HomeMy WebLinkAbout12-13211 CITY OF ZEPHYRHILLS ,.�'
5335-8TH STREET
(sis)�so-oo20 13211
BUILDING PERMIT
Permit Number: 13211 Address: 5221 1 ST ST
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: SHAW LAMCE RIDGE
Est. Value: Parcel Number: 10-26-21-0040-00200-0050
Improv. Cost: 6,100.00
Date Issued: 6/28/2012 Name: COOLIDGE MARK&TAYLOR LILA
Total Fees: 105.00 Address: P.O. BOX 1937
Amount Paid: 105.00 ZEPHYRHILLS. FL. 33539
Date Paid: 6/28/2012 Phone: 813-748-4515
Work Desc: REROOF 7 SQ METAL
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TAPE JOINTS RO F�iIN
FINAL �'' [")'" y°�
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 cons�truction c) repairs or corrections not made when inspections called d)work not ready for
inspection when calied 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.
"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."
Comple Plans, Specifications Must Acwmpany Application. All work shall be pertormed in aocordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CO T TOR S TURE PERMIT OFFI R
MI�EX 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 Fax-813-780-0021
, Building Department
Date Received � �r� Phone Contact for Permlttin �� �� — �Q�
Owner's Name h�� T � � � Ic� Owner Phone Number �)• ��� yJ J
Owner's Address �-�� � �t � � �3 Ow�er Phone Number �
Fee Sfmple Titleholder Name Owner Phone Number C
Fee Simple Titleholder Address
JOB ADDRESS �.J � • ��S LOT# �
SUBDIVISION �— � PARCEL ID1� �G•�D • �I ��� '�L���'�-�S�`J
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEw CONS7R ADD/ALT SIGN Q �] DEMOLISH
e INSTALL e REPAIR .y� �P�C�
PROPOSED USE SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q �
DESCRIPTION OF WORK T ZS� � �� f IJ �"� �� _ ^ '�` � �Pr
BUILDING SIZE �— 3Q FOOTAGE�� HEIGHT � � Y�
�BUILDING $ /„ i� ,.._. VALUATION OF TOTAL CONSTRUCTION
�X- �
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � f � Z�l
�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
StGNATURE 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 I N FEE CURRE� Y I N
Address � License# C
OTHER �\ COMPANY I�C�-I� � �.7J +L
SIGNATURE REGISTERED Y/ N FEE CU n Y!N
Address � �7�1C J "I � License# �� ��JJ
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction,
Minimum ten(10)wo�lcing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facflities&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 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.
Directlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A!C upgradea over 57500)
*• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing 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 DEED RESTRICTIONS: The undersigned understands that this permit may be subject fo"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wifh 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 unce�tain as to what Iicensing requlrements 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 cont�actors, 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 entitied 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 "ce�tificate of occupancy" or final power release. if the project does not involve a cert�cate 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, Fiorida Statutes, as amended): If valuation of work is $2,500.00 or more, 1
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 8 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT CE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 7. ' �
OWNER OR AGENT CONTRACTOR
Subscribed and swom t or a d)befo t s Subscribed and swom to(or afflrmed be re me is
by bY
Who isfare personally knovm to me or haslt�ave produced Who Islare personally known to me or has/have produced
as identlficatlon. as idenUfication.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
, Pasco County Parcel: 10-26-21-0040-00200-0050 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, June 23, 2012
Parcel ID 10-26-21-0040-00200-0050 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
COOLIDGE WILCOTT MARK& Ag Land $0
TAYLOR LILA Land $11,272
PO BOX 1937 Building $6,253
ZEPHYRHILLS FL 33539-1937 Extra Features $4�2
Physical Address
5221 15T ST 7ust Value �17,997
ZEPHYRHILLS FL 33542 Assessed (Save Our Homes) $17,997
Leaal Descri�tion (First 4 Lines) Homestead 196.031 - $25,000
See Plat for this Subdivision�'" Non-School Additional Homestead Exemption - $0
SHAW'S LAKE RIDGE PB 3 PG 34 Taxable Value �0
LOT 5 BLOCK 2 EXC NORTH 6 Ff yyarning: A significant taxable value increase may occur when sold.
OF WEST 45 FT ALSO SOUTH 2.5 Click here for details and info. regarding the posting of exemptions.
