HomeMy WebLinkAbout20-92 D
City of ZephyrhillS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000092-2020
Phone: (813)780-0020 Issue Date:�'��
Fax: (813)780-0021
Permit Type: Building General (Residential)
Property Number Street Address
03 26 21 0120 00000 0410 37140 Foxrun Place
Owner Information Permit Information Contractor Information
Name: CARL&THERESA SULLIVAN Permit Type:Building General(Residential) Contractor: EASE ROOFING
Class of Work:Reroof(Shingle Only)
Address: 37140 Foxrun PI Building Valuation:$12,662.00 ZEPHYRHILLS,FL 33542 Electrical Valuation: 1 ,2,7,—
Phone: (813)679-6100 Mechanical Valuation:
Plumbing Valuation: /
Total Valuation:$12,662.00
Total Fees:$103.31
Amount Paid:$103.31
Date Paid:5/18/2020 1:44:25PM
Project Description
REROOF SHINGLE
Application Fees
Building Permit Fee $103.31
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.
VOYTIVC101SIGINATURE PE IT OFFICE
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 Permitting ( 863 223- 3900
■! a■■1 1 a {{ II :
ner
Owner's Name Carl Sullivan Ow Phone Number 813-679-6100
Owner's Address 37140 Foxrun Place Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
37140 Foxrun Place LOT# 41
SUBDIVISION Silver Oaks PARCEL ID# 03-26-21-0120-00000-0410
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM 0 OTHER F Reroof
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Tear off and reroof
BUILDING SIZE SO FOOTAGE 2860 HEIGHT
Z.;_L_Z._Z..Z..;€..Z..Z._S-C'CL..L...t..S..Z_1U_1E.i_C.=..;_5..;_Z..;...C;..ICIUC_t.Z_Z._5ACIE..=..;.-i_L_i.i_i.Z_E...K.;..Z..Z...C.C_L_L_i
=BUILDING $ 12,662 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING =X SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN I Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License If
OTHER COMPANY Ease Roofing
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address 6039 4Cypress Gardens Blvd.#544 Winter Have , FL 33884 License# CCC1331168
1111I111 [Evil 1111111121{ {11 {{!{11! Kill { {1{{!S
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 Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stornwaler 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
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 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,WaterAWastewater 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 ATTQRNEY BEFORE RECORDING Y NQT E F MMENCEMENT,
FLORIDA JURAT(F.S.117.03) .�J/
OWNER OR AGENT CONTRACTOR /V�—�
Subscribed and sworn to(or affirmed)before me this Subscribed anddIswo o affirmed)before�rte-iW
by by l�+ttJJ \\1
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
ouum t-ionaa umce 1V%J1 Lit
305-998-7785 10, 850-270-2223
Central Florida Office EASE ROOFING FL License# CRC1331408
863-223-3900 — ROOFING WITH EASE- CCC1331168
4100 Spirit Lake Road,Suite 2,Winter Haven,FL 33880
Email:Info@easeroofing.com Website:www.easeroofing.com
Carl Sullivan 813-679-6100 5/3/20
PROPOSAL SUBMITTED TO PHONE DATE
37140 Foxrun Place
STREET INSURANCE CO. CLAIM#
Zephyrhills, FL 33542 Glenn Williams 813-783-4150
CITY,STATE AND ZIP CODE EASE ROOFING REPRESENTATIVE PHONE#
Roof Type: MetalF] Tile R Shingle' f&/] ModifiedF] Other
Slope 5/12 Style Arch Brand Landmark Color
✓ nstall Drip Edge: LF total Perimeter Color t^� 0 Gutter Detach& Reset
:61/ Replace Vent Flashing Type Ridge vent 2'p 311 4`1
Underlayment Type synthetic 4x8FIIXBF Wood Damager-n 111/1 -11X10 Cost: 100
k1clean Debris and Magnet Yard [:]Homeowner Authorizes Ease Roofing Sign In Yard
instructions: Work to be done per insurance scope. Price is equal to Insurance proceeds + deductible +
supplement.
down payment 50%due when material is delivered.
