HomeMy WebLinkAbout17-18332 CITY OF ZEPHYRHILLS
5335-8TH STREET
� --, _ (813)780-0020 332
BUILDIiVG PERN9IT
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PERMIT INFORMATION � � LOCATION INFORMATION
Permit Number: 18332 Address: 5338 23RD 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: Su6division: ZEPHYR HEIGHTS
Est. Value: , Parcel Number: 12-26-21-0040-00500-0110
Improv. Cost: 4,590.00 OWNER INFORMATION
Date Issued: 4/06/2017 Name: GENDRON, BRYAN C
Total Fees: 60.00 Address: 1412 BEACONSFIELD DR
Amount Paid: 60.00 WESLEY CHAPEL, FL. 33543
Date Paid: 4/06/2017 Phone: 813-713-1927
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
BROTHERS ROOFING INC REROOF RESIDENTIAL 60.00
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I ections Re uired
DRY IN R OF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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 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 commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
' NO OCCUPANCY BEFORE C.O.
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CONTRACTO SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' PROTECT CARD FROM WEATHER
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PIEpa e b}/ail(�[EfUl�l fA' .
I?CatSC Sl'dWri
A�df�T1�GFS T1T�.E SERViC�S�IATG •
4A Lake Morton Drive
Lakeland,F1orlda 33801
File Nnrnber. 16-0400 Z3RD STREET
(sPece Ahavt This Lfna Por Rcwrd"mgData?
Warranty Deed �
ThiB W�lrrarity DeBd mada this Aprf[3,2017 betwcen LOFVG &ASSQCYAT� OF TANII'A, LLC, a Ftorida Liraifed
Lfability Company,whose posi office address is Sunset Point Professiona.T Center,280 Crystai Grove Blvd.,L,utz,Florida 33548,
�grantor, and BRYAAJ G GL�I�IDR�N,an unmsrried man whose post offica address is 1412 BeaconsSeld Dr.,-Wesley Chapel, .
FTarida 33543,gra�tee:
(VVhenever used herein ihe tcmu°gre�tor"sad"gr�tee"inchide al!tbe parl�es to this insuument aad the heirs,iegal iepresa�tatives,and�sisns of individ�is,and I
t4c succe�s cad assigns o€oorporatio�.tn�ts and wstxs) ',
Wit�testseth,that said grantor.for aud itt consitleration of the s�ma of TEN AND NO/lOm DQLLARS(�i 0.00)and other good and
valusble cansider�ations to said �rantor in hand paid by s�id grantee, the receipt whereof is hereby acIQ►owledged, has giaated,
bargained,mid sold to the said granntee,and�a's l�s,succ$ssors and assigns fnrever,the foIIawing descnbed land,sit�ate,lying
aad being in Pasco Coaptp,lRlorida to-wi� •
Lot 11,BZactc 5 of ZEPAYIt IiLIGHTS 15T ADDITION,according to the Ptat thereof as recorded 'm Plat
Book S,Page 21,of the Public Records oPPasco County,Ftorida.
Parcel Identiiicatioa Nnmber:i�26-21-004Q-OO�QO-OYI�
mor�e comnaonly knmtm as:5338 23rd Sheei,Zephyrhifls,Florida 33542-4648
SUBJECT 7'O easements and restrfdions of record,if any,and taxes for t6e year 21ii7 aad subseqaent years
Together witb all the rights,easements,tenements�heredrtaraents and appurte�nces there�meo beloaging or in anywise appert�ining
and al!ir�rovements,s��es and repIacements,al!of which�all be dacmed to be a gazt ofthe property.
TU$ave and to$old,tha sazae in fee simple forever.
i AIId the grantor hereby cflvenants with said grantee that the graMor is laww�lly seized of said land in fes simple;that the grantar has
good right and lawful audxority to sell mnd convey said land;that the�rantor hereby fuliy warrants the title to said land and v�n71 defend
' the same against the]awful claims of all persons whomsoever;and that said Iand is free of all enaumbrances,except a5 stated herein.
