HomeMy WebLinkAbout15-16014 CITY OF ZEPHYRHILLS
5335—8TH STREET
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(sis)�so-oo20 6014
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16014 Address: 6555 FOXMOOR 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: 03-26-21-0120-00000-0720
Improv. Cost: 5,888.41 OWNER INFORMATION
Date Issued: 2/18/2015 Name: WALTERS AVELINA
Total Fees: 65.00 Address: 6555 FOXMOOR DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-0614
Date Paid: 2/18/2015 Phone: 813-562-9719
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
MILBAR ROOFING INC REROOF RE IDENTIAL 65.00
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Ins ections Re uired
DRY IN RO F INSP
TAPE JOINTS ROOF INSP
FINAL �_ ��7� �
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned woric 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 f) 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, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEPO 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
� a�s-7so-oo2o City of Zephyrhills Permit Application Fax-813-780-002 �-j� 7�
Building nepartment
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Date Recei Phone Contact for Permitting -
noa�a¢n aaonwflaoeeu�mia � , '�p r �
ar's Name ` �, Owner Phone Number O% �Z- . 7�
Owner's Address �� ) y �. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address �
� LOT# 7Z
JOB ADDRESS , ,`j� 1� J'. r
cUBDIVISION ) 1/P�( S PARCEL ID# ,�— Zlo"Z - Zc� • UvJ•.±,3 - (�7Z�
' (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM �OTHER C-Q '
TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL � OTHER
DESCRIPTION OF WORK � ) �s..�'f g Z"
,
BUILDING SIZE SQ FOOTAGE � � HEIGHT
p
�� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
Y D�a ��1
� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0
� PLUMf31NG $
0
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�� � GAS �r ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES �NO
��lP��4BA9V�li � n � o i a �9N�9900@�.dtlq3722[ieCt�9
BUILDER COMPANY ����t� 1 l�t�".�l Yi c. _
SIGNATURE , � REGISTERED / N FEE CURR T Y N �
Address ��t�� (�� �� �e � �� �J 3�3 License# �((., ��j�,�v`��
ELECTRICIAN COMPANY
SIGfVATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
PLUMBER COMPAfVY
, SIGNATURE REGISTERED Y/ N ; FEE CURRENT Y/N
Address License# �_
"�ECHANICAL COMPANY
iNATURE REGISTERED Y/ N FEE CURRENT Y!N
Address _ License# �
O7HER COMPANY '
� Slui�i%a�URc RcG�TE°�C � �i i nl FEE CURF.EPJT Y I N
Address License#
11�03p89�'P41!N�IB�BII�N� � , � ' � ����V���'��
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy Forms •
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanifary Facilities&1 dumpster
COMMERCIAL Attach(3)sets of Building Plans,(1)set of Energy Forms. -
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster
�
All commercial requirements must meet compliance.
SIGN PERMIT Attach(2)sets of Engineered Plans.
*""*PROPERTY SURVEY required for all NEW construction.
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rections:
Fill out application completely �
Owner&Contractor sign back of application, notarized
If over$2500,a Notice of Commencement is requlred. (A1C upgrades over$5000j
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same �
� OVER THE;COUNTER PERMITTING (Fron4 of AFplication Only)
Reroofs Sewers Service Upgrades A/G Fences(Plot/Survey/Footage)
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Driveways-Not over Counter if on public roadways..needs ROW ,
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IVQTiCE �F DEED RESTRIGTIC}NS: The undersigned �sr�cierstands that this permit may be s�bject to°deed" restrictions"
� which may be more restric#ive than County regulatians. The undersigned assumes responsibility far compliance with any
appHcabie deed restrictions. _
UNLICENSEfJ CONTRACTORS A�ID CONTRACTOR RESPOPVSIBIL.iT(ES: If the awner has hired a contractor or
confiractors to underfiake work, they may be required to be licensed in accardance with state and lacal regulations If the
contractor is nof licensed as required by law, both the owner and�contractor may be cited for a misdemeanor violatian
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended wark, they are advised to contact the Pasco County Building Inspectian Division—Licensing Section afi 727-847-
8009 �urthermore, if the owner has hired a contractor or contractors, he is advised to have the cantractor(s) sign
portions af the "contractor Block" of this applicatian for which they will be responsible. !f yau, as the owner sign as the
contractar, that may be an indication that he is not praperiy iicensed and is not entitled to permitting priviieges in Pasco
County. +
TRANSPORTATI4N 1�VIPACTIUTILtT1E5 1�ltPACT AND RESOURC� R�COVERY FEES: The undersigned understands
that Transpork�tion Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing builclings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and
90-07, as amended. The undersigned aiso understands, that such fees, as may be due, wi11 be identified at the time of
permitting It is further understoad that Transportation Impact F'ees and Resource Recovery Fees must be paid prior to
receiving a "certifcate af oceupancy" or final power eelease. If the project does nat invo(ve a certificate of occupancy or
final power release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
fees are due,they rrtust be paid priar to permifi issuance in accardance with applicable Pasca County ardinances,
CO�ISTRUCTION L.IEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify tha# I, the applicank, have been pravided with a copy of ihe "Flarida CQf1St3'UCt1411 Lien Law—Homeowner's
Protectian Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the abpve described document and prqmise in goad faith to
deliver it to fhe°awner" prior to commencement.
COiVTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wifl be done 'sn eampliance with all applicable laws reguEating canstruction, zaning and land develapment. Application is
hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installa#ion has
commenced prior to issuance pf a permit and that all work wil! be performed to meet standards af all laws regulating
construction, County and City codes, zoning regulations, and land deveiopment regulations in the jurisdiction. ( aiso
certify #hat 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 1 must take ta be irt compliance. Such agencies include buf are not limited ta�
- Department of Environmental Protection-Cypress Bayhe�ds, Wetlarrd Areas and Environmentally 5ensitive
�ands, WaterlWastewater Treatment.
- Saufihwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers-Seawalls, Docks, Navigable Watenruays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic I"anks.
- US Environmental Protection Agency-Asbestas abatement.
- Federal Aviation Authority-Runways.
i understand that the following restrictipns apply to the use of fill:
- Use of fill is nat allowed in Flood Zane"V" unless expressly permitted. i
- [f the filf material is to be used in Flood Zone "A", it is understoad that a drainage pian addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional �ngineer
licensed by the State of Florida.
- If the fill material is to be used in Fload Zane °A" in connectian with a permitted building using stem wall
construction, f certify that fi!!will be used only ta fill the area within the stem wail.
- lf fill mafierial is to be used in any area, I certify that use af such fill will not adversely affect adjacent
properties. !f use of fiU is found ta adversely affect adjacent properties, the owner may be cited for violating
the canditians of the building permit issued under the attached permit application, for lots iess than one (1}
acre which are elevated by fill, an engineered drainage plan is required.
If E am the AGENT FOR THE OINNER, I promise in goad faith to inform the owner of the�permitting conditions set forth in
this affidavit prior.to commencing constructian. I underst�nd that a separake permit may be required for electrical work,
pfumbing, signs, wells, paois, air canditioning, gas, or other instaliatians 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, ar
set aside any provisions of the technical codes, nar shall issuance of a permit prevent the Building O�cia! from thereafker
�equiring a carrecfion af errors in plans, canstruction ar via(ations of any codes. Every permit issued shail become invaiid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
the permit is suspended or abandoned for a periad af six{6) manths after the t'sme the work is commsnced. An extensian
may be requested, in writing, from the Building Official for a period no# to exceed ninety (90) days and will demonstrate
juskifiabte cause far the extertsion. !f wark ceases for ninety(9Q)cc�nse�uti,.fe���Js, th�;�h��c�^�:�Arbd abar,�or�e�.
WARiVWG 70 OWNER: YOUR FAILURE TO REGORD A NOTlC� �F CQMMEi�10EME➢V7' M16}AY RESUL7' !tV YOUR
PAYING TWtCE FOR[MPRt3VEMENTS TO YOUR PROPEt�TY. (F YOU INTERlD TO OBTAIN Ftt�lANCING, CONSUt,T
WB iTH YC?E..pR I.����F� �!? �1 RI �T"T'�DN9�Y �u���F?� �;��C�:�6Ev:�i'v��:�;�d�� i�� ��i��ii���iv���iiCrv�.
FLORIUA JUE2A'C(f=.S.�t'!?.i}3}
OWNER OR AGENT /�/���t-- ./'i�-'7� CONTRACTOR_ /A/ ��-�l��''°
Subscribed and sw n to(or ffirmed} efore me this Subscribed and sworn to{or a med)betore me this
G��,�=by ��----�,. t�E.}tQ U�2:� by �
Wh islare n nown to me o�has/have praduced Who-is/ar a ly known,to or has/have produced
_..�a���identificaEion, as identificafian.
