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Home My WebLink About16-17144 CITY OF ZEPHYRHILLS , 5335-8TH STREET _, , (813)780-0020 17144 BUILDING PERMIT , PERMIT INFORMATION LOCATION INFORMATION I Permit Number: 17144 Address: 38010 MEDICAL CENTER 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0070-00000-0010 Improv. Cost: 25,750.07 OWNER INFORMATION I Date Issued: 3/10/2016 Name: C G M HOLDINGS TRUST Total Fees: 247.50 Address: 38023 MEDICAL CENTER AVE Amount Paid: 247.50 ZEPHYRHILLS, FL. 33540 Date Paid: 3/10/2016 Phone: (727)484-1142 Work Desc: REROOF DURO LAST FLAT � CONTRACTOR S APPLICATION FEES MILBAR ROOFING INC REROOF COMMERCIAL 247.50 � Ins ections Re uired DRY N ROOF INSP TAPE JOINTS R O INS � 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 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. � ONT TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �� v - .�.;-"'.,�'4-31R�SR.A,��, :�'k►�"•�}�. ` � - -�w ��ie� -.�, ...,$',��'�'yr - ��t I ' , I �. ~`,.� . City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �f� Date Received: �—3�� Site: U�vl d /�I.GC�'C�/ ��"�, Permit Type: �(�(�� f�'�'� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. � ' ` � Kalv n �,tz� —Plans Examiner Date Contractor and/or Homeowner f� (Required when comments are present) ,. 813-780-0020 City of Zephyrhills Permit Applicatian Fax-813-7 � Building C7epartment ��1G �';�� Datc�Received � �---�� -- Phane Contact for Permitting � a � � �� r's Name Owner Phone Number � ' �^ Owner's Address 1,,. �'�� dwner Phone Number • Fee Simple Tltleholder Name Owner Phone Number � � Fee Simple Titleholder Address JOB ADDf2ESS �� O C�1 � LOT# � SUBDIVISION ��W �l��Ucei,.) � C�Y;� PARCEL ID# � 1. O- c�v��.�. ' �� (OB7AINED FROM PROPERTY TAX NOTICE) WORK PftOPOSED e NS A�.ONSTR �� REPAIR � SiGN Q MOVE Q DEMOLISN PRC7POSED USE Q SFR � COMM Q dTHER E.-t2 TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME � STEEL Q OTHER �� —� � DESCRIPTION OF WORK (.,YY�) /'{ ✓U-L2. �L-- ��Z �—� ��-!�� ., � ( � BUILDING SIZE SQ FOOTAGE HEIGHT I � BUILDING $ � VALUATION OF TOTAL CONS7RUCTION ,�J7 ' � ELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. � �J PLUMRING $ � � / ��%�� ( xF" 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� 0 GAS �� ROOFING Q SPECIALTY Q OTMER F1N{SHED FIOQR ELEVATIONS � � FLdOD ZONE AREA �YES QNO � BUILDER r�/ ` '"" COMPAtJY rn11��t� ►l�t� . '� . S1Gt�ATURE REGtSTERED / �S FEE GUftR Nf Y IV�� Address ��t�� => �) �-�C.�4 �,,i �t ,�c3�3 License# � ��j�"`�;��Z,.� ELECTRICIAN COMPANY' StGNATURE ftE�tSTERED Y I N FEE CURRENT Y 1 N Address L.icense# �� P�UMBER ' COMPANY SI�NATURE ftEGISTERED Y 1 N j FE�CURRENT Y 1 PI Address �icense# �T � "�EGHANlCAL CQMPANY iNATURE REGISTERED Y/ N FEE CURftHNT Y 1 N Address l.icense# � � 4THER CQMPANY Siloi�i%i t URc (icG�TER�'J � Y i C`! � FEE GURR�Rl7 Y/N Address 1.icense# � I � p�BupyV�p�psaa�aooahua�upucum { RES{DEN7]AL Attach{2)Plot Plans;{2}sets of Building Flans;{1}set af Eoeryy Forms IMinimum ten(10)working days after submittai date. Required onsite,Canstruction Plans,Sa�itary Facilifies&1 dumpster COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms, Minimum ten{10)working days aftet submittal date. Required onsite,Construction P{ans,,Sanitary FaciSities&1 dumpster All commercial requirements must meet compliance. ` SIGN PERMIT Attach(2)sets of Engineered Plans. ' **'*PRdPERTY SURVEY�eq�tired tor all NEW construcfion. N _,o �� rections; i Fill out appiication comp(etely. Owner&Contractor sign back of application, notarized if aver$2500,a Notice of Cammencement is required. {AtC upgrades over$5400) "" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter fram owner authorizing same • � OVER THE G4UN7ER FERMITTING {Franf of Afiplieation Only} � Reroofs Sewers Service Upgrades A/C Fences(PIof/Survey/Footage) Briveways-Not over Coun#er if on public roadways..needs ROW . �f . 