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�n'W�ltness'4Vhereo�granfor has hareimto set granonr's hand and seai the day and year first above written.
Signed,sealed�n delivered in ovrpresence: LONG&ASSOCIATE OF TAMPA,LLC
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Wiiness Sign: By:
Pcim WitnessN�me: IIFNISE BR�W�t R�$ERT$.LONG,III �
Manager
wifias Sign_ A � `1-"�-�- .���_
Pr;nt Wttn�ssName: ►cln�ie �_ �-4�i��--
Srate of Florida
Caunty of�i 11 s�no�o c�a In
The for�going instr�ment was aclmowledged before me this April 3,2017 by ROBERT�. LONG,III, as Manager of
LONG &ASSOCIATE OF TAN�A, LLC, a Flor�da Limited Liability Company, on behalf of the company. He/she is
personally known or bas produced a drn►eYs license as identification.
�_��bullc. �-�a�,
(Notary Seal) Notary Pub7ic
���a u,�,�,�� MICHEL£f.�tAtITiNQ J�� — 1
� �� Notaty Publlc-St�te atFtarf�a-" � p.�d.��g• / '�{�+,�p�� -� czrT'�Yl�Z.
_ .•= Cammlas�Om�►�FF t8f504- '
, My Comm.Explres Dac 7.201 B
�"�9„��` 8anded throu9h t�ional Natary Assn. My Commission Fxpir�s: l a�- �7 0��l�
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PermitNo. ParceIlDNo ���Z��ZI' Oo7O�Ov�OO�V�IO �—
O_
NOTICE OF COMMENCEMENT � o�
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State af /`�/Q r[O� Counry of /H.�,!/ �_
W�
THE UNDERSIGNED hereby gives norice that improvement will be made ta ceRain real praperty,end in aocordance with Chapter 713,Fbrida Stetutes, �
the following infwmation Is prorided in this Notice of Commen t: r /� �
1. Desrliption of Property: Parcel Idenlifiration No.� �9��'� Q�O Q�J QQ"(/��� v
� °� S��A�:�� o�tl �T. zpo�,v�Ji;J.t FI �J,7 r'yZ =
2. General Description of Improvement I�C'Qr0 0�i�n 4 —
3. Owner Information or Lessee infamation ff the Lessee co�tr-aded frn the improvemenL•�V�h � �1
r7 " 1 �� =
,/'J� "'B � i � —
Address /,� C State
Interest in Property: /VD� ..
Name ot Fee Simple Ti1lehWder.
(If drfterent from Owner 1'uted abova)
• pddress � City State ���
• a. co�t�aor: Q����'�,Q/.f �0 9 �n Q ,�n G o �"
1�d o�B�9oo��, An�,da Ft �m..
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[� state N��
Address �/��6� �/� �Y 8�N
Contradors Telephorre No.: �
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5. Surety: //��� 3 ►J
Name •
qd�¢u City State � �,,,~,��
AmouM o(Bond: $ Telephone Mo.: ' n
6. Lender. � �� �
Na ���
qddress City State
Lenders Telephone No. '� �
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7 Persons within Ihe Sta[e of Florida designated by the owner upon wtmm notices or other documeMs may be scrved as prwided by �
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Secfion 77 3(1(a)p).Florida Statutes:
Name � .
