HomeMy WebLinkAbout12-13417 CITY OF ZEPHYRHILLS
5335-8TN STREET %
� (sis)�so-oozo � �7
�- -
BUILDING PERMIT
Permit Number: 13417 Address: 38231 7TH AVE
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: 11-26-21-0010-12300-0095
Improv. Cost: 2,499.00
Date Issued: 9/05/2012 Name: SUMMERALL, AMOS
Total Fees: 75.00 Address: 38231 7TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/05/2012 Phone: (813)695-3777
Work Desc: REROOF TPO 6 SQ
. / �
; 1 �
. � 1t,��
TAPE JOINTS ROUFi IN� �v
FINAL `��
REINSPECTION FEES: Reinspection fees will aomply 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)wndemned work resulting
from faulty wnstruction c) repairs or corrections not made when inspectlons called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not ac�essible.
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 reoord a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
before recording our notice of wmmencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in acoordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRA O SI N RE PERMIT OFFI R
PE P ES 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 I�eceived Phone Contact for Permittin � � �� _�C7g
Owner's Name S t Owner Phone Number � • �C(S . '���
Owner's Address p `� Owner Phone Number —�
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple Titleholder Addresa
JOB ADDRESS 1 . �� LOT# ��
SUBDIVISION � PARCEL IDM �� • 02 I d� (�• 1
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NEW CONSTR 8 ADD/ALT I�_ SIGN_ [� C] DEMOLISH
INSTALL REPAIR �Xi Q,.�,�� ���,F,�-
v —�`, �u:
PROPOSED USE Q SFR Q COMM Q OTHER [�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
+ '�i-1 �G� Ot��
BUILDING SIZE � SQ FOOTAGE�� HEIGHT
�BUILDING S �j�� •� VALUATION OF TOTAL CONSTRUCTION
`1
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING �� ���.�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�I
QGAS ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
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 License#
� �
OTHER C � OMPANY ; _
31GNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addresa �- ��'( - 3��� Ucense# K'�K` ��'� �-�'��
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit tor new oonstructlon,
Minimum ten(10)wo�lcing days aRer submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FadllUes 8 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 constructlon.
Minimum ten(10)working days after submirial 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 consUuction.
Directlons:
Fill out applicatlon completely.
Owner 8 Confractor sign back of applicadon,notarized
If over t2500,a Notice of Commencement is requlred. (A/C upgradea over ST500)
'" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon 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 to"deed"reslriction�"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicabie deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contractor or
cont�actors to undertake work, they may be required to be Iicensed in accordance with state and Iocal regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeano� violation
under state law. If the owner or intended contractor are uncertain as to what iicensing 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 appiy to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specffied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wiil be identified at the time of
permitting. It is further understood that Transpo�tation 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 ce�tificate of occupancy or
finai power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County WaterlSewer Impact
fees are due, lhey 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 Const�uction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Depa�tment 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"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the fnformativn in this application is accurate and that all work
will be done in compliance with all applicable (aws 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 inciude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Weils, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Fede�al Aviation Autho�ity-Runways.
i understand that the foliowing restrictions apply to the use of fill:
Use of fill is not aliowed in Flood Zone"V"unless expressiy 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 fiil 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 flll the area within the stem wail.
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 buliding 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. lagnd�ers ther installat onsr not sp c'ifically nclud d en he alppl at on�r A
plumbing, signs, wells, pools, air conditioning, g
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 techn�cs Iconstruction oalviolations of any codesPrEvery permitiiss ed sihall become inval'd
requiring a conection of errors in pla ,
unless the work authorized by such�pef�mia�s ery d of siX�g�mhonths after the timpe thetworkas comme ced. Anhexte sion
the pe�mit is suspended or abandon P
may be requested, in writing, from f work'ceasesOf�or'ninety(90)rconsecutive days,the job is�cons'de ed ba donedstrate
justifiable cause for the extension. I
WARNING TO OWNER: YOUR FAILUREO YOUR PROPERT1f.TIF YOU INTE DETO OBTAIN F NANC NG C'ONSULT
PAYING TWICE FOR IMPROVEMENTS
WITH YOUR L,ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM�I�CE_MENT•
FLORIDA JURAT(F.S. 117 3) �
CONTRACTOR
OWNER OR A(iENT - Subscribed and swom or affl before me
Subscrlbed and swom to(or afffrtn b ore m s by
bY Who Islare personaDY known to me or haslhave produced
Who fs/are personally known to mas Identl caUo�roduced as IdenUficatlon.
