HomeMy WebLinkAbout16-17189 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813}780-0020 17189
, 4 BUILDING PERMIT
PERMIT INFORMATION . - LOCATION.INFORMATION : �
Permit Number: 17189 Address: 37436 SERENETY AVE
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: RQOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPL(CABLE Lot(s): Block: Section:
Square Feet: Subdivision: VALLEYDALE RO ASSOCIATION
Est.Vatue: Parcel Number: 03-26-21-0170-00000-1890
Imprav. Cost: 6,976.00 � . OWNER-INFORMATION �
Dat� Issued: 312212016 Name: HACUE F HOWAF2D & E JEANNE
Total Fees: 105.00 Address: 37436 SERENITY AVE
Amoun#Paid: 305.00 �EPNYRHILLS FL 33542-4834
Date Paid: 3/22/2 16 Phone: 813-788-6914
Work Desc: RERO(�F NGLE MEMBRANE
CONTRACTOR S � - ' APPLICATION FEES
COMFORT COVER SYSTEMS INC REROOF RESIDENTIAL 105.00
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- - ins ections Re uired
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TAPE JOINTS OF
FINAL ,.�
REINSPECTION FEES: (c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
tacai gavernmenfi shali impase a fee of four times the amount of the fee imposed for the initiai inspection or
first reinspectian,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additianal restrictians applicable to this property that
may be found in the public records of this county, and there may be additiona( permits required from other governmentai
entities such as water management, state agencies or federal agencies.
"V4►arning ta owner: Your failure ta recard a notice of commencement may result in your paying twice for
_ improvements to your properLy. If you intend to abtain financing,consult with your lender or an attorney
before recording yaur notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertarmed in accordance with
Ci Codes and Ocdinances. NQ QCCUPANCY BEFORE C.O.
Nd OCCUPANCY BEFORE C.O.
�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MONTHS WITHOUT APPRt�VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PR4TECT CARD FROM WEATHER
s��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Departrnent
�0.�
Dabe i�eceived phone Contact for Permitting ��7 ��s - '`�) ��
OwnaYs Name�����w�rc� �{q v� Owner Phone Numbe� �13��& ����
Owners Addr�ss 3�'`��� �e�er`��' ��'� Owner Phone Number
Fee Simple Tdlehofder Name K�� Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS �?'E3` 5«e�r`��F �r� LOT# ��
SUBDIVISION v���c- �``�� PARCELIQ# ��-�6-a1-¢l�0-oaao0- I�qa -
(OBTAINED FROM PROPERTY TAX N0710E)
WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN [� MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMfVI Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER Yh
DESCRIP710NOFWORK ReGovc� ma���t �ev...e �f G�c��'�im� 5 G,t��d-G. c�r✓� � Y� {�e�b�v-`
BUILDING 31ZE SQ FOOTAGE �4`�� HEIGHT �S �
Q BUILDING $ ���6, 0p VALUATION OF TOTAL CONSTRUCTION
[� ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING I$— „ �
� ��71��
� MECHANICAI $ VALUATION OF MECHANICAL INSTALLATION
Q GAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO
BUILDER Q ��U� COMPANY C°"���� ��e� � S�S `�c.
SIGNATURE REGISTERED / N FEE CURRENT /N
Address � �� Tu c��.r �, ��eo.c�..,�.-�c 33�5� License# �COS� 0�j
ELECTWCIAN COMPANY ` �
SIGNATURE f�REGISTERED'�'� ' Y/ N FEE CURRENT Y/N
i
Address License#
PLUMBER COMPANY
SIGNATURE REGtSTERED Y/ N FEE CURRENT Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License#
OTHER COMPANY
SIGNATURE REOISTERED Y/ N FEE CURRENT Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. f2equired onsite,Construction Plans,Stormwater Plans w/Sift Fence installed,
Sanitary Faalities&1 dumpster,Sfte Woric Permit for subdivisions/larc�e projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Niinimum ten(10)warking days after-submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalities&1 dumpster.Site Work Permit for all new projects.All commercial requiremeMs must meet compliance
SIGN PERMIT Attach(2)sets of Engineered f'lans.-_ _ _
*""PROPER7Y SURVEY required for all NE4V construction.
