HomeMy WebLinkAbout17-18586 CITY OF ZEPHYRHILLS
' , _,, 5335-8TH STREET
y � (813)780-0020 18586
BUILDING PERMIT
�PERMIT INFORMATION -�- - - - LOCATION INFORMATION �- - -
Permit Number: 18586 Address: 5114 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: 11-26-21-0010-18500-0210
II Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 6/19/2017 Name: KEBA PROPERTY MANAGEMENT LLC
Total Fees: 70.00 Address: 8447 DUNH�IM STATION DR
Amount Paid: 70.00 TAMPA FL 33647 -3339
Date Paid: 6/19/2017 Phone: 813-967-3808
Work Desc: REROOF SHINGLES (1 OF 3)-CORRECTION DONE-SEE BP#19078,19077
CONTRACTOR S APPLICATION FEES
MCGINNIS BUILDERS INC REROOF RESIDENTIAL 70.00
' 1
Ins ections Re uired
DRYI RO FINSP
TAPE JOINT ROOF SP
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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� . ,
CON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
; :' . (813)78o-oozo 19077
� BUILDING PERMIT
PERMIT INFORMATION � � F RMATION
Permit Number: 19077 Address: 5116 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: 11-26-21-0010-18500-0210
Improv. Cost: OWNER INFORMATION
Date Issued: 11/27/2017 Name: KEBA PROPERTY MANAGEMENT LLC
Total Fees: Address: 8447 DUNHAM STATION DR
Amount Paid: TAMPA, FL 33647-3339
Date Paid: Phone: 813-967-3808
Work Desc: REROOF SHINGLE ( 2 OF 3) SEE BP#18586 PULLED 6/19/2017
CONTRACTOR S APPLICATION FEES
MCGINNIS BUILDERS INC REROOF RESIDENTIAL 0.00
Ins ections Re uired
DRY IN ROOF IN P
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 I
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.
CO RACTOR SI URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREET
+� �" (813)780-0020 19078
BUILDING PERMIT
' PERMIT INFORMATION �- LOCATION INFORMATION
Permit Number: 19078 Address: 5118 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: 11-26-21-0010-18500-0210
Improv. Cost: OWNER INFORMATION
•Date Issued: 11/27/2017 Name: KEBA PROPERTY MANAGEMENT,LLC
Total Fees: Address: 8447 DUNHAM STATION DR
Amount Paid: TAMPA FL 33647-3339
Date Paid: Phone: 813-967-3808
Work Desc: REROOF SHINGLE ( 3 OF 3) SEE BP#18586- PULLED 6/19/17
CONTRACTOR S APPLICATION FEES
MCGINNIS BUILDERS INC REROOF RESIDENTIAL 0.00
Ins ections Re uired
DRY IN ROOF IN P
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 properly 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 perFormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
� .
CON CTOR SIGNATURE PERMIT OFFI R �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
,, , CITY OF ZEPHYRHILLS
' • 5335-8TH STREET
�� . � � (813)780-0020 18586
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18586 Address: 5124 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:
Improv. Cost: 6,500.00 OWNER INFORMATION
Date Issued: 6/19/2017 . Name: KEBA PROPERTY MANAGEMENT LLC
Total Fees: 70.00 Address: 8447 DUNHAM STATION DR
Amount Paid: 70.00 TAMPA FL 33647-3339
Date Paid: 6/19/2017 Phone:
Work Desc: REROOF SHINGLES
CONTRACTOR S APPLICATION FEES
MCGINNIS BUILDERS INC REROOF RESIDENTIAL 70.00
i
� Ins ections Re uired
DR N ROOF INSP
TAPE JOINTS RO F INS
FI NAL �
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 properly 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
.-�
�
�
CO CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
', 81�78�0� City of Zephyrhills Permit Application Fau�13-780-0021
' Building Department
• �Dete Received phone Contact tor Permittin �� J�� —���
Owner's Name Owner Phorre Number � � ( �� �(.)•
Owner's Address "U-1�'�� '/� Owner Phone Number
Fee Slmple liUeholder Name � 1't Owner Phone Number
Fee Simple Titleholder Address 't�
JOB ADDflESS �j�`'1 �"l�. 5��y S�I V $I� G�S LOT� �
SUBDIVISION PARCELID9 I'��":r�('l.ti✓1(„�" {� �'` �/C.��
(OBTAINED FROM PHOPEHTY TA%NOTICq
WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH �
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
7YPE OF CONS7RUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIP710NOFWORK R���F •��� �� � S`r� 4� ^
BUILDINGSRE SQFOOTAGE �yVv HEIGHT jIJ`Ify '� ��.Z�
�
QBUILDING $ ` VALUATION OF TOTAL CONSTRUCTION
���rJ.
