HomeMy WebLinkAbout17-19133 � -- _ _-_ _
�
CITY OF ZEPHYRHILLS
� > 5335-8TN STREEI'
(813)780-0020 19133
BUILC?ING PERMIT
PERMIT INFORMATION � � LOCATION INFORMATION
Permit Number: 19133 Address: 6'[35 16TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Baok:
Propased Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PARK HlLL
Est.Va1ue: Parcet Number: 02-26-21-0180-00000-0090
Imprav. Cost: 6,150.00 OWNER 1NFORMATION
Date Issued: 121'19J2017 Name: MCGUIRE DORC}THY V&ANDERSQN CH 1
Total Fees: 75.00 Address: 6135 16TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 335�2-2653
Date Paid: 12/19/2017 Phone:
Work Desc: REROOF SHINGLES
CONTRACTOR S APPLICATIiDN FEES
TLC ROOFING & CONSTRUCTION 1NC REROOF RESIDENTIAL 75.00
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Ins tions Re uired
DF2 IN R F N P
TAPE JOINTS RQOF INSP
FINALi[7�'�,.��_
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REINSPECTION FEES: (c)With respect to Reinspecfiion fees will comply with Florida Statute 553.80(2)(c)the
tocai gavernment shall impose a fee of faur times the amount of the fee irnposed far the initial inspectian or
frst reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions appficable to this praperty that
may be faund 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 awner. Yaur faiture ta record a notice of commencement may result in your paying twice for
improvements ta your prop�rty. If you intend to abtain financing, consult with your lender or an attorney
befare recording yaur notice af commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance wi#h
Ci Cocles and Qrd'mances. NO OCCUPANCY BEPORE CA.
NO OCCUPANCY BEFORE C.O.
��'"�,� —
C NT CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MCtNTHS WITHQUT APPROVED INSPECTIBN
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM 1NEATHER �
I
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a�3-�so-oo2a City of Zephyrhills Permit Application Fax-813-780-0021
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Buflding Deparhment '�
Date Recetved
�: Phane:Canlact�forFermittin �S%�— �C?�� _ ��
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Owner's Name Ownar Phane Number
Owner's Address 1��� �: � Ow�er Phone�Number � �
Fee Simple E7ltleholder Name � � � � Owner Phone Number � �
i � `
Fee Simple}Titleholder Address
J08 ADDRESS t.iL��� � txL �� �(` ` 8`-�'1� �S S T� LOT# C�
suso�vis�oa ��� � p;�c��..�u# t��. —`�.t�—.�-��,t�`�Q= c�c�c� —c�c�9�
, . (OBTAINED F.ROPA PROPERTY—TAX.NOTICE)
WORK PR4Pt?SE� NEW CONSTR ADDlA�3' �,] SIGN'� Q -� Q DEMOClSH
\. e. INSTALL 8+ , REPAIR ° .
RROP05ED:11$E • Q SFR Q Ct�MM ' � �THER ,
TYPE OF CONSTRUGTION Q ` BLOCK " '[,� FRAME � STEEL Q
DE�GRIFTION OF WORK` µ �'��'< C�`��" �'12�,,.. C��,,,�
BU1LDtNG SIZE` �� � 3Q�FOOTAGE `�� .. HElGtIT tC�,� ,
�SUIt.QING r� � �O _� VALUATtONsqF�i'Ol'A�:;CONSI'Rl7CT1�N t . ' ,
• L_�T_ ,
Q E[.ECTRiCAI $ ' AMP SERIJICE: "` .'Q Pi2{OGRESS ENEI2GY Q -.'W:R.E:C.
[�]PL'UMBING �f_ � , ,
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, QMECHAPl1CAL � � VALUATION OF;iyECNANiGAI INSTALIATiQN
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Q _GI�S �� F2QOFIMG ,Q Sf?EGIAI:TY:.�]_- ,�•OTHER- .
FINISHED FLOOR ELEVATIONS ��� FLOOD ZONE AREA , ;[�YES. ,NO . ,
_ - �ly"'
BUl�DER . CflMFi4NY�° >. : � -. . �
SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N ,
Address . ' License#,� �
t .. . ., � - .