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 � applicab7e deed restrictions. ' UNLICENSED CONTRACTORS A►ND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and 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 � TRANSPORTATION IMPACT/UTILITIES IMPACT 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 final 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. COYVSTFdUCTION LIEN LAW (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. COfVTRACTOR'S/OWNER'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 pe.rformed 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, WaterNVastewater 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 Fnvironmental 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 lots 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 und�rstand 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 �equiring 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, frqm 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) c�nsec�.�titi�e�+a}��, the;oh ;s cc^�i�+ered abar,�oned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT Ifd YOUR PAYiNG TVVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W{�H YC?l.sb� !_El��R nQ A.�i�rrnn�4c� gccn�� s.,�,,.��;-��t..�,.......�.� z�.,�.. • ...� r._. v �a� .�..vvt�..701VJ i Viii'i 1rV 1 Y;'i Ur lr�'tV1IVICItiIL.�l�l�ti�1�. FLORIUA JU(2A"f(F.S. '117.03) OWNER OR AGENT G�!' CONTRACTOR 2%'" " Subscribed and s n to( ffirmed) efore me this Supsc ibed and sworn to(or affirmed)before me this —Gd� af by. � ��Q Who is/are p onally known to me o has/have produced Wh is! e pe nallv known to r has/have produced as identification. as identification. � //' � �n �} i / �/1��Z�fl.c (1�p[J�,�184M�F�UJ,j�o�da .��/' Notary Public Commission No. IyO��t�9,2��ommission No. o Olivia A��bVett �COmm��,No. EE828129 � Au ust 19,2016 Name of Notary typed,printed or stamp Name of Notary typed,printe r stamp�m .NO. EE828129 -� . - i ii�iii iiiii iiiii iiiii iiiii iiii!iiiii iiiii iiiii iiiii iiii i�ii �, 2016032052 'j � NOTICE OF`COMMENCEMENT MR1#4850 Rcpt:1751790 Rec: 10.00 DS: 0.00 IT: 0.00 PermitNo. 03/02/2016 K., D. K. , Dpty Clerk Tax Folio No 35-25-21-0070-00000-0010 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 thisNOTICE OF COMMENCEMENT. 1.Description of property(lega!description)PASCO MEDICAL ARTS CENTER PB 23 PG 24 LOT 1 LESS NORTH 47.00 FT THEREOF TOGETHER WITH AN EASEMENT FOR INGRESS 35-25-21-0070-00000-0010 Address: 38010 MEDICAL CENTER AVENUE,ZEPHYRHILLS,FL 33540-1383 2 General description of improvements:ROOFING 3 Owner Information a)Name and address:.�o� C G M HOLDINGS TRUST,MCTAGGART&CHEEMA&GROSSBARD, ��''' ��MEDICAL CENTER AVLNUE,ZEPHYRHILLS, FL 33540-1383 b)Name and address ot'f'ee simple title holder(if other than owner): N/A c)Interest in property: OWNER . ontractor Information a)Name and address: MILBAR ROOFING INC. 15911 U.S.HWY 301 DADE CITY FL 33523 b)TelephoneNo • 352/567-6047 Fax No.(Opt.) 5. urety Information a)Name and address: b)Amount of Bond. c)Telephone No.: Fax No.(Opt.) 6.Lender N�i a)Name and address: Phone No. 7 fdentity 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 ro himself,owner designates the fol(owing person to receive a copy of the Lienor's Notice as provided in Section ' 713 l 3(i)(b);Florida S[atutes: a)Name and address: I b)Telephone No: Fax No (Opt.) 9 Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION 713 l3, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TW10E FOR IMPROVEMENTS TO YOUR PROPEE�TY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FiRST INSYECI'iON. IF YOli lNTEi�D TO CSTAIT: F:*:P.T:�:*1�,�!�'':S'-�?T Yn�?R•�ET[DER OR P.N ATTORNEY BFFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COM ENCEMENT. STATE OF FLOF_�IDA COUNTY OF F'�c� �. Signaturc of Own or Owner's Authorized OfficedDirectodPartnedManager �ti t.� ,�' �'�1,�(CW1,�Q _ ( .i�l�1C rl�F�N�i� J Print Name and Title � The foregoing instrument was acknowledged before me this 2(o dae f author�,e. officer,trusOt�ttorney in fact)for I �Jv��t:1r � ��v.�,ti:� as � ��_ —�CYP g. � (name of party on behalf of wliom instrum t s uted). A L tification Nota Signature IVI Personally Known OR Producedlden rY � Type of Identification Produced Name(print) Nntarv p��h�ie__statenf Florida - . . My Commission Expires August 19,2016 ---AIYD---, ' ' � � C�r� No EE��?