HomeMy WebLinkAbout19-22147 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22147
BUILDING PERMIT
PERMIT INFORMATION I LOCATION INFORMATION
Permit Number: 22147 Addres : 4808 & 4810 19TH ST LOT 16
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: DUPLEX Lot(s): Block: Section:
Square Feet: Subdiv sion: CITY OF ZEPHYRHILLS
Est. Value: Parcel umber: 14-26-2-1-0010-02500-0150
Improv. Cost: 11,322.00 OWNER INFORMATION
Date Issued: 12/06/2019 Nam : ARCHWAY PROPERTIES LLC
Total Fees: 100.00 Addre s: 19235 AUTUMNWOOD AVE
Amount Paid: 100.00 TAMPA, FL. 33647
Date Paid: 12/06/2019 Phone: (813)335-3133
Work Desc: REROOF SHINGLE
CONTRACTORS APPLICATION FEES
THE ROOFING COMPANY OF TAMPA BA REROOF RESIDENTIAL 100.00
i J
1
n
DRY IN ROOF IN P
Ins ections Required
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;uch subsequent reinspection.
NOTICE. In addition to the requirements of this permit, there maybe ad Jitional restrictions applicable to this property that
may be found in the public records of this county, and there may be ad itional permits required from other governmental
entities such as water management, state age cies 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.Al work shall be performed in accordance with
City Codes and Ordinances. NO OCCU ANCY BEFORE C.O.
NO OCCUPANCY BEFOI RE C.O.
Q &-, aze�
CO RAT RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOU IT 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 Deparimant}
Phone Contact for Perndttln
Date Received
-rmrr 'j
Owner's Name / Y (� P O ner Phone Number /3-
Owner's Address /�2� AhlIna O-0 A O ar Phone Number
TF.e Sl��,�L 1 ✓V /
Fee Sim a Titlehol er N m "�-
Ow{rer Phone Number
Fee Simple Titleholder Address
JOB ADDRESS `1 (J (� f 7'V y� LOT# t 1
SUBDIVISION PARCEL ID# / '(/lJ/D^119 260
(OSTAINED FROM PROPERTY TAX NOTICE)
WORK P POSEp n_ NEW CONSTR 8 ADD/ALT i IGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = Comm = OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL
DESCRIPTION OF WORK }? J L `
BUILDING SIZE SO FOOTAGE HEIGHT L"�
Ttrr-rr r. . . . rrr' . . . . . . . .T-. . . e . . . r . . . . . . . . . rrrrf-r�
�6UILDING $ 3 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE IQ PROGRESS ENERGY Q W.R.E.C.
i
=PLUMBING 1$ ^�
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GASROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS ��] FLOOD ZONE AREA =YES NO
J
l
BUILDER COMPANY FI
SIGNATURE L� REGISTERED YJ N FEE CURREN YIN
Address License If
ELECTRICIAN COMPANY
SIGNATURE ( REGIS I YIN I FEE CURREN Y I N
Address I License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y f N FEE CURREA Y I N
Address I License# �—
MECHANICAL COMPANY I �.
SIGNATURE { QEGISTERED I Y1 N FEECURREn Y!N
Address I License#F7 �.
OTHER COMPANY
SIGNATURE ��- `REGISTERED I Yf N FEECURREn LXLN
Address J" I License#
! ! ( ! 1lll ! ! ( ! ! i !•1111.11 / litiiiit (tltitlit ! ! ! t�l11 ( ! il ! ( 11lt ( I !•! / ( !.lII !
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R- W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Constriction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpstar,Site Work Permit for subdivisionsnarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of norgy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Cons coon Plans,Stonmwater Plans w/Silt Fence installed,
Sanitary Fatuities&1 dumpster.Site Work Permit for all new projects.All coiimercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*-PROPERTY SURVEY required for all NEW construction.
-
DLrectlonil • . .. . . . . . . . . . . .
tsh
.
Fill out application completely.
