HomeMy WebLinkAbout03-2437
CITY OF ZEPHYRHILLS
5335 . 8TH STREET
(813)780-0020
BUILDING PERMIT
2437
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
---
Work Desc:
2437
MECHANICAL
AlC CHANGEOUT
NOT APPLICABLE
Address: 38122 12TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
3,675.00
10/21/2003
85.00
85.00 1
10/21/2003 ~________~__
AlC CHANGE OUT
Name: PRILLMAN MIKE
Address: 38122 12TH AVE
ZEPHYRHILLS, FL. 33542
Phone:
~._- --..---
--REINSPECTION FEE-S: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The paY!!1ent of inspecti9n fees shall ~~ made before _C!I!Y further perl!'its will be issued to the person owning same ________
"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 and Fee-Must Accompany Application.
_____ ______ All wor~ shall be perf~Jrmed in a~_~dance with City Codes and Ordinance~________ . ______
NO OCCUPANCY BEFORE C.O.
~
.r~-
TRACTbR-SIGNATURE- -~ ------- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DBPARTItBNT 5335 8t:h STREBT ZBPHYRHILLS, PL 33540
Phone:813-780-0020 Pax:813-780-0021
DATB RECBIVED
PLANS REVIEW PEE
OWNER'S NAME
IJI(~ rP/ II ~
:? g> I .;L ~ I ~ ~5 ~
,
PHONE CONTACT J(g'- 17~ ('
JOB SITE ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
WORK PROPSED: [JNEW CONSTRUCTION
(OBTAIN FROM PROPERTY TAX NOTICE)
[JADDITION
[J ALTERATION
[J REPAIR
[J INSTALL
[J SIGN
[JMOVE
[J DEMOLISH
PROPOSED USE: [JSGL FAMILY DWELLING
[JMULTI-FAM1LY
[J # OF UNITS
[JMOBILE HOME
[JOTHER
~)~
*- t DESCRIPTION
[J COMMERCIAL
[J INDUSTRIAL
[J SWIMMING POOL
OF WORK
CJ RESTAURANT & HEALTH
:J~ y/,><- ~C
DEPARTMENT APPROVAL
C?A4'~t? ~
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
R~SIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
[J BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
[J ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
I
$ :s~')~
~';;>
[J MECHANICAL
VALUATION OF MECHANCIAL INSTALLATION
[J GAS
[J ROOFING
[J SPECIALTY
[J OTHER
TYPE OF CONSTRUCTION: [J BLOCK
[J FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[J YES [J NO
BUILDER
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING #
SIGNATURE
BLECT
******************************************************************
/} COMPANY F II' <;: -C C' I ASS [k ('::/ .J!?, ~
~/i STATE CERT OR REGIST #
CITY PROCESSING #
* ********************************************************
PLUMBER
COMPANY
STATE CERT OR REG 1ST #
CITY PROCESSING #
SIGNATURE
SIGNATURE
******************************************~t******~r**~~~ J ~~ ,
COMPANY 1.t1I$~ ~~ ~V'-i ~
STATE CERT OR REGIST fC.~ (j (') () .:<.;s7 a - fI1-t.
CITY PROCESSING # /J?-:L
MECHANICAL
********************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
City of Zephyrhills Building Department, 813-768-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsN of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affa~rs. If the applicant is someone other that the "ownerN, I cerify 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.
E. 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-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
*U.S. Environmental Protection Agency-Aabestos abatement
I also certify that, if fill material is to be used in Flood Zone "AN or "A,etc.N, it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of' Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 1!L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowleciged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[Lho is personally known to me, or
o who has produced
(type
and whoD did 0 did not
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
Kinsey Central
Heat & Air-Conditioning, Inc.
P.O. Box 2209
Zephyrhills, Florida 33539-2209
(813) 782-2300
RA0056288
I r::/; , I PHONE I DATE OF ORDER
.,-~ ~.". - ,,;~ -. _l/~'~ !....t:: ~
J - -, , c ,{
NAME i<> - -. DATE PROMISED
~r -- --'
;'.:,...r" i, r::";1",~," ......,
ADDRESS -~ .;~,,- , APARTMENT
'.,.. ::? ..- -
" -"- r.. ,> '?- ri~ ,...,-....
CITY
MAKE T MODEL I SERIAL NO.
0 ESTIMATE
NATURE OF cj 0 CASH
SERVICE
REQUEST 0 CHARGE
QUAN. PART NO, DESCRIPTION PRICE AMOUNT
- ,:.--- ~ ,- !
