HomeMy WebLinkAbout18-19570 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19570
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19570 Address: 5910 18TH 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: 11-26-21-0010-04700-0200
Improv. Cost: 6,000.00 OWNER INFORMATION
Date Issued: 4/13/2018 Name: HUFFMAN DANIEL
Total Fees: 70.00 Address: 5910 18TH ST
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33543
Date Paid: 4/13/2018 Phone: 813-244-5301
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
RYMAN ROOFING INC REROOF RESIDENTIAL 70.00
r
i
DRY IN ROOF I SP Ins ections Required
TAPE JOINTS ROOF I
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.
11)dW1;1b__
�TERMIT
R SIGNATURE PERMIT OFFI R
EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
'813-780-0020 City of Zephyrhilis Permit Application rdA-o ,oV-vu<<
Building Department
Date Received ! �'� Phone Contact for Permitting ! B `
TrrrrinT
owner's,Name an i ` U Mao Owner Phone Number
Owriec's 4ddress?, Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number "
Fee Simple'TitleholderAddr(esss
JOB ADDRESS,, �I lJ Yt U1i I� S 3 �� LOT .
suBbivisiani Z l�ti l -PARCEL`t I# a�,'
(OBTAINED FROM PROPERTY TAX NOTICE)'
WOf?FtQPOSED NEW CONSTR ADDIALT SIGN Q MOVE Q DEMOLISH
e INSTALL e REPAIR j
PROPOSED USE SFR Comm Q OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME pp Q STEEL .' Q( OTHER I pp�n�
DESCRIPIION;OF:WQRKi �'�� O (e-If3Cti f pC . a� KC� at S6Veri� as �4(� cJ�}c/1 li?� .���t ti`tt12��C
BUILDING SIZE u 0 C� S i.. ",SQ�FOOTAGE: f V HEIGHT
C
BUILDING VALUATION OF;TOTAL GONSTRU.GTION
:. .
ELECTRICAL" $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
PLUMBING $ t
0: MECHANICAL ..' $ " VALUATION OF MECHANICAL INSTALLATION
: GAS ROOFING : SPECIALTY 0 OTHER
� .
FINISHED FLOOR ELEVATIONS' FLOOD ZONE AREA =YES_ =NO
BUILDER.. _ COMPANY
SIGNATURE REGISTERED -Y/ N '••FEE CURRENT; YL -/N
Address License#
ELECTRICIAN[7 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT 'Y I N
Address License#'
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT
Address License#
MECHANICAL COMPANY'
SIGNATURE REGISTERED Y/ N � FEE CURRENT Y/N J.
Address License
OTIiERs.. . COMPANY, trY)Cttl (}{ (� ' Tf'}C: .'
SIGNATURE; REGISTE�R�D / N - FEE CUR NT' t(' /-N
Andress t �+C l-NS5 65
RESIDENTIAL Attach.(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Storinwater"Plans w/Silt Fence installed',
Sanitary Facilities&'1 dumpster;site Work Permit forsubdivisions/large,projects . '.
COMMERCIAL. - 'Attach(3)sets of-Building Plans;(1)set of Energy Farms:R-O-W.Permit for new construction::
.Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans vv/Silt Fence installed, ,
Sanitary Facilities&1 durripster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans,
****PROPERTY SURVEY required for all NEW construction.
Directions;
Fill out application cLitompletely.
Owner&Contractor sign back of application,notarized ,
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not o'Ver'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 bylaw, 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 contact 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 indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
:. County:
TRANSPORTATION IMPACTIUTILITIES 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 Ordinance: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 Water/Sewer 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 amended): If valuation of work is $2,500.00 or more, I
certify that I, 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"owner"prior to commencement.:
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all 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 performed.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 government agencies may apply to the intended 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,Water/Wastewater Treatment.
Southwest Florida Water' Management District-Wells, Cypress Bayheads; Wetland Areas, .Altering
Watercourses:
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
71,
Department of.Health'A Rehabilitative Services/Environmental.Health Unit-Wells, .Wastewater. Treatment, .
Septic Tanks.
- US Environmental Protection Agency-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 W"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 connection 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 drainage 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.work 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 work is commenced.-An extension
maybe tequested,.in writing,from the Building Official for a period not to exceed ninety (90) days'and will demonstrate
justifiiable'cause'for.the�ektensiori- If:work ceases for ninety(90)consecutive days, th)bb is considered abandoned.
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 ATTMNEY BEFORE RECORDING YOUR NOTICE46E COMMENCEMENT.
— - _FLORIDA JURA-T-(F:S.11. .
