HomeMy WebLinkAbout13-14013 , CITY OF ZEPHYRHILLS
• 5335-8TH SIREET
(sispso-oo20 14013
BUILDING PERMIT '
Permit Number: 14013 Address: 38433 9TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08700-0110
Improv. Cost: 5,000.00
Date Issued: 3/25/2013 Name: TRIESKEY, ANTHONY& MARY
Total Fees: 90.00 Address: 221 N 19TH ST
Amount Paid: 90.00 OLEAN NY 14760-1903
Date Paid: 3/25/2013 Phone: 716-969-6470
Work Desc: REROOF RUBBER TPO 060 MEMBRANE
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TAPE JOI R F INSP _
FINAL '!( .�� ZI�"���_
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 properly. 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin —
Owner's Name C�,S� !T/�. -'" � (� Owner Phone Number
Owner's Address ��3� � �'11(,, r��NS�� Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �� r7V�- (�� r �S� LOT# �
SUBDIVISION � PARCEL ID# I I" ��� " O�� " � r�� � (j j (Q
(OBTAINED FROM PROPERTY TAX NOTICE)
1NORK PROPOSED B NEW CONSTR 8 ADO/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME O STEEL Q
DESCRIPTION OF WORK Q �v t^J/ TPO U�0 ZQ
BUILDING SIZE � —1 SQ FOOTAGE� HEIGHT
QBUILDING $��� .�j� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �' ��/�
OGAS Q ROOFING [�] SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS 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 I N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License# �
OTHER � i COMPANY S� � O�Ci�L �OOT i C
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address � �� �� U5 S�i�l�}N"�v'^r� � �5�� License# r�.-����q b�
RESIDENTIAL Attach(2)Plot 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 Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivlsionsflarge 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 lnstalled,
Sanitary Facilittes&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Englneered Plans. ,
'"""PROPERTY SURVEY requ(red for all NEW construction.
Directions:
Fill out applicaGon completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (A/C upgrades over a7500)
`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TING (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 County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions. •
UNLICENSED CONTRACTORS AND CONTRACTOR RESPCINSIBILITIES: � ff the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordanCe with state and locai r�gulations. 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 wili 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 permit�ing priv�leges in Pasco
County.
TRANSPORTATION IMP,�I�T/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportakion Iphp�at Fees and Recburse 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$tatlt�tes, as amende�i): 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with atl 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
ce�tify 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 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 fitl will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, 1 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 t�ecome invalid
unless the work authorized by such'permif 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 B�ilding Officia�l for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive iiays, 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, CONSUL7
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEI1AENi.
FLORIDA JURAT(F.S. 117.03) p
OWNER OR AGENT .A1��G•-- (_.- CONTRACTOR ..+dLaa...- � �Q�� "
Subscrtbed and sworn to(or a�rmed)before me this Subscribed and bwom to(or affirmed)before me this �,__
by y
Who is/are pers nown to me or has/have produced Who is/are personall,� y�k ovm�o me or haslhave produced
as identification. as identification.
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�� Public ��� ��-- Notary Public
f ' � JACQUEIINE BO(3ES
Com I ion N Com on ••����H
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� �ro9 DecAmbAr 12,2014 #� :*� �saion#EE 04U520
Name of Notary type , Name of Not ., . � eop.�es.ro�s
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�Lnd�y
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���� �f�/`Y1Gt,r� �G'� C���
� �
Date Received: �'2 2 ���
Site: ��° � 3� �j(� �
Permit Type: /���'Z� /Q���J�'��
Approved w/no comment`s. Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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�� 3��-� ��3
Kalvin Sw tzer—Pl xaminer Date Contractor andlor Homeowner
(Required when comments are present)
s��� Proposal/Contract
s��t � � � , ��.
