HomeMy WebLinkAbout14-15850 �� � ' CITY O�F ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 1 5 0
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BUILDING PERMIT
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PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15850 Address: 39431 LINCOLN AVE
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: LINCOLN HEIGHTS
Est. Value: Parcel Number: 12-26-21-0280-00000-0330
Improv. Cost: 6,158.00 OWNER INFORMATION
Date Issued: 12/15/2014 Name: RODRIGUEZ ANTONIO M &TORRES MA
Total Fees: 70.00 Address: 39431 LINCOLN AVE
Amount Paid: 70.00 ZEPHYRHILLS FL 33542-4638
Date Paid: 12/15/2014 Phone: 813-788-2068
, Work Desc: REROOF SHINGLE
CONTRACTOR S � APPLICATION FEES
PAUL SCHAPER CON TRU T O I C REROOF RE IDENTI 70.00
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Ins ections Re uired � �
DR RO INSP
TAPE JOINTS ROOF INSP
FINAL P- (y -- (�
REINSPEC7TON 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 manage� ent, 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."
Comple e Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SI�� NATURE PERMIT OFFI R
� PERMIT E PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
J CA L FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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' ' a�aaso-oozo City of Zephyrhills Permit Application Fax$13-780-0021
B��lding Departrnent
Date Received phone Contact for Permittin
Owners Name '� , r I Owner Phone Number � ' o O �Z��Cf
Owner's Address � `-1 i L in I I Owner Phone Number
Fee Simple Tltleholder Name , � Owner Phone Numher
I
Fee Simple Titleholder Address
JOBADDRESS '-i�l L� CC� �I�C_ Ze C I/C.� �S LOT# �
SUBDIVISION PARCEL ID� � - ' I r v � � �
I (OBTAINED FRON PROPERTY TAX NOTIC�
WORK PROPOSED NEW CONSTR ADD/PLT � SIGN Q Q DEMOLISH
e INSTALL e REPAIIR
, PROPOSED USE Q SFR Q COM�A Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRA�IE Q STEEL Q
�ESCRIPTION OF WORK � I�
BUILOING SIZE � � SQ FOOTAGE� HEIGHT �
�
�BUILDING S IG ' L�O VALUATIONOFTOTALCON5TRUCl10N
�J .
, QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBINO $ ���0
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �L
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLO i D ZONE ARE11 QYES NO
BUIIDER COMPANY P(7L��\� � 1'CC�JT�`l W
SIONATURE � �ECisr�o Y/ Pl � uw�n Y/N
Address V ' I� License# CCC�5 �J
I
ELECTRICIAN COMPANY
SIGNANRE r�cisr�o Y/ N �cur�en Y/N
Address I License# I
I
PLUMBER 60MPANY
SIGNATURE �cisre�o Y/N r�cuaa�n Y/N
Address I License#
I
MECHANICAL COMPANY
SIONATURE f#EGISTERED Y/ N �cuw�n /N
Address I License#
OTHER OdIPANY �
SIGNATURE �Gisr�En Y! N FEECURaEn Y/N
Address I License#
' IIIIIIIIIIIII � IIIII � IIIIIIIIIIf1�II11 � 111 / II1�1 � � 1 � 11111111111111f1111
I RESIDENTIAL. Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af Energy Fortns;R-0-W Pertnit for new consWction,
Minimum ten(10)working days after submittat date.IRequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facil'dies 81 dumpster,Site Wark Permit for subd'msionsJlarge projects
COMMERCIAL Attach(3)complete seGs of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit far new construction.
Minimum ten('10)working days after submittal date.IRequfred onsite,Constniction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Wo�1c Pertnft for all new projects.AII commercial requiremenls must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'•PROPERTY SURVEY required for all NEW construction.
.I.
DiraMions:•
F01 out application completely.