O E, R AGEN,-
rQ sue.
sc'i ed ands : tore me his su sc i e d s imed before r►i .this
Ahi r MOO l� l� y ennr�e( NayWoec
W is re personally known to me or s/have produced Wh Is/are personally known to me*or has/have produced
as identification. as identification.
Notary Public Notary Public
commission'No. Commission No. -
Name o Notary.typed; DA NOELLE PHILLIPS Name of Notary typed,printed or sta
\\CRY ;� Y Pia, -AMANDA NOELLE PHILLIPS
'®Q``State of Florida-Notary Public
•_ Commission # GG 166548. e° 4;State of Florida-Notary Public
y Commission # GG 166548
M Commission Expires =;�� My Commission Expires
OF F� \ 2021 OFF\�\\
December 10, '�n,,,,,, December 10, 2021
ERIMN
EXPRES �
RymanRoofingrnc.i 5%fee for credit card processing.
A Division of Ryman Construction,Inc.
36413 SR 54 • Zephyrhills, Florida 33541 NO. 23'74 Proposal#
Phone (813)782-6094 • Fax (813) 788-6773
O® 1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505 Estimate#
www.RymanRoofing.com 1
,..`
f Serving all of Central Florida Job#
Owner/Purchaser: Date: "I ;
Claim#: InsuranceCompany:
Policy#
n�ddress: J_� I �� � j ) 'i �1'I Cu. � City: C� 16`��! I � 1 c I� � Zip: �1 J`t 4
Home 3) '53 ( Cell #: � Business #:
E-Mail Address:
;0 Complete tear off of existing Additional Notes/Special Concerns:
❑ Secure all loose roof decking as needed according
to Florida Building Codes
❑ Roof dried in with
❑ Install new valley metal with galvanized metal
❑ Install new "drip edge color:
❑ Install new lead boots
❑ Install all new general roof vents
❑ Install new
❑ Manufacturer:
❑ Color:
❑ All roof related debris removed from job site, pick-up loose
nails using commercial grade magnet
❑ All materials, labor and permits furnished /
Y �--
❑ Provide a labor warranty Total Investment$ '
Additional Items:
Payment Method: ❑ Check# ❑ Cash ❑ Financing ❑ Insurance Claim
❑ Credit Card# `.f�,. Exp. Date CC ID#
Down Payment: $ 1I l o o i Amount Financed:$ Approx. Monthly Payment:$
PaymentTerms:
Extras:
❑ Deficient 1/2"plywood replaced at a cost of$ per sq.ft. in the roof field,which includes labor&materials.All other wood work/ad-
ditional labor, such as, but not limited to,valley rebuilding, rafter replacement, 1x decking, etc.will be a rate of$ per man hour plus the
cost of materials.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY.OF THMCONTRACT.
I ACCEPT THIS PROPOSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF iTHIIS CONTRACT.
Purchaser: Date:
`Purchaser: Estimator:
All material is guaranteed to be as specified and completed in a substantial workmanlike manner. All agreements contingent upon strikes,accidents or delays
beyond our control.Owner to carry fire, hurricane and other necessary insurance upon above work.Labor warranty does not cover damage to roofs caused by
lightning,hurricane,tornado,hailstorm,impact of foreign objects or other violent storm or casualty damage to roofs due to settlement,distortion failure or cracking
of roof deck,walls or foundation of a building.Workman's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING, INC.,
a Division of Ryman Construction, Inc.,or it's subcontractors. RYMAN ROOFING, INC.,a Division of Ryman Construction, Inc. is not responsible to provide any
materials or to perform any work other than what is described above.Replacement of deteriorated decking or fascia boards is not included and will be charged as
an extra unless otherwise stated herein.This contract is subject to a final approval by RYMAN ROOFING, INC.,a Division of Ryman Construction, Inc.and is the
entire agreement of the parties and no other written or other forms will be recognized.A charge of 1.5%will be made on all unpaid balances after 30 days,plus
charges incurred for non-payment procedures,plus attorney's fees. RYMAN ROOFING,INC.,a Division of Ryman Construction,Inc.will not be responsible for
any damage to septic tanks,sod,shrubbery, paint,satellite signal loss,sprinklers,concrete drives or any underground piping.All replaced siding,facia board,etc.
will be un-painted. RYMAN ROOFING, INC.,a Division of Ryman Construction, Inc. is not responsible for the painting of such items.
LIEN LAW
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW(SECTIONS 713.001-713.37, FLORIDA STATUES),THOSE WHO WORK ON YOUR PROPERTY OR
PROVIDE MATERIALS 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 SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS,THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO
YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE 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.
