HomeMy WebLinkAbout17-19031 CITY OF ZEPHYRHILLS
5335-8TH STREET
' (813)780-0020 19031
BUILDING PERMIT
- ` PERMIT INFORNlATION � _- -LOCATION INFORMATION�
Pe.rmit Number: 19031 Address: 5338 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17500-0065
Improv. Cost: 7,350.00 OWNER INFORMATION
Date Issued: 11/07/2017 Name: HARNETT-JOHNSON MARY DIANE
Total Fees: 75.00 Address: 5338 - 19TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/07/2017 Phone: (813)312-0094
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 75.00
V
� �
, \ "
C,�-� l�z-1(
� Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL�
�
(���k.
�U .
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.
� / ,
CO � R' �I NATURE PERMIT OFFI R
ER XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 Cifiy of Zephyrhills Permit Application Fax-813-780-0021
. Building Department
Date Received , � "� .�� Phone Contact for PermiQting �� J �u� --��� (
Owner's�ame � Q� �e. Owner Y'hone Rlumber (�I� - 3�a -ao9
Owne�'s Address ����j 1 I U� � (h� �� 5 Owner Phone iVuenber
Fee Simple Titleholder iVame Owner Phone R�urtnb�e
Fee Simple Yitleholder Address
JOB,4DD12ESS S�3 U , I� � � 1 �V 11 I I S �1 3�V�I LOT# �°' 7 �
susoivisio� �(�n o� Z N;f� 5 PARCEL ID# ��'a�- a( —dv I 0, I`l 5 6 b �O�(o� �
(OBTAINED FROfIfl PROPERTY TAX PIOTICE) C �
WORIL RROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH � �
B INSTALL e REPAIR p Q
PROPOSED USE Q SFR Q COMM 0 OTHER — CI1 �
TYPE'OF COPJSTRUCYION 0 BLOCK - Q FRAME 0 STEEL 0 d
!- II_ ) C.1 �
DESCRIPTION OF NVOR{G T�Ql.�(��� r e-rw� �5 s C�A-F-T,m bef l��Q �S F'�k.�� l�►)I(1 I� l.Q)f�
�n -� ��y�.
BUIL'DIPIG SIZE SQ FOOTAGE . ���� HEIGHT �'`��
OBUILDING $ �J�C Q — VALUATIOfV'OF TOTAL CONSTRUCTION
I ��
DELECTRICAL $ AMP SERVICE 0 PROGRESS EIVERGY Q W.R.E.C.
�PLUMBING $ �/1� /
� � r
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COfIflPAPIY
SIGNATURE REGISTERED Y/ N _ FEE CURRE� Y/N �
,�cBdress License#
ELECTRICIAN COf1�PAR1Y
SIG�IATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# il
PLUfUi��R COM PAP1Y=
SIGNATURE REGISTERED Y•/ N FEE CURRE� Y/N
Address . License#
iIAECH�1PlICAL � CONiPAPIY
SIGR�IP�ITURE' REGISTERED Y/ N FEE CURRE� Y/N
Addre"ss License.# I
a,_ -
OTHER COMPAfUY �� vO� �n�
SIGNA7'URE., -• REGISTERED / N FEECU E� /N
,�ddress 3�p� S . ,_c�y � h ((�r��S �( 33s�d1 License# C�(3°1 5 Sbs
RESIDEP�TIAL ; Attach�(2)`:Plof Flans;'(2)=sets of�Buildirig Plans;�(1)'set of`Energy Forms,'.R-,O,VV.Permit.for new.construction,
, - ,, ;Minimum.tem,(;10)working days aftersutimittal�date. Requireii onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary;Facilities�,&;;.1;.dumpster;S,ite�W.ork�Permit foe:'sutidi'visions/large projects
COMMERCIAL Attach(2)complete sets"of Builiiing"Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit foF�all new projects.All commercial requirements must meet compliance
SIGiV PERfVIIY Attaoli(2)sets of:Engineered Flans. � �
, "*"*PROPERTY SURVEY required for.aII.NEW construction.
...� ._. _... .
Directions: - . -
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a IdoQice of Comenencement is requir�d. (,AIC upgrades over$7900)
*" Agent(forthe con4ractor)�or Power of Pittorney(for'the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUMTER;PERMITTIIVG (copy of contraet�required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
._..-�---...�...., ._,_ - - �..._
Driveways-Not over Counterifpn,public road'ways.:needs ROW � � , , . , , .
