HomeMy WebLinkAbout17-18707 �' CITY OF ZEPHYRHILLS
5335-8TN STREET
: ($13)7$0-0020 18707
BUILDING PERMIT
PERMIT INFORMATION � LOCi4,T10N INFORMATION
Permit Number: 4 8707 Address: 5154 4TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: RQOF REPLACEMENT Township: Range: Book:
Propased Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRNILLS
Est. Value: Parcel Number: 11-26-21-0010-15600-0180
Improv. Cost: 2,395.00 OWNER INFORMATIQN
Date lsstaed: 7126/2017 Name: SINHA, HAMIR
Total Fees: 50.OQ Address: 5154 4TH ST
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/26/2Q17 Phone: (310)674-5885
Work Desc; RERQQF SHINGLE
CONTRACTOR S APPLICATION FEES
TRIPLE CRQWN ROOFlNG I C REROQF RESIDENTIAL 50.QQ
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Ins ections Re uired
DR IN OF I P
TAPk JOINTS RQOF INSP
FINAL
REINSF�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)#he
local go�ernment sha11 impose a fee of four times the amount of the fee imposed for the initial inspectian ar
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additionaf restrictions applicable to this praperty that
may be found in the public recards 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: Yaar failure to record a notice of cammencement may resuit in your paying tv�rice far
improvements to your property. If yau intend ta obtain financing,consult with yaur lender ar an attorney
before recarding your nafiice of commencement."
Complete Planso Specifications Must Accompany Applicafiion.All wark shall be performed in accordance with
City Codes and Qrdinances. Nt?QCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
%%�
CONTRA T R SIGNATURE PERMIT OFFI R
PERMIT' EXPIRES IN fi MQNTHS 1NITHOUT APPRt3VED INSPECTI�N
C�4LL FOR INSPECT�ON - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
��a-7aaoo2a City af Zephyrhills Permit Application Fax 813-�8o-oa2�
Buffding Departmsnt
Rats Receiv�d >. Phana�ConNact'for Permlttin �j� �3 — �7a'�`
Owner's Name � ���"�� �''Owner Phone�lumber ���"�� ! '�7S�
Owner's Address ��,5 � S�r r�� Owner Phone Numbar � �
Fee Simple Tikletioldar Name �, �� Owner Phane Number �� �
Fee Simple Tttleholder.Address
JOB AD�RESS S �� ��• LOT# ��
StlBDIVISION � � ' P!ARCEL ID# ' " •
(OBT9INED FRdM PROPERTY.TAX NOTICE)
WORfC PROPOSEO NEw CONSTR , ADDtALT [�,] S(GN' 0 � DEMQ�ISH
'e. ;INSTALL 8 FtEPAIR � w
PROPOSED=ti$E Q SFR � CON1M • Q OTHER " `
TYPE OF CONSTRUCTION '�� BLOCK " [� FRAME � .� 'STEEL` �Q
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DE3CitIPT10N OF WORK, .?; T�i"�� a� �a alc �^��i �"H�•• �c -
�tllLi3tNG 81ZE �� �'SQ FOOTAGE � �I . NEIGHT�,��
, ;. . �: .
QBUI�DING , �$ --� � -�- :. .:. ,.
L2 C3�� VALUAT{ON�`OF TOl'AI��CONSl`RUCT{ON �
:� L �J
QEI,EGTRiGAL ,� � AMP SERVICE Q PROGRESS Ei�tERGY Q W:R.E,C. ,�
QPLUNIBlNG `; ',{;g� ' 1��,`?J'�D
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[�MECliANIGAL- $ . VACUATION OF;It+IECFlAPlICRI tPlSTALLATItQtV �.�� , ,
QGAS � RQOFII�iG Q SPECIAI.TY �� OTHER " '
FINISHED FLQOR ELEVATIONS �� FLOOD ZONE AREA QYES ,NO
�au:�aE� co�n�a�nr:. . � � .
SIGNATURE REGIS7ERED Y/ N `FEE CURRE� ' Y/N�'
Addre�s � • ' � , L`icense#"�� �
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E�fCTRtC111N: � �=CCIMPA�IY - . - . .
