HomeMy WebLinkAbout16-17128 CITY OF ZEPHYRHILLS I
5335-8TH STREET
(813)780-0020 17128
• '� ' BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17128 Address: 37142 CULLENS TRL
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: STEPHENS GLEN PHASE TWO
Est. Value: Parcel Number: 03-26-21-0180-00000-0790
Improv. Cost: 8,640.00 OWNER INFORMATION
Date Issued: 3/03/2016 Name: JOHNSON LARRY& JILL
Total Fees: 80.00 Address: 12837 2345 EAST ST
Amount Paid: 80.00 PRINCETON IL 61356-8510
Date Paid: 3/03/2016 Phone: 815-878-9061
Work Desc: REROOF SHINGLE
- CONTRACTOR S APPLICATION FEES
MILBAR ROOFING INC REROOF RESIDENTIAL 80.00
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS R OF INSP_ .
FINAL ►�
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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 BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� � a�3-7ao-ooza City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department �4� t�5�
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Date Received, , phone Contact for Permitting --
cr's Name s Owner Phone Number J ',�`�
t}wner's Address pwner Phone Number,����^� �
Fee Simple Titleholder Name Owner Phone Number ����
Fee Simple T�tiehatdec Address �
JOB ADDRESS �" �'k�� � LOT# L�,_.J
�UBDIVISION r�'��kyti L31�E+N �-r)F1UC�0'�^� 1 PAi2CEL ID# j} ` �c?• tSJJJ= �!
{48TA{iJEQ Fi24M PRpPERTY TAX NOTICE)
UUORK PROPOSED NEW GONSTR ADDtALT C] SIGN Q MOVE Q DEMOLISH i
e iNSTRL.L REPAIR
PROPOSED USE Q SFR Q COMM � OTHER f.-Q
TYPE QF CONSTRUCTtON Q BI.00K � FftAN1E Q ST�EL � OTH�R [^— �
DESCi2tP710N OF WORK y � ' � i.�t.� �"r �
BUILDING S12E ���� S4 FOOTAGE .,� "��,"� �� HEIGFIT ���
�� BUILDING $ p / VALUATION OF TOTAL CONSTRUCTION
1��.,� �
� ELECTRICAL � � AMP SERViCE � PROGRESS ENERGY Q W.R.E.C.
I
� PLUMBING � � � �
0 MECHANICAL $ VALUATI4N OF MECHANICAL iNSTALLATION
�----�
0 GAS � ROOFING Q SPECIAL.TY Q OTHER
FlhJlSHEd FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES ONO
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, BUILDER COMPANY �����c� .1��k'L, � _��c_ �
; SIGNATURE REGISTEREp / N FEE CURR T Y N �
Address t'�J'Rl� t,,�� �� �-��� 1..+ �� c�i, c�.?�3 License# +(,�C, �j�,`��;��,. �
!
Ek.ECTRICIAN CQMPANY
iSlGNATURE . Rs��sr�aEa Y/ N ; FEE CURRENT Y/N
Address License# �- -�
PLUMBER ' COMPANY
; SlGNATURE RECalSTEREi3 Y l N = FEE GURRENT Y/N
Address License# �— �
"�ECNANICAL COMPANY
�NATI3RE REGlSTERED Y 1 N FEE GURRENT Y/N
Address , License# C—� �
i . '
OTHER COMPANY
Stu;�ii.3URc r.E�ssr�gso Y J N ���cuR�srsr Y!N
Address M l.icense# ����
�� '
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1}set of�neryy Forms
Minimum ten(10)working days after submittal date. Required ansite,Canstructian Plans,Sanitary Faci{ities&1 dumpster
C4MMERClAL Atfach(3}se#s of Building Pfans;(1)se#of Energy Forms.
Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,�Sanitary Facilities&1 dumpster
All commercial requiraments must maet compiiance. ' j
SiGN PERMIT Attach(2)sets af Enginesred Plans.