-, .l- ,r:'" I ':"""-f
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-
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SERVICE PERFORMED
TOTAL
MATERIAL
TECHNICAL
SERVICE TIME
(.....,w
A charge of 1.5% will be made on aU unpaid balances after 30 day~ which is an annual percentage rate
of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill.
DATE COMPLETED.
TAX
7~~
CASH ~~~:LETlON _
TOTAL
TECHNICIAN
CUSTOMER'S SIGNATURE
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2438
Permit Number: 2438
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 4,900.00
Date Issued: 10/21/2003
Total Fees: 55.00
Amount Paid: 55.00
Date Paid: 10/21/2003
Work Desc: RE-ROOF
Address: 5553 13TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):. Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: SUSAN MCCURRY
Address: 5553 13TH ST
ZEPHYRHILLS, FL. 33542
Phone:
_ .. L . .... _~
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
- "warnIn-g to owner: Your failure to record a notice ofcommencement may result inyour 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 andn-Fee Must Accompany Application. ---.----------.--
__~II_work s~all be _performed in acsordance with City Codes and Qrdinan~s_______
NO OCCUPANCY BEFORE C.O.
~
fJiidLADa~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ern OF' ZEPBYRBXLLS PERMrT APPLZCATXON
aun.oIM Dl:PM'IJ<<liIT !5335 8'" St, Zepby.EtU.l.l.., 1'1. 33!542 /V _ "/ -03
813-780-0020 ~:813-780-0021 ~
PAD qCZ~
PLAlIS JlI;YlD n.a
~:S/j50n me Curlu PRON&: ~13:q:?d--If)OdO
JOB lII)l))Qlss '- S 5,-5 3 ) ~ +h S-\-.. I I
LEGAl, DESCRIPTION: LOT(S) 5 +b BLOCK / / boL~~jIvISION-EB I P<b,~
ODID / IIL)~O OOSDCOBTAHI.FROM PR~~ERTY TAX NOTJf;R)
OWNER'S NAME
PARCEL ID f I / ;)( 17 ;1/
,
WORK PROPSED: (JNEW CONSTRUCTION
o ADDITION
OALTl':RATION
~AIR
o INSTALL
OSIGN
~ROPOSED USEI~AMILY DWELLING
o COMMERCIAL
(J MO"""E
o DEMOLISH
0/1U1T1 - FAMlty
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHEP-
RESIDENTIAL:
COMMERCIAL:
o RESTAURANT' HEALTH DEE'ARTMENT APPROVAL
DESCRIPTION OF WORK T eD.-r" 0.9+ (}fl6 (' e -lOO~ aw\'i 0e-vJ GAf d5 ~(j.A ~~
BUILDING SIZE SOU~ rooTAG~C:SO Hl':!GHT, ~ S',,..rr A...,
/V)~~
8,,-w~-I
~o
ATTACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING P1ANS & (11 SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BtJnDING
o ELECTRICAL
o PLUMBING
o MECHANICAL $
o GAS ~FING 0 SPECIALTY
s~ ) ClOD
PBRHl:TS REgm:S!.'JU)
VALUATION OF TOTAL CONSTRUCTION
AMP SERVJ; CE
o n,ORIJ)A POWER
o If.R.E.C.
VALUATION OF MECBANCIAL INSTALLATION'
o OTHER
TYPE OF CONSTRUC'rION: 0 BLOCK
o FRAME
o STEEL
~Ea~
FINISHED r-uOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BOUmlR
SIGNATURE
COMPANi.'~ . . ,
STATE CERT OR REGIS! t
CITY PROCESSING 4
*~+**.**~******.*************4*******.~W~*~~~WW*****+~*~*~.***+**.
:nsCD:rCIJIlf
SIGNATUlU;
Cm1PANY
STATE CERT OR REGIST #
CITY PROCtSSING t
**~*.**~.*~+**~.**++*+*+**+~*******.*.*~~.*.....**..***.......*.~.
PI.tHml.
COMPANY
STATE CERT OR REGIST f
CITY PROCESSING .
SIGNAi'oae
HlCIIAM'I:CAL
**+;**~~.*.~~*W.*.*W*...*~+..**.~*_*.*..**~*w***~.**~**~~~*.**.**.
COMPANY
STATE CERT OR REGIST f
CITY PROCESSING t
SIGNATURE
"'"'" -RO:5:' Y1 cy ~
SIGNATURE ; - _
****+***.******~**********~**************.******~~~*~******~w_**w
COMPANY sto.-j D"I Rof"l~~.p 10mpCt &y I~
STATE CERT OR GIST tt CC 0 q ?O
CITY PROCESSING J .