SIGNATURE � REGISTERED Y/ N FEE CURRE�°' , "�Y/N �_
Address . � ' ' < ,, , License#,�. • J � ,
; PLUMBER ' � : COMP.ANY r; .. •
SIGNATURE' ' , ,REGISTERED- Y,L.N,�, . :FEE CURRE� Yl N
Addr68S 11CBt1$6�# � ' v�•
MECNAPt(GAt:� ,� . - CQMPANY ` �._ �, � `
SiGNATURE `` • � " � � � REOISTERED Y,/.N,. . , :_,�,FEE CURRE��. Y/rN • � „ �
Address'�' � " . . . � _ � � ' License# � �
, �.
OTHER � /� i'� < � "CONIPAI±IY ' ` I�"• ��+G�fau�.s� ts s �,t� C .
SIGNA7URE *`•� '=`` x `�y��� '�: ` �'REGISTERED'" �\ ' �Y/ N.:.... ;FEE CURRE� Y/N
Addre�s 3. �'t�;,�;cSO.il�•Avt"2 . '�+�fa�- f°;�`'��'Y ^ Licerise# ,CC� O �g37(.7 � ` ' 'I ' �
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RESIQEN'FlAt;_ - ;Attacti'{2}.RlofPians,.(2}'sefs=of�Bu1lding�Plans;'(1)"sefoE�Eriergy�For�ns;�f2-0=W`Permlt#ornewconstcuatlon, ., "
.,-. .,. .. , ...
. .. , ...� _.>..... .. � ,
-• • Minimum�ten�(�1,0);workingydays��ft�r;submittal-date.:Requlred onsite;_Gon§ttuctlon=Plans;Stormwate'r P1ans w/Slit Fencelnst�iled,
���� Santtary Facil(Ues-;&;1.,dumpster:Site•Worlc:PermPt;forsubdiylsignsllarge.�proJects:,�,-`.-,-,�: �- "': ' = -
COMMERC#A!. Attach{3)�eomplete sets;'of°Biilltliag Plaris'plus a Ltfe Satety Page;{1}se#o#Energy Fccros.R-�-W Permtt Foc new canstru�tion.
Minimum ten(10)working days after submittal date.:.Requ(red onsite,Canstructlon Plans,Stormwater.Plans w/Silt Fence installed,
Sanitary FacillHes&1 dumpster.Site;Wark•Permiffor all new projects..All commerclal requirements.must meet compAanca " �
SFGN PERMFT Attact�"{2)sefs of`Engfirieer,ed;Plans:�;.� -}. ,-- � '
"""PROPERTY SURVEY requfred;for aU�NE4'V canstrucdon..
�irections: -. � y � ' �
FIII out applicatlan completely.
4w�er&Contractar stgn back of appticatlon,notarized
if over�2500,a NatCce af Cammencement is�quired. {AtC upgrades over$7508}
.���,+�f SYY,i�'•'�
" Agent(for the ciintrao4or)+or'Pbwer of i4ttomey'(fa�tFie ovrner)wauld be someone with�notarized letter from owner autho�izing same
DVER THE Ct�UNTER PERMt'iTlNG.. , .(Front at•F+PPllcatton Oniy)- - �
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) •
.. _ _ _ , r..�. ��.v,�.w-. __. x. �.. �.:r�. ...... ��_�... ... . .... . ... ,. - .
Drlveways-Nat over Counter if on public roadways:.need&ROW;�.;�3 - - '%: .•� _�:' :>. ',<� �
.. .. `.i}vc�ii.'f.;'aL .(!, -� " . . !.!'.,,, � ��. ��lt,.:, .,. . .
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�" , i�i`,..�'i^`')N �_bi e,. .?:i' „ �'�iu'.�. v'i•c -- . . , -.. �
..,:a..n.. . ✓�t.e e.,.».....a . •-,..,r..�.,. _ .. �-�r e. ..,�.�s.. ..... ..-�..s ...:_z .. .. .r�.. , _ � ,f�
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� NOTICE.OF DEED RESTRICTION�: TheMundersigned undergtands�:th�t thi�s.p�rmit•.may:be:_subject to,�,deed,;,resVlctlons :_._.,. ,.�..