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ (�) � �, I
/tl�1Jl/ ^O"
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � J � I
QGAS � ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER • � ' COMPQNY �U� ' Gi�
SIGNATURE LL REGISTERED N FEE W RRQJ Y(
Address License# � 'L�
�'�°
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE W RftFN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE W RREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE W RRFN Y/N
Address License#
1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 t
RESIDENIIAL Attach(2)Piot Plans;(2)seLs of Building Plans;(1)set of Energy Forms;R-0-W PertnR for new cronstruction,
Minimum ten(10)worldng days after submittal date. Required onsite,Construction Pians,Stormvirdter Plans w/Silt Fence inshalled,
Sanitary Facilitles 8.1 dumpster,Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a LiFe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)worldng days after submittal date. Required onsde,Construction Pians,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projecLs.All commeroial requiremenis must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directlons:•
FII out application completely.
Owner 8 ContracWr sign back of application,notarized
If over$2500,a Notice of Commencement is requlred. (A/C upgrade9 over$7500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same
OVER THE COUN7ER PERMITf1NG (copy of contract requirecn
Reroofs if shingles Seu�ars Service Upgrades A!C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
• NOTICE 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 corrtact 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 indicafion that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
, TRANSPORTA7'ION IMPACTNTILITIES 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 Ordirrance 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 WatedSewer 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 amendedj: If valuation of work is$2,500.00 or more,I
certify that 1, 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"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that ali 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 pertormed 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 govemment agencies may apply to the irrtended 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,WatedWastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmentai Health Unit Wells, Wastewater Treatment,
Septic Tanks.
- U5 Environmental Protection P�qency-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 connectiori 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 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 drairnage 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
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the worlc 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 woric 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 days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT INANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF MM NCEMENT.
FLORIDA JURAT(F.S.117.03) r
OWNER OR AGENT CONTRACTOR
Sub rih d and svwrn to r affirmed),�fore me this Subsc be and swom to(or ume�)before me this
/7 by �iVSq /4.�.'+. ��by ��vro7�+a �Cri:Nd:S
Who islare personally known to e or has/have produced Who isfare personally k �wn to me or as/have produced
``����1111/����Dt ��p-//j-'7y-`�`2-O asidentifiption. F� L 2� 0 - L` 07-0 asidentification. `����t���Ee����i�
``�o�rv1D�L�Fe �i��� ���_ ' �� �-z� .���Q'�\pTARI-�c'�'G'���.
`� Q�.••NprqRy� Notary Public Natary PubLA Q�:� '�� i
= '' ' �G s�i y GG-��r�� = � s -
: .
+ : �COm Commi's�ion No. Commission No. � •
. _/ n �7 _ . My Comm.ExP res ; !
� �Decem m��ires ; = �Gt W G� �/JP�� �Gi���Gl �Dl�!'Gr y .: 'December 29�202�t� =
� N�� No,GG 9''��1E�ne ofsfoTary typed,printed or stamped Name of Notary typed,printed or stamped � i No.GCi 589�4::�, =
� ,`'� �p :� 2 ���j•'•. P�B1-�G•�� �Q��
-,,9�.••..VBL1G..•-o�,. %,qr••• .....••o��`.
���i�OF�FI.�P��`� ������►�i�������``
��h��i�������
' , � R�int Form
. ' � PR4DUCT APPRUVAL SFECIFTCATION SHEET
Location: Sl�.�! �.c�T�-.4����-..� Proj ect Narne: �;!�,�- � � -���
As requirec� by Florida Statnte 553.842 and Florida Administrati�ve Cade 9B-72, please provide the information and tize
product approval number(s) on tlie building components listed belaw if#hey will be ntilized on the construction project for
whzch yau are applying for a building permit on or after Aprit l, 2004. We recommend you cantact yaur local produat
snpplier should you not know the product appraval number for any of the applicable listed products. Mare infonmation about
sfiatewide roduct a roval can be obtaizzed at www.floridabuildin .or .