Final payment due upon comoletion. any-suoplemenj§ due when insurance check is received.
Ease Roofing is not responsible for any cracked or broken Customer agrees to any alteration or deviation from specifications,including extra cost,
driveways.Verbal understanding and agreements with will be expected upon completion upon written orders and will become an additional
representative shall not be binding.All understanding and charge,over and above the contract price.
agreements must be set forth in writing on this contract. All payments to be made solely to Ease Roofing.
Purchaser agrees to remove breakables from outsidefintenor
walls of home during installation of work.
'I. All contracts subject to approval of management. Contract Price
2. Ease Roofing reserves the right to file for supplemental nTHIS CONTRACT IS CONTINGENT
insurance claims if insurance adjuster measurements UPONINSURANCE APPROVING
are used and prove to be incorrect.At no additional cost THE WORK STATED ABOVE, Total$
to the.customer,Ease Roofing reserves the tight to rile I
supplemental insurance claims.due to the material and *Should there be a difference in price or Down Payments
labor price increases due to storm environment, scope of work contractor will negotiate the
3. If applicable,20%overhead&profit will be paid to Ease same.Do not start work until approved
Roofing by the Insurance Company. by Insurance company.Homeowner Final Payments
4. Homeowner authorizes Ease Roofing to make responsible for deductible.Homeowner
adjustments and settle their insurance claimr* authorizes Ease Roofing to settle claim.
5. Homeowner responsible for connectip�05-Kower vent. I
Customer authorizes Ease Roofing
Customer Signature endorsement to be applied on all
insurance checks.
Contractor Signatur Customer Initial
OUR GUARANTEE
Upon completion of work Ease Roofing guarantees work performed in this contract for a period of 1 year against defects in material and workmanship.
This guarantee does not extend to damage from other cause including,but not limited to damage from other trades,extreme wind or ice,lightning,hailstorm
or other unusual occurrences.This guarantee does not extend to the repair of any interior features of a structure.
There are no other warranties,either expressed or implied by Ease Roofing.
Payment Terms:Upon presentation of invoice,the job payments in full is immediately due.If full payment is not made,warranty is void.
77
,tn kg8mir, mmmilimpti, a
easeroofing.com
•
1.A000RDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE
WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHTTO ENFORCE
THEiR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY,THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR
CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL
SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS,THOSE WHO ARE OWED THE MONEY
MAY LOOK TO YOUR PROPERTY FOR PAYMENT,EVEN.IF YOU HAVE PAID YOUR CONTRACTOR IN FULL.THIS MEANS
IF A LIEN IS FILED, YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR
OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S
CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES,
YOU CONSULT AN ATTORNEY.
2.Payment may be available from the Florida Homeowner's Construction 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, you may contact the Florida Construction industry
Licensing Board at: CILB, 1940 N. Monroe St., #42, Tallahassee, FL 32399.
3.RIGHT-TO-CURE, CHAPTER 558 NOTICE OF CLAiM
Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal
action for an alleged construction defect to your'home. Sixty (60) days before you bring any legal action, you
must deliver to the other party to this contract a written notice referring to Chapter 558 of any construction
conditions you allege are defective and provide such party the opportunity to inspect the alleged construction
defect(s) and to consider making an offer to repair or pay for the repair of the alleged defect. You are not
obligated to accept any offer which may be made. There are strict deadlines and procedures under this Florida
law which must be met and followed to protect your interests.
4.You may cancel this contract, without cause or expense, within three (3) business days of when signed in your
home. You may not cancel this contract without expense following that date ritten authorization from
this contractor. Customer Initials
THE CONTRACT ONTHE FACE HEREOF AND ANYAGREEMENT MADE PURSUANTTHERETO BETWEEN MY EASE ROOFING(THE"COMPANY-),AND CUSTOMER(S)WILL BE
SUBJECTTO ALL APPROPRIATE LAWS,REGULATIONS AND ORDINANCES,ANb1 O THE FOLLOWING SPECIAL TERMS AND CONDITIONS,
1.All proposals subject to approval of our Credit Department and Management.
