HomeMy WebLinkAbout08-7527
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7527
Permit umber:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
7527
RE-ROOF
ROOF REPLACEMENT
NOT APPLICABLE
Address: 6812 TEPHENS PATH
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: SILVER OAKS
Parcel Number: 03-26-21-0160-00000-0350
8,950.00
2/21/2008
75.00
75.00
2/21/2008
REROOF TIMBERLINE 30 YR
AULlNE WILLIAM A 11& AROL
6812 STEPHENS PATH
ZEPHYRHILLS, FL. 33542
Phone: 813778-6760
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TAPE JOINTS ROOF INSP
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 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
befo ing your n . of commencement."
1/
f
C 0 GNATURE PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8'13-780-0020
City of Zephyrhills Permit Application
Building Department
Date Received
(; lle
fie plte14 7
lif~
..- Owner's Name
.. Owner's Address
Fee Simple Titleholder Namel
-JOB ADDRESS
Fee Simple Titleholder Address I
I ~ {/t3(?-
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WORK PROPOSED
)refJ,((2,1j
I PARCEL ID#I
~ ADD/ALT D
D REPAIR
D COMM D OTHER ,Ke - /)/)OD +'"
D FRAME D STEEL D OTHER I
-r;f'< bf?r (. '1'1 e ? 0 ," flea r 54r"/l..5 Ie 5
BUILDING SIZE I SQ FOOTAGE I "3 ( 0 0 5 ,F I HEIGHT I
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{WhO
LOT #
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
DESCRIPTION OF WORK
Er
D
D
I
NEW CONSTR
INSTALL
SFR
BLOCK
PROPOSED USE
TYPE OF CONSTRUCTION
--0 BUILDING 1$ 81?o~ ~~. I
0 ELECTRICAL 1$ I
0 PLUMBING 1$ I
0 MECHANICAL ~~ ROOFING I
0 GAS D
FINISHED FLOOR ELEVATIONS I I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.REC.
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
Address
__ BUILDER
SIGNATURE
FEE CURRENT
FEE CURRENT
I fZc ;JCj();1 ~ f;)'~ I
I
I
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Y/N
ELECTRICIAN
SIGNATURE
35{ (.;L
COMPANY I
REGISTERED . I Y I N
License #
Address
License #
PLUMBER
SIGNATURE
COMPANY
REGISTERED Y I N
FEE CURRENT
Y/N
Address
License #
MECHANICAL
SIGNATURE
COMPANY
REGISTERED Y I N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED Y I N
FEE CURRENT
Y/N
Address
License #
111111111111111 III11111111111111111111111111I111111111111111111111111I1111111111111111111111111111111111111111111I1111111111II1I1111111111111111I
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 wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 f 111111111111111 i
Directions:
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 AlC 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 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 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 th~ work is commenced.. An extension
may be requested, in writing, from the Building Officia~ for a period not t~ exceed mn~ty (,90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for mnety (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 I END TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU IC OF COMM CEMENT.
FLORIDA JURAT (F.S. 117.03) It
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.
Name of Notary typed. printed or stamped
Name of Notary typed, printed or stamped
Pasco County Parcel: 03-26-21-0160-00000-0350001
Page 1 of2
Search Again Show Map Generalized Building Schematic Estimate Taxes Freauently Asked Ouestions
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Friday, February 15, 2008
ParcellD 03-26-21-0160-00000-0350 (Card: 001 of 001)
Classification I 01 - Single Family I
Mailing Address Assessment (totals)
PAULINE WILLIAM A II & CAROL A Ag Land $0
6812 STEPHENS PATH Land $44,274
ZEPHYRHILLS, FL 335420654 Building $120,214
Physical Address Extra Features $1,636
6812 STEPHENS PATH
ZEPHYRHILLS, FL 33542 Total Assessment $166,124
Save Our Homes $116,712
LeIJal Description (First 4 Lines) Homestead Exemption - $25,000
STEPHEN'S GLEN AT SILVER OAKS
PHASE TWO Taxable Value $91,712
PB 31 PGS 150-151 Warning: A significant taxable value increase
LOT 35 may occur when sold. Click here for details
and info. regarding the posting of exemptions.
