HomeMy WebLinkAbout18-19386 , CITY OF ZEPHYRHILLS
5335-8TH STREEf
, (813)780-0020 19386
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 19386 Address: 5508 23RD ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0070-00000-0120
Improv. Cost: 6,699.00 OWNER INFORMATION
Date Issued: 2/28/2018 Name: GOODWIN, CHERYL L.
Total Fees: 75.00 Address: 5508 23RD ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/28/2018 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
GRECO BUILDING SERVICES LLC REROOF RESIDENTIAL 75.00
. �
��
/� �
� ,I,
i��„IoL Lt`W�
�
Ins ections Re uired
DRY IN ROOF INSP
� TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there,maybe additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be perFormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
' NO OCCUPANCY BEFORE C.O.
�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-7tfU-UUZ1
• Bu(Iding Department
, • �
Date Received � �,��` �1�c �- �� 6�� _� �,�
6�./ - �.Phone ContacYforPermitting p C� " �
Owner's Name C���'y'� �����`�' Owner Phone Number , y�� �� ��
Owner's Address . ��0� a'� � Owrner Phone Number �
Fee Simple+,Titleholder Name ' Owner�Phone Number
Fee Simple�Titlehoider Address _
� ��lX� p� i��� 4 LOT# � �
JOB ADDRESS
SUBDIVISIOPV� �`�L ����. PARCEL ID#. \Z ��2 � 2� ��j�U "� �C�'����
� (OBTAINED FROM PROPERTYSAX NOTICE)
WORK PROPOSED e . NEW.CONSTR'e ADD/ALT Q SIGN Q � Q DEMOLISH
INSTALL ��REPi41R
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE'.OF CONSTRUCTION Q BLOCK • 'Q �'FRi4ME Q STEEL Q
, .. �i
DESCRIPTION OF WORK ' �e-"� `���'��-�- ��
;
BUILDING'SIZE ` SQ FOOTAGE�• HEIGHT : ��
BUILDING $ / � � VALUATIOIV'OF TOTAL CONSTRUCTION
lQ
�,ELEC7'RICAL $ AMP SERVICE Q PROGRESS EfVERGY Q W.R.E.C.
Q,P,LUMBING $
,
�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� , -�
' OGAS � ROOFING Q SPECIALTY Q OTHER •
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
i '
BUILDER � COMPANY ��
SIGNATURE REGISTERED Y'7 N ' FEE CURRE� Y/N
Address �3� ���� 1sP� ��G�� , License# -: �e-���3 ��j�
;. ELECTRI,CI�4A1 , ..COMPANY '
:SIGNATURE REGISTERED Y/ N • FEE CURRE� . Y/N
� ,�aa�ess ' - l:icense#" '�
�.:-;�:.:; �
'PLUMBER.; , . "COMPANY�
,.-SIGN�ITURE ` REGISTERED Y/ N ' FEE CURRE� Y/N
_ , .:;•
, ' 1
Address License# :�
_ , :� ` . ,
;' MECHANIGAL� � COMPANY �
' `';�SIG{VATURE'` � � ` � " ' REGISTERED , Y/ N FEE CURRE� .' Y/N . - ,
� �aaress'�r� = ° � �> - � � License.#. '
„}:�.:�, : ... _. .. . ,
:;.OTHER`..: ._:,: �.�'�. , ; . , - - ' �°COMPANY -
��`SIGNATUREss:u ;a - � " - � ' REGISTERED ' . Y/.N FEE CURREK Y/N ,
"% .-��..it:';�_:st:, , , .. ` , ... _ ' f
�:__ Address��. �:,i: = License#
,;°��_�`;
;:.ti,- :::•, .,. , . . .. .s -. .e :¢4,.,;:r::,-. , .. r.w ,,, ... . .
