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Home My WebLink About12-13127 CITY OF ZEPHYRHILLS � 5335-8TH STREET ' � (si3)�so-oozo 13127 BUILDING PERMIT Permit Number: 13127 Address: 37544 GILL AVE LOT 273 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0170-00000-2730 Improv. Cost: 8,780.00 Date Issued: 6/01/2012 Name: OI, PAUL KEITH & NORMA JEAN Total Fees: 120.00 Address: 37544 GILL AVE LOT 273 Amount Paid: 120.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/01/2012 Phone: (813)779-1356 Work Desc: REROOF RUBBER MH ) � . �� - � ;e.�-�� '�� TAPE JOINTS OF INSP FINAL ��O �L 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 properly 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 nagement, state agencies or federal agencies. "Warning to owner: Your failure to a notice of commencement may result in your paying twice for improvements to your prope f you intend to obtain financing,consult with your lender or an attorney before reoording your notice of commencement." Complete ans,S tions Must Acwmpany Application.All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R 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 Phone Contact for Permittin -- Owner's Name Q � Owner Phone Number Owner's Address �� Owner Phone Number � ' CFee Simpie Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE� WORK PROPOSED B NEW CONSTR B ADDlALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q RAME Q STEEL Q DESCRIPTION OF WORK �— BUILDING SIZE � SQ FOOTAGE� HEIGHT ] QBUILDING $ � ALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS ROOFING Q SPECIALTY � OTHER FINISHED FLOOR EI.EVATIONS �� FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C ELECTRiCIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 4 OTHER COMPANY SIGNATURE REGISTERED FEE UR � Y N Address / license# C RESIDENTIAL Attach(2)Ptot 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 Pians w/Silt Fence InsNalled, Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisionsflarge prajects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�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. Directtons: Fill out application completely. Owner&Contractor sign back of application,notarized If over 32500,a Notice of Commencement is required. (AIC upgradeS`DVer 57500) "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C 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 Counry 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 identi�ed at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a °ce�tificate of occupancy" or final power release. If the project does not invoive 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. 1 certify that no work o� 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�II is not allowed in Flood Zone uV"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 NA" 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�II 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 a�davit 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 Oificial 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 wor ' mmenced. An extension may be requested, in writing, from the Building Official for a period not to exce ety (9 ays and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutiv ys,the job' considered abandoned. WARNING TO OWN : YOUR FAILURE TO RECORD A NOTI OF COMME EMENT MAY RESULT IN YOUR PAYING TWICE FO IMPROVEMENTS TO YOUR PROPERTY F YOU INTEN O OBTAIN FINANCING, CONSULT WITH YOUR LE R OR AN ATTORNEY BEFORE RECORD G YOUR NOT E OF COMMENCEMENT. FLORIDA JURAT(F . 117.03) OWNER OR A CONTRA TO Subscribed a orn r affirmed)before me thfs Subscribed a e before me this Y - Who is/are nall to me or has/ha ced Wh re ally kn ro as identificat ona as identlflcadon. Notary Public Notary Public Comm ssion No. , Commission No. Name of Notary iyped,printed or stamped Name of Notary typed,printed or stamped . �.. ��xt�ett �.00f i�g �f �e�tr�.Y ,�Yortb�, ��. , C/O Richard Bartlett � 38408 3rd Ave. � Zephyrhills, FL 33542 �� One of the Largest, Oldest, Most Dependable OFFICE Roofing Companies in Central Florida PHONE Specializing in Mobile Home.