Directions:
Fill out application completely. ' ,
Owner B��Gontractor sign back of application,notarized - �
If over;2600,a Notice of Co�ririnencemeiifaiE reyuired. (A/C upgrades over�5000)
*' Agent(for the contractor)or.Power;of Attomey,(for the ovmer)would be someone with notarized letter ftom ovmer authorizing same
�fi r
OVER THE COUNTER PERMITTING,;;�..;�(Fr�jifCf,A�plication Only)
Reroofs�-� ��• '•� Sewers � ;,.Senrice Upgrades,:; A/C Fences(PIaUSurvey/Footage)
Driveways-Not over Counter if on public roadways:.needs ROW
NOTICE 8F DEED RESTRICTIONS; The undersigned understands that this germit may be subject to"deed"restric�ons"
which may be more restrictive than Gounty reguiations. The undersigned assumes responsibiiity for compliance with a�iy
appEicable deed restrictians. �
UNLICENSED CQNTRACTOR& AND CflNTRACTOR RESPONSIBII.lTlES: tf the owner h�s hired a contraetor or
contrackors to undertake wark, th�y may be required to be licensed �n accardance with state�nd loca! regulatians. !f ttte "
contr�c#or is not licensed as required by law, bath the owner and contractor may be cited for a misdemeanor violatian
under s#ate law. If the owner or intended contractor ane uncertain as to what iicensing requirements may apply for the
intended work, they are advised to contacf the Pasco County Buiiding Mspection Division---l.icensing Section at 727-847-
8009. �urthermore, if the owner has h'sred a contractor or contractars, he is advised to have the contractor(s} sign
portipns of the "contraetor Block° of this application for which they will be responsibte. }f you, as the owner sign as the
cantractar, that may be an indicafion that he is not properly licensed and is nat entitled to permitting privileges in Pasco
County.
TRANSPORTATI�N IMPACTNTILI'TIES IMPACT kND RESOURCE RECOVERY FEES: The under5igned understands
thaE Transportation lmpact�ees and Recourse Recavery Fees may app{y to#he cons#ruction of new buildings, change of r
use in existing buildings, or e�ansion of existing build�ngs, as specified in Pasco County 4rdinance number 89-07 anii
90-07, as amended. The undersigned alsa understands, that such f+ees, as may be due, wil! be ident€fied at the time a#
permi#ing. it is further understood that Transportation tmpact Fees and Resource Recovery Fees must be paid prior to
receiving a"certifiqfe o#occupancy"or final power release. tf fhe project does not involve a certificate of occupancy or
final pawer�elease, the fees must be paid priar to permit issuance. Futtttermore, if Pasca Gourrty Water/Sewer impact
fees are due,they must be paid prior to permit issuan�e in acco�tfanc�with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Staitutes,as amended}: !f va}uation of work is$2,500.00 ar more, 1
certify that 1, #he applicant, have been provided with a copy af the "Florida Construction Lien Law--Hameowner's
Protection Guida" prepared by the Florida Department af Agriculture and Consumer Affairs. If the applicant is sameone
ather than the"owner", f certify that i have abtained a copy af the abov�described documeht and promise in good f�ith to
deliver i#to the°owner"prior to commencement.
CONTRAC70R'S/OVYNER'S A�FlDAV17: 1 certify tha#all the information it�this application is accuraie and that a!!work
will be done in compliance with aA applicabte laws regulating construction, zoning and land development. Application is
hereby made to obfain a permit to do work and instaitation as indicated. 1 ce�tify that no work or installation has
cammenced prior ta issuance of a permit and fhat ali work w'rll be performed tp meet standards pf afl laws regulating i
construction, County and C�ty codes, zoning reguta�ions, �nd Eand development regutafians in fhe jurisdict+an. 1 atso
certify that 1 understand that the regulations of other govemment agencies rraay apply to the intended work, and that f#is
my responsibility to identity what actions I must take to be in co�plian�e. Such agencies i�dude but are not timited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
L'ands,WaterlWas#ewatar Treatment.
