HomeMy WebLinkAbout13-14209 � � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14209
BUILDING PERMIT
Permit Number: 14209 Address: 5314 23RD 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0040-00500-0180
Improv. Cost: 5,880.00
Date Issued: 5/23/2013 Name: BROWN, JOAN FRANCES
Total Fees: 97.50 Address: 5314 23RD ST
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 5/23/2013 Phone: 703-869-3780
Work Desc: REROOF TPO 16 SQ
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FINAL �7 L�
REINSPECTION FEES: Reinspection fees will wmply 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)oondemned 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 pertormed in accordance with
Ci Codes and Ordinanoes. NO OCCUPANCY BEFO C.O.
C RA TO SI NA R PERMIT OFFI R
PER E IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ais-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �.- L '��� �j Phone Contact for Permitting ��� _�Cj
Owner's Name i � 1Y...� - �(� Owner Phone Number 1 U, •OI�J�"l'����JJ
Owner's Address iy � s�-, � 33s�ia Owner Phone Number
Fee Simpie Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS ` �Y �/1 � ,''L �� ��„ LOT# �
SUBDIVISION �' , PARCEL ID# Ic�-c�Ce•c��•L��-E(� ' C�O�X'� - ��ou
� (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN DEMOLISH
INSTALL REPAIR � .�,�
PROPOSED USE Q SFR '� COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q
DESCRIPTION OF WORK C�U^ ` ��S �j
BUILDING SIZE SQ FOOTAGE U HEIGHT
�BUILDING $�'`� �*\ VALUATION OF TOTAL CONSTRUCTION
v ��..J-
�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T� /��0�
�GAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address ' License# �
EIECTRICIAN CUMPANY
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 '. �� \ COMPANY 1'1 Up J"1�l
SIGNATURE REGISTERED Y J N FEE CURRE� Y/N
Address � � � �., ��JJ� License# �. �3a ��I
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 Pians w/Silt Fe�ce installed,
Sanitary Facilities&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& 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 ali NEW construction.
Directions:
Fill out application completely
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over�7500)
'* 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 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 IMPACTIUTILITIES 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'SIOWNER'S AFFIDAVIT: I ce�tify 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 & 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 filt:
- 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, wetls, 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 NOTICE OF CO MENCEMENT.
FLORIDA JURAT(F.S. 117 3)
OWNER OR AGENT CONTRACTOR
Subscribed an bsworn to(or atfirm d)b ore e ' S�c�¢e and sy o t (or a d)befor e t '
y GL b
o is/are to me or has/have produced Who is/are personally known to me or has/have produced
` as idenUfication. �^ __as identification.
/� / ��/
ta Public i [ '� X-� Notary Public
No ry
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Commis ion N , "��= ��'��`'c� Jc�'��ES Commissi No
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Exp(res da�.em�r 1.? 2014 ,,"���,,,
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Name of Nota ����i41g Na _,,, .��_ ed
";�P.��;° ���s December 12�2014
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'�, ALL��T��COi�ES.�LORIDABUILD��•�G
: FL# FL6943-R3 1 p�VAlLI1�G �L�����Q�}E t�.�i°��
�t��„�',�, .�� . ppplication Type ( Revfsion i C�D���ATIONAL
CITY IiS QR��`:�RCES
�.,�;��;;g;�,;_ ,:- code vers�on �, zo�o- OF ZEPHYR�
`�=`�' e , • Application Status Approved
Comments /
Archived \���,z„/
i �
Product Manufacturer GenFlex Roofing Systems, LLC � � � '
i`:�� �_ /
Address/Phone/Email 250 West 96th Street �����V� ��� �' -�- .- �
Suite 150
Indlanapoils,IN 46260 ���` �,}� �� " ' � j
(317)816-3806 -, ��y ,, r , t �
mcquillentim�firestonebp.com ����� ----�
Authorized Signature tim mcqulllen
mcqui Ilenti m�fl restonebp.com
Technical Representative Tim McQuillen
Address/Phone/Email 250 West 96th Street
Indianapolis,IN 46240
(800)443-4272 Ext 53806
mcquillentlm�ff restonebp.com
Quality Assurance Representative David Wally
Address/Phone/Ematl 393 Denton Circle
Tuscumbia,AL 35674
(256)386-8383
david.walley�omnova.com
Category Rooflng
Subcategory Single Ply Roof Systems
Compilance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
r' Evaluation Report- Nardcopy Received
Florida Enqineer or Architect Name who Robert Nieminen
developed the Evaluatfon Report
Florida License PE-59166
Quality Assurance Entity Underwriters Laboretorles Inc.