ELECTE21C11'!tN- ` �COMfa'ANY � ' � -
SiGNATURE � REGISTERED Y/ N FEE CORRE�'` '' '�Y/N
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AtldPe�s . , lfcensB# � - �
PLUMBER'y � GOMt��fitY •;:: ` . ..r =�,;. �.. ��f� ` , ..
SIGNATURE' � , REGIS.TERED.; ',Y_/�:N.�a, =..eEEE;CURRE� Y•/N;" �
AddtaBS y:v ' �. , :�LiCBttSe,# ' - . ��:
; , .. �. � _� . .
MEGMANiC�tI: - CONtp�+lY � � � . �.: � �_� . ' ,
SIGWA7'URE � 'g` REGI87ERED Y/_N. . �,FEE�CURRER=� Y/.N � �
� ^ ,�...�. , . ,,:.-:, + .. .: .. `, - �
Address° - . _. - , . �liceiise# �_..�,
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03H�it `¢� � _ j(j :COM,PANY" � .�n, a:C�'\��C�'�.d� �
r ii,,t�.e.1��� � t :'.".. '`.:
SIGN�1TURE �" " . ~ " 'REGISTERED" "�Y/ N.;.�: — �`'F CURRE� Y/N
Addrass . - � . , , , , ` lic�nse# C�.0� �� `-�" t� �` '
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RE3iDENTi�4l;;�:� :Attz�cFi'{2).,PIofi,P,laiis;,,(2)`setis of�Biiilding!'Plan`s;%(1}sef aF'Energy�Farins;�R=O=W:Peririff for new cor�struct�on, ,. _ `
_;:Mi.nlmum,tena(:10j;working:;d@ys',a#ter subritittal'date..;;R`equtred onsite,:Cnnstiuc�on°Plans,�Stormwa'te'r•'Plans:w%Silt°Fence-installed, �
`: ��'�:'Sanitary FacfliUes,�&1,.dumps.ter;-h$ite'Wo,r,k�.Permiffqr:subdivision�Aarge;pro]ecfs, _,.:';>: _. `�- � �' �`� - '� "
COMMERCIAI. Attach{3)cbmptete sefs`'ofBultilliig Plans`plus a�1.tfe SaEety Page;{1}set af Energy Fatms.R-0 W Petmit far new`constnsctian.
- Minimum ten(10)working days af#er submittal date. Required_onsite,Constructian Plans,Stormwater Pians wi Silt Fence Installed,
Sanitary Fadiities&1 dumpster.Site Wark Pertnit for all new projects:.All commercial requirements.must meet compllence
&iGN P�RM1T AttacFi(2}sets of�nglneeXed;Plan's:, _ ° � . � , - - ,
'•"'PROPERTY SURVEY requlred,for aII;NEW constructtan. -
DIPBG#1QAs: ,_ ' ,
Fill out applicatlon completely.
Owner&Contrackor sign back of appllcatlon.notr�eized
If over�500.a Notice of CommencemeM is tequtred. {AtC t�pgradas avar$T540) ,
'" Agent(far lkie con'tractor)'or PoVirsr of Attbn'mey'(far tFie owner)would be someone with notarized letter 1'rom owner authorizing same
DVER TH�COUN'fER.PERlVIlTTfNG.. {Front of,Appllcation flnty}T _ _ , ..
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage) ' ' _
Drlveways-htat aver Caunter if on pubtic roadways..needs ROW' ., - ��,.,.°'�n .""`"""",{'•_`.". .. :~,,.. . '-. . . • .
.4r;;.. �.^.r,.c:.�':�.".. .. ._fa.,,w:. .vt.. ». _.._ ... � .. . i!..�. ,�.. ��I'�..-J'�,.. ,
�� �..i'.�� '�.i_�4.. �, .....:'t.,..., _ . , � ,w;. ��r���'�P;..'�2Ct;i"� 1 �.
