HomeMy WebLinkAbout10-10165 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10165
. . . BUILDING PERMIT
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Permit Number: 10165 Address: 3415 MALACHITE 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: MAJESTIC OAKS
Est. Value: Parcel Number: 24- 26 -21- 0020 - 00000 -0280
Improv. Cost: 3,390.00 ;.i. %, ®. ° :, 4 :,)
Date Issued: 2/26/2010 Name: MCMILLIN, GERALD M & RUTH M
Total Fees: 50.00 Address: 3415 MALACHITE DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/26/2010 Phone:
Work Desc: RE -ROOF WITH SHINGLES _
4 Niti7E7 A. BAR L R • • • ■F N - ' L RE ■ • F R ■ EN IAL 50.00
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REINSPECTION 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 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning t• owner: Your failure to record a notice of commencement may result in your paying twice for
improvem - is to your property. If you intend to obtain financing, consult with your lender or an attorney
before 4, ording .4, r 1. 'ce of commencement"
4-
- NT - IrTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 -780 -0020 City of Zephyrhills Permit Application Fax -813 -780 -0021
Building Department
Date Recei ;gd Phone Contact for Permitting --
A
•
� ` '�'� Z , Owner Phone Number
Owner's Name �- r
Owner's Address �WA 1 / /I� __ . � Owner Phone Number I
Fee Simple Titleholder Name = _;
�f`t :weer Phone Number I I
1 07 ' Abilijillielliiiiiill
Fee Simple Titleholder Address
I I LOT # I I
JOB ADDRESS I
SUBDIVISION I I PARCEL ID#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR I ( ADD /ALT I I SIGN I I MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR I I COMM 1 I OTHER I
TYPE OF CONSTRUCTION I I BLOCK I I FRAME/ p EL I I OTHER ,
DESCRIPTION OF WORK . ■ Ay—
BUILDING SIZE I I O L HEIGH 1 I
sr
I I BUILDING $ 3 3 V c /� VALUATION OF TOTAL CONSTRUCTION
I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY 1 I W.R.E.C.
I I PLUMBING $
I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS I I ROOFING SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INO
COMPANY I
SIGNATURE
BUILDER REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
Address License # I
ELECTRICIAN COMPANY 1
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I
PLUMBER COMPANY I
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y1 N I
Address License # I
MECHANICAL COMPANY I
SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N I
Address License # I
OTHER /A �� COMPANY I
SIGNATURE Wdr,41/4/Awi REGISTERED I Y/ N I FEE CURRENT I Y/ N I
r
Addr- License # I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
* ** *PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000)
** 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 (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW
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 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.
CONSTRUCTION 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.
CONTRACTOR'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 performed 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, Water/Wastewater 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 Environmental Protection Agency- Asbestos abatement.
- Federal Aviation Authority- Runways.
1 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 understand 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
requiring 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, from the Building Official for a period not to exceed ni : • • days anTuvili demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive d. a job is considered abandoned.
WARNING TO OWN ' • ' FAILURE TO RECORD A NOTIC • F COMMENCE T MAY RESULT IN YOUR
PAYING TWICE F ROV' ENTS TO YOUR PROPERTY. YOU INTEND T = OBTAIN FINANCING, CONSULT
WITH YOU: •.:: • ATTORNEY BEFORE RECORD' : 4. TI OF COMMENCEMENT.
FLORIDA J ' • " • -- 17.03)
OWNE • R CONTRACTOR
Subs .ed � ' o • Tt ed) before m - is Subscribed and ? AST. o (or a "rmed) bef. - e this
l
0 re pers. - - IIy known to me or has /have produced Who is /are . - ; ally known . - or has /have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
L E G A L D E S C R I P T I O N :
ASSESSED IN SECTION 24, TOWNSHIP 26 SOUTH, RANGE 21 EAST
PASCO COUNTY, FLORIDA
THE 7MEILLD POINTE RV RESORT PHASE ONE
PP 4 PG 87 -90 LOT 50
OR 3723 PG 65
1 111111 11111 11111 11111 1111111111111 a 11111 11111 11111 11111111
2010023601
Rept:1289289 Rec: 10.00
NOTICE OF COMMENCEMENT DS: 0.00 IT: 0.00
02/19/10 D. Robinette, Dpty Clerk
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
Pernii r?o.
02/19/10 10 : 45am 1 of 1
OR BK 8273 PG 76
Property Identification No Zi/ 2 ( - ,Z f - oLLZG cDC900 - 03'700
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property (legal description:) Stir
a) Street Address: Jerald McMillin 3415 Malachite Drive Zephyrhills, FL 33540
2.General description of improvements: R e r o o f MH 3 tab Shingles
3.Owner Information
a)Nameandaddress: Jeral McMillin 3415 Malachite Dr. Lot 50 Zephyrhills, FL 3354
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
4.Contractor Information
a)Nameandaddress: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542
b) Telephone No.: 813-782-5585 Fax No. (Opt.) 813-780-1805
5.Surety Information
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 (1 the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes:
a) Name and address:
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 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO ' ' Y
Signature of Owner or Owner's Authorized Officer /Director/Partner/Manager
Print Name
The foregoing instrument was acknowledged before me this 17 day of f ,b , 2010 , by
as (type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom instrument was executed).
Personally Known _ OR Produced Identification Notary Signatur
Type of Identification Produced Name (print) 111014.ral (3Q
Verification pursuant to Sections 92 :525, Florida. Statutes. Under penalties of perjury, I declare that I have read the foregoing and that
the facts stated m it are t; the best of my Imciwledge and belief.
