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HomeMy WebLinkAbout14-14974 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oo2o X�974 BUILDING PERMIT � Permit Number: 14974 Address: 37425 DERBYSHIRE 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0850 Improv. Cost: 6,365.00 Date Issued: 2/14/2014 Name: LAMROUEX BONNIE Total Fees: 70.00 Address: 37425 DERBYSHIRE DR Amount Paid: 70.00 ZEPHYRHILLS FL 33542 Date Paid: 2/14/2014 Phone: 727-505-4171 Work Desc: REROOF SHINGLE I L 7 . ,,�J �� , � TAPE JOINT$RQQF I�V� FINAL �� �j � 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 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 BEFO C.O. � CONTRACTOR SIG PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , aiaaso-oo2o Ci of Ze h tY p yrhills Permit Application Fax����s�i auilaing Dep�*n+em Dne Reeeived �-,-, w+�,,.co�d ro.w�m� So1 `]A Gi- '` o�,ers N,� 1111�� - Jv ( ow�,�w,��N�� �1 ow�ers aea.�� � Z.S�U' � r j,�- • Oirner Phone Nunher Fee Simple Titlehdder Name Owner Phone N� Fee Simple TiMehdder Address JOB ADDRESS � +r P ` �' � LOT� �� S�BO��oN W-e d �E��� tD- 2c� -2 f -O -c�0000--0 WORK PROPOSED (aBTANED FRaY MtOrBZiY TAY NOTICE) � NEwcONSiRe ADDlALT � S1GN � Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM �� OTHER TYPE OF CONSTRUC710N Q gLOCK FRAME �� STEEL � DESCRIPTION OF WpRK �� ( �� I � BWLDING SRE SQ FOpTAGE ��Q� � HqaHT QBUILDING (;�� L VALUATION pF TOTA�CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING a QMECHANICAL � VALUATION OF MECHANICAL IN$T,qt,LpTION � q ( 1 0� Q ROOFING SPECIALTY � � OTHER FINISHED FLOOR ELEVATIONS F�Op�ZONE AREA QYES NO BUILDER CO�IPANY � S16NATURE r�s�r�n Y/ N �E cura�n y!N Address License# ELECTR�Cl/W SIGNATURE �P�' ���o Y/ N �cuw�n Y/N Address � License#�--- PLUYBER SIGNATLRE C�NPAMY �c,�s'rE�n Y/ N FEE cuRtt�n Y/N Address � License# �— MECHMpG/1L SIGNATURE �Pµ1' _ rx�c,�s�r�o Y/ N rEe cuw�n Y/N Address License# —� OTHER � 51GNATURE - C�PN'�Y .�S �c,�srEtt�� Y N r-�c�, Y N Address � CQI/�.J License it Il.� � 111111111111 � 1111 � 111111111111111111 / 111111 � 11 � � 11111 / 1111111111111 RESIDENiIAL Attach(2)°bt Plane:(2)sets of BtA7ding Plans:(1)set of Ener9Y Forms�R-o-W Permit for new construdim, Minimum ten(10)working tlays arypi submittal dale. Requved onsi[e.Cons[nictfon Pl�s,S[amwieter Plens w!Sit Fence installed, Sarrtary Faci66es&1 dumps�er,Site Worlc Pdmit for su GOMMERCIAL Attacry(g)c�p�e sets of g� p�� ��Q�� Minimum[en 10 �9 P�a life Safery Page;(�)set of Energy Farms.R-O-W Permit for newconsWction. ( )��^9 days aftersubrrdttal date. Required onsi[e�Constniction Plans,Stamwater Plans w15ik Fence insWlled, Sanitary Facilities&1 dumpstec Site Work Permit frn aB new Projeqs.qr commga����y�m�meet c�p�� SIGN PERy�T Attach(2)sets of Engineered p4jn� ""PROF'ERTV SURVEY reqiired(a ay NEW co�tructio�_ DireGipK_ Fi1 out applicatiqi compl�t�y. Owner&ConOacta sign back of appp�p�.n�� H over 52500,a Nalce W Cq�ma�canent is�equited. (AIC W�Bradea over S7S00) •• qge.nt(for the contractar)or Power of Attomay(fa the owner)nquld pe snm�e y��arized tetler{rom���a�gyme OVER THE COUNTER pERNfT1yrG (Front d qpplit�t�n p�y� RerooFs if shingles Sewers Service Up4Aades A/C Fences(PbVSurvey/Footage) DNveways-Not over Counter if on puWic rp�dwayy..needs ROW NOTICE OF DEED RESTRICT1pp�5: The undersigned understands that this perrnit rr�ay pe��to-deed•resvictio�S- which may be mae restria'rve than County regulations. The