HomeMy WebLinkAbout13-13886 CITY OF ZEPHYRHILLS
' ' S335-8TH STREET
�si3��so-oozo 13886
BUILDING PERMIT
Permit Number: 13886 Address: 7050 GALL BLVD
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MEDICAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-10500-0000
Improv. Cost: 58,717.00
Date Issued: 2/19/2013 Name: FL HOSPITAL OF ZEPHYRHILLS
Total Fees: 481.50 Address: 7050 GALL BLVD
Amount Paid: 481.50 ZEPHYRHILLS, FL. 33542
Date Paid: 2/19/2013 Phone: (813)783-6189
Work Desc: REROOF RUBBER PARTIAL COMMERICAL
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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.
"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."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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—�CONTRACTO 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 `'�2 S Ci� S,�
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Date Received 2 ����� 3 phone ConWct for Permittin �� �/LJ
OwnersName r`l7'r1�0.. �s � 1Q-� OwnerPhoneNumber V� "�Y3^
Owner's Address��� C���'-1��� 1 p LV� Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address �
JOBADDRESS �� C a. L LOT# �
SUBDIVISION PARCEL ID# D oC'"pt�� a'��O��v �v �s�����
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R�/ ADDlALT Q SIGN Q Q DEMOLISH
INSTALL Q REPAIR
PROPOSED USE Q SFR d COMM Q OTHER —�
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ��17^F �'� (�Y�JY'� '� ��, (U �
BUILDING SIZE � � SQ FOOTAGE `J�� � HEIGHT �
QBUILDING $M 4� �� VALUATION OF TOTAL CONSTRUCTIO�� g� � I�
.� o �
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �,r 2���
I �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address �— License# �
MECHANICAL , OMPANY —�
SIGNATURE REGIS�jERED Y/ N FEE CURREN Y/N
Address License# �
OTHER � 1 —�
�i 1 COMPANY e—C--T(%L �J)j/�'1 C 'C.�,
SIGNATURE t � �' REGISTERED Y N FEE CURREN Y/N
�
Address LD�9 � N License A' _�
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Aqach(2)Piot Pians;(2)sets of 8uilding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)worki�g days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Ferice installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
""PROPERTY SURVEY required tor all NEW construction.
Directions:•
Fill out application completely
Owner&Contractor sign back of applicatlon,notarized
If over Sz500,a Notice of Commencement is required. (AIC upgredes over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Appiication Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTI�E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009 Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended) If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed 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,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watenvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically inGuded 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 FAIIURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN END TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COM NC E
FLORIDAJURAT(F.S.�3y�� I,�7^�e�
, ��� /
OWNER OR AGENT � �!'/ coNTr2P,croR
ubscribed and swom o(or atfirtned)bef re this Sub e n sworn to( affirmed)b o
-1i-13 by K�AUS MEN�-���+f�hl -�i��v Gw
UVho is/are ep rsonall__ y�kn��to me or has/have produced Who i are personally nown to me or has/h e produced
'�8s identification. as identification.
���� ��'�`�'� Notary Public � `
otary Public
Commission No. Commission No.
M p�l,.� CAr 1.,��51
Na i ed, rinted or stamped Name of Nota
�"" "'• �@W 1Y1lU8sA CARLI3LE
? �`'*� Mv c�s�s r�.wu. '
'"� IONI�EE 198821 =�' ''= MY COMMI381pW#EE148285
' g��E�P�19,2016 + EXPIRE8 IVovarnber 22,2415
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NOTICE OF COMMENCEMENT 02/11/13 C. M i ner, Dpty C 1 erk
Permit Number
Tax Folio No 02-26-21-0010-02500-0020
The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with SecHon 713.13 of the
Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. � ��
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1 Legal Description of property(street address required): 7050 Gall Blvd Zephryhills FL O�D
ZEPHRYHILLS COLONY COMPANY LANDS PB 1 PG 55 NORTH 1/2 OF TRACT 25 LYING EAST OF US 301 � �' N
LESS EAST 230 FT THEREOF& ��.�+o
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2. General description of improvements: Reroof oortion of the commercial buildinq ���
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3a. Owner Name: Florida Hos�ital Zephrvhills Inc ��'o
Owner Address: 7050 Gall Blvd Zephryhills FL 33541 �3 D
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36 Owoer's interest in site' �a o
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3c. Fee Simple Title holder(of other than owner) � m
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Address: �y+�
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4 Contractor Name. Tecta America � �
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Address: 6809 N Nebraska Avenue Tam�a FL 33604 Phone 813-621-1700 .,,� �
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5 Surety Name Amount of bond: � �
Address: Phone: m
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6 Lender Name' Contact:
Address: Phone
7 Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by
Section 713 13(1)(a)7,Florida Statutes.
