HomeMy WebLinkAbout14-15492 ,
• - " ' CITY OF ZE HYRHILLS
' S335-8TH STREET
(sis)�s -oozo 15 2
BUILDIN PERMIT
� ""T=�°t:PERMIT INFORMATION LOCATION 1NF,ORMATION ` � =
�Permit Number: 15492 Address: 37701 NEWAL AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0130-00000-0220
Improv. Cost: 4,790.00 � ,OWNER INFORMATION `: _ �..�: ' �
Date Issued: 7/15/2014 Name: ROCHE WILLIAM J & CLAUDIA B �
Total Fees: 90.00 Address: 37701 NEWAL AVE
Amount Paid: 90.00 ZEPHYRHILLS FL 33542-7917
Date Paid: 7/15/2014 Phone:
Work Desc: METAL REROOF
CONTRACTOR $ ' APPLICATION FEES
A.BARTLETT ROOFING OF C NTRAL F REROOF RESIDENTIAL 90.00
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� � � ` Ins ection Re. uired ` ' � ,y�'� :�-�
DRY N ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d) work not ready for
inspection when called e) permit not posted on jo site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this properly that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications Must Accompany App ication. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
O TRACT R GNAT PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
e�saeo-oozo : City of Zephyrhill Permit Application Fax-813-780-0021 . I
Building epartment
:
Da4e Received � � Phone Contact for Permitting I 3 � �2 -- ��$ �
Owner's Name 1 Owner Phone Number
Owner's Address � �-�( Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ���� LOT# �
SUBDIVISION PARCEL D#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE i/� SFR Q COMM" 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Ye-V� W�x —
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ O VALUATION F TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � �a��V
OMECHANICAL $ VALUATION F MECHANICAL INSTALLATION v�r� �✓/
( C�`��-�
QGAS Q ROOFING Q SPECIAL 0 OTHER \�
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER � � �00 PANY � � �
SIGNATURE r REGI TERED Y/ N FEE CURRE� /N
Address License#
ELECTRICIAN CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER CO PANY
SIGIdATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL CO PANY �
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHER CO PANY
SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, -
' Sanitary Facflities 81 dumpster,Site Work Permit for su divisions/large projects .
__---GOMIlAERCId1L—rAttach_(3)complete sets_of Building PI_ans_pl_us a Life Sa ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Re uired onsite,Const�uction Plans,-Stomiwater Plans w/Sitt Fence-installed,-- ----
Sanitary Facilities&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 construc ion.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over a2500,a Notice of Commencement(s required. (AIC upgr es over 57500)
" Agent(for the contractor)or Power of Attomey(for the owner)would b 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( lot/Sunrey/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 CONTR�►CTORS AND CONTRACTOR RESPONSIBILITI�S: If the owner fias hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state arid 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. � �� '
TRAfVSPORTATION IMPACT/UTILITIES IMPAC'T 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 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 finai 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 LAIN(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 "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 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'S/OIAINER'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. 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, WaterMlastewater 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
"compensating 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. 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 Iots 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 Official 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: YOU1t FAILURE TO RECORD A NOTICE OF COIIAMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IIVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIIdAIVCING, CONSULT
1fVITH YOUiZ LENDEFZ OF�AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COfNAAENCEIIAEfdT.
FLORIDA JURAT(F.S. 117.03) '
OWNER OR AGENT CONTRACTOR
Subscribed and swom to(or a�rmed}before me th(s Subscribed and swom to(or affirmed)before me this
by by
Who Islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as Identlfication. as identificaGon.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
' Repl:1 13668 Rec: 10.00
lillllllllll III�IIIIII(II�IIIIIIIIIII IIIIIIIIIIIIIIIIIII I�II DS: 0. 0 IT: 0.00
07/01/14 B. MeBee, Dpty, Clerk �
P014I0g479 PpULq S 0'NEIL,Ph:D.PRSCO CLERK g COMPTROLLER
07/�R1B 4 0�3•?�� P�°2592
�
Permit No. Parcel I�No 0�� �/��'^O �X/�� "QZ GlJ
f � , NOTICE OF COMMENCEM
State of \11/1A.I7LY.L County of
THE UNDERSIGNED hereby gives notice that fmprovemenl will ba made to certain real property,an in accordance with Chapter 713,Florida Slatutes,
lhe following infortnation is provided in this Notice of Cammencement:
1 Description of PropeAy: Parcel Identificatlon No.
Streel Address: '/ . � �
2. General Desuiplion ol Improveinenl �l
3. Owner Infortnation ar Lessee infortnation if lhe Lessee contracled far the(mprovement:
Name �"1-IU 1 l� � �.