�P Stevens White Rubber Roofs (g 13) 782-5585 & lnsulated Aluminum Roof Overs (813) 973-7737 RESIDENTIAL • COMMERCIAL • MOBILE HOME (352) 523-1944 LICENSED - INSURED - BONDED Lic. #CCC 1325499 • MEMBER OF THE CHAMBER OF COMMERCE • Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land O' Lakes and Surrounding Areas We have re-roofed or repaired more roofs(16,000)in the past 38 years, than the four local leading roofing comp�nies combined. ,, Date " ' �' `" ; � � � � -� Name � _. .� _._. w� � Address , -' � ` ' �' �"� ' � �.... Phone - ' � �. . ' � � ^ ...... .. . :.. ... .. _ , . . _ __ __ . . r.�.. ��'��f�; �ar � . . _ __.. . ... _. . ..�....._..... . � - r '� i ' ..�- ' 7 � - �-c_� �' r ,r._. -i_ ;' � �, � ` _ . , i j i ' i +,,:' � � ..{�' .1�+ , ,�. } }, r , ' � A �,� 'J >a f I- � ,i l/ .. �- a��.,,,. a r.....� �_ ,� _ �_ d r,� ,_'-� ^ 1..:._ .. ..i t � ~.r✓' ._a,� '-1 .,J ` l�_/�... '_.�. 4 �.. ^� `- _^ ` �4.. ! �S' '� L� t I � ��_ , t s � P� ._✓. �' i ..� - ... ° i � � } _ l " ,% -- , - .. —�C._ _� ,/ . "L�..�_,__ L � Y' . R r,� ' � , "�� ' ' _. �1 . � �-� + 'J+ - f � � President& �wher�;�,artlett Roofing of Central FL, Inc. � ;� ,�,�• .�:' Sign: ,' • ' ,�; Richard C.Bartlett THANK YOU Your Business is Appreciated. Payment upon completion unless previous arrangement made.Warranties pertain to original owner All arrangements contingent upon strikes,accidents or delays beyond our conbol.Owner to carry fire,tornado and other necessary insurance. Our workers are iully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill. �_- Rorien wood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per linear foot. i,�-1 Ot81 „ Florida Building Code Online Page 1 of 2 � �,.. - : . � � 1 ' ' � � ra�� Florida Department� BCIS Home Log In User Registration Hot Topia Submi[Surcharge 5[ats&Fac[s Vubl�cations FBC 5[aff ESCtS Site MaD Links Search Busines �>> Professi�l Product Approval �USER:Public User Regulation Produc[Aooroval Menu>Produd or Aoolication Search>Aoolitation List>Applieatbn Oetail FL# FL5293-R5 Application Type Revision . . � Code Version 2010 ��,�, Application Status Approved ��/�/('��'�� I., � � n ti- Comments C� "-�-- G Archived � �OF zEPI-IYRNILL�!__�_ !_ANS EXqMi�N��.� � Product Manufacturer GAF � _.,_ . � Address/Phone/Email 1361 Alps Road Wayne,NJ 07470 (973)872-4421 Iindareith@trinityerd.com AuthorizedSignature Bndareith@trnityerd.com ALLWORKSHALLCGh:�i.Y'�i�j'HAj.,i� PREVAII,ING CODES,FLf�l�1D��3��(t,p�,sG Technical Representative seth Mcsor�ey C4DE,NATIONAL ELECIit1C�'CJDE.Ah�i Address/Phone/Email 1361 Alps Road-Bldg li-1 CI'I'Y�F ZEPi��,j,�0�3��1 qt��i(`�j Wayne,N]07470 (973)872-4421 BMCSorley@gaf.com Quality Assurance Representative Address/Phone/Email Category Roofin9 Subcategory Single Ply Roof Systems Compliance Method Evaluation Report from a Florida Registered Architect or a ucensed Fiorida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE-59166 Quality Assurance Entity Underwriters Laboratories Inc. Quality Assurance Contract Expiration Date 04/13/2012 Validated By John W. Knezevich,PE Validation Checklist- Hardcopy Received Certificate of Independence FL5293 RS COI Trinitv ERD CI- Nieminen.odf Referenced Standard and Year(of Standard) Standard Year ASTM D6878 2006 FM 4470 1992 FM 4474 2004 TAS 114 2011 Equivalence of Product Standards http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquwVcULes7wT... 6/1/2012 Florida Building Code Online Page 2 of 2 Certified By Sectlons from the Code Product Approval Method Method 1 Option D Date Submitted 02/16/2012 Date Validated 02/21/2012 Date Pending FBC Approval 02/24/2012 Date Approved 04/03/2012 Date Revised 04/06/2012 Summary of Products � FL� Model,Number or Name Descrl tion 5293.1 EverGuard TPO Single-Ply Roof Single-ply,thermoplastic polyolefin rooflng systems Membrane S stems Limits of Use Installation Instructions Approved for use in HVHZ: No Fi 5�93 R5 II A1 er021612FINAL GAF TPO FL5293- Approved for use outside HVHZ:Yes R . f Impact Resistant: N/A Verifled By: Robert Nieminen PE-59166 Design Pressure: +N/A/-502.5 Created by Independent Third Party:Yes Other: 1.)The design pressure noted in this application Evaluation Reports relates to one specific assembly in the ER Appendix. FL5293 RS AE er021612FINAl_ GAF TPO FL5293- Refer to the ER Appendix for all systems and associated R5. df max.design pressures. 