HomeMy WebLinkAbout07-6581
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6581
Permit Number: 6581
Permit Type: ADDITION/ALTERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
Address: 5509 12TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-13800-0030
4,000.00
3/28/2007
75.00
75.00
3/28/2007 Phone:
REPLACE 2 WINDOWS/BLOCK WITH SLIDER
Name: DUNBAR,DEAN
Address: 5509 12TH ST
ZEPHYRHILLS, FL. 33542
rr~~ ,,/;pu 7
L
FRAME
MISC.
MISC.
BUILDING FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this per:mit, 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 permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the per:son owning same
nWarning 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."
~ NO OCCUPANCY BEFORE C.O.
~~--' ~~
CONTRAC URE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NonCE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyr hills
BUILDING PLAN REVIEW COMMENDS
Contractor/Homeowner:
:r Rop; C I""l \ R Oc:>Pt. n'1 !
6 ~~<.:, -a,
Date Received:
Site:
.5509 \ ~~ S t-
Permit Type: ~\t'.lrp 2 W\\"""l{{.cflJ..'..... !6\odt:.. u.:J16\,~
Approved wino comments:if Approved withe below comments: 0 Denied withe below comments: 0
This comment sheet shall be kept with the permit and/or plans.
Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
Date Received
.~
J
':00JJ 6 A{L
Owner's Address Is 5" O~ 1 ~ t\... S't
Fee Simple Titleholder Namel f\J \ f\
Owner's Name
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
7eP'^"1 r "" I \ \ ~
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Fee Simple Titleholder Address I}J \J\
JOB ADDRESS
1S-~0'1
I
\'d--K sT
'Ze P~'1 r'^'\\ ~ f \. 'S'3 5L\ d-
,
I PARCELlD#h \'dJo <1\ 001 0 \ 3~()O (X) sO
(OBTAINED FROM PROPERTY TAX NOTICE)
LZI ADD/ALT D SIGN D MOVE D
cz::J REPAIR
o COMM D
o FRAME D
OS'lc\V IN /12GM-o\J().!t sf ~"""""-~",,,s. ~d. \ If 01 <> Df ~\()L\L-S
f
BUILDING SIZE SQ FOOTAGE I HEIGHT I
1111111111111111111111111111111111111111111111111111 , , . , , ' 1111111111,111111111111,.11111111111111111111111111111.111111 . , ' 111111111111111111111111
SUBDIVISION
LOT #
DEMOLISH
~ BUILDING 1$ ~cro I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING 0
FINISHED FLOOR ELEVATIONS I I
WORK PROPOSED
B
D
D BLOCK
irAS\-C. \ \
PROPOSED USE
TYPE OF CONSTRUCTION
NEW CONSTR
INSTALL
SFR
DESCRIPTION OF WORK
BUILDER
SIGNATURE
Address
OTHER
STEEL
I
D
OTHER I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
D
W.R.E.C.
PROGRESS ENERGY
j'Jo C
----
n
VALUATION OF MECHANICAL INSTALLATIOI'r Lo{)'-(
- 11()c.A.
b{: CC'n.-h~~
u...../cw.....~
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
175l-~
COMPANY I\{L'V~\C..~ ~\J\l ~
REGISTERED IG> N I FEE CURRENT ~ N
"7d-=t 5-=td-. S') ~ 'J.... 1\ \ ~ License #
I.. -
I
~ \5 \
ELECTRICIAN
SiGNATURE
COMPANY
REGISTERED
FEE CURRENT
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
YI N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
License #
1111111111I11I11111111111111111111111111111111111111111111111111111111111I11111I111111111111111111111I1111111111111111111111111111
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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) 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 wi Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
DI~~~ti~~~':' . . . . , . . . . , . . . , . . , , , . . , , , . . . . . . . . . . , , , . . , , . , , . . . , , . . . , , . . . , , , . . , , , . . . , , . . . . . . . , . . , . . . . , , , . . . , , . , , . . . . . . . . . , , . , . . . . , . . . . . , . . , . . . . . . . . , . .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000)
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 (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (Plol/Survey/Footage)
COMMERCIAL
SIGN PERMIT
Driveways-Not over Counter if on public roadways..needs ROW
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, 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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~y !o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, c~n~truction or violat~o~s o! any codes. Every ~ermJt Issued. shall become. Invalid
unless the work authorized by such permit IS commenced wlthm 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 th~ work is commenced., An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~ty (.90) da~s and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th,Job IS conSidered abandoned.