undersigned assumes rasPonsibiliy far oompliance wNh any applicable deed restrictions. UNIICENSED CpNTRqCTORS AND CONTRACTpR RESPONSIBII.ITIES: If ttie own� F� hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and 1oca�regula6ons, If the contractor is not licensed as required py Iaw, both fhe owner and contractor may be cited for a misdemganor vidation under state law. If the owner or intehded contractor are uncertain as to what�icensi�9�qU���maY apply for the intended wo►k,they are advised to oontact the Pasoo County guilding Inspedion Divisio�t--Licensing Sectfon at 727-847- 8009. Furthermore, rf the owner has hired a contractor or contractas, he is advised to have the contrador(s) sign portions of the'c�ontraUpr g�ock-of this applicaGon for which they wilt be resppnsible. If you, as the owner sign as the contrac(or,that may be an i�dicstion that he is not propery Iicensed and is not entided to permitting privi�eges in Pascp County, TRANSPORTATION IIIIpACTIU?'1L,117E3 INPACT AND RE$OURCE RECOVERY FEEg: 1'►�e�nd�yy��understands that Transportation Impact Fees and Recowse Recavery Fee�may apply to the conspt,ictiori a(���� �ange of use in existing buildings, o►e�a�ion pf e�cis6ng buildings,as specified in Pasco County p►dinance number gg-p7 and 90-07,as amended. The undersigned also understa�ds,that such fees,as may be due,will be iden�ed at the time of permitting. It is turther understood that Transportation Irripact Fees and Resource(2ecovery Fees muyK be paid prior to receiving a"certificate of occupancy'or final power release. If the project does not invol�a certificate ot occupancy or final power release, the fees must be paid prior to permrt i�uance. Furthernrore, if pasco Cou�ty yyater/Sewer Impad fees are due,they must be paid prior to permit issuance in accordance,�h app��pae p�����ry����c�. CONSTRUCTION IJEN�qyy(Chap�7�3,Florida 3fatutes,as aMended): If valuation of y�ork is E2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the °Florida Constniction Lien Larv—Flarrieowner's ?rotection Guide"prepared by the Florida Department af�y�c�lture and Consumer Affairs, ff me epp�ic�nt is someone other than the"ownei",I certify tha��hav����n�a copy of the above described document and promise in good faich to deliver it to the"pwner"pria�to commencement. CONTRACTOR'$�pyyry��g�FIDAVIT_ 1 aeeti(y that all the information in this application is accurate and that all woric will be done in comp6ance with all applicable laws reguladng construdion,zoning and land development. Application is hereby made to obtain a permit to do worlc and instaNation as indicated. I certihr that no woric or installaUon has commenced prior to issuance of a perrnft and that all work wip be perform��m�t standards of all Iaws regulating construction, County and Ciry codes, zoning regulations, and land developmeM regulations in the jurisdiction, � a�so ce►tify that I understa�d that the regulations of other govemment agencies may apply to�intended work,and that it is my responsibility to identify what actip�s�must take to be in cornpliance. Such agenaes indude but are not limited to: - Department of Environmental pr�e«ion-Gyp� g�y��dg Wetland Areas and Environmentally Sensilive La�ds,Water/Wastewater Treatrnent. - Southwest Florida Water Management Distrid-Wells, Gypress Bayheads, Wetland Areas, qltermy Wateroourses, - Army Corps of Engineers-Seewaps,Docks,Navigable Waterways, - Department of Health & Rehabilitative $eryices/Environmenta� Heakh Unit-Wells, Wastewater Treatment, Septic Tanks. - US En�ironmental Protection Agency-qsbestos abatement. - Federal Aviation Authority-Runways. I understand that the tollowing restrictions appty to the use d fill: - Use of fill is not albwed in Flood Zone-y^un��e�pressy pe►mitted. - If the fitl matariat is to be used in Flood 2one "A°, it is understood that a drainage plan addressing a "campensating volume"will be submitted at time of pertnitting which is prepared by a pro{essional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A"in connection with a permitted ��� using stem wall constnx:tion,l certify that fill will be used only to fill the area within the stem wall. If fifl material is to be used in any area, I ceitify fhat use of such fill will not adversely afled adjacent Pr°Pe►ties. If use of fill is found to adversely affect adjacent properties,the owner may be ated for vidating 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 enginee�ed drainage plan is required. ff 1 am the AGENT FOR THE pWNER,I promise in good faRh to inform the owner of the permitting condttrons s�t forth in this affidavit prior to commencing constrvction. I uncferstand that a separate permit may be required for e►ecUica�yroHc plumbing, signs, wells, poots, air canditioning, gas, or other installations not specifica��y jnduded 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 techmca�c�s,nor shall issuance of a permit prevoent the Building Officia�from thereafter requiring a correction of errprs in plans,const►uction a vi�ati�s of any tbdes. Every pe�it issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,ar if wpk authorized by the permit is suspended or abandoned for a period of six(6)months alter the time the work is commenced. qn extension may be requested, in writing,from the Building p}rypa���a p�not to exceed ninety(80)days and wi11 demonstrate �ustifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OINNER: YOUR FAILURE TO RECOQD A NOTICE OF COM�IENCEMENT MAY RF.SULT IN YOIJR PAYING TWICE FOR tMPROVEIMENTS TO YOUR PROpERTy, IF YOU INTEND TO OBTAIN FINAtrCING,CONSULT iMTH YOUR N ER pR AN ATTORNEI/B F CO IN Y p FLORI�A JURAT(F ,�� , � C T. ONMER OR AGENT a swom ur affir� g� y� CONTRACTOR bY L f�1�J"f(�{--�d �/�� }�p� i� rsmally known to me or hasMaye r �.jc��{/ P uduced r. as itlendfiraDOn. W110 ISlal9�iSOn6�ny'—'���m••�'�� as itlentilication, n �ry Pu61k C:omrtussion No. N��Y Public Cammission No. Na �'��iljyt ' ��R ��(� Nameof printed H��p �'•c ��',+� MY COMbN3Si0N f ff W2365 +� ,. MY COAMN3310N N FF 0723g6 �� pe daP'fh�iu�N�o�ry��'tlne.1n wi• �� , gcn�eexy���1,2018 �^�ten � �� �_,��i;3a E�iiidin� Code Online Page I of 2 ' �,� , �,giak-� �, ;,�s��at�, �.,�, �,�� ��...»�- . �� n�� � � � � �' wr w ���+° � x..a'a>a` 9 a ��.`��; � 0�:� ' µi. '� . "��� � � , .. � �!�` . rr� � ��r4li�uv�. .. .. ...,a����a��.:m`�.�� .�.. M .. .,: ..7 �r���i+'iiii�fiW� rN.iY.^ BCIS`HOme l09 In User Registration Hoc Topics Submit Surcharge Stats&Facts PuDlications ��FBC Staff ", BQS Si[e Ma0 llnks Search i.�(��i.����eSS`` product Approval ! rOfes.