- Sauthwest Florida Vtlater Management Dist�ct Welts, Cypress 8ayheads. Wefland Areas, Aitering
Wateccaurs�s.
- Arrny Corps af Engineers-Seawalls, Dacks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. -
- US Environmertta!Protecfion Agertcy Asbes#as aba#ement. _
Federal Av'ration Authority-Runways. ' , ,
1 understand�that the following restrickions apply to the use'of fi!!.
- Use of f�U is not alldwed in Flaod Zone"V"unless expressly perrnitted. '
- tf the fill materiai is #o be used in F1opd Zone "A°; it is understovd that a drainage plan addressing a
"cpmpensa#ing volume" will be submitted at tiine of permitting which is preparec� by a professional engineer
ficensed by the State af Ftorida.
- 'If the fill materia! is ta be'used In Flooc! Zone °A" in connection with a permitted buifding using sterrz wal!
construction, I certify that fill will be used only to,fill the area within the stem wall.
- lf fill material is to be used in any area, I certify that use of such fil! will not adversely �ffect adjacent
properties. {f use af fiti is found to adverseiy affec#a+djacent properties, the owner may be cited for vioiating
the cx�nditions af the buifding permit issued undec Ehs at#ached permit-applica#'ron, far lots iess than one (1}
acre which are elevated by fill,an enganeered drainage plan is required.
!f 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 comm�ncing construction, I under.�tand that a separate permit may be required f�rr electrical work,
plumbing, signs, weils, poois, air c:ondfioning, gas, ar ather instaiiations not specificaily inciuded in the application. A
permit issueri shsli be cons#rued#o be a iicense#a praceed with#he work and na#as autho�ijr to viotate, cancet, ai#er, ar
set aside any provisions of the techmcaf cod�s, nor sha!!issuanc�of a pe�mit prevent the Building Offic�a!fram there�fter
requiring a cortectian of errors in plans,construction or violafions of ar�y codes. Every permit issued shall become lnvalid
unless the work authprized by �uGh permit is commenced within six months of permit issuance, ar if work authorized by
the permit is suspended or abandaned fq�a period af six(6)months after the fime the wark is commenced. An extension
may be requested, in writing, #rom the Bailding Officiai for a per+od not to exceed ninety (90) days and will demanstra#e
justifiable cause for the e�ension. if work ceases for nineEy(90}consecutnre days,the jab is considered abandoned.
WARNING TO OWNER: YOUR:FAlLURE TO RECORD A NOTICE OF COMMENGEMENT MAY R�SULT !N YOUR
PAYING TWICE FOR IMPROVEM�NTS T(J Y4UR PROPERTY. IF YOU INTEND TO QBTAIN FINANCING, CONSULT
WiTH YC1UR LENDER�R A„N ATTBRNEY BEFORE RECt3RDiNG YBUR NOTICE 4F COMMENC�MENT
FLC}RIDA JURAT{F.S.4 47.03}
OWNER OR AGENT CONTRACTOPt___„� '��.,�. ___ _ .,_ �
Subsaibed an�swom to{or aflirm8d)befare me th3s Subs and svvorn to{or_ ;med)'befor - �s— - -
by — ---- - - (6 rto_py. �(r�cc ��
—Who�is/are persanaliy known to me or haslhave praduced Wha�analiy known ta me or has/t�ave pr uced_ � .
as identification. as identif►cation.
