure-Seal HP, liP-X,
, HP-Xtra Fasteners
2. Sure-Seal Seall'l .
'Fastening Plates
I
High Density'Wood Flber,l?<>ard.
'High Density 'Wood Fiberboard bOnded to,
'apS.. . " "
Expanded Polystyrene.
. . . '.
. Extt'Uded polystyrense insulatioh
Polyisocyanll('8.te fo.IIi insulation'
Silicon treated gypsum
,', Woed fiber insulation board.
Isocyanurate:Insulation
Isocyanurate Insulation "
" ,
Isocyanu,nire rn~l!-llltion with perlite facer
A high-density pei'lit~ roof insulation:
'Regular w6o~ ijber i~s~ati?~ ,
, High Density W,OOd Fiber insUl~tion board.
. .
Perlite Insulation'
C3ypsum w all~oard
'Extrud~d P?!ystyrene ' , .
Polyisocyanurate foam. insulation
II U. L"J L J
r. JI U
Mannf~etul'er .
(With Curre:nt NOA)
Carlisle Syntec, Inc.
Carlisle Syntec, , Inc.
Carlisle Syntec, Iric. ,
Carlisle Syntec, Inc.
Dow
, Firestone
G-P Products
. G-P Products
Horoasote Co.
Johns Manville
. I
Johns Manville
Johns Manville
Generic
Generic
~nerie
Generic.
Generic
Rmax, I1ic.
Asphalt coated wood fiber insulation Temple,Inland Forest
Products Corp. ,
High Dens~ty Wood Fiber insulation board. Wood:Fib.er Industries'
'TABLE 3
Product
Description '
Manufact1U'ef '
DJmefiSioD5 (With Current
.' NOA) ,
VariOUl! CarUsle Syntec, Inc.
IDsulation and membrane
fastener .
Metal plates used for
membrane securement with
Sure-Seal fast~ers'.
'.2'" dia Carli~le Syntcc, Inc. ,
NOA No.: 03.oS1~.03
'Expiration Date: 08131/08
Appro:t'al Da~: 10/08103
J".aee..3,0(8
f\ug. I. LVV/ J:JJrIVI
s r S l I I e
ApPROVED,FASTENERS:
, ,
P~astic Plate ' ,Polyethylene stress plate
Olympic FaSteners,' #12,' fusulation 'and ',meml?rane
#14, ' 'fastener,:
Olympic Stainless Stainless steel insulation and
Fasteners #12, #14 membrane fastener
Olympic Standard ' Oalvalume AZ55 stress plate
, ,
Olympi~ Pl~stic ' ,Plastic plates for, fasteners. :
Rawl Faoteners #12, 'fusulatiou.faS~~ for steel and ' Various
#14 ' ' wood decks' '
Rawl Insulation Plate , 3" round Galv~ume AZS5'
stress plate " ' ,
Insulation fastener for steel an~ ' V moos
wood decks ' ,
Insulation fastener '{or steel and. ' V ~Ous
wood decks' ,
,3" round Galvalutne'AZ55 ,
stress plate '
3" round polyethylelle stie.ss
plate ..', ' , '
, Square o~ oblong Ga~valume
steel plates for u,se with Isofast
fasteners '
, Insulation and :membrane
'fastener ' , :
Tru-Fast Ultra Stainless ,Stainless steet insulation and
Fasteners m~brane fastener
I
Fastener
Number
19.
20:
21.'
22.
Product
Name
TABLE 3
Pl"oduct '
, D~scriptic)n
3. ' Stice-Seal Poiymer , Plastic plates used for, "
Seam Plates membrane seCUtefucnt with
Sure-Seal filSte~s.
4. Piranha, Piranha Xtra " ' ~etal p~ate8 used for '
PlateS membrane'securement with
Sure-Seal fasteners. '
,5, Dekfast Fasteners #12, Insulation and ID.embrane '
, #14, #15 , fastener
6." 'Dekfast Hex. PI~te
Insulation and membrane'
, fastener'
7.
