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HomeMy WebLinkAbout18-19689 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 19689 BUILDING PERMIT r" PERMIT-INFORMATION LOCATION INFORMATION Permit Number: 19689 Address: 5029 9TH 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: 11-26-21-0010-21100-0030 Improv. Cost: 8,400.00 OWNER INFORMATION Date Issued: 5/16/2018 Name: LEYVA GILDARDO & MARIA TERESA Total Fees: 85.00 Address: 5029 9TH ST Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/16/2018 Phone: 813-600-0962 Work Desc: REROOF SHINGLE CONTRACTORS APPLICATION FEES SUMMITWOOD WORKS LLC REROOF RESIDENTIAL 85.00 2P Ins ections Required DRY IN ROOF I SP 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. CON RA TORSI ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date.Received Phone Contact for Permittin Owners Name Leyva, Gildardo Owner Phone Number 813-600-0962 Owners Address 5029 9th St,Zephryhills, FL 33542 Owner Phone Number Fee Simple Titleholder Name I LeYma. Gildardo Owner Phone Number Fee Simple Titleholder Address 1 50299th St Z h hills FL 33542 JOB ADDRESS 5029 9th St Ze h hills FL 33542 LOT# SUBDIVISION PARCELID# 11-26-21-0010-21100-0030 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT ® SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE ® SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK ® FRAME = STEEL = DESCRIPTION OF WORK Reroof shingles BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ p VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ [' AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL VALUATION OF MECHANICAL INSTALLATION �/� 9 =GAS ® ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY Summitwood Works LLC SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address I 1501lighld Manor 200 Tama L 33619 License# CCC1331248 IIIIIIIIIIIIIIIIIIIIIIIIiI 1111111111111111111111Illllllllllltlllll 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,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building 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 Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.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 completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) 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 (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over 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 by law, 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 IMPACT/UTILITIES 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. - Department of Health & 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"V"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 may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job 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 ATTORNEAEFORE RECORDING YOUR NOTICE OF MME CEMENT. FLORIDA JURAT(F.S.11 7 03)% OWNER OR AGENT O�IATRACTOR Subscribed and swo (o ff a before s Subscribed and sworn ffirm befo s e pcfisonally�own to m6 err has/have produced Wh is/ape pgrso all sown to me or as/have produce- Q as identification. /// as identification. Ll Notary Public Notary Public Commi p,on No. Commission No. Name of Notary typed,15rinted or stamped Name of Wotary typed,p'nteQror stamped '""'%'•_ COURTNEY E JONES ;���""" ,.; COURTNEY E JONES ' MY COMMISSION#GG149059 MY COMMISSION#GG149059; ' EXPIRES October OB,2021 •?' EXPIRES October 08,2021 o; ,. ,a,, Phone: (813) 328-3525 CONTRACT FOR SERVICES CCC1331248 SUMMITWOOD Date: Apr 18. 2018customer# Customer Name: Glldardo Leyva Best phone: 813-600-0962 Job Address: 5029 9th St cell phone: 813-600-0962 city: Zephyrhills State: FL Zip:33542 Work phone:813-600-0962 Email: Neal@coolroxs.com Exterior Work Other Work Main Roof Other Roofs N/A Satellite nln Flat Shingle MFG: N/A Antenna NO Shed N/A Solar Panels Color: 'k * No Other(see notes) N/A Other(see notes) Drip Edge Color: White I/We the owners of the above referenced property agree to hire Summitwood Works,LLC.to Perform the following services and to provide all materials and labor to complete any and all work performed according to the terms,specification and provisions. Materials and services may include,but are not limited to: ✓ 30yr or greater Manufacturer Shingle Warranty ✓ *UPGRADE*New Ridge Vent Roof Ventilation System �5 yr or greater"NO LEAK"Workmanship Warranty *UPGRADE*Re-nail of Decking per FL building code New Pluming Vent Pipe Boots/Collars *UPGRADE*Secondary Water Barrier per FL building code Flashing in all valleys per FL building code Replace rotted decking at$75 per sheet Wall flashing and rCounter flashing per FL building code %/ Remove all job related debris Additional work i. N/A city 3. N/A Qty 2. N/A Qty 4. N/A Qtv Additional Terms/Notes Install and Payment: No other promises made Total:8400.00 Down Payment: 2000.00 Ins Check Amount:0.00 Approx Install Date*:4/24/1 8 Approx Finish Date*:4/25/1 8 Type of Payment: Finance -Aqua Type of Ded Payment: N/A Insurance Payment Status: N/A 'Install date is contingent upon material availability from our suppliers,and prevailing weather conditions. Date is for the roof only;any other work will be scheduled after completion of the roof. I/We understand there are no oral agreements or understandings between