----������ �►- ��r:�A,� 1,� Notary Public ����`.�e��� aGYI�-�-I_m Notary Public
Comrnission No._ 02� �11��C,��t7�FlOf� Commission tvo. �O�e3t�t PUI?IIC,���@ 0#�0�{��
My Commisslan EacpiresAug��� Y mission ExpiresAugust 1s= ��n��
Name of Notary fyped,pri r Name of Notary#yped,printed ar s •
���i��ar ������ Inca . -�
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15911 11.5. 3�1, 'Dade Ci�►, FL 33523 • State Cert Raufer#CCC1329�92
Ph:�00/562-2393 Fax: 352/567-4454 RCI Reg Ronf Cnnsultant #0149
milbarC�earthlink.rr��
ROOF PROI�OS�L, paae 1 of 2
DATE: 01/21/15
TO: WALTERS, AVELINA G PH: 813/562-9719
6555 FOXfV�00R DRIVE
ZEPHYRHILLS, FL 33542-0614
JOB: SINGLE FAMILY RESIDENCE
SILVER OAKS
6555 FOXMOOR DRIVE
ZEPHYRHILLS, FL 33542-0614
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SHINGLE RE-R���
(Scope of work does not include the aluminum pan roof on back porch)
1. Tear off and haul away existing one-layer shingle roofing system.
2. Re-fasten the existing plywood roof deck in accordance with the Florida Building Codes.
3. Provide and install the new 15 Ib. saturated felt paper(ASTM D-226)secondary.water barrier in accordance with
the Florida Building Codes.
4. Provide and install new algae-resistant fiberglass shingles; Owner to choose shingle color from manufacturer's
standard colors. Provide manufacturer's limited shingle warranty. Please see options on page 2.
5. Replace all valley flashing and re-flash roof penetrations.
6. Provide and install new lead boots for the plumbing vents.
7. Provide and install new pre-finished "white" aluminum eavedrip.
Replace existing ridge vent with 50 I.f. of new pre-finished aluminum ridge vent.
Remove lightning rods prior to re-roofing; re-install existing lightning rods after re-roofing complete.
8. RepaiNReplacement of any rotten or damaged wood (deck, fascia, trim, framing, etc.) will be completed on a cost-
plus basis above and beyond the contract price. ($5s.so per a�xs�x��2��sheet of CDX plywood replaced,labor&materials).
9. MilBar Roofing, Inc. to provide a 5-year workmanship warranty to the original purchaser that covers shingle roof
leaks; exclusions: storm damage, work done or damage by others, tree damage, and/or structural damage to roof
deck.
10. Owner to: provide access to roof for delivery truck for loading/unloading of roofing materials, access to electricity.
Owner to remove satellite dish prior to re-roofing and re-install on fascia.
11. MilBar Roofing, Inc. to provide General Liability and Worker's Compensation Insurance($2,000,000 limit) and re-
roofing permit.
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We propose to furnish material and labor,complete in accordance with above specifications,for the Contract Sum of:
As stated in Options on Page 2. , �
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Payment to be made as followrs: Due Upon Completion.
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• �
�
. a�il��r R������ Inc.
15911 IJ.SP 301, Dade Cat�+, FL 335Y3 . State Cert Raofer#CCCI3Y9�92
Ph: 800/562-2393 �ax: 352/567-4454 RCI Cteg Ruof Consultant #0149
miBbarL�earthlink.n��
I�OOF PF�OPOSe�9�.,naqe z of s
DATE: 01/21/15
TO: WALTERS, AVELINA G PH: 813/562-9719
6555 FOXMOOR DRIVE
ZEPHYRHILLS, FL 33542-0614
JOB: SINGLE FAMILY RESIDENCE
SILVER OAKS
6555 FOXMOOR DRIVE
ZEPHYRHILLS, FL 33542-0614
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OPTIONS � � �
a,,� �'` ,
1. ATLAS"Glassfl�aster" 30- ear 3-tab shin les. � Contract um 5 888.41 ;
...............................................................
Provide and install new ATLAS"GlassMaster"30-year 3-tab algae resistant fiberglass shingles. ' %
Provide ATLAS'30-year limited shingle warranty. �---- �
Select color from standard colors.
2. IKO "Cambridge" dirnensional shinples.....................................................................e... Contract Sum$6,222.65
Provide and install new IKO"Cambridge" laminated dimensional algae-resistant fiberglass shingles.
Provide IKO's Limited Lifetime shingle warranty.