P. . Box 1188 • 33010��
O
San Antonio, FL 33576 .��ee�cde�l,
� (352) 588-ROOF (7663) • (813) 782-1330 �s���� �
� 1-866-407-0559 � Fax (352) 588-9763 9�aACtic�
www.scottblackmanroofing.com ��,�� � � � � ��
���� email: blackmanroofing@aol.com Date � "O
�� 057957
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
Name � h�1 � ��'1 r� ✓� � � �� �S��' Street
�
Street � �Y 3 3 � � i�✓ � City
City Z �1 . `�� State Zip
State�/ Zip Owner of Properry
Phone Number ���O �- '�jl��� "� y 7� Fax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
❑ Remove existing shingle roof ❑Replace bad fascia boards at$ per foot
❑ Remove existing built-up roof ❑Replace 1 x decking at$ per foot
❑ Dry-in with ❑ 15 Ib. ❑ 30 Ib. ❑Install feet of ridge vents
❑ Dry-in with a fully adhered underlayment$ ❑ Install modified bitimen(granulated)torch down roofing
❑Install new alvanized valle metal additfonel
9 Y black, white or other color _
❑Install new lead boots ❑ Install 25 yr.fungus resistant 3-tab shingles
❑Install new roof jacks ❑ Install 30 yr.fungus resistant dimensional shingles
❑Install new drip edge, color ❑Shingle manufacturer color
❑Install new flashing as needed 0'�stall TPO,white rubberized roofing membrane C� � 2��r
❑Replace plywood at$ per sheet p Other: ��--���- `x�e -�, 2 c '^ `� r ,— S��`��l b��
❑Repair rotten trusses at$ per foot , t �� ✓� � �w � ,�
*Woodwork is an additional charge,see pricing above
All material is guaranteed to be as specified,and the above work is to be performed is accordance with the drawings and specifica-
tions submitted for above work and completed in a substantial workmanlike manner for the sum of$ �,�7�d� d a �'�'
with payments to be made as follows: Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted,additional 3%charge.
*Not responsible for satellite signal when satelite is reinstalled "`Not responsible for A/C & electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will _ f
be executed only upon written orders,and will become an extra charge over and r .lifC�1/+�
above the estimate.All agreements contingent upon strikes,accidents or delays Offieer/ ent Seott Blackman Roofin
beyond our control.Owner to carry fire,tornado and other necessary insurance 9 9
upon above work.Workers'Compensation and Public Liability insurance an above Note: This p�S81 may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor Eztreme caution should be
used during and after construction for debris and nails missed during within � days.
cteanup.
ACCEPTANCE OF PROPOSAL
The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as
specified. I have read the back of this Proposal/Contract,which contains Florida Statues 713.001-713.37. Payment will be made as
outlined above. Client gives permission to drive on driveway to deliver materials.
-�---�-^ •
Accepted .��J`fi1.��,�y 1", '���5�`� Signature �_ �
Date � � �� - ,�(� ��� Signature �
Pasco County Parcel: 11-26-21-0010-08700-0110 001 Page 1 of 2
Data Current as Of: Weekly Archive - Friday, March 22, 2013
Parcel ID 11-26-21-0010-08700-0110 (Card: 001 of 001)
Classi�cation 01 - Single Family
Mailing Address Property Value
TRIESKEY ANTHONY F & MARY Ag Land �o
ANN& Land $i5,i2o
TRIESKEY JOHN E & AMANDA A Building �19,235
221 N 19TH ST Extra Features $856
OLEAN NY 14760-1903
Physical Address �ust Value ;35,2s1
38433 9TH AVE AsSessed (Save our Homes) $35,211
ZEPHYRHILLS FL 33542 Homestead 196.031 - �z5,000
Le4al Description (First 4 Lines) Non-School Additional Homestead �o
See Plat for this Subdivision Exemption
CITY OF ZEPHYRHILLS Taxable Value �io,2ii
PB 1 PG 54 LOTS 11 & 12 yyarning: A significant taxable value increase may occur when
BLOCK 87 sold.