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,YOU CONSULT AN
ATTORNEY.
CHAPTER 558 NOTICE OF CLAIM
CHAPTER 558,FLORIDA STATUES CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR
AN ALLEGED CONSTRUCTION DEFECT.SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION,YOU MUST DELIVER TO THE OTHER PARTY TO THIS
CONTRACT WRITTEN NOTICE REFERRING TO CHAPTER 558 OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE
SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR
PAY FOR THE ALLEGED CONSTRUCTION DEFECTS.YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE.THERE ARE STRICT
DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTERESTS.
FLORIDA HOMEOWNERS'CONSTRUCTION RECOVERY FUND
PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS'CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT
PERFORMED UNDER CONTRACT,WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BYA LICENSED CONTRACTOR.FOR
INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM,CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE
FOLLOWING TELEPHONE NUMBER AND ADDRESS:(850)487.1695, 1940 N.Monroe St.,Tallahassee, FL 32399-2202.
RYMAN ROOFING,INC.,a Division of Ryman Construction, Inc.cannot be held liable for damaged lawns,walkways,driveways or ceilings since access to and
from the structure is essential for materials to be delivered and for work to be completed.We strive to avoid any damage at all,and will seek to access the
structure with the least impact.
Disputes arising out of terms and/or conditions of this contract are subject to Mediation and Binding Arbitration by both parties.As a member in good standing,
RYMAN ROOFING,INC.,a Division of Ryman Construction, Inc.requires that all Mediation and Binding Arbitration be administered by the Better Business Bureau
Care Program.Customer is responsible for any and all attorney fess related to their dispute.Should Contractor employ an attorney to institute litigation or
arbitration to enforce any of the provisions hereof,to protect its interest in any matter arising out of or related to the Agreement,Contractor shall be entitled to
recover from the Customer all of its attorney's fees,costs and expenses incurred at mediation,administrative,appellate or bankruptcy proceedings.
Any alterations or deviation from the agreed specifications involving extra cost of material or labor will only be executed upon written orders for same and will
become an extra charge over the sum mentioned in this contract.All agreements must be made in writing.
RYMAN ROOFING, INC.,a Division of Ryman Construction, Inc.retains title to any equipment or material furnished until full and final payment is made.
Contractor's Workmanship Warranty will become null and void if contract is not paid in full. Payments not rendered in accordance with contract agreement shall be
subject to finance charges of 18%. Interior water damage will be covered for 12 months from time of job completion.
All proposals are based upon cash/check pricing unless otherwise noted.A 5%processing fee will be added to all credit card orders.Additional financing charges
may apply if applicable.
There is a$35.00 N.S.F.Fee for all returned checks. In the event of collection,debtor is to pay all attorney's fees,costs and expense incurred therein regardless of
whether Final Judgement is rendered.These terms and conditions will be enforced.
Hydraulic Dump Trailers will remain on site until all work is complete.If homeowner requires the Dump Trailer to be relocated or removed before the completion of
the work there will be an additional charge of$195.00 per move added to the contract price.
All paperwork(Permit,Notice of Commencement,Photographs and all affidavits)posted at job site must remain outside and accessible to the building
inspector to allow for signoff of all inspections.If paperwork is removed before all inspections have been completed there will be a$100.00 re-inspec-
tion fee assessed to the property owner.
A 20%Restocking Fee will be charged on all cancelled signed contracts.
RYMAN ROOFING,INC.,a Division of Ryman Construction, Inc.reserves the right to withdraw this proposal if not accepted within( 14 )days.
Any approval(s)required by the Homeowner's Association is the sole responsibility of the property owner.
Owner and/or owner's agent agrees to allow RYMAN ROOFING, INC.,a Division of Ryman Construction,Inc.use of water and power on site for the duration of
the project.
Purchaser: Purchaser:
Psrmi&N(.3. Par6si 10 No .010 - 60- 03 00
F1 b(I JOL .NOTICE OF COMMENCEMENT PC[
State of - County of
THE UNDERSIGNED hereby gives that improvement will be made to certain real property,and in accordance with Chspler 715,Florida Statutes,
the following frifounation Is provided in Notice of Commencement: 0
Description of Property. Parcel Identificatidn No. ka tp-a I.- cot C) -6`4706 - 0 00
Street Address: '5+ Ztb K M1 FT_3 3!5q'a
2. General Description of Improvement I —
S. Owner informatki Lasses Information ifthe Les ee contracted for-the improvement:
Name 1 '33�q
Address city r I state
Interest in P,,,,,y. 1kP_r.