' c'';7�y�c.�, .�. .ti'tt�.o .°� `��. .`" r, _'�r��. L :,}^. .., _ -_ -
uhrYt; t. ... ,�n,ijri ^�•,.- . ' �. �° .��:5=..,.�s'r", ' ,. ,.ii.;:'��,- , �.
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II � 9:ti.�f... �,�.�� �.I .' -..'� _ . ..:�...i,., �.. �'..n.;i.._ t-,t�'� --a.. . i ..a.r.n� _ �. ., a+s... -.�
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NO'I10E A�DEER RESTRtCT1ANS: The undeeslgn�d,ander�tands=;#h�t;this:��rntifmay,be;subj�c�,to;"deed",restrlcttorts°�.,..� _
which may�:be�more,rest�icttve<th��County�{fegulat�ons:�The u�de�silgned�'assumes're�ponsitilltty forAcorripliance witfi"any�� ' �"��
applicable deed rest�ictions. ..: ,..: : __ : , . -.._
UNLICENSED�CI�NTRACTORS AND CONTR�►.CTOR�RESPONSIBILtTIES: =�If�the °owner`has��hired a contractar or
contractors ta undertake work�thBy may:be�req�rired�to:�be;_Ilcensed�ln accardance.with state.and_local_regulatlans:-�If the=�� �
contractor Cs not lti:ensed:.as'�requirad{6y I�iiirt,-bot#r the awner artd��cont�actar�=may-�be�cited for a�cnisdemeanar vlal�tlon
under state law. If the owneP or Intended�;contr�actor:are:uncertaln �s to wrhat Iicensing.requlrements may��:apply�:�for:'the�, < �
intended work,they a�e advlseif�#o aiiitact ttie�Pasco�Gat�nty Buitding�tnspectton Dtvis3on--Llcens#ng Sectfon at 727-647-
..._ . . .
8009. FurfFiermore, tf the owner iias�liired�a conUactor o�contractors, he ts advised to have the cantractar(s),;sign_ _ .
porkions of the "contractar,.Black" of,this_appllcatlon_for whlch they wlll be-tesponslble.• if:-yau�:as:#he,ownersign`=as the ' '
contractor, tha#-�may be an indicatlon that'iie°is not p�oper�y Itce�sed�and�is�.nat erit�led tc petiri3ttiiig priulteges In Pasco
Counly. . . `•` ,� '
. ,. . - . . _; . .
TRANSPQRTATION•iMP1�GT/UTIL1�lES-IMP�i��C��►Nb-1�ESOUItGE REC�VERY FE�S:"�The undersfgrisd understartds ,
that Transportation impact Fees and.Reco.urse Recove.ry.Fees may���pply�ta�the:constructlon�of new,buildings,ichange�'of`' `' °�� `�-
use In ez�sting bulidtngs,�or�expansibn��of-�exlsti�%g'�.aall�ttngs, as specified.!n Pasc� County Ordinance number 89-07 and_
90-U�� as amended.,...The. undersigned aiso:understands� ftiait'�such fees��as�may�tie��due;_;�viil�6e ider�t�ied at the�tinie�of�� L '
permitting. It Is fu�Fier understood that Tra�isportatlon Impact"Fees and�Resoucce:RecoVery�Fees.mus# be paid pria�to
rece�ving-a"cecf�tcate�of�occupancy"�or flnat�_powe.c.-Eelease:..`1f�Ehe.pro��ct.:does..not Involve:a:certif�cafe of occupancy.'ar�_::. - =�
final pawer releas�a;.:,the;fees'must;be patd;p�lor#a,permit Iss�tance. Ft��thermare;if Pasco.County Water/Sewer�:lmpact r �-�
fees are dae,_they.must:be-pald:prior.ta..permifi�lssuance:in_act�ardance uiritfi�apAltaabie Pasco'.County a�il3nances. �
CONSTRUCTiON`LIEN`LAW"(Ciiep�er 713� Ftor�da Statutes�as amendedj: tf valuatton of work Is$2,5q0.00=,ar more�;i --.