Cate or /Subcate o Manufacturer Prodact Desc iton A roval Number s
A. EXTERIOR DQORS
1. Swin in
2. Slidin
3. Sectional
4. Rall U
5. Automatic
6. Other
B. WINDOWS
1. Sin le Hun
2. Horizontal S2ider
3. Casement
4. Double Hun
5. Fixed
6. Awnin
7. Pass-throu h
8. Pro'ected
9. Mullian
10.Wind Breaker
11.Dual Actian
12. Qther
C. PANEL WALL
l. Sidin
Z. Soffits
3. EIFS
4. Storefronts
5. Curtain Wa11s
6. Wall Lauver
7. Glass Block
8. Membrant�
9, Greenhouse
10. 4ther
D. ROOFING PRODUCTS
I. As halt Shan les t�,t�it�t� S ���t.�. �{. �'� "�,'- -F-f�
2. Underla ents Gi.. � �
3. Roof�tn Fasteners
4. Non-structural Metal Roof
S. Built-n Roofu3
6. Mod�ed Bitumen
7, Sin le Pl Roofin S stem
8. Roofm Tiles
9. Roo£'m Insulation
14.V�ate roofin
11.Woad Shin les/Shakes
12.Roafin Slate
13. Li uid A lied Roof S stem
1S.Roaf Tile Adhesive
16. S ra A lied Pal ethane Roof
17. Qther
` . • �
Cate o lSubcat o Manufacturer Product Desc iton A roval Number s
E. SHU1"I'ERS
1. Accordion
2. Bahama
3. Storm Panels
4. Colonial
5. Roll-u
6. E ui ment
7. Other
F. SKYLIGHTS
1. S li t
2. Other
G. STRUCTURAL COMPONENTS
1. Wood Connector/Anchor
2. Truss Plates
3. En ineered Lumber
4. Railin
5. Coolers—Freezers
6. Concrete Admixtures
7. Material
8. Insulation Forms
9. Plastics
10.Deck—Roof
11.Wall
12. Sheds
13. Other
H. NEW EXTERIOR ENVELOPE PRODUCTS
1.
2.
3.
The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspection of
these products,the following information must be available to the inspector on the job site: 1) copy of the product approval;
2) the performance characteristics which the product was tested and certified to comply with; and 3) copy of the applicable
manufacturer's installarion requirements.
I understand these products may have to be removed if approval cannot be demonstrated during inspection.
�
�M /Y��C,7rJ3N�S � '�� `"I"�
Contractor or Cg tractor's Authorized Agent Signature Print Name Date
l
Location Permit# (FOR STAFF USE ONLI�
. Print Form -
_ � - PRODUCT APPROVAL SPECIFICATION SHEET
Location: S/�`�` �/ ProjectName: ��t� � ;��'f= ,�
As required by Florida Statute 553.842 and Florida Administrative Code 9B-72, please provide the information and the
product approval number(s) on the building components listed below if they will be utilized on the construction project for
which you are applying for a building permit on or after April 1, 2004. We recommend you contact your local product
supplier should you not know the product approval number for any of the applicable listed products. More information about
statewide roduct a roval can be obtained at www.flondabuildin .or .
Cate or /Subcat o Manufacturer Product Desc iton A roval Number s
A. EXTERIOR DOORS
l. Swin in
2. Slidin
3. Sectional
4. Roll U
5. Automatic
6. Other
B. WINDOWS
1. Sin le Hun
2. Horizontal Slider
3. Casement
4. Double Hun
5. Fixed
6. Awnin
7. Pass-throu h
I8. Pro'ected
9. Mullion
10.Wind Breaker
11. Dual Action
12. Other
C. PANEL WALL
1. Sidin
2. Soffits
3. EIFS
4. Storefronts
5. Curtain Walls
6. Wall Louver
7. Glass Block
8. Membrane
9. Greenhouse
10. Other
D. ROOFING PRODUCTS
1. As halt Shin les � , j$ . � S�, -
2. Underla ents �, ��, • '" 1. (7( ' �
' 3. Roofm Fasteners
4. Non-structural Metal Roof
5. Built-u Roofm
' 6. Modified Bitumen
7. Sin le Pl Roofin S stem
8. Roofm Tiles
9. Roofm Insulation
10.Wate roofm
11.Wood Shin les/Shakes
12. Roofin Slate
13. Li uid A lied Roof S stem
15.Roof Tile Adhesive
16. S ra A lied Pol ethane Roof
17. Other
' ' • �
Cate o /Subcate o Manufacturer Product Desc iton A roval Number s
E. SHUTTERS
1. Accordion
2. Bahama
3. Storm Panels
4. Colonial
5. Roll-u
6. E ui ment
7. Other
F. SKYLIGHTS
1. S li t
2. Other
G. STRUCTURAL COMPONENTS
1. Wood Connector/Anchor
2. Truss Plates
3. En ineered Lumber
4. Railin
5. Coolers—Freezers
6. Concrete Admixtures
7. Material
8. Insulation Forms
9. Plastics
10. Deck—Roof
11.VVall
12. Sheds
13. Other
H. NEW EXTERIOR ENVELOPE PRODUCTS
1.
