HomeMy WebLinkAbout11-11941 CITY OF ZEPHYRHILLS ,;
5335 - 8TH STREET }-
, • (s13)�so-oozo 11941
� � BUILDING PERMIT
Permit Number: 11941 Address: 5316 8TH ST HISTORIC
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: 11-26-21-0010-15200-0190
Improv. Cost: 7,000.00
Date Issued: 6/02/2011 Name: SOMMERS, THERESA M.
Total Fees: 105.00 Address: 5316 8TH ST HISTORIC
Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/02/2011 Phone:
Work Desc: REROOF METAL PARTIAL (HISTORICAL APP PER BEV)
105.
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TAPE JOINT ROOF INSP
FINAL � " � I " � I
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 � 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 recordin your notice of commencement."
TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� � �r����
ZEPHYRHILLS HISTORIC PRESERVATION BOARD MINUTES
A Historic Preservation Board Meeting was held on Tuesday, May 31, 2011, in the
conference room at the Municipal Building at 5:00 P.M. Chairman Geiger called the meeting to
order at 5:00 p.m. as a quorum was present. Roll call was taken. Present were members
Jason Aiken, Bill Back, John Geiger, Marian Riopelle and Tracy Sullivan
1. Aaplication for a Historic District "Certificate of Appropriateness" submitted,bv Barbara Miller
and Ernest Peeales (File 8PA791) for propertv located at 5528 11�' Street i°
Staff verified that this home is a 1925 Craftsman architectural style and is a contributing
structure in the Historical District. Ryman Construction submitted pictures and samples of the
materiafs that are proposed to use as replacement for the old roof. Mr. Peeples was present to
answer the Board's questions (Barbara Mrller is his sister).
Mr. Back stated the Board is in the position that if there is not enough supporting
evidence in the pictures that that they can say one way or the other, the Board is stuck in the
middle. Chairman Geiger explained to the guests that the Board is charged with seeing that
changes made to the exterior of a contributing historic structure are consistent with the original
intent and to try and help maintain architectural accuracy and significance of that structure. Mr.
Back stated that if a house has a roof with 5-V metal, it should have a 5-V metal roof put back
on it but if the evidence that supports thaYs the roof that was on there is destroyed then the
Board cannot speculate. The Board does not know who the architect was and has no photos
showing when it was built and there has to be some exceptions to be able to permit shingles to
be installed.
Mr. Peeples stated that he can verify that this house has had shingles for at least 66
years since he has lived in it since he was 8 years old. Mr. Back stated there is nothing he
knows of to argue the point that it had shingles on it when it was built. Probably was either
shingles or asphalt roofing because that is the era when it started becoming popular.
Marian Riopelle moved to approve the Certificate of Appropriateness application for re-
roofing this structure with the 30-year dimensional shingles. Motion seconded by Jason Aiken.
Motion passed unanimously.
2. A lication for a Historic District "Certificate of A ro riateness° submitted b Eldon Mead
�Scott Blackman Roofinal for his propertv located at 5443 9"' Street lFile 8PA8591 ��
Staff verified that this home is a 1925 Neo Classical Revival architectural style and is a
contributing structure in the Historical District. Scott Blackman Roofing Company submitted
pictures and samples of the materials that are proposed to use as replacement for the old roof.
Mr. Mead was present to answer the Board's questions.
Mr. Mead has lived in this home for 33 years and stated that his house was built in 1926
and to his knowledge it has always had shingles on it because he personally re-roofed it in 1987
and when he started working he found 3 layers of shingles — no one had removed any of the
roofs (8 truckloads of shingles).
Bill Back stated similar to the previous case the board has lack of supporting
documentation to specify the exact roofing material that was on this structure originally so
following the precedent that has been set he moved to approve the Certificate of
Appropriateness as submitted. Seconded by Tracy Sullivan. Motion passed unanimously.
3. Application for a Historic District "Certificate of Appropriateness" submitted bv Theresa
Summer for her �ropertv located at 5316 8 Street (File 8PA889)
Staff verified that this structure is a 1910 Frame Vernacular architectural style and is a
contributing structure in the Historical District. It has a corrugated metal roof and the COA
�.
application request�to replace it with 5V Metal roofing. Mr. Back stated that it appears to him
that the 5V metal roof is appropriate for the age and architectural style of the structure. He is
not concerned with the change from what is existing on there, the corrugated to the 5V crimp
metal roof.
