HomeMy WebLinkAbout13-14324 � � CITY OF ZEPHYRHILLS
5335-8TH STREET r'
(si3)�so-oo20 �(4324
BUILDING PERMIT
Permit Number: 14324 Address: 6147 ZEPHYR RIDGE DR
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: ZEPHYR RIDGE
Est. Value: Parcel Number: 03-26-21-0130-00000-0160
Improv. Cost: 2,475.00
Date Issued: 7/03/2013 Name: BLADT FRANK& OLIVE
Total Fees: 75.00 Address: 6147 ZEPHYR RIDGE DR
Amount Paid: 75.00 ZEPHYRHILLS FL 33542
Date Paid: 7/03/2013 Phone:
Work Desc: REROOF RUBBER
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TAPE JOINT OOF INSP
FINAL `���,_� �
REINSPECTION FEES: Reinspection fees will compiy 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 y r properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of wmmencement."
Complete Plan ifications Must Acxompany Application. All work shall be pertormed in acxordance with
Ci Codes and Ordinances. N LJF,ANCY BEFO C.O.
CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
A;
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: /� � GL.��`"`'�� �N
Date Received: � 'Z.�'�'3
Site: � � � r ��
Permit Type: ����%/ ����r
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.
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vin S —Plans Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
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a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone ntact for Permittin __
f'—"
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number �— —�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# ��
SUBDIVISION —� PARCEL ID*
�OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING � �` VALUATION OF TOTAL CONSTRUCTION
V
QELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING �� � /
IL� 2 !/
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I \�
l
QGAS Q ROOFING Q SPECIALTY C] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � —�
ELECTRICIAN I 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/
Address icense#
OTHER � COMPANY
SIGNATURE REGISTERED Y FEE URRE�
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Fadlities 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 construction.
Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit 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 consVucUon.
Directions:
Fil�out application completely.
Ovmer 8 Contractor sign back of application,nota�ized
If over 52500,a Notice of Commencement is required. (AIC 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 PERMI7TING (Front of AppNcation 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 RESTRICTtONS: 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 compifance 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 cerfify 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 understa�d 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 ihe fil� 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 tfine 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 w�ll demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is sidered abandoned.
WARNING TO NER: YOUR FAILURE TO RECORD A NOTI OMMENC NT MAY RESULT IN YOUR
PAYING RICE R OPR N ATT'ORN�YOBEFORE REC RDING YOUR TND T CoTA1N NNENCING, CONSULT
WITH YO
FLORIDA JU T .
OWNER O CONTRACTOR
Subscribed a s (or ffirm d)b r e this Subscribed and s o r m efore me this
by
Who is/a personally kn to me or has/have produced Who Is/are nally known to me or haslh aenP�fi��on.
as Identlficatlon.
Notary Public
Notary Public
Commissfon No. Commission No.
Name of Notary typed,prfnted or stamped Name of Notary typed,printed or stamped
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C/O Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 3354�
One of the Largest, Oldest, Most Dependable OFFICE
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home Wr�ite Commercial Rubber& Color Meta!Roofing �g 13) 782-5585
RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737
LICENSED - INSURED - BONDED (352) 523-1944
• MEMBER OF THE CHAMBER OF COMMERCE
& BETTER BUSINESS BUREAU • Lic. #CCC 1325499
Serving Zephyrhills, Dade City, Quail Hollow, Wesiey Chapel, Land O' Lakes and Surrounding Areas
We have re-roofed or repaired more roofs(1 S,000)in the past 39 years, than the four loca/leading roofing companies combined.