Owner&Cdntractor sign back of application,notarized `
If over$2500,a Notice of Commencement Is required. (A!C upgrades over$7500) I
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 AIC Fences(PlottSurveytFoatage)
Driveways-Not over Counter It on pubtic 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, I
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlj ITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in ccordance 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�o what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building In,spection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractors) 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 ar d 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 specifieIP 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 projact 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 ame gded): If valuation of work is$2,500.00 or more,1
certify that I, the applicant, have been provided with a copy of thel"Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture an� 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'S10WNER'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 per�ormed 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 agencip s 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,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, press Bayheads, Welland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironme tal 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 adjacentlproperties,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 ll I 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 wor,�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
a . 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) e4op
I •
OWNER OR AGENT CONTRACTOR �10_e4
Subsc bed nd sw m to(or atti ed)be re meL Is Subscribe nd b ore or aft me )before me 'O
Who tst a personally known tb1m or hasfhave produced Whc Isla rsona y�knovm t e r hasthave produced .
ntification. ar0denfification.
AMA+ Notary Public Notary Public
mmission Na Commission No.
~ AGAN D WATSON
Na of ¢d9i�fe¢dt�sb Ieti3 f0a �O'rt�� Nam f ¢ ri
f ►= Commission #GG 317739 3a �otary. u c- fete of Florida
eA`; =* *= Comtnission#GG 317739
My Commission Expires• ;"� a;�
%n°;,',�� April 19, 2023 '.,, ftidi;� My.Commission Expires.
n,,,,« April 19, 2023
INSTR#20191 2122 OR BK 9986 PG 2815 Page 1 of 1
10/08/2019 11:24 Af A Rcpt:2097717 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alva rez-Sowli s, Esq., Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit No. ,I
Property Identification No. /,/JZ/"-Z/ —not n — DZS Lo —Q f 0
THE UNDERSIGNED hereby gives notice that improvements will be made to ce ain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Description of property(legal description:)
a) Street Address: &(? V-L ci�)L7 f /1 P h; S • - 33JW2,
2. General description of improvements R-Roof
3. Owner Information J ,/
'J0J�a) Name and address: ) ' S 23 5 L T v� 1/VAVE
b) Name and address of fee simple ti eholder`if other than owner)
c) Interest in property d
4. Contractor Information
a) Name and address: The Roofing Company,5635 Slate Road 54,New Port Richey,FL 34652
b) Telephone No.: 727-531-1025 Fax No.(Opt.)
5. Surety Information
a) Name and address:
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by o er upon who notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself.owner designates the following person to receive a ego of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.( pt.)
9. Expiration date of Notice of Commencement(the expiration ate is one year om 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 UNDE P.CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FC R IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED N THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YC UR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENC EMENT.
STATE OF FLORIDA IT �
COUNTY OF PASCO
ie
Signature OF Owner or wner's Authorized Officer/Director/Partner/Manager
Print t(/1 �2 A A)�,x��S�Lr✓�
The f regoing instru ent was acknowledged b fore me this ay of � ,20�,by 'Q�IP �a rGl
At79Z" y�U as ��)J7 Q, type of authority,e.g.officer,trustee,attorney in fact)for
(name of party on behalf 9f in ent ecu
Personally Known_OR Produced Identification Notary Signa 0
Type of Identification Produced�}i/U�/J /�'Q� a. Name(print). /� .
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated
in it are true to the best of my knowledge and belief.
FoFtmsmtoc`:�dz r t,,,,,,,, -MAGAN D WATSON 7
r' ANota y-Public-State.of Florida Signnturo ofNatmal Pccson Si mg A6ovc--- --- _-- ^- -- - --__--"- "_ -- ---- --1 --- -
o Commission#GG 317739 ---- - - -- -- - ---- - - ---
- _:_:My:Commission Expires ---
:...._._ .._ „....t• --April 19, 2023
,
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STATER OF FLORIDA, COUNTY Or-PASCO
THIS|GTO CERTIFY THAT THE FOREGOING K@A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE DROF PUBLIC RECORD |N THIS OFFICE
3 Generations Strong. v _
g � Chr s/Owner' �.2� 919-OIO�
Serving the ,V * ' * Cam/me A-e--ely/ ,-eh ark/dgG(eS2`;on5
Tampa Bay Area! THE ROOFING Licensed, Bonded & Insured
727 -3151 COMPANY
916
) CCC1328373
(813) 601-8704 OLD FASHIONED SER ICE info@tampabayroofs.com
(8 6 6) 7 0 0-4 9 2 9Fax Q .� * - www. tampabayroof s.com
s. °
OWNER A l-c:,k uc;' 1
� eI�TPt�(, P .3�--3 j3 3 DATE ct 2,7
STREET 8b q— E AIL l
CITY,STATE,ZIP ��f .� HOW DID YOU H RAQOUT US7�, rs�ll�
SHINGLE ROOF
ECo PREF PREM CHECK ALL THAT APPLY
Q Q 19 1.Record notice of commencement with clerks office on all jobs over$2,500.00 and pull all necessary permits with local municipality.