the parties of this agreement.The written terms and provision represent the entire agreement between the parties.Changes shall be done by written change orders only and approved by both parties. Changes may include extra charges.This contract does not become binding until all parties have signed.You the buyer,may cancel this transaction at any time prior to the third business day after the date of this transaction.Cancellations after the third day are at the discretion of Summitwood Works,LLC and may result in a cancellation fee. Neal Scoppettuolo � ° �" I t 4/18/18 Authorized Agent Pri Customer Signature Date 4/18/18 Authorized Agent Signature Date Customer Signature Date Copyright©Summitwood Works LLC www.coolroxs.com General Information Roofing your home is a big undertaking and requires some preparation. Here are a few things to keep in mind about your project: ✓INSTALLATION DATE. After confirmation of final approval from the insurance company,our installation department will be contacting you by the following Friday to schedule the date for installation. Installations are scheduled based on material availability,availability of our crews or subcontractors,and most importantly prevailing weather conditions. This start date supersedes any previously promised start date. ✓DELIVERY OF THE ROOFING MATERIALS AND DUMPSTER. Company will have the roofing materials delivered to your home and will place a dumpster in close proximity to the home in order to dispose of the existing roof. Dumpsters are to be placed on hard surfaces only. PLEASE NOTE:If you need access to your vehicle and/or garage, you may want to park on the street(the night before)to escape the risk of being"blocked"in. ✓ARRIVAL OF THE INSTALLATION CREW. The installation crew typically arrives between 8 AM and 10 AM. At this time,there will be vehicles parked on the street and in the driveway to unload the necessary equipment. Feel free to let your neighbors know about your project and invite them to observe our work. ✓ANTENNAS AND SATELLITE DISHES. We will need to remove antennas and satellite dishes prior to the roofing installation. Most rooftop antennas are no longer used but will be reinstalled upon request. We will automatically reinstall satellite dishes and do our best to reposition them but cannot guarantee quality of signal. Contact your satellite provider for professional realignment. ✓DEBRIS. It is not uncommon for debris to fall into flower beds,shrubs and bushes. Our installers will use tarps to cover these areas and make every effort to avoid unnecessary damage. Please remove outdoor hanging items such as plants,wind chimes,pictures,etc. Pottery and yard decorations should be removed as well. If you have delicate plants,please point these out so necessary precautions can be made. ✓NOISE. As with any exterior home project,you can expect to have noise inside and outside of the house. If you have children or pets that are sensitive to loud sounds you may want to make arrangements for them to be away for the project. Also,we recommend you secure any breakable items such as mirrors,picture frames or vases that could shift inside your home due to the vibrations caused by the rooftop work. ✓FINAL CLEAN-UP&INSPECTION. As the project comes to a close you will notice the crew will go into final clean-up. They will pick up any remaining loose roofing debris and use large magnets to pick up any nails in the yard. It is our fullest intention to leave your property as clean and safe as possible. Your Company Agent will do a final inspection of the property and will be available to answer any questions you may have regarding your new roof. General Specifications 1.The provisions hereof constitute the entire agreement between the parties.Any changes,alterations,waivers,or modifications with respect either as to the job performed or the terms,or any other such matter set forth herein must be in writing and duly accepted and signed by both parties.These General Specifications shall apply to this and any future orders or agreements for the processing of any changes in the scope of this Installation Detail.Any representation,statements or other communications not written in this contract are agreed to be immaterial,and not relied on by either party,and do not survive the execution of this contract. 2.Summitwood Works LLC LLC..(Company)will remove existing roof system,inspect wood decking for possible defects and replace any rotten/damaged decking boards. Rotten/damaged boards; replacement 4'X8'sheets of 7/16"thick pieced of 0S13 decking will be installed for just$75.00 each. 3.Company and the customer acknowledge this Installation Detail is issued within the parameters of the customers wishes in accordance with the insurance summary and is not bound by the Insurance Estimate.Customer agrees to pay Company for the replacement cost value on the insurance estimate including any additional or supplemental funds released from the insurance company,that pertain to the work completed by Company. 