Address City State
Telephone N�anber of Designated Person:
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8. In eddilion to himsetf,the owner designates
of ��
p�r
In receive a copy af Ihe Lienors NoUce as provided in Section 7�3.13(1 J(b),Fbrida S1aWtes. �p p
Telepl�orte Number of Person or Entity Designated by Owner. �p N o
9. E�iration date oi Nntice of Commencement(the exp'vation date may rml be before Ihe wmpletio�of corsWGion and fmal payrnenl to Ihe �B m
contraGor,but will be one year hom 11re date o1 recording unless a dKferent date is specified): �^�r
WARIJING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT f�
� ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART t, SECTION 713.13, FLORIDA STATUTES. AND CAN V`p�p S
I RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE N•• o
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT A
WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEMCEMENT_ �A b
4� u,
Under penalty ol perjury,I dedare that I have read the foregdng notl mmencemant and lhat the facts stated lherein are true to the best 3 o I,
ot my knovAeage and belief. � �
G'►r�
STA7E OF FLORIDA m '
I COUNTY OF PASCO �
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� na er or Lessee,or Oumers or Lxssee's Authar¢ed �Q,
icer irecrodPartnerlManager
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i Signatorys TitleJOffice �\ � �
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� The foregoing instrumerrt was acknovAedged before me this day of �n\•20�by U(�J AYi �
� �.)��.� � ((Ype o uthf a�nty,e.g..offieer.trustee.attomey in fad)for �
(nam F� rty on behaH�m ifulrum nt s exewted).�
Personally Known❑OR P�oduced Identification�y Notary Signalure T �
iType of Identfication Produced rrl.DL'� Cn r'J3Io- Nama(Print) J �f fl �. \ On
I c�lu3-72- bq3-p I
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, af� Notary Public State of Florida
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, Sherti Lynn Thompson
i �j, � My Commission FF 122599
j wpdatalbcs/noticecommencement�cU53048 ?qµ� Expires06l11/2018
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STATE QF FLQRIDA,COUNTV OF 4�ASC0 �e�+J�����
THIS IS TG CERTIFY THAT 1'HE FOREGOING IS A �� , ��
TRUE AND CGRRECT COPY QF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE �` • �G
WI S MY HAND A OFFICIAL SEAL THIS �} � �n����,,e ' =`
k
, DAY OF 2 �"" T''*�r
P LA . O'NEIL C � COMPTROLL R s� �, �°�'' � �
�'► z8,g, �" *
BY DEPUTY CLERK J`� ' � r �
�°��o�IDa �
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s��-�saoa2a City of Zephyrhills Permit Application Fax-813-78p-0021
• Building Department
Date Rec�ived � Phone Contaat for Perrnitting -�
Owner's Name �� /� Owner Phone Number , ��.�� 7/ ��
Owner's Address v �.�� ��/'� Owner Phone Number � �
Fee Simpie Titleholder Name �� � OwneF Phane Number �- _ �,
Fee Stmple Titleholder Address
JOB ADDRESS � �� S� i I !"'j t LOT# ��
su�oivisiort I � Pa�zc��.�o# Z- �i- - t� ' d S"fJ0- 1
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED e .. NEW COt35TR 8 ADDIA�T � S1GN Q Q DEMC}LISH
INSTALL REPAIR
RROP,.QSED USE Q SFR Q COIUtiV! Q _ OTHEFt '
TYPE':OF CQNSTRUCTION Q BLOCK • Q FRAME 0, STEEL [�
�s j Q �/
DESCRIPTION OF WORK � + (ll r' ,� P( 1 ►1 l��ip U?� {%�r `����I I
BUILDING SiZE � � SQ FOOTAGE I U ' HEtGHT •��_--___�
0����`���� � �D VALUATIOTV�LIF TOTAL CONSTRIJCTiON
� ���
..�,�ELECTRIGAL �� AMP SERVtCE � PROGRE5S ENEf2GY Q W.R.E.C.
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QPLtlMBiNG � �
QMECHANtCAL �s � VALUATION OF MEGHA[+!lGAL INSTALLAi'ION
{�,GAS Q RQOFIfUG �ECIALTY [_'� QTHER
FINISMED FLOOR EI.EVATIQNS ��� FLOOD ZONE AREA DYES NO
-.BUtLDER CONlPANY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address -License# � �
� �"ELEGTRF,GFAF! COMPANY
_'SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N.