Ff OF WEST 45 Ff OF EAST 80 Ff
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR3 6,093.00 � $1.85 1.00 $11,272
Additional Land Information
Acres 0.14 Tax Area 30ZH FEMA Code �Residential Code AKELPI
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1948 Stories 1.0
Exterior Wall i Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall i Masonry or Minimum Interior Wall 2 None
Flooring 1 Finished Concrete Flooring 2 None
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BA 483 $11,689
2 UOA 64 $242
3 1�D�1 96 � $702
�— 4 � FAT 207 �— $1,742
Extra Features (Card: 001 of 001)
Line Description Year Units r Value
� 1 UDU-M 1980 1 $156
2 � UDU-M 1971 1 � $173
3 DCFEN E 1996 384 $143
Sales History
Previous Owner COOLIDGE WIICOTT MARK&
� Year Month Book/Page Type Amount
2006 07 7084/ 1080 � ��
2005 08 � 6564/ 1043 � �p
2005 � 08 6564/ 1041 � �p
http://appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21&sbb=0040&b... 6/27/2012
LfTective: October 1,201( II�IIII IIIII III�I IIIIIII��I IIIII I�I�I IIIII III�I II�II IIII IIII
Retum to 2012105713
NO'1'IC�OF COMivI�NC�Iv1�NT
St�te of F'1
County of '4, ``�. , Penni[No
T�x Polio No
'1'he undersigned 1�ereby gives nolice that improvetnen[will be mride to certain real property, an,i in accordance wiqi
L����U��� 713,Florida Stahrtes,the following infonn�lion is provided in tl�is Notice of Commencement:
l.{ Descrip[irntofPraperly•� � r'� � �,��'�
i�'t.�e`st��_ I(.�, f_C� �_-,i�C�,'L.PL�C7'j�C��.�(`, 1-.'arti• � ��=�-i��,
2. Ge�� al des ption improvements:�; �' c' �'i- � �
r-, '"��`'S �_� � ( !._� :�j r,��
��-�- ►�lr-� �fi :� �-�s'c� ,�, i-��C. �`�.-v�-���
� Owner Inform,jlion or Lzssee infotmatiou if the Lessee contracted f �� r\�� r Yl?� �� � } •
or the improvement:
a• Name and Address: ��t}��� �cY� F y� !
(C;} j��l�l r��'1 (�'�j�'.� s c�t-.�
b Y ' ' � ' �,���
Interest in Property• 7 ii. � __--'�1�'`i 1"T !a'��J`�'r-, �r�� �-
°� Name/address oPfee simp�e tiUeholder(ifdifferenc f 1o„f O v, °er fisled�bove): J
� `� Contractor
�. N�me and flddress �� � '
. , �7��;� ;�-r'�
� �• Plione nurober �' , ` i "._�"��(.
E`�. '�_�J'-t j
5 C,� •� �l�'�'1'�--�,
Snrety(if appliceble,a copy af payment t�ond is aU�ched): �
a� Name�nd Address: Rept:1443608 Rec: 10.00
b. Phone nu�nber _ DS: 0.00 IT: 0.00
----. 06/22/12 D. Bonilla, Dply Clerk
Amount ol'bond. $
6• Lender ' PAULA 5 0'NEIL Ph D PASCO CLERK & COMPTROLLER
06/22/12 02•48 �m+ 1 0���
; � Neme and Address' OR BK ��'f V PG
b Phone nwnber I .