Q Q 2.Protect grounds,pool screens,driv ways,garage door(s),AC unit(s),pool pumps,and pool screens.
Q Q 3.Remove existing Sh M I)t: roof down to wood deck. layers)
Q Q 4.Clean and inspect all wall flashings.An additional fee will be required if we ha we to replace rusted or damage wall flashings.11nifaf
p Q 5.Thoroughly inspect roof deck.Replace rotten decking at$ "C(!yop p r sheet of plywood and/or$ per L.F.of decking and
other wood work.Speeialty-lumberper-L-. (irffiaE=
Q Q 6.Re-nail wood deck per Florida building code with 8d ring shank coil nails eve 6"on plywood or two nails per decking board.
Q Q 7.Clean roof deck off of all debris for a clean smooth surface.
Q Q 8.install one layer of peel&stick underlayment over wood deck,installed to manufacturer specs and building code..
Q Q 9.Install new 6"drip edge nailed at a maximum width of 4".Drip edge will be ovi dapped a minimum of 3"with roofing cement installed between
metals.Install layer of roofing cement on top of drip edge(Grey white)eige,I ilack,brown,galvanized.) ritial:=:' "
p Q 10.Install CertainTeed SwiftStart starter strip over drip edge nailed to manufactur r spec's.
Q Q 11.Install new 16"wide,26 gauge metal in all valleys,valley metal shall be nailed 3,sealed with roofing cement along edges.
Q Q g 12.Install new Bullet Boots around all plumbing stacks,nailed and sealed with ro fing cement to code.(toilets,sinks,dishwashers)*
Q p 13.Install new Bullet Vents,nailed and sealed with roofing cement to code.(kitchei i&bathroom fans)*
Q Q 14.Install new field shingles of your choice,nailed with 6 nails per building code nd manufacturer's specifications.01
Q Q 15.Install premium CertainTeed filtered vents along ridge where applicable,instal ed to manufacturer spec's. 110 L.F.
Q Q 164n nL%4nstakd4o=anufaetureFspacified
Q Q Q 17.Install CertainTeed Shadow Ridge shingles along all hips,ridges,and filtered vents(Manufaturer Recommended) .
Q Q 18.Clean and haul away all job related debris to approved disposal facility.
p Q 19.Hand clean and magnetically sweep job site for loose debris and nails.
Q Q 20.Final inspection with company supervisor and customer to ensure 100%cust mer satisfaction.
Q Q X 21.We will install hot dipped galvanized fasteners to prevent rust and nail pops.*
ECONOMICAL / PREFER�D PREMIUM 1
MANUFACTURER: / MANUFACTURER: G� 1 Q I Yl °e d, /
\ �!� ...,,,t MANUFACTURER:
STYLE: \ :) 1✓I iJ STYLE: Gl Y dNCArk STYLE: 1-0 11 dMQ r
COLOR: 'f COLOR: J COLOR: ta
MANUFACTURER'SvA RRANTI�r' MANUFACTURER'S ARRANTY. l" P MANUFACTURER'S WARRANTY: 1 yle
ALGAE WARRANTY: ALGAE WARRANTY: :'' 18 ALGAE WARRANTY:
NON PRORATED WARRANTS NON PRORATED WARRA ;%� NON PRORATED WARRANTY. j 0
SHINGLE WEE/IGHT SHINGLE WEIGHT: ZZ SHINGLE WEIGHT: 2ZfQ
WIND WAjRANTY: ,; WIND WARRANTY: V II ) WIND WARRANTY:
LABOOA'WARRANTY. LABOR WARRANTY: &Wf LABOR WARRANTY: t?
