HomeMy WebLinkAbout13-14553 CITY OF ZEPHYRHILLS
5335-8TH STREET
, (si3)�so-oo20 1 4
BUILDING PERMIT
Permit Number: 14553 Address: 7428 LANDING PL
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: 34-25-21-0000-00300-0088
Improv. Cost: 1,133.00
Date Issued: 9/24/2013 Name: LANDING APARTMENTS INC
Total Fees: 67.50 Address: 38070 DAUGHTERY RD
Amount Paid: 67.50 ZEPHYRHILLS FL 33540
Date Paid: 9/24/2013 Phone:
Work Desc: REROOF RUBBER TPO
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TAPE JOINTS AOF INSP
FINAL -
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 Pians,Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
.��'
CONTRACTOR S GNATURE 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 Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received C , � phone Contact for Permittin 2 ,2��. __ � �+
Owner's Name �C,y� ;,,� Y y��.S
Owner Phone Number
Owner's Address �� L�C�,✓l� i�l i' L 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 NEW CONSTR ADDlALT �� SIGN Q [� DEMOLISH
INSTALI e REPAIR
PROPOSED USE [� SFR Q COMM �� OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �PO 2u„b�a �•� �dD �r VIQ�
BUILDING SIZE �— � 3Q FOOTAGE C� J HEIGHT ]
�BUILDING $ j ` ,, �, VALUATION OF TOTAL CONSTRUCTION
�S—
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �����
�GAS Q ROOFING Q SPECIALTY �] OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
BUILDER � � ) COMPANY LC IC `� i� L �
SIGNATURE � � ' REGISTERED Y/ N FEE CUR Y/N
Address Llcense# C
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# C
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License# �
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 submfttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facil(ties&1 dumpster;Site Work Permit for subdivisionsllarge 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 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 construcUon.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Noti�e of Commencement is required. (A!C upgrades over 57500)
`" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (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 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 misdem�annoPyiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 IMPACTlUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s
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): (f 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 1 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 all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 1 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 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
ucompensating 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. tf 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 unde�stand 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 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
justiflable 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 F ER OR AN EM ORNEY�EFORE RECORDING YOUR NOTICE F� OMMENCAMENT.' CONSULT
WITH YOUR LEND
FLORIDA JURAT(F.S. 117.03) A^
OWNER OR AGENT �"' � CONTRACTOR �
Subscribed and sworn to(or affirmed)before me this Subscribed and swom to(or afflrmed)before me this
by by
Who is/are personally known to me or haslhave produced Who Islare personally known to me or has/have produced
as IdenUfication. as identificaBon.
Notary Public
Notary Public
Commission No. Commission No.
ed, rinted or stamped Name of Notary tYped.Printed or stamped
Name of Notary typ P
� iiiiiiiiiiiiuiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii �
2013362028
Pe�n�iNO. Pa«iioNo_�- 2S-�l- ooeo • oogpo • Dpf(gi
NOTICE OF COMMENCEMENT
state or county of
THE UNDERSIGNED hareby givea notke that Improvdnent wiR be made to certaln real properry,ana In accordence with Chapter 7t 3,Fiorida Statutes,
the fodowinp IntormaUon ia provided in tMa Noliee of Commenament:
1 Descrip0on oi Property� Parcel IdeMiflcadon No.
Stroet Addreas: �"� � ���� � 3 �
2. General Desaiption of Improvement M1t I�ea C
cpt:1580689 Rac: 10.00
DS: 0.00 IT: 0 00
09/18/13 C. Mlner, Oply Clerk
3. Owner Intormation or Leasee infortnetion ii the Leasee contraded for the improvement: �
�.a.nGl �/l4 l+Dar,�r�tyj�5
Na
-f S i'M�C
Address City State
Interest(n PropeAy:
Name of Fee Simple TitkhWder
pi dif(erenl from Owner listed above)
AEdress City State
� contraaa: T�C R ee���o C.L C
Name PA �o k I�NS �Ge�,r C.� 335 25 ��
Addresa Ciry State
contracaors Te�ePnone No. 352-.Z�L- 13 34 �- -- -- ------ -
PiiUI.R S O'NEIL,Ph p PRSCO CLERK 8 COMPTROLLER
09/18/13 9:1�ja 1 of �/
5. Surety: OR BK �9J� PG 2 !90
Name
Addres3 Ciry State
Amount of Bond: i Telephone No.
8. Lender:
Name
Address City State
LendeYS Telephone No.
