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HomeMy WebLinkAbout20-22384 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 22384 BUILDING PERMIT ;INFORMATION .' - PERMIT INFORMATION :LOCATIOR Permit Number: 22384 Address: 7405 APPLEGATE DR 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: ALPHA VILLAGE Est. Value: Parcel Number: 35-25-21-005A-00000-1 060 Improv. Cost: 7,800.00 OWNER INFORMATION Date Issued: 1/28/2020 Name: NADING DAVID R& BETH A Total Fees: 80-00 Address: PO BOX 267 Amount Paid: 80.00 STRAWBERRY POINT IA 52076-0267 Date Paid: 1/28/2020 Phone: (563)9290-6601 Work Dese: REROOF SHINGLES CONTRACTOR(S) APPLICATION FEES 1ST CHOICE ROOFING, INC REROOF RESIDENTIAL 80.00 Ins ection Required DR -IN-RD OF IN f TAPE JOINTS ROOF INSP FINAL REINSPECTION FEES: (c)With respect to Reinspectio'n 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. c6NTRACTOR SIGNATURE PERMIT OFFIVR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • Pasco County Building Construction Services e . Contractor Licensing 8731 Citizens Drive, Suite 230 = - New Port Richey, FL 34654 (727) 847-8009 • ' . Email: contractorlicensing@pascocountyfl.net CONTRACTOR AUTHORIZATION FORM STATE LICENSE NO.: CCC 13�73 5 PRINT QUALIFIER'S NAME: KEN PHA��I Ps BUSINESS NAME: IST CHOICE Roo Filib we . *THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIONS* authorize the following individuals to sign for and obtain permits: (Please print names clearly.) _� IIll �dM KRAFCI ►L. Signature of Qualifier: 14'2 Date: L2 L,702 p State of Florida County of Pasco �A.�v�� ,,� .2 0 2 b Sworn to and subscribed before this day ary Public State of Florida (Stamp) 4 Notary Public State of FWftdm My commission expires $ 22 ,?OZ 2 Carl W Jenkins 0� My Commission GG 244179 a Expires 08/22/2022 g/devsvcsdocuments\1-documentspecialists\bcs\bcsforms\Contractor Authorization Form Revised 4/3/17 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Recsived L Phone Contact for Permittin ,.Ownses•Name DgvE NAB!+eJ(� Owner Phone Number 5(03' 9,79-lv(o0 A,,Owner's Address "1�'1.0 5 A PP(,1~(;,A?E DR. Owner Phone.Number ZF_?i+y'R.NIt,L$ 3354© Owner Phone Number ':`JOB ADDRESS' -7405 ,AM.E&A-rE 'b'2 . 7,014111ZHII.L.S ,.FI- 33514`0 LOT# 10� +_SUBDIVISION ALPHA ViiL&F. I✓STJ('IE g PARCEL ID# 35'a5 -o1 V-005A -00000 10(po (OBTAINED MOM:PROPERTYTAx,IVQTIC9)i- `WORK PROPOSED NEW CONSTR A [� �. Q DH' R INSTALL 8 REPAIR PROPOSED USE, Q SFR Q COMM , OTHER TYPE OF.CONSTRUCTION ' LOCK Q. FRAME.' STEEL 0 DESCRIPTIONOF'WORK REf&O - 6AF "TINIoEguoE I.IG-1r-nmE c-,,4an,4,o- S/1WGLE.! BUILDING SIZE �StaQ ,;,/0? 7 SOFOOTAGE: �f'to�� HEIGHT Ip-12 , 444 QBUILDIiVG. $ (� op VALUATION OF TOTAL CONSTRUCTION' QELECTRICAL AMP'SERVICE Q DUKE ENERGY' Q W.'R;E.C. . $ =PLUMBING $' =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS -ROOFING ..,; _:SPECiARTY Q . OTHER FINISHED FLOOR ELEVATIONS ,' ,-FLO.OD;ZOWAREA. C]YE5 . NO BUILDER COMPANY ! ? yolt^,� /Cb0io1Ao't+ 1NC•, SIGNATURE '' REGISTERED ICTJ N FEE CURREN Y•/'N Address' 70 3? /c.HDMS Cl> gnSO,J FL -341*&4 License# ccc /3-7?.3.5 y - ELECTRICIAN• COMPANY SIGNATURE REGISTERED' YY`,N. FEE CURREN ' Y L N Address License# F � PLUMBER COMPANY SIGNATURE .REGISTERED Y P N I FEE CURRE6 Address. License.# ' MECHANICAL COMPANY SIGNATURE'.. REGISTERED Y/ N FEE CURREN `Y./-N Address,. License#. OTHER COMPANY SIGNATURE REGISTERED LY,/,N•; Address L x .License# RESIDENTIAL' Aftach'(2}#tot Puns;(2j sets'of'Buililirjg'Piarts;(1).set of:Energy Forms,"'R=t}=1N Pemilt for neWconstruction. Nliriimum.ten•(10)•working-dags'after submittal=•data.``Requiretl.onsite;'Cohsttr ction`Plans;Stdrni fer Plans�w7 Silt Fence installed, Sanitary:Facilities k-j.dumpster,;Si(e Work�Permit`for sUbdiviWonsllarge prdjects: - _._ -COMMERCIAL—_Attach-(2)campiete.sets of Buitdl ng Pians phis a Lif6$df ty Page;(9)•.set of!Energy'Forms.R-OV Permit kc.