Natary Public Notary Public
Gommission No. Gommission Na. �dg
�� � qnne Hillhouse
• � on FF 887381
Name af Notary iyped,pnntec!or stamped Name of Natary iyped,Printed r �xpires t�roar2o�7
f Nflli Ilifi illll Illll Illll fllfl illll IIIII Ifiif Iffll 1I11 flfl ,
2016040699
Permif Nt}rnber. �
Fo6WP2rCel 4dentif�cation Number O�S-a-�'2(-Cst�4-��a`�q-(�`�o
�,���a�. ,.� c Rcpt:1755679 Rec: 10.00 ;
S tu`,ld�-r DS: @.00 IT: 0.00 '
� 0311512016 G. F. , Dpty Clerk �
Retum fo� C�a��6c� �.v� S�s�s,�-�-� ' �
��� �vC`^�e� � � ' pRULA S 0`NEIL�Ph D PASC4 GLERK 8� COMPTROLLER
�` �`�e�'` �L �3?5 6 � 03/16/2016 11:Qi3am 1 of 1 j
NOTlCE C?f CCIMl��ENGEMENT OR BK ����i p� �,��� �' �
5tate afi Flarida, Ccw nty of��c
The undeisag�ed her�eby gives natice that improvement wil�be made to certain rea( property, and in accordar�ce
wjth Chapter 71�, Floncla S�tutes, ttte fa!lowing infarmation is provided in th�s Notice of Commenc�rnern. ,
1. Descriptian af P�P$r'h' tiega! ctescriptson of ihe pro�e rry, an� street address r`available) ;'
`�--{ A C-o-F t u�`9 U� [� 0 � R?'t N P z c�G���;(� 1�, �3 sf12.. j
�7'E-3�., ��cevt, v, a � � c �
2. Gerteral dascription Im�rne�rt
Reroof
3. 4amer 1nFamatlan or '�'� irsformaI#rion if ths Lassee c.ontracted far the im{�rovement
� fVaTii� �Ll��-�` F'L CitScrta-Yc�,_,y-��v c -- -
Address '� 7�i3� �v�t-c�4 A-�, -Z.c�J�r1-.t 5.�,��3v�`�E,�-.
f Ir�erest in Pmperty c��sv�.e� �
Name and ac#dress of#ee sJm�le titie#�older(rf differeM frvm Uwner listed above} �
I Narr�a t+F� � � �
� Address—` �
4 Contracior
� Narne R��'-� J, Mays !Gomfart Gover Systems, Inc. Tefep^are Numbar 727-�9&-Og55
Address 7�' Tumer SL C{�earwa�€er. FL 33756
5. Sut�tY(if a�Plicab�e, a c�y of khe paymerrt bond is attachedl
Narne NIA Te�ephone Number
Address Arr�ourrt af Bond �
6 Len�er
tJame 1`UA Telephone fi�Iumt�er
At4d('�ss
? P�sons within the Stat� �f Fiorida deslgnated by Qwner upon wt�om natices or othQr documents may
be served as provided by §713.i3{ij(a)7, Fiorida Stat�tes.
; Name WA Te7ephone t�vmber
AddrsSs
8. En ad�ftlast to hirrtsetf or harself, Ovrr�r deslgnates tt�e folfowing to r�ceive a copy of�f�e L4et�or's
t�ot�cs as provid�d 3n§713.13(�f)(b), F#orida Statutes.
Name 1�tIA Telephone Number
Address
9. Expirat3on date of not�cs of commerrcement (the e�iration date may not be befiore fhe aa�npietion of
c.onstruct�son and flnal payment ta the ccan ctorj but wi�! be 1 year fram the da;e of recording unless a
drffererrt date is specified} 3�j� I j7
4+11AftfUh�Q TO O4YHEFt ANY PAYLi�N'T'S ktADE BY THE t7WNER AF'i�R THE EXPfRAT10N OF T}iE N�OTiCE qF C�.fldE3�lGEMEKT
ARE COK37Q�Uy1PRUPER PAY�!'f5 llT�iI}ER CttAPTER 1t3, PART t,SECT3pN 713.13, FLORfDA STA7UTES, Al�fD CR1!
