HomeMy WebLinkAbout12-13239 CITY OF ZEPHYRHILLS �
` ' S335-8TH STREET
�sis)�so-oo20 13239
BUILDING PERMIT
Permit Number: 13239 Address: 5202 18TH ST
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: 11-26-21-0010-19800-0140
Improv. Cost: 4,395.96
Date Issued: 7/06/2012 Name: SMITH J TRUSTEE
Total Fees: 90.00 Address: POBOX 292667
Amount Paid: 90.00 TAMPA FL 33687
Date Paid: 7/06/2012 Phone: (813)980-3939
Work Desc: REROOF SHINGLE 15 SQ FLAT ROOF 2 SQ
�
TAPE JOINTS OOF INSP
FINAL -�-�2�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when e�ctra inspection
trips are neoessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty oonstruction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g) work not acoessible.
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 reoord a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,wnsult with your lender or an atCorney
before recording your notice of commencemen�"
Complete Plans,Specifications Must Accompany Application.All work shall be perFormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
L��<?z � �—�
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�saan-oo2o ���f�-'`,'
_ City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received .�S y
Phone Contact for Permitting
,er's Name Owner Phone Number
�
Owner's Address 1� T �J�Z�Z �'1l Gc.. Owner Phone Number � jZ- ��.)
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address ^
JOB ADDRESS ,�2�'L. ��{L� ��IYG�'� Z�(�l� � LOT# 'i ,`/
SUBDIVISION • /�a PARCEL ID# • Zb• ��- � �� - U��lA
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR � ADD/ALT Q SIGN � MOVE � DEMOLISH
lNSTALL REPAIR
PROPOSED USE Q SFR � COMM Q OTHER L-Q
TYPE OF CONSTRUCTION Q BLOCK � � FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK S IY1. - J� .� �/� �' l I2�1 L- ' �
BUILDING SI2E SQ FOOTAGE HEIGHT
�� BUILDING $ VALUATION OF TOTAL CONSTRUCTION
c "
� ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0
� PLUMBWG � 3 y3 y
�
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��
� GAS Q� ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO
BUILDER COMPANY !�II���a6 ► 11�1.�,�_�11 c_ _
SIGNATURE - REGISTERED / N FEE CURR T Y N �
Address ��'{�� (.�� �) L¢�iu Q 1..� �) a 3 License# IL{`�„ (��„`�v`�'Z,. �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# r
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N i FEE CURRENT Y/N
Address License# � �
"eECHANICAL COMPANY
iNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# r-
OTHER COMPANY
S1u�iATURc Rec�cTe��a Y/ t� F=_E cuPF=_r�r Y 1 N
Address License# � �
�
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy Forms
Minimum tei�(10}working 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 len(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.
°°' ��IR�
rections:
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 AFplication Only)
Reroofs �uewers Service Upgrades A/C Fences(Plot/SurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW ,
N�TlCE 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 tocal 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 thatl have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'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.
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 own�r 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 instatlations 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 extension. If work ceases for ninety (901 c�nsecuti�,�e�al��, th�joh �s cen�:dered abar,�oned.
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 YnUR l.EI�nEFt p�?A�:�,e„rTnq*+cY gE�^R� �'c.^.^�:v�evv tviir�.�.;�'i��u�Gt��riiv�ciVCE1�tNT.
FLORIUA JUF2A7(F.S. '117.03)
OWNER OR AGENT � S�'�,G ��'�' CONTRACTOR__ vC}�—�� ��
SubscribeZ an b�w,cun toVjr�ffir�d)qek'ie�me this Subscribed and sworn to(or affirmed before me this .
�� F�E v5 �
Wh is are�bnally known to me or h�s/have produced Wh is/ re p ave produced
as identification. as identification.
� `
� Notary Public � Notary Public
Commission No � Commission No.
COMAAISSION�DD807426 � C�hAMI5S10N r ppg07426
EXPI
Name of Notary p d or stare4faoeEu n�oucr+ Name of Notary typed,printe r aor.�o rMaouc-�,
pl RV�JRAhX.'E COMPANY �N�911pA1VCE CQMPANY
il�ar i�aofinp, In�.