7 Persons withln the State of Florida designaled by the owner upon whom noUces or other documents may be servetl as p�ovided by
Secqon 713.13(1)(a)(�,Florida Slatutes: �`,` � *
Name Q.G � •� *
Addresa City Slate v� ���� •, 6�
Telephone Number oT Designated Person: �., G� ��.i ^ •O
8. In addition to himsdf,lhe owner designates ol_ � . � � �
to receiw a copy of the Lbnor's NoUce as provided in SeGion 713.13(1)(b),Florida Statutes. ; � c��~ � C�
Telaphone Number of Peroon or Entily Designated by Owner• � �
9. Expiratlon date of Notke ot CommencemMt(the expiratlon datC may nol De bafore Ihe completion ol co�Wction and final payment to the �� �':�
contreclor,but wiN be one year from the date of rocording unlees a diHerent date is specified): '�
♦
WARNING TO OWNER: ANY PAYMENTS MADE BY TNE ONMER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMEfJT s � •� *
ARE CONSIOERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART t, SECTION 713.13, FLORIOA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTV A NOTICE OF COMMENCEMENT MUST BE
RECOROED AND POSTED ON THE J08 SITE 9EFORE THE fIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORD�NG YOUR NOTIC OF COMMENCEMENT � W Y
Under penally af perjury,I declare fhat I have rea0 tM foregdng notke of comm men thal a stated lherein are true to the best � Z U �
of my knowledge and belief. � — S � {n� W W
STATE OF FLORIDA z � � J �
COUNTY OF PASCO � '-� � O �� O �
Si e of Ownor or less ,or Owners or lessee's Authorized � L � I- �f � � a
cer/Diredor�Partner/Manager � �� � I4- �}� ,L W
/'�f�D C 1�T '� � '�' `-_ .r ,z
Signalory's TitlelOTfice �- � �" t� `._i � Q �
''I {�- � !.r_ C✓ C? U
The foregoing instrumenl was acknowledged before me lhis�Gay o(��,20(�j by S�rm�1 t7L ��N�i�/W\ � � � J L� �
/� � F y- �_� I L
as YQGSi De!!f (type of authority,e.g.,oKcer,trustee,ettaney in fad)for �i �:1 �} Y
O F-
� T (name of pa on behalf of whom in trument was execuled). C� x �� � Gl
-9= 1� C3 � W
Personalry Known Produced IdenOficatlon❑ Notary Signature `/�" '� � I— —i �C �
�i � i w � ° �` U
7ype ot Identification Produced N ' � — Z O J
LINDA MATTINGLY � � � � � Q w
�pbIMISSION N EE123765 --� i.� ��• �� p Z
� IXPIRES AUG 24 2015 �''" �
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wpdata/bcs/noticecommencemenl�c053048 � �- � � � � �
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BTATE /N
CERIIFIED
CCC1328205 RESIDENTIAL.
a►...o � COMMERCIAL.
y'�` MISPECTIONS �OOF TYPES
exp..i.�o. FREE aa�o s�su�c
ESTIMATES
CALL MIKE THURSTON
OFFICE: �352��7.�073 CEII: (352)650-7101
PROPOSAL SUBMiTTED TO WORKED TO BE PERFORMED AT
Name�c__�_' t lk.p���i�►-� ,��� - Street 7N`L4� L � QI
��n. i J�4 �
street_���2 3 L-G,���`v�� p�:,,c� City Z,�P��.'1,.� F�s
Ciry ��p�-�"—�,` l�s State ��or:�c. Zip 335�//
State r`la r i J� Zip .335 Ll l Owner of Property
Phone Number Fax Phone Number F�
We hereby propose to furnish all the materials and perform ali the labor necessary for the r,ompietion of:
O emove existing shingle roof ❑Replace bad fascia boards at$ per foot
Remove existing built-up roof 0 Instali feet of ridge vents
0 Dry-in with ❑ 15 Ib. O 30 Ib. ❑ Install modified bitimen(granulated)torch down roofing
O Install new galvanized valley metal black, white or other color
0 Install new lead boots ❑ Instal125 yr.fungus resistant 3-tab shingles
0 Install new exhaust vents 0 Install 30 yr. fungus resistant dimensional shingles
❑Install new drip edge, cotor ❑Shingle manufacturer color
O Install new flashing as needed pi Install TPO,white rubberized roofing membrane
O Replace plywood at$ per sheet ❑Other: �� v f l �4 l�` �� ,, f r- k v� �
❑Repair rotten trusses at$ per foot
"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$� � �J3-� �
with payments to be made as to�iows. Pavment due in full on completion, unless otherwise noted. Thank You.
Credft cards ac;cepted,additional 2.8%charge.
Any alteratfon or deviatlon from above speciflcations Involving extra costs will
be executed only upon written orders,and wlll become an extra cherge over and
above the estimate.All agreements contingent upon stAkes,eccldents or delays
beyond our control.Owner to carry flre,tomado and other necessary Insurance Officer/Agent
uponabovework.Workers'CompensetlonandPubllcLlabflityinsuranceanebove Note: This proposal may be withdrawn b U
work to be taken out by Roofing Contractor � y s if not accepted
within � days.
Client gives permission to drive on driveway to deliver materials.
