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Home My WebLink About20-929 D Q ofrlloe > .. City of Zephyrhills ;rr PERMIT NUMBEiZ'p 5335 Eighth Street " - Zephyrhills, FL 33542 BGR-000929-2020 �.. 0020 Phone: (813)780- Issue Date: 10/20/2020 4 Fax: (813)780-0021 Permit Type: Building General (Residential) PropertywNumper ,: 'Street�AddressA.w ;W ,. a 1126 210010 06000 0180 38018 12Th Avenue s �:-., � Owner�,lnfo�mation. "Pe'rmit'Information at . . .Contracto Informations, ;* _ Name: JACKIE&BESSIE COOK Permit Type:Building General(Residential) Contractor: ROOFCRAFTERS ROOFING Class of Work:Reroof(Shingle Only) LLC Address: 38018 12Th Ave Building Valuation:$12,550.08 Y/l ZEPHYRHILLS,FL 33542 Electrical Valuation: d-V 1 Phone: (813)838-2888 Mechanical Valuation: Plumbing Valuation: Total Valuation:$12,550.08 Total Fees:$102.75 / Amount Paid:$102.75 Date Paid:10/20/2020 10:41:55AM \ "SrrrR:FMY eiyJe.k:�Y.'W^$' .,-';msa' - :•-jl'�• 3'=,A-i" T41}M - i." a^,��p.� „�,. r� - .,�a _ �Fc i �T ProfecfDescriptton REROOF SHINGLE a`me " •.^.•+&,=a..vltgt, ,y .a\ 1-+' -y qal- bra.. �'G�"�J(, '� _ ��t��'.A ,:�" Building Permit Fee $102.75 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 (GNAT PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER v. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received _ -T�V Phone Contact for Permitting ( ) caaaaaaa aaaa■ Owners Name Jackie Cook Owner Phone Number 813138-2888 Owner's Address 1 38018 12th Ave Zephryhills,FL 33542 Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 38018 12th Ave Zephryhills,FL 33542 LOT# 17,18 SUBDIVISION PARCEL ID# 11-26-21-0010-06000-0180 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM m OTHER Reroof TYPE OF CONSTRUCTION = BLOCK 11 0 FRAME = STEEL = DESCRIPTION OF WORK Reroof 3,A r BUILDING SIZE I Single family SQ FOOTAGE 2900 HEIGHT �'t c rcrc crc cr z c r<`crccrc�crcc rcr�rrrc�cc� =BUILDING $ 9 n O VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $I AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N I FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEE CURREN Y/N Address ^ License# OTHER ( , COMPANY I RoofCrafters Roofing,LLC SIGNATURE f ddd REGISTERED ION FEE CURREN Y/N Address 36181 E Lake Rd#209 Palm Harbor,FL 34685 License# CCC1331026 !!1{l l i l.i i l�i�1 1 1 i i✓1 1 i■1 1>t i l�i 1 1 1�1 1 1 i 1 1 i�a�!!l i f i !!�!O!i[i l i a l l�ti l�1 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 subdivisionsilarge 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,Stornwater 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. - 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 Attomey(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(PlottSurvey/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 Cdunty 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 property 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—Homeowners Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs.If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT:I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain a permit to do work and installation as indicated.I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance.Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction.I understand that a separate permit may be required for electrical work,plumbing,signs,wells,pools,air conditioning,gas,or other installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes.Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced.An extension may be requested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension.If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT FLORIDA JURAT(F.S.117.03) ^ OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affirmed)before me this S crib d and swom o( affirmggd be&re me this by I�by 0DIe C.Cr SarV1 Who is/are personally known to me or hasthave produced WhA is/ a personally known to me or hasihave produced as identification. —� as identification. Notary Public Notary Public Commission No. Commission Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped yyr'i LEANA NICOLE MARTIN • ,' Nc:a-y Public-Sta:e cf Florida Commission r GG 25721i 1 M}Comm.Expires Sep 11,2022 Bcndec thrccs rational Notary Assn. The City q The City of zephyrhitt� ze-phyrhitts Florlda, Florida City Of Zephyrhills City Of Zephyrhills Building Building Building Department Building Department 5335 Oth street 5335 8th