2. .
3.
The products listed below did not demonstrate product approval at plan review. I understand that at the time of inspecrion of
these products,the following information must be available to the inspector on the job site: 1)copy of the product approval;
2) the performance chazacteristics which the product was tested and certified to comply with; and 3) copy of the applicable
manufacturer's installation requirements.
I understand these products may have to be removed if approval cannot be demonstrated during inspection.
�
- 7"' r�. � ��� -r
Contractor or C actor's Authorized Agent Signature Print Name Date
Location Permit# (FOR STAFF USE ONLI� �,
v = � i iiiiii iiiii iiiii iiiii iiiii siiii iiiii iiiii iiiii iiiii iiii i�ii
, ,
, ' 2017093933
Permit No. Parcel ID No �1' Z�""���- ���� `- I D�� ����tr
NOTICE OF COMMENCEMENT
Shateof �{.�.7��� Countyof �����
THE UNOERSIGNED hereby gives notice that improvement will be made to cerfain real property,and in accardance with Chapter773,Florida Statutes,
the following information is provided in this Notice of Commenceme'nt�" (� r�
1. Description of Property� Parcel IdenC�fcation No.��- �-W-'���'�Cx:/�6 °� ��J�i � ZJL' v
Slreet Address: �(�� �L�'"����- ,��
' 2. General Description of ImprovemeM �� Ei�iL r'QY� CY.1�`rr't�. ���S�(��"
�{�H'1� �tt1�r�� .
3. Owner Informatlon or Lessee information if the Lessee contracted for the improvement
' �JA- ����Tii dY1�4f�fl �-���'r(.�¢
�$��� A U Na� J 11"T'�C� �1'�-, --`-Ic�(�G"� �-�►,
Address City State
Interest in Property: L�!�,N��
Name of Fee Simple Titleholder. �y�}""�
�'�(If different from Owner listed above) ,,/a�
Address .�- City " 5'�te�
4. Contractor. 1%74LS:�Z1 �. �(e�M 1�
r��f�� .�r' l!�„� cSVI!?f��t�i1'�� �
Address 2 �y City SYate
� Contractors Telephone No.. �7�' z��'X7��
5. Surety: rv 1�
� Name ��,/�, �t��
��� a U
Address �,,` City y�, Sta
Amount of Bond: $ i�y�� Telephone No. ��f-'
6. Lender. ���
Name _II�, 1) r�
�'V �y
Address �� � City State
Lenders Telephone No.
7 Persons within the S[ate of Florida designated by the owner upon whom notices or o�er documents may be served as provided by
Secdon 713.13(1)(a)(7),Florida StaWtes: � ��
Name
�►�� �f�- �
Address ��� City Sta e
Telephone Number of Designated Person:
8. In addition to himself,the ow.,'ner^desi nates �����0 �. �lL�1f1�(v�� of
'1��.�Ol'�'N�� �Wf��to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida SYatutes.
Telephone Number of Person or Entity Designated by O�mer. �Z - z��"�s���
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of consWction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOl1R PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAI N FI NANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief. �
STATE OF FLORIDA �
CAUNTY OF PASCO
Signature of awner or Lessee,or Owners or Lessee's Authorized
Rept:1872274 Ree: 10.OO OfficedDirectodPartnedManager
DS: 0.00 I T: 0.00 ��v�Q� ^
06/19/2017 J. R. , Dpty Clerk Signatory'sTitlelOffice
The foregoing instrument was acfmowledged before me this 19 day of Lv�Y 20�7 by l N�lr�l�i f�'�i�
� as/ V {type of authority,e.g.,officer,trustee,attomey in fact)for
I �P/ (name of pa o ehalf o�whom instrume t was executecn. ,,,������������''
Personally Known❑OR Produced Identification� Notary Signature ♦ �Q �-EB/C. �j�
/� � ��.....y�� /
i Type of Identification ProducedFL DL�#SS�D�//�'7 y-`IGZ-0 Name(Print) i�L� G.Y � Q;.�pTqq y':G �i
�� � ! ��: i
PRULR S 0'NEIL,Ph D PqSCO CLERK & COMPTR�LLER � :�IyComm.ExPKeS ; �
� :December 29�2020� +
06/19/2017 10:59am 1 of 1 � ;� No.GG589�4 • �
OR BK 9558 P� 2�2 � ��
. �
'���`�'••!;UBti�G•'������
t ♦
wpdatalbcslnoticecommencement,pc053048 ''''��/�OF `�0��,
��/If11111t��
, � . �.. , i-� i.,, � - _, " _ : .- • , . ., .. _ -_ -• - - - ' ' � - , . �, _ ., _ „- , , �- _
• ' , . McGinnis Luilders Inc. IVICGIIVNIs
�' Certified Roofinp� Contractor
b QLIILDGILS,INC.