~~ c\..~ Notary Public
Commission No. ~;fft. K L Mille
~~'.'.~ aren. r
iRl \0: .
Name of Notary .. ~ oetober 29. 2010
, ......
, ,Sf,f,\ s_ T..., F... .1.-...... Inc 800-385-70\9
Notary Public
Name of Nota
o,~~ p-,,~(.
~ ("
. ,
~c ~
.,?- OF f\. o~~
ed
'Jatar; "'IG Slale of Florida
VII!):nli ;,zalez
My CW"'iission 00441199
Expires 06/25/2009
- -0':'- .
((ttoPtCal
Rooflng~
" Your Florida Roofing Specialist
Customer Name l\'\.n..~,tvVis ~~ArC..
MHP/ Subdivision
City ~,.,... ""2-.e-p~t1,h\u,s
WORKSHEET SUBMITT D BY
Window
#1
Window
#6
v,,~
CSL.lf.)I~(~
f)Q,
< <D\)~l'b >
<
>
Window
#2
Window
#7
< >
< >
Window
#3
Window
#8
< >
( >
Window
#4
Window
#9
<
>
<
>
Window
#5
Window
#10
<
)
(
)
DIRECTIONS TO HOME:
WORK ORDER
State Certified Roofing Contractor
License # CCC 1326935
State Certified
General Contractor
License # CGC 1510110
Window
#11
<
Window
#12
( )
Window
#13
( >
Window
#14
(
Window
#15
(
)
\~~~.
Phone (<!\~) I~\ -5 ~~\
DATE: ~-7.,()'-\f)
WINDOW PLAN:
Show window locations by
number on inside of drawing.
If additional areas are neces-
sary, draw ENTIRE PLAN on
seperate sheet and check
below.
)
DSEE DRAWING ON
SEPERATE SHEET.
BACK
r----cr-----1
. \ .
~'1I.lILD':.N.G SH .ALL COMPLY WITH. ·
L l\PPUCABLE BUILDING,
E EcnUCAL PLUMBING AND
f\. .CHANICAL CODES
I
.
I
I
tf,~'. f.W OATE: '?l~l-
If~n v .-W 1.EPHYR I.Itt:~ I
:}~' iiJ.j,;,')G Ol"FJf:JAIJ~llln~
I
I
I
.
&._----------.1
FRQNT
CIRCLE RESPONSES
Large Outside Trim Y N
Siding on Home Y N
Awning. covering .crew. Y N
>
SPECIAL INSTRUC"nONS:
c:::o~~ N~S W ~
kN\)~~ -0\),
CHECK 0 ANANCE ~VISA
o MASTERCARD
TOTAL
~
DEPOsrr
L\C)
~
BALANCE 3S\)O~ \~fr\OS
.. .- .", .~
-YL (.lrtlbllclt ~rrlo FING, INC
5733 Myerlake Circle' Clearwater, FL 33760 .
Phone (727)572-5545' Toll Free (888) 372-0488' Fax(il7) 533-8835 ,
STATE CERTIFIED GENERAL CONTRACTOR LICENSENUMBER: CGC 1510110
STATECER'{IFIED ROO~{NG CONTRACTOR LICENSE N{lMf~: ccc<1J3.!69{'fl I
. CONTRACT '
0\
~k!:':"~~ '0 " , '. , '
~ ~'1~ '-0'+'7 ,(. 0~9
P R?~J\SERNAh1E:ff\,,"~~~ .
Address: .... S~\:H \-:J..""'tl
Address2: .
. \) "'11 . . . .......
. ~.. ". .;. Phone: ..
