HomeMy WebLinkAbout11-12053 ` � CITY OF ZEPHYRHILLS �-
5335 - 8TH STREET
(si3)�so-oo20 12053
BUILDING PERMIT
Permit Number: 12053 Address: 5416 TANGERINE DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0040-00400-0060
Improv. Cost: 3,111.70
Date Issued: 6/24/2011 Name: BROOME, BEVERLY
Total Fees: 55.00 Address: 5416 TANGERINE DR
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/24/2011 Phone: (813)546-2713
Work Desc: REROOF SHINGLE
N AL 55.
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TAPE JOINTS ROOF INSP
FINAL "7 - / � "I �
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 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 commenceme "
�'��� �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780- �t -
� Building Department �3�{l,
Date Received �' � .� Phone Contact for Permitting --
�er's Name (lSu Owner Phone Number `�
Owner's Address � r Owner Phone Number
Fee Simple Titleholder Name Oc Owner Phone Number �—
Fee Simple Titleholder Address
JOB ADDRESS � � � � LOT # ��
Sl1BDIVISION o,�y� .� n��� �j� �qh I PARCEL ID# 2'' Z OBTAINED FROM PROPERTY TAX NOTICE� �
WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR � -
PROPOSED USE Q SFR � COMM Q� OTHER L-4 `
TYPE OF CONSTRUCTION � BLOCK O FRAME Q STEEL Q OTHER --�
DESCRIPTION OF WORK t' �—
BUILDING SIZE SQ FOOTAGE �_ HEIGHT
�� BUILDING $ VALUATION OF TOTAL CONSTRUCT�ON
0 ELECTRICAL �$ AMP SERVICE Q PROGRESS ENERGY Q W R.E.0
L
� PLUMBING $
0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
•:-
� GAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES QNO
BUILDER / COMPANY I� II� V� !� 1�4�1[1�C:�,- ,]�1 t.
SIGNATURE REGISTERED / N FEE CURR T Y N �
Address ��1� (,�g �� �e G �) �u 3 �icense# � �3� )�`�L
ELECTRICIAN COMPANY '
SIGNATURE � REGISTERED Y! N FEE CURRENT Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
MECHANICAL COMPANY
iNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
OTHER COMPANY
:illii3f7TURC � ^EGiE3TE°�D Y� �`: F�E CURP,EtJT Y/ N
Address License # �
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) w�rking days after submittal date. Required onsite, Construction Plans, Sanitary 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 8� 1 dumpster
All commercial requirements must meet compliance.
SIGN PERMIT Attach (2) sets of Engineered Plans.
"`"**PROPERTY SURVEY required for all NEW construction
rections:
Fill out application completely
Owner & Contractor sign back of application, notarized
If over �2500, a Notice of Commencement is requfred. (AIC 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 (PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NC�,i ICE 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 �egulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. 1 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental 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 wail
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 owne� 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
,°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, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extensio�. If work ceases fo� ninety (90) consecuti�,�e day�, the joh 6s cc^�idered abar,doned.
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 YAUR !_ER�L�ER OR AR A�lTn�RA��Y BE��R� R�. Yv"r'2 °�'�fOT10E �fr C�i{ii�llEiVCE�riENT.
FLORIUA JUF2AT (F.S 117 03)
OWNER OR AGENT�,��� ��I CONTRACTOR
Sub cribed an b� �n to � ffirmed) t�e�or�e me this Subscribed and sworn to or affirmed) before me this
� �{ b .�a,�c3� P ,F�hIQ
Wh is/are perso own.m.�'r has/have produced o is ar ersonally known,to rne or has/have produced
as identffication. as identification.