Name Address:
Phone Number
8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713 13(1)(b),Florida Statutes.
Name' Address:
Phone Number
9 Exp�ration date of Notice of Commencement(expiration date is one(I)year from date of recording unless a differa:nt 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 I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEA�NTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
1�-���'4� �<cf�.
Signature of Owner or Lessee,or Owner's or Lessee's Authorized Officer/DirectodPartner/Manager
Signatory's Title/Office
STATE OF FLORIDA
COUNTY OF AAS C�
The foregoing instrument was acknowledge before me diis �(Tr! day of �E'� ' Zp I':3
by KLAUCi MEHLHpf�4N ,as AC-CN7 for FLC:;IOA NOSI�ITAL Z�p1�Y�{I�I�LS
Personally Known � OR Produced Iden[ification
Type of Identification Produced
r�.*.e-.�e�.,yca L�^�sn ':� �*: MY WMMi�SSIONY f EE 198821
Signature-Notary Public • . B���E�y�p�,2018
���� Underwrilers
Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are tnie to the best of my knowledge an be�e.
e�/��/ ��'��/,�-�
S�gnature of Natural Person Signing Above
(A copr of any bond musi be attached at Ihe ume of recordation of dus No�ice olCommencemenp U��dated 2'/NOV20I2
Quality You Can Trust Since 1886 .From North America's
Largest Roofing Manufacturer Arc h i tectu ra I
� Information
S E R V I C E S
ETH-21349 Florida Hospital Zephyrhills Project 1/2/2013
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SPECIFICATION: T-RB-T-I-60
COMPONENT TYPE RE UIRED ATTACHMENT RATE OF APPLICATION
DECK concrete Per Code
INSULATION EnergyGuardT"'Tapered Tapered Drill-TecT'"#14 HD 6 fasteners per 4'x 8'board in the
PolyIso Roof Insulation fasteners Fasteners& field
- Rhinobond�Insulation
Plates
SINGLE PLY EverGuard�TPO 60 mil One(1)ply Welded to RhinoBond�Plates with RhinoBond�Portable Bonding
MEMBRANE ASTM D-6878 Tool. Weighted cooling magnets aze placed over the bonded
membrane/ lates for a minimum of 45 seconds.
FLASHING EverGuazd�TPO 60 mil One(1)ply EverGuazd�TPO or 60 sq ft/gallon per surface for solvent
MEMBRANE ASTM D-6878 WB181 Bonding Adhesive based adhesive or
135-145 sq ft/gallon per surface for
WB181 bonding adhesive
Adhesive is applied to both the
substrate surface and the underside of
the membrane
GUARANTEE WeatherStopper�Diamond Twenty(20) GUARANTEE FEE APPLICABLE
PledgeTM NDL Roof years
Guarantee
All GAF�and EverGuard�accessories shall be used where applicable.
This system shall be installed by a GAF�Master or Master SelectTM Contractor.
Note:Each roof hns unique reguirements. This specificalion is a graphic representarion of products and their insmllotion.
To properly assess specific roofing needs,code approvals,system caifigurations and warrai�ty eligibiliry contact Contractor Services.
This specification shall not waive,supersede,or alter the requirements and recommendations found in the most current GAF�specification manual.
Architectural lnformation Services 1212 Brai Drive Port Arthur, TX 77640
Ph. 1-800-522-9124 Fax:877-271-6588
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �� ���e�� C�
Date Received: 2��/�
Site: �l)�S � �4--l� �l l�(�
Permit TYpe: �c�� �DY►'1✓Y1e� �GLY ��a-� ��C ���
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment s t s be kept with the permit and/or plans.
�7��-/3
alvin S tzer—Plans Examiner Date Contractor and/ar Homeowner
(Required when comments are present)