HomeMy WebLinkAbout14-15147 ' CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 47
BUILDING PERMIT
Permit Number: 15147 Address: 6730 NORTH LAKE 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: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0150-00000-0150
Improv. Cost: 2,265.00
Date Issued: 3/31/2014 Name: HOLM, MICHAEL & GINA
Total Fees: 50.00 Address: 6730 NORTHLAKE DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/31/2014 Phone: (813)391-8109
Work Desc: ROOF REPAIR AROUND CHIMNEY AND REPLACE SHINGLE IN AREA
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TAPE JOINTS ROOF 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 Plans, Specifcations Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR SIGNATURE + 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 Zephyrhills Permit Application Fax-813-780-0021
Buiiding Department
Date Received Phone Contact for Permiriin _
Owner's Name L Owner Phone Number �Z S(o7—SI�'�
Owner's Address �DY7�0 !�j �[E (2. Z-1{1 5�{Z Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number � �
Fee Sisnple Titleholder Address
JOB ADDRESS (0730 YJO�TF1 I.JkKE 1�R1 VE Z�P�i 1lLS 2.—C7(oV LOT# IS
SrE F'1�1 Gi..E A-T
SUSCIYISION s��v�oa+cs� �wEsE 1 PARCELID# ��"��`Z�-0�5C7�C�JdGip--0150
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR� ADD/AlT � SIGN Q [� DEMOLISH
INSTALL REPAIR
PROPOSED USE � S�R Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK i� FRAME � STEEL Q
DESCRIPTIONOFWORK f�IQS CHIM 1�t1.tD Ml I�IE�S SiDr►.►6 2E� 1
BUILDONG SIZE ��4 � �K S(�FOOTAGE Z��S HEIGHT L S���ES
[�BUILDING $ .`.Z6S '� VALUATION OF TOTAL CONSTRUCTION (rNc.LuDES Ro�F KEPH+c2S�
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��
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GAS ROOFING SPECIALTY OTH ��
0 � Q � ER
FINISHED FLOOR ELEV S FLOOD ZONE AREA QYES NO ��� � (��
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BUILDER COMPANY � i,-�KKtN Ct�1JST1217C`�IC�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �O��X. �yT4 �1�� �f'TY � 33 ��IZ� License# �C�J �s—l� �
ELECTRiC1AN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L'Icense# —�
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess License# �
OTNER -- � COMPANY �-� �RK"�� m��'T�C���
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
I►ddress ���� (47�I �f�b�C,''fTy FL 3 L(o-- y7y l.icense# CC � ��ZB(�(p,
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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 submittal date. Required onsite,Construction Plans,Stormwater Pians w!Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Woric Permit for subdivisionsflarge 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 wnstruction.
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 construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice 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 owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadv�!��s..r�e�s,ROW„ ; , : ,,., s.,,s�,.,l-;-:��„�
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r.orida Building Code Online Page 1 of 2
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� BCIS Home Log In User Regis[ration Ho[Topics Submit Surcharge Stats&Facts Publications �: FBC S[aff � HCIS Site Map Links Search .
Busi�ess �. ����,
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� 1 7A, prcduct,Acorovai Menu>Produc[o�Aoclication Searth>Apolication�ist>Appliwtlon Detail
' FL# FL10124-R.11
Application Type Revision
Code Version 2010
Application Status Approved
Comments
Archived
Product Manufacturer GAF
Address/Phone/Email 1361 Alps Road
Wayne, N]07470
(973)872-4421
li ndareith@trinityerd.com
Authorized Signature Beth McSorley
lindareith@trinityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg 11-1
Wayne,NJ 07470
(973)872-4421
BMcSorley@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report fro�n a Florida Registered Architect or a Licensed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nfeminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date OS/03/2015
Validated By John W. Knezevich,PE
✓ Validation Checklist-Hardcopy Received
Certificate of Independence FLiC1124 R11 1:0I Tnnitv ERD CI - Nierninen -2013.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D3161(Class Fj 2006
ASTM D3462 2007
ASTM D7158(Class H) 2007
TAS 107 1995
Equivalence of Produd Standards
Certified By
Sections from the Code
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdM... 3/31/2014
. riorida Building Code Online Page 2 of 2
Product Approval Method Method 1 Option D
Date Submitted 08/29/2013
Date Validated OS/29/2013
Date Pending FBC Approval 09/08/2013
Date Approved 30/18/2013
Summa of Products
FL# Madel,Number or Name Description
10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab,laminated, 5-tab and hip/ridge
asphalt shingles
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL10124__R11 fi er082913FINA.L.,.GA_F__Asphalt
Approved for use outside HVHZ:Yes Sfiinales F110124-RS 1 odF
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:N/A Created by Independent Third Party:Yes
Other:Refer to ER,Section 5. Evaluation Reports
FL10124 R11 AE er082913FINA� GAF Asohait
Shinqles F�10124-Rli.odf
Created by Independent Third Party:Yes
6ack Nr.xt
Contac[Us::1940 North Monroe 5[reat Tallaha�=�a FL 323 Phone:850-487-1824
The State of Florida is an Aq/EEO employer.Coovrioh[2007-2013 State of Florida ::Privacv Sta[ement::AccessibiliN Statement::Refund Statement
Under Florida law,email addresses are public records.If you do not want your e-mail address reteased in response[o a pubtic-records request,do not send
electronic mail to this entity.Instead,contac[the office by Dhone or by tradi[ional mail.If you have any questions,please contact 850.487.1395.'Pursuant to
Section 455.275(1),Florida Statutes,effective Oc[ober 1,2012,licensees licensed under ChaDter 455,F.S.must provide[he Departmen[with an email address if
[hey have one.The emails Orovided may be used tor official communica[ion with the licensee.However email addresses are public record.If you do not wish to
supply a Oersonal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under
Chapter 455,F.S.,please click here.