,,.� . •'� ,
, , , . � � . . , ' . I i ` ' _ ��`� .
,_.
, � , � � � _� �
-- _.._._....w...��-�,�,<u-�:,�w�.z:���>��•u"�-��:��....w_�.s.���
�OTICl�C9�����.R��T(���'�'183��: The undarsigned understands.that this,permit may be subject to"deed" restcictions`'`,'"
vuhich.may..be.mor�:r,estrictive.than Caunt}r r,egulatioi�s: Thet-undersigned assum'es�resporisi6ilifyrfor'�com'p1'i'ancejviiitti�;any '"`
applicable deed restric#ions. .. , �
�dft9LIC�R9�E� GOI�TRA��'�f6�� ��CI ���9YRs�C'��9@� (��SP'�D�lS9�6L9TQ[ES: !f ttie o�nrner has hired�a� con�ractor or
contractors ta underfake work, they may,be required ta be:licensed in accordanc�vuith state and local regulatlons._ If the-�
contractor is.nat licensed-as r�quired tiy (aw, both the owner and:contrac#6r:rriay 6e�cited�for-.a misdemeanor violation
under state law. If the ouvner or intended,contractar are uncertain as �a rruhat (icensing requiremen#s:.,ma.y.�apply for::,the��
intended vuork, they ar�advised to coritact�tli� Pasco Courity Building tnspection�'Divisicin=Licensing Sectian at 7"27-8�7-
8009. Furthermore, if the owner has hired a coritractor or contractors, he is advis�d to =have fihe contractar(s}, sign, ;
portions of the "contractor Block" of this application for which they vuil! be responsible. !f you, as`tFie''ciwr"rrer s'igr► as ttie
contractor, that may be an indication that he is not properly licensed and is nof entitled�to permitting privileges in Pasco
County. - �
�'�a�4�6'ORT�Y1��d 16i��a4��'L9J'�1�.A�'d�S 8����`��a�lD R����DU��l� H����r4���Y���5: The undersigned und�rstands
that Transportation lmpact Fees and Recourse Recovery Faes rrtay.apply to the construction of nerrv buildings, cfiange°of� ' �
, use in existing buildings, or expansion of:existing buildings, as specified in Pasca County C?rd�nance number 89-07 and
90-07, as amended. The undersigned also understands, that such.fees, as�may be.due, will�6e�identified at�the>tiriae�°of
permitting. It is further understood that Transportation Impact �ees and Resource�:Reeavery Fees must be paid prior #o
receiving a "certi#icate af occupancy" or final,power release. tf the project does not inva(ve a certificate of occupancy:or.
fina! power release, #he fees.-must be paid prior ta permit issuance. �urthermore, if Pasco County IIV.a#er/Ser�rer impact
fees are due,they must be paid priar to permit issuance in accordance with appEicable Pasco Caunty ardinances.
��G��TRUC�'���9 P�d��9 ��+�������ea�7�93, �Isae�i��S���aat�s,a����ra�a��9�c�p: !f valuation of wark is$2,5Q0.04 or more,..l
certify that i, the applicant, have been provided with a copy of the "Florida Construction Lien Lavu—Hameowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer AfFairs. If the applicant.is someone
other than#he`b�rner", i certify that 1 have obtained a copy of the above described document and promise in gaod fai#h to
deliver.it to the."owner" prior.to commencement.
���T���'��'�l��ft9(E�'����1��4lflT: J certify.that a!!the information in this applicatian is accurate and that a11 warEc
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made fio obtain a permit,ta do work-and installatian as .indicated. I certify that na work or instaUation�has
commenced prior ta issuance of a perm'it and-tha# all wark will be perfarmed to meet standards of all laws regulating
construction, County and City cod�s, zoning regulatians, and iand development reguiafions in.the jurisdiction. t alsa
certify that ! understand that the regulations of ath�r government agencies may appfy ta the intended work, and that it is
my responsibility to identify what actions ! must take to be in compliance. Such.agencies include but are nat limit�d to:
- Department of Environmental Rratectian-Cypress Baytteads,'Wetland Areas and �nvironmenta!!y Sensitive
Lands,UVater/Wastewater Treatment.