Street Zephyrhills, Ft. 33542 Zephyrhills, FL 33542 (813)780-0020 - (813)780-0020 Welcome i Welcome 0 00703-0002 Jacquelin 10/27/2020 00703-0001 Jacquelin 10/27/2020 10;34AM I MISCELLANEOUS MISCELLANEOUS Description: Building Description: Building Admin Fees (66) Admin Fees (66) Reference 1: rvbp929 Reference 1: rvbp929 Building Admin Fees (66) j Building Admin Fees (66) 2021 Item: 66 2021 Item: 66 1 9 67,50 1,00 @ 67.50 Building Admin Fees Building Admin Fees (66) 67.50 (66) -67.50 ------------- 67.50 -67.50 Subtotal ; Subtotal -67.50 67.5 Total 10 Total 67.50 -67-50 CREDIT CARD CREDIT URL- 67.50 -67.50 44 1 V' 231 AAu =2' ' =P000onnnO1231 Trans ID=OO0000001231 Entry Method=MANUAL Entry Method;MANUAL TRN REF #=000293059630070 TRN REF #=000293059630070 Change due 0.00 Change due 0.00 Paid by: by 929 Paid by: by 929 Comments: by 929 revision Comments: by 929 revision Signature: Signature: Thank YOU for Your Payment Thank You for Your payment CUSTOMER COPY CUSTOMER COPY VOID INSTR#20201 69293 OR BK 10194 PG 126 Page 1 of 1 10/09/2020 10:24 AM Rcpt:2213667 Rec:10.00 DS:0.00 IT:0.00 Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller 5� Pefmlf No. PJn;E11D HIo 11.2621-001d06004 d1fi0 NOTICE OF COMMENCEMENT slaleol Florida County of Pasco THE UNDERSIGNED hereby pions rwtfee M Improvement will be made to caftan real properly.and In a=rdarlea with Clleptar 713.Ftorlda Statutes. fne follow4q Wonnatbn Is provided In the Notice of Commencement 1. Description of Property:Primal Iderttfication No. 11-26-21-001046000-0180 Street Address: 3801812TH AVENUE,ZEPHYRHILLS,FL 33542 2 General DeaatptIon of Improvement reroof 3. Owner information or Lessee Information f the Lessee contreeted for the ImWovernent COOK JACKIE W JR A BESSIE L 3801812TH A IEPHYRHILLS FL Address City state Interest in Property. I-- Name of Fee Simple TMktgider Of ciftent from Owner listed above) Address Raa(aa1leR.RoolYg LLC City State 4. Contractor Name 1308 US HWY 80 Sloorninpdsb GA Address City state Contraaols Tel No.: 912-414.2e24 5. Surety: Name Address Clly state Amount of Bond:$ Telephone No.: 6. Lender. Name Address CRY State Lendefs Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom ndJ=or otller dowrnenla may be saved as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address Cty State Telephone Number or DesWalad Person: S. In addltldn to himself.fro owner designates of to me"a copy of fro Lie nofs Notice as provided In Section 713.13(1xb).Floods Statutes. Telephone Number of Person or Entity DeriVisted by Owner. 9. E)#ratien date of Notice of Cornmenoemenl(tiro etplrallon date may not be before f1e compktkn of coraUupfon and final paymerd to the contractor.but will be one yew from fin data of recording;unless a different data Is sped8ed): 11/962020 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, 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 COMIENCEMENT. Under MIM.I decf&m that I hive read the foiagob rotloe of eammaloemem and fut the facts stated demin are hue to the bell of my kno%4e0ge and belief. STATE OF FLOMDA COUNTY OF PASCO of Owner or Lessee,or Owneei or Of er l YVV%A-s Slp/nM�oy1�TltldOfke The foregoing Instrument wu adatowledped betas me tills_L__day of SNT 2OW by kt IA w vk u (type of euphony-e.g..oflo ee-aft-my In feet)for Q (name of early bilbialiftfuitiorn I a mrsaded). Persatry Known 0 Q8 Produced Ide'nrfihlmmn W/ Notary 81(ptahrro Type of IdenlClutlon Produced Name(Prht) LEANA!NCOLE A%ARnN ® Notary Public•State of Florida ' Cemmissron s CG 257281 w n,,,! MY Cemm.Etpirn Sep It.2022 Bonded through Nanorul Notary Alin. w'Pda (pc05301a The City of ZephyrhiLls Florlda City Of Zephyrhills Building Building Department 5335 8th Street Zeph" hills, FL 33542 Zephyr 13)780-0020 Welcome 000703-0003 Jacquelin 10/27/2020 10:38AM INVOICE CORSON, NICOLE (RDOFCRAFTERS ROOFING, LLC) BGR-000929-2020 2020 Item: iNV-00001713 Balance unpaid., 0.00 Building Plan Review Fee 67.50 ----------- 67.50 Subtotal 67.50 Total 67.50 CREDIT CARD 67.50 44 Ref= 283 Au 2 Trans ID=000000001233 Entry Method=MANUAL TRN REF #=000293074619074 Change due 0.00 Paid by: roofcrafiers revision 1, Comments: rev bP#929 Signature: Thank youlfor your payment CUSTOMER COPY Permit No. Parcel ID No 11-26-21-0010-06000- 0180 NOTICE OF COMMENCEMENT State of Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. 