certify that I, the applicant�-have�:been-.provided �wtth �a-copy-of the�°Florida ConsUuctlon� L(en Law--Horneowner's
Pro#ectton Guide" prepared by,�#tie F�ni�da Depertment�of Ag�lculture and Cansumer.AfFairs. 1#the appllcant is sameo�e .
other than the"owner", I certffy,that.lwhave�obtained�a'copy.of:the:abavs.desc,ribed;tlocument�and;p�romise�:,intgootl:falth�to
del�ver 3t to.the�'awner"�.pcioc:to�commencernen#:=°'��.:': . . .` . .,
CON7RACTOR'SIOWNER•S AFFiDAViT: I.ce�tlfy„th;a#,all.the,lnf.ormatiqn:�,ln�thi�appilaatlon is accurate�nd that all wark
wil!'be done in comptiance with all appltcable laws regulating construction, zoning and:�land develapment. Appltcatlan is
hereby made to obtatn..a permit..to,dc�unork:.,and;ihststlation as indt�eEed:.�..t certify that no work`or installatian fias
aommenced prior to issuance �of.a permit"and thaf�:all�work wlll be perFormed�to meet.standards of all laws regula�ing-
constnuction, County and C�ty codes, zoning regulati�ns, and land devebpi�ent cegttlatioris=ln the Jurisdlcflon.. 1�ai'so
certify that I understand that the regulations of other government agenctes may�apply�ta the.intended wark, and that it is
my�esponslbility to!clen#ify�what,actions 1 must�take:ta besln:.cotrt�lance:__5,uch,agencfes inctude but-are.not ffmited to: s.
- Department of Et�yironmental FProtection=Cypress.'Bayheads; Wefland Areas and Env(ronmentally Sensitive
Lands,VU�tedVllastewater Treatment. U
- Southwest Florida Wa#er Mattagement .�fstrlct 1Nells, Cyptess.'"Bay.�eads� Wetland Areas, Atfaring
Watercourses. � ;
- Army Corps of Engfneets-Seawalls, Dacks,Navigable Waterways.
- Department. of Health;;;� Rehab111tat1v.e,Services/Er�vironmentai:Health Uh1t-Well.s, Wastev�raater�Treatment�, �
Se�tic Tanks:_ ' � - � . '
- US Environmental Pra#ection Agency-Asbes#os abatement..:.
Federal�Aviatton-Authority-Runways�� � � _ �
!understand.that the:foticiwing;restrlctions�ap;P�y ta the�use af flll:
- Use offili'is not�ailowed in,Flood;Zone"V"uNess expressly permitted. '
- If the�:fllf material=!s 'to-b.e usetl"In�-:Flood�Zone. "A", ft. Is underetaod that a drainage plan address[ng a
"compensating votume"witl bs submltted a#time af-permitting w�iich is prepared by a professional engineef
Iicensetl by`�he State of:F��arida:.�� - � � �� ;
- tf th� flll mater#al�ls to:be�used In �lood��one 'A" in>connec�f6n�wlth�a�permltted bultding using stem wa11
� constcuction,.l certify,that:.fill virlll:bs•used only.to.fill the are�wtthin�the�stem�wali: �
- !f flA materlai�fs�to be u�ed In any area, i"�c�ttify that .ase. of such flil wifi not advetsety a#fect adjacenf
` properties. If use�af fill Is fonnd:to adversety:�f�ect ad)a�ent��properties,.the owner may be`clted for violating
the condlfions=of.the bulliding-.permit.lssued�under the�attached..�ermlt apptication;�fo�lats�:less�than one (1s�
acre wlitcfi are elevated�6y tI[t,a�t englneersd dralnage plan Is required.
pf i am the AGENT FOR THE OYYNER, I�promise In good faith to(nfarm th�owner of�the permitttng condftlans set forth tn
this atfidavtt`prior to comrrter�cing constructlan. ! understand tha#a=separate petmtt may be requtred#or etect�cal work`,
ptumbing,_.signs� wetis,rpools;. air.conditioning,.ga�s,'or ather install''�ttons no�.speciftcaily lnciuded�in.the��pplication. �A
permit Issued'"shall be construed to'be'a�Iicer�se`��to�pioceed vvlth ttie;work and nakras:.authoNty.to:violate,�'c�ncel� alte�� o� .