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. �J��
Accepted ����5 ���''� �v�. Signature _
Date ��C(>� � 7 t� Signature
�/
.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
/ � �---� �J D
CC ntracto omeowner: �
Date Received: �-_�� -���
Site: � �
.
Permit Type:
Approved w/no comments:� Approved w/the below comments: ❑ De ' w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
. �-��'-��
Kal n S ' r lans Examiner Date Contractor and/or Homeowner
� (Required when comments are present)
Florida Building Code Online Page 1 of 1
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�j(�'����!'?:,,i�I1�r � g In � Use�Registration Hot Topics ' Submit Surcharge j Stats& Facts � Publicati�
Bl�5I�1�5 �,�
���f���� � �( Product Approval �
f USER: Public User
�i�C�t�3���1�i� _ .
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FL# T�pe Manufacturer Validated By
FL12772-R1 Revision Mule-Hide Products Co., Inc. John W. Kneze
Historv Category: Roofing
Subcategory: Single Ply Roof Systems (954) 772-622
*Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commis
Contact Us :: 1940 North Monroe Stree Tallahassee FL 32399 Pho
The State of Florida is an AA/EEO employer. Co�vriaht 2007-2010 State of Florida, :: Privacv Statert
Under Florida law, email addresses are public records. If you do nat want your e-maii address relea:
send electronfc mail to this entity. Instead,contact the office by phone or by traditional mail. If you
*Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 207.2, licensees licensed unc
with an email address if they have one.The emails provided may be used for official communicatic
public record. If you do not wish to suppiy a personal address, please provicle the Department with a
public. To deterr�ine if you are a lice�see under Chapter 455, F.S.,
Product Approvai Accepts:
� Er.Is�aF • ,
4wt`.t!CitV 1i 7z'f`i:[f.'S
� � j �
http://floridabuilding.org/pr/pr app_lst.aspx 1/24/2013
��.�.,+LU1J u�.ta �L/tibi4ll� ABC SUPPLY CO INC
, ���' PAGE 0i I29
.�' •
' , , • , ..�.-� EXTEitIOR RESEARCH�t DESIGN, LLC. -
•�': '• ' �' .. Certi�rCSte of Aud�tlOA#9508 �-�+
' � . ...; ,' ;; " 35�Chrisb]an St�eet
�'.'��� • . ���- Clxfort�, GT 06478
. • • -�� �, .�.;�.
� PHONE: (203)262-9245
EVAWAY'IGN 1't�Pi�RT F�� (�03) 262-9Z43
Mulm-Hide Products Co„Inc. Evaluatlo�Report#��96A�A6.09-Ri
11�5 Princa Hail Drlve,Suit�A FI.1Z77�-Ri
Bpl�it, Wi 63l�i1-!�Si Daf�of Issuarfc�:0�/241�409
�PE: Itevision i: �Z/13/Z011
Thls fvatua�ion Repcyrt is issued under Rule 9N-3 and the applicable rules and regul�tions goveming
the use of ca�struet;on rnateriats i� the 5"Gai�; qf Flarida. 7iie documerrtation subrn�tted has been�
reviewed by Robert Nleminen, P.�. for,use of the product under the Florida Building Coc1e. 77�e
product described hes�ein has been deslgned to comply wlth the 20ip Flvrida euliding Cvde s�tlons
noted hereln.
DescRZaROH: MVIe-Hide TPO-c Single Piy Roof Systems
���: Each unit shall bear�{abel€ng in accordance wf� tfie requirements the ,q�credited Quality
Assuronce Agency noted herein.
Conrnru�n CaM�n�: Th�s Evaluatlon Report Is {ralid unt11 such tlme as the named prodcsc*(s)
chat�ge�, Che refererteed-Quality Assurance d�umentallon changes, or provisions of the Code that
relate fio the product change. Acceptance of this Evaluation Report by the named cllent const�tutes
agreement to notifjr Rol�rt Niemirten, P,E. if the product changes ar the ,r�eferenc:ed Quaflty
Assurance documentation changes, TMnity�ERD requires a oompiete review of this EvaEuation
Report relative'to updatecf Cocie requirements wikh each Code Cyc�e, •
ApVERT�,SEMENT: 7fie Evaluation Repart number preceded by the words °Trinity � ERD .Evaiwated" �
r�ay be displayed in advertising li�er�ture. If any portion of the Ev�ludti4n Report is displayed, ihen
it sh�ll be done i� its entinety. .
I�tsPECTtotu: Upon request, a copy of this entire Evaluation Rep�rt shall be provided#o•the user••by
tF►e •manafacturer or its distributors and shall be avallable for lnspe�tion at thQ.job slte �at xhe
reQuest of the gu(Idlnq Offitiai.
Yhis Ev�luation Report cansists vf pages i through 4, plus a i6-page Append�x. ,
Propared b : • � ,�..�,���_... . .