�_
-----_----
� Persons tvj(��j��the St�(e ofFlorida designated by O�vn�i�i���o���ti,������n ticcs o,other documenls may�)e
served es pi�vided�y Sect1o11 713 13(1������p������Stahifes:
� Name aud address:
��• Phone numbers ofdesignated pe�5oi�s. '
8 �—
'�• In addition to hiinself or herself,O�vner designntes
St�ihi[es ---_fo receive a copy oCtlte Lienor's Notice as provided in SOclion 7— 13 j3��l�h� rlorida
i
�
�' Phone nwnber of person or entity desig,�ated by owner I
; • �— � '
� 9 Gxpiration date of notice of conmiencement(the expiration da[e may nol be before tlie com��letion of
constniction and final paymen� �ut will be l year fiom the date of recording unless a different dnte is specified
' WARNiNG TO OWNG[t. ,qNy pqy-�q�TS
MADE BY THE OWNHR qPTL;R TIIG�}{p RqTION OF TI-lC OF
COMM6NCEMENT ARE CONSIDERED INIPROPGR Pny�,��NTS UNDER C}�pTER 13,P��•l,SGCTION 7
PLO1Z[DA S"I'A'fUTCS,AND CAN I3 !3,
[tESULT IN YOL1R PAY]NC;Tb\t(CE FOP.I1vIyROVE
•�-:.A NOTICE OF COMMrNCGIvIENT n�NS1'C�E RI:CORUED I NTS TO S'OIJR PROPERTY
INSPEC;('ION. I[' YOU IN'['END TO OBTAIN P[I•IANC[NG, CONSUL WD'�N}Tp a70r�E DEFORT THI: FIRST
gE}'ORE COMNp?NCiNG WORK OR}tECORDING YOUR N07'tCC OP CO �OIZ AN AITORN�Y
n�[MENCCn9 7'
Under penalties of peijurJ,, [declsve that I have rend the foregoing Notice of Commencemenl I�nd tlia(the facts stated in iL a�e
hue to llie best of my Icnowiedge ancl�elief
�f � _�
yq
�;v? �.� '� .r, s"1t ,r �,
(Stgn�lure ofOwnero L�ssee,or_�p f�;���s orL�ce's
AuUtorized Officer/Directpi7Parhie�/(�,��n�E�er)
SigiQ�on,�s�'itle/Office: I
STATF,OF '�
COUNTY OF��_� �_
. The foregoing jnsfiument�v�s r�cicnawledged before me this_�'SJ day of ti
for L�iLc� � .
------. 1.�!�3 ��by�st-'—�'1�'as
/' otaqr Public,State of '---'�-----
PersonaUy ICnown ;✓ pR pmduced Identification P��ntecl Name:
_ 'i'ype of[dentification Produced_ .y,�
�,�;ipr n''' Y ��� ' v� �
_ �s Motary Publk-Sqte ot Fbrida
_' •�My Comm.Ezpi►es J�n 2� 2016
�'+ �:r Commiasion+�EE 137�j30
. y�'�O��..a�`' Oonded T�r
ou�NNional M�� A=an.
����� �� €=LORI�lA, COUIVTY OF PASCQ
�r HIS f�:TO��RTIFY THAT THE FO�EGGiNG IS A
-��UE�NC CORE�,��� �,�OF Tr-,E!J�7CU�b1_NT
O�v' FILE UR�f��g��.��b�D W THlS pFF�CE
INiTNESS k�lY M;���p q��,�p " f��;�L SCAL THIS /
AY OF 1 C�l �
PA � �� �..
O' I '� CpIt�PTROLLER
C�Y �
_ � Ft?7�'C;LERK
ERIOqN -
D�RES : � YISA
E:�.. � �i��r.a� �'aa�r�, �Iac. �
A Division ofRyman Construction, Inc. Proposal#
INC. 36413 SR 54 • Zephyrhills, Florida 33541 ----
Phone (813) 782-6094 - Fax(813)788-6773 Estimate# c�`
Lic.#CCC 1325505 --
1-800-800-ROOF (7663) Serving ali of Central Florida ��h#a"���1 ___
Owher/Purchaser ��\t�. Tcx�y�E1�S^ _Date: 6�''�i 1 a,
Claim#� InsuranceCompany:
Policy#
Address: .��a.� �S T �•�. City: �C1,�.'�!`���\� Zip: ��r����
Home #• Cell #: ��� ^ 7 y�'�T�'� Business #: _
E-Maii Address:
f�Complete tear off of existing ��'� ���„� � Additional Notes/Special Concems: ir�iS �'pa" I�'"4.-�.;�
� �,-� -
�Secure all loose roof decking as needed according �� ��"r �'�� �"'^�`� �'�`-p� �1�� �` �'z`°�i-
to Florida Building Codes a����� 11cT� �.�c t�.,r�.e�^Y ,� -�1`;r•„ ��� ��� �" �,
❑ Roofdriedinwith S�' `� �}'C� L� �� �Y Q.a.d�\v�,t�,..�.,.'E-_ �`i�,__
�. •.� ..�' .� �a Ih�1 �s� P�7c�S•����i A.\u.i...r,,,,��
❑ Install new valley metai with galvanized metal _�S affn S
�Install new � "drip edge color: �'�+��. ���-'� �'�' "�'S��`"'»�'����� �` �-
0'Install new lead boots "` ��'� �� � ����a �'.�r�i �°� `'.�%° ,,�__
❑ Installalinewgeneralroofvents "t'(,�,�..R�b �-�-+ �k.��.�nct .��A�Q3'�- ��a,,.�S�
�nstall new �(� �-,At {�.��
S����-. c»��- 1�t c•�t.G_K:n� �' SL�.aI.L�IA� S�v�`�' C�%�. -
Manufacturer ���-�' c��S} /h��...� , - (�
�!�" �./`i�c'�.�;; .