which may�tie�more'restFictive��thal�-Countyr�`��egr�latfons.��The underslgned-a§'sumes'�'esp�nsibility�.for compllance with any ���' �''
applicable deed=restrictlons. ' � ,,";_ : - . � • � � • . " � - � -�
UNLICENSED� CONTRACTORS �AND CONTRACTOR RESPONSIBILITIES: �If the-�owner��has°��hiretl��a contractor or
contractors to undertake work, they may:b.e,�re�quired�to�be;:ilcensed in accordance.with state.and�local.cegulations. �If�the� = �
contractor ts-not�lioensed as`required:tiy law, botFi the owner and`=conUactor�may�be°c(fed°for�e�misdemeanor viola8on
under state law. If the owner or intended;;,contractor>erea.uncertaln as to what Ilcensing.requirements;may�;apply:��for->tt�e` - = - `
' Intended work,�tNey a�e advlsed fo contact tlie`�Pasco County Butlding`Inspection Dlvislon,--Ltcensing Section at 727-847-
. _.�_., --..
8009. Furthertnore, ff the ovirrier has'hired�e cond�acto�'or contractors. he Is advised to have •the contractor(s)„sign;,, ,
portions of the "conttactor Block°of.this._appllcation...for which.they,will..be:..res�onsible: Ity ouu;=as:the owner`�'stgn'°as'�tiie ° ' �
contractor;'that tnay be an indicatlon thaf�he=is'"not:properly Ilcensed�antl`is not entitled to pemiitti`ng�privlleges In Pasco
County. • . ;, ,.: ._ _,_
TRANSPORTATiON-.iMPi�►CTIUTILITIES IMPAC'i'�ANb�RE30URCE RECOVERY•FEES:'�The undecs(gned understands
thatT�ansportation Impact Fees�and.Reco.utse Recove.ry.Fees mey:;appiy�.to�the:construction:of new..buildings,�change��of��=��`='�� �'x
use in existing bufldings,�or.expansi�n�r.of��existin�:�bufldings; as specifled.in Pasco County Ordinance number 89-07 and
90-07, as amended,�,;The undersigned also:'understands, th�t"such fe.es,�;as�may::�e�:due;,wlll:�be.tdentified at the�time°of���� u�`� 3'
ermittin It is furtfier understood that Tra�sp'ortation Im act'�Fees and'sResourae_;Recove'"-Fees,must be ald rior to
p 9• p ..�. rY" P P
receEving-a.'certiflcate�ofioccupancy"or flnal�powe,_r.,.release� :If�the.project.:does�.not,involvera~.certfftcafe of oacupancy--o���=''�~ '�'�
flnal powec-release;the�;fees�mu�t'be patd";prtor to.permit issuance. Ft��thermore;�-If:Pascc�,�County��WatedSewer;lmpact - �: :��4-°�
� fees are due,.they_must:be;pald:pri'or to permitrl§st�a'nce�tn_accord_"a_nce witFi:applfcable.Pasco�:County�ortlinances. -
CANSTRUCTION`LIEN"LAW�(Cfiaptar T13� FloNda Statutes,as amended): Ifi valuation of-work ts$2,500.0_O,�For more,.I � � -�__��
_ .._
cerlify tFiat--I, the napplicant,_have-,been, provlded��with-a=copy�of the��"Florida Constructton� Lien :Lav�—Homeowner's
Protection Gulde" prep�red by�tFie'Flo�ida DepartmenC of Agric.ulture and ConsumerAffairs. if the appNcant Is so'meone:., ,
other than the'owner", I certffy=that,l�h�veooqtained�a�copy,of the;above:rfesc�itied'clocu�ent:and.pmmise�:tn5good::faith..to ,y�
deliver It to:.tlie::`o.wner�:prioc:-to�comrtiencement:"` ' ' � ' . �" - , ,_ -
CONTRACTOR'S/OWN@R'S AFFIDAVIT: I.ce�tilylthat>ail.�the�informa8on:in thi�applicatlon is,accurate and that all work
will'be done in com Ilance with all.a iicable�laws re ulatin constructlon, zon(n and��land�develo ment. A Ilcation,ts
P pP 9 9 9 p PP, .
hereby made to obtain .a permit;,�to;:do.,:work�.,and:lnstallatlon as indlcefed:.>>�<�I• certify that no work�:or installatton Fias�
commenced p�to� to Issuance of'a permit"and that-all°work will be pertormed�to meet standards-of ali laws regulating-
construction, County and City codes� zoning regulatiQns� and land development regt,�latlons�in the Jur(sdiction: I �ai'so �
cert(fy 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,actfons I must�take:to bedn>compllar�ce,.�.S.uch agencles include-but�are.not Ilmited to: : •
- Department of Et�v(ronmental�=Protection=Cyp'r`ess.`Bayhead�;�1NeNand Areas and Envfronmentaliy Sensitive
Lands,WaterM/astewater Treatment.
