HomeMy WebLinkAbout14-14971 � CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(sis)�so-oo20 1 1
BUILDING PERMIT i
Permit Number: 14971 Address: 37427 DERBYSHIRE
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: WEDGEWOOD MANOR
Est. Value: Parcel Number: 10-26-21-0120-00000-0840
Improv. Cost: 7,450.00
Date Issued: 2/14/2014 Name: �ARO, CLIFFORD
Total Fees: 75.00 Address: 37427 DERBYSHIRE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/14/2014 Phone:
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROQ�F IN
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 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 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.
ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
• e'3-�so-°°Z° City of 2ephyrhills Permit Appiication FaX a�a-�saoozi
BuiMin9 p�pertm�t
Date Reeeived � ��
-i T-� Plwne CaMSCt tor Pwmtitfin
� �ersName � r Ow�erPhoneNUrMer ��1�' -
Owner's Addreas �Y � O�rner Phone Nunber
Fee Slmple Titlehdder Name �����N�
Fee Simple Tidehdder Addrcss
���� h�s . � � �
SUBDIVISION �PARCEL IQA� �' ��� .- �
(OBTANIED FROII PROP6tTV TAY N0710E�
riORK PROPOSED � NEw CONSfR ADDlALT � SIGN Q � DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE SFR Q COMM Q OTHER
TYF'E OF GONSTRUCTION � BLOCK FRAME � STEEL �
DESCRIPTI�I OF WORK D Y � r ��S
BUILqNG SI� SQ FOpTACaE HEIGHT
OBUILDING $
l S � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PRpGRESS ENERGY Q W,RE.C.
QPLUMBING y
QMECHANICAL $ VALUATION OF hJECHANICAL INSTALLATION
0� ROOFING a SPECIALTY � OTMER � � ����
FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA OYES NO �.�'� ����
BUILOER � C�P� �
SIGNATURE rtErurrert�p Y/ N fEE cuRRen y/N
Address
License#
ELECTRICIAN C�P�Y �
SIGNATURE
���� Y! N �ctxa�n Y/N
Addross �
License#
PLUYBER � CONP/WY �
SIGNATURE REGISTERED Y/ N FEE cURREF Y/N
Addrcss
Lice�ue il
NECH/WICAL � C�P�Y �
SIGNATURE rtEC,�s7E�u Y/ N
�curx�n Y/N
Address �
License#
OTHER
S�GNATURE C�PµY
�c,isiEaEO Y N �e cur�n Y/N
Address L��# � ^ –1—�
t11t111111111t11111111111111t1111111111111111111111111111111t111111I
RESIDENiIAL qttach(2j Plot Plans:(21 sets of Building py,�;(�)�t a(Energy Forms:R-aW Pertnit for new construdion,
Minimum ten(10)rqrking days after subrnittal�te. Requaed onsite,Consiruaion pl�s,Stormyreter Wans w/Sd[Fe�e installed,
Sanitary Facili0es g 1 dumpster,Site Wak Permit for r,ubdivisi�n��ye prajecLs
COMNERCIAL ,qt►ach(3�cq�p�e sets d Buildi pa�
^9 plus a Li(e Safery Page;(1)set of Energy Forms.R-aW Permk for nctiv construction.
Minimum ten(tp)workoiy day5 after SubrMtlal data
Sanitary Faalities&1 dum ���°�.�S�UO^�^$�Stamwater Plans w/Si[Fenc�insfalled,
SIGN PERYIT Attach 2 sWS of E �g'Site Work Permi(for aN new projeds.AII oommg�al req���yS must meet compiance
� ) ^9�U�d Plans.
""PROPERTY SURVEY req�ured for aY NEW conspu�tion.
Directio��
Fi1 out applimtion complety�y,
Oumer&CanUaclor sign b,xk of app6catlon,nptarize�
H over 52500,a Notice�Cammenennent b►equlred. (AfC upgradea over 57500)
" Agenl(for the contracta)or Power of Attomey(tor tl�e owner)would pe some�ne wilh notanzed letter from awr�autlpri��y�me
OVER THE COUNTER PERNITl7NG (FroM a/qpppqy�pryy�
•°.er�ois it shingles Sewers Service Upgades A/C Fences(PbUSurvey/Foutege)
DNveways-Not over Cour�ter ff on publi��o�dyv�ys__needs ROW
� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pe►mit rnay be supject to'deed'restrictions'
which may he more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNIICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: ff the owner has hired a contractor or
conVactors to undertake worlc,they may be required to be licensed in acxordance 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 viola6on
under state Iaw. tf the owr►er or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to mntact the Pasco County Building Inspec�ion Division—Licensing Section at 727-847-
8009. Furthemiore, rf the owner has hired a conVactor or contractors, he is advised to have the conVSCtor(s) sign
portions of the"contractor Block°of this application for which they wi1l be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly IicBnsBd and is not entided to pertnitting privilegeg in PasCo
County.