RE5tiL7 iN YWR i'AYING TV�fICB FOR i#41PRf3VH43�HTS TO YW R PRt�PERTY.A N�'Ti�E OF COl.ti�tENt�tENT#sUST SE "
RE{�RDED AND POSTED ON THE.iQB S17E B�FORE TNE F�F2S7 ti�tSPECTiaM.iF Yt7U FN'TENO TO QSTRtN Rt�lANCt�G,COt�5i1LT
4YTTN YO[1R LFNDER OR AN ATTORNEY BEFDRE Cf�,t�NCFNG WORK OR F2ECt7RL?t�NG YQUR Nt?T3CE t?f C06iJ.�NCY�dE�!'T.
Under penatty o,�fP�rju.ry, I decfare tl�at ! have reac! the foregoing Rotic� of commencement and ti�at the
facts stated!��'it are !ta the besi f my�owledge and be�i�f.
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5igftaNf@ Of C�19r Or(.2S.Sa8,rX O�`rttl.'rS Of�,�fiSE��S A11f�10t'iZed C�Cef/'Dit'�`Qf�2C�Tlec�+{aC12C}� SiS�tk3?O�y'S T-N�C1�•C2
4f
� The foragoing �r�sUvment was acknowiedged before me this�,day of� by "� ._,S��r.c:d��.
� m tfiJyea' name of aersan
�s for
o{a .g,� , ts�stee att in Ead Name oi parry an behal(of v�rn nsovrnerrf was exea.��`
.,
SigrGt��oi No�ty PuDtic-Siate ot�7crida Print �pe or stamp c�mrt�s�or�rd narne of hotary Pu�fic
Personally Known `� OR P�'OdUG� fD � �iv�� Notary�Pubii gtate�a
7ype of ID Produced / L //YI�( . � . Edward semeniuk
�! � �` My Commission EE 213208
vf c� Expires 08103t2098
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ST,4TE Q� �L�'�lC�A�����FORE Q�G�i�A
THIS IS TO CERTiFY
TRUE ANQ��RP���1C�E QRDHN TNIS O�F C�
ON�{LE Ci �G1A.L �AL 1 MIS
WITN S MY HAND , ,. 2 % �
� LAY OF p RO�.L R
[� U S.O'f�E , r:&,.
, pEPUTY GLERK
` BY______---
Florida Building Code Online r Page 1 of 2
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Business��`� ;F, "
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oruoua ueoru•:ai^te�u>'�r_'___� c�_-_�.4._`___ >-.r..�._-:.. _._>Appllotion Detail
-` '.i� �# FL2534-R8
Application Type Revision ,
Code Version 2014 •
Application Status Approved
Comments _
Archived
Product Manufacturer IB Roof Systems
Address/Phone/Email 8181 JetStar Drive
Suite 150 ��I,W,01�S�.jALL �'
Irving,TX 75063 LQf�,���,� �L
� ceoo�az6-i6ze E���AILIIVG CODES,�,p 1TH
phillip.david@ibroo�E RIDA BUILD
CITYOFZ��H�IL�CTRIC CODE�G
Authorized Signature Phillip David L�,OU�
phillip.david@ibroof.com 1W�T�CE�
Technical Representative Phillip David
Address/Phone/Email 2877 Chad Drive ���J i�'
Eugene,OR 97408 ��tl ���' ��//
(800)426-1626 Ext 227 G''�0�.��� __ _ ' r�
Phillip.David@IBRoof.com M1'RHILLS
Quality Assurance Representative ��NS ���►NER (S
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluatlon Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurence Contract Expiretion Date OS/O1/2018
Validated By John W. Knezevich,PE
� Validation Checklist-Hardcopy Received
CertificateofIndependence PL2�34 RQ ����] 2�i5 G� �Oi N;em�ren.cor
Referenced Standard and Year(oF Sta�dard) Sbndard Year
ASTM D4434 2009
FM 4470 1992
FM 4474 2004
Equivalence of Product Standards
Certified By
Sections from the Code