Y Address - License# � # �
" F�;�±"«
�cut�eER.,, � co�r�aMr
SIGNATURE REGISTERED Y•/�N� FEE CURRE� Y/N
Address � License# �� � '
.'.MECEii4EtIGA1: { .COMPANIt
`'" SIGNATURE"' ' RECaIS7ERED , Y/ N_ FEE CURRE�� , Y/N '
aaa�ass4-. � � v � �i��nse.# � �
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'�°{SIGNATURE:���:>; .� � REGISTERED N �e cur�en' ,/N _
�aaaresg r�, �' .Z`;. S v�.��i E/"n- •'f i,/ �1 .� ..� • License# ��.T.����� � �
.`{',�,: ,:. . _ ,. .: _ . ,
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���,��REStD�NT1AL�;�,::'Attach`{2}"Ptof�P.lans;.'(2}b's`efs�af�Building�Ptans;{1}°se#of Ene�gy`Forins;R-0-W Perm�t for ne_,w.consfruction,
� �� �'x<:��.--•Minimum;,tenc(;10),working'';,days aftee sutimittal�date.'�Required'onsite;Constr`'uction Plans;Stormwater Plans w/Silt Fence installed,
- ;�.�':��r,, � �._:> , �. . , = . � �
' SanitarytF;acilEties°r&�u'l,:dumpster;.Site;Work Permltfor.;§ubdivisionsllarge`p'rojects ' � -
;"�GOMMEREtAl, Attach�(2}`coriiplete"sets of'Building P(ans�plus a L'ife Safety Page;{9}se#of Energy Forms.R-O-W Permit for new constructian.
�-:� : Mlnimum terr(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence ins#alled,
Sanitary Facifitles&1 dumpster,Site,Work Permit faF�afl>neinr projects.Ai1 commerciai requirements.must rr�eet eomg[lancs
�'r:''.SIGN:PERMIT "Atfach(2)sets;o€,Engineered;Plans:��� :- � •
��_��' "'""PROPERTI!SURVEY reguired for,.aII,NEW canstrucGon.. _
��Dice,ctlons: ` +• ., . .= .. �
Fill out applicatian completely.
. , Owner-'&Gontractor sign`back of appticallon,natarized �
��.`� �If over'$2500;a Notice.af'Commencement is required. (A!G upgrades over$7500)
�,:.,. ;.�.,.�.,.�....:..
<<., _. .Agent_(fo'r'ttie�confra�tor)°or°Pouuer•of:Atiomey.(for tt►e.awner)would be someane with notarized letter from owner authorizing same i
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'`�`OVER�.THE�GOUNTER�PERMITTINCy� (copy,of-cohtr'act:required)�" ; `� " �
'�"3Reroafs if shingles Sewers Seroice Upgrades A/C Fences'(PIot/Survey/Footage)
Drlveways-Not over Counter.ff on public;roadvirays..needs ROW`;_
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NOTICE�OF DEED RESTRICTIONS: The undersigned understands that,this;permit may be.subject.;;to"deed°res'trict'ions":;}'� �y
".i..:y �ti!� Y�.�. :Lt f 1:'�*ir i
which:may..be.nioce::r.estrictive;than9County'.regulatians.-��T°lie=und'ersignedrassumes respon'sibilityfio�'comptiancevinfh any'�� ;:�
applicabfe deed.restrictions. , ,: :. � ,._ f ._,:; ':````-""`' „�""�;``�T;
UNl.lCENSED GON7RAGTQRS QND GONTRACTQR RESP4NSIBILlTIES: 7f�tt�e�=av+rrier=has�=ta"ired��a��contractar or ;:.
contractars�to undertake work;they may};be reguired�to be�licenssd in accordance with.state.�arid�local-r,egulations.��:;lf".the����.:=•`i,, �
w.�-=
contractor is not..licensed as:required by"law, botti~the o"v►rner-and'eonfractor=rnay»6e��cited`=for a-mis'demeanoc violation �:°}
under state law. If the owner�or intended,..co.ntractoc are uncertain as to what licensing requirem.ents:�rnayr�apply<:f.oc>atii:e;i:��:�-°�::;.,
_ .,..,�,3:.:��,t:.� �;�:..,.. :
intended work,#hey are=advised to con#act fhe'Pasco County Building:tnspection Diyision-Licensing:Section-at'727-84,7= --.