- Southwest Florida Water Management District-Wel(s, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers-SeawaBs, Docks, Rlavigable Wate�rays.
- Department of Health & Rehabilitative Ssnric�s/Environmental .Health Unit 1IVe(ts, Wastewater Treatment,
Septic Tanks.
- US Environmental Pratectian Agency-Asbestos abatement.
- Federal Aviatian Authority-Runways.
1 ctnderstand that the follo�nring�estricfians app2y ta the use of fill:
- Use of fi!! is not allavued in Flood Zone"V" unless express(y permitted.
- lf 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 permitfing which is prepared by a professianal sngineer
licensed.by the S#ate of F(orida.
- If the filf material is ta be used in Flood Zone "A" in cannectian with a permit#ed building using stem wall
canstr�ction, 1 certify that fi!!will be used anly to fill the area within fihe stem walf.
- If fil! mat�ria! is ta .be used in any area, ! certify that use of such fill will not adversely affect adjacent
properties. lf use of fill is faund to adversely affect�adjacent properties, the owner ►nay be cit�d for vio}a#ing
the conditions of#he building permit issued under the attached permit application, for lots less than one (1)
acre which are elevafed by fill, an engineered drainage plan is required.
If! am the e����9T�OR'��� O@i�l�t�R, 1 promise in gaod faith to inform.fhe owner of the permitting conditions set forth in
this affidavit pr�ar to cammencing construction. I und�rstand that a separate permit may be required for electrical woric,
plumbing, signs, wells, pools, air conditioning, gas, or other instaAations nat specifica!!y included in the applEcation. A
permit issued shall be constru�d to be a license to proceed with the wark and not as authority to violate, cancel, alter, or,
set aside any provisians of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correcfion of errors in pians, construction or vio(ations of any cades. Every permi#issued shall become invalid
�nless the �nrork autharized by such permit is comm�nced wifhin six months of permit issuanc�,-or if work authorized by
the permit is suspended or abandoned for a periad.of six(6)manths after the time the work is'commenced. P+n extension
may be requested, in wr.iting, from the Building Official for a period not to exceed ninety (90) days and_wi!! demonstrate
justifiab�e cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
4�9A��lI�C "�'� ��9��6�: �(Clt�f� �AiL�DC�� �"� Rl�C��2D � f�tDT�C� �� ��3i�H6Ui���Eti�Ei�T ii�A'Y 82E�Ui�T �6d YOtIR
�s�1f14!!4a�'tl�IICE�Q&��1�i� "O!!E6lf��1d7'S YC�VOUR_�Fa.4�F?�BaYY. 1�Yt�U..11�l:T:cMD��'�:i�Bl't� ���4A�1COR�ta,�t3t�Sl.�L'!"
�f9�'Pi VCDl9i��:�fi6��82 QIZ�8��`Y"� i�6d��C��1FlJl�IE R�COF2DIMG V�&9R N�?T'�G���'Cd� �I�iE�T.
FLORIDA JURAT(F.S. 17.03) - r �—
OW �13 OF2 AGEPlT % � C0�9TRAGTOR � ��� _
u sc ibed and s rn to ff ' e tyis Su 'sc ibed and sw rn o a ed e . me t�s
7 l� by r at5 sot _ii���'�.L�—b �
W o slare personally known me or aslhave produced Who i lare personal! nown to me or ha have produced
as iden#ification. as identification.
� Notary Pubtic _ Riotary Public
Commission No. c.� t��_ Commissian No. ��
� �
Rlame af Natary typed,prmfed or stamped Name of otary type ,printe or sfamped -
►�"�;: JENNIF�R GR�IENE '��TM'%`'"'. JENNIFER GREENE
��� ±� `"!�:
•`c MY COMMISSION�GG003779 ''' ''� MY COMMISSIdN#GG003979 ,
"�',�� EXPIRES June 19,202p ,"�'•?;inn;�' ExPIRES June 18,2020
� ����,�`� (447)398-0t53 PbridaNats Servlca.wm
({p)y 398AS53 FtaridallotaryServiae.com .