Name of Fee Simple Titleholder:
(if differgrit from owner listed above)
Address I city state
4. contractor. Tnc-
Nam
136g ,3, WhVrhill 5
Address city state
Contractors Telephone No.: 3--76J-&oqq •
S. Surely:
Name
Address
Amount of Bond: M 2018062291
a. Lender ly
Name t RcPt:1948424 Rec: 10-00
DS: 0.00 IT: 0.00
Address
Lenders Telephone No.* 04/13/2018 M. F. , opty Clerk
7. Persons within the State of Florida deeignals by the owner upon whom notices or other documents may be served as provided by
Sectlori 713.13(1)(a)(7),Florida Statutes: 7,j
Name
Address city- state
Telephone Number of Designated Person: t
S. In addition to himself,the owner designates N-A -Of—
to receive a copy of the Lienai's Npfice as provided in Section 71 113(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
nd payment to the
9. Expiration date of Notice of Commencefrient(the expiration date may not be before the complef, cliction a t
contractor,but will be one year from the date of recording unless-a different date is specified): Jpfinal is
WARNING T 0 OWNER: ANY PAYMENTS MADE BY THE OWNER AFT ER THE tEPIRt1TlON OF THE N64GE OF COMMENCEMENT
ARE CONSIDERED IMP PAYMENTS UNDER CHAPTER713, PARTI, sEcTION17iS.13, FLOROA STATUTES, AND CAN
RESULT IN YOUR PAYING FOR IMPROVEMENTS TO YOUR PROPERTY. A-NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 05-MIN FINANCING,CONSULT
WITH YOUR LENDER OR ICE OF COMMENCEMENT.,AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOT C MME NT.
Under of perjury, a the best
Y,I declare that I have read the foregoing notice of commencement and that'the facts stited therein are true I
of
my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASOD Signature of Owner or Lessee,or Owner's or Lessee's Authorized
OF,IcerlutrectoriparineriMenager
S, tory's TiflelOf ice
20 by�� 19CLV
The fgragping instrument was acknowledged before me this C�day 20- (type of authority,e.g.,atuer,trustee,attorney In fact)for
(ne of party behalf f cmlnstrurrs� as executed).
Personally KnownEl OR Produced Id tific n) Lary Signaturea- ft"Cci 77
epla N
Type of Identification Produce- Name 0'_ Cl WWd
ANGELA HAYWOOD PAULA S,'OINEIL.Oh.D.PASCO.CLEO-k-.&:COMPTRO.LLER
* 04/13/20
1 612:53 m I of I
U Ile-State 1 551id 7 76Commission#FF 92 OR BK Ps2 4
MY Comm.Expires Aug'24,2019 1,
Bonder!through National Notary Assn.
STATE OF FLORIDA,COUNTY OF PASCO
b, HIS IS TO CERTIFY THAT THE FOREGOING IS A
RUE AND CORRECT COPY OF THE DOCUMENT
1'�''a�"'a � • N FILE OR OF PUBLIC RECORD IN THIS OFFICE
r YY ITNE,S MY HAND A D OFFICIAL SEAL THIS
DAY OF 2. IS_
f '- PAULA J EIL, CL K&COMPTROLLER
CLERK
• City of
.h ills
•
5
.. _ :Zephyrhills-FL:33542 "
(823.)-780 OQ20 .
ROOFING INSPECTION AFFIDAVIT
Permit No.::
(
f(:
I, licensed under Chapter.45$;.Florida Statutes as"a(n)::
" Contractor Engineer_:Architect Building Inspector.:_"
'LicenseNo.
5
i"
On or about .- 1 a d did personally inspect the—
Rood-D6ck Nailing Dry in
Chec#c which was used: 30#felt :PeeI.and Stick^Other(List)'
At-the following - wk 0 C:
- address: "
Based upon that examination,.l.have"determined.the installat on.was.done according"to the Hurricane:
tMitigation_,Retrofit Manual(Based on Section 553.844, Florida Statutes).:
Signatu :.
STATE OF,FLO IDA
"
COUNTY OF,PASCO."
Sworn t . nd subscr' ed, a are this day: d.
-
BY:
Notary Public:State of Florida:
: . . �� �LA HAY WOOD%
r°o._ `'�'.:Notary PuPA_ PY4blic=State of F{artda:
.. ?:; »• ."Cammissian#.FF 912551-
.�y41 woe: �y"Lamm Ez ires Aug2 2019
;o,°,�:�`'� Bondedttirough National Notary Assn.