HomeMy WebLinkAbout15-15913 ;
� CI OF ZEPHYRHILLS
` 5335-8TH STREEf
(si3)�so-oozo 159 3
B ILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15913 Address: 39042 7TH AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feef: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0020-01100-0441
Improv. Cost: 3,302.00 OWNER INFORMATION
Date Issued: 1/14/2015 Name: MORRIS ROBERT & LOLA
Total Fees: 55.00 Address: 39042 7TH AVE
Amount Paid: 55.00 ZEPHYRHILLS FL 33542-4537
Date Paid: 1/14/2015 Phone: 813-782-0048
Work Desc: REROOF SHINGLE 13 SQ
CONTRACTOR S APPLICATION FEES
PAUL D SC APER RO FIN I C REROOF RESI ENTIAL 55.00
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In ections Re uired
DRY IN ROOF INSP
TAPE JOINTS OF INSP,,_.
FINAL � '��� °L�
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corr ctions not made when inspections called d)work not ready for
inspection when called e) permit not po ted on job site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 anagement, 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 int nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complet Plans, Specifications Must Accom any Application.All work shall be performed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
ONTRAC OR SIGNATURE PERMIT OFFI R
PE MIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE CARD FROM WEATHER
��
�
� " � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
' Building Department
Date Recelved Phon ContactforPermittin U �Z 1� �
Owner's Name �� Owner Phone Number O��J "�$a— ���0
Owner's Address � {d Z � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � � � ( -� o� LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTV TAX NOTIC�
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
� TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q
DESCRIPTION OF WORK \ �,.J
BUILDING SIZE SQ FOOTA E� HEIGHT �
�BUILDING $ � ALUATION OF TOTAL CONSTRUCTION
� '
' QELECTRICAL $ MP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ q`�
OMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � `�
OGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVA NS FLOOD ZONE AREA QYES NO
BUILDER - COMPANY Q, Vl, I�
SIGNATURE REGISTERED Y N FEECURREA /
Address � l Il,��i� ���`-Q,t License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY
' SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIitllllllt'11I1111111111
RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building P ns;(1)set of Energy Forms;R-O-W Permi[for new construction,
Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set o(Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after subm i date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets o(Engineered Plans.
""PROPER7Y SURVEY required for all W construction.
Directiqns:
Fill out application completely. I
Ovmer&Contractor sign back of application,notarized
If over 52500,a Notice of Cammencement Is required. (A/C upgrades over 57500)
" Agent(for the contractor)or Power of Attorney(for the o er)wouid be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applirati n Oniy)
Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Foolage)
Driveways-Not over Counter if on public roadways..need ROW
NOTICE OF DEED RESTRICTIONS: The under igned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regul tions. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONT CTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be req ired to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, b th the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contr ctor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the P sco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a ontractor or contractors, he is advised to have the contractor(s) sign '
portions of the"contractor Block"of this applica ion for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is ot properly licensed and is not entitled to permitting privileges in Pasco
County. �
TRANSPORTATION IMPACT/UTILITIES IMPA T AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse ecovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existi g buildings, as specified in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also und rstands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transp rtation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final po er release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prio to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
� fees are due,they must be paid prior to permit is uance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,FI rida Statutes,as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provi ed with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Dep rtment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtai ed a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce ify that all the information in this application is accurate and that all work
will be done in compliance with ail applicable I ws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work nd 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 r gulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of ther government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I must ake to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Prot ction-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatme t. -
- Southwest Florida Water Mana ement District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilit tive Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agen y-Asbestos abatement.
- Federal Aviation Authority-Runway .
I understand that the following restrictions appl to the use of fill:
- Use of fill is not allowed in Flood Z ne"V"unless expressly permitted.
- If the fill material is to be used i Flood Zone "A", it is understood that a drainage plan addressing a
' "compensating volume"will be su mitted 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 sed only to fill the area within the stem wall.
- If fill material is to be used in a y 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 per it issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an ngineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promi e 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, weils, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a licens 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,const ction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is ommenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a p riod of six(6)months after the time the work is commenced. An extension -
may be requested, in writing,from the Buildin Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work cea es for ninety(90)consecutive days,the job is considered abandoned. �
WARNING TO OW R: YOUR FAILURE T RECORD A NOTICE OF MMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FO I QVEMENTS TO UR PROPERTY. IF YOU I END BTAIN FINANCING,CONSULT
WITH YOUR LEND OR AN ATTORNEY B FORE RECORDING YOUR T E OF OMMENCEMENT.