Bill Back moved to approve the application for Certificate of Appropriateness as
submitted with the 5V metal. Seconded by Marian Riopelle. Motion passed unanimously.
4. Application for a Historic District "Certificate of Appropriateness" submitted bv Scott and Lori
Myer for their propertv located at 5411 10th Street (File 8PA812) to do a oartial re roofina on
one of the additions to their home (existinq flat roof) and an addition to rear of house that would
be enlarcainp the addition to the oriqinal structure
The reviewed to plans and roofing materials that was submitted by the applicant. The
plans showed the present addition and what renovations that they are proposing. The subject
addition is non-conforming and not part of the original contributing structure. Mr. Back
suggested that when people are adding additions, they should submit a site plan so that the
Board can see how the structure fits on the property. Mr. Back also pointed out that the
improvements to the roof will actually enhance the appearance of the structure. He stated the it
is obviously such a low pitch roof that you cannot put metal on it anyway — it has to be some
kind of built-up roof.
The Board concurred with Mr. Back's recommendation: the window style should be
equal to or complimentary of the windows that were original architectural style in the house.
Bill Back moved to approve both Certificate of Appropriateness for Scott and Lori Myer
as submitted for the addition of the utility room and renovations to the existing family room and
include the upgrades to the flat or low pitch roof section with the previous notation regarding the
windows. Motion was seconded by Jason Aiken. Motion passed unanimously.
Jason also pointed that in Tallahassee there is a Department with Master Site Files that
they will share with City Planners. The files have the archeology info but also the Historical data
and the file numbers we have assigned for the Historical Preservation Survey Files identify the
properties. The Master of these files NAME is Charly Brown and the Department is called
"SHIPPO".
Meeting was adjoumed at 5:55 pm
_�
' REVISED AGENDA
HISTORIC PRESERVATION BOARD
TUESDAY, MAY 31, 2011
5:00 P.M.
City of Zephyrhills Conference Room
5335 Eighth Street
Zephyrhills, Florida 33542
Roll Call
Approval/Correction of Minutes — March 8, 2011 (Not available tonight)
1. Application for a Historic District "Certificate of Appropriateness" submitted by
Barbara Miller (File 8PA791) for property located at 5528 11 �' Street. The owner
is requesting to do a new roof.
2. Application for a Historic District "Certificate of Appropriateness" submitted by
Scott and Lori Myer for their property located at 5411 10th Street (File 8PA812)
to do a partial re-roofing on one of the additions to their home (existing flat roofl
and an addition to rear of house that is an addition to the original structure.
3. Application for a Historic District "Certificate of Ap�ropriateness" submitted by
Theresa Summer for her property located at 5316 8 Street (File 8PA889) to do
a partial metal re-roofing.
4. Application for a Historic District "Certificate of Appropriateness" submitted by
Eldon Mead (Scott Blackman Roofing) for his property located at 5443 9�' Street
(File 8PA859). The owner is requesting to do a new roof.
PLEASE NOTE: This is a public meeting. Should any interested party seek to appeal any
decision made by the Commission with respect to any matter considered at such meeting or
hearing, he will need to record of the proceedings, and for such purpose he may need to insure
that a verbatim record of the proceeding is made, which record included the testimony and
evidence upon which the appeal is to be based. F.S. 286.0105
TGKX.453 - Roof Deck Constructions http://database.ul.corrJcgi-bin/XYV/template/LISEXT/1 FRAME/showpag...
(�� _�ld.L1�lE CERTIFI'CATIdNS DIREGTaRY
TGKX.453
Roof Deck Constructions
Paoe Bottom
Design/System/Construction/Assembly Usage Disclaimer
• Authorities Having ]urisdictbn should be consulted in all cases as to the particular requirements covering the installation and use of UL Listed
or Classified products, equipment, system, devices, and materials.
• Authorities Having )urisdiction should be consulted before construction.
• Fire resistance assemblies and products are developed by the design submitter and have been investigated by UL for compliance with
applicable requirements. The published information cannot always address every construction nuance encountered in the field.
• When field issues arise, it is recommended the first contact for assistance be the technical service staff provided by the product
manufacturer noted for the design. Users of fire resistance assemblies are advised to consult the general Guide Information for each
product category and each group of assemblies. The Guide Information includes specifics concerning alternate materials and alternate
methads of construction.