#- 11 & #14 Roofgrip
Insulation and membrane
~astell~r ,',:
Galvalume'AZSO lib-eBs Jllat~,
8.
Mebll Plate '
9.
10.
11.
12.
13.
14.
15.
16.
Insul-Fbl:x, Fastener
17.
, Isofast Fastene(s
18.
Insul~Fixx S
Insui-F~x P
Isofast Plate
Tru-Fast Fasteners
I~O. L'1LJ
r. If-/O
, Manufac~rer
DipJimsions (With Current
'NOA)
2" dia Carlisle SynteC, Inc:.
'2-3/8" dia C~1i5Ie Sy~tec, Inc.
, Various Construction
Fasteners, Inc.
Various CoIlstruction
Fasteners, Inc.
VariollS rrw Buildex
3" square rnv Build.ex
3.2", ro~nd ' rrw Buildex '
, V mous OlYmpic Mfg. Group
\
Varlou,s, Olympic Mfg. Group
3" round'
Olympic Mfg. Group'
Olympic Mfg. Group
Powef5 Fasteners Inc.
, 3" round'
.. "3" round
Powers Fastene:(s Inc.
. ....
SFS Stadler, Inc.
, ,SFS Stadler, Inc.
.3" round
SFS Stadler, Inc.
3" round
, SFS Stadler. Inc'.
, , 'SFS Stadler, Inc.
Various
the Tru-Fast Co.a:p.
The Tru-Fast Corp.
Various
NOA No.: 03-0514.03
, ~piratioD D.te~ 0&131/08
Approval Date: 10/08103
, ' Page 4 on,
1'\ U 1\. I . L V V ( J . J 't I IVI
~I~ lllC
ApP~OYEDFASTENE~S: '
Fastener Product
Number ' NlUDe
23. , Tm-FastMP-3
24. Tru.Fast Plastic Plate
25. In~ta-Lock Screw
26. Insta-Lock Plate
EviDENCE SUBMITTED:
Test Aa-encv ' ,
Architectural Testing ,inc.
Factory Mutual Research Coq>.
Factory ~utual ReSeMch Corp.
Factory Mutual Research Corp.
Factory Mutual R.esearch CorP.
Factory Mutual Research Corp~
Celote)t Corporation Testing
Services '
SOS U.S. Testing Company
IncoIP.brat~ '
I
'TABLE 3,
'P"-oouct, , '
, "Des~riptio~, '
, 3.23" l-ound ~valume Aiso
, s~eel pl~te ,
Polyethylene stress' pla,te
hisulatio~ and membrane
fastener ' ,
,Galvali.une AZ55 stress plate
11 U. I.] I. J
[, ,)/ u
Manufactul'er
DirneDsioDS (With Current
NOA)
'3.23" round' The Tru-Fast Corp.
" 3" ~ound ,'The Tru-Fa.st Corp.
Various ' " Versico, Inc.
'3" round Versico, Inc.,
Test Identitler ' ' D~J)tion ~
ATI-37490.01 AsTM'O 2137 7n/OO
3Z9A1.AM FMRC St~d8rd 4470 10/15/97
Approval Gu..idC Excerpt Win~ Uplift 5/00
Qassification Listings
Letter Wind Uplift 5/2100,
Classification
3006110 Class 4470 6/13/01
301'1220 , I 8/16101
ASTME 108
520257 PA 131-95 4/19/00
131248-R2 , ,ASTMD 1149 1/6/00
NOA No.t 03-0514.03 '
~piratioo Date: ~1I08'
Approval Date: 10108/03 .
P~ge 5 ofs
M U!!,. I. L V V, J; J't r IVI
:i r:i l I I ~
ApPROVED ASSEMBLIES
Membl"ane Type:
Deck Type 11:
: Deck De!icription,:
System Type C: ,
Single Ply"Thennqplastic; TPO, Reinforced'
Wood. Insulated
19/3')." Or greater plywood or 'wood plank
, ,
All.layers of insula don simuit3n~ously attaCh~d; membrane fully 'adhered. "
, ,
All General and' System'Li~tati.ons apply.