` *"'PROPERTY SURVEY required for al!NEW construckion. ,
� � i
i rections:
E Fili aut appiication campleteiy.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$5004)
"' Agent(far the contractor)or Power af Attorney(for the owner)would be sameone with notarized letter fram owner autfiorizing same .
OVER THE COUNTER PERMITTING (Front of Application.Only) '
Reroofs Sewers Service Upgrades AJC Fences(PIoUSurveylFoa#age)
Driveways-Not over Counker if on public roadways..needs ROW
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} N4TtC�t3F DEED RESTRIGTIaNS: The undersigneci understands that thi� permit may be subject to"deed" restrictions"
� ► which may be more restrictive than County regulatians. The undersigned assumes responsibility far compliance with any
applicabt�deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR R�SPONSIBILITIES: If the awner has hired a contr�ctor ar
contractors to �indertake work, they may be required ta be licensed in accordance witY► state and local regulations. If the
cantractor is nofi 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 cantractar are uncertain as to what licensing requirements may apply for the
int�nded wark, they are advised to contac#the Pasca County Building Inspection Qivision—Licensing Section a#727-847-
8009. Fu,rthermore, if the owner has hired a contractor or contractors, he is advised to have the con#ractpr(s) sign
portians of the °contractor Block" of this applica#ion for which they wilf be responsible. !f you, as the owner sign as the
contractor, that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco
Caunty.
TRANSAORTATt{}N iiVtIPACTIUTILITIES IIUIPACT 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 expansian of existing buildings, as specified in Pasco Gounty Ordinance number 89-07 and
90-07, as amended. The undersigned aiso understands, #hat such fees, as may be due, will be identified at the time af
permitting. It is further understoad that Transportatian Impact F�es and Resource Recovery Fees rnust be paid prior to
receiving a "certificate of occupancy" ar final pawer reiease. Ef fihe praject does not involve a certificate of occupancy ar
final power release, the fees must be paid prior to permi# issuance. Furthermore, if Pasco Caunty Water/Sewer Impact
fees are due,#hey must be paid priar to permit issuance in accordance with applicable Pasco Coun#y ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 ar more, I
certify that 1, the applicant, have been pravicied with a copy af the "Flarida Consfruction i.ien Law—FEomeawner's
Pratection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is sameone
other than the"owner", ! certify that ! have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTR.,RA,CTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be dar�e in compliance with a11 applicable laws regulating construction, zoninc{ and Iand development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installatipn nas
cammenced priar ta issuancs of a permit and that a!E wnrk will be performed to meet standards of all laws regulating
canstruction, County and City cades, zoning regulations, and land develapment 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 ta be in compliance. Such agencies include but are not limited ta:
- Department of Environmental Profiectian-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
�ands, WaterlWastevuater Treatment.
- Sauthwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
� Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- U5 Fnvironmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-F2c�nways.
I understand that the fallowing restrictions apply to the use af fill:
- Use of fill is nat allowed in Flaod Zone"V" uniess expressly perrnitted.
' - If #he fil( material is #o be used in Flaod Zone "A", it is understood that a drainage pfan addressing a
' . °campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer
licensed by the State of Flarida.
� - If the fill material is ta be used in Flood Zone "A" in connection wi#h a permitted building using stem wall
' construction, !certify that fN will be used anly to�i8 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 prope�ties, the owner may be cited far violating
i the conditions of the building permit issued under the attached permit application, for lats iess than one (1)
acre which are elevated by flll, an engineered drainage plan is required.
If I am the AGENT F4R THE OWNER, 1 promise in good faith to infarm the pwner af the permitting conditians set forth in
� this affidavit priar to cammencing construction. I und�rstand that a separate permit may be required for electrical work,
plurnbing, signs, weE1s, poals, air conditioning, gas, or other installatians 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 vialate, cancel, alter, or
set aside any provisions af the technical codes, nor shal! issuance of a permit preven#the Building Official from thereafter
:equiring a correction of errars in pians, construction or vialations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months af permit issuance, or if work authorized by
the permit is suspended or abandoned for a periad of six(6} months after the time the work is cammenced. An extension
may be requested, in writing, frqm the Building Official far a period not to exceed ninety (90) days and will demonstrate
justifiable cause#ar the extensian. If work ce�ses for ninety(9Q1 consec;�.ititile��},rc, thn;�h:s cc,^,�:�ered a�an�one�.