11-L6-zl-UU1U-1/SUU-UU65 �Yasco(:ounty Yroperty Appraiser http://search.pascopa.com/parcel.aspx?parce1=2126110010175000065
Data Current as Of: Weekly Archive - Saturday, November 4, 2017
� Parcel ID 11-26-21-0010-17500-0065 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
HARNETf-JOHNSON MARY DIANE Ag Land $0
5338 19TH ST Land $8,936
ZEPHYRHILLS FL 33542-4621 Building $52 258
Physical Address Extra Features $1,545
5338 19TH ST
ZEPHYRHILLS FL 33542-4621
]ust i/alue $62,739
Leaal Descrintion (First 4 Lines) Assessed (Save our Homes) $47,575
, See Plat for this Homestead 196.031 - $25,000
Subdivi�ion Non-School Additional Homestead Exemption - $0
TOWN OF ZEPHYRHILLS PB 1 PG 54
� WEST 1/2 OF LOTS 6 &7 BLK 175 Taxable Value $22,575
OR 5456 PG 118 Warning: A significant taxable value increase may occur when
OR 8661 PG 964 sold.
]urisdiction Click here for details and info. regarding the posting of
City of Zephyrhills exemptions.
Land Detail (Card: 001 of 001) __ _
- -,. __. ..- --------- ,----------- ---------- ---- -- --------- - - , -
� -- --.--- ---- � - -- - -� -
Line �Use ;Description ;Zoning _ ,Units _ ;Type ;Price :Condition ;Value
-- -- ---- --�------- --J-------
1 0100 ; SFR OOR2 � 4 200.00 ` � ---------- `_,---�--" -----._._.._.
-�- -------- ---------- - ---------- - -; �______ _--��-------- '- -SF--- - -�2_00 --�-- i.00 ; �s,400
2 0100 SFR OOR2 ; 1,530.00 ; SF ; $0.35 1.00 $536
Additional Land Information
- - --- --, ----�-- - ------ -------------.,- _.._..---_ _---- —--
Acres ` 0.13 �Tax Area; 30ZH � FEMA ; X , 92esidential Code : ZHLHLP2
� Code
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1952 Stories 1.0
Exterior VIlall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Hardwood Flooring 2 Parquet
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.0
Line _ _ __ !Description _ _ _ Sq._Feet �Re_ I. Cost New
-------- - --
- - -- - ---------- �
_ _ 1 , BAS _ 1,313 $80,933
- - - _-
_ __ _.._�_ -. .-. . - _UGR _ 320 - - - $5,917
3 UOP 25 a - ' � _$247 --
Extra Features (Card: 001 of 001)
-- ----- - -- �- --- - ----------� ------- -- --------___ - -- - — - - - -
, - - ;._ -�---
Line __ _ _�Description _;Year �llntts iValue
�----- - �-----•-- �, _ ----- ---
1 DWSWC 1973 , 100 � $79
- _ 2 - ._ _SUNDECK - . . _ . 1992 70 - - $123
3 UDU-M 2010 � 1 $1,343
Sales History - See All 5 sales
Previous Owner: HALL ANA
- - -•--- --- ,-- __�-- - - - - :---- - -- -- - -
_._.
Month/Year Book/Page ,Type DOIZ Code Condition Amount
_.._.. .._- -_---____ __ _ _ - ----- --�--- -- ---..._---- --. ._._..___ ---
02/2012 ' 8661 / 0964 ' Warranty Deed 14 ' Improved $0
07/2003 � _5456 / 0118_ ' _Warranty Deed Improved $86,000
07/2003 � 5445 / 0911 Quit Claim Deed ; Improved $0
1 of 1 11/6/2017, 10:59 AM
1 . • •
• ParaellflNo ! 1-a�- al -a��o� (�S�V.. W�Q� � ��
Permit No._' . . - . • ' �'_
� ~=
F�b r►�� �os���o��a�������T n���,� . . � �_
State af County cF �/ �=
THE UND�RSIGNEfl hereby gives naGcaihat fmP�av�ment wID[ta made to cedaln real pmperly,and In accardance wRit Chepter7i3,Fiotida 5t�tutes, � 01=
Qie fallowin9�nfartnatlon is provided in this NaQce af Cammencemer� � I_a�_a�_ o�� o _i 7 S ao- o�c�s �' •
�, oescripilon oi Praperty: Pa�el Iderdificatidn Ne. _
S�atAd�: 5 33 B 19� �- 2o.�.r h��lc � �l 335y a� _
� �
2. General0eseflpIIan afimpraverttent - � _
� 2c� �e-�� � = .
