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HomeMy WebLinkAbout20-881 ` F -n City of Zephyrhillsrc" ,�. ,PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BGR-000881-2020 Phone: (813)780-0020 Issue Date: 11/17/2020 Fax: (813)780-0021 Permit Type: Building General (Residential) .' r _ ,��F'.roperty�Number ^,"e,. � F�,r�� 11 26 21 0010 20500 0071 5109 10Th St � tOwner Information r, , '. ;,: Permitilnformation� s � Contractol Information b Name: DEBRA HILTON Permit Type:Building General(Residential) Contractor: TLC ROOFING & Class of Work:Reroof CONSTRUCTION INC Address: 5109 10Th St Total Valuation:$5,800.00 ZEPHYRHILLS,FL 33542 Total Fees:$103.50 Phone: (813)469-6497 Amount Paid:$103.50 Date Paid:11/17/2020 3:42:09PM 1411 REROOF METAL _ApplcaticingFees ,•,,`� kr :y � s Building Permit Fee _ $69.00 Building Plan Review Fee $34.50 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 subsequent reinspection. Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county,and there may be additional permit 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 add fee Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIG E PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e13-78HO20 City of Zephyrhills Permit Application Faz$13-7e0-0021 Boffding Department DateReeeived PhoneCentaetforPertnittln ( �L 1 v eat"aeaaIt aa1114 Owners Name LIUf e n Owner phone Number Owners Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address j� r JOBAODRESS -j d 1 S r �ry Z LOT* SUBDIVISION PARCEL IDA 01(3 -2 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED a NEW CONSTR 8 ADDIALT U SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR Q COMM © OTHER Pro Ar TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL 0' DESCRIPTION OF WORK '1) Stu JAI,dUC, BUILDING SIZE x r.j(SC FOOTAGE HEIGHT ZK"CtCCC'C"C'CCC'ER. TSi SLSCC tkIL CAE*C'KtItE-CS"SLSS6LS"KStTK9-CCWSttS's'CC'C'S"SS[• BUILDING 1$r- '. C VALUATION OF TOTAL CONSTRUCTION QELECTRICAL s AMP SERVICE Q PROGRESS ENERGY O /W�R�E.C. QPLUMBING Is �/�r� ILC..Y QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION •�IJJ, j` QGAS Q ROOFING Q SPECIALTY = OTHER V FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO t BUILDER COMPANY f �� SIGNATURE REGISTERED I YIN FEECUMM I Ylb Address 3��3 LnsePr UT,MIELECTRICIANCOMPANY SIGNATURE REGISTERED YIN FEEcuRRErr rYIN Address (` License it - —� PLUMBER I COMPANY - SIGNATURE REGISTERED I YIN FEECURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE' REGISTERED I Y/N-'' FEECURF04' :YIN Address Licertseg OTHER COMPANY SIGNATURE REGISTERED I Y/N FEE CU(RRENN Address License A'i I f[[tllil111!"i[t![Eli[[LIl[tt't"[,tl'[[ti [[[-EEitffti'�[!f[L"!-E[i'[t![[tI[if`[: RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buffing Plans;(1)set of Energy Fors;R-O-W Permit for new construction, Minimum ten(10)working days after subrignai date.Requtrod,onsite,Constnxdion Plans,Stormwater Plans w/Sift Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdMdonanarge projects COMMERCIAL Affect(2)complete Sams of Building Plans plus a Life Safety Page;(1)set of Energy Fomrs.R.O.W Peanit for new construction. Minimum ten(10)working days after Submittal date.Required onsifa,Construction Plans,Stomnvater Plans vd Silt Fence installed, Sanitary Facilities&-1 dumpster.Site Work Pant foraff new projects.Ali commercial requirements must meet compliance SIGN PERMIT Attach'(2yset4 of Engineeied Plans. ""PROPERTY SURVEY,required forall NEW,consttuction. Directio»s�' " Fill out application Completely. Owner&Contractbr sign back of application,nolaraed if over 112700,a No*&of Commeneemeet is required(AIC upgrades over$74500) Agent(for the contractor)or Powerof Atlomey(for the owner)would be someone with notarrsed letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contrail required) Remcfe if shingles Sewers Service Upgrades A/C Fences(PloMurvey/Footage) Driveways-Not over Counter H on public roadways-needs ROW s 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 8"7 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'SIOWNER'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 B 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,WaterNVastewater 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 YOLR LENDER OR ON oT70RNEY BEFORE RECOROIN(3 YOUR NOTCG OF CORM N - R! b FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTO d✓GI Subscribed and swum to(or affirmed)before me this Subscribed and m to(or affirmed)before me thi by by Who isfare personally known to me or has/have produced Who is rp perso Jcnwm to me or haslhave produced as identification. as identification. Notary Public Notary Public Commission No. Commission No./^ +.