- Southuvest Florida Water Management:-:.DisUict:Well's,' -Cypress.'�Bayheads; Wetland' Areas� Altering
Watercourses. - .. , � .
- Army Corps of Engineer"s=Seawails,�Docks, Navlgatile Waterways.
- Department.of;Health;;B.,:ReF�abllitative Seroices/Er�vltonmental::.F�ealth Unit Weil.s, Wastewater�Treatment,
Se�tic Tanks:.�`.- _ .. _ � , � .
- US Environmental Protectlon Agency-Asbestos abatement:_:�
Federel Av_,IattvnAuthorl,fy,=Runways:� - • _
I understand.that the-following:rest�ictions apply'to the use of fllir
- Use of fill is nof allowed In;Fload�Zone"V"unless expressly permitted. "
- If the•=flll mate�lai�-Is to b.e usetl':��In :Flood Zone. "A", IE is understood that a drainage plan addresstng a
4compe�sating volume" will be subm(tted at#ime of�:permi�ting which is prepared by a professional engineer
Iicensed bythe State of:Flo�ida. � � _
- If ih� flll material-is to be used tn Flood �one "A" in�connection�wlth:a �ermltted building using stem wall
� construction., i certify that fill:wall-b.e used only.to.fill the area wlthin�the�stem=wall: -
- � If flll materlal is�to be used In any area; I �certify that .use. of;such flli will not adversely afiect adjacent
propert(es. If use of fill Is found�to adversely:�ifect adJacerit��properties�.the owner may be'cited for violaling,
the condllions.of the building;permit is"sued�under the'attacfied permit��pplicatlon, for:lots�:less,than:`one (1)
� acre whtch are elevated�by fllt,a�r englneered dralnage plan Is required. . .
If I am the AGENT FOR THE OIMNER,.I;.jiromise in good faith to inforrra the owner of�the permitting conditlons set forth In
this aifidairit�prior to"commencing construction. �I understand thet�a�separate perm(t may be required for elecMcal�work,
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plumbtng,_signs, wells,,pools;..air:conditioning,.gas,�or.other Install�tfons not.speciflaally included�in.the application. .A .
permit issued shalf be construed to'be�a�Ilcense��to�proceed with the work and�not-as:authoNty�to:vlolate,�cancel, alter, or
set aside any'provistons of the teclinical codeis;�nor shall Issuance�of a.permtt.pcevent the Bulldirig Official from thereafter
requiring a.correction af,eRors;in_plans; construction.,or vlolaUons of-any code�:�.Every••piermit•Issued�siiall tiecoine invalid
unless the work authorized:by such pecmit:�ls.commenced•within sfx:months of�permlt Issuance, or�lf work,authorized by
the permit is suspended or:eba�doned;for.a:period of�six{�)monffis�:aRer the time the�work is commenced. An extenslon-
may be requested, in writing;:from the.�Building,Official for a peNod-not to.exceed"=ninety=(90)'days a�d viilll demonstrate
justi�able cause for.the extension�.�If work ceases.for ninety_(90)cons.ecutive:days..:th�Job�is corisidered atia�doned.
INARNING TO OWNER: YOUR.�FAILWRE�Tt1.,R�EC.O�tD.A:;NOTICE:OF:�COMMEMCEMENT;MAY�RESUlT-IN�YOUR
PAYING TWICE;FOR�IMPROVEMENTS,TO;Y0.11R::P��E�TY::•-1�°YO.�1{IN'FEErV�'T��nBTAiNiFINAli1E1NG;'C.ONSULT
WIT - U D ,. AN- TTO �RE�, ECOR� G�, OU ' �CE' '" :�� . E E _ N , ,
FLORIDA JURA�(F:S:t17.03) �j �
..; _,._ . ; .
OWNER OR AOENT � ��''����" CONTRACTO � � ��`�'�Jr �
Subsc b d and swo (ar aflirtned)befor me thts u scrib e (ot affl dp eicte me ttilg �
���ln bY ���by -
VIRio Is/are persanally knovm to.me.or has/have.produced , Who.is/are p.ersonallyknown�to me or he�!lhave•produced • �
` as Identlflcatlori. as IdentlRcatlon.