}fo��� �USER:PublicUser �� �:�rocuu 4o�rnval�tc��u>:'odret or Aoul cation Searr,h>Auulica[!on List>APVlication Detail FL# FL10124-RS Application Type ReviSiOn - Code Version 2010 - Application Status Approved Comments Archived � Product Manufacturer GAF Address/Phone/Email 1361 Alps Road Wayne, NJ 07470 (973)872-4421 I indareith@trin ityerd.com Authorized Signature Beth McSorley lindareith@tri n ityerd.com Technical Representative Beth McSorley Address/Phone/Email 1361 Alps Road-Bldg li-1 wayne, N]0747�J (973)872-4421 BMcSorley@gaf.com Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report-Hardcopy Received Flonda Engmeer or Architect Name who Robert Nieminen developed the Evalua[ion Report Florida License PE-59166 Quaiity Assurance Entity Underwriters Laboratories Inc. Quality Assurance Contract Expiration Date OS/1712012 Validated By John W. Knezevich, PE Validation Checklfst-Hardcopy Received Certificate of Independence ��")124 �'S �Ol Trinitv ERD CI-Nieminen.odf Referenced Standard and Year(of Standard) g�ndard Year ASTM D3161{Class F) 2006 ASTM D3462 2007 ASTM D7158(Class H) Z��� TAS 107 1995 Equivalence of Produc[Standards !;t?p:"tloridabui Idin�.org/pr/pr_app_dtl.aspx?param=wGEVXQr�;tDquracBeVCbdMQN7,D... 2/1/2012 ' , :�.��a E,uilding Code Online Pa;e 2 of 2 Certified By Sectlons from the Code Product Approval Method Method 1 Option D Date Submitted 12/12/2011 Date Validated 12/15/2011 Date Pending FBC Approval 12/21/2011 Date Approved O1/31/2012 __ __. _ _._ .__ _......... _..__ __. Summary of Products I p�# Mode�,Number o�Name Description 10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated,5-tab and hip/rid e asphalt shin tes Limits of Use Installation Instructions Approved for use in HVHZ:No FL10124 RS II er121211FINAL GAF Asoh�lt ' Approved for use outside HVH2:Yes hin I 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 S. Evaluation Reports FLIG124 RS AF er121?11F1NAL GAF P,snl�o�t �hinales FL1U124-RS.odf Created b Inde endent Third Party:Yes Back Nev[ Contaat Vs:t 9,�0 NoRh Mn ce S[reet T�Ilah�sse f '1 3Q9 The State of Florida is an AArEED employec�nn (nht JP07-2O10 StdtC Of FlOntld.::GfiVdCY Stdt2mefit::A«P°"h'�!��Std[Cmtnt::R¢fU��StdC2me0t Under Florida law,e-mail addresses are puUhc records.lf you do not want your e-mail adGress releasetl in res0onse ro a publirrecords request,tlo not send elecYromc maii ro rhls entity.instead,contact the office by phone er by traditional mail.If you have any questions reg�rGing DBPR's ADA weG access�bility,please cOnCd[t our WED Master at w•hmas[er�dbuc5tate.Fl.us. Product Approval Ac[e0�� . ���� Sl'CUPI[Y15i i�'n1i'�' � http:�!floridabuildin�.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdMQNZD... 2/1/2012 i uiiii iiiii ii�ii iiiii iiiii iiiii iiiii iiiii ii�ii iiiii iiii ia� 2014023030 Rcpt:1381838 Ree: 10.00 : DS: 0.00 IT: 0.00 f02/14/14 E. Mungula, Dply Cle�k Key No. Permit No. . NOTICEOFCO�IEI�ICEY� ErAULA 5.0'NEIL,Ph.D.PA5C0 CLERK 8 COMPTROLLER ���� :02/14/14 �9��a4 � °634 w oe.cain rca� �no0°e"1°�t 'Mn ee"iade ' OR BK ����iNonnaafon is'0°°�ed".�'r;this ��Fla�da state? PG :....._........._........ �s avoos nr«wa�e.�aeoiy.r ...�.......�._ .......�..._._.. �• �0l101 �f� •.�...... Properly: FdfCel N0. ' _..._.��...--.._....... l„Q_ -.Z�p�•�O'�D-D$,5''n `�`�''r' /�'I9�1 �i�e �5�1- . ��w+� PB .z� t''65 �/-/�/ C�f s,s' aavern a�e ae�t,mroes r.v,;�., �/ 6 7/S' }��'/39Z 2. General Description ot bnp►wement_ Rermf 3. Owner iMamaBon: A�)�0!/�x 1lddress � „ IMergg�in . � � Wme of Fee rnple � r t ownar: P � � Address a. Contnaor: Name Foste�'s Roofinq - p Amress: P n r�.,,,,nr,� ��r Ptwne No._ �� 'S ax nb. �[- e-Fl �P �— 5. �Name AmqaH P s. �k,,,,� ' wA � . PApne No. � P 7. 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