Quality Assurance Contract Explration Date 03/30/2013
Validated By ]ohn W. Knezevich,PE
t�` Validation Checklist-Hardcopy Received
Certificate of Independence FL6943 R3 COI Trinitv ERD CI-Nleminen.ndf
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
TAS 114 2011
UL 1897 2004
Equlvalence 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 O1/31/2012
Summary of Products
FL# Model,Number or Name DaseN tion
6943.1 GenFlex TPO Single Ply Roof . .._ermoplastic polyolifln,single-ply roof systems
Systems -
Umtts of Use Instsllation Instructions
Approved for use in HVHZ: No FL6943 R3 II A1 er120911FINAL GENFLEX
Approved for use outside HVHZ:Yes TP FL6 3-R3. f �
Impact Resistant: N/A Verifled By:Robert Nieminen PE-59166
Desiyn Pressurc: +N/A/-292.5 Created by Independent Third Party:Yes
Other: 1.)The DP In thls applicatlon refers to one Evaluation Reports
speciflc roof assembly. Refer to ER Appendix for all FL6943 R3 AE er120911FINAL GENFLEX TPO FL6943-
�assemblies and max design pressures. 2.)Refer to ER R df
Section 5 for Llmits of Use. Created b Independent Third Party:Yes
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Contad Us :1940 North Monroe Sheet.Taliahassee FL 32399 Phone:850-487-1824
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�w-}r'�k°� '"��"�-� A Division of Ryman Construction,Inc. Proposal#
_,i;
"'�'�°`` 36413 SR 54 • Zephyrhills, Florida 33541
INC. Phone (813)782-6094 • Fax (813)788-6773 Estimate#
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 ,1ob#
Serving all of C ntral Florida
.' C . � Date: � -i 3-'v�
OwnedPurchaser: �d=�
Claim#� InsuranceCompany:
Policy#
Address. , '� l� �
� �. S-� City: _�eD� r ��'��S Zip: 33 S�?
Home #: Cell #: 7G � ' �(��- ��1�cJ Business #�
E-Mail Address.
❑ Complete tear off of existing Additional Notes/Special Concerns:
❑ Seeure all loose roof decking as needed according
Q�RFlorida Building Codes
oof dried in with �e` �e�n ���
❑ Install new valley metal with galvanized metal
�stal�new'!e!w► ��+�"drip edge color at,�v
II tall new lead boots
Install all new general roof vents ^)
Install new C� �n%� �
Manufacturer: ���'1 �K � �P yvJC�t�� nr'
�ol r: y,�� �`t�
II roof related debris removed from job site, pick-up loose �l�,,�, �
n ils using commercial grade magnet ��w
' All materials, labor and permits furnished �
f�rovide a S y1��i✓ labor warranty Total Investment$ .��f�
Additional Items:
�L�
Pay ent Method� ❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim
�Credit Card# ��r�2. Z ��� ��G� �'��� Exp. Date �!��� ��� CC ID# �1��
Down Payment: $ ���� Amount Financed:$ Approx. Monthly Payment: $
PaymentTerms: �� �l C���U✓f �'t / �t,�°-�' C!f✓¢� ClG'�3�1 �`�i+�t�!-C'�•�a✓�
Extras:
❑ Deficient 1/2"plywood replaced at a cost of$ per sq.ft. in the roof field,which includes labor&materials.All other wood work/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 the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
I ACCEPT THIS PROP.OS � AND HEREBY CER HAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRAC�
Purchaser: ! _ Date: `�
Purchaser:
Estimator: �'
/
. • �`c ��
ar„
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
� �� ��
Date Received: �'� �—�J
Site: � � � �- � �r� �
Permit Type: �' f C� �(�
�
�t ,
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.
��>� "/�
Kalv n S ' zer lans Examiner Date Contractor andJor Homeowner
� (Required when comments are present)