-new.construction. Minimum ten,(10),nrorking,daya-aftorsubmittai date;>,Ai gulred onsite;Construction;Plans�Stormwater Mans<w%-Siit Fence installed' Sanitary Fadilie6s&1 a6nipste� Si(e�7Vork permiffor.a!!'new projects.All commercial.requirements-must meet'compiiance= SIGN PERMIT Attach(2)sets of Engineered Plans. *'PROPERTY S,UFtVEYregU-1 d for ail NEW ooristruction. Directions: .Fill out application completely. Owner•&_Contractor sign:back of application,notarizetl' . 'if'over$256 ,a Notice of Commencement Is required. (A/C upgrades•aver$7500) Agent(for the contractor)or Power of;Attorney4for the owner)would be someone with notarized-letter from-owner-authorizing same OVER THE COUNTER P.Ei;RMITTING (copyof contraot required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter Won public-r_oadw_ ays::ngeds;ROW J Y . � :-. ..,..� :r;; - ,'`��. rti .f• " _ .- ..-, '' Sri NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit-may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for nompliance with.any applicable deed restrictions. a UNLICENSED CONTRACTORS-AND CONTRACTOR RESFONSIBILITIt$. If the owner has hired"a contractor or contractors to undertake.work, they maybe 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 specked in Pasco County Ordinance number 89-07 and 90-07., as amended. The'undersigned-also_understands; thafauch fees; as may-=be-due,­will be identified 666e bine 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 fihdi-poiwer.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,11' Pasco County Water/Sewer Impact `fees are due, they-must be.paid prior to-permitissuance in accordance with applicable Pasco.County ordinances. CONSTRUCTION:LIEN LAW(Chapter 7,1.3.!Florida Statutes;as amended): Ifvaluation of work is$2;5.00.00.or'more, I certify that 'I, the applicant, have deem-provided with a copy ofAhe-!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/OWNEWS`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.;I.Application is hereby made to obtain a permit to'"do:''work`,:and installation"as-indicated: I-'certifyY.that no work or- installation has commenced prior to issuance of a-permit•and,that all work will ibe.,performed to meet standards of all laws regulating construction,,.County and 'City"�codes'.zoning-regulations, and`lard development regulations in the jurisdiction. I also 11 certify that I understand that the regulations of other:government:agencies may applytathe,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 understandthat_the.following,restridtions::applyto the-use of-fill: - Use of fill is nofaillowed�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-volumek4' ill 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, Lcertify that fill'will be used only to filC.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 Otis 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-en ineered 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 or 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 authorize8'by the permit is suspended or abandoned a period of.six(6)months after the time the.work is commenced. �An extension may be requested, in writing,.from the Building Official fora 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-LEND R AN ATTORNEY BEFORE-RECORDING YOUR` .ICE_OF COMMENCEMENT. FLORIDA JURAT(F.S. .03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed) efore m is Su sc' ed and sw m to(or affirmed before m this ZdIO by P itt��P S Z Zo20 by Who i /are personally own tome r has/have produced Who Ware persgl a y.known tom or has/have produced as identification. as identification. Notary Publicc / �' r„ Notary Public Commission No. GG 3S( U$$ CommissionQ/ No. �G 35/091ff l,? 1g. JL�AFCIL ZI% l//ro�Ra /u. Af!F,LtIr- Dame of Notary typed,printed or stamped Name of Notary typed,printed or stamped ,�A0,1VL';e•, THOMAS M KRAFCIK III ,.�'l;J.''