We do not charge extra fees for credit card purchase.Most companies charge 3 to 5%. �r� f`'
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President 8� G'�wner A. Bar�lett g I
f , � Ejoafin of Central FL, Inc. i
Sign: �"` ' ;�r� �...�-`,..--"".� �,
—T� ' Richard C Bartlett I
' THANK YOU
Your Business is Appreciated. '
Payment upon completion unless previous arrangement made.Warranties pertain to original owner i
All arrangements contingent upon strikes,accidents or tlelays beyond our control.Owner to carry fire,tornado and other necessary insurance. , �
Our workers are fully covered by Workmen's Compensation Insurance.Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra$35.00 per sheet(4-pty).Rotten fascia is$2.00 per linear foot. ,,�Ot81 �� ' . - y^
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C,�^��,1`�r-12^'f BCIS Home Log In User Registration Hot Top�cs SuDmit Surcharge StaLS&Faccs PuDlirations FBC StaH BCIS Site Map Lmks p 5earch
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�� ,--��_ ;' ALL���ORI;.S��ALL CO'��PLY�'v'ITH ALL
��,.���; FL# , F15293-R5
���T _: -�' Application Type � Revision PREVAILI?�G CODES,FLORIDABUILDII�(Y
�������;!�"�"� coee vers+on � zoio CODE,NATlO��I,ELECTRIC CODEAl`�D
'- Application Status � J �'
Approved ('IT1 OF Z1:PII>RlI1LLS(,RDl?�Ai�CES
Comments �
Archived --
Product Manufacturer GAF
Address/Phone/Email 1361 Alps Road ���'�� ��°r� �/ ;�7-�3
Wayne, N]07470 - � -- ----. -
(973)872-4421 z,��r{���p�'���-��i_��
Iindareith@trinityerd.com
�LpNS �X'.��t���
Authorized Signature Beth McSorley
li nda relth@trinityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road- Bldg 11-1
Wayne, N]07470
(973)872-4421
BMcSorley@gaf.com
Quality Assurance Representative
Address/Phone/Emall
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluatlon Report from a Florida Reglstered Architec[or a Licensed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida License VE-59166
Quality Assurance Entity Underwrlters Laboratorles Inc.
Quality Assurance Contract Expiration Date 04/13/2012
Validated By John W. Knezevich, PE
Vaiidation Checklist- Hardcopy Recelved
Certificate of Independence �5293 R5 COI Trinitv ERD CI-Ni �*+i��� �+f
Referenced Standard and Year(of Standard) �tandard
Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
TAS 114 2011
Equlvalence of Product Standards
http.1/www floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEV�;Qv,,tgquwVcULes7wT... 6/8/2012
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1 Cl�l. L V1 L
Certified By
Sections from the Cotle
Product Approval Methotl Method 1 Option D
Date Submitted 02/16/2012
Da[e Validated 02/21/2012
Date Pending FBC Approval 02/24/2012
Date Approved 04/03/2012
Date Revised 04/06/2012
Summary of Products
FL� 1`{odel,Number or Name Descri tion
5293 1 EverGuard TPO Single-Ply Roof Single-ply,thermoplastic polyolefin roofing systems
Membrane Systems
Limtts af Use Installation Instructions I
Approved for use in MVHZ: No FL5293 R5 II A1 er02161]FINAL eF TPO FL5293 �
Approved for use outside HVHZ:Yes R , f
Impact Resistant: N/A Verified By Robert Nleminen PE-59166
Desiqn Pressure: +N/A/-502.5 Created by Independent Third Party• Yes
Other: 1.)The design pressure noted in this application EvaluatEon Reports I
relates to one specific assembly in the ER Append(x. FL5293 RS AE er021612FINAL 4F TPO FL5294
Refer to the ER Appendix for all systems and associated R . f
max.design pressures. 2.) Refer to ER Section 5 for Created by Independent Third Party•Yes
Llmits of Use
Back kexi
[on�R Us 1940 NoKh Monroe Stre.t Talla a ci »aoq phone:850-487-1824
The State of Florlda is an AA/EEO employer CoovriaAt 2007- O10�+wtw of Florida :prlvacv gtatement� Acoessi6ilitv etat m nt Refund 5 atsm ro
under Florida law,e-mail addresses are public records.If you do not want your e-mail address releaud in rcsponse to a public-rccorEs
send electronic mail to this eMlty.Instesd,conUCt the otfice by phone or by tradftional mail.If ou have an ���.do not
accessibtlity,Dlwse cvnhct our Web Master at w hma�r�d6nr�+.a�q��ons regarding DBPR's ADA web
Product Ayprov�l Aaoapts:
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