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. Persons wifldn the S'�ate o1 Faorlda desi9n�ted by Owner upon rvnom notioes or other dopur�
713.13(1)(aK71.Fio�ida S�: maY be served as p�ovided bY Secbon
�_ TJ/A
��No. �' State
e. In addition to himse�a herseg.p��er� WA
Phon�e N�O,p1�a Lierwrs I�btioe aa � . ot
onMy desipnsted by awner.
9. E�6raHon date of NoDCe of Comme►�ce+nern(the e�iretion date is 1
year hom the date ot reoordng untess a d+ffererrt c�ate is apetafied.)
P"�� ���a P��ar S s�r3;'3,TME��yTAIER TlEµOPl�T1�T vaNO�a P�v°Fnuc n�r�a�w
oowara�c,�r�r�cor�smEr�n w�o�R
A�T w�R o�iu,�ir��e�Pasrfn�roe srre ee�rNe r�asr wsr�cno�. �rou oJr�TO os��aTV.
c�ou�NC�►o wwac oa�oNC vas�NoncE oF�c��rr.
. « s
•••� by+ainsl�Nowby X'e�vk"�� � S
siA�oF �,�ri �oF /'�lSGb
rne�ae��,�m,me�n was adQ+o�edaeo b�ras�rre,►as lo day m_ �,e5, 2o..L,S�br 1 /IT�C �9mro(/e�+C �
�
e.p..ot8ce. taney In taa) for me ar�) I
/ l�+e w perty on eenan a,Mw• �
NOTAI�i.�'�ORIDA
�«o ry Doug Clawes
Personal��.0a1�Produoed !/ �•T��r � , I
�� -.,, ,,.•• xpue . M.9Y 20,2014
T�� � ���� BONDEDTHRL.+..TL�.`"Ci::BPYDIVGCO.,INC.
VerificaL'on I
uaM 6o S�etion 92.525,qorida Sfatulss:ur�r penalties o!Pery�Y.I dsclare�at 1 have road tha taepoin9 aM tha[the faets sfated in it are I
true to W rn�krw�Ne�De and beYel. I
naLre �� '
' �
�.WPO(7Ul071 �
�+B
�
i
�N�uo
�`�' �
STATE OF FLQRIDA,�QUN"I�`l 4F F�A,SGQ
� • �� THIS IS TO CERTIFY T�i�'.`f�i�+�F���J!P�:�;�
�
�.r,��,� TRUE AND C;:)R�iEC?CC PY(.}F 1'H�'��4'e�i:��'�'
# • '�<, , �r ON FILE i�� C�I= Ul1i-;��C i��Ct7h��i�'P�'ii8���,::
� ,J� ���
* WITNE.,u rd�v r�a;v�i r�Vu t���iL.�ALTWf� C
t6'Bj� ' * � / �����vc�Lr R LER
�',�� • � 1F PAUL�'..--
�FFLOR��a
�Y � � �-r,�,;°.: L� �!_