• Only products which bear UL's Mark are considered as Classified, Listed, or Recognized.
Roof Deck Constructions r ;\�
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Constr�xtbn No. 453 �t���Q '�„���
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TGKX.453 - Roof Deck Constructions http://database.ul.comicgi-bin/XYV/template/L.ISEXT/1 FRAME/showpag..
' 1. Metal Roof Dedc Panels* — No. 26 MSG minimum coated steel. Maximum panel width 24 in. Rib height maximum 1/2
in. Pan�ls continuous over two or more spans. A bead of sealant may be used at panel sidelaps.
ALL-'�5TEEL BI�IL�#?INGi�t:&
TUB[II:AIt�DIVI�IOI�f'3N� fUiew -1� [�^atinn] — "SV-Crimp"
AMERICAN BUILDING COMPONENTS (Vi w-la if a ionl —"SV Crimp"
AMERICAN CONSTRUCTION METALS (V' w-la cifi a ion) —"SV Crimp"
BUILDING COMPONENTS INC (View Clas�ification) —"5-V Panel"
CENTRAL TEXAS METAL ROLLFORMING INC fVi w la �if a ionl —"5-VEE PANEL"
COASTAL METAL SERVICE (View la if a ionl —"SV"
DREXEL METALS CORP (V' w-la if a ionl —"DMC 5-V"
FABRAL INC jV' w la� if a ionl —"5V Crimp"
MARLYN METALS INC (Vi w.la ifi a ionl —"SV CRIMP"
MBCI (Vi w la if a ionl —"SV Crimp"
MCELROY METAL MILL INC (View Giasc��ation] —"5V-Crimp".
METAL SALES MFG CORP (View Classificatan) —"5V Crimp"
NCI BUILDING SYSTEMS L P Niew la sif a ionl —"5V Crimp"
BERRIDGE MFG CO (View las ifi a ion] —"DOUble-Rib Panel"
2 Fasteners —(Screws) — For panel attachment to wood deck (Item 3), fasteners to be #14-10 x i-1/2 in. Type A,
Hex-head with separate 5/8 in. OD steel washer and a bonded neoprene washer or 9-15 x 1-1/2 in. longlife or #1 x 1-1/2
in. Woodmac with sealing washer. Fastener spacing is as folbws: a line of fasteners is to be installed, beginning from the
center of the double V at the sidlap in 2-9-2-9 in. pattem for a total of four fasteners across the width of the panel. This
fastener spacing to be 3 feet on center along the length of the panel is 3 feet on center.
For attachment of plywood deck (Item 3) to joists (Item 5), fasteners to be minimum No. 6x1-7/8 in. bugle head screw or
annular ring-shank nails. Spacing to be 6 in. OC at plywood edges and 12 in. OC at intermediate supports.
When light gauge structural steel joists are used, fasteners to be No. 12x1-5/8 in. long with a Phillips head.
3. Substructure —(Pywood) — plywood decking to be a nom 5/8 in. thkk, exposure sheathing span C-D, 40/20
PNWOOd. All butt joints to be sealed against leakage by using tape and/or caulk or with one-part urethane sealant.
4. Moisture Barrier —(Optional) Any suitable membrane to protect substructure (Item 3).
5. ]oists — Joists spaced at 2 ft, 0 in. OC; may be one of the folbwing:
A. Nom 2 by 6 in. or 2 by 10 in. wood joists No. 2 or better.
B. Nom 2 by 4 in. wood when used on a top cord of a wood truss, No. 2 or better.
C. Light gauge structurel steel framing with the member against the plywood to be a minimum No.
22 MSG coated steel.
Refer to General Information, Roof Deck Construction, (Roofing Materials and Systems Directory)
for Items Not Evaluated.
*Bearing the UL Classiflcation Mark
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TGKX.453 - Roof Deck Constructions http://database.ul.comicgi-bin/X1'V/template/LISEXT/ 1 FRAME/showpag..
Last�Uodated on 2009-05-17
Ouestans? Not' of Dis laim r ��
c_oovrioht n 2009 Unden� ' Prs �bora ori s In p
The appearance of a company's name or product in this database does not in itself assure that products so identified have been manufactured
under UL's Follow-Up Service. Only those products bearing the UL Mark should be considered to be Listed and covered under UL's Folbw-Up
Service. Always look for the Mark on the product.