IV U. L 'j L J
Base Insulation Layer Ins~atioD Fqtenel's '.. J!'Bstener:
, (Table ~) " Density/W
One of. the following covered with the 'boards listed in Top Layer'or 'Base or Top Layer.
Extrnded PolystYrene, Energy-Lok, ACFo&.n:1-n : '" ',,' "
Minhnuml"thiek ',N1A "N/A
Perlite
Miuimum~" thick N1A ' N/A
Note: 'All layers shaD be'shnultaoeously fastened; see top layer belo~ ~or'fasteQers and density.
' Insulation 'panels listed are nt.iniInum sizes and dime11sioDS; if laq:er panels al"e used~ the number:
of fasteners shall b.e increased malntaining'the sa~ fastener density. Please ,1"efer to Roo~g
Application Slanda....d RAS 117 for insulation 8ttacbm~nL 'Singl~ 'ail~ multiple layen ot insulation
can be attached to ba~,layer with Carlisle'Syntec FAST Adhesive.
Base Or Top insulation Layer: ' ' lnsulation Fasteners " Fastenel"
, ' (Table 3) , ' ' Deosity/ft2
ENRGY -2, ENRGY -3~ PSI-2S, AC Foam n, Polyisocyanurate UP, UP- W, HP-H, HP-N '
Minimum 1.5" thick ' 1, 10, 11~ 140.. 17 ,
Minimum 2'~ thick. 1, 16,21,22 or 25 ' ,
~ Recovery
Minimum I" thick
1:2 ft2
1:4 ft2
1~5,7,10,11,14,16,2lor22', 1:2ft2'
Multi-Max FA, WlUTELINE, PYROX, AP, tJltraIM~Ii isO/glas "
Minimum 1.2" thick ': 1~ S, 7, 16, 10, 11, 14,21 or'22
ACFosm Cornpoaite, Rhon~ Composite, FeKO Fo~
Minimum IS" thlclc
'1,.S, '.16; 10,11,14,21 or 22
High Density Fiberboard
MiniIilum. W' thi~
, ISO 9~+GL, HF, Rhoflex GL. 'HF
Mlniniund.2" thick
Minimum 1.4" thick
5, 7, l~; '11,14,21 or 22
, 5,7o~16'
7,10,11,14,17,:21 or 2~
Structodeck
'Miniri1um 21:1' thick
10, ll'or 14
Wood Fiber '
Minimum 1" thick
1,5,7, 10, ~l, '14, 16, ~1., or ~
I
1:2 ff~
1:3 ft2
lI2.67 ft2
, 1:2 ft2
1:3 ft2 ,
1:2 t't2 , '
1:2 ffJ '
, NOA No.. O~0514.03
ExpinltiOD Date: 08131/08
Approval Date: 1010B103
Page6of8
r. U/O
t\ U 15, I . L V V , J ; J 't r IYI
," ....
~ I ~ l I I ~
11U. L"JLJ
Fiber B~e, Retro-Flt
Minimum W' thick"
" ','1
1:2 ft1
Top IDs~lation Layer Insulation Fasteners Fastener
, , ' , (Table 3). Deosity/ft2
Required over the iosulations listed tn Base Layer Or optional over any o{ ~e insuJations listed as
Base or Top Layer: : , " , "
HP Recovery (for use over all insulation. types) Fiber Base (for use Over palyisocyanurate,'gypsum or '
perlite) , ' " , " ',' , "
MinimWll V:l' thick 1 " 1:2 ftJ
Note: Insulation pallels listed are' miDnnmil ~es 'and dhnensi~; if large.. panels are used, the
Dumbet of fasten~rs shall be increased mai'!ltainiIig the,Same fa,stener density. Please refer, to
Roof'mg Application St8ndard ~S 117 foi' iD5u~Uon .ttacbn1ent. ", ' ',,'
Vapor Rctaxder:
(Optional) Any UL or FMRC'approved'~apor retlU'd~c'applied to the ~f deck or
oV~r a base layer of insul~ion.' ' '.. " , " , ",
JA... %".. W\ or 5/,a",gypSUJD.