- ouv�n �. �o
Commission No �SS�oM �► oDS���2e ommission No. OLIVIA A. LOVETT
��� ���g'2012
� °F �� �� � EXPNtES JUl 28 2012
Name of Notary typed, printe r_ d me of Notary typed, printed t w�
�- h�l�a� f�oQ�xn inc�
1550 LI.S. 3U1, p�de City, Ft �� Z3 Steta Gert Roofcr #CCGISYB082
Ph: S�A/56Z-Z3�3 F��: �Z/�67-445� RGI Reg Raof Contultent #alp9
mif 6arC►�erthlink.net
ROO� PR POSAL
DATE: 03/29/71
To: BROOM�', BEV RLY CELL: 813/546-2713
LAKE BEI2NAD TTE
5732 WYNSTO E LANE y -�.,��, n �,
Z�PHYRHILLS, L 38541
�..� 1 ba r� as �''�- Yu-y n v.r�
JOB: BROOME PRO ERTY
ZEPNYRHIL[,S �1GHTS SUBDIVI514N
54'!B 7Ah1GERl E DRIV�
ZEPHYRHILLS, L 33542
____�� =--__--__��=__=_� -» ---=___—�.,��___=----�—_________�..�_____________..��__=—� ==__=
SNINGL� RE�ROOF
9, Teer ofr and hauf away existtn on�iayer shingls rooflne system.
2, Re.fa9ten the exlaUnp plywoo rooC dack in accordence with the 2007 FloMda Bu11d1nq Cotles.
3. P�ovide and Install lwo (�) ley rs of new 15 Ib. satureted felt paper secondary water barrier )n eccobance wlth the �007 Flarida Bullding
Codea. � Q.�ver ��ni �y U�Z-Z�t� �tr'
ai��
a. Provlds and insta!! naw CEFiT INTEHD'7tT 25" 2S-year 3-tsh wllh streak•fightrr (olgae-roslatan� fiber�ta�ss shlnyles; Ownar to select shinple��
color from CERTAIN7'EED'e ndard colors. Provfde CERTAIN7EED'6 25�year Iimlted shtngle warcanty. �
5, Reptace aii valley flaehing and hestinp, veMttaGng, and air conditloning vents. p
ps l ��� ,,,.
a. Provfae and Install new lead b ote for tha plumbinp vente.
/ � i�
7. Provide and Install new pre�.fln ahed aluminum eavedrfp hite r brown).
Raplace tha e�asUnq rldge van with 35 I.L of new pre-finl luminum dd�e vent.
B. RepatrlReplacement of any r en or demeged woad (deck, feecla, trlm, framing, etc.) wlll be compteted on a coe!-plus basls above snd
beyond the cantc�ct prtce.
B. M�Bar Roo}Ing. Ina ta provid a 5-year workmenshtp warranty to the orlginai purchsaer that covers shingla roof leeks; excluatona: storm
d mago, wark done or damaA by others, tree damape, andlor �tructural damape ko root deck.
10. Qwnar to prov{de eccess !o ro f for delivery ttuak far loadinp/Unloading of rao8ng meteA¢le.
11. MilBar Rooflng, inc. to provid General LiabllHy and Workers Compensetlon Insuranc9 (52,000,000 Ilmlt) and re-raoflng pertnit.
12. • O tl in le U ra ................ _.................. . 0 198.7� t0 COt1
Provido and Inatall new C� INTEEQ "Landmark" teminated dlmenstonal ehingles wlth atnak�,phter (alpae-roilatanq wlth LIMITED
ETlME WA FRO C T�LD In Ileu of C�RTAINTEED'XT 26" 28 S- wkh atrssk (alqoe aT�t} flber�iass
shingles.
��������G���C�^����IC COC��aa��IC ��C��qq�===��C��CC��CC���pLip���� �C�CNC�pfy : =��C�C��
We propose to furnlsh materlal and I bor, complete ln aecordance with abov� speciNcations, for the gum of:
THR�� 7HpUSAND ONE ElUNDR D ELEVEN AND yQ/100 DOLLAR9-•-------------�-------------------.--•�•r.--------.--�3,1q�1,70
f7C,��Ne=� =�!lpFO�=�p= p�CC�=C�=��IpR7�=�===�=�e1MFRLiF=---�_ C==oCrlilpi�== =�=��=�Cldq
Paymsnt to be made as follow9: Du Upot+ Comptetion, �
�ARA��oC�C�OO^ =__a__�� ���������.-.:r����C�����.....� ����� ��C��.-.r.�����C������:.a�`�� ���G
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ALITHORIZEp S[GNATUR�: R!h'� P�a pATE: 03/29/17
DAVID R. ABLA, PRES
ACCEPTANCE OF PROPOSA Slgnature;
sn. �ova arioei, .aecm�wne .na rm�uon. er aeuaoaory ana ner.qr �«en�ea. Printed: Q!