UL permits the reproduction of the material contained in the Online Cert�catbn Directory subject to the following conditions: 1. The Guide
Information, Designs and/or Listings (flles) must be presented in their entirety and in a non-misleading manner, without any manipulation of the data
(or drawings). 2. The statement "Reprinted from the Online Certifications Directory with permission from Underwriters Laboratories Inc." must
appear adjacent to the extracted material. In addition, the reprinted material must include a copyright notice in the following format: "Copyright �O
2009 Underwriters Labo2tories Inc.p"
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' 2011066913
Rcpt:1368335 R�e: 10.00
D5: 8.00 IT: 0.00
-• '0S/03/11 C. Cook, Dpty Cle�k
PRULp 5 0'NEIL�Ph D Pq5C0 CLERK L COMPTROLLER
esiesiii a: 1 ,r 1
OR BK ���� PG 2'14'Z
NOTICE OF COMMENCEMENT
Permit No.
�
Property Identification No. 11-26-21-0010-15200-0190 /
— /
.�
THE UNDERSIGNED hereby gives notice that improvemenu 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 r�1MMEN['F.MFtvT .-
CITY OF 2EPHYRHILLS
I Description of property (lega! descripdon :) PB 1 PG 54
a) StrcetAddress: 6 �� „ 51 ' LOT 19 BLOCK 152
— ZEPHYRHILLS FL 33542-4309
2. General descrip[ion improvements: — OR 3652 PG 1832
�Yn,c �2t�rvu� - - r-- --- ---°--
3. Owner Information �
a) Name and address: i Mailing Address
b) Name and address of fee simple titleholder (if other than owna) � SOMMERS THERESA M
5316 8TH ST
c) [nterest in property ZEPHYRHILLS FL 33542-4309
4 Contractor Information
a) Name and address: `� � a.[�e.r SG �-� � CT4 I\��U ( Z.e,Q�'ly � hi � 1S 1�
b) Telephone No.: S 13 149 2 cY� Zo Fax No. (Opt.)
5. Surety Information '�
a) Name and address• .]3u,�.� � o� 1 ZZ � o �g �,,,� .�, n � ��,� F � R 1
6) Amount of Bond: � pf'>p
c) Tetephone No. '�5 a�t 'l -�.-� o Fa�c No. (Opt J
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 thc 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 expiretion date is one year from the date of recording unless e different date is
Specified):
WARNINC TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATIOIY 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
1NSPECTION. IF YOU INTEND TO OBTAIN FINANCIIVG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �
STATE OF FLORIDA
COUNTY OF PASCO _ OLa.L.�= _ �/�
Si�ature of Owner or Owner's Authori�ed OflicedD'¢ectodPartnedManager
� �(1� �!' C� G � O'M M�.S � W Y
Print Narne Q z Lj � f1'.
The foregoing instrument was aclrnowledged before me this '�_ day of �� i 1 , 2011 , by ���,��y or+trt E� o C�J S LL �� J U
, as (type of au ority, e.g. officer, trustee, attomey � z U� F- O ?
in fact) for (name of party on behalf of whom in ment was executed). � O p= Q N� I _. �
Pasonally Known �R Produced Identification _ Notary Signature ���W Z� �- ���
r ,� µ .;i;.,, SU2ANNE DOUGLA&AILEN
7° � ~ � Q �
= F, � L Notary PubRc - Stale of FloriGa F! W V- � C�
Type of Identification Produced Name (print) _ .. _� O O� oo _��
Cammission / DD71t319 , S
,��4;��. 9°nded7ArwOhNalloiWNohiYAan. � h- a' � � ��'
Verification pursuant to SeCtion 92.525, Florida Statutes. Under penalties af perju , d that U a O
the facts stated in it are true to the best of my knowlcdge and belief. .�� a I �� j Q J
Q �i ��Ump �
`��x-,�uP^ �` °rc+.�'u-`�'� v� � � � a Z o � �
Signature of Natunl Person Signing Above O � a �- W -
FORMS�NOC.N6O2007 -� w O p n Z
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09/O1/20I0 10:50 PAX —
,���� ���., �00��1'I�, �11Cr
�toofing CotitraCt co�tinuec� . . .
Schaper Rnofine CDmmitment to Q�xal�tV
.AIJ �vork shafl be carufiilly sup •iyiscd a�c� comp)ctecl by warkmen sk�llad ar,d knuwledgeaAle in :i�cthods needed ro procl�ie� lug',i
quahty �vor�.
co:npletion. . .