�� �;ex����,
t''��
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� �� ;', • �: me�seai appeannp was-a�ed
sa
��,-��� wF tiY RabartN�.P.E.an i}J�d/30i1
Rt�bert.'�.M. Nietrei�len, P.E. �� '� ti�.:�i,,��r��'`.'s -rnt�aoe9 noc serve as an�,y,r� •
Florida ReqlstradoA No.59t6�1-7orida Dt`A ANEi983 Y; a'lON�L'�',,fi�� ��d�ie•�u�nirre bmen
. . �� . "..�ur . en tne named aerte ��"����ro
CER72FICj►7Tpp�F INDEPENDEIYECE: �
l. �l R��1 �D�si�D. W.C. d/b!a Tritlity � ERp do2S flot i12�ye, npr doeS it in�nd to aoqaire or wiil it acquire,e
� �lnandal Ir�erest In any company mar�ufacturlrg or dtstrlbuting products it�valuates.
Z. �xt�ri0r Rese�arrh & pesign, LLC. •d/b/a T�Yntty � ERp Is not owned, operated or controlled by any.�rnpany
• man�e�ng or distribulin9 Prodt�cts it evaluates.
3. Ro�ert Nieminen, P.E.does noi have nor will acquire,a fi+lar�ial int�rest in erly ComC�anY►nanufaCtphng or dis�►ibuting
PtoducLs For whkh the evaluatlon report�are befng lssued.
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8. INSTAlLA7ION: • . '
6.1 Mule-Ntde 7pp-C. 5ingte Ply Roof Sysbems shall be ir�stal}ed In aCtc►rdance vr�q� Mule-NicJe
Produtts Co., Inc. published installation ir�t�utqans, subject to the Umi�tior�/ Condltions oF
Use nabed her}ein. .
5,2 System attac3�mer�t requjrem��_t�r�I�..,��ancs are set farth In Appendlx i. °Mbp° .
=�Ma�dmum b�.slgn pr,essure is the resuft of testing for wlrxl �pad resistan�e based on�!lnwable
wfnd lo8ds. Refer to Ft#C 1604.1.5 for deferrrilnat�dn pf deSigrt wi►td pre�ures.
6.3 For rriethaniplty fastened membrane systems (TYpe p� o�rer pro�led stee! deck, membrane
shafl be installed runNng Pe►Pendicul�r to steel d�k tlt�es.
7�. Bu�LDI�PEfiMI'r REQUIR�MENT3:
.As required by the Builci�ng Offidal pr ,4u��ty H�W�g �urisdictlon ln order to properly evaluate tfie
'installadan`of thls produ�t. • ,
$- M�►tiu�►cTU�NO Ruurrs: .
Cont�ct the nated•-!2A �9�1C!'for irlfarmation on product bcations cov�red �p F.A.C. Rule 9N=3 QA
reyuirernenks. :
9. Qu�urrr assu��Nmr,r: . .
��pp+��als-QUA 18b0; (781) 255-4783
-THE t6-PAGFS THAT FQt,LpYy Fp/�y PART OP THIS'EyAtWlTION REPORT- - '
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Exterior Research ae�d DeslQn,LLC.
Cereflcete of�+,tnorhat/a+#99p43 lvaluatiun Report Mi�06�.06.0�-Ri . .
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�'4��-Hide TPa-c rnembr�n�s are nomEnal 45-mil (1.imm) ar 60-mil (1.5 mm) thick. Pah+ester- •`�•
�'im relnforced,th�moplastic o!elln('tP0)single-Ply roof m�mbranes.
➢'•�[YWIe-Ifide Tpp�•c E�(T� m�b�� ,�re nominef 72-rtfif {l.8mrn) or 80-mii (2.Ornm) #hitk,
.., pblyester-Sp�lm reinb�d,thermoplastit defin (7PU),singfe-ply roof inembranes. '
' Mure-�Ilde•Tpp�c Fle� gaq�m��� �a nomina145-mi1 (i.imm) or 60-mU (i.5 mm) tl�ick, .
PaYester-strim reinbrced. thermoplastk oleRn (TPp)�sin9le-Ply roo€ memt�rane with a Pol�
�ce batking. . .
5. Li�irr,�r�or�s:
S.i 'This Evatuatlon �eport is not for use In HVHZ. , •
S.Z ft�Per ta a current Raaff�g Materidis Lyirectory for tlre raCingS o€this product. ' .
S.3 Far s�teel deck installatlons,toarrt pf�y-q�Insuladon shall be�eparated from the building ir►te�}or
• in dcwrdance wlth FBC 2503.4 unless G�e excep�tior�stated U F8C 2603.�1.i ar�603.6 appfy'.
5.4 Unless otherwlse noted in Appendlx 1, roof decking and its attachment�hall � Speclfted nnd
installed to meet projct#desi4n c�a•�����action of tlte AH]. -
5.� For recover instatl�pp�s,Liie extsting roaf ghail be examined In atcprdante with FBC 1510.