set astde any�provistans oF the.#eclinlcal.cad+��;�nor sha11 issuance3of a.perrntt.prevent the Bulldirig t�iictat fram thereaftet
�equiring a co�rectlan af.errors._in plans; _consttuctian orviolations of•any codes:�.Everypermf#I.s"sued sfiall�become invalid
unless ihe work aa#ho�fzed.by such perrnit:�is.co�rtmenced�wlthin si�c..m�r.t#hs of�pennJt Isst�attce, or tf tnrark aufhorizecf by
#he pe�mit is suspended or.�bandoned-for:a:period.of�sin�)�manffis:after,,the,time the�work�ts commen�ed. An eactenslon
may be requested, in writing;:fiam.'ttie:Bulltling,Offlclal for a period:,not-to-exceed`�nlnely�(90)'�days�and w1N demonstrate
�ustffiable cause for.�the extension�. If r�ork cease�.for r�inety{90)cons.ecutive day.sr..the)ob�is considered aba�tdoned. ;
� 1
1M�4RNlNG TO OWNf�: YQUt�..FA1I.URE.Tt�,,RE�C.O�tD�Ax�1U�TIGE:OF.•COMM��IGEMEI�T:MAY-RESUCT IN YdUR
PAYING TWICE;I=CMR:IMPROVEMEN'�S�TO:�YOUR;PRC�PERTY::�I��YO.U�INTEND:TQ'ABTAIN�FIN��1EiNG;'CONSULT
W1T, . _ U ` �N '�'�'i'� Pi � F�AR�� �� �.:. i34� ' - ��:� :'� ' �. L ,
F{.ORIbA,lURA�'•-tF.S:1.47.D3} -- . . . , _
OWNER OR Al3E[�!� � � CONTRpCTO
Subs b �Y (o rma b re me fhls �E� /bed and'swa = (ot fli � +efore me ftii . .
s� 2. ��y... . �
Wlio�s(a personally , to.me or haslhave produced �+o.lslace Rersonally knoum•ttt or has/have�pmditced � ,
ss idenNBca�qn, � t1T%G1�� l C r"'9d1lZ-_� as idenHBcation. _ �
t . • . .. "
Publlc . G ,���"'�, OQJ2.� a.t��u�.f' Notary Public, �,
Commisslon Na:` C m�lssfan.Na._. L� c;�C`�I ��� . � .
U .� ✓'� �-�l�Q�e i2�./,���
IVame of Ptat� .�� Name of�lolary typed,prlMed or stemped
•���P�:"•- DEBRAELAINERUFFELL . ,��,, ��
, wm� �`�;:Commissian#GG Q45343 �vst�;�DE9RA ELAINE RUFFELL
;,,�:o;:Explres November�,2020 �{' s.�Commission#GG 0453d3
�� '••F�;�;�'� Bondnd Thru hoy F�in Irourance BOa36�-�019 , ;g��xplres November 7,2020
„„
� .,°���,`' BondBdThtuTroyFainl�urat�800,985»7019
. i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii �
Key No_ Permit No. 2017199675 �
NOTICE OF COMMENCEMENT Rept:1917802 Rec: 10.00 I
D5: 0.00 IT: 0.00 �
THE UNDERSI6NED hereby gives natice that improvement will he 12/19/2017 M. F. , Dpty C 1 e�k
Made to.certain; and in accordance with Chapter 713;,:Florida.Sfate
Statues,the fiollowing information is provided in t�iis:Notice.�f
Commencemer�t:
1. Description_of Property.: Parcel No::. (�o�~ 2�2 '�_�."_��-�(�, � 'f�OQ[�
(Legaf description af the property�an street:atldress if avaiiable)
2. General.pescription.of-1 m.Provement -
G,Rr o i�� �-`�--��'�-h YlA-�� �ns-�-
3. Owner Information: Name: ✓ f
Address: . �� '�. .. GitY a.Q2�' �i ; .l� State�ZiP-�{�c Z
lnterest in Property: _ .