. . ,)~, ....... ~ CS'" 'll.l .... S~" . ,'"
~.~~\U.S
.' '. Jo Narte:
Date:,""3 "~()-Ol
\;~~~~
J
: .;
City:
","","~,"np"o~ ot~o,~f":""'~"'~'" 0 .,..""'~ .....,~;;e.,.".. ...._ IJl j ,"""OaK> W'''t''S "":f
G~..e........,- ..~.........Il.- o. ~\..Ql;'f...\N ",.eg "~.','.'.. SIG>>N.~. ~. I'h~.'/"{('JO... \~~"UU';"'.. CNG.-''-\..)' . N.c.-.,.). w. t'\'ii,rJ
W"'~ 0,"",.'1.'1""'"' ""A~l.\;) '"'C()~"S~l.-\O\~ ,,~>) O~"'.):.\'-tl.Cltf'\ \....c.~"'W rt..\~\..~
\NS I()C.. "-Ot)V..v:> D'J't~
- whlchisfurtherdesctibed. in the detailed specification sheet attached hereto as Exhibit <<A" and initialed by the parties. .
State:
Zip:
The aboveworkwHl be completed in accordance with the terms, c,~mditions and,~pecifications herein, with payment to be made accordance with
the followingpaYffient schedule: ' ,
1. PRICE
2~, TAX '
'3. TOTAL .
4.< DOWNPAVMENT
s. BALANCE
$ t\~lJ!,..
$-\{')- . . .
$ . .' .to; bOt:r" .' '. >.. .
$ '.. '. .., ..!S.OD~ .,.. .... .
$ ....?.,!J:~\'1>l'~ <5AJI>f>,,..UPON COMPLETION OF WORK
. .,.,. '"
PAXMENTTO BEMAJ)E BY CHECK PAYABLE TO "TROPICAL ROOFING, INC." WHICH CHECK IS
OllitANIl,AYABLE .AT TROPICAL ROOFING'S OFFICE AT THE ADDRESS SET FORTH AB<?VE
BUYER'S RIGHT TO CANCEL
Tin. S.ISA'nO.ME SO.LlC. IT. ATlONSAL..E, AND IF t. clU DO. NOT WANT THE G,OO<ODS OR S. ERVICES. '. YO. V MAY CAN.C.'.EL.nilS AGREEMENT
BY"ROVIn..' ING.. WiUITE.N Non. CE t. 0 THE SELLER..IN PER,. SON, BY. 'fE. .LEG..RAM:... .. '. O. R BY.MAIL. . THIS NOTI.... CEMU. ST Il'IDI.C.4.TETHAT. . YOU.
DC>NOT WANT TIiEGOODSORSERVICESANDMUSfBJ); DELIVERED Qlll'O~ BIMJ'ORE MIDNIGHTOFTHETHiR}) BtJSINESS DAY
AFl'ERYOU SlGNTHlS A,(";REEM]j;NT.IF YOU;CANCELTID'SAGREEMf?IT,THES~LLER MAY 1110'1' KEEP ALL OR PA)lT OF ANY CASlIDOWN
PAYMENT.. '" (.~..-\ . '""":1.. '
'<;;"l.I"....'\,f':.' 1'"
. .' '.'. ..' -: .. .. . . . ,
. . NOTE: . REtAIL SALES TAX MUSTBE-CHARGED UNLESS THE CUSTOMER SIGNS THE FOLLOWING:
(, \>,.,1 ~. .... ...rtity.t."..lat . '. ...I...Q.wtl:... tI)e~... nd,. oD w.~. hi{;.. ..h.the,~..tr.,ucU.!Jr~.I.'a.. mi.m.. )?fOvin9..,iS perm. a. nen. tly..aff. iXed... .F. u~her.mo. r. e, I.hav.eti. Jeda.
'~d,eclaraft&i WrththeProperty App~alsfl! OO_Q.~str ~e ~.qJ dJ5U.~ be assessed as rea1tyal)d Itbears an. RP decal....
" SIGNATURE: ~ ~.
~' :
STATUTORy'NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO
. FLOIUI>A 'SCQNSTRQQTION LIENLi\. W (S~GTIONS713.001-713.37,F~ORIDA STATUTES),
THOSEWlIO WORKONYOUR,P:QIOPER'F'\'.;O:Q.PROVIDE MATERIALS AND ARE NOT
PAID INFtJLLHA VE A RIGHT TO 'ENFORCE THEIR CLAIM FOR PAYMENT AGAINST
YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY
SUBCONTRACTORS, SUB-SUBCONTRACTORS,ORMA TERlALSUPPLIERS,THEP:E;OPLE
WHO,A,REQWEDMONEYMAY LQOKTOYOURPROPERTY FOR PAYMENT, EVEN IF
YOU HAVE PAID YOUR CONTRACTOR IN .FULL. .IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTQRMAY ALSO HA VEA LIEN ON YOUR PROPERTY.