1V :Z A '
OTARY PUBLIC-STATE OF FLORI
FORMS /NOC;rvsd2007 _ .: " Richard B c'iPtx� @tt Signature of Natural Person Signing Above
s f •. ,; Commission #DD8784�0
• „..Fr Expires: JULY 31, 2013
BaSIDEtt MU ATLANTIC BO0..'PLfG CO., INC.
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD {'&THIS OFFICE
WITNESS MY HAND AND OFFICIAL SEAL THIS
nil\ DAY OF 20 I 0
PAULA S. O'NEI CLERK & COMPTROLLER
BY 1.4# IR31..:.: 4l! DEPUTY CLERK
Parcel Information - 24- 26 -21- 0020 - 00000 -0500 � Page 1 of 1
-,P c
7 g
24-26 -21- 0020 - 00000 -0500
MCMILLIN GERALD M & RUTH M
3415 MALACHITE DR cc /
Values 0
Acres: 0.06
l - /
Land Ag: $0 � %� �- ...._.
Land Market: $26,436 \ __ _ .- - --'/ „ (/'
Building: $40,415 N----____ _ a I J
/ C
Features: $1,181 1 ( N_
Appraised: $68,032 L s . .
Class TaxArea 1
02 30ZH bill
Res Code Comm Code vf .
EMPTLP1 fillfr.6)
Latitude / Longitude , �,p _,- _.-- --
28' 12' 25.6902 / -82' 9' 45.7361 aj 0 '
C lifit ° , -. ... �' Close '!
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1 k fl __,! ,i t i k
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http://maps.pascogov.com/scripts/esrimap.dll?name=PascoMap New&mdi=8593279&K.... 2/25/2010
City of _ Zephyrhills
B. 0 DING DEPARTMENT
RE: Permit # /6/( 5 9/17/07
Inspection Affidavit
�� • / , icense . as a(n) Contractor * /Engineer /Architect,
(please print name .1 d • le Lic. Type) FS 468 Building Inspector*
License #;
•.:.r about , I did personally inspec n : .
(Date & time) .,
eck nailing and/or secondary water barrier work at 3z((...1
(circle one) (Job Site Address)
Based upon that eJ•• ' i atio I have determined the installation was de • - . • -:. _ • •• e
Humc.r, • r ..i . , _...... - • -. on . F.S.)
rri�fP,
Si
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this 2 k day of Pe r a-Y y . 200 /0
By
Notary Public, State of Florida
40k''v ti JACQUELINE BOGES
A Commission DD 621833
.,�.: �. = r• ��.. 0
(Print, 1Z,ZU1
': .,, y �: �e..i�ir1( =� 106r16
Commission No.:
Personally known )0 or
Produced Identification
Type of identification produced.
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.
A. Nartittt Lttwfing U; f .CentraI ,.All riha, Jnt.
8
CIO Richard Bartlett
38408 3rd Ave.
Zephyrhills, FL 33542
.One of the Largest, Oldest, Most Dependable OFFICE •
Roofing Companies in Central Florida PHONE
Specializing in Mobile Home JP Stevens White Rubber Roofs (813) 782_5585
& insulated Aluminum Roof Overs
(813) 973 -7737
RESIDENTIAL' COMMERCIAL • MOBILE HOME (352) 523 -1944
LICENSED - INSURED - BONDED Lic. #CCC 1325499
MEMBER OF THE CHAMBER OF COMMERCE •
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' Lakes and Surrounding Areas
We have re- roofed or repaired mons roofs (16, 000) in the past 36 years, then the four local leading roofing companies combined.
Date Mfarch 17, 2010
Name Jerald McMillin
Address Lot 50 3415 Malachite Drive Emerald Pointe Zephyrhills, FL 33540
Phone 813 -780 -2502
_ ;0+. u Lour• von: i'..�:: pM "... - «•. .Y�taw... v .. �,.ti.nr.w.. uyy�,d��o".^"."` Wf'i ".�W%!.�
• .. t 1Fl. ,i ":1 1,Yw. • '.;+a'.ya,J9. �;i3Y�:ec'!': ,„,,,,p,a.V+� ::�r a►M!� . '�"''
Yyx 11 1
:. :..` ,�, . y,,.. •�::. � 'T'fS lk "f "�. mod► 4io�00lMbW1'. ,1;..
Remove shingle roof . Raul away. Install new
30 lb. base sheet. Install new 30 year
Di..mensional shingles. New .vents. Install 2"
styrofoam and white rubber. Thank you.
•
•
President & , I# 14 - = = rtlett R 2' of Central FL, Inc.
Sign:
- • : C. Bartlett
THANK Ye
Your B : - is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner.
Rd arrangements contingent upon strikes, accidents or delaayys� beyond our control. Owner to cony fire, tome* and other necessary Insurance.
Our workers are fully coveted byWorlonerrs Compensation Insurance. Customerts hale for anycharges incurred m collecting this biff • $3,390. 00
Rotten wood is an extra $35.00 per street (4 -ply). Rotten fascia is $2.00 per linear foot Total
•
. Bartlett
'took-ix-1g
of Central Florida, Inc.
.38'408 Third Avenue- Zephyrhi]ls, FL 33542
(813) 782 - 5585
(813) 780 -1805 Fax
FAX COVER SHEET
DATE : 3'1 --2-01
T0:
COMPANY : FSCO eA J 'U 2- Lat3
FAX NUMBER : 75' - 7gt)- 062.4
FROM : C_6 r l
II
RE :
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