vcu oro ouu�er+e.e u ue �h. worA u�e. vn'n es mede s. oumrwa anore, �� U71 �) t --
imo�aetl omar+u nm pa�d m a000ra.nra wnn u�e ,norn �omu:fxia be mnaidorea Date:
dslirlqu�flt Mtl b0a �Meresl s11hO fYlO o17 1� � par . OxT1f YpiYY ip pay 011 ��
eo�qinaNrotl� tuch ae aMOmay ICOt, oOUR m�10. at � far wllWqon M eolNqusnl Imrokoo Ytoludin0 Nlareet. Ownor w prry flro� kfMpe end aihee neeanary 4�1uNntA, Ovr We�kera me A�y eow�d by
WoAcmen'e C�AenaWkn Inluro�oe. MIIBer Raofi Gto, Is nM taepanalhb tof tlemeBee raueed by othws, v�MlA�4m, neptpena, atamu. Propo�ol mAY � wuhdrewn d not aowpwd wilhin 30 c4Y�.
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� 2011093761
NOTICE OF COMMENCEMENT Rcpt :1373576 Rec : 10 . 00
MRI#4346 DS: 0.00 IT: 0.00
PermitNo. 06/17/li A. Gia�d, Dpty Clerk
Tax Folio No. 12-26-21-0040-00400-0060
THE LJNDERSIGNED 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 this NOTICE OF COMMENCEMENT.
1.Description of property (legal description):ZEPHYR HEIGHTS 1 ADDITION PB 8 PG 21 LOT 6 BLOCK 4 LESS THE NORTH
5 FT OR 5333 PG 352; 5416 TANGERINE DRIVE, ZEPHYRHILLS, FL 33542-4699 (LAKE BERNADETTE SUB)
2.General description of improvements: ROOFING
3.Owner Information
a)Name and address: BROOME, BEVERLY C., 5416 TANGERINE DRIVE, ZEPHYRHILLS, FL 33542-4699
b)Name and address of fee simple title hoider (if other than owner): N/A
c)Interest in property: OWNER
tractor 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.) PQ��p s o 'NEIL,Ph D PRSCO CLERK & COMPTROLLER
S.Surety Information 06/17/11 1:25a�n 1 of 1
a) Name and address: _____.—___. _.. OR BK �5�3 PG �22 J
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
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
COMMEIVCEMENT 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 OTICE OF COMMENCEMENT.
STATE OF FLORIDA
CnIINTV (1F �, u�.1 l n.
Signature o. er o 's uth rized Officer/Director/PartnedManager
� � wUe� ���m� �.
Print Name and Title
The f regoing instrument was acknowledged before me this �_ day of �,,,,,,� , 20 It , by
� a � (type of authority, e.g. ofticer, trustee,
attorney in act) for S�C (name � on behalf of whom instrument was executed).
Personally Known_ R Produced Identification Notary Signature
Type of Identification Produced Name(print)
-- AND — co�.ssiori a uoeo�aza
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perj � that ��E����oreg g and that
the facts stated in it are we to the best of my knowledge and belief. � �� eowwuvr
FORMSMOC,rvsd2007
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8TA'�E Do CER RIDA,H ��F� `�01 ' G, ��i�4 `����
THIS I�a
TRUE ANQ CORRECT COPY� ��� ����-� w
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ON FILE OR OF PUBLIC RE .;, . � . � ;, ., �p
WITNE�S MY HAND AN dF . �� .�� ti'"�
1; :'•r
/ DAY OF `�' � � �
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pqU��p, . O'NEIL, C . �; ,A `
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BY