� Verification pursuant to Section 92,525,Florida Statutes. U�ider.penalties of p jury,I declare tha have rea regoing and that the facts stated in it are true to the best of my knowledge a d belief. �Signature of Natural rson Signing(' line# I0.)Above PpULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER FORMSMOC,rvsd2007 03/02/201�331 m P� ��v - OR BK r . � ,�� STATE OF FLORIDA, COUNTY OF PASCO ,�� THIS ISTO�CERTIFYTHATTHE FOREGOING ISA �� ° �� TRUE AND CORREC�T COPY OF THE DOCU�AENT ��, � ' ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ' � WI SS Y HAND AND OFFIC AL SEAL THIS . ' DAYOF �� _2 �l � InGndlYe?r�r e � PAULA S.O'NEIL, CL�RK&COMPTROLLE * � ,�`' * r �" • g ! DEPUTY CLERK # �BS� � � sr'��'oF�i.��`� :.��'ilBar Roaf inq, Inc. - ' � 15911 l�.S. 301; Dade City, FL 335Z3 5tate Cert Roofer#CCC132909Y Ph:80�I5B2-Z393 Fax: 352/567-4454 RCI Reg Ronf Cor�sultant #�t49 milbarLearthlink.net ROOFPROPOSAL " � DATE: 02/03/16 � TO: C G M HOLDINGS TRUST PH: 813/973-1466 . MCTAGGART&CHEEMA&GROSSBARD PH: 813/997-5249 38010 MEDICAL CENTER AVENUE PH: 813/788-7641 �� 3`�� ZEPHYRHILLS, FL 33540-1383 JOB: COMMERICAL BUILDING PASCO MEDICAL ARTS CENTER 38010 MEDICAL CENTER AVENUE ZEPHYRHILLS, FL 33540-1383 ROOF OVERLAY OF THE EXISTING FLAT ROOFING SYSTEM 1. Leave the existing flat roofing system in place. 2. Provide and install a new 3/8"fan-fold underlayment board;mechanically-attach through the fan-fold,the existing roofirig,and into the existing roof deck. 3. ` Provide and install a new Duro-Last 40 mil white roofing membrane which is a mechanica ��1�j�oQ�,s�st�m;the seams are heat- welded to form one sheet. Provide Duro-LasYs 15-year"iVo Dollar LimiY'labor and m ' �t ��s[r�Q�T��d,�7covers consequeMial damages,and does not excfude ponding water. C�D 1 C�D�S F ��11-j�L ' E,NATI �T , LORIDA BUILD 4. Re-flash all A.C.curbs,mechanical curbs,vent stacks,and alt penetrations using Duro-�'e�'t}3 9St►i�CT �� YRHILLS p C C�DEAND I 5. Provide and install pre-finished Duro-Last eavedrip around the perimeter at eave as needed. ��ANCES 6. Provide and install moisture-relief vents at a rate of one vent per 1000 s.f.of roof area. 7. RepaidReplacement of any rotten,damaged,or deteriorated insulation,roof deck,fascia,t�m,framing,etc.or re-fasteaing of the existing roof � deck will be completed on a cost-plus basis above and beyond the contract price. �1'�'�/��tn, , 8. Owner is to provide access to roof for delivery trucks for loading/unloading of materials. C�� v�� D �n��EA � �— 9. This set of spec�cations takes precedence over any other specifications,blueprints,or c�crsq��b�menfs.�qoCs .is not responsible for damage to the roof caused by others. JC�-�/�� 10. MilBar Roofing,Inc.to provide General Liability and Worker's Compensation Insurance($2,000,000 limit)and roof�i�. - We propose to furnish material and labor,complete in accordance with above specifications,for the Contract Sum of: TWENTY-FIVE THOUSAND SEVEN HUNDRED FORTY-FIVE AND 00/100------------=--------�---------------�25.745.00 Payment to be made as follows: Due Upon Completion. � AUTHORIZED SIGNATURE: �Qlh'�/�. �D�a DATE: 02/03/16 DAVID R.ABLA, PRES ' ACCEPTANCE OF PROPOSAL: Signa#ure: : 11 /��r The above prices, spec�cations and condi6ons are sa6sfaIXory and hereby accepted. P�Illte(�. V I��1` s `�r!G��'(� �Yt� You are euthor¢ed to do the work as specified. Payment will be made as autlined abo�e. Invoiced amounts not paid in accordanca with the paymeM tertns shall be considered Date: 2l�0,��_ delinquent and bear interest at the rate of 1'f,%per monfh Owmer agrees to pay all costs incurred,surh as attomey fees,court costs,eta,for collection of delinquent invoices inGuding,inleresL Owner to carty fire,tomado and other necessary insurance. Our workers are fulty covered by Workman's Compensation Insurance. MilBar Roofing,Inc.is not respons�ble for damages caused by others,vandalism,negtigence,storms.PRICE GOOD FOR 3U DAYS.