HomeMy WebLinkAbout12-13479 � _
_ , CITY OF ZEPHYRHILLS
5335-8TH SIREET
(813)780-0020 13479
BUILDING PERMIT
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Permit Number: 13479 Address: 5110 6TH 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: 11-26-21-0010-18500-0170
improv. Cost: 5,627.82
Date Issued: 9/27/2012 iName: ROGNAS, ROGER & REBECCA
Total Fees: 65.00 Address: 5110 6TH ST
Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/27/2012 Phone: (813 779-0969
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Work Desc: RE-ROOF WITH SHINGLES 25 SQS
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REINSPEC'RON FEES: Reinspection fees will comply wiH� Florida Statute 553.80(2)(c)when extra inspection
trips are neoessary due to any one of the following reasons: a)wrong address b)wndemned work resulting
from faulty construction c) repairs or wrrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site fl plans not at job site g)work not aocessible.
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 mana ement, state a encies or federal agencies.
"Warning to owner: Your fa�lure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,oonsult with your lender or an attorney
before reoordin our notice of oommencement."
Complete Plans, Specifications Must Accompany Application.All work shall be pertormed in acoordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CONTRACTOR 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-813-780-00 1;
" Building Department �5��j
Date Received Phone Contact for Permitting --
ter's Name Q ; Owner Phone Number �� _ j��L'
Owner's Address U Z, � � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address �
JOB ADDRESS � '�l�. � S LOT# �
SU3DIVISION �— w� pARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN � MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER L-
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK � 5 �„� ,�
BUILDING SIZE SQ FOOTAGE —� HEIGHT
Q� BUILDING $ VALUATION OF TOTAL CONSiRUCTION
� J
� ELECTRICAL ($ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�
� PLUMBING $ /�,��}C� ( /
V
� � �
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� GAS Q'� ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO
BUILDER �/C�/,�i� COMPANY rnI� U�� ►l t�t��_�11 C.
SIGNATURE i�/°' REGISTERED � / N FEE CURR T Y N �
Address ���� (,�g �� �.�C�GtQ G �) 3 3 License# I(�(„ ���`jv`�'Z,r
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N i FEE CURRENT Y/N �
Address License# �-
"�ECHANICAL COMPANY
�iNATURE REGISTERED Y J N FEE CURRENT Y/N
Address License# —�
OTHER COMPANY
SiG�ii,TUR� REGIS','ER�D Y; P� F�E CURP,�NT Y/N
Address Li:ense� �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Eneryy Forms
Minimum ten(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 ten(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 requlred for all NEW construction.
rectlons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over a2500,a Notice of Commencement is requlred. (A/C upgrades over�5000)
*' Agent(for the contractor)ou Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMIiTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTIC� 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: ff 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 1 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.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressty 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 Sta#e 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 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
;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 (90) consecutive dal��, th��oh :s cc^�:dered abardone�
WARNIIdG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP�RTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH Y()UR I.EI�ll�R OR P.�!A'T^�R.r!�Y BE�QR� R€���;a��aG`f��ir T.�TiC�Gr Ctfivii47civC�iviENT
FLORIUA JUFt�Ar(p g, 917.0�)
` OWNER OR AGENT C:��' - / 7
Subscnbed and s n to or ffirmed) fore me this CONTRACTOR_ ,y ��� �
,,���_i,., by t � �� Subscribed and swo n to o irmed)before me this ,
�_�.-- v�/•Z by
W o is/are parsonally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
-----�L1�1� / Notary Public � C ��--�—
/°"-!��-�i�i!���C�' Notary Public
Commission No. Commission No. ���
— .^.�A,*o�reit
������ �ry �' 9 2016
Name of Notary typed, ,ZQ�s Name of Notary typed,print � .
Co�ti.No. EE828129 �om.No. EE828129 .
�M�ilBar. Roof ina, Inc.