t,rr...1/..,.....,fl,...:a..t....:ia:..,. ,...,.i.._i.... ,.�., a�t ,.,.....o...,...,,....—...r���vn...�r�,.-�--^T--•nrvn__ �i�n i�ni c
Florida Building Code Online r Page 2 of 2
' ,�
Product Approval Method Method 1 Option D ,
Date Submitted OS/O1/2015
Date Validated OS/O1/2015
Date Pending FBC Approval OS/07/2015
' Date Approved 06/23/Z015
Summa of Products
FL# Model,Number or Name Description
2534.1 IB Single Ply Roof Systems Reinforced, polyvinyl chloride single ply roof systems �
Limits of Use Installation Instructions
Approved for use in HVH2: No FL2534 R8 ii 20_5 OS FtNA� F;1 ER !B ROO� FL25?4-
Approved for use outside HVH2:Yes �'.b.odf
Impact Resistant: N/A Verified By: Robert Nieminen PE-96166
Design Pressure:+N/A/-512.5 Created by IndependentThird Party:Yes
Other:Refer to ER Section 5 for Limits of Use.The design Evaluation Reports
pressure noted herein relates to one specific assembly. Refer FL2534 RS A� 20?5 OS !=iNAL �N 18 RGUF FL2534-
to the ER Appendix for all assembiies and max.design RB.�
pressures. Created by Independent Third Party: Yes
Back Nesi
' ,
Cpntad Us 1940 North Monroe Street.Tailahassee FL 32399 phone:850-487-1824
The Sta[e of Florida is an AA/EEO employer Coovriaht 2007-2013 State of Florida.::Privacv Statement Accessibili[v Sta[ertrent RefltrW Statement
Untler Florida Ww,email addresses are Dublic remrds.If you do not want your rmail address released in response[o a public-records reques[,Ao not send
elec[rontc ma(I[o this entity InsDead,oontac[the office by phone or by tradidonal mail.If you have any questlons,please contac[850.487.1395.•Pursuant to
Section 455.275(1),Florida Statutes,effective Odober 1,2012,licensees Iicensed under Chapter 455,F.S.must provide the Departmen[with an email add2ss if
Mey have one.The emails provided may be used for o�cial communication with[he licensee.However email addresses are public rernrd.If you do not wish to
supply a personal address,please Dravide[he Departmen[wi[h an email address whlch can be made available[o[he Dublic.To determine if you are a licensee under
, Chapter 455,F.S.,please click here
Produd Approval Actepts:
, . I�'=! � "—��`- �
' .�Yvrit�-.
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l.+F�..//.....,...11....:.7,.L..:1.7:....� ,._„/�_/__ .,__ .7�1 ...._..n.......,......—.../�T.'�7Vl1__aTl..'^'-^T'--71T,`Vn__ L/�lA/'1l17 c
Con�tract
� FL Lic. #CCC057Q91
�727)298-0955
{$40)226-0955 711 TucnerSL
Fax:n27�2sa-o1» COMFORT COVERSy5TEM5 c�e�gt��,F� a��5s
PRQUDLY ROOFING SINCE 1985
f�C�,.�C��BMIT7'E�TO%�� .t'.� � PHONE ���'(��/'�'I CONTRACT DATE a� t� f b
PROPOSAL
Seasanal Resident Full Time Resident p�.`7� {-t t (�C/'����U�
STREET _ Al.T ADDRESS � $�
CtTY,STATE,ZIP � �,� `� �, �j��-} � MHP NAME� �� {�
. � �.�e� � � ,��,�
REPRESENTATtVE: ��� ��n , '�- PPROX.J08 START A c
We herreby submit the follaw3ng specifFcatlons a�d astimates: Year: Meke: (,�-L'z"'�4�'+� Mode�:
— - ---1�-�'-!