Address City State
�Inlerest in Praperty
Name of Fee Simple Titleholder:
(If difierent from Owner listed above)
� Address City Slate
Contraclor.
Name ? 2
J
Address ��1 y�� � City State
Contraclors Telephane No. J �
5. Surely: '
Name
Address •City Slate
Amount of Bond: E Telepho Na:
6. Lender
Name
Address City State
Lenders Telephone No.•
7 Persons within the State af Florida designated by the awner upan whom notices or olher dowments may he served as provided by
Sedian 713.13(1)(a)(7),Florida Statutes:
Name
Address Ciry State
Telephone Number of Designated Person:
8. In addition to himself,lhe owner designates of
to recelve a copy af the Lienofs Notice s provided in Section 713.13(1)(b),Florida Statules. �
Telephone Number of Person or Entity Designated by Owner.
8. Expiration date of Notice of Commencement(ihe expiration date may nat be before Ihe ompletion of cons(ructian and final payment to the
canlrector,but will be ane year from the dale of recording unless a ditterent date is specifi d);
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXP RATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7'f3, PART 1, SE TION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTEO ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO DING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I deGare that I have read the foregoing noqce olcommencemen and that lhe facts s lhereln are We to the best
ol my knowiedge and belief.
STATE OF FLORIDA
COUNTY UF PASCO
S re of Owner or Less ,or Owners or Lessee's Authorized
�j�n�RICHARD C.BARTLEIT OtticedDlredoNPartnerlMan ger
4,41Gi�t MY COMF9SSIt�N p FF13096
°�ryf� FJff�iES:IuIY 31,2017 '
°' Signatary' 7itlelOffice
The foregoing instrumenl vias acknowledged before me lhis_�day of U , y
as �� (lyp f a horit,
y g.,oncer,Wstee,attomey in facl)for
(na e of hall strument was ezecuted).
Personally Known C�"OR Produced Idenlification❑ Notary Signature - -
Type of Idenlification Produced Name(Prinl)_
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C/O Richa d Bartlett
38408 3 d Ave.
Zephyrhilis, FL 33542
One of the Largest, OI est, Most Dependable OFFICE
Roofing Companie in Central Florida PHONE
Specializing in Mobile Home White Co mercial Rubber& Color Metal Roofing �g 13) 782-5585
RESIDENTIAL • COMMERCIAL • MOBILE HOME (813) 973-7737
LICEfVSED - INS RED - BOIVDED (352) 523-1944
• MEMBER OF THE CH MBER OF COMMERCE
& BETTER BUSI ESS BUREAU • Lic. #CCC 1325499
Serving Zephyrhills, Dade City, Quail Hollow, Wesl y Chapel, Land O' Lakes and Surroundang Areas
We have re-roofed or repaired more roofs(18,000)in fhe past 3 years, than the fourloca/leading roofing companies combined.
We do not charge extra fees for credit card urchase.Most companies charge 3 to 5%.
Date � '�< l
Name
Address � p � r—
Phone �
_ . , . _. _ _ _
� , ;�ES�I�tPT'[ �i° ` . ; AI4��JUNT'
Presiden O r A. a �tt o entral FL, Inc.
Sign:
Richard C.Bartlett
THANK YOU
Your Business is Appreciat d.
Payment upon completion unless previous arrangement made Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays beyond our control.Ow er to carry fire,tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance.Customer i liable for any charges incurred in collecting this bill.