.~ lIr'lr**'**** ******"**'*'**********",,....... * *"'*'fIIIt~w",,*,.~.. .,.*...._~.*:***....***...+..*.
, ~ ..,
A. NOTICE or DEED RESTRICTIONS
The undersigned understands that this PQr~t may be subject to. "deed restrictions" which
may be more restrictive than City regulatIons. The undersiqn~d ~ssumes responsibility for
compliance with any applicable deed restrictions.
S. 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 stat~ and local reQulations. If the contractor is not
liceneed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. Ir the owner or intended contractor are Qncertain as to what
licensing requirements may apply tor the intended work, they are advised to contact the
City of zephyrhills Building Department, 813-780-0020,
Furtnermore, it the owner has h1red a contractor or contractors, he is advised to have the
concractor(s) sign Fortions of the "Contractor Seotions" of this application tor which they
will be responsible, If you, as the owner signs as the contractor, you are indioating that
you, rather than the contractor, are responsible for the work. It the contractor wishes
you to sign QS contractor that may be an indioa~ion that he is not proPQrly licensed and is
not entitled to permitting privileges in the City of ~ephyrhills.
C. TRANSI?ORTA'l'ION IMPACT FEES AND UTILITY CONNECTION t1!:ES
D. CONSTRUCTUION LIEN LAW lCHAPTER 713, FLORIDA STATOTES, AS AMENDEDl
I certify that 1, the applicant, havQ been provided with a copy of "Florida's Construction
lien Law - Hameown*r's Protection Guide" pr.Far~d by the Florida Department of Aqriculture
and Consumer Affairs. If the applicant is someone other that the "owner", ! ceriry that I
have obtained a copy of the above desoribed document and promise in good faith to deliver
it to the "owner" prior to commencement.
E, CONTRACTOR'S/OWNER'S AFFIDAVIT
I eertifY that all the info~ation in ~his application is accurate and that all work will
be tione in compliance with all applicable laws regulating construction, zoning, and land
development.
Appli~ation is hereby ma~e to obtain a permit to do .work and installation as indicated. I
certify that no work or installation has commenced prior to issuanoe of a permit and that
all work will be performed to meet standards of all laws requlating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify ~hat I understand that the regulations of other go~ernmental agencies may apply to
the intmnded work, and that it is my responsibility to identify what aotions I must take to
b. in compliance. Such agencieS include but are not limited to: *Department of
Environmental Regulation-Cypress Bayhead9, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management Distriot-Wells, Cypress BayheQds, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, DoCks, Navigable Waterways
*Department ot Health & Rehabilitative Servicas, Environmental Health Unit-Welle,
Wastewater Treatment, Septic Tanks
wU.S. Enviropmental Protection Agenoy-Asbestos abatement
1 also oelttlfy that. if fill material ill: to be used in FloOd ~one "AN or "A,etc.n, it is
und$rstood that ~ drainage plan addressing a ncompensating volumen will be submitted which
is prepared by a prof~.sional engineer registered in the St~te of Florida ~rior to perroit
issuanC<3.
A per~it 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 codee,
nor shall issuance of a permit prevent the Building Offioial fr~ theteafter rsquirln9 a
correction of errors in plans, construction, or violations of an~ oode. Every pe~t
issued shall bec~e invalid unless the work authorized by such parroit is commenced within
six months of issuance, or it work authorized by the permit is suspended or abandoned for 'a
period of six months after the tLme the work is commenced. One 90 day extension ot time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Offioial. An approved inspection must ~ l09Qed during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: 'fOOl'. FAILURE TO RE.CORD A NOTICi: Ol!' COMMENCEMi:NT MAY ReSULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPE:RT'f. IF yOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O!l. AN ATTORNEY BSFOIlE RECOROING YOUR ICE OF COMMENCEMENT. JOBS UNDER
$2,500 ~N VAL~E 00 NOT NEED TO RECORD AND POST A ~NOTICE F COMMENCEMENT"'l
~b~h loll. vuP ~
SIGNA UR&;: OWNER OR AGENT SIGNATURE, CONTRACTOR-
~;:~y O~F n.1frt,tf /!JOt' (JuC;1I
The foregoing Iqstrument wa~.naC~Wledgedo3
:;f'j!J /RlK r.g~ff!J of IV ~ I , 2~
~~(nam~ of person acknowledged)
~who is personally known to me, or
R
jD/
/2-7
PERMIT #
tCitiJCounty
oF~1jrl/.(JI5
111111111111111111111111111111111111111111111111111111IIIIII
2003196740
NOTICE OF
COMMENCEMENT
Rcpl: 726142
DS: 0.00
10/21/03
Rec: 6.00
IT: 0.00
Dpty Clerk
State of Florida
County of' fa5W
i~92~~~~MA~g: r~:;o fOUNT:, C1,ERK
OR BK 5590 PG 1883
The undersigned hereby gives notice that improvemment
will be made to certain real property, and in accordance
with Chapter 713.13, Florida Statues, the following
information is provided in this Notice of Commencement:
(space above reserved fur the use of the recording office)
fP/!.c~
I. Legal Description of Improvements: FOLlOH: /1 ~ . OO'?6 1lJi6~ O~~
LEGAL DESCRIPTION: 'i!1t. ()!- . },j I/f / /. ~v-h
, CK 1/(;;1 Or< 33J..f I f'& 1/55
z. General Description ofImprovements: Re-Roofing of Home
3. Property Owner's Name: ( fg~ag h1 '- LU~
Property Owner's Address: . S5 13t!1 - ef
Owner's Intrest In Site: Owners
Name and m811iog address offee simple "older if other tIlan owner: N/ A
zrht rllt I Is I ::.:}/. -3354..2..