TRANSPORTATION IMPACTIUTILITIE31MPpCT 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 spedfied in Pasco C.ounty 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 furthe►understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy'or final power release. H the project does not involve a certificate of ocxupancy or
final power►efease, the fees must be paid prior to permk issuance. Furthermore, if Pasco Counry Water/Sewer Impad
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco Counry ordinances.
CONSTRUCTION UEN LAW(Chapter 713,Fbrida Statutes,as atnet�ded): If valuation of work is 32,500.00 or more,1
certify that I, the applicant, have been provided with a copy of the "Flaida Constniction Lien Law—Homeowner's
Protection Cwide"prepared by the Florida Department of l�qriculture and Consumer Afhairs. If the applicant is someone
other than the"owne�",I certify that I have obta,ined a copy of the above described document and prorr►ise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT_ I certify ihat all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulatlng 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 installaGon has
commenced prior to issuance of a permit and that alI waic will be performed to meet standards of all laws regulating
construction, County and Ciry codes, zaning regulations, and land development regulations in the jurisdiction. I also
certify that 1 understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsibility to identity what acbons 1 must take to be in c�mpliance. Such age�c3es indude but are not limited to:
- Department of Environmental Protection-Gypress gayheads, Wetland Meas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Distrid-Wells, Gypress Bayheads, Wetiand Areas, Aitering
Wateroourses.
- Army Corps of Engineers-Seawaps,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Senrices/Environmenial Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protedion Agency-qsbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood 2one'V`unless expressly pertnittecl,
- If the fill matarial is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"compensa6ng volume"will be submitted at time of pertnitting 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 pertnitted buildmg using stem wall
construction,I certify that fill will be used only to fill the area wiriiin the stem wall.
- ff fill material is to be used in any area, I certity that use of such fill will not adversely affect adjacent
ProPerties• N use af 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 pemmtting�d��ip��t forth in
this affidavit prior to commencing construdion. I understand that a separate permit may be required for electrical work,
plumbing, signs, welts, pools, air conditioning, gas, or otfier installations not specifically induded in the application. A
permit issued shall be construed to be a license to proceed with the worlc and not as authaity to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building p/ficial from thereafter
requiring a correcdon of errors in plans,constn�ction ar vidations of any codes. Every permit issued shal�become invalid
�neess the work authorized by such pertnit is commenced within six months of pemiit issuance,or if worlc authorized by
permit is suspended or abandon�for a period of six(6)ma�ths aRer the time the wo►k is canmenoed. qn extension
may be requested, in writing,from the Building Ori5cial for a period not to exceed ninery(90j days and will demonstrate
jus6fiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OYIMER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY f�SULT IN YOUR
PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTANV FINANCING,CONSULT
WITH YOUR ND N ATT EY CO ING Y R OTI T,
FLORIDA JURAT(F . , )
OWNER OR AG CONTRACTOR
'b and s (or aJfi ) this G�I�awom to(ar alfwmed) afi me his
bY � 6y
Who is/are persmaly known[o me a ave produced lN o re parsonaly own to me or haslF�ave produced
as idantificauon,
as Iderniff�stiai.
�X�il iT l� � . 7YI� •�p�� 'f.6�_l�J(.a 1 X/�--l� �Notary PubNc
f,w�...... Cammission No.
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��O��S�IO��I " Product Approval
USER:Publi[User
���'.�. ProCUCC Aoorc�.al�1enu>?'OduCt ur AU�dicatiu�Search>A��uliCadon Lut>Appiieation Detail .
e FL t? FL10124-RS
Application Type Revision
�ode Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1361 Alps Road
Wayne,NJ 07470
(973)872-4421
lindareith@trin ityerd.com
Authorized Signature Beth McSorley
lindareith@trin ityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg 11-1
Wayne, NJ 07479
(973}872-4421
BMcSorley@gaf.com
Quality Assurance Representative
Address/Phone/Emaii
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professionzi Engineer
Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida License PE-59166
Quality Ass�rance Entity U�derwriters Laboratories Inc.
Quality Assurance Contract Expiration Date OS/17/2012
Validated By John W. Knezevich, PE
Validation Checklist-Hardcopy Received
Certificate of Independence F'i�12� c5 �GI Trinitv ERD�I-Nieminen.odf
Referenced Standard and Year(of Standard) SWndard Year
ASTM D3161 {Class F) 2006
ASTM D3462 2007
ASTM D7158(Class H) 2007
TAS 107 1995
Equivalence of Product Standards
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���;�a E.uilding Code Online Page 2 of 2
Certified BY
Sedions from the Code
Product Approval Method Method 1 Option D
Date Submitted 1Z/12/2011
Date Validated 12/15/2011
Date Pending FBC Approvai 12/21/2011
Date Approved OS/31/ZO1Z
_. _,.,...... _._...._.