, 5.6 Far mecfianlc�lty attatqed insulatlon or membr�r�� � y�p.b�d� ���f�on, the maximurrr • . . ,
design pr�ssure for the selected ass�;mbly shail m¢�t or euceed the Zone 7. qeslgn pressure
debermined in �p�� �� �C�h��r 16. zones 2 and 3 shall ernploy an atl�q�men�
density desl9ned by a qualifie�i deslgn prafessional to reslst the Mevated pressure crlte�ia. , • .
��'+'���Y�ssd methods are RAS 1�7, RAS 137 and FM LPDS 1-29. �bties m�rked wlth
an 8stecisk* carry the iimPtations set 1�nrth le Section 7.2.]..5.2(a) of FM LppS 1-yg for Zone
. z/3 entt8ncemer►ts. � .
5.7 , For assemDlies with ail oompc,qents fuliy bonded in.p1aCe,th�maxirnum deslgn pressur�for the .
' serected asserr�bly shall meet or exceed cr;�i�l design prassurp d�termined fn accordance w;�Fy
FBC Chapt�r 16. No rationaf anatysis is permitted for these systems. •�.�
, 5-S.�" For mechanicaHy attachetl i�ulatfa�►or membran�over exist/
test�ed�In the exlsting deck for wlthdraw�t tesistance. A qua Ifledf�t�5iqh ��p�5��lat�a I
review the ddt� for comparison ;o the minimum recsuiremen#s for the syster,z. Test)r�g a,ui
anaiysis shalf h�in 8toordance wltf�TAS 105 or ANSiJSPRI FX-�.,
5.9 For bonded �nsulatfon or membrane over e�cfsting ,ru�� in a re-roof(tear o1� or recover
installaiion,ti�e exisr,ing deck or existing rvof surface shaU be examir�ed for cvmpaHbitlty wlih • .
the adties{ye tp be installed. �i any SurfBCe wnditions eXlst th,dt bt9ng SySCem perForntanCe I�to
questlon, field uplift testing In a�cortk�nce with ASTN1 E907, FM LPpg 1-52, ATISIJSPRI IA-i ar
TAS 22�s#�aR�����d ort modc-ups of it�e propostd new roof as�embly. •
• 5.10 � For I�o�cled tnsuta�ion or membrane over existln� substrate's in a rec.over in5tallatlpnr the �
• exlstin9 roof systen��h81) be capable of r�iSt9ng prqject desigr� pressures pn � pwn merit to ...
the sattsfaction ot the AN], as documented thrpugh field uplifC testing !n�ddnte with ASTM�
E907, FlN,�,pp�X_52 orTAS 124. . ' • ,
5.11 Metd� edge atbchment �except gu#ters), shaq b� d�si n�d and i
attondance with FBC Chapter�6 and tested for resisWn e in aowrdance'twidt A�ISI/SPRI ES-! � . ..
or RAg 111,except the basic wind spe�d shall t�e determ€n�i frpril FgC Fig�e 1609.
5.12 All products�rr mE roof assembly shatl have qualfty' assurance audit In accorpd�Ce•witfl the FB�
and F.A.C, Rule 9N-3.
Exteriar Res�arch�nd Design,LlC. •
�caes of,4�ep�on+#9503 ' . , Erdluiition Report M3S06Q.OQ,.09-Ri
• ' F`i.�,�772-Ri ••.✓ .
Revislon i:t3/s3/2oti �
Pd9@ 3�4 � .
��,��,cr�ic� n�:�y t27863d273 ABC �.1PPLY CO INC
PAGE, 8�2128
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r-:,.
ROOF�NQ.S�'8T�M8 EVA�ttATlONi • M��:��
1.. • . . . ��
�C+GPF.•
Pro�lu�#C8#eya,ry; kppfing ' .
�'��'1i� �ngle Ply Roaf Sysbems
COmP���� St�t�har�t: Mule-Hide TPO-C Singie Ply Roof Sy�t�emg, as p��� by MulrHide
.�'roducts Co., inc. have demonstreted mmpUapce--vv� �he fiollowing Set#ior�s of the Florfda Bundtng
:�oiie.through �esbng ln �ocar+darice with the foilowing Standanls. Compflarlc�e Is subject ta the
Iriatatfat�on Requiraments anci Umitaiions J Cflndltions of U5e set fortl�tiereln. .
2. $fANDAROS: � � •� '
. 1�� �n� �r �S
i504.7 �m�� FM A474 Z�
' 1507.13.2 ph��P��� FM 4470 ���
isa3.6.2 yyi„a nsrM ase�s zoo6 .
, TAS 114 2013.