�-'I'hC yai d shall he swept �vith a ma�enc�
•'1'hc con:rac�or shall provide pernut, �{orlcmazi eompensation, und gtnei�at tiabiliry insurance.
•Car��cncr)�, anthorized cl�tmgo ( r�lers and work, wh�ch arc n��[ eo��ered und�r th� xcopc of �.vOtk oudu�ed ller�in, shall bc p�:rJ'ormed on
o t:mc aud material basis un]css Othet�vtsc agreed upon.
111�V�(JFACTURER & CONTR.ACT012.'WARRAt�T`�' (S)
U�on conlplctian of the wor}, and p3ym.enl of a�l monies oavcd, Contraetor s17a11 issue:
;� -�- year �vartanry for �v��°kmansh�p limitcd to l�aks cAUSed by �ny �otTlpOnCnt inSi&�� b_y thC ca�tu•act�r
COi�TRACT PRICING
"1'otal agreed ttipon ��ric e, labor and matet�ial . . . . .. . . . . . . . . . . . . . . . . .. . . . . . ..� 700U.OU
Ter�i�s '-� do�vn (�3500.O�1j % due (51750,00) due 30 days after comptecion; bslance oi $1750 due 60 days from
Co,ry�letion. _ Pr�cc vfll�d for thirry (30) days.
Col[ect�on eosts if'any, toge;k:er �nth �nccrest shall be ac+ded ro ti eo,�n�actiprice ii paymenf defa�:lt oeeurs. Canecilation
ol'the corttract afcer the 7?�l,our brace per�od shall �ncur a numinai fee.
Doug No�� _ L�nre i\ukusL?� 3UlU
Schaper Ro�>Iing. InC Renrescntati've
1 sccept tha abo�c�e yricc z,nd ze��ns; vou ac•e autharizcd to be�in wo�k.
SiKned '��t..��— � Date August 26 Z010
Si�ncd
Summers, Th<r��n .\ugus� 26 2J U A1ct3l Roof Conn'scGdocx
Pcgc 2 of2
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Wd90�? OIOZ �l �aas
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�� �� �C�.� ��E Roofin in
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, 8949 Gall�6oule�ard, Zephyrh�ils, Ff 335d1
FH. (813) 7$2-092C &(3S2) 567-$�80 Fax �si�� �� s-48�s
S7ATE CI RiiFt�D 6UII,pING AND ROOFINv GON7RACTOk #�CB-0O59817 �rd #CC-CGS813a
$ERVING �LORIDA FINEST HpMES & BUSM�SSES SfNCE 7976 WWW.SChap@rCOflSfl'UCfIOi1.GOfl'1
ROO�'YNG CONTRACT
1YAme Ti�cresa Son�mcrs
�^' _ Date Au ust 25 2010
Address 5316 8`�' Sirc�et
�"'� Alt Pha�e
City --Z��h�hills St�,te �l �
...� _ Zlp
P.lrcel # --�--
Supply labor, mQterfzl5, and supel su needed tn;
��'1AY�T .[ZOOF ON" lIOVTE ON.L'Y'.
. 12enzore exis�in SV �»vial roof and haul awQ and di ose.
Checic roaf fdr bad �vot�d anci replace a!! b�d vcrood n$ needed at the Time and Materia] razc of $38.00 per man
huur witl� A material .mt.rk-ti oi 2�% contzactor`s fee
Replacc witIi new SV _'.�5 gauge lo��v profi(e a�,rp egated galvauized n�ctal, �pproxi�nately 1 S00 squar� C f� eet ta
, tta��ufactw�er's �uicicl�r.cs and specif�c&[ions. Cristall tvx screws in �1l metai
, lt�stali flat rid#?e ca ,
Rcp f;l5cta on SOL1C11 �,nel lioith enci ofllollse onl , M
�if�Cirne scrc�vs. _ —._. ._ . _
COnCracEOC'S 1;.� �Varrant �—�'ive- Yeaas ``^'�—
f�tanufacnirer'S W�rrant� - T�vel�t -�'�ve - Y e�rs
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Somnx;rs, Thcresa Au�yi 2G Zp� � p�ictal Roof'Co�lrac�.tlocx �
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''"�� Sent via email
June 16, 2009
Subject: Third Party Inspection for Products Inspected Under Florida Quality Assurance
Our Reference� UL File R21629, Volume 1QA
Expiration� June 16, 2012
Dear Mr Dryden�
This letter is to confirm that All Steel Buildings has an agreement with Underwriters Laboratories to
conduct audits at your plant to verify Florida Quality Assurance requirements at the location.