.;RESIDENTIAI:c?:;;; ;Attach.(Z,);FIot:P:lans;tj2•)>sefs'ofBuilding�Flaris;(1)�'s,e4�of�Energy:Fomis;R:0=1NPerrrijt�ornew.constiuction, "
;,a.<=;.�:��:,�-;:fVlinimum,Ften�1Q:,workin �„da':5':afte�TsutirraitEal�'date�:"Be ui�ed`onsite°�Coristruction'Plan's'StormwaterSPlan's w%�Silt Fence installetl
.x�,..). ... .9, .Y. q � �
w.,� >,�.:,w.�� ,:•:;.,,.,.;,,,.:-_ , r_ �
Sanitary.�Facilities�&+,1ti;dwmpster;?SifeY,.W_.oric�,Permit:for;subdi5is'ions/la[gerprojecfs'-° , , - _
"-`�COMMERCIAI. Attach�'�2)�compiete sets of"Buildi"n"g'Flans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for'new construcdon.
�„��..
• - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,
�=�>.-' Sanitary Facilides 8�.1 dumpster.Site Work Permit fo�all<new projects.All commercial requlrements must meet compliance
���SIGPI'PERMIT ""AttaoFf=(2)sets�of;Enginee�ed;Plans;;?,:,::�.•�� - ' �
:'FN~ •'••FROPERI'Y SURVEY_required for.all,NEW consttuction..- -
:;'.: ,
;Di�ectlons: ,.: ,.... _ _�;� . - -- -
"���Fill.out`application completely.` �.y _
O,inrne[i8 CanVactor sign back of application,n.otarized -
<< If ovee;$2500;.a Notice�of:Comm�ncement is requi�ed. (AIC upgrades over 57500)
h;� " " _ ; ::.
r•;',.:�i• �' �.�.'�..����-
_. Agent�(fo'r�the�cont�acto�)'or.Power•of�Attomey(for'tFie owner)would`tie someone with notarized letterfrom owner authorizing same
' =;rOVER:7HE�COUNTER;PERMITTIN.G,.._ ,(copy_of,contraetarequired) ' - - -
;;'Re�oofs�if;sliingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) .
.. :.-<: . :_._-: - . .. , .:., .: ,.._ , ..
' -,.�..�' ',.�!'i-:t:��"Y.1: .�..--... .. .. . . "
- D�Iveways-Not over Counter if'on public roadways::needs,ROW : ��
' ,. _�• " .._ , . , � ,.
- � � , < , .'
�� . .. .._ ._ ., . _ _ __._ _._ ..
— 1
...--- ., ._. -�..:.�s�.:.�_�
�4
NOTICE�GIF DEED RESTRiCT10NS: The undersigned�,undecstands;tha#�this;�p,ermit;may,,be;swbje�t;to�,"deed�';restnc,tions°f�;�.:�.;
wtiich�::mayY6e�more:restricfiVe°>thari�:Gounty'regui�t�on� The�undersigne:i��assumes�c�sponsibitity,�for�ebmp{iah'c'er�'witti any` ':-�
appficaibte.deed restrictions. �:,_. ' .. - .��-:,:z.;�":,•�.��t.�.�'
. ... .,-,.<.. ,<•:�,�_.
UNL:[CENS�D';-CONTRACTORS .ANC1" CC?NTRACTOR RESP:QNSlBlLlTIES:- !f��#he=�owrter=fias,ltire'e1-��afeon#r:actor or- �
contractors ta undertake work, tHey..;�ay,be;r�quiced::ta be>licensed��in accor,dance with:state ancl:'local,�r,egulation's:�'If�:the=::��h
. ,,._ >,., :. . . , :
. . ..«„_:..,�:.,
contractor is�not:licensed as�re.qu�ired�'by"lainr; tiotli`-fhe owr�er:and°�cont�acfor�may�be-eifed�for-a7 mi'sdemeanor violation =�
under sfate`law. If the owner or;intendeid�.cont�actor are uncertain as to what.Iicensing require'r�iaeritsiainay�:applj�=�fo��th`e:�:"°,=�' �
-._.. k: �.=,�.y.„.>>;�..:,:: .._.,,. _. . -.. ...,�;„:. -=, x.;_:�: •
intended wor:k;.they.are advised�to co"ritact'#iie Pasco_Caunty:Btritdirig•,tnspectiori`D"ivisiori;.=Cicensing Section at.727'-84�7= ` �� e'
8009: Further-more, 'if the owner has��liii�d`ia ctintfiactor or conf�actars, he�is advised to�;have #iie...contr,actar(s}:;.sign ;;..-;; ,`.