2. EASE ROOFING has the right to order excess material.These materials will not be charged above the agreed upon price.All excess material belongs to EASE
ROOFING.
3.Supplement paid by the Insurance Company for the additional labor and materials needed beyond the original scope of repairs shall be paid directly to
EASE ROOFING.
4.All material is guaranteed as specified.Ail work to be completed in a workmanlike manner according to standard practices.Any alterations or deviation from
above specifications involving extra costs 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 insurance. All
subcontractors/employees carry/covered by workmen's Compensation Insurance.
5.This Agreement constitutes the entire agreement between the parties.It may be changed only by written instrument signed by both parties.
6, if any provision of this agreement should be held to be invalid or unenforceable,the validity and enforceability of the remaining provisions of this agreement shall
not be affected hereby.
7.Any representation,statements,or other communications not written in this contract are agreed to lie immaterial,and not relied on by either party,and do not
survive the execution of this contract.
8.If this contract is canceled by the customer later than three(3)days from execution but prior to commencement of work, customer shall pay to company
twenty-five percent(25%)of the contract price as liquidated damages,and not as a penalty,and the Company agrees to accept such as reasonable and just
compensation for said cancellation.Payment is due to the address listed on front.
9.The Company is not responsible for any damage below the roof due to teaks by excessive wind of 60 mph,ice dams,hail.pre-existing or future construction
defects caused by storms or lack of maintenance during the period of warranty,or tire depressions in a driveway caused by trailers or dumpsters.
10.Tarps are not considered roofing materials.By signing this agreement you understand that a tarp will not protect your roof or prevent water from intruding into
your home.We may apply a tarp to help prevent further damage to your roof,but we cannot guarantee this prevention.Further,a tarp is used to divert water to
another area on the roof.If a tarp is used and the water is diverted,it is possible that a new leak will progress on the roof.By signing this contract you and erstand
that the company is not respons ibl a for any new teak or new damage caused by applying,adjusting,or removing a tarp on your property.The company has the
right to charge the customer for any trips made to the property for the purpose of adjusting the tarp.
11.Should default be made in payment of this contract,charges shall be added from date thereof at a rate of eight percent per annum(8%PER ANNUM)with a
minimum charge of$2.00 per month, and if placed in the hands of an attorney for collection, all attorneys'fees, cost,and legal filing fees shall be paid by
customer accepting said contract.
12.These conditions shall be considered a part of any contract entered into,including the contingent agreement when the work is approved,and will be paid for by
the Insurance Company the same as if they were included therein.
13.Homeowners agreement to the contingency statement on the front of this contract hold the entire contract as valid and binding as long as the Insurance
Company approves to pay homeowner for the loss.
14.The dollar amount of the contract is the amount allowed by the Insurance Company for the approved scope of loss plus any agreed-to upgrades and the
deductible.
15.The final payment in full shall not be held up while waiting for the city to inspect the work. The company agrees to meet or exceed all city inspection
requirements.
16.All credit card payments will incur an additional 3%processing fee.
INSTR#2020077862 OR BK 10102 PG 546 Page 1 of 1
05/14/2020 03:44 PM Rcpt:2161900 Rea 10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Permit No.:_
State of FLORIDA
EASE ROOFING County of Pasco
ROOFING WITl1 EASE
The undersigned hereby{rives notice Ilia(ioprovements will be made to certain real property,and in accordance with
chapter 713 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
Legnl description of property(include Street Address,if available):03-26-21-0120-00000-0410
Grncnil dcsw iplion of improvcntont: Re-Roof
Owner's Name: Carl Sullivan
Address: 37140 Foxrun Zephyrhills, FL 33542
Owner's Interest in site of dic.improvement: --
Fee Simple Title Bolder(if other than owner)!