�. REFERENCFRi
�!C �� n ' . . ,
ACRC�4671, i'AS 114 D7-Q� ��$IZ�fl07
ACRC{TST4671� FM447D 07-059 AO/15/2007
ACRC(fSF46T1) FM4470 10-009 OSI�9I�030
A��.y�yi� �7� ii-035 06/28/2011
� ACRC(1 a'f4671) FMW470 IO-0l8 OB/23/202Q
. Rn��`Ti5�88�� �bi44�0 1Q-439 OS/Zgl�GlO
��� OS-370S0.03 D3/13/20a0
C71. 1577) TAS 214�� O1-3749�.01 05/35/2004
� Ci1- TST 1577) ' TAS 114 C!'LA^105R 30/13/�Q08 '
C'�l(7�'f 1577) TAS 114 ��-105R-1 id/13/2008
��,(rST 1879? TAS 114 �Tta-i45R-2 i0/13/a008 '
cr��(TSr is�7� TRS ii4 LTLA-lA6R lo/�6/zpoe ��'
. cr�'Cisr 15�� Tas iia ��`"-�o�-i �o��e�zooe •
cn.CrsT is��� rns iia �-iasR-� �o�is�zaos
� • 1577 L7LA�106R-3 10/16/200$ •
Cil.j�1�77) TqS 117 ' ��-i��-4 1D/�6/20p8
�CrST 60a9) ' FlN4470/FM 44�a G1't.A 111R Oi/1�/�P09 • .
�RD.(7'S.�'6Qqy) PhySiCal�r0 rties 02764.09.05-RS iZ/10/3007 � .
FM T38e7) �,4,47Q � C327b0.01.11 Oi/X9/2alY
�M��g67) F��,� . 3Z9AS.AM 101iSl1997
�M(75a'1867) ��7� 3402522 0�/2G/1999 '
F4'!(fST186�') FM44T0 3003393 U3/3DJ3999
FM'(T5T18¢7) FM447U/FM 4474 3fl14b92 08/05/Z003 � .
(M.{T5Ti8fi73 FM447'01 fME 447d 30]Y6b2 06/fl7/2005 '
F7M(TSTi867) F�����M��,� 3033032 07/�Q12005
�trs?�s��� ��a J�aa�a 3ozos4s o1/�snoo6 �
�+Auaro�a�s tr5n$s�� ��0 3o�2i�a o9/ag/�ooe '
FM Appl'01te�,,(7�gr1g87) F�q,q�p/,q474 3037A� 09/02f2009
�aPP��s(T571867) FM4470J4474 3035782 03lQ8/2Q11 �
FM.Apprnvals(fST1857) FM4470/A474 3041535 06/08/2011 . .
. Pt�i 1Ch0T(�TS$7'8� TAS li4!FM 4474 3039340 db/24j2011
�(QUAi$6� QuaIfCY CorlTrol �T-Oi6-02-01 05fa4/2Ulx
FM.'(QUAi860) Qua!' Gar�troi PLA 3025571 Ol/13JZ006 •
� I^'`��'an�PQ�(st�pptie� 09121/2011
4. �'RODU�'1'DEg'��PiTON: . . .
, she following roof covers are meCh�niC�ily atbched or fully adhered tp Appro�,esi substrates using
fastetle�s, stres$Plate$and adheslves,as outiined in the Limlt�qang/CppdtCians of Use her�i». •
Exterfo�Resaarah�nd Design,l.lC.
iamt�a orA��'03 Evaluetian Repprt M15Od0.0¢09-Ri �
. • FI-J.2772-1ki •y.�^i�.
ReVitaOn 3:'13/t3/20ti •
- 3�a�ie�af+l
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 1��'
BUILDING PERMIT �
Permit Number: 14583 Address: 5431 17TH ST
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-14700-0050
Improv. Cost: 900.00
Date Issued: 10/04/2013 Name: HUEY, THOMAS J &TOBIEN
Total Fees: 60.00 Address: 5431 17TH ST
Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/04/2013 Phone: (813)782-3575
Work Desc: INSTALLATION SHED 10 X 14
i .
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�
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SHEATHING
FINAL
REINSPECTlON 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 properly 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 Ordinances. NO OCCUPANCY BEPO C.O.
z� a
CONTRACT S GNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a��vN ru�uw �v-��x ��+-�� v�uvaiii�cu ��cc� �wra�e �neu �tic�uais i�.��-n x i�.�d-nJ at L... rage i or�
Your 8tora:
Zephyrh!lls,FL
You're shopping a store in� Zeph�rrhills, FL FREE ,
79 1 Gall Boulevard Sto�e F'ickup
We use your store location to provide Your ortlerwnl be ready for pickup frcm
current pnang and mventory IYII also �owe's Of 2ephy�hius,F�by
be ihe location for in-store pickups o5nsno�3
Lowe's Truck Delivery
Your order wi�l be ready for delivery to
you from Lowe's O(Zephyrhills,FL
Arrow 10-ft x 14-ft Galvanized Steel by09/28�2013
Storage ' `�s . �,�c„
""'°"�'�� ";�� F'arcel Shipping
,,+�'���~�g - �� Unavailable for This Order
/ ^ ` ,s Item#274596� Model# LX�014F8 �
� �,�� � .k, Sent by carriers like�PS,
°�� �� FedEx USPS etc
499.00 r
� s���� `-4 � � Arrow 10-ft x 14-ft 5499.00
a�"'$` .j= was Ssae oo Galvanized Steel
� -°`3`�` sa�e�i Storage Shed
Get 5%'Off Every Day or Specipf�'inancing'* (Actuals 10.27-ft x
�la;a, Mmimum Purchase Re uired"'� 13.56-ft)
� .. -
9�.