Select color from standard colors.
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AUTHORIZED SIGiVATURE: Da�h'G�/C, �6�1I DATE: 01/21/15
DAVID R.ABLA, PRES
ACCEPTANCE OF PROPOSAL: The above prices,specifications and conditions are satisfactory and hereby accepted.MilBar Roofnig, inc.is
authoPized t0 d0 the work as,speCiff� . ayment will be made as outlined above invoiced.amounts not paid in accordance with the payment terms shall be considered
delinquent,such as attorne -fees,court costs,etc. or collection of delinquesnt invoices including interest. Owner to carry fire,tomado and other necessary insurance. Our
workers are fuliy cov�b orkman's Compensti an Insurance. PRICE GOOD FOR 30 DAYS.
, l - , /
SIGNATURE: ' ���I V� A DATE: �� ,
PRINTED:
�''Q' l�U;, �LL ��'`�
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' NOTIGE.�F�OM�NCEMENT III�IIiIIIIi(IIIIII�II(IIII�IIII!IIIIIIIIIIIIIIIIIIIIIIIIIII
2015022138
MRI#472L�
Permit No.
Tax Folio No 03-26-21-0120-00000-0720
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in thisNdTICE OF COMMEIYCEMENT.
1.Description of properiy(legal descriptiott)SILVER OAKS PHASE ONE PB 26 PGS 46-49 LOT 72 OR 4534 PG 534;
03-26-21-0120-00000-0720
Address: 6555 FOXMOOR DRIVE,ZEPHYRHILLS,FL 33542-0614 N��
2.Gec�eral description of improvements:ROOFING �" �
.� �«
3.Owner Information N•°�.•
a)Name and address:AVELINA G WALTERS,6555 FOXMOOR DRIVE,ZEPHYRHILLS, FL 33542-0614 �m�
(il N
b)Name and address of fee simple title holder(if other than owner): N/A m �
c)Interest in property: OWNER '
�ontractor Information 3 i�
a)Name and address: MILBAR ROOFING INC. 15911 U.S. HWY 301,DADE C1TY, FL 33523_
n
b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) �o�� '
S.Surety Information � m m
a)Name and address: � �
b)Amount of Bond: _ �
c)Telephone No.: Fax No.(Opt.) �
6.Lender
a)Name and address:
Phone No.
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
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 n�i�
7I3.13(1)(b),Florida Statutes: �"D
N N
a)Name and address: ��o
b)Telephone No.: Fax No.(Opt.) @ m
9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a (��p
different date is specified): �"��3
.p�o
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF �►-'N
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,SECTION 713.13, � o
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A �F,�
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST �
INSPECTION. lF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE rN°,,�
COMMENCING WORK OR RECORDING YOUR NOTLC� MMENCEMENT. �,�3
�
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STATE OF FLORIDA A
0
COUNTY OF �a.4:c: — ' r
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Si ture net or Owner' Authorized Officer/Director/Partner/Manager �
,. I -- � a
Print Neme and Title
The foregoing instrument was acknowledged before me this�'L day of�� _,20 h�� ,by
J}��Q�;��(� �y>> � as �)�:,n„�„�- (type of authority,e.g. officer,trustee,attorney in fact)for
��� / (name of party on behalf of whom instru nt a e ).
Personally Known OR Produced Identification Notary Signature_ /�
Type of Identification Produced Name(print) ae e�4���`
- _ bltc,State of Florida ' � ' -
---AND--- � �c� t�71'ii6��r��d�Q��!'
Verification pursuant to Section 92.525,Florida Statutes.Un r penalt' r�ur , ore�oing and that
the facts stated in it are true to the best of my knowledge a belief. ��;- �• 28�ZQ '
t
, Signeture atural Person igning(in line•N.I ;)Aboye• , ;; ,
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FORMSMOC,rvsd2007 � ` - , =� " �
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STATE OF IFLORIDA,COUNTY OF PASCO �09�� • e��a��
TH1S IS TG CERTIFY THAT THE FOREGOING IS A _ �� �
TRUE AND CORRECT COPY OF THE DOCUMEN� ��", o��
ON FILE OR OF PUBLIC RECORD W THIS OFFICE � � , ., •' �
WITNES MY HAND AN OFFICIAL SEAL THIS � s In�o�,�,,e�,,,st �
I�� DAY OF 2� --"°''"t �
� PAULA S.O'N IL,CLERK&COM TROLLER � � O
J .�
gY ` DEPUTY CLERK � ° �887
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