WARNlNG TQ t)1NNER: YOUR FAtLURE TO RECORD A NOTiCE OF CQMNtENCEMENT MAY RESULT !N YQUR
PAYiNG"I�NiC�FOR iMPRfJVEMENTS TO YOUR PROPERTY. IF Y4U INTEND TO OBTAIN FINANCING, CONSULT
WA'�FI Yf�UR �.�l���R �!?A�-!�r�rn;or,vc�f B�F^F:� �:i�:�::�mE'a�'t^v�;s'�,ivv����uP' �CiiL�flYiClVI:��VItYV�. --
F�C}RIGA JUf2AT{F.S '1'I7.Q3}
OWNER OR AGENT ��� �!G�`b CONTRACTOR ����� _.._
Subscrit�ed and s n ta{or �rmed} efore me this Subsc�ibed and sworn to{ar a�rmed}before me this
.�L J..�' C��bvu�����__��1Q G�� �_by 1
WFIo is�/re I o me or has/have produced W�e personally wn to me or aslhave produced
as identifcafian. as'sden#ificatian. Y
������Z�,.�� Notary Public Natary Public
�ommission t�o. QIIVIeA.�OVBtt �ommission No. OIiV' n�
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� u ust 19 2016 No�ry Public,S�ate of Florida
Name of Notary type , rin ed o��►t�n . �E$���� �iame of Na#ary typed, i At�b �}II'8S Ai1�t1St�g,�Q'��
� Gom.Np. EE828129
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3tate Cert(�o�fer#CCC1329�92 �ade Gity,FL 33523 Wesley Ghap�l,�C 335�
[�CI�eg i�aof Cansn[ta�t #Oit�9 3�21��7-���7 �13i���-�517
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DATE: 02105/16
Tp: , K PH: 910/639-�359
Lt�tt�t� ���,+, ilaracheC"�a,pinehurst.ne�
JOB� SiNGLE FAMILY RESIDENCE
'' SI�VER QAKS-STEPHE�I'S GLEi�
37142 CUL.LEIVS TRAIL
ZEi'HYRNILLS, FL 33542
��8����E �E��(���
1. Tear off and haul away existing ane-layer shingle roofing system.
2. Re-�asfen the existing plywood roof deck in accordence with the current Fiarida Buiiding Codes.
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3. ` Provide�nd instalt ane(ayer�f 30 Ib, (ASTM D-226 Type II)saturated felt paper s�c�nda.ry water barrier in
accordance with the current Florida Buiiding Code.
4. Provide and install r�ew algae-resistant fiberglass shingles; Owner to choose shingle color from manufac�urer's
standard colors. Provide manufacturer's limited shin�le warranty. F'Iease see flptions on page 2.
5. Replace all valfey flashing.
Re�iace exhaust vents with new pre-finished aluminum vents.
6. Prc�vide and instal! nevsr lead boc�t�for the plumbirtg vents.
7. l�rovide and insta!(r�ew pre=finished aluminum eavedrip (white or brown). �
S. Dead Vaflev Areas 3 ea. Provide and install Firestane APP-180 white granule-surtace rnodified bitumen raofing
snembrane in the dead valley area.
9. Repair/Replacerner�t af any rotten ar damaged waod (deck, fascie, tr'sm,framing, etc_} wil!he completed on a cdst-�
plus basis abave and beyond the contract price. ($57.50 per�'x8'x112°sheet of CDX plywood replaced, labar&
materials).