ALL STEEL BUILDINGS & COMPONENTS TUBULAR DIVISION INC
10159USHWY41S
GIBSONTON FL 33534
Quality Control System and Products to be inspected for compliance with manufacturer's quality
documentation, and Florida Product Approval Reports FL-12713.1 through FL-12713.11 and FL-12575 1
A minimum of (2} inspections per year will be conducted.
If you have any questions, please call me at 314-578-3406.
Sincerely,
UNDERWRITERS LABORATORIES
,, - - ,, /
� �- i�tZ[, f.!t-;t rG�6�C.at.
iJ '
J Kay Chancellor
ICC-ES, FL QA, Commercial
Inspection Service Coordinator
Phone� 314-578-3406
Fax: 847-513-7760
Email. k.chancellor@us.ul com
, . •.� „
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department �L
cre� �y'
Date Receiva� ' Phone Contact for Permitting Z Z __ � `f �
Owner's Name �(' �- ( ' n M Owner Phot'fe Number
Owner's Address �� �� ��� �� Owner Phone Number
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS J � S �' � � �� � � � LO # C�
SUBDIVISION - PARCEL ID# � I Z. (o Z � l� � c j� �j � �j L>
(OBTAINED FROM PROPERTY TAX NOTIC
WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN � Q OEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL O
DESCRIPTION OF WORK m� � �� ��� t � G� �
BUILDING SIZE �_ SQ FOOTAGE�� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�Q
.
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
OPLUMBING �� ' � �
��
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI� � �
�GAS � ROOFING Q SPECIALTY � OTHER 1�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO�
, �_'1..
BUILDER `� � COMPANY CJ�- ` �-�C1� �'�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address ' License # 1 �J �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address Llcense #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y N
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Perm(t for new constructlon,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans / Silt Fence installed,
Sanita3ry Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for ew construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans / Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new proJects. All commercial requirements must mee 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 Attomey (for the owner) would be someone with notarized letter from owner authorizin same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DE RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions'`
which ri?ay be tri e restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed r sfrictions.
UNLICENSED NTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to un ertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not icensed 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, th y are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furtherm re, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the " ntractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that y be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTAT N IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportati Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing b Idings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amend d. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is f rther understood that Transportation Impact Fees and Resource Recovery Fees must be paid "prior to
receiving a"certi ate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power relea , the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, the must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTID LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, th applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide prepared by the Florida Department of Agricuiture and Consumer Affairs. If the applicant is someone
other than the "o ner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "o ner" prior to commencement.
CONTRACTOR' OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in c pliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to btain 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, Co ty and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I unde tand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Depa ment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Land Water/Wastewater Treatment.
- Sout est Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Wate ourses.
- Army orps of Engineers-Seawalls, Docks, Navigable Waterways.
- Depa ment of Health 8� Rehabilitative Services/Envi�onmental Health Unit-Welis, Wastewater Treatment,
Septi Tanks.
- US E ironmental Protection Agency-Asbestos abatement.
Fede I Aviation Authority-Runways.
I understand that e following restrictions apply to the use of fill:
- Use o fill is not altowed in Flood Zone "V" unless expressly permitted.
- If the fill material is to be used in F�ood Zone "A", it is understood that a drainage plan addressing a
"com nsating volume" will be submitted at time of permitting which is prepared by a professional enginee�
licens d by the State of Florida.
- If the ill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
const ction, I certify that fill will be used only to fill the area within the stem wall.
- If fill aterial is to be used in any area, I certify that use of such fill will not adversely affect adjacent
prope ies. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the c ditions of the building permit issued under the attached permit application, for lots less than one (1)
acre ich are elevated by fill, an engineered drainage plan is required.
If I am the AGEN FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior commencing construction. I understand that a separate permit may be required for electrical work,
ptumbing, signs, ells, pools, air conditioning, gas, or other installations not specificaily included in the application. A
permit issued shal be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any prov ions of the technicai codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correct n of errors in plans, construction or violations of any codes. Every permit issued shalt become invalid
unless the work a thorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is susp ded 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 fo the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO O NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUR
PAYING TWICE F R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN E OR AN ATTORNEY BEFORE RECORDING OUR OTICE OF C MMENCEMENT.
