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HomeMy WebLinkAbout09-8766 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8766 BUILDING PERMIT Permit Number: 8766 Address: 6612 NORTHLAKE DR Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0150-00000-0240 Improv. Cost: 13,990.00 Date Issued: 1/27/2009 Name: GUY, MAX & MARGURITE Total Fees: 100.00 Address: 6612 NORTHLAKE DR Amount Paid: 100.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/27/2009 Phone: (813)783-7871 Work Desc: REROOF 35 SQ 30 YR DIM SHINGLE HOME IMPROVEMENT SERVICES REROOF RESIDENTIAL 100.00 :w.. :. .... v- _ DRY IN ROOF INSP 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 any one 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." 4 ____ ONTRACTOR SI AT RE PERMIT OFFI R PERMIT EXP ES IN 6 MONTHS WITHOUT APPROVED INSPECTION FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER �3- 7Bo- Cozi Gty. oiZephy. hills B J.I=LDING DEP tTMENT RE:Permit.# 9/17/07 Inspection . #fidavit — 1 O. . c- ,licensed as nLtractorj*,lei ).(please print name and circle Lic. og Inspector* License#;_CC W �� On or about F, a q , I did personally inspect the roo deck nailin a ors ondary water barrier w at (circle one) (Job Site Addrenq) Based upon that io have determined the installation was done ac rding to the Hurricane Miti 'on.• t Manual (Based on 553.844 F.S.) Signs STATE OF FLORIDA, COUNTY OF / Sworn,to and subscribed before me this- dy of .200, By gxATE• oF9�� Notary , State of orida x,.111/. 652181 Commxss�on��U4,2011 (I. e %. F;t.Pires' 1ViAoco.,tsc. =On or stamp n e) f1/.11� Q� No.: Personally known or Produced Identification Type of identification produced. Genera,Building,Rcsidcntial;or Roofing Contractor or soy individual certified under 468 F.S.to make such an inspection.Include photcgrapbs of each plane of the roof with the permit#or addrea #cle emly,shown marked on the deck for each inspection. 813-780-0020 City of Zephyrhills Permit Application , [ 4 / / Fax-813-780-0021 Building Department . ' � Date Received Phone Contact for Permitting -- Owner's Name /i I, Q1J Owner Phone Number g4 Owner's Address / & AhIZt/42k - /L . Owner Phone Number Fee Simple Titleholder Name c&5121 i Owner Phone Number Fee Simple Titleholder Address ,, JOB ADDRESS &7/a' i6,�G� LOT# SUBDIVISION 7S1Me1S &bN d? PARCEL ID# ° -�' - -/- 0/S77 - 000c- - O� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ADD/ALT Q SIGN MOVE J DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM 0 OTHER TYPE OF CONSTRUCTION L BLOCK 0 FRAME STEEL ( OTHER DESCRIPTION OF WORK oF 111 f) S J� - J " ` ' I�L' BUILDING SIZE SQ FOOTAGE I HEIGHT iiiiii BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 j ?�O1 O� ELECTRICAL Is AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. PLUMBING $ Elil MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS ROOFING SPECIALTY L OTHER FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA =YES =NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N FEE CURRENT Y/N Address I License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I I License# I I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# OTHER COMPANY � ' " — SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address ' l q License# Ec c 5 d(�ad- RESIDENTIAL Attach(2)Plot Plans;(2)sets Luilding 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 subdivisions/large 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 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same O E THE C TER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ays-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 IMPACTIUTILITIES 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 