,... .- .., :� x.Y:n<..�.. ,. :�.a -,�
portions of the "contractor 8lock" of.this.applica#ion.for�which:they wil!:be respansible. =1f yb.u,�as�tkie�ow�er�s�gn�;as�:tlie�` � �.,_
contractor, tl5at may 6e an indication thaf he�is not properly'licensed�ancl�is not ent�tled�to permitting pr'ivileges.inYPaseQ:,_,.:�=} 3��
County. . _ - .. . - ; �=.•: .a .�.t ,;t I
TRANSPORTATION-�iMPACTNTiLiTiES�tMi�ACT AMt3 RESOURCE RECOVERY�FEES: The undersigned_understands ✓.. ;� ;,;
�4,:�1..;. .t�.w:,�„,t•
that Transportation impact Fees and Recourse Recavery Fe_est may=app{y to��the.canstr.uction-of new.b.uii.iiings, change�ofi`==�:��:��}` �'.>'
use in existing buifdings,=or�_expansiori=of=:e�ist'rng Guildir�gs, as specified in Pasco Count}r 4rdinance number 89=t)7 and_ :;� ��
90-07, as amended. The�undersigned also understands, that.such;fees, as�may:�b:e��dus; w1f!-�e;ident'�'iedxatsthea.times_of�������;+ ;.•
permitting. It is further understood that Transportation Impaot Fees and Resou�ce�Reco'very-Fees�mus# be paid'.pcior to, ` �
receiving a."certificate of occupancy" or final.power release. � If the.pmject does not involve.a"ceitificate of occupan`cy�ar�°�=� ',
final;pawer release,;tfie:fees�must be.paid prior to permit issuance..:Furtliermore, if Qa�co;County Watec/Sewer�lmpact;�:-�Y�'; '
fees�are due,:tti,ey.,mus#Kbe paid prior to permi#iss�ance in:accordance with'applica�le_Pasco Caunty ordinances. �
Cl�NSTRUCTI�N LIEN Li4W{Chapter 71�3; Ficrida Statutes,as amended): tf valuation of work is$2,50:0.O:O.or.more;�i:;:£� ,
certify that !, the appllcant, have .been provided w9th�a copy-of- the '"Florida Canstruction�L�en l.aw-Homeowner's
Protectian Guide" prepared�by the �lorida Department of Agr.iculture and Consumer<Affairs. If the applicant�is;someone.. :
�.,._.�,...:
other than the"owne�', I eertify that l:have obtained`a copy of the.above.described`'docuriienf and promise�in good'vfai#h:#o ,,
. ,.,. , , _
deiiver.it-,fo th:e:"owner"`p�ior•.�to:conimencement: '
GONTitAGTC3R'8%BWNER'S�►FFIDAVIT::���1;certify tiaat ali�the infor•ix�ation in this application is accurate and that all�worlt
will be done in compliance wi#h all appiicable�laws regulating construction, zoning and.iand�.development. Applicatian is
hereby�made fo obtain;.a:,peimit:„to-=do;viiork and..installation as'�indicatecl: t cerfify fhat na work or.instaitation��has -
commenced prior #o issuance of a permit and��that a!I work will be pertormed to:meet:standardss�of all laws regulating .
