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HomeMy WebLinkAbout09-9564 CITY OF ZEPHYRHILLS (/ 5335 - 8TH STREET (813)780 -0020 9564 BUILDING PERMIT Permit Number: 9564 Address: 39108 PARK DR Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 8,850.00 ... P- ¢ -;`; .... . Date Issued: 9/21/2009 Name: KUMMER, MR Total Fees: 75.00 Address: 39108 PARK ST Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/21/2009 Phone: Work Desc: RE -ROOF WITH SHINGLES VAN AL I BUILDER IN RE 1:2•0 R ID NTIAL 75.00 d a 20" 09 1 DRY IN P TAPE JOINTS ROOF INSP FINAL p- 'to -09 REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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." Al 44/ � CONTRAC OR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES 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 Fax- 813 -780 -0021 Building Department Date Received Jr — - n Phone Contact for Permitting -- A'' A - - Owner's Name 1 1,1,4 t IL L GLl�!l6fiJ /' . Owner Phone Number riffirM » Owner's Address 656; $ �X� s k h If 1 , 7 s / 4if ' O Owner Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address / ,,+ �J [- JOB ADDRESS J / l C am' l t'c'._ (-K / zc'%J 4 Z / / /s FL J C/ D LOT # SUBDIVISION Z � /✓ Tc. 4 J / ,� % 2-c' 6 PARCEL ID# / �' -, *C� Oe7; - -GY3,� 0 6//r a 4'6 J A PG 5-7-2 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT JJ SIGN 1 1 MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR 1 1 COMM I I OTHER I l -f, tl 1 TYPE OF CONSTRUCTION 1 1 BLOCK 1 I FRAME I I STEEL 11 OTH& 1 1 DESCRIPTION OF WORK / G'6 c. L9 II lie 51/ <= J / 7 BUILDING SIZE SQ FOOTAGE HEIGHT I `. BUILDI G „D--/ 141C) $ x,56) VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ r i 5 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 9 I I GAS 1 1 ROOFING 1 I SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES 1 INO BUILDER COMPANY /4.1.E SIGNATURE / � /� � RE ' � GISTERED I Y/ N I FEE CURRENT I t Y/ N I Address L5 /f1! / /C. __7-1 / /(/e' 4 •`f t G- 3t5;15 License# ( -c 13,387 ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I 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 (3) 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 $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 (Plot/Survey /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 requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: 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 "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 "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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YO - NOTICE 0 _ COMM NCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR 41 A...//if/ v+% /s►1� Subscribed and sworn to (or affirmed) before me this cn ed and swom#o (or . rmed) before e + rs by f O `� by 1 / Who is /are personally known to me or has/have produced p /are,prsonally kno o me or has /have produced as identification. 1' L 'L. I-- as identification. Notary ublic (,( 016//41--' Notary Public ry Commission No. Co sio No. rr MIDDLETON Name of Notary typed, printed or stamped Name of Notary typed, printed or s ro eta or } ioria 3d a 4rl# 0[)626431 ;rs;,a tsa p3,2C11 11111111111111111111111111111111111111111111111111111111 111( ,_- 2009133454 NOTICE OYCOMMENCEMENT Rcpt:1264502 Rec: 10.00 Permit No. DS: 0.00 IT : 0.00 09/21/09 Dpty Clerk Property Identification No. `(9-- o2/ '—QQ 3Q J - 0. ©6 TIC UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. NCEMENT. 1.Description of property (1e al descr' lion:� .Z ` 6 Jo / • -d - "( 6 p�� a) Street Address: j ' /� /`ci. ( '. / r Z ez j el yr ,q, • Si 3 359 2 /7 re description of improvements: P >,,..7lvi° 3.0wner Information / a) Name and address: ��, / // G ,1447 X Gr- 111P11 'e /' if �. .315© v-i 17 A'..5 '. �1 /1� b) Name and address of fee,$implee titleholder (if other than owner) g/ c) Interest in property CC /,1 9 it e /- _ j irt ntractor Information / • / a) Name and address: N % ` 1,4e . / ! 1/ e .37�/, / r- / . -/ j?3 b) Telephone No.: — Aurgker -. Fax No. (Opt.) — ' _ — 5.Surety Information a) Name and address: b) Amount of Bond: PAULA S. O' NE I L , PASCO CLERK & COMPTROLLER c) Telephone No.: Fax No. (Opt.) 09/ / 09 81 114 1 PG 051 71 6.Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: 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 as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: , b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): • WARNING TO OWNER: ANY PAYMENTS MADE BY '11:1I; OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CO ' SULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF1 OMMEN 1 NT. STATE OF FLORIDA / _ COUNTY OF PASCO �, — .1 � Signature of 0,• .er or Owner's Au P. • r.7 /Direct r 'T r/Manager 1 r2 etc. Vc c. 46 l."-- Print Name pe fore of 1: instrument was acknowledged before me this c2 1 day of 20 C� / re, A L Y u I� �L.. �/ , by as (type of authority, e.g. officer, trustee, attorney in fact) for . T ' n tar _far_,_,;„, , (name of party on behalf of whom instrument was executed). • Personally Known OR Produced Identification ✓ Notary Signature ii au o `C i — Type of Identification Produced EL ><.JG -----' Name (print) \ y' 0 di C /Y ( ?v3 - 1 Verification pursuant • - ' ° , r , • , er penalties erjury, I de lare that I have read the foregoing and that the facts stated in it . trot h best of i '�je an • belief. • It; '� R ' :'h' i c, State of Florida / 4-- C, r s ion #DD626431 4 6 .,,e, GI. SAS 4 i'Ay eCM.V. expires January 3, 2011 Signature of . Person Signin "— ..vc FORMS/NOC,rvsd2007 .,r:: Florida Building Code Online Page 1 of 3 , l' - ‘ ,, ,.... 