� _.. __ .
Summary of Products
'FL# Modei,Number or Name Description
10124.1 GAF Asphalt Roof Shingies hip/r diae asphalt shin lee �amina[ed, 5-tab and
Limits of Use Installation Instructions
Approved for use in HYHZ:No FL1Q124 FS II er121211FINAL GAF Asohalt
Approved for use outside HVH2:Yes hin 1 FL 4- . f
Impact Resistant: N/A Verified By: Robert Nieminen PE-59166
' pesign Pressure:N/A Created by Independent Third Party:Yes
Other.Refer to ER, Section 5. Evaluation Reports
��1G114 R5 AF 2r121211FItVFL GAF' ASDhalr
Shin les FL10124-R�. df
Created b Independent Third Pa : Yes
Sack nere
Contact U5::��North h'on o STreet T Ilahassee FL 32349
The State of flonda�s an AAiEEO em0loyec�^^•^^"'JO9�-ZO10 State of Florvda.::Pnvacv Sta[ement::e��a5sibilitv Statement::C fijnA Statemen[
Under Flonda law,e-mail adCresse5 are pubhc records.lf you do not wrnt your e-mail adOress rcleaSeE in response to a Oublirrecords request,do��ot
sen0 electronic mail ro this rntiri,insteed,rontac2 the office by phone or by traditionel mdil.!f you have any questions rrgarGing DBPR's AOA weG
access�68Ry,o�ease mntact our Web Master at webmas[er@dbur state.Fl.us.
Vroduct ApprovalAecepts: ,
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F �° \ P.O. BOX 1055�
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�y« BROOKSV�LLE, FL 34603
� � �4:�f �$B 727-848-6600
��<������ �- 352-799-0045 ° �
MEMBER CCC1327265 ' '; ? ';�
Date: .- _
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��:ecial Order � Galvanized Vailey .��
�_�r� �ime U1tra -� Angle F{ashing ---
� ,;o ;,�„e .�.;� ;,4����i,,,�� Aluminum Drip ---
'� Tab Sh�ngle �-- Gaivanized Drip
30 !�. Felt -�`� _ Plumbing Boots: 4" 3" y�
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�0 L�;. Roli Roofing �y GRV �✓ent :�`��
TPO ��� Range Vent r
��� �--��-� Ridge Vent --�
_ -~�en'�Adhesive ✓�f Fnd Plt�gs �
- � ��� Per Sheet '��� 2x6 fascia �'_ � per 71. Truss tails 2x.4 �. =�per ft. Re-nail Plywood e -
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�,il ����nd repair is extra. By signing this proposal you are �iving me pennission to chan�e and charge for �
ti��ti i,�id ���ood that is required by law. Worl:manship is guaranteed for a period of _� years. Price
:nciudes all taxes arid pern�it fees. Prices are subject to chan�e �vitllout notice. Any legal fees pertaining to
�h;s ��ol�ti-act or for.tlle collection tllereof shall be paid in fiill by contractee. Homeowner must provide
..�ces� *hru dri��e��ay or yard to the roof.
t� �pose hei-ebv to £unlish i��aterial and labor-complete in accorda�ZCe witll above specifications, for the
� � t �`� � °�_�; �.� �� . Payi��ent to be made as follows: In fiill upon job completion.�'ib�e�r�ge will
��, ::t�i�iied tor tise of credit card. ��
.�_':> >�-,.i�_erial to be specified. Any alteration or deviation from the above specifications involvii�g extra costs
���iii ,��: executed oi11y tipon ��i-itten orders, and will become an extra charge over and above the estimate.
.�li ��rrange���e��ts contingent upon strikes, accidents or delays beyoild our co�ltrol. Our workers are fully
c����.-c°d bv ���orkers co���peil�r�tti911 insura� �e_
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-�Li i�17Q1 17l'lj S1�'11c7tLll�e ���` �' ,� ��� Nu1c'�l'hrs�proposnl mm'be�rilhdrn�rn br us iJ�nu!ncceplerl�ritltin -'dny�s.
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�_������_�r�i�ce of Proposal —Tl`ie �bove prices, specifications and conditions are satisfactory and are� llereby
�:�c��,;:ed. You are �tithorizing to do tlle work as specified. Paynlei�t will be n7ade as outliiled above, and
`�-.� ��d�iitional tenns ai7d.eondi,�io on �age 2 are part of this coiztract.
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Si���a��ire: � �L�' �`%'.�' <<�"� Date ofAcceptance: �%�� ��
Page 1 of 2
I Iillll IIIII IIIII IIII!IIIII IIIII IIIII IIIII IIIII IIIII li(I IlII
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