construction, County and City codes, zoning regulations, and land development�regulations sin-ttie jurisdictian. `��1=also ;;:t
certify that I understand that the regulations af other government agencies may apply-to the-intended wark, and that it is :'�
my responsibility to iden#ify what actians I must�take to,be,in compliance,�Such agencies inc(ude but�are not;limi#ed;to:.� �;�
- ,Department af Environrri��tai�'Rrotection-Cypress SayFieads, Wetland Areas and Envfironmentatiy Sensitive °�;
�.,:
Lands,WaterNVastewdter Treatment. 4�;
- Southwest Florida Water Management Dlstr.ict Wells, Cypress .Bayheads, Vltetland Areas, Aitering � i`;;
Watercourses. - �
- Army Carps of Engineers-Seawalls, Docks;Navigable Waten�vaps. ' `"
f '�_
- Department� of H�alth,,& Rehabiiitativ,e SenriceslEnvironmental..Health-Unit Wells,'Was.tewater�Treatmen#, '�:.�
Sep#ie�T�ar�ks. �
- US EnvPronmental Pcotection Agency-,4sbestos.abatement. ' ' _.
Federal Aviation;Atitharity-Runways.. _ �
l unders#and that.the follawing::restrictions apply fo the use of fill: '
{
- Use of fli is not allowe,d in Flood Zone"V" unless expressiy permitted. - i
- tf the fiil material::is to be used in. Flaod Zone "A", "it is understood that a drainage plan addressing a
"compensating,vaiume" urifl be submitted at time af permitting which is prepared by a professionai engineer "
IPcensed.6y the State of Florida. ;
- If the fil! material��s tv be used �n Flood Zane "A" in connection with a permitted building using stem uval!
construction, I certify:that.fill will�be used only ta fill the area within#he stern wall. �
- If fill material'is to :6e used in any area, I certify that use of such'fill will not adversely a�fect adjacent,
properties. If use of fili is found taadversely affect:adjacent properkies, the owner may be cited for violating . :��
the canditions�of=.the:buiiding,permrf.'issued under the attached pecm�t:application, for lofs`�tess�than one (1) #'�
acre which are elevated by fill,an engineered drainage pfan is requi�ed. r
!f! am_the AGENT FAR THE OVIINER;:I:<pramise.In_gaod faith to inform�the c►wner.af-the perrtiitting condition`s se#forth'in �;
... �
,;�
this affidavit prior to-commencing consfruction. l understand that a separate permit may be required for elec#rical wa�k,. 4r,
plumbing, signs, wells, pools, air,,conditioning; gas,...or otFie�'ins�allations not specifically included in the applicatian: �A. ;�� { ;
permit issued shall'be�const�:ied<to�tie a license�'to�.proceed vuitfi tiie wark:and not as.aathority-to violate, ca�cel,�alter,;or F"!
set aside any provisians of"ttie`teahnical cades, nor sha8 issuance af a permit prevent the Building Officia(from #her.eafter 7;
requiring a coITect�on of�err,ors�in�plans;��constr.uctian or;violatians afi any codes:-�Every permi#issued sFial('beeome'snvalid ;�f�
unless the work aathorized by such permit is commenced withtn six months of permit issuance,�or if work authorized by °��
the permit is suspended.or abandoned far:a period;of-stx(6)"months after the time the work i�commen4ed. An eactension , >,
may be requested, in.�wr�iting,°from�-tlie Building�0fficial for a period.not to exceed ninety (90) days and-will demonstrate ���`�
justifia6te cause for tF�e extensian. :if.wor.k_aeases for ninefy(90)consecutive days,the job is considered abandoned. ; °�`�
s.