1 . "x '""r ..,=::i...; a 't A X ceps 4 { �` r a .. �s 7ti Jd$? a . ,. . ... .. �«w:i` Y 3 ° ms s / . _r _ , BCI , Mom Lop In User Registration Hot Topics Submk Surdrarge Stilts & Facts Publications FBC Staff BQS Site Map Links Search w A µ Product Approval USER: Public User r t. I Community c k 1 . Affairs ' Product Ap Menu > Product or Application Search > Application List > Ap ,L..UOn Detail ors f FL1956 -R2 Y = Fl. # "'mli*, s ; Application Type Revision i < Code Version 2007 , . .. i Application Status Approved h`v : Comments 'F: �e � —.4 Archived Product Manufacturer TAMKO Building Products, Inc. Address/Phone/Emall PO Box 1404 Joplin, MO 64802 (417) 624 -6644 Ext 2305 kerri_edenOtamko.com Authorized Signature Kerri Eden kmi Technical Representative Kerri Eden Address/Phone/Email PO Box 1404 Joplin, MO 64802 (417) 624-6644 Ext 2305 kern edenOtamko.com Quality Assurance Representative Address/Phone/Emall Category Roofing Subcategory Asphalt Shingles Compliance Method Certification Mark or Listing Certification Agency Underwriters Laboratories Inc. Validated By Robert J. M. Nieminen, PE Validation Checklist - Hardcopy Received Referenced Standard and Year (of Standard) standard Year ASTM 03161 2003 ASTM D3462 2004 ASTM D7158 2005 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A http : / /www.floridabuilding.org/pr /pr app dtl. aspx ?param= wGEVXQwtDgs %2finGFoyT6... 9/21/2009 Florida Building Code Online Page 2 of 3 Date Submitted 08/07/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/11/2008 Date Approved 12/10/2008 Summary of Products I FL # 'Model, Number or Name Description 1956.1 Elite pass -Seal AR A three tab asphalt shingle. Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1956 R2 C CAC Tamko shinoles.odf Approved for use outside HVHZ: Yes FL1956R2 C CAC Tamko Service Conf FL 1956.pdf Impact Resistant: N/A Quality Assurance Contract Expiration Date Design Pressure: N/A 07/16/2010 Other: Asphalt shingles shall be used only on roof Installation Instructions slopes of 2:12 or greater. FL1956 R2 II GlassSeal EliteApp.pdf FL1956 R2 II GS GSElite F.pdf Verified By: Robert Nleminen 59166 Created by Independent Third Party: No Evaluation Reports Created by Independent Third Party: 1956.2 Glass -Seal AR A 3 tab asphalt shingle. Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL1956 R2 C CACTamkk shingles.pdf Approved for use outside HVHZ: Yes FL1956 R2 C CAC Tamko Service Conf FL 1956.pdf Impact Resistant N/A Quality Assurance Contract Expiration Date Design Pressure: N/A 07/16/2010 Other: Asphalt shingles shall be used only on roof Installation Instructions slopes of 2:12 or greater. FL1956 R21I GiassSeal Verified By: Robert Nieminen PE 59166 Created by Independent Third Party: No Evaluation Reports Created by Independent Third Party: 1956.3 'Heritage 30 AR ) A dimensional asphalt shingle. Limits of Use - J Certification Agency Certificate Approved for use In. HVHZ N - -�� "' FL1956 R2 C CAC Tamko shingles.pdf Approved for use outside HVHZ: Yes FL1956 R2 C CAC Tamko Service Conf FL_1956..pdf Impact Resistant: N/A Quality Assurance Contract Expiration Date Design Pressure: N/A 07/16/2010 i Other: Asphalt shingles shall be used only on roof Installation Instructions slopes of 2:12 or greater. FL1956 R2 II hert 30 app inst.pdf FL1956 R2 II_hert 3 app instl p�If Verified By: Robert Nieminen PE 59166 Created by Independent Third Party: No Evaluation Reports Created by Independent Third Party: 1956.4 'Heritage 50 AR A dimensional asphalt shingle. Limits of Use Certification Agency Certificate Approved for use in HVHZ: No F11956 R2 C CAC Tamko shingles.pdf Approved for use outside HVHZ: Yes FL1956 R2 C CAC Tamko Service Conf FL 1956.pdf Impact Resistant: N/A Quality Assurance Contract Expiration Date Design Pressure: N/A 07/16/2010 Other: Asphalt shingles shall be used only on roof Installation Instructions .lopes of 2:12 or greater. FL-.1956 R2 II 50 app_inst.pdf FL1956 R2 II 50 app inst f.pdf Verified By: Robert Nieminen PE 59166 Created by Independent Third Party: No Evaluation Reports Created by Independent Third Party: 1956.5 'Heritage XL AR A dimensional asphalt shingle. Limits of Use Certification Agcy Certificate Approved for use in HVHZ: No FL1956 R2 C CAC Tamko shingles.pdf Approved for use outside HVHZ: Yes FL1956 R2 C CAC Tamko Service Conf FL 1956.pdf Impact Resistant: N/A Quality Assurance Contract Expiration Date Design Pressure: N/A 07/16/2010 Other: Asphalt shingles shall be used only on roof Installation Instructions slopes of 2:12 or greater. FL1956 R2 II hert iinst.pdf FL1956 R2 II xl app inst f.pdf Verified By: Robert Nleminen PE 59166 Created by Independent Third Party: No Evaluation Reports I n d e p e n d e n t bv ty: http : / /www.floridabuilding.org/pr /pr app dtl. aspx ?parem= wGEVXQwtDgs%2fmGFoyT6... 9/21/2009