3. O+�m Infartnattan or Lesse_inFer[nation ff Lessee caniracted faaiha anprovement �
� I�c�.r suh nson - �Qr-(-n��-I- . �
, . �„e 533� 1 q�^ � �o y� �i�.� I 33s�a . =
� ��s �T � —
� krtecest in ProP�Y . .
� Name af Fee Simple Ti3lehoider. •
(If�ieCentfram Owner Gsted ahove) .
Addre'ss State •-+a�
�m^ n. ' O �nq.'"Tr.C Clt}I — �-+f/f f1
4. Contractar [.0 , J.{ ) �.. �
Neme ��(�y(3 �'+� U 1 � � � �1l��c� �t 335y I �m--
�d�s . ��3-7�a-f�o�� ��y T 5�� _
• r
Carttracta�s Telephane No_ ' ��v
� � N
� 5. Su2ty: , � _ . R �I ,
Name •
Address ' �ry � �~
pmourd af 8and:$ Tetephane No: ��
' A ! 3 � f1
6_ Lender. ��� � - �
Name . • � ' C��
Ciry State ' �p
Address • . • e• m
� Lende�'s Tefephone Na� '� � �
I 7. Pesrons mdthin the SY�e oi Flodda desi �y the owrter upon whom notices ar other dacuments may 6e seNed as provided 6y A
5eciioti 77&13(1)�a�(�,Flodda 5taiutes � . �D
�
�
Name • -
, Add[ess Ciiy. . Siate `
Telephane Number oi De�ignated Persan: �
S, In adcl"itian to htmselP,the awner designates � °C� ~D
' ' to receive a copy of ih9 Llenat's N��as provided in Sectian713.73(i)(b),Fiodda StaWies. O��
. ��D
Teiephane NumBer of Persan ar EnGty Oesignated hy�u+mer: _ W�u'
g, ExpLaGan data aP NoGce aP Cnmmenceinec3(ihe expirdGon date msy not 6e 6eiors the compldi f co[ts ian�d�final,p�yrqe�to the 7C��
carttractar,hutw�ll he one yesrfromthe date aF rzcard'utg unless a dtFerent date fs specifted}: l�1' L �� � _ r m
� ' , ����r
W A R N I N G T O O W N E R: ANY PAYMENTS�MAflE BY THE OWNER AF'i'EFt THE EXP�RAlI�N OF THE NOTICE OF COMMENC841EN'f
ARE CONSI�ERED IMPROPER.PA Y i U�N T B'U N D E R C h I A P T E R 7 1 3, P A R T 1. S E C T I O N 7 1 3.1 3, F L O R I D A S T A T l T f E S, A ND CAN '�m S
RESIlLT IN YOUR PAYING 7W10E FOR IMPROVEIUIEMS l'�YaLIR PROPE[i7Y. A•NOSICE OF CAMiNEiVCEN1ENT MIIST BE
RECORDED AND POStED ON THE,IaB SITE BEFORfl THE FlRST WSPECTION. IF YOU INT�SO OBl'AIN FINANCING,CONSULT ���v
I W I T H Y O U R I E N�E R O R A N ATTORNEY BEFaRH COMMENCING WORK OR RECOR�IMG YOUR NOTICEflF COMMENCEII�NT. � ��
D
Under penaity a4 perjury 1 declare ihat I have read the foregeing no6ce af cammencement and that the facis st�ted therein are tue ta the 6est 3 0
� aP mylmowledge and he�ieP. , , � �
�f+r
STATE OF FLORIOA --- - -- - - -- -- -- --- �-
COUNlY OF PASCO • p �
igriatu of ar or ee,ar Owners ar Le�.es Auihorized ,�
OfncerlDire arinedMana9er "�o'
' i�F+o
3
�Sign2tary's7'�lelOfice �
Ocf .�b (��� �of��-�-f '� �
' A
O
Th�o2go�nJg Inst[urpeid was acimowtedged 6efore me thfe' day of � Y �
�.���l�/ � •(type oP auth..'�iiy,e•9-.a�cer,trustee,2ttoritey in f2et)for A
(� nF parry o eha(P o am In:Vumerd w�ayskxecuted).