.. _ . _ . �. f j';i
WARNING�TF1 OVYNER: �YOUR:�AILURE�TSU;RECORD�A AtOTlC�.OF CQMMENCEMENT MAY RE�Ul:T iN YOUR �-�
�.. ... ...r, , . ,�:�. ;:.,
PAYIIVG TWICE'�ORfIM�'I�OI%EMENTS.uT4 YOUR�PRI?P�RTY: !F Y�EEa1NTEND��TO�OB�TAlN�xFlNANC1NG;CONSU,LT
WITH YOUR"LENDER OR AN�ATTOiRNEY BEFORE RECORDING'YAUR NOTICE�' � OMM EMENT.� __:_ '��
:—
-PLL-1RtDA JURAT(F:S:117:03}"- -; — -_ __- - . � -- - --—___.— —..__. ,
OWNER OR AGENT CONTRACTOR � ^""�"� �
Subscribed anc3 swom ta(or afflrmed}before ms this S ribe and swam#o(o affi sd)be� e this - `
bY ����Y
Who ts/are personally known to me or has/Fiave produced Who Is/a e pe onally k wn.t has/have produced ' �
as(denUflbatlon. as'identificaUon. -
�
Notaty Public � T Notary Pub}ic
Cammisston Rlo. C mis ion No. � '
�..
iVame af Rlatary typed,prEnted ar stamped Name of Notary typ d,��or�#���INE RUFFELL �
;�?:'�'A;g;':
:�, ;,,�Commission#GG Q453A3
:�:. =��:Explres November 7,2020
`�,FaA��q:�� Bonded Thru Troy Faln Insurance 800-38�7019
. w:w�n,�-�,�o.x.�r
' V I I'llll II'll IIIII II'III'III I'I'I III"IIIIIIIIII'llll'lll I'll
- 20180335fi0
PemrZNo. � `�/`� Parcxi10N0 /G��(� � ��l r "��� ������"'�G/�
N07iCE OF COfIAIYIEHGEMg�
�� ��-t��.�'C�� �,�,,of ! �J��
TF�UNDER�GNED heraby gives�totlCe tAe�Impipyeme�t w�ll be rnadelo cet�in reai pupertyf,a-nd m acurdanoe wiTh Chapter 713.Flncida StaftAes), � /
Ihe follavinB fnfortnatfon Is prv�ltled In this NWke d Camnencrine� � /n �e l /' ""f Il f f /► �Y /'l:�/ ' C•6 � f �
1. Descdptbn oT P�ope+ty,Parcel o. r��� r.�+ /� �•I
sv�ada��: � � { J' .r I(S 3 a
r
2. General ilesaiptlon of Ynpro�remant �
3. Owner Infnnnatinn o Lessee in(ortnaliun if the Lessee mnNaded forthe improvemenk � C� ��^
5� '� rl �
� �� S��
�"��"Pro�^Y � S�� ec: 10.00
_ Name of Fee s�mp�e Tt�ehdder. DS: O.00 IT: O.00
ttf a�fterenctrom owner�smd abwe) 02 f 27/2�18 eRecording
aaareas cry s��
4. ConMactm: �.O i�l..i( (� r(� 5
n, . , L � f,� �
Ad�ess r� r� City Sfale�
convactors re�epna,e Ma.: �6� 1. 7 D S. � �� p,qULA S.O'NEIL,Ph.D.PASCQ CLERK 8�COMPTROLLER
5. s�v:�(�,� o2/2�I2ois o4:o� � i ot i
OR BK g�g�, PG ���4,
Addtess CEty Sfate
pmount of Band_$ Tcleplwne No.:
6. Lender. /V / fT
Nema�T
Ad3rss � City State
LendeYs Telep�wne No.;
7 Persons wilhin the Steta af Fbrlda deslgneted by the oxner upon wlwm notkes or olher dowmants may 6e served as provided 6y
Sectlon 713.t3(1)(a)(7h FkrIQ6 Sy4tutes:
/{r f /•�+�►
Name
Acldress Ciy State
TetephaTre Nurtiberaf Designeted Person;
8. In additinn 1n himsel4lhe oxner des)gneles �V of
tn�Entive a cqryr of ihe iienors Nolice as Arovided in Section 713.13(�)(b).Fiorlda Stah�lcs.
Tclephone Number d Paraon w En1Ry Desi➢rmted by ONnar.