4.All workwlll be completed and billed in accordance with the Insurance Estimate and this Installation Detail,any work not in accordance with the Insurance Estimate will be considered an upgrade,will incur an additional charge,and will be in writing duly accepted and signed by both parties. S.If the Customer chooses not to pay for apart of the scope of the Insurance Estimate the individual line item,or a trade's replacement cost value,as shown on the insurance estimate,will be subtracted from the total replacement cost value of the claim,and the Customer releases the Company of its obligations for the performance of that component with regard to the integrity of the building system as a whole. 6.Company has the right to order excess material.All excess materials belong to Company. All material is guaranteed as specified.All work will be completed in a workman-like manner according to standard practices.All agreements contingent upon strikes,accidents,weather or delays beyond our control.The company warrants installed roofing systems to be free from leaks for the duration specified. The company assumes liability for repair of any installation workmanship defects causing leakage.I agree to hold the company harmless for any interior or exterior damage,to include environmental damage including"mold"resulting from water leakage.The company shall have no liability beyond repair of said roof.All materials used are subject only to warranties provided by the manufacturers and/or suppliers, if any.If the company is not paid in full in accordance with this agreement,all warranties are null and void. 7.It is Customer's responsibility to notify the company within forty-eight(48)hours of the leak.Customer agrees to take responsibility for reasonable and immediate action to avoid any further damage. Leaks may occur in areas other than the roof,such as,but not limited to,the chimney cap,flashings,brick,mortar,stucco,windows,siding and HVAC pipes.The company is not responsible for the repair of these Items.The company will send a representative to inspect and investigate any reported leak.More than one inspection maybe necessary to isolate the cause.I agree to provide acceptable times and dates for such visits and house access. 8.All quotations,orders,or modifications thereof,are contingent upon and subject to any occurrences beyond Company control,including but not limited to,strikes or boycotts,accidents,theft,fires, shortage of materials,or equipment,war,casualty,or acts of God,and Company shall not be liable for failure to perform upon any agreement for such causes. 9.Customer's telephone,electricity and water will be made available to the company during the course of the services. 10.Customer is responsible for contacting their satellite provider for proper re-alignment of dish if necessary,and gaining approval of shingle type and color from their HOA if applicable. 11.Extensive vibration is a normal part of a roof replacement.I assume responsibility for objects hung from the exterior and interior walls and from ceilings and soffits.The company cannot be responsible for these items,as they have been known to fall during installation.Such vibration may cause cracking,nail pops and other damage.The company assumes no responsibility for these items. 12.Replacing the existing flashing is sometimes an element of a proper roof Installation,the siding adjacent to this flashing that has aged over time may crack,break ortear.The Company will make every reasonable effort to avoid damage,but will not be held responsible for any siding damage.Additional charges may apply to repair or replace siding. 13.The company shall not be responsible for protection of my property,except to provide that protection which is specifically called for under the specifications provided by this Agreement.I also agree to remove,store and/or protect personal property during the company's services.I will manage and be responsible for protection of vehicles and property exposed to damage by the company's work.This includes securing all pets and releasing Company of liability for any personal injury that could occur during or after installation is complete. 14.Company will not be responsible for slight scratching and denting of gutters,oil droplets in driveways,hairline fractures in concrete,flowers,minor broken branches on plants and shrubbery,damage to driveway/curb caused by trailers or dumpsters,any damage below the roof,due to leaks by excessive winds beyond manufactures warranty,ice dams,hail,pre-existing or future construction defects caused by storms or lack of maintenance during the period of the warranty. 15.The company accepts no liability to indemnify or hold Customer harmless for claims and/or damages to persons or property,except to the extent that such damages occur during performance of the company's work and are direct result of the company's error or omission.Notwithstanding the foregoing,the company shall not be responsible for damages for any area of the Property upon which the company's work has not been completed.Customer understands and agrees that the company shall have no responsibility for damages of any kind to persons or property occurring afterjob completion. 