HomeMy WebLinkAbout07-6972
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6972
Permit Number: 6972
Permit Type: RE-ROOF
Class of Work: ROOF REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 3,685.00
Date Issued: 8/22/2007
Total Fees: 50.00
Amount Paid: 50.00
Date Paid: 8/22/2007
Work Desc: RE-ROOF
Address: 37642 PRADO PLA
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):60 Block: Section:
Subdivision: ZEPHYR RIDGE
Parcel Number: 03-26-21-0130-00000-0600
Name: KEENE,AUDRY
Address: 37642 PRADO PLACE
ZEPHYRHILLS, FL. 33542
Phone:
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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 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 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 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,"
:J)M
RACTOR SIGNATURE PERMIT OFFI
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
Building Department
Fax-813-780-0021
Owner's Address
Fee Simple Titleholder Namel
'Pi-
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
Owner's Name
Fee Simple Titleholder Address I
L~ 7(Pt!J.-
I
P!2A-tf)O
PL
LOT #
JOB ADDRESS
PARCEL 10#1
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
I
E3 NEW CONSTR r=J ADD/ALT 0
INSTALL D REPAIR
PROPOSED USE 0 SFR D COMM 0
TYPE OF CONSTRUCTION 0 BLOCK P FRAME 0
DESCRIPTION OF WORK LR e !2 oo{.- / 5 JA (fl.J 6 U s
I SQ FOOTAGE I
1$ ~69c~ I
D ELECTRICAL 1$ I
D PLUMBING 1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII11111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111
t 0V\.J 12... G:,v So 'v Se JL &~ '"R
COMPANY v'"
REGISTERED Y I N
SUBDIVISION
WORK PROPOSED
OTHER
STEEL
I
D
OTHER I
HEIGHT I
BUILDING SI~E
BUILDING
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
License # I t!..C 0 -S 7 ~ % 7
Address
ELECTRICIAN /0/ t4
SIGNATURE
,
Address
PLUMBER A/ //1-
SIGNATURE
Address
MECHANICAL 1&/t4
SIGNATURE
Address
OTHER
SIGNATURE
BUILDER
SIGNATURE
Y / N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y / N FEE CURRENT
Address License #
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111
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 subdivlsiDns/large projects
COMMERCIAL 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 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.
Di~~~ii~~~': ' , , , , , , , , , , , , , , , , . , . , . , I I , . , , I , . . , , , , , . , , , , , , , , . , , , , , . , , , , , , , I , , , . . , . , , , , , , . . , , , , , , , , , , . . . , , , I , , , , . , , , , , , , , , , . . , I I , , , , , , , , , , , , , , , , , , . , ,
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 A/C Fences (Plot/Survey/Footage)
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 WaterlSewer 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 properti~s, the.ow.ner 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 s.eparate perm~t may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not speCIfically rn~luded. In the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authon~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.drng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt Issued. shall becom~ Invalid
unless the work authorized by such permit is commenced wIthin SIX months o.f permit Issu~nce, or If work authorized. by
the permit is suspended or abandoned for a period of six (6) months after the trme th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty (90) da~s 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO ENCEMENT.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sworn to affirmed) efore me this
by
Who is/are personally known to me or has/have produced
as identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed. printed or stamped
Name Df Notary typed. printed or stamped
, This s'pace for use by Clerk of the Circuit Court only.
111111111111 11111111111111111111111111111111111111111111 I111
2007142850
Rcpt: 1123886 Rec: 10.00
DS: 0.00 IT: 0.00
08/22/07 Dpty Clerk
JED PITTMAN~ PASCO COUNTY CLERK
08/22/07 0", : 4lPm 1 of 1
OR BK 761l!} PG 422
~OTICE OF COMME~GEMEMI
STK
~ Z(od-I
1.