FLORIDA JUR,4T(F.S. 1 ,
OWNER OR AGENT CONTRACTOR
Subscribed and sworp (o H' d)be re me this Subscribed and swom t or a irmed)before me is
�-�a.�K b
W o is/are sonally n to me or ve produced Who i .e per w o me or as/have pro ced -
as id ntificalion. as ide tificatio
`"���"' UZANNE r1LlEN
ANNE A ,��4p,0.Y PJ�4
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`� �a cs_ No ar tg �(i _a . +� . ublic-StbI���UbS�a
Commiss �� . ,�'v° .= . �xCires Oct 2577015 om SS : w : ; Comm.Expires Oct 25,2015
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� °� Co I SIOII� t _ ��prE'OF.f�-{s ammissi
' P.` ::.J/I11111i� ' 'i
Name of tar� �� ted or sta Name of Notary type�, �` �
, ' NOTIC OF COMMENCEMENT �
State of FLORIDA County of PASCO
; .
;
Property Identification No: 12-26-21-00 0-01100-0441 • -
THE UNDERSIGNED hereby gives notice th t improvement will be made to certain real property,and in • �
accordance with Section 713.13 of the Florida tate Statutes,the following information is provided in this Notice of �
� Commencement: '
� 1, Description of property(lega!description): YINGLINGS ADDITION
i , B 2 PG 16 THE EAST 55.25 FT
F LOT 44 BLOCK i l -
' R 9063 PG 1894 �Illlll IIII�IIIII IIIIIIIIII IIIII IIIII IIIII IIIII Illll IIII IIII
• Street Address 39042 7TH AVE 2018005368
, � ZEPHYRHILLS FL 33542
2. General Description of Improvement:Shing e ReRoof Rept:1653310 Rec: 20.00
3.Owner Information: MORRIS ROBERT&L LA DS: 0.00 IT: 0.00
, 39042 7TH AVE 01/13/2018 D. B. , Dpty Clerk
': ZEPHYRHILLS FL 33 42-4537
a)Name and address: ' "
b)Name and address of fee simple titl holiier(if other than owner):N/A �
I c)Interest in property: Owner ,
4.Contractor: Paul Schaper,8949 Gall Btvd., ephyrhills,FL 33541 —Ph:(813)782-0920,Fax:(813)715-487 `
� .
� 5. Surety: Bauer&Associates, 12210 Highw 301 N.,Dade City,FL 33525-$5,000 bond
6. Lender: Name/Address: N/A �
7. Identity of person within the State of Florid designated by owner upon whom notices or other documents may
be served:N/A •
a)• Name and �
address: ,
. � b) Telephone No.: Fax No.
(Opt) ' •
' 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as .
provided in Section 713.13(1)(b),Florida Sta tes: • .
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 33541 —Ph:(813)782-0920—Fax:(813)715-4875 �
I 9. Expiration date of Notice of Commenceme (the expiration date is one year from the date of recording unless a
different date is specified): . '
, WARNiNG TO OWNER: ANY PAYMEIYTS MADE Y THE OWNER AFTER THE EXPIRATION OF THE NOT[CE OF
COMMENCEMENT ARE CONSIDERED IMPROPE PAYMENTS UNDER CHAPTER 713,PART I,SECCION 713.13,FLORIDA � ,
' STATUTES,AND CAN RESULT IN YOUR PAYING ICE FOR IMPROV.EMENTS TO YOUR PROPERTY.A NOTICE OF
I COMMENCEMENT MUST BE RECORDED AND P STED ON THE JOB SITE BEFORE THE FIRST IIVSPECTION.IF YOU ,
I INTEND TO OBTAIN FINANCING,CONSULT YOU LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEME T.
. `
STATE OF FLORIDA . ' '
COUNTY OF PASCO • • �_
i of Owner or Owner's Authorized O�cedDirectodPartnedManager • '
• � Y��� Jl�dKKl� .
�� ' Prmi Name
The foregoing instrument was acknowledged b fore me this /oZb` day of • ,20/S,by
' �� y�'�p�r%s as h r (type of authority,e. .officer,trustee,
i attorney in fact)for ' (name of party on behalf of whom i strument
' was executed).