�15911 U.S. 301, Dade City, FL 335Z3 5tate Cert Raofer#CCCI329U92
Ph: SD�/56Z-2393 Fax: 35Z/567-4454 RCI Reg Roof Consultant #0149
mil6arCearthlink.net
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ROOF PROPOSAL pape 1 of 2 �� �
DATE: 08/17/12
TO: ROGNAS, ROGER & REBECCA PH• 813/779-0969
5110 6T"STREET rebeccaroQnasCa�qmail com
ZEPHYRHILLS, FL 33542-4944
��B ROGNAS RESIDENCE
5110 6'�STREET
ZEPHYRHILLS, FL 33542-4944
SHINGLE RE-ROOF —see attached drawing ^
(Scope of work does not include the aluminum pan roof or the garage)
1. Tear off and haul away existing one-layer shingle roofi�g system.
.
.
2. Re-fasten the existing plywood roof deck in accordance with the Florida Building Codes.
3. Provide and install the new 15 Ib. saturated felt paper(ASTM D-226) secondary water barrier in accordance with
the Florida Building Codes. Install finro layers of 15 Ib felt on low sloped roof areas with 3.12 roof pitch as required
by the current Florida Building Code (Current Florida Building Codes requires that felt installed on roof areas with
3:12 roof pitch be installed with an 18" lap (1/2 lapped) resulting in 2 layers of 15 Ib or 30 Ib felt.
4 Provide and install new algae-resistant fiberglass shingles, Owner to choose shingle color from manufacturer's
select colors. Provide manufacturer's limited shingle warranty. Please see options on page 2.
5 Replace all valley flashing and re-flash roof penetrations.
Re-flash existing chimney.
6• Provide and install new lead boots for the plumbing vents.
7 Provide and install new pre-finished "brown" aluminum eavedrip
8 Repair/Replacement of any rotten or damaged wood (deck, fascia, trim, framing, etc.) will be completed on a cost-
plus basis above and beyond the contract price. �$s2.so per a�Xa�x�i2��sheet of CDX plywood replace, labor&materials;$2s.25
per 1/2 sheet;$13.13 per 1/4 sheet.)
9. MilBar Roofing, Inc. to provide a 5-year workmanship warranty to the original purchaser that covers shingle roof
leaks; exclusions: storm damage, work done or damage by others, tree damage, and/or structural damage to roof
deck.
10 Owner to provide access to roof for delivery truck for loading/unloading of roofing materials.
11. MilBar Roofing, Inc. to provide General Liability and Worker's Compensation Insurance($2,000,000 limit)and re-
roofing permit.
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We propose to furnish material and labor,complete In accordance wtth above specifications,for the Contract Sum of:
As stated in Options on Page 2.
______________________________________________
Payment to be made as follows: Due on Com I �--------------------
---------- P p etion.
� �
�i��ar Raof ina. Inc.
15911 11.5. 301, Dade City, FL 335Z3
Ph: Sa0/56Z-Z393 Fax: 35Z/567-4454 State Cert Raofer#CCC1329092
RCI Reg Roof Consultant #0149
milbarC�earthlink.net
ROOF PROPOSAL a e 2 of 2
DATE. 08/17/12
TO ROGNAS, ROGER"& REBECCA
5110 6T"STREET PH� 813/779-0969
ZEPHYRHILLS, FL 33542-4944 rebeccaropnas�a qmail com
JOB• ROGNAS RESIDENCE
5110 6"'STREET
ZEPHYRHILLS, FL 33542-4944
________________________________
OPTIONS
1. TAMKO"Glass Seal AR" 20- ar 3-
b s in les......,,... . ...............................New Contract Sum 5 212.96
Provide and install new TAMKO"Glass Seal AR" 20-year 3-tab algae resistant fiberglass shingles.
Provide TAMKO's 20-year limited shingle warranty.
� Select color from:Tweed Blend,Antique Slate,Glacier White,Rustic Redwood,Weathered Wood, Rustic Black, Rustic Hickory,Rustic Cedar
2 rovide and install new CE 5 �ar 3-tab s i�
TAI�I.T, E XT ZS
RTAINTEED"XT 25" 25-year 3-tab algae resistant fibergla s sh ng est Sum 5 430,32
E rovide CERTAINTEED's 25-year limited shingle warranty.
` olor• Timber Blend
3 P oRde'a aEEDaiLandmark"dimensional shin Ies...............................................New Contract Sum 5 924.84
«
� I new CERTAINTEED "Landmark" laminated dimensional algae-resistant fiberglass shingles.
Provide CERTAINTEED's Limited Lifetime shingle warranty.
Select color from standard colors.