10. MilBar Roofing, Inc.to provide a 5-year workmanship warranty to the original purchaser that covers shingle roof
1ealcs; excfusians: storm damage, vtrQrk dane or darnage by o#hers,tree damage, and/or structura!damage to roof
deck. �
11. C?wner to: provide access to roaf for delivery truck for laading/un(oading af roa€ing materials; access to el�ctricity.
12. Mi1Bar Roofing, 1nc. to provide Gen�rai Liability and Vllarker's Compensation Insurance{$2,000,{�00 3ir►Zit�an�! re-
roofing permit.
We propose to furnish material and labor,complete in accardance vvith above specifications,for the Contract Sum of:
As s�ated in 4��ioe�s an Page Z.
Payment�a be rnads as follows: Due Upon Comp[etion. ��
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4 Ph:����62���9� 15911 U.S.Hw1r 3�1 275Z4�a��fo�d Cirele.��e f02 �
' . 5tate Cert Roofer#CCG13Z9�92 Dade Gity,FL 335ti3 INesley Chapel, FL 33�44 I
� RCI Reg Rnnf Consultant #U149 352/567-6�47 �13/�3$-D517
milba�Ce�r�hlinlc.ne� "
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DATE: 02/05/16
T0: L PH: 910/639-4359
1�,t��R.�-�-`��1,� �'o�-►.,,, ilaroche(cr�.pinehursf.net
JOB: SINGLE FAMILY RESIDENCE -
SILVER OAKS-STEPHEN'S GLEN
37142 CULLEIVS TRAIL
ZEPHYRHILLS, FL 33542
OPTlONS ..
1. �. A'fLAS "GlassMaster".30-vear 3-tab shingles................................................................ Con4ract Sum�8.990.33
. Provide and install new ATLAS"GlassMaster"3�-year 3-tab algae resistant fiberglass shingles.
Provide ATLAS'30-year limited shingle warranty.
Select color from standard colors. -
2. tK0 "Cami�ridqe"dirnensional sPainc�les......................................................................... C�nfract Sum$8;638.68
Provide and instali new IKO°Cambridge" laminated dimensional aigae-resistant fiberglass shingies.
Provide IKO's Limited Lifetime shingle warranty. ����
Select color from standard colors. `�-� �fl�
AUTHORIZED SIGI�lATURE: !/Q�'/�� 776cR DATE:02/05/16
DAVID R.ABLA, PRES
ACCEPTANCE OF PROPOSAL: The above prices,specifications and conditions are satisfactory and�hereby accepted.MilBar Roofnig,Inc_is
authofized to do the work as speCified. Payment will be made as outlined above invoiced amounts not paid in accordanc�with the payment terms shall be considered
delinquent,such as attomey fees,court costs,etc.for collecfion of delinquesnt invoices including interesti Owner to carry fire,tomado and other necessary insurance. Our
workers are fully covered by Workman's Compenstioan Insurance. PRICE GOOD FOR 30 DAYS.
SIGNATURE: �� DATE: 2 G b
PRINTED: ,��,� -
4
r NOTICE OF COMMENCEMENT Illffllllllllllllllll{IIIIiI11111111111111111111111III�I�IEI
MRf#4852 �
Permit No.
Ta�c Folio No U3 26 21 0180 00000 0790
THE E3NDERSIGNBD hereby gives notice that impravements will be made to certain reat praperty,and in accordance with Sectian
713.13 of the Flarida Statutes,the following information is provided in thisNOTICE OF COMMENCEMENT.
I.Descriptian af property(IegaX description)STEPHEN;S��EN AT SILVER pAKS PHASE TNREE PB 32 PGS 54-55,��79
as 2s 2�o�so a0000 o�so
Address: 37142 CULI.ENS TItAIL,ZEPHYRNILLS,FL 33542
2.General description of improvements:ROOFING
3.Qwner Enfarmation
a)Name and address:IARRY L&JILL JOHNSON, 12837 2345 EAST STREET, PRINCETON,IL 61356-8510
b)Name and address af fee simpie title halder(if athar than owner}:NlA �
c)Interest in property: OWNER
4.Cantractoc Infocmation
a)Name and address: MILBAR ROOFING INC. 159t 3 U.S. HWY 30I DADE CtTY FL 33523 �
b}TelephoneNo.: 352/567-6047 Fax No.(Opt.)