Tweet 12
Description
10-ft x 14-ft Galvanized Steel Storage Shed(Actuals 10 27-ft x 13 56-ft)
• E#ra large 852 cubic ft capacity for stonng a wide vanety of tools and equipment
• Bam style roof provides an inside center height of 7'2"for extra head room and more work area
• Includes floor frame-perfect for a wood floor finish(wood not induded)
• �arge door openmg allows storage of riding mowers with a deck up to 54"wide
• Lockable doors help to keep stored items secured(lock not included)
• Easily stores standard lumber and construction material
• Galvanized steel parts are durable,s[rong and won't rot or be affected by e#reme weather
• Pre-cut,pre-drilled paris for faster assembly
• 12-year limded warranty
Specifications
Matenai Galvanized Tnm Color Taupe
steel Number of Windows Included 0 0
Senes N/A Number of Shelves included 0 0
Style Gambrel Gauge 26 0
Actual Extenor Widlh(Feet) 10 27
12-
Actual Extenor Length(Feel) 13 56 Warranty year
Actual Exterior Peak Height(Feet) 7.32 limited
Nominal EMenor Width(Feet) 10 0 Aclual Intenor Width(Feet) 9.85
Nominal Exterior Length(Feet) �q p Actual Intenor Length(Feet) 13 13
Door Opening Width(Inches) 55 5 Actual Interior Peak Height(Feet) 7 22
Door Opening Height(Inches) 60.0 Foundation Wdth(Feet) 10 OS
Roor Frame Induded Yes Poundation Length(Feet) 13 35
Floor Storage Capacity(Sq Feet) 129 0 Package Width Qnches) 34 0
Storage Capacity(Cu Feet) 852 0 Package Length(Inches) 5 75
Installahon InGUded No Package Height(Inches) gg.zg
Siding Color Eggshell Package Weight(Ibs) 327 0
ColodRnish Famity Whde Nominal Size Range Over
10ftx
http://www.lowes.com/pd 274596-25-LX1014FB 0 ?selectedLocalStoreBeanArray=%5... 9/18/2013
.�iiv� [��ivw iv-1�n i-r-1� vatvalliGGU .)�ccl .7W1c1�G J11GLL �tiGlUQ1J 1V.G/-ll X LJ.JV-1L) itl L... I"A�e L OI L
10ft
(large)
Over
Storage Capacify Range(Sq Ft) 100
�O 2013 Lowe's All rights reserved Lowe's and the gable design are registered trademarks of LF,LLC
http://www.lowes.com/pd 274596-25-LXI014FB 0 ?selectedLocalStoreBeanArray=%5... 9/18/2013
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
�
Owner: � �yv� � L�y
Job Location/Address: .�� 3/ l7�' �f'1��it/�T�L ; ��h'{�
Parcel I.D. #: �(-2/-Z( -Go�O - 147 po- vo �'d
SHOW ALL EXISTING&PROPOSED STRUCTURES GIVING DIMENSIONS&SETBACKS
UTILITY BUILDINGS MUST SHOW SIZE &FOUNDATION INFORMATION
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— — —�1 STREET — — — — — — — — — — —
(NOTE EXAMPLES 1&2)..
Example 1. Setbacks for Rl &R2 Zoning Example 2. Setbacks for R3 Zoning
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Buiiding Department
Date Received — ��— �� phone Contact for Permittin �� �p�`� __ ��,(p
Owner's Name �0 j71 j7 VG Owner Phone Number
Owner'sAddress 54'3 �7rN �j�✓Z_°P'� � ' —�
Z � Owner Phone Number
Fee Simple Titieholder Name Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS 5�3I (/. �f/. Zl� rlx l(S �L �3 S Z LOT# ��
SUBDiVISION �— PARCEL ID# ����� '��—���� �����"— ��l'��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �] OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ll7hTL1I� �t L�i��"F ��ii�i �Q� �jy�
BUILDING SIZE /0� � I-T/ SQ FOOTAGE I"7� HEIGHT 7 � � ��
OBUILDING $ (���� � VALUATION OF TOTAL CONSTRUCTION
r
QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY
Q W.R.E.C.
QPLUMBING � .�� f,%�!'�-�
,E1.�1 �� �v�_
c.N� � r�
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /j ,r ��
�GAS Q ROOFING Q SPECIALTY 0 OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �� y�* .� ��� COMPANY � /�
SIGNATURE (`�'Y✓I �`(` � REGISTERED Y/ FEE CURRE� Y/N
Address Ucense# � �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP 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 I N
Address License#
OTHER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address license# � �
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 submfttal date. Required onsite,Constructlon Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facil(ties 8 1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fonns.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 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:
Fill out application completely.