2. General description ot improvem~nts:~~m ()\')e... ~ 'Re \>\0..(\ f2. KO()~
.\
:la. Owner Name: A~nR'f \-<E.EJJE
Owner Address: r-( lP4~{{A:fio PLAc.t;.. ~ '4 R"' ~ ,~ L ~ ~5'4
3b. Owner's inleresl in site: \ \:>OCU(O
3c. Fcc Simple Tille holder (of olher than owner) ~-f\
Address:.__
.... -,
Contracto, Namo; C., 0 \ ~ ~~" ~ ;,,~ tD" ,,\.\<. '-'-c....\";" Q ~_
Address:StDD ~. 'h t\J ~ ~ e..-t If\ {\ ~l. ::\~lnl t> ' Phone:6i't?,).q 29- 211 ( n--
Surely Name: ~ -A Amounl ot bond: ~,
Address: Phone:
4.
5.
G.
Lender Name:
Address:
N-A
Contac\:
Phone: _________._____...
7. Person wilhin lhe Stale 01 Florida designaled by owner upon whom nolices or other documenls may be served as provirletlllY
Section 7.13.13(1 )(a)7, Florida Statutes.
Nam'e: J\l-A
Address:
Phone Number:
n. In addition 10 himself, Owner designates lhe following person 10 receive a copy of the Lienor's Notice as [1rovidcd in Seclion
7.13.13(1)(b), Florida Slalules.
Name: -.tl-A
Address:
Phone Number:
9. Expiralion dale 01 Notice of Commencemenl (expiration dale is one (1) year from dale of recording unless a dilfcrent dale is
specified).
r:;A[L'O () P/~" 7<..~~ ,-J)
Signa lure of Owner
STATE OF FLOHIDA
COUNTY OF HILLSBOHOUGH
c;Q~ dale of -1}u.6-usr , 2oliL, by
who (is) (arc) personally known 10 me or
as identification, who did/did not take an oalh.
~l~c... '-1Y\\..rJ.c....
Signalu . Not Public
,",,,, Jull'a Mink
,I 'Pll " 3846
:';P~~(f": Commissio~ #0026 07
_ ~.. \r~~ Expires: Nov 02,20
~,' '. 0/':. Bonded Thru
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(A copy of any bond mllst bo <lllached ollhe limo of rccordLllion of this N(lliee of ComrnenColllOnl)
Gold Seal RooFing
8136203191
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Gold Seal Roofing & Construction, Inc.
5400 East Diana Street. Tampa, FI33610
(813) 988-8111 · (813) 620-6620. Fax (813) 620-3191
Lie. #CGC061354 Licensed, Bonded -Insured Lie. #CCC057687
QUALITY THRU CRAFTSMANSHIP
FAX COVER SHEET
ATTENTION:
DATE: CZSrQ.~-O"
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ACQRD.. CERTIFICATE OF LIABILITY INSURANCE OP ID :L~ DATE IMMlDD/VYVV)
GOLDS-:L J.1/03/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Hockman Lackey ~nsurance, :Inc. HOLDER. nus CERTIFICATE DOES NOT AMEND, EXTEND OR
3438 Colwell Avenue At TER THE COVERAGE AFFOROeo BY THE POLICIES BELOW.
T ')a VI. 33614
~e:8~3-636-4000 Pax:8:L3-281-J.08G INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A; Canal :Indemnit.y
Gold Seal Rooting & INSURER B: Hanove~ %usurance Company
con~truction, Inc. INSURER C:
Don Perffilson
S400 B. Diana Street INSURER 0:
Tlmlpa PI. 33610 INSURER 1;,:
COVERAGES
THE POLICIES OF INSURANCE LISTED eELOW HAVE DEEN ISSUED TO THF..INSUREO NAMED ABove FOR THe POLICY PERIOD INDICATED. NO'TWrrHSTANOING
ANY REQUIREMeNT, TERM OR CONDmON OF ANV CONTRl\CT OR OTHCR DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAV Dr;: ISSUED OR
MAY PERTAIN. THE INSUAANCEAFFORDEO BY THE POLICIES DESCRlseD HEI\EIN IS SUBJECTTO ALL THE TERMS. EXCLUSIONS AND CONOmoNS OF SUCH
POLICIES. AGGRr;:GATE UMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS.