FLORIDA JURAT (F.S. 1 .
OWNER OR AGENT • ' CONTRACTOR �'
Subscribed and sworn irme ) before me this Subscribed and swom o affirmed) ore me this
by bY
Who is/are personally k own to me or has/have produced Who is/are personally knovm to me or has/have produced
as Identlfication. as fdentlficatlon.
, _ . ....�< = ... . ..
Notary Public
Commisslon No. ,������� SUZANNE DOUGLAS-ALLEN ,11 , ,'
o • Commisslon No. �,� � SUZANNE DOUGLAS-ALLEN
'� `��} � c .= My Commission Expires Oct25, 2011 ;��* �,<<;-� Notary ub ic - tate o orida
2. * *.: M Commission Ex ires Oct 25, 2011
Name of Not �- d or� Name of Nota S�
�'�;;;�F�„� , O� BondedThroughNatlonalNotaryAssn• rY �"�, a �T r�Deti�ission # D0714319
' or ,��,,,�,,,�,,,,�.� '''�+°;;;°`'� BondedThroughNaUonalNotaryAssn.
:�"��" � ���.
CITY OF / / / / BUILDIN�
ZEPHYRHILL,S DEPARTMENT
OF ADDITION OR CORRECTION
�• • - •
ADDRESS DATE PERMIT f
� f � �/ � �
��� l� �T � � � , !� i - .:�� � J�
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
. ,
�ti�tk�I�— ''�,�_� �� �,;a ` i �`�� f_ �,\� ii:� ;;�I�,.`� � �)'���L' ��i�
��-��, i 1-�y�� Y� Y-��" k�-K � (��� ►�i=-�� '� � � i_< f �. _
� 1 \ ��. �� � d� � � t� / \ � � � P I � y + -� � ~ �, �� \ `� T 'N� '��' �`' "i ' - i � _ �
r � �� • �
' ) � '-;� • % ' `
�t is unlaw�ul tor any Carpenter, Contractor, Bui�der, or other persons, to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered, any part of the work with flooring, lath, earth 780-0020 FOR RE-INSPECTION
or other material, until the proper inspector has had ample time to approve
the installation. /,'
OFFICE HOURS 7:30 AM - 5 PM MON.-FRI. INSPECTOR _��L j� :-%� ��
CITY OF ZEPHYRHILLS r'
5335 - 61Tf STfiCGT
(613)780-0020 1 1 a4,.�
• BUIL�IN6 PERMIT
sren urr� r= Addr+�ss:
P�rmlt Typ�: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPI.ACEMENT Townahlp: Rany�: Book:
Propos�d Us�: NOT APPLICABLE Lot(s): dlocic: S�cl�on:
Squaer F��t: Subdlvtsion: CITY OF 2EPHYRHILLS
Est. Va�as�= Paro�l Nu�b�r_ '1 'I-26-2'1-0O� O-'15200-0190
Improv_ Cost: 7,000.00
�als Issusd: 6/02/2011 N�
Tota1 FMS: �05.00 Addr�ss: 53�6 8TH ST HISTORIC
Arnourrt Paid: �OS.00 ZEPHYRHILLS, FL. 33542
�at� Pa�d: 6/0220� � PAOn�:
or
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NOTiCE: In addltlon to th� nequlraR�ar� of llds p�mnit. !l�re may be additlo�al nasLictlons appllmbl� bo thla ProPQrtY that
may ba found In !he Pub11c r000rds af this aounq, and tl�er� may be addltlonal parmlts naqulrod f►oni otlxr yov�nmental
�ntltl�s s�xJ� as waEer rt�ana9�r�ar�. stsOS ay�ncYes or f�aderal agencl�s.
Ths R� of in f�a6S Shall be mada bef�or� a Rartfxr tml� wlll bC issued to tJK ownl sanx
" aen es� tio ow�r: our ur+� to a oT aom�ncem�n! m�y r�u n Y'o�+� �p fbr
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b�fbr� eaee�dl r notlo� oT oomm�r�o�n�r�l."
OR SIGNATURE PERMIT OFFI R
PlRM1T E7CPIRES IN 6 MONTMS WITHOIJT APPROVl� INSPEGTZON
CALL rOR ZNSPltTION - 8 I-IOUR NOTICE REQUIRE�
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