Name and.Address�of�Fee�Simple.T�leholder.(tf other than�ownei�j : .
4. Contractor. Name: TLC RQOFING LLC
Actdress: PO BOX '1:7�5� Cit�r DADE GITY � State FL �ip 33526
.Phone�No_ 352-473-4073 � Fax No. 352-4:73-�.073 � � �
�5: Surety_�Name _ Amount of Bond:�
Address: . City . " State
Plione No_. . . . Fao�.No.
6. Lender: Rlame: . _ .
Address: City Zp
Phone No. ax :o. ... . . ..
7_ Persons vui#fiin the State of Fforida designated by Owne�upon whoin notices o� � ocu e e
sen►ed as provided by Se�ion 713.13('[j(a}(� Florida::�afutes. � �
�Name:
Address: Ci�y e_Zip
Phone:�No. Fax�No. .
8. {n addition to Iiimseff or herself, Owner desigrYa{� ofi
,
To receive�a copy-of the Leino�s Nofice.as.pravided in Section 7'13.'13('1)(b};� 'da Statutes.
9. Expiration date gf Notice of Commencement(tfie�expiration.date is1 year.of reeording unless a different
date�s specified.)
WARNING.TO�OWNEf2:ANY Pi4YMENTS MAD6 BY"fHE.QWNER AFiEit 71iE EXPIRATIOH OF THE NQTICE OF COMMENGEMENT ARE
CONSIDERED:IAAPRDPEft PAY�AENTS UNDER�CHAR'i'E�t7'1�PART 7,SEG743'l3,El,ORIOA-STATUTES,AHD CAN RESULT lN 1fOUit
PAYING"TWICE FOR IMPROVEMEiiI?S TQ YOUR PROPERTY.A�NOTICE OF CalOBAENCEMENT MUST BE:RECORDED AND POSTED ON THE
JOS Sf�E BEFORE THE EIRST iNSPEG't70N.IF YOU:INTEIVD'CO OBTAiN FlN{1NCING.COfVSI1L't'WITH Y�UR LENDEIt OR AN J[iTORNEY
BEFORE.CO6Af1SENCINGINORK�:OR RECORDINC�YOUR NO'il MMENCEMENT.
x , ���� p N� � —
S' �ra�ofO�iirtierorOwri . .Authorized�Office arlRartiierlMarrager Signafor�s-TiHe/0ffice
"'SFgnature Requi d by same 6elow by`X"mark`�` ^
State of��uL. . , - , County of M[�� �
The iorgoing instrumerit was admowledged:before�me tiiis l'�'Tday of�;,.20�by_�'���i�tU_1('� ______
(Pnnted.n�ime of pe on admowletlging)
as a�;�1PQ _ fnr�'IDIaP � Y'Off1y��• M P Cct���
jrpe of authority e.g.,office trustee;aftomey in iact) , � (Natne of patty an:ti_ ` $f who instrumerrt was ec� .
na of ota►X Prirrt � , or p Name:ot Nofary
rso ly known .QR Produ d lclentification �
ype o ldentifica6on Afoducetl: �1 PlC� .��-�1 ,
Ver�ficat�on pursuaM to Sectian 9Z525,Ffodda S'tatutes::under Penaltt�of per�ury►.�declare that t have read the fo�gq ��( cts
stafsd in it are:true�to.the�Gest of my lmowledge and 6efief_ "���"'""��
—._ _...._ _. —---- —. - _ --- =;�P�Y p��—�-- --��tat�of F�orida_ ..__. ._
PpULR $.0'NEIL,Ph D PR5C0 CLERK & COMPTROLLER�I
i2iig�201� ii:22am 1 of 1 My Commission Expires 05117�2U16
, oR BK g�51 P� �52 �9 Q�°e Commission No.FF 111984
�OF F�-�
Bonded through
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.. y_ s.