�colors-t%A\4/e.\l,nr... }� e'�- �-��ro� � ` ��... �3 �O.c_. G.t�,.�1r � �,j -
�All roof related debris removed from job site, pick-up loose _�__
nails using commercial grade magnet
(]'All materials, labor and permits fumished !
fj�Provide a 1�^j ye.,a.l- labor warranty Total Investment$�, `(��. �C'i
Additional Items: -
� 1 J� C_cl..v��:d� � ���� ��S �n c� � La.r;►-,�� �o�.. r�..t r:r.y ---
s-.� R�n,� on� T�r o� �� L�z �,„� � �.e��� a�.�:;��.�z� ----
����;�� ---
Payment Method• �Check#�_ ❑ Cash ❑ Financin
g i] Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$��•�� Amount Financed: $ Approx. Monthly Payment:$_ _i
PaymentTerms: .$�D�v ^�-vy. � � ,c�,�,.��/�_����5�.: Q,.�
�Ex s• ' --
eficient 1/2"plywood replaced at a cost of$N�Qr per sq.ft. in the roof field, rvhich includes labor&materials.All other wood worklad-
ditional labor, such as, but not limited to,valley rebuilding,rafter replacement, 1x decking, etc.will be a rate of$ , ,'D�per m�n hour plus th�
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER AGKNOWLEDGES RECEIPT OF A COPY OF THIa CONTR.ACT.
I ACCEPT THIS PROP SAL AND HEREBY C TIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser Date: r ,(;) � ".s
Purchaser - Estimator: -�`_--------�
Florida Building Code Online Page 1 of 3
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FL# FL11651-R1
�. �-�o
,�g Application Type Revision
•��� � Code Version zoio ALLWORK SHA"LL(:�?���i��"�'ITHALL
� Application Status Approved pg�VAILING Cd��;`+,�':�-Q��ABUILDING
Comments
Archived r C4DE�NATIONAL ELECTRIC CODE AND
CITY OF ZEPHYR.HIL.LS ORDINANCES
Product Manufacturer Gulf Coast Supp &Manufacturing, LLC.
Address/Phone/Email 4020 5.W.4 th Street
Horseshoe ach, FL 32648
- 852
ray@g u Ifcoastsupply.co m
;�IxE!��4+t�'C7���"�_�✓�__ -�_�-�
Authorized Signature Ray Bowen ^�'�"Rr�^S~- w ��'�M
ray@gulfcoastsupply.com � `'r �°'���Y A � �
��_�,�� t�!�;����'�''�, �V
Technical Representative -� �
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Metal Rooffng
Compliance Method Evaluation Report from a Florida Re9istered Architect or a Licensed
Florida Professfonal Engineer
r Evaluation Report-Hardcopy Received
Florida Engineer or Archftect Name who Terrence E.Wolfe
developed the Evaluation Report
Florida License PE-44923
Quality Assurance Entity Keystone Certifications,Inc.