I Pouev NUMBER
LTR N$R TYPE OF INSURANCe DATE rMMlOD/YY'- DATI: '",M/DDNVI UMIT$
1~1!RA1. UABlUTY EACH OCCUFlRENCE 5:1.,000,000
A X COMMERCIAL GENERAL UABII.ITY GL941078 10/28/06 10/28/0'7 PREMISES {E8 OCCUl'encel S 50,000
I CLAIMS tMl)E [iJ OCCUA /' MI;D EXP (Any Dne Il""-I) S 5,000
- PERSONAL & ADV INJURY S 1,000,000
- Gt:NERAL AGGREGATe 52,000,000
~'L AGGREnE ~~~ APrt PER: PROOUCTs.COMP~PAGG $ Included
POLICY JeCT LOC
I~DM08ILE LIABILITY COMBINED SINGLE LIMIT 51.,000,000
:B ~ ANY AUTO ADJ81200S7 01 10/28/06 1.0/28/07 (Ea occld8l1l)
- AlL OWNED AUTOS B()I)IL Y INJURY
SCHEDULEl) AUTOS (Pllf'pelallll) S
~
..!.. HIRED AUTOS DOelLY INJURY
..!.. NON.OWNED AUTOS (Per 8CCIdenl) $
- PROPERTY DAMAOE S
(Per BCCldeI\t)
-..... GARAGe UABlUTY AUTO ONL II .J;A ACCIOl;NT
$
R ANY AUTO OTHEfl THAN EA ACC $
AUTO ONLY: AGG S
EXCES3/UMBRI!l.l.A LIAIlIUTY eACH OCCURRENCE S
=:J OCCUR 0 CLAIMS MADt: AOCREGA TE $
S
==i DEDUCTIBLe S
~T10N S S
WORKERS COMl'ENSAll0N AND h~"'LIM;Ts I IVE~.
!!MI'I.0YERS" LIABII.ITY
ANY I'ROPRleTORlPAIONERlEXECUTlVE E.L EACH ACCIDENT $
OFI'"ICER/MEMBER EXCLUDED? Eo!.. DISEASE. EA EMPLOYEE S
~~I~~~=~Sbelow E.L. DISEASE. POLICy LlMrr S
OTHER
DI!SC~PTION OF OPERATIONS / 1.0CAllDNS I VEHICLES / EXCLUSlON$AOOeO BY !!"'OORSENENT I SPECIAL PROVlSIOlll3
:ERnFICATe HOLDER
'-,,'
The City of zephryhills
5335 8th Street
Zephyrhills PI. 33542
CANCELLATION
C'1'YZl!:PH 5HOUUl ANV OF THE ABOVE DESCRIBeD POLICIES 81! CANCEI.LED BEFORS THE EXPIRATION
DATe THEREOF. THI! ISSUINO INSURI!R WILL ENDEAVOR TO MAlL ~ DAVS WRiTTeN
NOTICE! TO THE CERTI"CATE HOLDER NAMED TO THE I.EFT. BUT FAlI.URE TO DO SO SHAI.L
IMPOSE NO OBLIGATION OR LIABIUTY OF Al4Y KINO UPON TH! INSURER, rrs AGENTS OR
REPRE9ENTATlVl!$.
AIITHORIZED AE
\CORD 25 (2001/08)
Mat
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C ACORO CORPORATION 1988
Gold Seal RooTing
8136203191
p.5
ISSUED TO:
CERTIFICATE OF INSURANCE
COPY PROVIDED TO:
City of Zephyrhills
5335 8th St.
Zephyrhills FL 33542
Gold Seal Roofing &
Construction, Inc.
5400 East Diana Street
Tampa FL 33610
ATTN: To whom it may concern
Date: 12/12/2006
This is to certify that Gold Seal Roofing & Construction, Inc.
5400 East Diana Street
Tampa FL 33610
being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of
compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL 8. AIR CONDITIONING
CONTRACTORS ASSOCIATION SELF INSURERS FUND.