������•�
.��` e ' �� a �/ TAtE OF FLORIDA, COUNTY OF PASCO
��'' S IS TO�CERTIFY THAT THE FOREGOING IS A
AND CORRECT COPY OF THE DOCUMENT
�} . d � y LE OR OF PUBLIC RECORD IN THIS OFFICE
'n G���?�� E �Y HAND ND OFFICIAL SEAL THIS
� � " '..",� , � LDAY OF.uL��L�I.�2�i / �
��. - �� . A LA S. O'NEIL, CLERK&COMPTROLLER
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DEPUTY CLERK
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� � C3ffice: 3�2-4�3T-4�73 Ce11: 352-65�-71�1
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+ Pi�OPO$AL SUBMiTTED TO WORKED"�U BE��R�aRM��3 AT
lame- ����"__.,�,����G ll ,���C "� r`r��', Street
�treef „�� �,�;,.--�`. .:7"' Cit��
:ity--��{ �� State ZiP
�tat� �f Zrp �wnerof Prope�y �
lhone Nurnbe T�iri��'�'� !';���Fax Phone Numb�� Fa�c
Ve hereby propos�to fumish aU the materials and perForrn ait the tatior n�cessary for the compte�ion of:
�Remove existing shingle roaf �l Replace bad fascia boards at$ �'� � per foo4
H Remov�e�tisting built up roaf � �►lnstat!���fee#of�idge ven#s �
t Dry-in with �95 Ib. F�30 lb. ��Q�� ���� ❑instail modified tafimen(granuiated)to�ch down roafing
a lnstai!new galvanized vaUey meta! black,white or other color
�lnstall nevtr iead boats �Irtsta1125 yc fungus resistanE 3-t�ab shirtgies �,,����.
�Instati new e�c#�t ven#s �instafl 30 yr.#ungus resistant dimensionai shing#es
�lnstal!new drip adge, color ❑Shingie manufacturer �► ���` color
�tnsfal!new�lashing as needet4 l�lnstal!TPC),wrhite rubberiaed soo#ing membrane '
@ Reptace piywood at$- ��,� per sfi�eet �E t)ther. 'w�^�-��, �r,d'h�
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q�epair ratten trusses at$ `���e per foot J�,"��n_ ,�,@Y' v�}
Wao�work is an actditiona!charge,see pricing aboue _..� ! ��, Q�
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��i materiaf is guarantesd to be as specified;and the above ork is to be pertormed is accondance with the drawings and specifica-
ions submit#ed for above uvork and completed in a subsiantiai workmanlike manner#or the sum of$ �,� � �s Q�.�J
vith paymen#s to be made as foEiaws. Paymerrt d�ue rrt f�l� ��a com�let�or�a uc�l�.,��#h��wr�s���#+�da lfiantc���<
Credit carrls accepted,addi�anai 2.8'�a charge.
ury aiteraUon or deviatton fram above specffications Invohrtng esura costs wiil
�e ezecuted anty upan wsiMen arders,arni wllt become ao e�cua charge aver and
�bove the esttmate.AII agreemems corningent upon sMkes,aecidents or delays
�eyond our camroi.Ovimer fi carry Sre,tomado and othe�necessary insutanCe ' Q�tfi.BC/At,��T1�
�r�ona�,rework.wancers'CampensatlonandPubAal.iabilityinsureaceanabove IVote: Ti�is proposal may be �vvifhdrawn �y tas if nof acce�t�c
vork to 6e taken out by Haofing Cpntractor.
W1�11i�1 {�ajlS_
:.lient gives permission to drive on driveway to deliver materials.
� }�CCEPTAi�CE{3F P€�r3POSAL �
The above prices,specifrcatians and conditians are sa#isfactory and are hereby accepted.You ars authorized 2o do#he uvork as
specified.I have read fhe�ack of this Propasal/Contract,which contains Flarida Statues 713.4Q�-713.37.Paymer+t will be made as
outiined above, r� �
Accepted ���~�' � '� Signature �,� ���� /iO1" ��, !/Z��' ���'rd �
.Date ���„! ddr Signatcare