Rotten wood is an extra$35.00 per sheet(4-ply).Rotten f scia is$2.00 per linear foot. TOt81
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}��"Oc L�:f'�..'^.'}"1?!1:� BC75 Home Lng In User Regist2tion Hot Topict Submi Surcharge Sta[s&Facts Publications FBC S[af( BCIS Slte Map Links Search
�usines '�
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Professi��al �f> USER.Public Use�p
Regulation �
Prod�ct Aooroval Menu>ProduR or Aoolication Search>A i catton List>Application Detail
Y-;�-;,h^-j]-•r,�-�:� FL# FL5293-RS
�3`�����.��41..•���<�"'�_
;�st�;�`ur.,�,_:�;� ApplicationType Revision
f���,,.�',�i���.:�:;.�.` Code Version 2010
�'='�7;:e1:_^`-":i...:
`�'-''^� - Application Status Approved
Com ments
Archived
Product Manufacturer GAF ��U���( u/��f��.j.•
Address/Phone/Email 1361 Alps Road C�-�OF z��, ri, I���6
Wayne, N]07470 ����Y
(973)872-4421 p�,q�S E `^��
lindareith@trinityerd.com •
�
Authorized Signature Beth McSorley
Iindareith@trinityerd.com
Technical Representative Beth McSorley
Address/Phone/Email 1361 Alps Road-Bldg 11-1
Wayne, N]07470
(973)872-4421 �LL WaRI{SN�LL COP�`iPLY�IITHALL
BMcSorley@gaf.com pREVAILNG CODES,FLORIDA BUILDIl'dG
Quality Assurance Representative CC}DE,NATICNAL ELLCTRIC CODE AND
Address/Phone/Emall CI�Y OF ZEP.'��'RHILLS ORIJINANCES
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluatlon Report from a Florida Registered Architect or a Licensed
Florfda Professional Engineer
' Evaluation Report-Hardcopy Recelved
Florfda Engineer or Architect Name who Robert Nleminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity Underwriters Laboratories Inc.
quality Assurance Contract Expiratlon Date 04/13/2012
Validated By John W. Knezevich, PE
Validation Checklist- Hardcopy Received
Certificate of Independence FL5293 R5 COI. Trinitv ERD CI-Nieminen.pdf
Referenced Standard and Year(of Standard) Standard ar
ASTM D6878 2006
FM 4470 lggZ
FM 4474 2004
TAS 114 2011
Equivalence of Produd Standards
http://www.floridabuilding.org/pr/pr_app_dtl.aspx? aram=wGEVXQwtDquwVcULes7wT... 6/8/2012
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Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 02Ji6/2012
Date Validated 02/21/2D12
Date Pending FBC Approvai 02Jz4J2012
Date Approved 04/03/2012
Date Revised 04j06J201Z
&urnmary 0f Praafucts
FL# M4ode{,PFumber or Pia e D�scription
5293.1 EverGuard TPO Single- ly Roof Single-ply,thermoplastic polyolefi� roofing systems
Membrane Systems �
Limits of U�e Snstalfation %nstruct9ons
� kpproved gor use in FibHY: No FL5293 RS II AS erQ21612FTNAL G�F TPQ FL5293-
kppraved far use eutside HttHY:Yes R5. df �
Ympact Ftesistant:N/A Verifled By: Rabert Nleminen PE-59166
Design F�ressure: +N/A/-502.5 Created by Independent Third Party� Yes
CDther. 1.}The des3gn pressure�oted tn this ppllcation Eualuation Reparts (
relates to one speciflc assembly in the ER App ndix. �L5293 R5 AE er021612FINAl GAF TPO FL5293- �
Refer to the ER Appendix for all systems and a sociated R5. df
max.design pressures, 2.)Refer to�R Section 5 for Created by Independent Third Party:Yes
Limlts of Use
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�ontac[ ic 1 phone:8�0-487-1624
7he State of Fiorida is an AAjEEO emptoyer - t ::Q,�yacv Sta gment-:Accessi6Ritv S[atem,g,nt.:Retup¢Statemont
Under Florida taw,e-mail addresses are publfc records.Tf yo do not want your e-mai�address released In response ta a public-records repuest,da not
send electronic mail to this entity.Instead,contaR the offi e by phone or by tradltional mail.If you have any questions regarding DBpR's ADA web
accessibillty,piea5e mn d our WeG Maste�at w bmast r(aldhnr.stat�.fl.us,
roduct Approvsl Aadepts:
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http://www.floridabuilding.org/pr/pr_app_dtl.aspx? aram=wGEVXQwtF?quwVcULes7wT... 6/8/2012