Notary Public
Notary Publlc
Commfssion No.
Commission No.
Name of Notary typed,Printed or stamped
Name of Notary tYPed.P�nted or stamped
- �
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�
Contractor/Homeowner: �l� �'1 ' �-�'(G
Date Received: ,�j �2 3� �� 5���
Site: �• ��-�Z
Permit Type: ������ �� G��
�.
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: O
This comment sheet shall be kept with the permit and/or plans.
/ �:-��
Kalvin S 'tzer ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
E � ,._�,� ��
�<< E7�RE5 ' `Y���:z visa�
.� .�.. ��
,;,. ! � ��y��a�c �����y, �I�zc.
A Division ofRyman Construction,Inc. Proposal#
INC. 36413 SR 54 • Zephyrhills, Florida 33541
Phone (813)782-6094 • Fax(813)788-6773 Estimate#��,�'���
1-855-Go-Ryman (1-855-467-9626) � Lic.#CCC 1325505
Serving all of Central Florida Job#��.�'°�
OwneNPurchaser: �,r�np_S �[,,,.,.�.e.,�.\\ Date:_�7/�C1' .�'` ��
Claim#� InsuranceCompany:
Policy#
Address: ��'�� �+� f��/lQ City ��1r�y��'�,� Zi
p:����
Home #� Cell #: �l�' � S�7�'1 Business #: _
E-Mail Address:
❑ Complete tear off of existing AdditionalNotes/SpecialConcerns:�a� �S �vr� fltic�:.,i����;.�.�
❑ Secure all loose roof decking as needed according � ����� S�cuk,,��Q,�t �• "-�l_S' N�,'_� �'� �3
to Florida Building Codes R�'� �ys�-r- '� �"° ����`� � � �t�° j'-�
❑ Roof dried in with �X'��-�: � !ti,e A:fi� /r�;�� ������
A'►lM r �,l'�L•�.+�oc� � c �` �� -�0�naAa,-�'-
❑ Install new valley metal with galvanized metal � �� S�� �y
C.�OCM�T� �-\CstS�. �n 9 c��,`
❑ Install new "drip edge color:
❑ Install new lead boots � ��^ ���
❑ stall all new general roof vents '
(�Install new �, ij/� T�o }ZDC� S�S.�,.,
Manufacturer C-�,��- ��,�
�olor. l.�1..�;�
�All roof related debris removed from job site, pick-up loose
�Aails using commercial grade magnet
ll materials,labor and permits furnished
�rovide a s y.�c�° labor warranty Total Investment$ ���'���
Additional Items. /� i � �,�_
� �• ` � : ,� �S-` �c��-� � Y�� R �-a I.�n.r�°c�.��-
G. �c►o o�M, ,�r�t�,c�..z m � �I�.�' .��c 1u 1
� �c��• U,���r.S-�.\\ -��- r-.e�.��i, o� S e.��.,�L-�_1-- _
� c.�f_��z�.�� C��.���-.,�- t-�o� ��z,,.p�-� ..���.�_-�� c�,.e�, �
Payment Method: [v� Check# �� ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# Exp Date ' � CC ID#
�-►�."
Down Payment: $�C�•�� ��,�,�..k'l�t S�y�Amount Financed: $ Approx. Monthly Payment: $
PaymentTerms: �/Q�� � CJIc�C r/r� �rJT }�.�.rtr-.��j ��,o��c�..jy� L.�� C.�,!���C11Y�
Extras: ;
❑ Deficient 1/2"plywood replaced at a cost of$ per sq.ft. in the roof field�,v+ihich includes labor&materials.All other wood worl</ad-
ditional labor, such as, but not limited to,valley rebuilding, rafter replacement, 1x decking, etc.will be a rate of$_ per man hour plus th�
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROPOSAL AND HE EBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser• Date: � `
� •
Purchaser: Estimator:
,-Floric�a Building Code Online Page 1 of 2
r-;.:. - .