• Personally Known OR Produced Identi cation J tary Signature• ,
Type of ldentification Produced- �C_
I . � a°',�."��•';'4c� JUD(TFIL�SCHMER '
� ppULfi 5.0'NEI L�Ph D.PRSCO CLERK 8 COMPTROL ER rt * MY COMAII$SION i EE 87?261
01/O1R38K 1913�m P�' 321 �'� � EXPIRES:June8,2017 -
'�'oF��'� Ba�dedThNB�dpetNohtyrServkes
i i _ ,
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STATE OF FLORIDA, COl1�TY 0� �A��O ���pa�ap`
THIS IS TG CF_RTIFY THAT THE FOREGOING IS A �� � ' � o ���
TRUE AND CORRECT COPY OF THE DOCUMENT ��
ON FILE OR�F PUBLIC RE�ORD IN THIS OFFICE � ' � � ,��
WITNES$MY HAND AN OFFICIAL SEALTHIS � • �> . ` ." e
,�qf"DAY OF �...-- 2 Q�� r�5u�zve rnc�r � $�
.�' 6
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PAULA S ' EIL,CL K&COMPTROLL�R �
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BY DEPUTY CLERK � ;��,�� •�
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florida Department� BCIS Home� Lag In � User Registratlon � Ho Topics �Submit Surcharge �Stats&FacGs �Publications �FBC Staff � BQS Stte Map �Links �Search �
Busines�� �,,
Professibnal +;��P ERdu'ct Approval
Regulation
Produc[Aooroval Menu>Product r A licatf Search>Aoolica[lon List>Appll�ation DeWtl
�—�,y"�^T� FL# FL10124-R12
�ce:i�:y�l.'yi.�-
{'�� Application Type Editorial Change
Code Version 2010
Application Status Approved
Comments
Archived ❑
Product Manufacturer GAF
Address/Phone/Email 1361 Alps Road
Wayne,N]07470
(973)872-4421
lindarelth@trinityerd.com
Authorized Signature Beth McSoNey
lindareith@tri nityerd.com
Technical Representative 8eth McSorley
Address/Phone/Email 1361 Alps Road-Bldg li-1
Wayne,N]07470
(973)872-4421
BMcSorley@gaf.com
Quality Assurance Representative
Address/Phone/Email
Category RooFng
Subcategory Asphalt Shingies
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Na e who Robert Nieminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurence Entity UL LLC
Quality Assurance Contrect Expi tion Date 12/16/2015
Validated By John W. Knezevich,PE
� Validation Checklist-Hardcopy Received
CertiFcate of Independence FL10124 R12 COI 2014 04 COI Nieminen.pdf
Referenced Standard and Year( SWndard) Standard Year
ASTM D3161(Class F) 2006
ASTM D3462 2007
ASTM D7158(Ctass H) 2007
TAS 107 1995
Equivalence of Produd Standard
http://www.floridabuilding.org/pr/pr ap _dtl.aspx?param=wGEVXQwtDquracBeVCbdM... 11/5/2014
, Floriiia Building Code Online Page 2 of 2
Certified By
Sections from the Code
Product Approval Method Method i Option D
Date Submitted 08/28/2014
Date Validated 08/29/2014
Date Pending FBC Approval 09/Ol/2014
Date Approved 10/15/2014
Summary of Products
, FL# Model,N mber or Name DesCription
i
10124.1 GAF Asph it Roof Shingles Fiberglass reinforced 3-tab,laminated,5-tab and �
hip/ridge asphait shingles
Limits of Use Installation Instructions �
Approved for use in HVHZ:No FL30124 R12 II 2014 08 FINAL ER GAF Asohalt I
Approved for use outside HV Z:Yes Shin les FL10124-R12. df
Impact Resistant:N/A Verifled By: Robert Nieminen PE-59166 I
Design Pressure:N/A Created by Independent Third Party:Yes �
Other:Refer to ER,Section 5. Evaluation Reports
FL10124 R12 AE 2014 08 FINAL ER GAF Asohalt
Shin les FL10124-R12. df I
Created by Inde endent Third Party:Yes �
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tact U ::1940 North Monroe Street.Tallahassee FL 32399 Phone:850-487-1824
The State of flodda is an AA/EEO employe Coovrlaht 2007-2013 Sta[e of Florida.::Privacv Statement::Accessibiliri Statement::Refund Statement
Under Florida law,email addresses are pu lic records.If you do no[wan[your e-mail address released in response W a public-rxords request,do not
send electronic mail to thls entlty.Instead,contact[he ofFlce by phone or by traditlonal mall.If you have eny questlons,please contac[850.487.1395.
•Pursuant to Secdon 455.275(1),Florida 5 tudes,effective Octnber 1,2012,Iicens�es licensed under Chap[er 455,F.S.must provide the Departrnent
wfth an email address if tfiey have one.The mails provided may be used for offidal mmmuntwdon with tfie Iicensee.Nowever email addresses are pubiic
recoM.If you do nat wish to supply a perso al address,please provide the Department with an email address which wn be made availa6le to the publfc.
To det rmine If you are a Ilcensee under Chapter 455,F.S.,please dick here
Product Approval Accepts:
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