Quality Assurance Contract Expiration Date 04/12/2014
Validated By Locke Bowden
r Validation Checklist-Hardcopy Received
Certificate of Independence FL11651 Rl COI Letter of Certif.�df
FL11651 RS COI Letter of Name chanae.odf
Referenced Standard and Year(of Standard) Standard Year
FM 4471 ].995
FM 4471 2010
TAS 100 ].995
TAS 125 2003
UL1897 2004
UL 580 i'006
Equivalence of Product Standards
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Florida Building Code Online Page 2 of 3
Certified By
Sectlons from the Code
Product Approval Method Method 1 Option D
Date Submitted 02/15/2012
Date Validated 02/23/2012
Date Pending FBC Approval 02/29/2012
Date Approved 04/03/2012
Summary of Products
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FL# Model,Number or Name Description
11651.21 26 Ga.Tuff Rib 26 Ga.Tuff Rib 36"Wide over 1 x 4 Wood Pulins over
15/32"Plywood
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL11651 Rl II 26 Ga. Rib overix4 ourlins NONHVHZ
Approved for use outside HVHZ:Yes details. df
Impact Resistant: N/A Verified By:Terrence E.Wolfe,P.E.44923
Design Pressure: +N/A/-164.2PSF Created by Independent Third Party:Yes
Other:-109.25 psf @ 24"o.c.fasterner spacing. - Evaluation Reports
164.25"psf @ 12"o.c.tastener spacfng.Install per FL11651 Rl AE 26 Ga. Rib Panel over ix4 NON HVHZ
manufacturers detaiis. Not for use in HVHZ Zones. Roof 2030 format.�df
Created by Independent Third Party:Yes
11651.22 26 Ga.Tuff Rib 26 Ga.Tuff Rib 36"Wide over 15/32"Plywood
Limits of Use Installation Instructions
Approved for use in HVHZ: No FL11651 Rl II 26 aa. Rib over.5�Ivwood NONHVHZ
� Approved for use outside HVHZ:Yes details.�df
Impact Resistant: N/A Verifled By:Terrence E.Wolfe, P.E.44923
Design Pressure: +N/A/-159.2PSF Created by Independent Third Party:Yes
Other:-69.25 psf @ 24"o.c.fastener spacing. -159.25 Evaluation Reports
psf @ 12"o.c.fastener spacing.Install per FL31651 Rl AE 26 Ga. Rib Panel over.5 Plvwood NON
manufacturers details. Not for use in HVHZ Zones. HVHZ Roof 2010 format.odf
Created by Independent Third Party:Yes
11651.23 26 Ga.Tuff Rib 26 Ga.Tuff Rib Roof Panel over 15/32"Plywood
Limits of Use Installation I�structions
Approved for use in HVHZ:Yes FLi1651 Rl II 26 aa Rib over.5 plvwood HVHZ
Approved for use outside HVHZ:Yes Details.odf
Impact Resistant: N/A Verified By:Terrence E.Wolfe,P.E.44923 �
Design Pressure: +N/A/-159.2PSF Created by Independent Third Party:Yes
Other: -71.75 psf @ 24"o.c.fastener spacing. -159.25 Evaluation Reports
psf @ 12"o.c.fastener spacing.Install per FL31651 Ri AE 26 Ga. Rib Panel over.5 Plvwood
manufacturers details. For use in HVHZ Zones. HVHZ Roof 2010 format.Ddf
Created by Independent Third Party: Yes
11651.24 26 Ga.Tuff Rib 26 Ga.Tuff Rib Roof Panel over lx�Wood Purlins over
15/32"Plywood
Limits of Use Installation Instructions
Approved for use in HVHZ:Yes FL31651 Rl II 26 Ga.Tuff Rib over lx4 and�Ivwood
Approved for use outside HVHZ:Yes details. df
Impact Resistant: N/A Verifled By:Terrence E.Wolfe,P.E.44923
Design Pressure: +N/A/-164.2PSF Created by Independent Third Party:Yes
Other: -106.75 psf @ 24"o.c.fastener spacing. -164.25 Evaluation Reports
psf @ 12"o.c.fastener spacing.Install per FLi1651 Rl AE 26 Ga. Rib Panel over 1x4 HVHZ Roof
manufacturers details. For use in HVHZ Zones. 2 10 format. df
Created by Independent Third Party:Yes
11651.25 29 Ga.Tuff Rib 29 Ga.Tuff Rib 36" Roof Panel Wid�over 1 x 4 Wood
Purlins over 15/32"Plywood
LimitS of Use Installatioo Instructions
Approved for use in HVHZ: No FLi1651 Rl II 29 GA. Rib over 1;c4 ourlins NonHVHZ
Approved for use outside HVHZ:Yes Details.odf
Impact Resistant: N/A Verified By:Terrence E.Wolfe, P.E.44923
Design Pressure: +N/A/-123.SPSF Created by Independent Third Party:Yes
Other: -76.75 psf @ 24"o.c.fastener spacing. -123.5 Evaluation Reports
psf @ 24"o.c.fastener spacing.Install per FL11651 Ri AE 29 Ga. Rib Panel over lx4 NON HVHZf
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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�Contractorl�omeowner: , �--''' - --
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Date Received: _ (� �--,��- �� �'
Site: _�1 � 5 T ='� -
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Permit Type: -
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
, -
_ �
Kalvi wi Plans Examiner ate Contractor andfor Homeowner
(Required when comments are present)