11-26-21-0010-06000-0180 Street Address: 38018 12TH AVENUE,ZEPHYRHILLS,FL 33542 2. General Description of Improvement reroof 3. Owner Information or Lessee Information if the Lessee contracted for the improvement N COOK JACKIE W JR&BESSIE L 3801812TH AVE me ZEPHYRHILLS FL Address City State Interest in Property: homeowner Name of Fee Simple Titleholder. (If different from Owner listed above) Address Roofcrafters,Roofing LLC City State 4. Contractor. Name 1308 US HWY 80 Bloomingdale GA Address City State Contractor's Telephone No.: 912-414-2624 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender. Name Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of_ to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone 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 one year from the date of recording unless a different date is specified): 11/30/2020 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 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. Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO natu a of Owner or Lessee,or Owner's or L ees- t thorized Officer ire�cttoor//Parartneer/[Manager &v ' •-- Signatory's Tide/Office 1y—' '�1•,�y��`y" The foregoing Instrument was acknowledged before me this'l y of li� 23�by�cM m �—'�'v Y as (type ofbnb ority,e�instrumen torney in fact)for Q (name of partya1 s executed). Personally Known❑M Produced Identification 11 Notary Signature Type of Identification Produced V�y Name(Print) Ep...- r�••., LEANANICOLEMARTIN Notary Pukiic•State of Florida Commission?CG 257281 fir, My Comm.Expires Sep 11,2022 Bonded through National Notary Assn, wpdata/bcs/noticecommencement_pc053048 Florida Department of Business kProfessional Regulation myFlorida Logo Town Graphic Florida Department of Stals BCIS Business 8 Hot Submit Contact BCIS Home Log In User Registration & Publications Site Links Search Professional Regulation TOp1CS Surcharge Facts Us Ma Product Approval USER:Public User Office of the Secretary Product Approval Menu>Product or Application Search>Application List Search Criteria Refine Search Code Version 2017 FL# 14207 Application Type ALL Product Manufacturer ALL Category ALL Subcategory ALL Application Status ALL Compliance Method ALL Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL Product Model,Number or Name ALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure ALL Other ALL Search Results-Ap lications FL# Type Manufacturer Validated By Status FL14207-R24 Revision Versico Roofing Systems John W.Knezevich,PE Approved History Category:Roofing (954)772-6224 Subcategory:Single Ply Roof Systems *Approved by DBPR.Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. 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(l),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: SecurityMetrics Credit Card Safe ROOFCRAFTERS 36181 E Lake Rd #209 Palm Harbor, FL 34685 (813)863-9633 City of Zephyrhills Building Department Authorization Letter I, Nicole Corson, license holder for CCC1331026 authorize the following people to be able to sign/pick up permits in your office: Dakota Humbert Chris Buchanan Brian Spann Sincere Thanks, Nicole Corson Managi g Member nicole roof-crafters.com 813-438-9691 State of Florida County of Pinellas Acknowledged before me on this 13th day of October, 2020 by Nicole Corson, who is personally known to me. Notary signature: yFii�•. LEAN.I.NICOLEMAKIIN }• 1 Notary Fibik-State of Florida �j, Commission 2 GG 257281 .-'••.For s� My Comm.Expires Sep 11,2022 Banded through Naticnal Notary Assn. City of Zephyrhills 5335 8th St Zephyrhills FL.33542 (813)780-0020 • ROOFING INSPECTION AFFIDAVIT Permit No.: ��: 011 Z� P-by-r.a/1 licensed under Chapter 468, Florida Statutes as a(n): Contr`ao Engineer_Architect_Building Inspector_ License IL 13 5 On or-:ab 2I Za did personally inspect the: / Check: Ro Deck Nailing Dry in Flashing and Drip edge✓ Check whic as used: 30#felt_Peel and Stick_Other(List) �1,1 �k CC— At the follow address: '%okt 12" ka In r-h'Ak 335%42. Based upon that xamination, I have determined the installation was done according to the Hurricane Mitigation Retro Manual(Based on Section 553.844, Florida Statutes). Signature: STATE OF.FLORIDA COUNTY OF PASCO Sworn to and su sc ibed before this day BY: Notary Publi tate of Florida fir"r�4••.. LEANA NICOLE MARTIN ;'i4• `E;i Notary Public-State of Florida e" Commission-GG 257281 My Comm,Expires Sep 11,2022 �an�ed throutn National Notary Assn.