I Land Detail (Card: 001 of 001)
Line II Use IIDescriptionl1 Zoning /I Units I Type II Price II Condition II Value
I 1 I 0100 1~ SFR oPUD 6,000.00 I SF II $6.72 II 1.00 " $40,320
I 2 I 0100 SFR I oPUD I 2'615.~ SF I $1.50 II 1.00 II $3,923
I 3 II 0100 II SFR " oPUD I 3,105.0 SF I $0.01 Ir 1.00 11 $31
Additional Land Information
I Acres II 0.27 II Tax Area II 30ZH II FEMA Code 1u:JIResidential Codell SIVLLPl I
.Building Information - Use 01 - Single Family Residential (Card: 00101"001)
Year Built 1995 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
I Line II Description II Sq. Feet II Repl. Cost New I
I 1 II BAS II 1,802 II $126,410 I
2 FOP 86 I $1,543 I
3 FGR 462 I $12,978 I
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 . DWSWC 1995 718 $1,086
2 CON PTO 1995 312 $550
Sales History
! Previous Owner I BAY VILLAGE BUILDERS INC
Year Month I Book/Page II Type " Amount
1995 06 I 3445 / 1269 II WD " $19,000
1995 06 I 3445 / 1268 /I WD II $15,000 I
http://appraiser.pascogov.cOmlsearchlparcel.aspx?seC=03&twn=26&mg=21 &sbb=O 160&b... 2/21/2008
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2008027009
Rcpt:1162340 Rec: 10.00
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02/21/08 Dpty Clerk
NOTICE OF COMMENCEMENT
JED PITT"AN, PASCO COUNTY CLERk
02/21/08 11:33am 1 8(..J..
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WARNING Td OWNER: ANY PAYMENTS MAba .V TH:E OWNER. AJl'TIR THE EXPIRATION OF THE NarrCE OF
COMMBN=NT ARE CONIIDEUD IMPROPER l"AYl\mN1S '(,tNmat CHAPTER 71). 'ART L SECTION 713.1!,
FLORmA ST TUTJlS. AND CAN RESULT IN 'YOUR PAYlNC r\\'~a: )'OB.~ROYEMENTS TO YOUR PRO'BIfIY,
A NonCE or COMMENCEMENT MUST IB RECORDED AND P08'fU) ON '1'. lOB 5!Tt HE THE FIUT
INIPECT1ON;1)I YOt/1NTEND TO OBTAIN FINANCING, CONSUL 'YOUR LIm) bl OR A. O. RNn BVORI
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11728 N. Marjory Ave. · Tampa, FL 33612.4146
Phone: 932008005
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DEVELOPMENT REVIEW SERVICES DEPT.
CONTRACTOR LICENSING
CERTIFICATE OF COMPETENCY
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OFFICE DISPLAY CARD
DEVELOPMENT REVIEW SERVICES DEPT.
CONTRACTOR LICENSING
CERTIFICATE OF COMPETENCY
H O~.ETEN. CY. REQUIBEMEN.T FOR
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IT SHALL BE THE RESPONSIBILITY OF THE
LICENSEE TO KEEP ALL INSURANCE, BONDS,
ADDRESSES AND PHONE NUMBERS CURRENT
DATE
PC94074071/A
2007 -2008 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT
FACILITIES OR MACHINES ROOMS SEATS EMPLOYEES
o 0 0
OCC. CODE
090.001
BUSINESS TYPE
CONTRACTOR - ROOFING
10
EXPIRES 9-30-2008 rOLlO NO.
RENEWAL 187595.0000
Ni
H. WASTE
SURCHARGE
40.00
TAX
18.00
28 MARJORY AVE
MPA 33612
NAME
MAILING
ADDRESS
R L MATHEWS QUALITY CONSTRUCTION INC
11728 MARJORY AVE
TAMPA FL 33612-4146
BUSINESS TAX RECEIPT
DOUG BELDEN, TAX COLLECTOR
813-635-5200
THIS BECOMES A TAX RECEIPT WHEN VALIDATED.
PAID - 11 - 85
08/06/2007 *** 58.00
HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE
IN BUSINESS, PROFESSION, OR OCCUPATION SPECIFIED HEREON.
,> ,- ~~. ~_.~----------_.~..~-._-~----_.-.,_.