M . . Tim McGinnis - Owner Lic. CCC1330459
2876 SE 163rd Street Road • Summerfield, Florida 34491 • 352-266-9403
McGinnisBuildersInc@icloud.com �
� � .
I� Contract Name: {����A (���'t{�1Z,� �Y/�'"i . I�t!C�, Date: (c � '� _ j� �
r
Location Address: ,�e 2�( (,�TJJ-4 �����" Estiinator's Name:
Ciry:�.f�p�i�2�o�--S State: �L... Zip: ��,� 2 ( 60 ) Month Guarantee
Phone: (Home) �j 3 d g�2� -' ��U � Email:
� � �
Tear-off Existing Roof down to a Smooth Workable Surface
Replace ROTTEN SHEATING @ ��•� Per Sheet Installed. Price Includes Up To � Sheets
Replace Rafter Ends 2 X 4 Sub Facia, etc. Per Foot Installed
Renail Entire Roof Decking according to Building Code (Using 8 Penny Ring Shank Nails)
Dry Roof in with New Felt Paper
Install New Ice and Water Shield
Install New Lead Boots
Reseal All Edges, Flashings, etc., with Approved Roof Cement.
Install Sliingles � Architecture /or 3-tab. Rib Metal Color to Your Choice
Install New Ridge Vent or Cap Shingles
��: 'Rgmove All Roofing Debris &Magnitize Clean-up
-�. ....
:_�
� �:,..
"� � NOTICES
,.�y� �
FLORIDA'S CONSTRUCTION LIEN LAW
(FLORIDA STATUTES § 713.415)
According To Florida's Construction Lien Law (Sections 713.001-713.37, Florida Statutes),Those Who Work On Your Property Or Pi-ovide
Materials And Services And Are'Not Paid In Full Have A Right To Enforce Their Claim For Payment Against Your Property.This Claim Is
Known As A Construction Lien. If Your Contractor Or A Subcontractor Fails To Pay Subcontractors, Sub-Subcontractors, Or Material Suppli-
ers,Those People Who Are Owed Money May Look To Your Property For Payment, Even If You Have Already Paid Your Contractor In Full. If '
You Fail To Pay Your Contractor,Your Contractor May Also Have A Lien On Your Property.This Means If A Lien Is Filed Your Property Could
Be Sold Against Your Will To Pay For Labor,Materials, Or Other Services That Your Contractor Or A Subcontractor May Have Failed To Pay.
To Protect Yourself,You Should Stipulate In This Contract That Before Any Payment Is Made,Your Contractor Is Required To Provide You
With A Written Release Of Lien From Any Person Or Company That Has Provided To You A"Notice To Owner."Florida's Construction Lien
Law Is Complex,And It Is Recommended That You Consult An Attorney.
FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD
1940 North Monroe Street • Tallahassee, FL 32399 • Telephone (850) 321-3535 Fax (850) 321-5458
�$ ��CX�II�P hereby to furnish inaterial and labor-complete in accordance with above specifications, for the sum of:
iS6;�C `]�Q:JS���� e'�`/Ue` �t>n1��- DOLLARS ($ l(� � .�� ,. �"� )
PAYMENT DUE IN FULL UPON COMPLETION. ,
All materi�l is guaranteed to be as specified.All work to be completed in a workmanlike
' manner according to standard practices. Any alteration or deviation from above Authorized
specifications involving extra costs will be executed only upon written orders, and will Signature �
�, become an extra charge over and above the estimate. All agreements contingent upon /
' strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other `
necessary insurance.Our workers are fully covered by Workmen's Compensation insurance. NOTE• This proposal may be auithdrawn by us i f not accepted
Contractor not responsible for damage to electrical wires,air conditioning lines,plumbing .within ,,�0 days.
lines,etc.in attic or ceilings.
�$�1��TYC�$ II� ��II Cr''b2xl-The above prices,specifications and
C
itions are satisfactory an are hereby accepted.You are authorized to do the
specified.Payment will be made as outlined above. Signature
tance: �� - ��1 `I 7 Signature