�59l1 L�.S. 3�11, D�de City, FL 33523 3tate Cer#Roofer#CCC1329a92
��: ������Z-�'��`� ���: ���/���-���� RCI Reg Ranf Cnnsultant #�149
mi�6�r(�?ear#hlink.ne�
�{��F P�QPOSI��.. Paqe 2 of 2
DAT� 06i2$!12 ��
Ta' TRUST#590Q052a2 PH 813/382-45AQ
SMITI-i J TRUSTEE et fFsrnithtrustee(cLyahoo com
ATTN JEFF SMITH
C'O WlNONA RHOCES
P p BOX 292646
TAh1PA, FL 33687-2646
JC?B RENTA�PRQPERTY
52Q2 18`"STREET
ZEPHYRHlLLS, FL 33542-2159
above and beyond the contrac[price. (552.60 per 4'x8'x1/2"sheet of CL7X plywood replace, labor&materials,$26.25 per
112 sheet; $13.13 per 1/4 shest.)
2. Qwner to provide access far deiivery trucks fo aHow roof loaclinglunioading for the entire roaf area
___ 3____ MiiBar Raofing, Mc.ta provide GEnerai_ia6iliiy and UVorker's Compensation insurance($2,000,000)and re-roofiny permit.
We propose to furnish materiat and iabor,complete in accorc3ence with above specifications�,Por the Contract Sum of: mm� 'T� ^ ^y
AS STATED IN QPTIONS. Payment to be made as follows. Due Upon Compietion
m.�________________________ _________________"___------------------------------------
------- ---------------------------------------
C7PTlONS
f TAMKQ"Glass Seal AR"20-year 3-tab shinqCes tinctudes flat roofl Contract 5um$3 813,�17
Provide and instali new TAMKO Gtass Sea AR 1U-year 3-tab aigae-resistanl fiberglass shingfes
Provide TAlv1K0's 20-year limi[ad shingie warranty
SeiecY coior from T�eed Qlend,Antique Slate,Glasc�er VVhite,R�sfic Redwood,Weathered Wood,Rustic Slack,Rustic Hickory,Kustic C�:dar
� TAI�KO"Elite Glass Sea!t1R" �5-vear 3-ta9�shinpies(includes fiat roaf? ..................Contract Sum $4.017�19
Provide and instail new TAMKO"Elite Glass Seai AR"25-year 3-tab aigae-resistant tiberylass shingie
Provide TAMKU's 25-year limited shingle v�arranty
Selec#calor from standard colors. �r��v3 CLrL�t��- ��,
�,,-t ,k�
3 i'AMKO"Heritaqe"dirrrensionai shinqies{inciudes flat roofi) ����r¢�;�--�1� Cantracfi Sum$4 2??,46
F'rovide and instaii new TAMKO Heritaqe AF2 30-year lartunated dimensiona{algae-resistant fibergiass shingles.
�1,� rovide TAMKD's 34-year limited shingle warrarrty with i 5-year Fuii StaR Pratection Period that is not pro- d a covers Iabor and material.
� elecT color from standard colors. �1q
�
DGE VENT,;Provide and cut-in 3(3 3.f.av new pre-finished aluminum ridqe v�nt� Add$1�i8.50 to Contract Sum
�'� _
� DURO-LAST OVERLAY in lieu af the Re-Roof wlFirestone Modified Bitumen................... ...Add�734.26 to Contract 5um
� Leave exisking flat roof in place ��� �'�
��install 3it3"fanfoid over existiny roofi�zy.
I�"'Provide and instail a new Duro•Last 40 mil white roofine membrane which is a mechanic211y-attached roof system;the seams 2re heat-welded to fonn
one sheat. Prqvide Duro-LasYs 15-year rnateriai or„y warrarty
Provide and instaU pre-finished Duro-Lasf eavedrip arourid the perimeter at eave as neaded
----------------------
,�UTHORI2EC�SfGNATURE. �ltth'Ct � ��GQ DATE. 06/28/12
QAVlD R A8LA, PRES � � Lr .