4• Rid e Vent Provide&cut-in SO I.f. of re-finished aluminum rid e vent.........Add 497.50 to Contract Sum
YE
AUTHORIZED SIGNATURE: QlHG[ /� �,6� DATE: 08/17/12
DAVID R. ABLA, PRES
ACCEPTANCE OF PROPOSAL: . � �
The above prices, specifications and conditions are satiafactary and hereby accepted. S�gnatUf@'
You are autharized to do the work as speafied. Payment will be made as outlined above. Pflllt@C�:
Invoiced amounls not paid in accordance with the payment terms shall be considered �J n��
delinquent and bear interest at the rate of 1 h% Date: ��.�. �.
costs incurred,such as altomay(ees,courl costs�t mfor colle on�del nquent invloices inGuding interest Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by
Workman's Compensation Insurance. MilBar Roofing,Inc,is not responsible for damages caused by others,vandalism,negligence,storms,PRICING GOOD TILL 09/05/12.
' NO�ICE UF CO�MENCE�ENT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
MRr#as�9 2012158174
1'ermii No.
'T'ax i'olio No ! 261 12 OOIO-18500-0170
Ti lE UNDERSIGNED hereby gives notice that improvements wi[I be made to certain rea! ro e
713 (3 of the Florida Statutes,the followi�ig inforrttation is provided in thi sNOT7CE OF COMMENCEMFNT.
1 De.scription af property(legrcl descriptian):ZN PB f PG 54 LOTS 17, 18, �9 8,20 BLK 185 � p ��a�d in accordance���ith Section
a).Address:S I 10 6TM STREE7',Z.gpHyRHILLS,FL 33542-4943 Z 3 OR 6760 PG 320;11-26_21
?.Gcqeral description of improvements: ROOFING
3.Owner Information
a)Name and address:RpGER&REBECCA ROGNqS,5110 6TM STREET,ZEPHYRHILLS,FL 33542-4944
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: MII_$AR ROOFING INC. 1591 E U_S. HWY;p� DADE CITY FL 33523
b)TelephoneNo.: 3 52/567-6047
S.Surety Information Pax No.(Opt.)_
a)Name and address: R�pt:1462220 Rec: 10.00
b)Amount of Bond: --._____ DS: 0.00 IT: 0.00
c)Telephone No.: --.___ 09/19/12'_ p, go�i!1 a, Dpt y C 1 erk
6.Lender � Fax No. (Opt.)
PRULq 5 0'NEIL,Ph D PqSCO CLERK & COMPTROLLE
a)Name and address:__ 09/19/12 01:41 m 1 of 1
7. Identity of person tvithin the State of Florida designated b wnoy er upon whom notic OR BK �7�'�' p� �Z
a)Name and address: es or other documents may be served:
b)Telephone No.. ^
8.In addition to himself,owner designates the following person to recei e a cOopy of the Lienor's Notice as provided in Sectio
71:.13(I)(b),Florida Statutes:
a)Name and address: °
b)Telephone No.•
9.Expitaiion date of Notice of Commencement{the expiration date sao e y aOr from the dat ord�ng en Su j s a
differeht date is specified)•
`l---
—__.__..
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMI4�IENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13
FLORIDA STATUTES,AND CAN RESULT tN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. [F YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATT ERTY.A
CO�I;b[ENCiNG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
ORNEY BEFORE
5TATE OF FLO A !
CC)UiVTI'pF r � ��
10 � '\,��
ignature of ON�ncr pr Otrner's Authorized OlTice irectorlP
� � r anagcr
Print Name and Title � J
Th fore�oing instrwry�nt was acknowledged before me this
���L�as__�� �. day of
(type of author e, '20�'by
ne of party on behalf of whom instrument � g cuted) trustee,attorney in fact)for
Personally Known_ R Produced Identification Not
Type of[dentification Produced �y Sign
--- - Name(print)_ � �
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Verification pursuant to Section 92.525, Florida StatutesDUnder penak'res of er'u [declare that!
the facts stated in it are true to the best of my knowledge and b�}�-", p � ry'
have read the foregoing and that
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:• �: Notary Public-State of Florida
"'� :•e My Comm.Expires Apr 6,2Qtq
„'F�`Ft`�A'` Bonded Th ough NatioaaDl tVotarJ qssn.
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