Barrier:
Membrane:
Sure-Weld, 'SlJ{e-Weld 'HS 'or Sure-Weld GSD~' Reinforced, 45 ,or 60 mil
JTlembrane or Sure-Weld EXTRA,,72 or"80,mi~ membrane fully adhe...ed to the
insulatio~ uSing Sure-Weld Bondmg,Adhesive applied to the substrate at a rate of
1 gaV60 ft.:!. ' ,
Maximum Design
PJ:essure:
-45 psf (See qelle.-al Limitation'#7)
8
NOA No.; 03-0514.03
Expiration Date: 08131/08
Approval Date: 10108103
Page 7 of8
r. '10
/'lug. /, LVV( j:j'HIVI
,-...
srs (lie
No. L~n
~. tln
WOOD DECK SYSTEM 'LnviirATIONS: , , '
1 A slip sheet IS require<;! with' Ply 4 and Ply 6 when i1s~d as a mechanically, fastened base or 'anchor
sheet. ' , " " ,
GENERAL LIMITATIONS:
1. Fire classification is not part of this accclltance, refer to a.'c:urrent Approved Roofing Materials
Directory for fire ratings of this product. ' , " ,
2. In~ulation tnay be installed in nmltiple layers. The first layer shall be,attac~d in coIIipliance witp, '
Product Control Approval guidelines. All other layers sban be adhered in a full mopping of approved
asphalt applied within'the EVT'rang~ and at a iate of2040 IbsJS9', or ~hanical1y attached uSing
the fastening pattern of the top layer ' ' , , , ' " '
3, , All standard panel sizes' are' acceptable for mechanical auadunent. When applied in approved
asphalt. panel size shall be 4' x' 4' maximum. ." " , " ' ,
4. An overlay and/l?I" recovery board insulation panel is requir~ on aU applications oVer c~osed cell
foam insulations when the base sheet. is fully mopped. If no recovery bOard is us~ the base sheet
, shall be appH~ using spo~ mopping' witll approved asphal,t, 12", ~iil]n~ter Circles. 24" o.C.; or strip
mopped 8" ribbons in three rows, one at each.sidelap a~d,one down, the center of the sheet allOwing a
continuous area of ventilation: Encircling of the strips is not acceptable. A 6'~ break shall be placed
every 12'.in each ribbon to allow cro~s ventilatIon. Asphalt application of either system shall be at a
minimum rate of.121bs.lsq. :Note: Spot attached systems shall be limi~ to a ~ximuol design
presSure of -4S ps~. ' , ' , ' ,,'
S. Fastener spacing for insulation attachment is baseq on a Minimum Characteristic Force '(F~ value of '
2751bf., as tested in compliance with Testing Application Sta.J,uiard TAS 105; If the fastener vaiue,
as field-tested, are below 275 lbf., insulation auachri1ent shall noi: be acceptable. " , '
6. Fastener spacing for mechani~al atta(:hment of an<?horlbase sheer,of lllem~.-ane att;3-chmeut is based,
on a minimuni fastener resistance value in conj~ction with the maximum destgn value listed within
a specific system. Should the fasten~ resistance, be iesS',than that requi:i'ed, as deternuned by the ,
Building Official, a'revised fastener spaci~g, prepared, signed ~~ sealed' by a Florida Registered
Engineer, Architect, or Registered Roof Consultant may be submit~oo. Sirid revised fastener spaci,ng
shall utilize the withdrawal.resislance value taken from Testing ApPlicat,ion Stand~ds TAS 105 aild
calculations in compliance with Roofing ~pplication Standard RAS 117. ,
7. Perimeter and corner areas shall comply with the enhanced upllft p~ssure ,requirements of these
areas. Fastener ,densities shall 'be increased for both, in~ulation ahd base sheel as calcular:ed in
compliance wjth 'Roofing Appl~cation Standa1:d, RAS 117. (When ~'linU,tati.ob is specifically
referred within this NQA; Gen.eral Limitatiop #9 :will n.ot be illPplicabl~) , '
8. All attachment and sizing of peri~ter nailers, metal profile.. and/or flashing termination designs shall
, confonn with Roofing Application'Standard RAS 111 and applicable w41d lOAd req~men~8.