9. E�haUon de�e dl�totice of Commerxemerd{fhe eapnativn dale may not be beFore tl�e completlon of oonsMidlon end flnal payment to the
contraetor,hW wi�6e afg yea from ti�e date d Bcording tmles�a�eM dale Is specified):
WARN[NG TO OWNEF� ANY PAY0.1ENT5 AWDE 8Y THE DYYI�R AFIFR TSiE D(PtRA710N OF TN£NOTiCE OF COMMENCEMENT
ARE CON3I�RED IMPROPER PAYMETfIS IIAIDER piA1TTERlt3, PARTt, SECTTON713.73, FLARIDA STATUTES, AND CAfJ
RESULT IN YOUR PAYINO TNflCE FOR INFROVEhfENFS 7D YOUR PFtOPER'1Y. A N0T10E OF C069dENCEMENT MUST BE
RECORDED ANO POSTEU ON 7HE JOB SITE BEFORE 7HE FlRST iNSPEGTION. IF YW fNTEW TO 08TAIN FINANC{NG,CONSUL7
WfTH YOUR LENOER OR AN ATiORDIEY BF�ORE C06dAENCING WORK OR REGORDR6G YUUR NO710E OF COMMENCEMENT.
Under prnafry of pedjury,!detlare Umt I hsve read Ihe bregoing notioe of carener�cemeti end that tha facts stated thrsein are true 10 the hest
af my knaNedge and 6elief.
SFATE OF FLORIDA
COUMY OF PASCO � �
ot Awner ,or ar 's AuM�waed
Qffice�lDi�inrlpa nager
Signatoryfa T9fe/0f@ce
me foregoine s�shunenl w�v ecJuia�vletlged before me thls�!day of e 4 Z0�6y f ���.
as �type ata��y,e,g.,otlicer attomey in fect)far
f ( perty m half o6whom' was rsec<rted}
-P
PersonaQy Known❑OR Produced fdenHficafFon[�/ tdofary Sign�ure ' ,�
T,�a ie����a�d �L.Gk.-{�S P.
�s��+a���
��r�;: w,;,MEI,ISSA M SFlOEMAKER
3� „� Commisston�GG 41023
���� �� My CommFssion Expires
�w.,,„,„.��'' OcfaDer 23� 202Q
. J
u.. ���� � II
i.� �; . = I • i • t �
� {� �Y ���
6 r �
��; y` �.
��ti.�� ���.� �i,���,�1 "� ��' D�rto: ,
� � ��� �
l,,,1tL�a•un. 4.1kL'T1�
. . , �J`�. , i1 " y ns� ' 'i�i i� �� �P
# :!� � � i • 1 1�z � I F1 ,- � !r -���
.Y.�; ' Tla�_ ��, y
i�'�....�...
��L�- �`�`� � Sso� 2,��� �� �t 3 �t�� ��tJ"?
,
� � �1 �.�.`��- ����;,� �-��,..�����i�5 ��-- �-,� ���-�-� ��� '��
�`� s�`�
� 't �i ��
l�L,;,,t1�'�JI�L ��t��� 'V W� \— �"��� ��-�—^� "S:���, V�-v"� �
��` ``'� �.P�-�-��-- `�� ��`� �-t��.Z � Gr � x �w T� �
1 lt ���2�C.� �' '�� •
�,e.G, ¢.�.� � t'��-� u„�L�Z ��n, ��,��hf
�..,.,
`��v�.�.-"�c� V�..c�es ��v���' a,C so�S c.�C'
���'�-�", �.c'��.._ C�'�'��J V�k,LL€..`�j ,��,� '���,.
�,�� �Q ,
,�.�-..a 1t�,.,1�,.-�-�.. '�'`� `�'ie ^ � �� (.a�sf G�� ��-`""�,�s ve�u
� � 3 ��. �� � �� � �
�,,.,.-�..�e Q�,l �� �.�:�s1,� ��`� � -�-�'-5 1�c1.�-d4:.�
qLt �.s C� 1�5�� S
��,� ,, �.��.