�� 0 S (wC�� Name of No ` Notary typed,prim or stamped Name of Notary typed,printed or stamped CARLOS MALDONADO Commission#GG 346275 . .4, Expires June 18,2023 ,.... a, ••:.;;*„t�• 8ondedThtuTroyFainlltsurance800.385-7019 FWADA,00PAqTM9NT OF Business & Professional Regulation rg- BCIS Home I Log In I User Registration I Hot Topics Submit Surcharge Stats&Facts I Publications Contact Us I 8CIS Site Map Links Search Ho d r4 Pro�u�Approval r oval .vu...-P 'J' u.1 Product Approval Menu>Product or ADMIcation Search>Application List>Application Detail • FL;F FL20484-Rl WITH PREVAILING Application Type Revision WORK SHALL CO"PLY Code Version 2017 CODES FLORIDA BUILDING CODE, Application Status Approved NATIONAL ELIECTRIC CODF AND THE CITY OF ZFPHYRHILLS Comments ORDINANCES Archived El Product Manufacturer UNION CORRUGATING COMPANY Address/Phone/Email 701 S.KING ST. FAYETTEVILLE,NC 28301 (910)813-2432 rblake@unioncorrugating.com Authorized Signature Randy Blake ��V1E� p R����' rblake@unioncorrugating.com of Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Metal Roofing Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer El Evaluation Report-Hardcopy Received Florida Engineer or Architect Name who developed Bala Sockalingam the Evaluation Report Florida License PE-62240 Quality Assurance Entity Keystone Certifications,Inc. Quality Assurance Contract Expiration Date 09/07/2027 Validated By Yoosef Lavi,P.E. P Validation Checklist-Hardcopy Received Certificate of Independence FL20484 RI COI CertiflcateIndependence.pd Referenced Standard and Year(of Standard) Standard Year FM 4470 2012 TAS 125 2003 UL 1897 2012 UL 580 2006 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method I Option D Date Submitted 08/23/2017 Date Validated 08/28/2017 Date Pending FBC Approval 09/01/2017 Date Approved 12/12/2017 Date Revised 10/10/2020 Summary of Products FL# Model,Number or Name Description 20484.1 5V Min 26 ga.,24"wide through fastened panel over 15/32"thick plywood Limits of Use Installation Instructions Approved for use In HVHZ:No FL20484 RI II EvaluationReportC2175 l.pd Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam,P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/Al-169 Evaluation Reports Other:Uplift load of 71.0 psf @ fastener spacing of 24"o.c. EL20484 RI AE EvaluationRer)ortC2175 1.od &169.0 psf @ fastener spacing of 6"o.c. Created by Independent Third Party:Yes 20484.2 Advantage-Lok 11 Min 26 ga.,16"wide concealed fastened panel over 7/16" 1 thick OSB&15/32"&thick plywood Limits of Use Installation Instructions Approved for use in HVHZ:No FL20484 R1 II Eva luatlonReoortC2 175 2.od Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/Al-116 Evaluation Reports Other:Maximum uplift load of 116.0 psf @ seam fastener FL20484 R1 AE EvaluationReportC2175 2.1)d spacing of 4-5/8"o.c.along seam into min. 15/32"thick APA Created by Independent Third Party:Yes rated plywood with retainer strap. 20484.3 Aluminum Advantage-Lok II Max 16.375"wide,nom 0.032"thick(min.)aluminum concealed fastener roof panel over min 15/32"thick plywood deck or 7/16"thick OSB. Limits of Use Installation Instructions Approved for use in HVHZ:No FL20484 R1 II EvaluationReportC2175 3.pdf Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-93.5 Evaluation Reports Other:Uplift load of 22.5 psf at fastener spacing of 18.5" FL20484 R1 AE EvaluationReportC2175 3.r)d o.c.and 86.0 psf at fastener spacing of 4.63"o.c.in 15/32" Created by Independent Third Party:Yes plywood or 7/16"OSB.Uplift load of 93.5 psf at fastener spacing of 4,63"o.c.with structural sealant in 15/32" plywood. 20484.4 Aluminum SL150 Max 16"wide,nom 0.032"thick(min.)aluminum snap-lock standing seam metal panel over min 15/32"thick plywood deck or 7/16"thick OSB Limits of Use Installation Instructions Approved for use in HVHZ:No FL20484 R1 11 Eva luationReportC2 175 4j)d Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/Al-86 Evaluation Reports Other:Uplift load of 45.0 psf at clip spacing of 24"o.c.and FL20484 R1 AE Eva luationRei)ortC2175 4.od 78.5 psf at clip spacing of 6"o.c. in 15/32"plywood or 7/16" Created by Independent Third Party:Yes OSB.Uplift load of 86.0 psf at clip spacing of 6"o.c.with structural sealant in 15/32'plywood. 