1. INSTALL COMFORT COVER SYSTEMS PATEI�'ED ROOFING SYSTEM FOR THE
Ff3LLOWING AREA: IM iv� C`�-rn� l�L. (°��c;,.v� 1�1,�}I"�rf' 'C��-F � f'(�SGiC:r�jpor�
2. SYS7EM TO BE INSTALLED:��'
_y�WHlTE GREY BElGE
3. INC�UD,,E DOUBLE—FOIL-FAC�D INSULATION AS INDICATED:
.�_2"nom. 3/4"nom. NONE
4. INC�UDE NEW VENTS, EXCIUDING FURNACE VENT;
(ELIMINATE DEAD A!R SPACE VENTS)
5. INCLUDE ALL REQ,UIRED PERMITS.
6. CLEAN UP AND REMOVE AI.L JOB-RELATED DEBRiS FROM JQBSITE.
7. #�SKYLITES TO BE tNSTAl.LED. NQ INSiDE FINlSN tNCLUDEO.
8. PROVlDE CONTRAGTOR'S �IFETIME REStDENTtAi� LIMITED LA80R
WARRANTY AND MANtlFACTURER'S LIFETfME RESfDENTIAL LIMiTED
MEMBRANE WARRANTY TRANSFERABLE TO NEW,OWNER FOR 15
YEARS FROM DATE OF THE ORlGlNAL MEMBRANE�lNSTALLATIt?N.
SPEC/At INSTRUCTlONS & EXTRA WORK(USE ADDIT/ONAL PAPE'R!F NECESSARY)
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c'�b�' �
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NQTE.RETAlL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE Ff3LLOWlNG:
I certify that I own the land on which the struckure I am improving is permanently affixed Futhermore, I have filed
a declaration with the P pert App'aiser requesti g the ructure assessed as realty and it bears an"RP"decal
t� i:�I�G 3�a
SIGNATURE ?� � RP#(S)/a►a� 3y��..
CASH PRICE ANp PAYMENT SCHEQULE: (Reference to a phase of canstruction means atl work, rnateeials and equip-
ment necessary to complete that phase} Buyer agrees to pay Seller the Cash Price at Seller's office in accordance with the
following payment schedule.
I have the authority to order the above work and do so order as ouUined herein,
1. Price ��o���.�� it is agreed that the seller wil�retain title to any equipment or materiai fumished
2. T,BX � � � � until final&complete payment is made. An express mechanic lien is hareby
acknowledged(ar security af this debt and the total amount wi!!be paid within
3. Down Payment $ G , c� f..� terms shown.
4. 881811C@ $���f--L�`� �,(we}herewith express{y agres to pay not as a penaity but as tiquidated
damages,25°l0 of the prir�cipal amount ot tttis conVact to Gamta�t
QN CCIMPLETION OF AI.L WORK CoverSystems in the event of a breach of this agreement by I(we)for any
reason wfiatever
Terms: f�Cash O Credit(Subject to the approva!of the Credit 8ales Qepartment.}
Authorized �..�'' ��f � �
Signature �,��.�:_ ri NOTICE TO OWNER
All matarial is guaranteed to be as spscified.All work to be compleied in a workmanlike Do not sign this hame improvement contr8ct in
manner according to standard practices.Any alteration or deviation from above specifica• biank,or before you read it.You are enatied to a
tions involving ex#ra costs wiil be executed aniy upon written arders and wiN become an copy of this cpntract at the�me you sign.Keep it
extr�charge over and above the estimate.Al!agreaments contingent upan strikes, to protect your legal rights.Buyer's nght to cancel
accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary
on revarse side
insurance.Our woricers ere tuity covered by Workers Compansation insurance.
ACceptanCe at Contract—7he above prices,specifi- "�- � _.�( `� �
cations and conditions are satisfactory and are t�ereby Signature � ,
accepted.You are authorized to do the work as specified. Signature � �'�^'7�-2�-
Payment will be made as outline above.
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: �OM�Of�T COV�=� ��[STI-M S
Date Received: 3 � � 6 � 16
Site: 3 7 y 3 6 S�?2��1 � i�! �Ve,
Permit Type: �E.�OOt= � V 3l3C.�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comme sheet sha be ept with the permit and/or plans.
����
Kalvin witzer— s Examiner Date Contractor and/or Homeowner '
(Required when comments are present)