,9, The maxim~ designed pre~sure limitat;on listed shall be applicable 'to all roof pressure zOnes (i.e;
field, perimeters, and comers).' Neither r~ional analysis, nor exirapolati~n sh3:l1 be pemritted for ,
enhanced fastening at enhanced pressure zones (i.e. perimeter-l/, extended comers and corners).
(Whentbis limitation is specificaUy referred within this NOA, General Umi~tioD #7 will Dot be '
appU~able.) , ,
10. AU products listed herein 'shall have a quality assurance audit hi accordance with'the Florida Building
Code and Rule, 9B-72 of the Florida Administrative Code.' '
END OF TIllS ACCEPTANCJ3:
8
,~OA No.: 03-0514.03
ExpiJ:litioll Date: 08131/08
Appro:val Dam: 10/08/03
, Page 8 of8
071J8/2007 08:48 FAX
1410011002
I '"
I
I
.....
/,.~
~~y~
~
~~ ~~I 'lHe.
LiCOl13e /I CCC I 325505
ALL WORK SHALL COMPLY WITH ALL
PREVAILING CODES, FLOR1DABUILDrN:J
CODE, NATIONAL ELECTRJC rom; AND
OTYOFZEPHYRHaUo~m~c~s
Customer: Randolph A. Knight
Date: 7-16-07
Address: 38022 Medical Center Ave ZephyrhiIls, FL. 33540
REVIEW DATE ~ ~ J.~ -'C>}
CITY OF ZEPHYRHILLS
PLANS EXAMINER~
Contact Numbers: 782-5543 fax: 788-9342
Job Description:
Remove flat decking material on entire roof. Install 2" BPS foam cover board
over roof deck. Install TPO Carlisle roof directly over foam boards. TPO will be installed
under metal cap that is presently on roof All other edges will be fastened with Aluminum
turn bar system. Install (4) new SF A 2222 skylights on roof Price includes all materials,
labor and permits. AU debris will be removed from job site.
Extras: All wood work will be replaced at a cost of $55.00 per man hom plus the
cost of materials. 5 year labor warranty
Total Bid Price $7710.00
, This bccDmcs a binding COD1rllC~ upon acceptance of proposal. Purchaser acknowledges a COfIY of this contrll(:t,
1. All mablrild is 8\latftnteed to be IlS specified lQld completed in 11 subslBntiaJ wodanftlllike IDfWnCl',
Z. AlIlI8R'QJltClDlIi DOnliusanl upon ~1Ii~~. llooidllnlB or dalaya beyond our conlrol. Ownor 10 c.my tim, hurricano lU1d olhcr nCCCllIll1r)'
inYunmce upon above Wotk.
~. T..-bor wnnunly dlXltl nol DOVW damllllll fO roor:. ClIIullOd by Up.bti1l8. hutrionnll. 10T1IIId0. haibrtorm. impllO( of f01'llisn objoola or othlll'
violent stonn Or cs,UlIlty damage to roofs due 10 llCtt\cmmlt. distottion. Wilurc or crackill8 of roof ded(, wul!ll or fDWJdatiOll of a
bUjlding,
4, Workmen's compcll8alion and pUblio lillbility insurance 00. above work 10 be IIlkcn out by RYMAN ROOFING or ilB sub-
COI1!n1I)t<m;,
5, ItYMAN ROOFING. INC. i~ run RI,po1lllibla to provide. Dl\}' I1'IlllOtillls ot 10 perform lIny work othOl' Iblln whAt is dc:Yoribed lIbove,
Replnc!:mcnl of deteriorated decking. fiscia bootd (JJ' liIIy other additional materiolsJlobor that maybe needed lIDd is not desonbed
nbovQ will be ohorgclIl'lIlllIllC:1m unIIII9 othllfWial!l /IIut<<! heroin,
6, This oontraOI is aubjccllo final approval by RYMJ\N ROOFING, INC. snd is the entire fl8l'eemt:nt of the pan.ica and no other