1 20484.5 MasterRib Min 29 ga.,36"wide through fastened panel over 15/32"thick plywood or 7/16"thick OSB Limits of Use Installation Instructions Approved for use in HVHZ:No FL20484 R1 II EvaluationReportC2175 5.i)d Approved for use outside HVHZ:Yes Verified By:Bala Sockalingam,P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-124 Evaluation Reports Other:Uplift load of 56.0 psf 0 fastener spacing of 24"o.c. FL20484 R1 AE Eva luationReportC2175 5.od &124.0 psf @ fastener spacing of 6"o.c. Created by Independent Third Party:Yes 20484.6 MasterRib Min 29 ga.,36"wide through fastened panel over 15/32"thick I plywood Limits of Use Installation Instructions Approved for use in HVHZ:No FL20484 R1 II EvaluationRenortC2175 6.f)d Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam,P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-88.5 Evaluation Reports Other:Uplift load of 56 psf for Fastening System 1.Uplift FL20484 R1 AE Eva luationReoortC2175 6 Ddf load of 88.5 psf for Fastening System 2. Created by Independent Third Party:Yes 20484.7 ML150 Max 16.5"wide,min 24 ga.steel standing seam panel over 15/32"thick plywood Limits of Use Installation Instructions Approved for use in HVHZ:No FL20484 R3 II EvaluationReportC2175 7 pdf Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam,P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-124 Evaluation Reports Other:Maximum uplift load of 124 psf @ clip spacing of 6" FL20484 R1 AE Eva Iuation Repo rtC2175 7 odf o.c.with 180 seam,self-adhering membrane and fixed clip. Created by Independent Third Party:Yes 20484.8 PBR or R Panel Min 26 ga.,36"wide through fastened panel over 15/32"thick plywood Limits of Use Installation Instructions Approved for use In HVHZ:No FL20484 111 II EvaluationReDortC2175 8 odf Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-161.5 Evaluation Reports Other:Uplift load of 30.0 psf at fastener spacing of 48"o.c. FL20484 R1 AE EvaluationReportC2175 8 pdf and 161.5 psf at fastener spacing of 6"o.c. Created by Independent Third Party:Yes 20484.9 SL175 Max 18"wide,min 24 ga.,snap-lock standing seam metal panel over 15/32"thick plywood Limits of Use Installation Instructions Approved for use In HVHZ:No FL20484 RS II EvaluationReoortC2175 9 odf Approved for use outside HVHZ:Yes Verified By: Bala Sockalingam,P.E.62240 Impact Resistant:N/A Created by Independent Third Party:Yes Design Pressure:+N/A/-93.5 Evaluation Reports Other:Uplift load of 39.8 psf @ clip spacing of 36"o.c.and FL20484 R1 AE Eva luationReoortC2175 9 Ddf 78.6 psf @ clip spacing of 8"o.c with felt.Uplift load of 93.5 Created by Independent Third Party:Yes psf @ clip spacing of 12"o.c.with self-adhering membrane. Back Next Contact Us::2601 Blair Stone Road.Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer.Copyright 2007-2013 State of Florida ::Privacy Statement::Accessibility Statement::Refund Statement Under Florida law,email addresses are public records.If you do not want your e-mail address released In response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395.-Pursuant to section 455.275(1), Florida Statutes,effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address If they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.To determine if you are a licensee under Chapter 455,F.S.,please click here. Product Approval Accepts: ®W ® 9 Credit.Card f.. .- Safe INSTR#2020166008 OR BK 101 90 PG 3309 Page 1 of 1 10/05/2020 02:28 PM Rcpt:2211742 Rec:1 d.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller i �D�}t't:ra.,;.,':!w�.„,:,,;'i�:y`i:a.te,�s.'y;Y:�.'.-.r:::�,:.ss,{,'.;v,At.::'.a.t:j,t;,t�:','ff;,'.r`;`c2tr::i���;4`;�},�r.1y>.:...E}..'•,�r,.yya.::�7,:..'.s�;.'2,ln•,.r�:x.;'(>:::,�'✓.i,.,`%{,.:..?F,.74:`�:s_?'���.";s,'-'-et'r<�,�'i�;,>�x:.;J�t.0�f�.dg:.=4t,`wiip+',:,;a,_,`7Kt,..•1R..:��.'��;:.,t•.:;�,'a:..i.'.�;.'.--x.�;..Et.:::•w,.,r.'-;_t':s.'.f_.t;`.,:.-.t:?�.�}.��,g.a;`,•;.:''`j'�:R Frmk Nmber c „ ParcelIDNumbe � � N®TappE OF COMMENCEMENT OV9 VVEM T : 'kl•?I�!f.: "1'i^fin.) `F' _ r'•�rM:.4��y2% ? t^�i• q Y } ,.,i..,...: „1�Fti C: .,yl,Y,•t:'c`t`=iy�.h?;5.s.