8009. Furthermore; if the arivner has tiire�i`a�caiittactor or contractars, he�is aclvisecl ta�{have the:,contcactor(s};;sign-�Fr;.�:;
,���� -,.:,-..xi.:�l.e.:.:.; �z. <a,r,v_.
portions of the °contractor Block"of this application„for.which_they-wil! be respons(bte:-=�If:you, as�`the�owriers�gn:as�.the. '-�=:�;
co�tractor., that_may be an indicatlon-that he is-not praperly licensed�aiitl is nof entitled�to�-permi#ting privileges;�n,,;Faseo;, ,,;y�,
County. � ' • .. , �: �� :w::: ;,�.
TRANSPORTATIDN�IMPACTNTtLiTtES�INlPACT AND RESOURCE RECOVERY FEES: The"untlersigned understands ., :�;2;
,�, .�
that Transportation tmpact Fees and Recourse Recovery Fees�may<appiy to#he construction,of new:b,uiidings,:ctianget�ofr=°�`�.�:���
use in existing builiiirigs,�or;expansioct=:of,:existing builclings, as specified in Pasco Coun#y Grdinance nurribe�89-07.and°, ""_��
90-07, as amended. The�undersigned also understancls;.that such rfees,:as':rnay�-b,e.due, wi!!'�be�ide�ttified at��the>tirrie�of����}";k; '
permitting. -1t is furtherunderstood that Transportat[on Impact_Fees°-and Resource�Recouerjr'. Fees must be paid prior..tb 4;�
receiving a "certificate of occupancy"-or final,power release. If the:praject does not,involve a certificate of occupancy_�:or.�.����� #
final power release,_�the fees:must be,paid prio�to permif issuance. ,�urtliermore,.if Pasco�County WatectS.ewe[,;Impact,..-.,��> ,�;
fees are due,tFrey must be.paid prior�to-permit'issuanee:in=accordance�with�applicable Pasco County ordinances.
C�NSTRUCTlQN-CIEN=LAW.{Chapter 713, Florida Statiates�as art�endedj:. If valuation af work is$2,500:OO,,ar.more;�;i�f.A�� s
certify that 'I, th� applicant,. fiave been.-provided witfi a capy of-the "Fbrida Construction :E�ien.,�aw=Nomeowner's .
Protection Guid'e° prepared'ay ttie Florida Department of Agriculture and Consumer.Affairs. If the apPlican# is,.s.omeone:,..,.
other than the"'owner�,;I.eertify..that I.have obtained a copy of the abov'e''describetl`document-and promise�in goo,d'faith�ta�`�,,.
deliver it,to the:"owner;''.:prior;to=commencement: ' �
CONTRACTOR'S%OWNER'S AFFIDAVIT:,- i:certify that alF the information in this application is accurate and�that ali work
wif( be done �n compliance with aif applicable (aws regulating construction, zoning and land�-deveiopment. Appiicafion,.is
hereby made to obtain„a„Permit,to:-.do,.,wark-and insta(lation_as�indicated. t certi#y #hat na work or ir�stallation�Fias
cammenced prioc to issuarice of a p.ermit and-�that all work will be pertormed ta.mee#,standards of all laws regulating �
construction, County and Gity codes, zoning regulations, and land development�regulations�iri.the jurisdiction. �!;also
certify that I understand that the regulations of other government agencies may apply to the intended wark, and that it is
my responsibility#o identify what actions 1 mus#take to be in compliance. 5uch agencies include but are not limited:to:
- ,Department af Environmenta(::Rratection-Cypress Baytieads, Wettand Areas and Environmentally Sensitive �
Lands,Wa#er/Wastewater Tt�eatmen#. -
- Sauthwest Flr�rida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering �{
Watercourses. ��
- Army Corps of Engineers-Seawalls, Qocks, Navigable Waterways. ',
- Departmenf of Health 8� Rehabilitative Services/Environmental .Health. ,Unit Wells, Wastewater_Tceatment,
Sep#�c.Tanks. `
- US Environmen#al Protectian Agency-Asbestas abatement ���.� �
- Federa!-Aviation Authority-Runways.