16.Customer agrees to hold the company harmless in connection with the work described herein,and that my maximum recourse shall be,and the company's maximum liability shall be limited to,the amount the company billed to me.Customer understands and acknowledges that the company does not warrant or guarantee previous workmanship or pre-existing materials,nor any materials or labor not originally provided by the company.The company shall not be responsible for latent defects in materials and accessories supplied.The company shall not be responsible for rework required as a result of the acts or errors of others.If it is determined within the scope of the project that additional work is required,the company will notify me of the work needed to be performed before the work can be completed. 17. Payment is due in advance to an authorized agent,except when other arrangements have been made.If any payment is due it shall be paid upon completion of each individual trade. In the event of a default,or when any portion remains unpaid,interest shall accrue from the date of the completion at the lesser of a rate of 20%per month(240%per year)or the maximum allowed by law with a minimum charge of ten dollars per month($10.00).Should default be made in payment of this contract,a lien will be placed on the property and charges will be added from the date of the substantial completion at the maximum allowed by law. Customer agrees to pay all necessary costs, court costs, expenses, legal fees and amounts due if this account is tendered for collection. 18. 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 BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD ATTHE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board 2601 Blairstone Rd,Tallahassee Florida 32399-1039 (850)487-1395 011018 Copyright©Summitwood Works LLC www.coolroxs.com Ifliffllllllilllllllllllllllllllllillllllllllif1111111111111 {{ n' r}t 2018068279}y� �7 PeWt No. Parcel ID No,1 1• 6'l�-1-OD ID '2 11 DD' r[) 0 NOTICE OF COMMENCEMENT State o} FI Q i AG County of f4 Ezz THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real properly,and In accordance with Chapter 713,Florida Statutes, the following Information Is provided In this Notice of Commencemen 1 1 �f 1. Description of Property: Parcel Identification No. 1 -�. '21 -C01 Q'2.1 M'LYE 3D SheelAddress: q "1* EA, iJ95r' I 2. General Description of Improvement-VP Rcpt,:1951035 Rec: 10,00 .05: 0.00 IT: 0.00 704/2412018 L. K. , bpty Clerk 3. Owner Information or Lessee Information If the Lessee contracted for the Improvement: %- Addr N City State InterestinProperty: Il�7TOnf/ Name of Fee Simple Titleholder, (If different from Owner listed above) Address City State 4, Contractor. lAjer, "' h r nsyroa Address g 15•��' '.�� K city state Cantreclol's Telephone No.: PpULR 5,0'NEIL,Ph.D,PA5C0 CLERK & COMPTROLLER . 04/24/2018 08:40am 1 of 1 5. Surety: Name OR SK 9713- PG 1696 Address City State Amount of Bond:S Telephone No,: 8, Lender. Name Address City Stato Lendefs Telephone No,: 7, Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Uenoes Notice as provided In Section 713.13(1)(b),Florida Statutes, Telephone Number of Person or Entity Designated by Owner. 9, E)viratlon date of Notice of Commencement(the explratlon date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date Is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1, SECTION 71313 FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A N6569 OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Under penally o1 perjury,I declare that I have read the foregoing nod ce of art end that the fads s therein are true to the best of my knowledge end belie!, `J<� /�-�✓ o is 'CNEY E BONES MY COMMISSION K GG1�9059 Signature of Owner or Lessee,or Owner's or see's Authorized .,� Officer/Director/Partner/Manager EXPIRES 000bW 08,2021 Signatc s TitlelOffi�The foregoing instrument was acknowledged before ma this-,&Lday as (type of authority,e.g.,officer,t(stee,attomey In tact)for (name of pa n behatf t whom In ment execuled). Personally Known❑1R Produced tde on� Notary Signature Type of Identiflcadon Pre �duce �/JY/' Name(Print) Ile 'd5 wpdatalbcslnotioewmmencemen(,-pc05300 CITY OF / / / / BUILDING ZEPHYRHILLSNOTICE . DEPARTMENT OF ADDITION OR CORRECTION D • NOT REMOVE ADDRESS DATE PERMIT, 64- �b 9 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. hee- v--e o8 f Y -E It is unlawful for any Carpenter,contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other material,unfit the proper inspector has had ample time to approve 780-0020 FOR RE-I PECTION the installation. OFFICE HOURS 7:30 AM-5 PM MON:FRI. INSPECTOR GD • a. r City.of.Zep.hyrhil Is . . 53 35 811 St ephyrhills=FL 33542 (8181180-0020.. -- -. - —�`-R03FIPdCrI°d5i'EETI3iL`AfFIDA1/IT - . .: . Permit No.: - licensed under Chapter 468 Florida Statutes as.a(n):. Contractor.: Engineer_Architect__Building.lnspector_. �.. License No.:. Z�— On or.about I2,a /'I did ersonall inspect the: personally p. . Check: Roof Deck Nailin .. D, In X : Flashin and Drip.edge ) . . . g Dry g .. . p. g Check which was used: 30#felt Peel and Stick .0ther(List) At the following address'.. 5 :.Based'upon that,examination, lhave determined the:installation was done:according:to the Hurricane . IVlitigation Retrofit IVlanual.(Based on Section.553.844;Florida Statutes):. -- . Signature:... . . STATE-0F FLORIDA COUNTY OF PASCO NEAL R 3COPPETTUOLO Sworn,to and s cribed ore thi - nOuary.30 2021 Y COMMISS EXPIRES Ja BY: Notary Public State of Florida