written (If othor forms wlll ~ rooognizcd
7, A ohurgc 01' ],5'i will bo mllllo OD 011 unpuid bulunc... after 30 days plus charges inourred for non-paywcnt procoGuros,
This proposal maybe withdrawn. by Ryman Roofing ifnot acce ed in ( 30 ) Days
The above prices. specificlltion:; l\.IJd conditions are satisfactory: e h eby accepted, You are
authorized to do work as specified,
Date'
Signature:
Date:
Estimator:
Ryman Roofing. Inc, win not ~ held rosponBibh: for OIly Roptic bInlc. IJOd. .bmbbery, point, oonomo. pavmn""t. Ridowltlk. and
uncIccground piping ~se thllllD4Y OOCJlIr,
For your convenience we 8l:Cllpl Visa. Mula' CIlJ'd, American HxprBR~ 8mi Discover with 114% fcc,
37325 SR 54 · Zephyrhills, Florid.a33542 . Te.lc;poone: 813n82-6094 . Fax: 8I3n83-2645
07/26/2007 08:50 FAX
IaJ 002/002
NOTICE OF COMMENCEMENT
St.'e of - 'i;b r, r.( .. County of f N.(p,
THE UNDERSIGNED hereby give, notice that improvement wiU be made to certa; n real property,
and III ',ccordance w.th Chapter 713, FloCid, Stature" the fOllowing information is provided in
thiS NotIce of Commencement:
1. DeSCription of Property: Parcel No, ~S:.,ls:" d \ " 0=>";10 ,,~ -'t'Q.L
:", - p, " , '<f" "fl ~ 4 (..) s(." I \-~
(Legal description of the property aod street address if available) 0
2, General Description of improvement R..l
~
3, Owner Information: Name_RA-.1J..l p~ ~ I\{S Lt
Address Z; f 0;; ~ 1'1""; ",If\,). rj:i;Y 14" ~ '" L' UJ
Interest in Property: _
State -\L .J"3S-c!/o
lfl
Name of Fee Simple Titleholder:
(If other than Owner)
Address - _ City
Contractor: Name -:Z.., ffl,V ;('~~j'
Address -.3 73,j --! R. S-4 ~ City
Rcpt: 1123851 Rec: 10.00
OS: 0.00 IT: 0.00
08/22/07 Dpty Clerk
_ State
~
S::U-lto
5. Surety: Name
Address
Amount of Bond: $
-
J~~
Z-rL,rL'UJ State f[
City
State
JEO PITTMAN, PASCO COUNTY CLERK
08/22/07 01: 37pm 1 of 1
OR BK 7610 PG 201
6, Lender: Name
Address
City
Slate
7, Persons within the State of Florida designated by Owner upon whom nOlices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida StCltutes:
Name
_City
State
Address
8, In addition to himself, Owner designates
of to receive a copy of the Lienor's Notice as
provided in Section 713,13 (1) (b), Florida Statutes.
9, Exp,jl'ation elate of Notice of Commence nt (the expiration elate is I year from the date
of recording unless a different date is ecified,)
My Commission Expires:
PC930c;~n4RI.ll
, 20.Q.2.
,.. "' Signature of Owner:
...-.- ......'.. .---.:--.-. ..-. -~,..~~_....~:'~._._..._~-....._..__.._-". .~~'" -...
City of ZephyrlIills
BUILDING:PLAN REVIEW CO:rv.u.v.tENTS
. Date Received:
, ,
,
lvndj(4f~.
, B-zz-o 1 '
350 2-2.. 'I!f~ddcaj) C(),~<Le~
~. ~.~u,6kx
'ContractorlHomeowner:
Site:
Permit Type:
APProved wino ~~eIrts'
Approved withe below comnients: 0 Denied withe below comments: '0
-,
",
I
. I .
, r "
This coIDlllent sheet; shall be kept "With the permit and/or plans.
. . . I . .
I'
K.al .
, g ~;)3- D7
Date
Contractor and/or Homeowner
(RequiTed when comments are present)