Owner&Contractor sign back of appflcation,notarized
If over 52500,a Notice of Commencement is required. (A!C upgrades over s7500)
"" 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 appiy 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 Wate�/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 "Flotida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other ihan 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'S10WNER'S AFFIDAVIT: I certify that all the information in this applicatio� 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 follvwing 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 flll 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 time the work is commenced. An extension
may be requested, in writing, from the Building O�cial 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
WITH O R�LENDER OR AN ATTORNE YBEFORE RECOROING YOUR NOTICE OF COMMENCEMENT.� CONSUL7
FLORIDA JURAT(F.S 117.03)
OWNER OR AGENT CONTRACTOR
Subscrtbed and swom to(or affirmed)before me thfs Subscribed and swom to(or affirmed)before me this
by bY
Who is/are personally known to me or has/have produced Who Is/are personally known to me or ha as dentiti ation.
as IdendficaUon.
Notary Public Notary Public
Commission No. Commission No.
ed, rinted or stam ed Name of Notary typed,printed or stamped
Name of Notary typ P P
. ' '� �\�
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractar/Homeowner: �m �u e_ y
Date Received: 9— Z 3—�3
site: S� 3I l 7� ��
Permit Type: ����(� f�x ��
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 Switzer ans Examiner Date Contractor and/or Homeowner
��`� (Required when comments are present)
.
• D2SCLOSVRE S't'a'�•*�•NT .FOR OWI�R
CZTY OF ZEPHYRHII�I+S BLTILDSNG DEPARTI�NT
_�
_� ��� ��y have read and fully understand arld
agree •to the psovi ions of �this instrume�t.
The undersigned states and affirms that he or she is desirous of constructing,
r�ovating, adding to or seroofing his or her own domicile, •that he or she
actually occupies, or wi11 occupy by said domicile, and same is not for
•rent, lease or sale. That he or she sha11 comply with the followiing conditions:
1. That the owner and.he or she alone sha11 act as �-he builder for a11 phases of
constrLiction. -
2. That the owner wi11 comply with a11 provisions of �the City of Zephyrhills
ordinances and codes perti.nent to the building.
3. That in the event various phases of construction are subcontracted, he wi11
engage only properly licerised subcontractors and will pPSSOnally supervise
such v+ork.
4. That in the event the Building Znspector shall rec�,;re corrections to be made,
the ownes will assume full responsiUility to insure •they are made, and upon
cc�pletion will call for a reinspectioa be£ore proceeding with tYie building.
5. That the owner sha11 assume fu11 responsibility for the constsuction aad wi11
not axpect_ supervision of his work from the City of Zephyrhills Building
Depart�ent.
6. That prior to final inspection any addit�.ona1 fees, including reinspection
fees, must be paid ia fu11. A writteri request from t.�iis office shall
constitute an official notice rto pay additional fees..
7. That the owner sha11 comply with a11 City, State and Federal laws in regard to
social security, warkmaa's compensation, lien laws, etc. , where applicable.
B. That the ownps sha11 comply with al1 the safety codes issued by the Floricia
Industrial Commission.
9. State 1aw rernii res constrLiction to be done by 1ice�sed contractors. You have
applied for a �r+�+;t undes an ex�ption to that law. The exemption allows
you, as the owsser of your property, to act as your own contsactor with certain
restrictions even though you do not have a license. You must prvvide direct
onsite supervision o�' the construction yovrself. You may build or improve a
oae-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial huilding, provided yovs costs do not �cceed $25,000.
The building or resideace must be for your own use or oc.r�..ixpancy. It may not
be built or substantially i�prov�d for sale or lease. If you se1:l or lease a
building you bave built or substantially i�proved yourself within 1 year aftPs
tbe constniction is complete, the lap wi11 pres�e �that you built or
subst�sztially improved •if for sale or lease, which is a violation of this
exemption. You may not hire an vnlicensad person to act as your contractor or
to supervise people workiag on your huilding. It is yovr responsibility to
make sure that people e.�ployed by you have licenses reqt,;red by state law and
by county or municipal licensing ordinaaces. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to pesform the work being dnaa. Ariy person working on yous building
who is not licansed must work undnr your direct supervisioa and must be
Employed by you, which meaas that you must deduct F.I.C.A. axid withholding tax
and provide workers' compEnsation for that employee, all as prescribed by law.
Your construction must comply with a11 applicable laws, ordinances, building
codes, and zoning regul tioris.
�W2�R'S S2GI�iF�fiL7RE DATE ��I ZG/1 �
ADDRESS S 7�� � 7
PHONE �s'I� (o„1� �jp/
W2TNESS PERM2T #