Owner&Contractar sign back of applicatlon,notarized
If over 52500,a NoBee of Commencement is required. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)woul�be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITl7NG (Front of Applica6on Onty)
Reroofs if shingles Sewers Service Upgrades A/C Fen s(PIoUSurvey/Footage)
Driveways-Not over Counter ff on public roadways..needs ROW
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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 CONTRACTORS AND CONTRACTO RESPONSIBIIJTIES: If the owner has hired a conVactor or
contractars to undertake work,they may be required t tre licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both th�owner and contractor may be cited for a misdemeanor violaGon
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 corrtact the Pasco�ounty Building Inspection Division--Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contra�Ctor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application fo�wrhich 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 enti8ed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AN RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recov�ry 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 understan s,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportatio Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupanc�'or final power re ease. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to pe it issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuan in accordance with applicable Pasco County ordinances.
COIdSTRUCTION LIEN LAW(Chapter 713,Florida tatutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided wi a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Departmen of Agricufture and Consumer Affairs. If the applicant is someone
other than the°owne�',I certify that I have obtained a opy of the above described document and promise in good faith to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify th t all the infortnation in this application is accurate and that all work
will be done in compliance with all applic�ble laws re�ulating construction,zoning and land development. Application is
I hereby made to obtain a peRnit to do work and instatlation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that al�work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdicction. I also
certify that 1 understand that the regulations of other g vemment agencies may apply to the intended work,and that it is
my responsibility to identlfy what actions I must take to�e in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-�ypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatmerrt.
- Southwest Florida Water Management Disfict-Wells, Cypress Bayheads, WeUand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks IVavigable Waterways.
- Department of Health 8 Rehabilitative S rvices/Environmental Health Unit Wells, Wastewater Treatrnent,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following resfictions 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 Flootl Zone "A", it is understood that a drainage plan addressing a
°compensating volume"will be submitted�t 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 one°A°in connection with a permitted building using stem wall
construction,I certify that fill will be used o�ly to fill the area within the stem wall.
- If fill material is to be used in any area� 1 certify that use of such fill will not adversety affect adjacent
properties. If use of fill is found to advers�ly atfect 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 enginee�ed drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in gc�od faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commenang consVuction. I und�rstand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas,o� other installations not specifically included in the application. A
permit issued shall be construed to be a ticense to pr�ceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor sh�ll issuance of a permit prevent the Building Official ftom thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the waric authorized by such permit is commer�ced within six months of pertnit 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 Bui�ding Offici�l for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for mnety(90)consecutive days,the job is considered abandoned.
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 FlNANCING,CONSULT
, WIT OUR LE N ORN Y BE OR E ORDING YOU OTICE OF CO MENCEM NT.
FLORIDA JURAT(F.S.11 0
OWNER OR AG CONTRACTOR
Subscribed swom W a ied)b fore me this Subscribed and swom (o a ned)I e e '
by b
Wh are personalty k t ' or a av o e person o t a ve produced
on. a 'de 'on
, ;'����i;B�. SUZANNE ALLEN
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?_'�•°;; o �y Public-5tate ot �orid _�` " '"B�;-, SUZANNE ALLEN
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•� ;�.� .r . Code Version 2010 FL ALL
� s ,., :,ynr�TM;;,�,n• �Application Type ALL Pr duct Manufacturer CertainTeed Corporation-Roofing
r� �:3L_:� �ti�� ICategory Roofing Sul cate9orY Asphal[Shingles
�Applica[ion S[a[us ALL Co pliance Method ALL
Quali[y Assurance Entity ALL Qu li[y Assurance Entity Contract ExpiredALL
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Product Model, Number or NameALL Pr�Iuct Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Ilmpact Resis[ant ALL Design Pressure ALL
LO[her ALL
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ISearch Results-Applications
,FLW TYpe Manufacturer� ValiAa.`.�;ci_ey ` Status
FL5444-R4 Revision CertainTeed Co�poration-ROOfing ]ohn W. Knezevich, PE Approved
�His,ory Category: Roofing (954) 772-6224
- Subcategory: sphal[Shingles
• I•Approve0 by DBPR_Approvals by DBPF shall be reviewe�d antl ratified by the POC and/or the Commission if necessary
Con[act Us 1440 N rth Monroe Streel Tallahassee FL 323 9 Phone:BSO-487-1824
The S[a[e o!FloriOa is an AA/EEO employer ri h I2 7-2 1 ta f Flori Privacv Stalement Accessibili[v Statement Refuntl Statement
Under Floriaa law,e-mail adtlresses are puDlic recoras If you eo not want your e-mail aACress releasea in response to a public-retorAS reques[,do not
. send electroni[mail to[his en[I[y.[nstea0,con[aa t e office Oy phone or by[raditional mail.[!you have any questions regarding OBPf1's ADA web
accessibility,ple se contact our Web Master at webmasterC�dbor state fl u�.