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� Notery Public . � 2C., Nofary Publlc I
Commisslo No: U� '� �` /.f�-� Com faslon.No. V� Q�. �
�S2b .�F ( � �c� �u ,
Name of Name o� �B ���t��LL
t;��o'••. �DEBRAELAWEm�t FELL ,.�„s�, ' ,�
=`� �;_Commission#GG 045343 =�� �`,=Contmission#GG Q45343
:::�:�:Expires November 7,2020 �s: ���?Ezpires November 7,2020
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�13-�7�.�-4617
�'a� ��3p7�.5-4619
STATE LICENSE CCC049370
� W�W.TRI.PZE-CROWN-ROOFING.CQM� LNAtTLT1963 a AOL.COM
,S"P��`.�4LI2'�1�'d�I10�A��, �'�`�'"��d'l�'1t�E�'t�l l�f��3��'�'.�`�`�'1V�'S`
hlAtulE PHONE RATE
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STREEi CiFY STATE ZIP
5"IS`� ��j' •�. 2e,r'�� .$,`��J f"Z .�:SY.�
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1�'e hercb�•submit specification an+��r•ork c3escriptian:
��(.t%Y' fLi.�.y''�...i.� ?''f?t31`-t.^:�j tit#%7'tE`i ��/r1— �'3�+�-4z`'^1..
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��f2�2L[�'C tSt-�t�j l-�.S tr7"I �r��e-�;, l�i— 1�c�"f� ,'"�,t)Cu C� ��l-� =vCiGG� f�15�`K f�
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�� 1?E'.�:.t `� ST'��t� �5 i.}-']�rf[li.ytaEvt� � Irt�'�rtE� j1uGi.l ;�F1r.�Jf�-
r j / } J {`� � /r .�
� t I ,.f l( / f ` ibt�i:�r"r!� /S f �.'1CC'����.�oi ij�u-,.�� r,.;rc?�.€f �4'�r.�x
( R tLL fdQ�f4-!G'�"�� � urGG'�t7e f `
rt �.�' Gl r'C°n G/�,� , �
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THE ABQVE DESCRIBED�lORK 4NILL SE C4MPLETED ACC4RDlNG TO SPE�C�i,F�tCATiONS,FOR iHE SUM OF
C� ,t��1�,� 1.PAYI4RENT TO BE NJADE ASFOLLOWS:$%tr,.�t;� AS DflWN PAYNiENT
BALANCE QFS j,��"'� DUE UP4N COMPLEiION.
�
***ANY ROTTED WOC?D DlSCQVEP,ED WIL!BE AN EXT}��HARGE RT A GOST pF$ �"� FER i/2"SHEET c�F
PLYtN00D�--��„{�---Lin.Ff,l.umber.
NO aRt�L AGREE�IEI�i'S H�VE �EEN G(VEN C!� ACCEPTEs. THlS 1�12lTfEN CC1NT4�A►CT 1S THE
E�lilRE ACRE�NlENT CC}llEi�li��ALL'iEiE 1NOF�K 30 BE PE�Ft�R�iiED,4NDIOft i�ATE(�tAL�TO BE
FUR�31SFfEC3.Tf�E WRITTEN POC�T(OiV ABOV�1S 1"HE�NTIRE G0I�51DERATION FOR THE�NlOEI�lF
QF YHE CONTRACT. PURCHA�ER �lAY'CAfVCEL TFf1S Ct��TRAC1'AI�Y TIN1E P�it3R i'� MIDi�tGH i
QF T�lE THII�D�USII�ESS i�AY�FTEFt i'HE DA1'E PURCF�AS�R SiGNED iHiS CONT�CT
!T 15 AGREE(?:
Contractor vrifl do a!!said work in a good and u�arkmanlike.manher and.in s#�ct accor�ance with#he ardinances,ruies and requirements
of#he ciry,Town or Viflage,wherein t�e abave mentioned property is iocated. if purcfiaser should cancei this contact after time stated
above,ihe Purchaser agrees ta farF2it down payment paid.in the event it.t�2comes necessay for Contractor to employ an atturney to
eollect any sums due the Cantractor pursuan�to this contract,then ttre Purchaser shaii pay all reasonable attomey's fees incurred 6y
the c;ontractar. ihis cantract shali naf be bind'rng upon Confracfor un61 accepted by ihem.Upon such acceptance by said company,this
cantract shall be b'snding on melus withouf any fiurther notification to me/us. The undersigned property owner agrees that this contract
may be assigned#or fhe perfarmance af the work and labor required by fhe description of the Svork to be perfarmed.Upan assigned the
parties hereto cansen#ta the perfarmance o�the s��o�k by and payment to such assignee af the amount of this contraeL Any Altera8an or
�eviation from ab�ve spec�cations invoiving extra cosis w'ill be executed only upon v�rritten orders and will 6ecome an extra charge over
and abave the stafed contract amount.