� �. ,5�, `��;
4',•j„
�`Y^' � d
,'. i
_ �.' p' p� �
r��S � � � ► t � � A ♦ 9.. � �,r
v�v' - - . _ " " .'."...."" _ _ _'R- ;�+F'�.r.'���a;a�i-�';"'�i"��C'i`� ' 'yl�
F�cii�a���a��r�,c'(Il':� BQS Home Lag In � User Reqistration �Hot Topia 'Submit Surcharge ;Stats&Facts Publications ! FBC SWff ;BCIS Site Map �Links Search '
Busines ���'� .:,: �
Professi�ri�al �C PERd�uct�Approval
Reg�lation
Produc[Aooroval Menu>Produd or Aooliation Search>Aooliotlon List>Appliption Detail
,'�„-°"��- ,
FL# FL6943-R3
���°�!-�-�y - Appiicatfon Type Revision
��
�'s'�'� " Code Version 2010
�����': .
`�a��`-z- Application Status Appraved
Comments
Archived r
� Product Manufacturer GenFiex Roofing Systems,LLC
Address/Phone/Email 250 West 96th Street
Suite 150
Indianapolis,IN 46260
(317)816-3806
mcqulllentf m�flrestonebp.com
Authorized Signature tim mcquillen
mcq ui I Ienti m@firestonebp.co m
Technical Representative Tim McQuillen
Address/Phone/Email 250 West 96th Street
Indtanapolis,IN 46240
(800)443-4272 Ext 53806
mcqui Ilentlm@flrestonebp.co m
Quality Assurance Representative David Waliy
Address/Phone/Email 393 Denton Circle
Tuscumbia,AL 35674
(256)386-8383
david.walley@omnova.com
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluatfon Report from a Florida Regfstered Architect or a Licensed
Florida Professional Engineer
I�` 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 03/30/2013
Validated By John W. Knezevich,PE
� Validation Checklist-Hardcopy Recefved
Certlficate of Indepe�dence FL6943 R3 COI 7rinitv ERD CI-Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu%2foRM43U... 3/14/2012
` .,Florid�Building Code Online Yage L ot�
TAS 114 2011
UL 1897 2004
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/12/2011
Date Validated 12/14/2011
Date Pending FBC Approval 12/20/2011
Date Approved 01/31/2012
Summary of Products
FL# Model,Number or Name Descri tion
6943.1 GenFlex TPO Single Ply Roof . ermoplastic polyolifln,single-ply roof systems
S stems --
Limits ot Use Instailation Instructions
Approved for use in HVHZ:No FL6943 R3 II A1 er120911FINAL GENFLEX
Approved tor use outstde HVHZ:Yes TPO F16943-R3. df �
Impact Resistant:N/A VeMfled By:Robert Nieminen PE-59166
Design Pressure:+N/A/-292.5 Created by Independent Third Party:Yes
Other: 1.)The DP in thfs application refers to one Evaluation Reports
specific roof assembly. Refer to ER Appendix for all FL6 43 R3 AE er120911FINAL GENFLEX TPO FL6943-
�assemblies and max design pressures. 2.)Refer to ER R3.odf
Section 5 for Limits of Use. Created by Independent Third Party:Yes
eack Next
ConWct Us::1940 Narth Monroe Street Tallahassee FL 32399 Phone:850-487-1824
The State of Florida is an AA/EEO employer.�oovriaht 2007-2010 State of Florida ::Privacv Statement: Accessibilitv Statement.:Refund Statement
Under florlda Ww,e-mail addresses are public recwds.If you do not want your e-mail address released in response to a public-records request,do not
send electronic mail to this entiry.Instead,contact the office by phone or by traditional mail.If you have any questions regarding DBPR's ADA web
accessibiliry,please conWCt our Web Master at webmaster�dbor.state.fl.us.
Produd Approval Aaepts:
�� eCEee �
5(:Cllrlr�
V�rI51gn w
Trus[aA
vanu+�
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqu%2foRM43 U... 3/14/2012