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� - F�# FL5444-f27
Applicatan Type Revisan
. Code Version 2010
ApproveU
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Arc hived
CeRaiiifeed Coipoiation-Roo(iny
Address/Phone/En�il PO Box 1100
1400 Unh�n f�leeling Rd
61ue t3ell, PA 1942J_
(215) 274-2350
Sleven.T L.�wreyC��aint-9obair.corn
Authorized Sgnature Steven I.awrey . '
S[even.T IsiwreyC saint-yobain.corn
Technical Representative Stevzn l.awrey
Address/Phone/Err�il 1400 Unan I•teetin9 Road
Blue 6ell, PA 19422
(215) 274-2425
Sleven.T Lawrey@saiiu-gobain.com
Quality Assurance Representa[ive
Add ress/Phone/En�ail
Category Roofing
Subcategory � Asphalt Shingles
. Compliance Method • Evaluation Report from a Florida Registered Architect or a Licensed Fbrida
Professbnal Engineei
, Evaluatbn Repon - liardcopy Received
Florida Engineer or Architect Nan1e who devebped U�e f2obert Nieminen
Evalua[an Report
FloiiAa License P[-5916G
Quality Assurance EntRy UL LLC
Quality Assu2nce Cont2et Expiration Date 07/03/2017
Validated By John W Kne�evich, PE
Valqation Checklist - Na«lcopy Received
Certificate of Independence - -. -- � -- -- ' -- ' � � -
Re(erenced Standard and Year(of Standard) _ Year
2006
ASTM D34G2 2007
2007
[yuivalence of Product Standards
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Code Version 2010 FC I ALL
Application Type ALL Protluct Manufac[urer Ce�tainTeed Corpo2tion-Roofing
Category Roofing Su�category Asphalt Shingl�s
Application Status ALL Co�I�liance Method ALL
Quality Assu2nce Entity ALL Quility Assurance [ntity Contracl Expi�ed ALL
Product Model, Number or Name ALL Prolduct Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
� Impact Resistan[ ALL De gn Pressure ALL
Other ALL
Applications
FL; _. • SY��t;,ta
FI;S_t_]4-'t:: CertainTeed Corpoi tion-12uofing John W. Knezevich, PE �Approved
Category: Roofiny I (954)772-C224
- Sutxategory:Aspliaft Shinyies .. - _, -
'ApProved by OBPF.ApProvals by DB7R shall be reviev.ed an rati(ied Ur the POC nnd%or the Commission d nececsary
I F�hone.850-437-1824
The Sta[e o(Flonda is an AA/EEO employer Coovnah[I2007-2013 Sta[e u!Florida. Privacv S[a[ement �Relund Statement
Under Florida law,email addmsses are public records.11 you do no[want your e-mail aJdress released in resVOnse[o e publiorecords request,do no[send
elec[ronic mail[o[his enUty Ins[ead,con[aR[he offi[e by phone Or by I2�iUOnal mail.I(you have any questions,please con:act O50 987.3395 'Pursuan[[o
, Section 455 275(1),FbnGa Statu[es,e((ective October 1,2�12,licensees licenied under Chapter955,F.S.must provide che Department rrith an emaii address if
they have one.The emads provided may be used foro(fical communication�+ri[h che licensee.
5u0Vly a personal ad�fress,please provide t�e Departmen wrth an email a�Oress��hich can be matle available co(he D��bfic.To Ae[ermme d you are a licensee
inder Chap[er 455,F.S.,please click here
Groduct A pproval Accepts:
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