Address:_ Phone: Fax: _
Contractor: Glenn Williams/Ease Roofing
Address: 6039 Cypress Gardens Blvd. ttS44 pho1e: (850)270.2223 Pax:
Surety: Winter Haven, FL 33884 Phone: Fax:
Address: ^_ Amount of bond:
Lender's Namc: _
Address:
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.
Nan-
Address' — Phone: Fax:
In addition to himself,owner designates:
O1: Phone: Fax:
to teceive a copy of the Lienor's Notice as provided in Section 713.130)(1)).Florida Statutes.
Lxpiration date of Notice or Contmencement(the expiration date is one(1)year front the date of recording unless a different
date is spe ietYf'�
-�� Carl Sullivan_
Signature of 0—her Printed Name of Owner
I have rclic) 7 d upon the Bellowing identification of the Alliunt
I-)I-_t ' `-I\�.r- \3 U
�-yr] -`�� -C m
: (affix siup)
worn S to and suhscribed before n+e this_`\I day of N\_\_�.
20 ,Q . r"" :A!RLINA I.A(iUILAR-Pli\.A
NN._ a� ES %—.bcr.l 2023
Notary Signature
Pt in Ied Name
FAILURE TO POST A CERTIFIED CUPN'OF THE RECORDED NOTICE OF COMMENCEVENT No(ice of Conicnccnicnt.dor.
ON THE JOB SITE.MAV RFSIJI.T TN THE FAILURE OF YOUR INSPECTIONS.
EASEROOFING
ROOFING WITH EASE
I� Glenn H. Williams Ease Roofing
(Print Name Here) (Print Business Name Here)
do hereby designate the following individuals) as having the authority to sign and
submit applications and related documents for the purpose of obtaining building
permits under my.Florida Contractor's,!License (CCC1131168, CRC1331408, &
CBC126961)with the City of ZephyshiRs Building Dept. .1 further
acknowledge and accept, as a licensed contractor, my responsibility for each project
permitted under the authority designated on this form,which supersedes and
repeals all other previously submitted signature authority forms.
DESIGNATED SIGNERS: (PLEASE PRINT):
1.) Brittany Nichols
2 ) Regina Smith
3 ) Daniel Heard
4) Aixa Vega
5.) _
BY: Glenn H..Williams
(Printed Name) (Signature)
State of Florida, County of Sworn to (or affirmed) and
x
subscribed before me this day of
By ' who i ersonally known me or who
has produced (type of ID) as'identification.
BRITTANY JORDAN NICHOLS
Notary Public-State of Florida
Commission a GG 1S13S0 My Comm.Expires tin 31,2022
" Bonded through National Noldry Assn.
Signat f otary PIc State of Florida hy CommissiGn Expires
6039 Cypress Gardens Blvd. #544 1863.223.3900 1 www.easeroofing.com
Roof Affidavit
Roofing Inspection Affidavit
City ofZephyrhills .;�.�,.,x.,..�_..n: ;.• ,ram:4,» .-.• Phone:813-780-0020
5336 8th Street,Zephyrfiills,FL 33642
Permit Number
8CR-000002-2020
Name
CLENN WILLIAMS
iccrosed-ande-Chapter-468,j oridwS
®Architect p Building Inspector 6 Contractor # Engineer
License Number
CCC1331168
Personal Inspection Date na4inxpected#h .
6/20/2020 ;r Dry in d Flashing and Drip Roof beck Nailing
Edge
- 1rCIC`WhICb�PVaS�5C4i.
C3 30 Pound Felt 4 Peel and Stick Other
If other,please explain:
Synthetic felt-Certainteed Roof Runner _ - --- -
Address of hoof Inspection
37140 FOXRUN PLACE,ZEPHYRHILLS,FL 33542
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
Glenn Williams - -
State of Florida - - -
OW;p", AIXA LEE VEGA
�`• ON Notary Mile•State of ElorWa
County of Pasco °�� Commission 0 NN 7965 _
Aty Comm.Expires Jun 8,2021
landed through National Notary Assn.
Sworn to&Subscribed Before This Notary Public State of Florida - - _ -
Day
AIXA LEE VEGA
ti/�0/2020
i