,/
4. Contractor's Name: Stay-Dry Roofing of Tampa Bay, Inc. Phone#: (813) 248-1723
Address: 3519 E. 7th Ave Tampa, Fl. 33605
S. Snrety Solid Name: N/ A
Address: N/ A
6. Lender Name: N/ A
Address: N/ A
7. Persons within tile State of Florida (names and addresses) designated by property owner npon
whom Notices or other doc.meats may be served as provided by SeCtioB 713.13 (I) (A) 7.. Florida Statutes:
Name: N/ A Address: N/ A Phone #: N/ A
8. In addition to himself, Owner designates tile following person(s) to receive a copy of the Lienor's
Notice as provided by Sediou 713.13 (1) (B). .F1orida Statates:
Name: N/ A Address: N/ A Phone #: N/ A
9. Expiration date of Notice of Commencement (expiration date is (I) year from date of ret~ng nnless a different date is
specified). '"
PLEASE SIGN & . (". ,....\\ )
HAVE NOTARIZED " \}~i\ \. . \'.\:~\\\k,
Signa or ~er \
SWORN TO AND,SUSCRIBED before me this ;;ri day of ~~
by '- 'ilA /k-Ji.J ~b~ . . . Who (isrpersonall!_~.~!~to me or produced
as IdentificatIon. -'
Notaryslgaatnr., *,{~~O~I'
L/~
LYNDA E. BROWN
NOTARY PUBLIC-STATE OF FLORIDA
COMM\SSION #CC904635
MY COMMISSION EXPIRES JAN. 29.2004
~Of07(03 TUE 14:47 FAX 81J6231J42
WCF .~~ AGENCY ON AGING
@001
Iluemove existing
2. Bad lumber charges, * See
3. Apply new llDderla.ymenr of
4. 'Replace aU vent and pipe flashings.
5. Apply new valley metal, 16" and flashing as required
6. Apply new eave rri~ ,.. .5 1- ". Color: cf' ~ .J.,-
7 - Apply new fiberglass shingle roof. Type: ~1b..b Manufacturer: 11:1" f
8. Post necessary permit.
9. Provide a 5 yelU' workmanship and a 25 year material "'uranty.
· FIaJ: Roof - Apply ~ It Base Sheet ~ .layers fiberglass and 0'1'. I
Sheet modified color:L.J....~ Applied with __ Asphalt Gdl J. ~~~, !
* WOOD COST if needed: ,jQ~ per sheet Plywood - pel' sheet Fire Treated PlYWoodl!
~~ "per ft. of lx6 ~:!t", per ft. of 2x4 installed. . 11
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ak~ !
t<OM : M. 9!TO..-QIoG)
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I j PROPOSAL SUBMt'M'ED TO
STREET
FF=lX NCl. : 813 239 972B
lkt. 06 2eS3 12: 2SA1 Pi
CITY. STATE ~o ZIP CODe
I
AD
~
JOB LOCATION
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DANNY FLORES !I
Uc. # CCCOS7980 II
Phone 81~48-1m
Fax 813-24&-33531
Bondectand Insured I
Tampa. Fbida 33eQ5 i I
-%r~OATE . . d
_~"3 il
.,...~. rapodal -~~~'...-
ZJ ---'-'-"'--
. . -
Guaranteed
tay-Dry Roofing
of Tampa s.y.lnc.
Free Eslirrl:iiMs
R~-.d Conlmetdal
All Tyfl8S Of Rqoftng WCIfIiI
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