INOTiCE TO 1'HE B�UYER:(9)Do nof sign this cantrac4 before you re�ad if or if it contains any hlank spaces.(2j You
i are en4itled to an exact copy ofi the cantract you sign.(3}Under the!aw you have the right to pay ofF ia advance the
�i €ull amount due and under certain circumstances to obta'so a partial refund o#the t' e charge.Owner acknow}edges
I raceipt of a#rue capy of this CON'fRACT.
�� ` �r 7-2�17
,,���� PURCHASER DATE
. ,t��ti %f "�,�2b1�.
1
BY•Triple Gro� Roofing,inc. DATE PURCNtiSER DATE_
Tiis csrttract s enfarcea8te only v�hen aaspte�b f management o:Tdp'�Cronn Reofin3,ir,c
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. � �a• o ��• • �oa
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TRIPLE C1zOWN ROOFIleTG INC.
39246 SOiJTI�AVE � ZEPHYRHILLS, FL 33542
813��-7�15-46:17
Fa� 813-715-4619
STATE LICENSE CCC049370
� WWW.TRIPLE-CROWN-ROOFING.COIVI � LNAULT1963@AOL.COM
S'PECIAL�ZING INALL �'YPES OF 14IETAL RDOF S`�'S'TEMS
NAME f PHONE DATE
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`� SALESMAN
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We hereby submit specification and work description: .
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THE ABOVE DESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF
($ ' � �%�'""` ). PAYMENT TO BE MADE AS FOLLOWS:$ ���`�'�`-x AS DOWN PAYMENT
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' BALANCE OF$ �'"��' `'� �� DUE UPON COMPLETION.
***ANY ROTTED WOOD DISCOVERED WILL BE AN EXTRA CHARGE AT A COST OF$ y=�==� � y� PER 1/2"SHEET�F
PLYWOOD$ �� ��? Lin. Ft. Lumber.
�10 ORAL AGREEMENTS FiAVE BEEN GIVEN OR ACCEPTED. THIS VIIRITTEN CONTRACT IS THE
ENTIfiE AGREEMENT CO!/ERiNG ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE
FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSI�ERATION FOR THE AMOUNT � ,
OF THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT ��.
OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASER SIGNED THIS CONTRACT. �
IT IS AGREED:
Contractor will do all said work in a good and workmanlike manner antl in strict accordance with the ordinances, rules and requirements
of the city, Town or Village, wherein the above mentioned property is located. If purchaser should cancel this contact after time stated
above, the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to
collect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurretl by
the Contractor. This contract shall not be binding upon Contractor until acceptetl by them. Upon such acceptance by said company,this
contract shall be binding on melus without any further notification to melus. The undersigned property owner agrees that this contract
may be assigned for the performance of the work and labor required by the description of the work to be perFormed. Upon assigned the
parties hereto consent to the performance of the work by and payment to such assignee of the amount of this contract. Any Alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over
and above the stated cantract amount.
NOTICE TO THE BUYER : (1) Do not sign this contract before you read it or if it contains any blank spaces. (2) You
are entitled to an exact copy of the contract you sign. (3) Under the law you ha�e the right to pay off in advance the
full amount due and under cert�in circumstances to obtain a partial refund of the time charge. Owner acknowledges
receipt of a true copy of this CONTR�4CT. , �''r
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`' � PURCHASER DATE
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�`� " BY:Triple Crown Roofing, Inc. DATE PURCNASER DATE
This contract is enforceable only when accepted by management of Triple Crown Roofing,Inc.