ACCEPTF�NCE OF PRUPOSAL. Signature: ��(�;8�� �
The -?hnvre prr:es, s�.iaccicaticns �nJ wnJrio,-ts are sahsfactcry and here'uy accepted Prinfed (� Lj ��
';ui�are a�t;�onz?d in dc trie wn:R a�:pacif;u:1 Payn,e:n;vnll Ge mado as auihr:�:i etova
Invnn:�=d o-;mnur�s nni pa�.i ut z,ccorden��wrt.^.(.he payrnent Ee.tns shall hH cnns��eren Date.
r.�-�J.SnA►n-i �"RZ,t���. [��;�t�o� (�taL�u.<J
a�hnyuen?an��bear nxarr.st at Ihe rate of 1%°it pe�mon:li, Ov�ner a�tees to pa�a:l
��usts mcurred,such as�ttomey fees,raurt costs ole. tnr cvPection ot rtab��que�t ir.voicas includfng mterasC ON•ne;to carry fr.e torna:fo antl other necessary insurance O�r werkors arr Full�c�vcxeJ by
vduihrna�s Cornpensannn Ins�uance Mil�a,-Roofmg In;, is nnl res�H;nsiCle far damapes w�see by oth•r,�s,vanaalism,neg6ye�ice,smrms Pncing good fer 3�days.
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
� 2012112978
'.VOTICE OF COMMENCEMENT
MRI# Rcpt: 1445992 Rec: 10.00
D5: 0.00 IT: 0.00
PermitNo. 07/05/12 E. Munguia, Dpty Clerk
Tax Folio No 11-26-21-0010-19800-0140
THE tJNDERSIGNED 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.
i.Description of property(lega[description):CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 14&15 BLOCK 198 OR 4472 PG 1798; 11-26-21
a)Address: 5202 18TM STREET,ZEPHYRHILLS,FL 33542-2159
2.General description of improvements: ROOFING
3.Owner Information
a)Name and address:TRUST#590005202,SMITH J TRUSTEE,C/O WINONA RHODES,P O BOX 292646,TAMPA,FL 33687-2646
b)Name and address of fee simple title holder(if other than owner): N/A
c)Interest in property• OWNER
�4.Contractor 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.) _
S.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.)
S.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
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS LJNDER 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.
����t�y�- �,0. r��1oa0`�2t;L i .� SM►rE�� t(LL�S r���v�.►r
STATE OF FLORIDA W'�"`� �(� `� 1'
COUNTY OF �tj 5c.� 1 O. �-CCL T'fZl.LS� -/�.J1V�� i K7- 5'I�X�l)�>Lc,L V L�
i
Signature of�vrn[or Owner's uthorized Officer/DirectorlPartner/Manager
/
r'�;-�'Wa'���Ct�,� �i�-�'lt.v'�
Print Name and Title
The foregoing instrument was acknowledged before me this L � day of �l,A.� ,20)Z,by
,�•�� �,u„�� as j f�,A,r.,� (type of au ority,e.g. officer,trustee,attorney in fact)for
�r�,r S���� = �z-'L (name of party on behalf of whom ins n a executed).
Personally Known OR Produced Identification -�'Notary Signature
Type of Identification Produced j=z � �;�, .5�� -r� Name(print) , IOVETT
���� �
---AND--- ,. co�nNUSSioN r ooso�a2a
_%" � EXPIRES JUL 28 2012
Verification pursuant to Section 92.525,Florida Statutes.Under pena o�erjfiry, I d la I have��"i�ng that
the facts stated in it are true to the best of my knowledge and t�'kef��
`���CL�C;��,�'i ,Lt„ ��k. � t �(A,�3T�
Signature ofNatural Person igning(in line# 10)Above
FORMS/NOC,rvsd2007
PRULR S 0'NEIL Ph D PRSCO CLERK B C,OMPTRO�LER
07oRgBK2 V�L 1 1PG�3�2�
M�'�
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,�;`., �1, ..
ST�`0� ��;b�tlbA;'�COUNTY OF PASCO
THl $TQ.CERTIFY`G�{A�THE FORECQING IS A
, "TRIJ�AND COF'�REC�'�OPY OF THE DOCUMENT
= =�ON,�LE QR;OF FUBLIC R�CORD IN THIS OFFICE
`' `'WI'�V , MY MAND ANJ OFFICIAL SEAL THIS
�` �'"�DAY OF � ,..' 2 b r d�
�?AULA��,, ; LER & C MPTROLLER
,'
g,�`:'� ._. c� _ DEPUTY !'LERK
.. ...
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�-�� �
Contractor/Homeowner: a� �
Date Received: �" 7�� �Z
site: �Z d 2 / C`�� �
Permit Type: ��' r��-r 2S ,
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
• rp,
s M
This comment sheet s 1 kept with the permit and/or plans.
�: ���/z
Kalvi witz r— ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)