COVERAGE NUMBER: 870 - 033324
EFFECTIVE DATE:
01/01/2007
LIMITS
Workers' Compensation Statutory - State of Florida
EXPIRATION DATE:
01/01/2008
Employers' Liability
$100,000 - Each Accident
$100,000 - Disease, Each Employee
$500,000 - Disease, Policy Umit
REMARKS: Non-cancelable without 30 days prior written notice, except for non-payment of premium which will
be a , 0 day written notice.
Employers Liability Limits amended to:
1,000,000/1,000,000/1,000,000.
By:
This certificate is not a policy and of itseH does not afford any insurance. Nothing contained in this certificate
shall be constructed as extending coverage not afforded by the policy(ies) shown above or as affording
insurance to any insured not named above. This provides coverage for Florida poliCyholders and Florida
domicile employees only.
.&.;;r ~
Bren Stieget. Admlnletra
FRSA-SIF
BY:~.~11 ~L\.
Oebbie Kemmerer. Underwriting Manlllger
FRSA-SIF
'--./
Gold Seal RooTin~
8136203191
p.6
~ ~ ~
Gold Seal Roofing & Construction, Inc.
5400 East Diana Street. Tampa, FI33610
(813) 988-8111 · (813) 620..6620. Fax (813) 620-3191
//
Lie. #CGC061354 Licensed. Bonded, Insured Lie. #CCC057687 {.
QUALITY THRU CRAFTSMANSHIP
EMAIL ADDRESSimfo@goldsealcon!itruetion.com
To Whom It May Concern:
Au~ust 22, 2007
Accepted permitters arc as follows:
I Donald G. Ferguson president/owner and Iiccnse holder give my authorization for the
following persons to pull pennits for Gold Seal RoofIng & Construction Inc. in City of
Zcphryhi lIs
Julia Mink
Bryan MuJlins
Veroon Adkins
Donald G. Ferguson
~>~
President/Owner
NO& '- '-'rv\.~'L
"""'" Jull'a Mink
".,.. ~I&" 46
~~~~~:. Commis~ion 11OD2638
~-~. ';).::~ Expires: No" 02. 2007
";1~~. .;.r.. [loRded Thru
tlJ';"I'~"" .~11j'W1ttC' Uond;nJ; Co.. Inc.
08~22/2007 15:40 FAX
~ 002/002
STATE OF FLORIDA
DEPARTMENT OP BUSINESS AND PROFESSIONAL REGULATION
CONSTRUCTION INnUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE PL 32399-0783
(850) 487-1395
.:
,
FERGUSON . DONALD GLENN
GOLD SEAL ROOFING & CONSTRUCTION IHe
5400 E. DIANA STREET
TAMPA PL 33610
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FERGUSON DONALD GLElOt.~i \'~f,",~~' 't,,.,. ~...:..y"",~~~~~:~,:~..:,
GOLD sill ROOFJ:HG &: eON'STR17e'l'.LON lINe. }irilh~L'.. .:..'" , .
5400 E. DIANA. STREET ,. "/":{~r" ;:,'i:' '1\f'."7."~
T~~":\;'I,t-. t;;,>. :..~I.I..",... FL 33610.; . ,.:'."... '~k:r::. it~;: .J::ik\'.lI3.~" ~~.::i'i: ~;:f.:)-";':,l"
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DISPLAY AS RE::QUIREO BY LAW
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Lic.# CCC057687
LdC~~t,0
Date? 'e)./ () 7
GOLD SEAL ROOFING & CO'NSTRUCTION, INC.