S.Surety Infocmation .-
a)Name and address; -
b)Amount af Bond: Ropt:1750332 ITe�� ����0
c)Telephone No.. Pax No.(Opt.} �S' ���� Dpty Clerk
— 02/24l2016 D. B. ,
6.l.ender - -
a}Name and address:
° Phone No.
7. Identity of person within the State of Florida designated by awner upon whom notices ar other docuznents may be served:
a}Name and address;
b)Telephone No.: - Fax No.(Opt.)
8.In add`stian to himself,owr�er designates ths faliawittg person ta receive a copy pfthe Lienor's Notice as pravided in Section � ��
713.13(1)(b),Florida Statutes. N�
a}Name and address: ��N
b)Telephone No.: Fax Na.(Opt.). x N o
9.Expiration date of Natice of Commencement(the expiration date is one year from the date of recording unless a �m
d"sfferent date is specified}: �°'�
WN T
WAftNING TQ OWNER:ANY PAYMENTS MADH BY THE OWNER AFTEIt THE EXPIRATION QF THE NO'TICE C}F �w�
COMMENCEMENT ARE CONSIDERED 3MPROPER PAYMENTS UNDER CHAPT6R 713, PART I,SECTION�i3.13, �3�
FI..ORIDA STATUTES,AND CAN CtESULT 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A .ti, �
NC}TICE OF CflMMENCEMENT MUST BE RECORDED AND P4STED ON THE Jt)B SITE I3EF4ItE THE.FIRST �'�'m
CQMMENO NG WORK QR RD ORD NG YOUR NOTICE�OF�COMM NOCSNlENNDER OR AN ATTORNEY BEFORE ��m
yL, �`�3
STA7'E Or ,� � ^ / � �
�./L./i
COUiV'S'Y OF O. � �
Si re Owner Owner' Authorized OfficedDirector/PartnedManager m
O FFICIAL SEAI �1`4, t QI N S ,^'� �
i VICKI CABEti�! •�f �1 �� L)C.,b,�Yi �L Y ,
NOTARY PUBLlC, STATE OF ILL1NOlS Print Name and Tide' ,
I MY COMMISSTON EXPIRES b2/Ol/2Q2O /'
� T'he fore aing instrument was acicnawtedged before me this�day af- J�� .�=20��,by
��! C���SdJ�.I as !�„,v,� (type of authority,e.g.officer,.trustee,atto ey in fact)for
� ____�,� (name af party on behalf of whom instrum �s execnted�. �
� Fcrsonaiiy Known_OR Froduced identification Notary Signature .,e�,,C`
; Type of Identification Produced ��_ Name(print) � d �
---AND�--
'� Verificatian pursuant.fa$ection 92.525,.Florida Statutes,��J cler penalties�of gerjury,l de.cla at!have read the foregoing and that
the facts stated in it a�e'true to tiie besi�;of,my,;knowledge d be�1i'ef. �� �`' "' ( -
i „ , , ' ;.... , �,7
� � Signature, Natur crson 'gning{i fine# i d_}Abave
FORMSINOC.rvsd?007 - ' , ' '
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�������,�� STATE OF FLORIDA,COUNTl'0� P�SCQ
�� � ��� THIS IS T0�CERTIFY THAT THE FOREGOING IS A
� m TRUE AND CORRECT COPY OF THE DQ.CU�ENT
� • ' �c ON FIL OF PUB R CORD IN TH15 OFFICE
�, ��znG�.�yeT,-ust � WI�I HAND lA SEAL� l
� ^;�� d� Q� DAY �
\' �S O'NEIL, K C LLER
..� :� � �
� � p TY CLERK
� �,7887 �, BY
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