OR 8827 PG 3919 Click here for details and info. regarding the posting of
exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
1 0100 SFR OOR2 8,400.00 SF $1.80 1.00 $15,120
Additional Land Information
Acres 0.19 Tax Area 30ZH FEMA �Residential Code ZHLHLP2
Code �
Buildinq Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1956 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block E�cterior Wall 2 None
Roof Structure Flat Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Asphalt Tile Flooring 2 Carpet
Fuel Oil Heat Convection
A/C Window Unit Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BAS 996 $32,320
2 FGR 252 $3,277 �
3 FOP 42 $357
Extra Features (Card: 001 of 001)
Line Description � Year � Units Value
1 r-DWC 1987 324 $413
2 CLFENCE � 1973 1,000 $353
3 CON PTO 1973 �-120 $90
Sales History
Previous Owner HARRIS RUSSELL J
Month/Year Book/Page Type DOR Condition Amount
http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 3/22/2013
Florida Building Code Online Page 1 of 2
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Busines �
` � Product Approval
Professi naI � �SER:P�b����5e� . , . , ,
,:���.�! �.i� ..i, �� - , � "� ,,1
�' Product Approvai Menu>Product or Application Sear�h Application List>Application De i( ' ;
FL# r1 FL14083-R3 � '
w'"�.�"' Y` ApplicationType ! Revisio�
Code Version 2010
Application Status Approved
Comments ,
Archived
;-,:- �. ��- ����3
, _ .� ��af.. ��
Product Manufacturer Carlisle 5 Tec Incorporated ���4 - � :l� -��.��, ;.,,�. �-�� - -
Address/Phone/Email 1285 ner Highway °�t_/.�f�j c: - `��` `= (�
. ox 7000 ., r:-���i�`��:rC I`-�
Carlisle, PA 17013 - - __
(717)245-7000
malpezzi@syntec.carlisle.com
Authorized Signature Joe Malpezzi
malpezzi@syntec.carlisle.com
Technical Representative Chad Wert
Address/Phone/Email P.O Box 7000
Carlisle, PA 17103
(717)245-7000 Ext7456
chad.wert@syntec.ca rl isle.co m
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or ArChitect Name who Robert J. M. Nieminen ,
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date il/02/2013
Validated By ]ohn W. Knezevich,PE
Validation Checklist-Hardcopy Received
Certificate of Independence FL14083_R3_COI_Trinity ERD CI - Nieminen pdf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
TAS 114 2011
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtGLR%2byCB... 3/22/2013
Florida Building Code Online Page 2 of 2
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 08/23/2012
Date Validated 08/24/2012
Date Pending FBC Approval 08/27/2012
Date Approved 10/09/2012
-- - - ----- - --
- — — ---- -
iSummary of Products
FL# Model,Number or Name Description i
14083.1 Carlisle Sure-Weld TPO Single Ply Thermoplastic Olefin Roof Membranes �
� Roof Systems �
i Limits of Use Installation Instructions I
; Approved for use in HVHZ: No FL14083_R3_II_A1_er082312FINAL_CARLISLE_Sure-
Approved for use outside HVHZ:Yes Weld TPO_FL14083-R3.pdf �
Impact Resistant: N/A Verified By: Robert 7. M Nieminen PE-59166 �
Design Pressure: +N/A/-525 0 Created by Independent Third Party• Yes �
Other: 1.)The design pressure in this application Evaluation Reports i
;relates to one particular assembly. Refer to the ER FL14083_R3_AE er082312FINAL_CARLISLE_Sure-Weld
'Appendix all systems max. design presssures. 2.) Refer TPO_FL14083-R3 pdf I
�to ER,Section 5 for Limits of Use. Created by Independent Third Party: Yes i
�---
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The State of Florida�s an AA/EEO employer o ri ht 2007_2010 State of FI ro ida• Privacv_Statement AccesSibilitv_tatement Ref�nd Stat ment
Under Florida law,email addresses are public records.If you do not want your e-mad address released in response to a public-records request,do not
send electronic mail to this entity Instead,contact the office by phone or by traditional mail.If you have any questions,please contac[850.487.1395.
`PUrsuant to Sec[ion 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department
with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are Oublic
record.If you do not wish to supply a personal address,please provide the Department with an email add2ss which can be made available to the public.
To determine if you are a licensee under Chapter 455,F.S.,please click�rg
Produd Approval Accepts:
� � �heck �
til'[U�itV"+tY uttt�
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http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqtGLR%2byCB... 3/22/2013
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