THIS .MEANS IFA LIEN IS FILED YOOR)PROPERTY COULD BE SOLD AGAINST YOUR
WILL. TO. 'PAY . FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR A SUBCONTRACTORMA YHA VE F -4\ILED TO PAY. TO PROTECT
YOURSELF, YOU SHOULD STIPULATE.'IN THISCON"TRACT' THAT BEFORE ANY
PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A
WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMP ANY THAT HAS PROVIDED
TO YOU A "NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX
AND IT IS RECOMMENDED THAT YOU CONSUL TAN ATTORNEY.. .
I HEREB Y CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT,
INCLUDINGTHE!TERMS AND CONDITIONS CONTAINED ON TIlE REVERSE SIDE, AND I AGREE TO ALL
OF THE PROVISIONS, TERMs AND CONDITIONS THEREOF. THIS CONTRACT IS NOT VALID OR BINDING
UNLESS AND UNTIL SIGNBDBY AN OFFICER OF TROPICALROOFING,INC;
~. .. .... ....'. ".~'.'...'.. .~..'. ............. .-....--... .....
/~~~,'.',',
.. .
TROPICAL ROOFING, INC.
::r~
'P.lr",hOJlco,or
BY:
Officer
Date
Title
~"A
- -----,._-'~,,--"-_._,- -'.
1111I11111111111I1111I111I1111111111111I1111111111I111111111
2007053562
-NOTICE OF COMMENCEMENT
Rcpt: 1085630 Rec: 10.00
DS: 0. 00 IT: 0 , 00
03/26/07 __~_ Dpty Clerk
Permit No.
Parcell.D. No.' \ ~c, ~\ \) 'CJ\ 0 l ~ ~ CD Po3D
State of Florida
County of Pine lias
JED PITTMAN PASCO COUNTY,C1ERK
03/26/07 02: 4'!pm 1 10S75
OR BK 743D PG
THE UNDERSIGNED herby give notice that the improvement wiIJ be made to certain
real property in accordance with Chapter 7 j 3, Flnrida Statues, the following information is provided
in this notice of commencement.
1. Description of property (legal demiption of property and address if availa~e ~S-o ~ I d- t1. S j. c tf 555\>6)
c.\ oF' ~\v. j \ ~~5 Lv.~'J3-tL-l t\\oL\<:..l'S70't.G<--H::,~,-- $'/7
2. General description of improvements W IN Duc..,)
3. Owner Information . . . ti-
t - A) Name and Address l:EAv WI\) f1 - 5:50 /2 S'/, up\"". A, Its E'\..33~'{d
5 B) Interest in property '0 VI'-'"t:.e\-.
C) Name and address of fee simple titleholder (if other than owner) N (A
4_ Contractor (name and address) Mark McBroom / Tropical RoofiQg, Inc.
5985 - 4~ Street North S1. Petersburg.. Florida 33709
5. Surety
A) Name and address rv IA
B) Amount of bond ~ I A
6. Lender (name and address)
7, Person within State of Florida desi goated by owner upon who notices or other documents may be
served as provided by Section 713. 13(1)(a)(7), Florida Statues.
Name and address
8_ In addition to him or herself, owner designates
of to received a copy of the Lienor's Notice as provided in
Section 713. B(I)(b), Florida Statues.
9. Expiration date of notice of commencement (the expiration date; s one
year from the date of recording unless a different date is specified).
STATE OF FLORIDA
COUNTY OF PINELLAS
The~~owin~,~nst;ument was ackno,^:ledged before me this f<1o day of MA ({
l ft.::A UI YU.l\..'J 8.4. iC who IS personally known to me or who produced
-FL-D L as identification. .. .'~
After recording return to.. Notary Sjgn~ ~
Name: Tropical Roofmg.. Inc._ Not . am:
Address: 5985 - 49th Street North
City: St. Petersburg.. Florida 33709
WPDOcS/FORMSINOC, rvscUOO3 -
P7Ctl//? ~.
.
Signature of Owner
, 200~ by