PRICE: PRICE: 11103 PRICE: 11143 22
€C(JSIOM RE S`INITIAE'S i CUST
,O�ufERS.INITIAIS CUS70 ERS=1NIiIALSi
•Price includes sheets of plywood lineal feet of decking*
•Price includes lineal feet of fascia board*
•Price includes 12i lineal feet of 2"x4"and/or 2"x6"*
•Price includes wind mitigation once paid in full.
• ie m ea affeyW-4y�
•P'tic�ltitlff es o mo i ie o at-�oof{s}.(.ye�sd-no)--
wed-wafren arrenty-sovers4aberJaL2 Dt sn yeaLs-. oapLorated-Adder___. _
Itemsmarked with an astei isk is what differentiates as.from our competition
r x
. m t e�rfihe p terms.�lEettiEa3:�� fJ�
The labor and/or material(s) required for this job will be furnished by The Roofm Company of Tampa Bay for a total.of (S
/100 o ars).Paymen,���are to be made in a ord ce with the terms and cond do �s' are hereby incorporated.
ACCEPTANCE OF PROPOSAL: Customer has read and understands this 1005 ROOFIJ.,LLC /a O G',r O ANY OF TAWA BAY
proposal,the terms and conditions,and all documents referenced therein and agrees
to be bound by their terms. The above prices, specifications and conditions are Signature:
hereby accepted. The Roofing Company of Tampa Bay is authorized to do the
work as specified. By signing below,Customer acknowledges that Customer is the
owner,or is in privity with the owner of the property. BY
Customer's Signature: / va�- s:
Date: �z7 l Date: C( �?
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION T ANY TIME PRIOR TO MIDNIGHT
OF THE THIRD BUSINESS DAY AFTER THE DATE F THIS TRANSACTION. SEE THE
ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
THE ROOFIN
i -
--COMPAi\Y J
OLD FASHIONED SERVICE
CONTRACTOR'S AUTHORIZED SIG EE FORM
Business Name: o rJC y /� O
Owner's Name. /✓(/G /7�/it/ / L�/s�l�,/"l Phone#: 2 %�
Business Address: 56�3,5 k.-le It G/ 6—zl Phone'1:( )--
City: a�7 2 State Zip:� (F�5 z
Qualifier's(Contractor)Name:
Typc of Contractor:
State Certification it:�[�C / 2�c3�3 PCCLB#: ��r� �J Z 9� J
Email Address: C " csi lc:
STATEMENT
I,the above named qualifying contractor,for the above named business,hereby allot the following person(s)to pull
permits in my absence:
(please print)AUTHORIZED SIGNEE NAME:
i
(please print)AUTHORIZED SIGNEE NAME: �/�,/����_ Af-al`/�
(please print)AUTHORIZED SIGNEE NAME: - ljl/ sv
1 further certify that the above information is true and correct to the best of my knm [edge.
Signature of Qualifier(Contractor) Print Name
STATE OF FLORIDA
COUNTY OF PINELLAS1 I I t`\ 0n
Subscribed and sworn to before me this I ?J day of �AWV 60 by l j{ I V1 �� bS
,.aho has produced Florida Driver's License# as identification.
G' $y�ry� Notary Public State of Florida r�
Becky Woodall ignature
My Comrnl'ssion GG 196217
Expiresb3l14/2022 L raw
Notary Publi (type/print)
(seal above)
Commission Number
a
City of Zephyrhills,
S33S 811 St
Z phyrhills FL 33542
t (k3)780-0020
f -
ROOFING INSPECTION AFFIDAVIT
Permit
I, licensed under Chapter 468;Florida Statutes as a(n):
Contractor_�l Engineer,=Architect Building Inspector .
license No.
On or about {Z- did personally inspect tt e: /
Check: Roof Deck Nailin Dry in Flashing and Drip edge �t
Check which was used`. 30#felt_Peel and Stick20 her(List)
At the following
address: A41n Yl It�l��t '3
Based.upon that examination,-1 have determined the installa ion was done according to the Hurricane
Mitigation Retrofit Manual(Based on Section 558.844, Florid Statutes).
Signature
STATE OF.FLORIDA
COUNTY OF PASCO
Sworn
��to//arid subscribed before this day
Notary Public State of.Florida
` %IIIue, E MAGAN D WATSON
�o Notary Public-State of Florida
=* += Commission # GG 317739
°°' My Commission Expires
�' I I%�`�� April,19, 2023