Personaily Known��R Praduced Ident�ication Notary Stgnature C �v`
Type oF lde��cstion Pcadueed • Y��' �� Name(Prinf) �- Q
. 1
� �.���!""��� ANGEtA HAYWOOD
.tN.Y PVai .
i - i°, t`�; Notary Public-State ot Florlda �
, � Commission#Ff 912551 -
� _•�' ,•� �q ._
�%�,, �:� My Comm.Expires Aug 24,2019 � ' � ' �
'�.;OF F��:� Bonded throu National � , ,
",��,�,�� ph NotaryA9sn.
. _�, .�
- '�.,'
. .. � �._�. '1
I —--� --
1
�
���9��C �i
����d � ' • � '�y
STATE OF FLORIDA,�t�U�l��� �"�5�� G
THIS IS TO CERTIFY TMAT TH��OREGOING IS A G� • �o�► I
TRUE AND CORRECT COPY 0�TME DOCUMENT ' : � i
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE� � IxiGodzveir�ut
�VI N S MY HAND AN � OFFICIAL SEALTHIS � ° f. :}=5e'•=. � �
DAY OF L � r � �'�
PAULA S O' EIL,CLERK&COMPTRO� � � �88/ �
BY E � DEPUTYCLERK �����_��=���
� �`; ER�� :. -. y��
- - - . , , �RE5 ;'�.�• �
����� �0�����/ (��"`° 5%fee for credit cazd processing.
`' - "`� ��° A Division ofRyman Construction,lnc.
`� ��9 36413 5R 54 �Zephyrhills, Fiorida 33541 Proposai#
� ,y .�A :1_: '� Na.
�`.�s~�?a ,'""'`�_ ,�0 Phone (813) 7$2-6094 • Fax(813) 788-6773
.r��'`��� 0025Q0
.Q ='`��j�� 1-855-Go-Ryman �1-855-467-9626} • Lic.#CCC 1325505 Estimate#
�� www.RymanRao�ng.com
� Serving all of Central Flarida Job#
oN,,,e�rnur�nas�r:Diane Hartnett Date: �dI3/17
Claim#: InsuranceCampany:
Policy#
,Jab Address: 5338 19th St c�ty: Zephyrhi(Is Z;p: 33541
Mail to Address: E-Mai1 Address:
Home #: Cell #: �13-312-0094 Business #:
Q✓ Complete tear oifi of existing ASphalt ShitlqlGS qdditionai Notes/Special Concerns:
Does not include flat deck
Q✓ Secure atI loose roof decking as needed according
to Florida Building Codes
�Roafdried in with SVtlt}12�IC UtiC�@i'�aVCI'12C1'�
� Install new vailey metal with galvanized metal "
�✓ Install new 6 "drip edge color:
� lnstall new lead boots
✓� Install all new general roof vents
�r Instal[new �Shingle ❑Metai ❑Ti1e
�Modified Bu#imen ❑TPO
� Ittianufacturer {snin��e, meta� or t�ie} C7AF
Manufacturer �rPo or Mod. Bitumen)
Q Color:(Shingle,MetalarTile) SUnsetbrick
Color:('I'POorMOD.Bitumen)
0✓ A!1 roof reTated debris removed from job site,pick-up laase
nails using commerciai grade magnet
�✓ All materials,labor and permits furnished Sase Price*$ �3350.��
� Provide a 5 V�al' Iabor warranty
Additiorta!Items:
Repair center section that was instailed properly $3,200.QQ
Paid an 1 Q/30/17
Payment Method: �check# �71� �Cash �Financing �Insurance Claim
❑ Credit Card# Exp. Date CC ID#
Down Payment:$ �����.�d Amount Financed:$ Approx. Monthly Payment: $
PaymentTerms: ��°f���'�� and balance upan compietion
E�ras:
*Base Price does NOT inciude any unforeseen casts as described below uniess indicated in"Additional Items"aI�OV@. Customerinitial
�Deficient 1/2"plywood replaced at a cost of$ �5.�1� per sheet in the roof field,which includes labor&materials.All other wood work/ad-
�ional la6or,such as,but not limited ta,valley rebuilding,rafter replacement, 9x decking,etc.wi11 be a rate af$5.00 per lineal foot plus the
cost of materials.
THIS BEGOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES REGEIPT OF A COPY OF THIS CONTRACT
I ACCEPT THIS PROP SAL AND HEREBY C TIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CdNTRACT.
Purchaser: pat�: 1 QI30117
n.,...,