Product Approval Accepts:
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Florida Building Code Online Page 1 of 2
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, BCIS Home � Log In User Registretlon Hot Topics �� Submit Surcharge Statr&FaUs Publicatlons � FBC S[aff ' FSCIS Sfte Map Links i �PSearcA '.
Busines5�:
Pro�es�ional � �sE�Pue;Approval
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�'..`�..��� Produc[Aoorovai t4eni >Produc[or tioo:ication Search>Aoolication List>ApplloHon Detail
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' �� ��_' FL# FL10124-Ril
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
lindareith@trinityerd.com
Authorized Signature Beth McSorley
lindareith@trinityerd,com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg il-1
Wayne,N]07470
(973)872-4421
BM c5orley @gaf.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Asphalt Shingles
Compliance Method Evaluation Report from a Florida Registered An.hitect or a L�censed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurance Contract Expiration Date OS/03/2015
Validated By )ohn W. Knezevich,PE
d Validation Checklist-Hardcopy Received
Certificate of Independence FL10f24 R11 COI Trinitv ERD CI - Niernin•�n 2013.odf
Referenced Standard and Year(of Standard) �tandard Year
ASTM D3161(Class Fj 2C06
ASTM D3462 2007
ASTM D7158(Class H) 2007
TAS 107 1995
Equivalence of Product Standards
Certified By
Sections from the Code
http:/iwww.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdM... 3/31/2014
Fiorida�uilding Code Online Page 2 of 2
Product Approval Method Method 1 Option D
Date Submitted 08/29/2013
Date Validated 08/29/2013
Date Pending FBC Approval 09/08/2013
Date Approved 10/18/2013
Summa of Products
FL# Mcdel,Number or Name �Description
10124.1 GAF Asphalt Roof Shingles Fiberylass r=inforced 3-tab,laminated,5-tab and hip/ridge
asphalt shingles
Limits of Use Znstallation Instructions
Approved for use in HVH2:No FL10124 Ril fI er082913FINAL GAF Asohalt
Approved for use outside HVHZ:Yes Shinaies FL10224-R11 �df
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure:N/A Created by Independent Third Party:Yes
Other:Refer to ER, Section 5. ' Evaluation Reports
FL10124 Ril AE er08Z913FINAL GAF As�hait
Shinales FL10124-Rii.pdf
Created by Independent Third Party:Yes
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Contact Us::�940 North Monroe SheeL Tallahas�oo F� vzqo phone:850-487d824
The SUte of Florida is an Aq/EEO employer.�oovrloht 20074013 State of Florida ;:prn.acv S t nt::Aceossibilitv Stateme�[::Refund Sta[ement
Under Florida law,email add2sses are Oublic records.if you do not want your rmail address released in response to a public-records request,do not send
elec[ronic mail to this entity.instead,contaR the office by phone or by paditional mail.If you have any questions,please contac[850.487.1395.'Pursuant to
Sectbn 455.275(i),florida Statu[es,effec[ive October i,2012,licensees licensed under Chapter 455,F.S.must provide the DeDartment with an email address if
they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to
supply a personal address,please Drovide the Department with an email address whidi can be made avallable to the public.To determine if you are a licensee under
Chapter 455,F.S.,please ciitk bgg.
Product Approval Accepts:
. �� �F-=�� �
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http://ww�,�.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeVCbdM... s/31/2014