I understand that•.the following�restrictions apply to the use af�11:
- Use of fill is not allowed in Flo,od Zane"V" unless expressly permitted.
- If #he fiii matenal: is to be used in Flood Zane "A", i# is understaod that a drainage plan addressing a
"campensating volume"wil! be submifted at time of permitting which is prepared by a professionai engineer �' ,
licensed by the State of Florida.
- If the fiA material is to be used in Flood Zone "A" in cannection with a permitted building using stem urall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is ta :be used in any area, I certify that use of such�frll will not adversely affect adjacent
properEies. 1f use of fili is found to adversely affect_adjacent properties, the owner may be cited for violating
tfie eonditions of:the building permit issued under the aftached pecmit.application, for lots less than one (1) ' �
acre which a�e elevated by fll,an engineered drainage plan is reqiaited. • �
!f I am the AGENT FOR THE QWNER; I:promise in gaod#aith to inform the awner of#he permitting conditions set forth in
this affida�it.priar to commencing consfruction. I understand that a separate pecmit may be required for elect�ica! work,. '
plumbing, signs, wells, pools, air condi#ioning,.gas,.or other �installations not specificalty included in the application. A. ,
petmit issued shall'be construed to�be a license�to proceed with the work and not a� authority-to violate, cancel, alter, or
set aside any provisions of tlie fechnicai coc3es, nar shaq issuance of a permit prevent the Building Officia(from thereafter
requir�ng a correction o#errors.in plans; construction ar violatRons af-any_codes. Every permit issued shatl become invatfd
unless the work authorized by such perrnit is commenced within six months of permit issuactce, or if work au#horizet3 byt �
the permit is suspended or abandaned for a-period:.of six(6) months�after the time the work is commenced. An extension• �
may be requested, in writing, from ttie Buildirig Official for a period�not to exceed ninety (90) days and will demonstrate
justifiabie cause for the extensian. If work ceases for ninety(90)consecufive days,the job is consiclered abandoned:
WARNING�TO��OWNER: YOUR FAILURE TO RECORD:A.NOTtCE�OF CCtMMENCEMENT MAY RESUl:T IN YOUR
PAYING TWICE`EOR lMPROYEMENTS,:TO YI�UR.PROPERT'X:..IF YDUrINTEND�T��OBTAIN�FINANGiNG, CONSUIT ;
WITH YOUR`LENDER OR�AN ATTORNEY BEFORE RECORDING YOUR NOTICE:OF-�C° MMENCEMENT•---- - - �- �"
_, FLC?RtDA JtlRAT(F.S.117.03)-____ - - , .
QWNER OR AGENT C.ONTRACTOR �
Subscribed and swom to(or affirmed)before me this Su scribed and swam to(or affiRned)befor e thls -
by L
Wha ls/are persanally known to me ar has/have produced � � o is/ar �rs na nown to me ar haslhave produced
as identiflca6on. ,� �� as idenUfiraUan.
. h
Natary Public Notary Pubtic
Commissiori No. ' Com ssion ,•;'::a�%a�. JAC UEUNE B S
:�= Commission#FF 15042?
:�a• �o: Ex ires December 12 20�d �
Name of Notary typed,pcir►fed or stamped Name of Not "�}��rinle��t3Nsterir#�d��'�nce d00•3A5•7D19 �
PROPOSAL
I�� �RO`1'1-IERS .RO��INC, IIVC. �tatecern�,ed
SPECIALIZINQ lN REROOFI!!!G 8 F�EP�4/RS ' CCC 1326919
P.O. Box 290032 •Tampa, �lorida 33687
(813) 985-6592
Owner's Name : ��1 il�r� Gen��O� .._..Ryw.__.��e,s'f�v►o��.r ,Date: ��y a���
Oavner's Address: Salesperson: W`'���M �2C��
Job Addr�ss: �JJ� lL�� zP.O�Ur 1�G�V� F'� �J�ye2 Horr'�e Phone;
Work Phone: ���/��
We propose to furnish iabor and materials to:
��ove_.��roof down to the decking or smooth workable surface.