%, THOMAS M KRAFCIK III k ;:° Notary Public-State of Florida `r° `siNotary Public-State of Florida ®,, Commission# GG 359088 l_a Commission#GG 359088 * %L�� fz My Commission Expires '. °,,,d; My Commission Expires J '�7 October 14, 2023 '''►���"' October 14, 2023 f_; Fr�tS i#2.t --� 224 ar;J,2020 01:4Jr111, Ct-t' 2128384 rice c, 0.00 :T: '.Skki AFvar��--Saawlt:� !'u�ti. Permit Number `_ s,;o Courtf.y '`,A r(; &' ,C Key Number 2 -12 1 ,Opp - t70004 10400 NOTICE OF COMMENCEMENT State of Florida , County of PA 3 C 0 :::::::: ,,: ;.::::::: THE UNDERSIGNED hereby gives.notice that improvements will be made to certain real property, and in accordance with Section 713.of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. I.Description of property(legal description): ALPHA ,WAAtAa..,�gT�}'fISJN sF a)Street(job)Address: ��,LD 'APP l2A7>£__ H.1 ..___.._..__ 2.General description of improvements: Reroof 3.Owner Information or Lessee information if the Lessee contracted for the improvement: a)Name and address: ��v� '.... _ b)Name and address of fee simple titleholder(if different than Owner listed above) c)Interest in property: _— —_ --_ .. 4.Contractor Information a)Name and address: 1st Choice Roofing Inc.-7837 Rhodes Rd Hudson, FL 34667 b)Telephone No.: 727-847-7663 Fax No.:(optional} _ ---._..........._.__.. ....._..-----,........._.__._... _. -- .._... -- -------_........._...__._.__... 5.Surety(if applicable,a copy of the payment bond is attached) a)Name and address: b)Telephone No.: c)Amount of Bond: $ 6.Lender a)Name and address: b)Telephone No.: 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: a)Name and address: b)Telephone No.: -- Fax No.:(optional) 8.a.ln addition to himself or herself,Owner designates -- —_ _ --� _- of _----------- to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. b)Phone Number of Person or entity designated by Owner: 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recording unless a different date is specified) _. ._ 20.__.._..___..._. i 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 I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. V d G� ]� 'IJ el,cal Signa re o Owner or lessee,or Owner's or ssee's(Authorized Orricer/DirectorlPartnerlManager) nt a d Provide Signatory's Title/Office �- State of nA __- County of __PAY 0 The foregoing instrument was acknowledged before me this -_ 4'T/!l day of _-__._.____ 20 �b___ ....._._._...... by -_emu?D N!A A t N(� _ —�__._.._.__ __-.------ a s (Name of Person) (type of authority,...e.g.officer,trustee,attorney in fact) for (name of party on behalf of whom instrument was executed). Personally Known ❑ Produced @ Type of ID PAIVflt NCr..�SE......_.._. -_.,._.._ Notary Si na � Print name _ /�Xv�to9S `�iyprra`� THOMAS M KRAFCIK III Notary Public-State of Florida •= Commission N GG 359088 My Commission Expires nrn+++ October 14, 2023 ' 3992 Proposal"Submitted4o: Name: DAdE HA.17.1N& C-."., =IICE t76O" F ,.1 N G I N C Address:, Y'w S APP145ATE D2 When It's Raining:,411.Week&You:Can't Take A Leak ZE�tlyi2'H11,cs .� l=L. 3 3Syo , Mr Rhodes,Rd. Phone: 5103 - Date:�T?D Hudson, FL 34667 Licensed •Bonded •Insured Toll Free.(888.).;880-ROOF Lic.�#CCC7327354_-41I.#CBC1253663 www.Istc,oiceroofers.com SHINGLE.:INS.TALLATIO.N. • Remove existing roof,down to wood deck Install flashing in all valleys <160 feet. • Clean wood of Nails,Simplexes&Debris • I stall -lob.. feet of • Re=Nail Roof Deck with Eld Ring Shank Nails um linum shingle vent.White/Brown/Black/Grey ❑Shingle over ridge vent.Manufacturer: • Install S"71e, . Roofing,felt,fasten with simplexes peel and�stick leakbamer Year Shingle • Install 0.20. 