�_r'�?1. ^"r';i�zM i..; �s�;� c+«�i=;Fv�"i`^':i �'ti''. State of Fo i I rd 3, ' County of THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OFCOMMENCEMENT. 1.Description of property(legaidescripdon): - -2Ze-Z " O)0-WSW—057 1 a)Sheet(job)Address: 2.General description of Improvements: 3.Owner Infd6ation or Les ee information if the asses contracted for the improv ment a)Name and address: .� 1�� 1 D OJT• � , ;11 � b)Name and address of fee simple titleholder(if different than Owner listed above)_ c)Interest In properly: ./ 4.Contractor Information a}Name and address: Cr FL b)Telephone No.: Fax No.:(optional) 5.8urety(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.: T.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: i b)Telephone No.: Fax No.:(optional) 8.a)In 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. i S.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 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE i CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713A3,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. Under penalty of perjury decl that 1 have readjh ng notice of commencement and that the facts stated therein are true to the best of my knowledge and beref. OGt3''1Qw''' (S'ignatuteo oweet Limm crowner'sorLewWs rbidofr} dDkectodPamew&nage4 12 tNarneandProvideSallnabysTdatOfy�e) The for oing instrument was acknowledged before me by means of physical presence or M on-line notarization,this [h day of ,AQ), 'j—_ 20 by asi, ;_ ("a of authority,'e.g.,officer,trustee,attorney in fact) , for L{�1 __. �TY� .as.'' (Name of Person) (type of autho*e.g.of mr,trustae,attomay in fact) for (name of party on behalfofwhom msbumentwasaxeam). Personally Known ® Produced ID ❑ Typ Nota_y_Signature; SHANNON M STUTTS Print name Notary'publie=State of Florida • *' Commission it 00 8133ti32 My Commission Expires January 30.20Y4 State Of Florida,County Of Pasco This Is to certify that the foregoing Is a true and correct copy of the document 0A, on file or of public record In this office, Witnq my hand and Qffiqlal seal this r A, ss r) day of Nikki Alvare I ,s Esq.,Clerk&Comptroller Pasco olu M I d U Deputy Clerk U J State Certified#CCC1330893 " K' — ; k <� t. TLC Roofing & Construction, Inc. Office: Licensed•Bonded•Insured Cell: Free Inspections & Estimates 352-437-4073 352-650-7101 Residential-commercial•All Roof Types Dean Stutts: 40Years Experience Travis Thurston: 813-695-1937 Email:ticroofingflorida@gmail.com 352-807-5665 �-� PROPOSAL SUBMITTED TO WORK TO BE PERFORMED AT Name 1/ (C= Street Street J Zo S! City �y City Z l�� State Zip /S T State fItz Zip 33Sg2- Owner of Property Phone Number Fax Phone Number Fax We hereby propose to furnish all the materials and perform all the labor necessary for the completion of: ❑ Remove existing single roof ❑ Replace bad fascia boards at$ per foot ❑ Re ove exist ing b 'It up roof ❑ Install feet or ridge vents l3Dry-in with nthetic ❑Peel&Stick U rnnstall Master Rib Metal Roof System ❑ Install new galvanized valley metal ❑ Install 1"Insulfoam ❑ Install new lead boots ❑ Install 2" Insulfoam ❑ Install new exhaust vents ❑ Install 25 yr.fungus resistant 3-tab shingles ❑ Install new drip edge, color ❑ Install 30 yr.fungus resistant dimensional shingles ❑ Install new flashing as needed ❑Shingle manufacturer color ❑ Replace plywood at$ per sheet ❑ Install TPO,white rubberized roofing membrane ❑ Replace rotten trusses at$ per foot ❑ Other: *Woodwork is an additional charge,see pricing above. 5-Year Leak and Workmanship Warranty All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings any- specifications submitted for above work and completed in a substantial workmanlike manner for the sum of$ 5T00 " with payments to be made as follows. Payment due in full on completion,unless otherwise noted. ThankYou. Credit cards accepted, additional 4°/ charge. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado and other necessary fficer/Agen Insurance upon above work.Compensation and Public Liability insurance on above work to be taken-out by Roofing Contractor. Note:This proposal may be withdrawn by us if not accepted within days. Client gives permission to drive on driveway to deliver materials. ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Accepted Signature Date —�ZC� Signature