�rl ect she 'ng, F scia board,Soffit,and kick strip and replace at an additional cost�or material and-le�er.
with# � ►✓ elt and fasten such felt with simplex naiis or tin tabs. Dry in for shingie.
Install yr.fiberglass class A fungus resistant shi�gles. Brand: G.4/� Color:��}��Q--� II
❑ Reshingle over�existing roof. ur. Brand: . Color: i
❑ I all off.ridge�Vents Size Color Number '�
Install ( �� painted stee! eave drip. �fJ ft. I,
❑ install galvanized valley metal ft. �
❑ �all�and seal galvanlzed fiashing where necessary and seal any remaining flashing.
p� e le�d Boots. Quantity:�_Size: /.,T Z.Z
I all�_ridge vent. ,�0 . ft.
Custom 6 nail sh'ingle installation. .
❑ Dry in for flat roof# asphalt base sheet.
❑ Instai! 1 ply mop on system modified. Color
❑ lnstall 1 ply Polyglas Elastoflex SA V Base
❑ Install 1 ply Polygtlas PalyfleX SAP. Color
❑ lnstail _ply Built up flat deck system. ...
�❑ tall skylight(s). Size: ❑ Singie Dome � Double Dome ❑ Tinted ❑ Clear
�n up and haul away�II roofing debris. � �
mit and dump fee included in price.
Driveway condition: Not responsibie for backing on driveways or in yard. Gustomer wili have to give right to get close
to home.
Additionai:!��/D-����� �������� '
/ �
The manuiacturer will give a�J vear warranty on materfals.Brolhers Rooting, Inc.wfll stand behind workmanship.for f years from
date af completion.�We propose hereby to furnish material and iabor-complete in accordance with above specifica iAn�'f��he sum of
, dollars($ i1 y )
Total Price$ y�9�o, .To be paid as follows:Deposit of$�.Balance due upon compi�tion$ � �-� .
An y Final Bi11 not paid u pon com pletion of job wiN be sub ject to 18%(elghteen)percent APR on unpaid balance compounded daily.All material is
guaranteed fo�be as specified.AIt work to be completed In a workmanlike manner according to standard�practices.Any alteration or deviation from
above specif(cations Involving costs wiil be executed only upon w►ritten orders�and will 6ecome an extra charge over and above the proposal.All
ag�eements are contingent upon strikes,accldents or delays beyond our contract.Owner to carry fire,tornado and other necessary insurances.Our
wrorkers are fuliy covered by Workmen's Compensation and IIabIHry insurance.
Brothers Roofing wfll not be responsible for naiis penetrating tlifough sheeting and hitting water pipes,air units pipes, electric wires or anything elsE
Brothers RoafinQ will.not.be resoonsihle for sawina.out wood_and hittina elect�ic lines,water pipes,air un(t I(nes or anvttiing eise.
Brvthers Roofing will not be responsible for ceilings cracking orfalling during roof job. � -
-'� Thls proposal subjacfto acceptance within days and I§void thereafter at�fie op4ion of the underslgned.�'aymen or this contrac ill be due
upon compfetlon. - .
Authorized Signature
During the course of the roofing work,the customer agrees to hold harmless Brothars Roo9ing, Inc.for any costs or damages resu{ting from any
asbestos materials in the roof system includfng but not Ilmfted to ail costs of IlNgation and attorney's fees.
Customer agrees to provide adequate roof access for trucks,equipment,and personnel.Customer also agrees to furnish electricfry if needetl to
complete the job.
Attorney's Fees and Cost: in connectlon with any litigatfon arising our af this contract,the p ling party shall be entitled to recover ail�costs,
including reasonabie attorney and ifen fees.
Date oi Acceptance: v ���� r �� Signature: —