5400 E. Diana Street · Tampa, FL 33610
(813) 988-8111 . (813) 620-6620 . Fax (813) 620-3191
www.goldsealconstruction.com
SALES AGREEMENT
Phone: Res. 9 r b -~ 1}?~ Bus.! Fax
Pi.- City ~p'/Z~~
I
PO
Nam~ l/~;(Y I<e::.~e
Address ;:3 7 to t./;;.... n 4..D C::>
FUJilNISH and INSTALL
I:f REMOVE EXISTIN~S #'''3/.::- '5ROOF
I31NSTALL ;). y..IS FELT
ct1NSTALL Sd:ef ~ OF RIDGE VENT COLOR " ~
~~LL NEW VALLEY FLASHING acJv ~/
I:J1"'""~ALL26 G.A. 6" DRIP EDGE COLOR vvH rfr3 :::--- J // /, /'
[3\NSTALL ~~R. FUNGUS RESISTANT )/~~tJl(4-hHINGLES COLOR#/fffte'- <.:::>4 f=
I311\jSTALL PIPE AND VENT FLASHING (3) 2-" ( 2: /0 of..."'T () (
FLAT OOFS REPAlRS
!U" IL -UP TYPE ROOF G 11-15 '- ~
SIN ~~ LV f /, I
o ' '_ BASE SHEET VV (;10
o I 1: LL LAYERS OF PLY SHEET
o I STALL CAP SHEET
Zip
SEE CARPENTRY RATES BELOW
(f,f" 'A (Ie. VtJI
5k 'b et t.C:/I1tJtA UG
PROPER Y DISPOSE OF ALL JOB RELATED DEB
CARPENTRY RATES AS FOLLOWS:
1/2 CDX PLYWOOD @ t..JV, ~ PER SHEET GUTTERS ~/-..:;i .s PER LF
FRAMING MEMBERS @ V. f.:) , PER LF POOL CAGE /L'/A- ~ PER LF
FASCIA AND TRIM @ ~ ,,<J PER LF CEDAR CARPENTRY ;iV/ PER LF
ALUMINUM SOFFIT & FACIA vc.-S PER LF ~ WALL FLASHING Kt ~u PER LF
WARRANTY ON ALL WORKMA~SHIP WILL BE FOR ':) YEARS FROM DATE OF COMPLETION.
GSR IS NOT RESPONSIBLE FOR INTERIOR DAMAGE. PERMIT FEES $ / h e. I ~
We;.f;RO~E h b,Y to fur is 'al (~lablJ E'let in accorda~ce with a~~ations, for the sum of ($3b ~<( ) plus wood
I ~/l ~~.~ ~ dollars ClCash ClCheck ClVisalMC
. I
Payment to be made as follows: ( 10. ('Ovv
All material is guaranteed to be as specified. All work to be completed in a ubstantial workmanlike manner according to specifications submitted per
standard practices. Any alteration or deviation from above specifications involving extra cost will be executed only upon written orders, and will become
an extra charge over and above the estimates. Owner to carry fire, tomado and other necessary insurance. Our workers are fully covered by Workmen's
Compensation Insurance. G.S.R. & C. specifically disclaims any liability, real or implied, present or future, in testing for, monitoring, removing, treating or in
any way responding to the actual, potential, alleged, perc . ed or threatened presence of mold, mildew, or fungi or any kind whatsoever, or for any materials
containing them. Not respon' for inte~am ge. "
Contractor Signature
Note: This proposal may be wit awn by us if not accepted within days.
The terms and conditions printed on the back hereof are expressly made a part of this Proposal.
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HOMEOWNER IS RESPONSIBLE FOR REMOVAL &
REPLACEMENT OF SATELlTE DISHES AND SOLAR
ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified. Payment will be made as outlined abpve.
Date of Acceptance: ({- 7.- 2.- - GlSignature
YOU MAY CANCEL THIS TRANSACTION IN WRITING AT ANY TIME PRIOR T MIDNIGHT OF'rHE THIRD BUSINESS DAY AFTER THE DATE OF YOUR ACCEPTANCE
PROVIDED NO WORK HAS BEGUN OR MATERIALS DELIVERED. THIS CONTRACT COVERS AND SUPERSEDES ALL CONVERSATIONS.
TERMS AND CONDITIONS ON BACK ARE PART OF THIS CONTRACT
READ AND SIGN ATTAC_AiQQSNDUMS Revised 11106