2.)Refer to ER Section 5 for Created by Independent Third IParty:Yes Llmits of Use Back Next Contac[Us 1Q40 North Monroe�treeL TallalLSSe?FL 32394 Phene:850-487-1824 The State of Florida is an AA/EEO employer CnovNaht 2007-2010 SLte of Flerida. Privacv Statement Acc�i6111N Sta[ement Refund Statement Under Florida law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity Instead,contac[[he office by phone or by t2ditional mail.If you have any questions reqarding DBPR's ADA web accessibility,pIBdSE COMBd Ou�W2b M05[E�Bt M!ehmaster�dhor.sLte.fl.�c_. Vroduct Approval Accapts: � � �■ Y�+ SCYl1rIL T11(Il�l� ��fifNi�� SECUFED � v�riSq^ http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquwVcU'Les7wT... 6/1/2012 iiiiiiiiiiiiiiiii `�,. i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii i 201209 Permit No. Parcel ID No �4�'.ZS:Z I`' d f 70'�004 -�� NOTICE OF COMMENCEMENT State of County of THE UNDERSIGNEO hereby gives notice that improvement witi be made to certain real properly,and in accordarice with�apter 713,Florida Statutes, the following infortnation is provided in this Notice of Commencement: �� 1. Descriptfon of Property: Parcel Identiflcation No. streetAddress: 37544 Gill Ave . Zephyrhills , FL 33542 reroof Rubber MH 2, General Descriptfon of Improvement Rec: 10.00 RcP�:1438758 IT: 0.00 3, Owner Information or Lessee information if the Lessee contracted for the improvement:0r.��31/12 C. Cook, DptY C lerk Paul Oi Name ZP�hvrhills FL 33542 'i 7 5 4 �i 1 1 A v �iry State Address Interest in Property: Name of Fee Simple T(Ueholder• (If different from Owner fisted above) , CiH State Address A Bartlett Roofing 4. Contractor: Name 7.e.phvrhills . FL 33542 '. �R L�(1 R 'i r r� a v P �iry State Address glg_782-5595 Contractors Telephone No.: PAULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER 5. surety: 05/31/12 02:08 m 1 of 1 Name OR BK ��5 P� 2�� G,I„� aaic Address �' Amount of Bond: $ Telephone No.: g. Lender• Name ��ry State Address Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Ci� State Address Telephone Number of Designated Person: of 8. In addition to himself,the owner designates to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Pe►son or Entity Designated by Owner: y, Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the cantrector,but will be one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE WITH YOUR LE D R OR AN ATTORNEY BEFORE COMMENCING WORK ORi RECORD NG YOUR NOTI�CE OF COMMENCEM NTSULT Under penalty of perjury,1 declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA �• COUNTY OF PASCO NpTARy pUBLIC•STATE OF FLORIDA Sign ure of Owner or Lessee,or Owner's or Lessee's Authorized ;�"""�• Richard C. Bartlett office ectodPa erlM�ger �,:Commission#DD878490 =�`�'rr`Expires: JULY 31,2013 g�p.p r�v nrtn.�'rtc ao:mctc co.,ala Sign ory's Tftie! ce The foregoing instrument was acknowledged before me this�day of /r1 �� as (type of authority,e.g.,officer,trustee,attorney in fact)for (name of pa on beh om instrument was executed) Personally Known��Produced Identification❑ Notary Signatur Type of Identiflcation Produced Name(Print) � L E G A L D E S C R I P T I O N: ASSESSED ITQ SECTION 34, TOWNSHIP 25 SOUTH, R.ANGE 21 EAST, PASCO COUNTY, FLORIDA GRAND HORIZONS - PHASE THREE PB 53 PG 120 wLOT 273 OR 7001 PG 1726 STAT� �1�° r 1..�}RlCA, COUNTY OF FQ��C'; -h�� i�� r;,C;=�:?IFY THAT TNE FOREGc�11�G i� F- ?r-cUE �,I��Ci�RRECT COPY OF THE D�1Ci1MEtv�? 0'�i Fi�.E JF� OF �UBLIC RECORD lN�('I-,�S Of�riE",C ';�v'�fN�S;i�Y HAND AN�FFICIAL SFF'.i_?`—.�� ; , '? � DAY OF ' " �' �'!- F<=,v�S O'NEiL,� EF��&C N�P7ROL��t' / ,`n � DFP�;T� � , �� (:v ' A /Ir,!//1��(,��i-•--- - ..._