��
� `�� ��� � ��. � � � � � �� e���,
• r� c�,�.•-�.. � �x`e- � � ��
�� °� � � ,-� � �
���� �
\��'�� ��
Bad wood: Decking to be reptaced at$3 per sq.or linear ft;Fascia,siding and soffit to be replaced at$7
per sq.or linear ft.wili be listed on irnroice at job campEstian
. . �. �. � �. . . � , �� � � . , � �. �, .: i � �
Payment Terms are ' ot7U dpwn:Balance due upan substantlal camptetion.
� � _ _ ,� _ , - _. - � - - _ .. . ..: - -_ - _ --�,,,- -- .;: - -
:<f Failur�tn do proper maintenance voids manuFacturer apd workmanship vrdi[anty:A4!mateiria!is guararrteed to he as spec�fed All work to becompleted in a. �
< waricinanlilre manner aceording to standard practJces:An}i atteraGon oi deviaUon from above specificatiorn irivoiving extra eosts;.wiii,6e executed upoq�vritten or"�
�" 'verbai brders,and witt become an e�ctra charge ovet and abave the estimate.A11 agreemenis ate contirrgent upos accidenis os.tiefays 6eyo�ld our control..7trts-
;-• proposa!subJed to�cceptance wlthin 30 days and Is vafd therea(te�at the opUon of the Knights Roofln�LLC � - � � �
. ACCEP'TANCE OF PROPOSAL:With my stgnature betbw,I.fiereby accept this praposai and authorize Knights Roofing,t!C ta da.ths wark as described 3n -
� this propasaL i hav egree to the Terrr�s and Gonditions an thls dacumani or attached,Shoutd payisient noL be recelved upon substantlai aomptetion ot the=;`�
� _. . ..
� job,th fnter h�ll acerue 1,5°h per month and§hould this account be_refeFretl to attomey for collection;t wili be�espon"sible tor`their fees,_; . -:�,=
� _, ,. ,�_ _ .._ . _..... :� �:-:;�,.��,�...�--_ 1`�:_____��. _.: -4�_ � _ ��,._� : _.,..._oat�:.._ _. .�: . �. _ ..
Print Name:Au ize Ow ent Authorized Qwner/AgentSignature
Date: � � �� �
Kni�ts Satas Consuitent �
� 3 LiT��� �� " �
813`:��5377 � www.shieldmycastle.com
AUTHORIZED AGENT FORM 20�18
GRECO BUILDfNG SERVICES
" 1629 ADAIVI CIRCLE S
LARGO FL 33771
CCC1330979 -
EMPiII: 1fVF0@GRECOROOFING.COM '
(727)735-2756
February 27,2018
r r � j ^r � r
I, " r ��i C�'l> `-'OF Civv�f' L'C�t . r V'1�D0
HEREBY AUTHORIZE THE FOLCOWING TO AGTAS MY AGENT IN'SUBMITTING MIT APPL'ICATIONS TO
TFiE C1TY OF ZEPHYRHILLS.
NAME: � ��� �C�V ������
,
EMAIL:
CONTRACTOR'S SIGNATURE: s��,�'�J���� LICENSE NUAlIBER�/a�:��—' ��l�
STATE OF FLORIDA�
• COUNTYOF`PASCO .
�"��1 � � _
The foregoi,g instr.umenf was acknowledged tiefore me this�day of �l�`����201 1,�y
e..
y'1t. '7(�� ' (� who is personally known to me O or has.pcovided the following
ide ification . Expir� a� t n D"ate:
,-' ���.�„�-
Notar.y P-ublic Signature: _��'�'" _...�..-Notary Public Stamp Here
'"����'' "MELISSA M SHOEMAKER
�a.* .;;
- `s Commission#,GG 41023
��, �ca My Commission Expires
'���,,,^,,,���` October 23, 2020