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Feb.21. 2008
1: 51 PM
No. 5826
P. 1/1
ACORD CERTIFICA TE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY)
TM 02/21/2008
PRODUCER Phone (813) 988-1234 Fax: 813-988-0989 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ASSOCIATES AGENCY, INC. ONl Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 16190 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
11470 N. 53RD ST. 4' T"D AY A.., . ,w
TEMPLE TERRACE FL 33687
INSURERS AFFORDING COVERAGE NAIC#
Agency lIc# ROO1766
INSURED INSURER A: SOUTHERN OWNERS INSURANCE CO. 10190
R L MATHEWS QUALITY CONSTRUCTION INC INSURER B: AUTO OWNERS INSURANCE CO. 18988
11728 N MARJORY AVENUE INSURER C: AMCOMP INSURANCE CO
TAMPA FL 33612-4146
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR AOO'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECnvE POLICY EXPIRATION LIMITS
LTR INSRO DATE IMMlDD/YYI DATE MMlDD/YV/
GENERAL LIABILIlY 20656305 08/03/07 08/03/08 EACH OCCURRENCE $ 300,000
X COMMERCIAL GENERAL LIABILITY =~~;~~~~:~~nce) $ 50,000
-.J CLAIMS MADE 0 OCCUR MED. EXP (Anyone person) $ 5,000
f---
A PERSONAL & I'DV INJURY $ 300,000
f---
GENERAL AGGREGATE $ 300,000
-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG. $
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIAB/LIlY 4137093100 05/19/07 05/19/08 COMBINED SINGLE LIMIT
X ANY AUTO (Ea aCCident) $ 300,000
-
ALL OWNED AUTOS BODIL Y INJURY
t--- (Per person) $
SCHEDULED AUTOS
B ~ HIRED AUTOS
BODIL Y INJURY
X NON-OWNED AUTOS (Per aCCident) $
-
- PROPERTY DAMAGE $
(Per aCCident)
GARAGE LIABILIlY AUTO ONL Y - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONL Y AGG $
EXCESS I UMBRELLA LIASILIlY EACH OCCURRENCE $
~ OCCUR 0 CLAIMS MADE AGGREGATE $
$
==i DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND /WCSTATU. / I OTHER
WCV 7048882 11/07/07 11/07/08 X TORY LIMITS
EMPLOYERS' LIABILllY EL EACH ACCIDENT $
C ANY PROPRIETORlPARTNERiEXECUTIVE 100,000
DFFICERlMEMBER EXCLUDED? EL DISEASE-EA EMPLOYEE $ 100,000
If ~I. "e.cribe under EL. DISEASE-POLICY LIMIT $ 500,000
SItECIAL PROVISIONS below
OTHER:
DE SCRIPTION OF OPERA TIONS/LOCA 'nONSNEHICLES/EXCLL SIONS ADDED BY I NDORSEMENT/ SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO
City of Zephyrhllls Building Depl. DO SO SHALL IMPOSE NO OBLIGATION OR L1ABILllY OF ANY KIND UPON THE INSURER. Irs
5335 8th street AGENTS OR REPRESENTATIVES
Zephyrhllls, FI 33542 AUTHORIZED REPRESENTATIVE ~~~
Attention: 780-0021 Bill Owen
ACORD 25 (2001/08)
Certificate #
145598
@ACORDCORPORATION1988
07/09/2002 02:45
8139333499
P;y: -
---.
QUALI TYROOFI NG&CONST
1BD- DO)(
PAGE 01
RE: Permit #
'.City of ZeJmyrhills
BUILDING DEPARTMENT
75)1
9/17/07
Inspection Affidavit
I lrokrt I ~f~t'/~ ;1C
(please print name Imd circle Lie. Type)
o C /)q ). ~
License #;-f' ~ I D d-? 3 ) ?
On or about -) 7-.t} Be: 0 0
(Date &:
~licensed as a(n) Contractor* /Engineer/Architect,
FS 468 Building Inspector*
, I did personally inspect the roof
.-
"'"
08 (). 5tephP/J~ #:111.,
(Job Sm: Addn:88)
Based upon that examination I have determined the installation was done according to the
Hurric e 'ti ation trofit Manual (Based on 553.844 F.S.)
~.
STATE OF FLORIDA
COUN1Y OF t~
Sworn. to and sUbscribed before me this ;;l day of .fe.btoo ~....
~ - n
By ~~ir~\.J~ U-
.200~
Notary Public, State of Florida
~;~ b'~JS
(Print, type or stamp name)
Commission No.: ~
Q) D,lMlHIWI
. . MV'ca.tMIISlON t DO 711.1
. . ! EDlPIRES: 0dDIIer 12, 2011
.....'IlW.., ...1MdoMlIIrt
Personallyknown'7 or
-
Produced IdentificatioD_
Type of identification produced.
., G=era1, Building, Residential, or Roofing Conttac:tor or my individual certified under- 468 F. S. to make such en
inspection. Include pbotographs of eacb plllOc of the roof with the pcmIit f# or address t# clearly shown marked on Cbe
decJc for each inspection.