6AJr • ' Install'. • �p inch v/.alum drip edge on all ❑25 Manufacturer: �1M10')Zuwe eaves and rakes (Brow ite Black•Grey-Ton•Mill) ❑30 Style:3-tab/Dimensional/Other 0-35 Color: Q1fLcwwb"D V. • Install 1.5" ❑40- 2" Lead boots over existing kfetime 0 ar 3" Plumbing,pipes 000, 4" • Clean and haul away all debris • Install 4" Galvanized roof vents at Price:$ 10" all exhaust areas on roof FLAT ROOF1NSTALLATION • Remove existing roof down to wood deck • Install 4" Galvanized roof vents at • Clean wood of Nails,Simplexes&Debris 10" all exhaust areas on roof • Clean&reuse existing angle flashing • Install inch Galvanized drip edge on all eaves • Install (Brown•White•Black-Grey-Mill) AI)A manufacturer: • Install 1.5" color: 2" Lead boots over existing • Clean and Haul"away all debris 3" Plumbing pipes. Price:$ 4" ADDITIONAL"WORK REPAIR'WO`R`K` V✓►nJ Z> M rr, 1 . V 1N 4k STD: TtR 5 r w EA � 1W GUA,RA'NTEED-°CUSTOMER,SATISFACTION All material is guaranteed to be as specified.All work to be completed according to building codes:Alt labor guaranteed for 1D years from date on contract. WE HEREBY PROPOSE to fumish material and labor complete in accordance with above specification,for the sum of: Amount OO,O'D Deposit-$ -- Due Upon Completion$ 7g'l71�.vo NOTE:It.is up to-the,homeowner to remove or cover-items-stored in attic area and to clean the attic area of debris that may filter through the cracks of the old roof sheathing. NOTE:Gutters may need to be removed and re-installed for this system.(Although every measure will been taken to salvage any,existing gutter- system-th'at may,not be replaced at this time'we•cannot guarantee again-tt`incidental damage that may:occur.We recommend that;all gutters be repldced'.at'this.time due to'the possibilities of incidental damage). 1 --WOOD-REPLACEMENT.-If-any-decking-is`found f6-' e6"'otted��eplace.with -&CDX-APr�plywood'aY$=per sneet;fascia board at$"7 per linear.ft— (Includes:Labor,delivery of plywood,removal of old sheathing and hauling of.debris)... ,� j1 NOTE:All wood replacement will'be an addifional charge unless sfafed in proposal. F/Qe. .. A / ' ACCORDING PTO 'FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37,,FLORIDA STATUTES), THOSE WHO WORK ON,-,YOUR PROPERTY-.,OR'PROVIDE MATERIALS;'AN!5 SERVICES'.AND.ARE'NOT'.PAID,:I_N".FULL HA'VE;A':RIGHT TO;ENFORCE';THEIR:CL`AIM'FOR PAYMENT AGAINST'YOUR`PRO,PERTY:THIS'CLAIM IS KNOWN ASAA CONSTRUCTION LIEN:IF YOUR>CONTRACTOR OR.A SUBC.ONTRACT.OR;FAILS TO PAY SUBCONTRACTORS;.SUB,=SUBCONTRACTORS FOR MATERIAL.'SUPPLIERS;,:THOSE°PEOPLE:-WH,O"ARE•�OWED MONEY;MAY 'LOOK',TO YOUR PROPERTY:FOR-PAYM'ENT;EVEN7F YOU:HAVE'ALREADY=PAID YOUR CONTRACTOR]OULL:_IFYOU FAIC,TO`,PAY:.YOUR CONTRACTOR,YOUR, CONTRACTOR MAY'ALSO.HAVEA LIEN ON YOUR PROPERTY:THIS MEANS1F'A:LIEN'IS:.FICED,YOUR;PROPERTY.:COUI D;BE'SOLD AGAINST.YOUR WILL TO PAY FORLABOR,MATERIALS,OR OTHER SERVICES THAT YOURCONTRACTOR OR.A S;UBCONTRACTOR MAY"'; FAILED TO,PAY.TO PROTECT:YOURSELF,.YOU;SHOULD STIPULATE IN THIS CONTRACT.THAT."BEFORE,ANY PAYMENT,IS MADE,YOUR CONTRACTORJS.;REQUIRED TO. PROVIDE YOU WITH A WRITTEN RELEASE.OF'LIEN.FROM'ANY,PERSON::"OR.COMPANYITHAT,HAS PROVIDED�TO:YOU;A"NOTICE TO OWNER." FLORIDA's CONSTRUCTION LIEN LAW ISCOMPLEX,AND IT IS RECOMMENDED THAT YOU CONSULTAND ATTORNEY. ACCEPTANCE-OF PROPOSAL:The above prices,specifications andfconditions are.satisfactory and,are here'by'accepted:°You are authorized to do-the work as specified.,Payment will be as'outlined as above.)have read;understand;and.accept the:terms and conditions o oth si a of t i ohtract. P F* j)el> Signature Date 0`�O� gnatu �- Date ZdZljbb Date t ' � City of Zephyrhills .� 533$8"St Zephyrhills FL 33542 (813)780-0020 + y • ROOFING INSPECTION AFFIDAVIT Permit No.: .1a3 S H I, eq PHILLIPS licensed under Chapter 468, Florida Statutes as a(n): Contractor/Engineer—Architect—Building Inspector License No: Irr'�C.13a-7354 On or about f 3 J aoao did personally inspect the: Check: Roof Deck Nailing V Dry in Flashing and Drip edge ✓ Check which was used: 30#felt_Peel and Stick—Other(List). $VNTNVI IC UIVD MCAT At the following address: 7yD5 A PPLF_bA-TE "NZ . ZEP.H yjZ Iu.S- EL- 335N o Based upon that examination, I have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on Section 553.844, Florida Statutes). Signature: STATE OF FLORIDA ,�.. 1 P��.,, THOMAS M KRAFCIK III COUNTY OF PASCO ;,d"' `O�; Notary Public-St of Florida :• Commission# GG 369088 ` ��� My Commission Expires Sworn to and before this day ���"�" October 14, 2023 J�— Notary Public State of Florida