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 the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety(90)consecutive days, j WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR FINANCING, CONSULT FORE RECORDING YOUR NOTICE OF OMMENCEMENT. WITH YOUR LENDER AN ATTORNEY FLORIDA JURAT(F.S. 117 CONTRACTOR OWNER OR AGENT Subscribed and swot to(or affirmed)before a th Subscribed and sworn (or affirmed) efore a his by by Who is/are personally nown to me or has ave p duced Who are personally kn to me or ha /hav produced as ification. as iden cation. Notary Public Notary Public Commission No. Commission No. typed,printed or stamped Name of Notary typed,printed or stamped Name of Notary typ ,p HOME IMPROVEMENT SERVICES 14377 U.S.Hwy.19N•Clearwater,FL 33764 1951 Porter Lake Road,Suite A•Sarasota,Florida 34240 Phone:727-530-0412•Toll Free 1-877-845-6660 Phone:941-377-6100•Toll Free 1-877-374-6778 Fax:727-539-6912 Fax:941-377-6133 Lic. No.CCC058227 SALES CONTRACT Home Improvement Services agrees to furnish all materials and labor necessary to doo the moddernization work at the following address: Name CA, ar Phone �/J 7t5 7J"7/hone(w) Address V Date City .&J9A r h; I ( S State Zip 3 3J/z In accordan a with the specifications given below: REROOF: A.SHINGLE ROOF 1. REMOVE OLD ROOF TO WORKABLE SURFACE. 2. RENAIL ROOF DECK WITH RING SHANK NAILS. 3. REPLACE ANY ROTTED WOOD WITH STANDARD SHEATHING @ $7.00 PER FOOT AND$90.00 PER SHEET OF PLYWOOD,IF ANY. (Initial) 4. INSTALL S.A.WATERPROOFING5. INSTALL FHANAEAVES DDRIP. CO OR LA&Mi NZOVE Et`J,TIRE ROOF. 6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY. 7. INSTALL NE LED BOOTS OVER VENT PIPES AND RESEAL VENTS. 8. INSTALL 4->' YEAR FIBERGLASS SHINGLES. COLOR /S/ �1G� 9. INSTALL FEET OF RIDGE VENT AT$6.00 PER FOOT. COLOR 10.CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AN VE JOB SITE CLEAN. 11. CONTRACTOR WILL COORDINATE REMOVAL AND REINSTALLATION OF ROOF RELATED RIPHERALS SUCH AS(BUT NOT LIMITED TO)SOLAR UNITS,SKYLIGHTS,T.V.DISH AND AIR CONDITIONERS,ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FACIA @$4.25 PER FOOT IN ADDITION TO CONTRACT PRICE,IF REQUIRED. THE COST FOR SUCH WORK WILL BE IN ADDITION TO CONTRACT PRICE AND HEREIN APPROVED BY HOMEOWNER. B.1 PLY RQOF SYSTEM 1. REMOVE 0 OOF TO WORKABLE SURFACE. 2. RENAIL ROOF D WITH RING SHANK NAILS. 3. REPLACE ANY ROTT D WITH STANDARD SHEATHING 0 $7.00 PER FOOT AND$90.00 PER SHEET OF PLYWOOD,IF ANY. (Initial) 4. INSTALL S.A.WATERPROO DERLAYMENT OVER ENTIRE ROOF. 5. INSTALL NEW LEAD BOOTS. 6. INSTALL FHANA EAVES DRIP. COLOR 7. INSTALL 1 PLY ROOF SYSTEM. COLOR 8. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWA LATED DEBRIS AND LEAVE JOB SITE CLEAN. 1. Contract Documents.This contract consists of this document,extra work/wood a zations,if any,and,if payments ry c hereunder are to be financed,all financing documents.No promises other than those specifically set forth in the contract Contract Price $ ` �__ documents shall be recognized by either party.The entire understanding and agreement of the parties is contained in the contract documents 2. It is understood and agreed that this contract shall not become binding upon Home Improvement Services until it is duly approved,accepted,signed and witnessed by an officer or officers of the Seller. 200.00 3. Work on the job described in the contract documents will commence on approximately and be completed Permit on approximately .The recited dates are approximations and are subject to scheduling difficulties of Seller,labor and/or material shortages,acts of God and other events not foreseen by Seller. Seller reserves the right to employ any sub-contractor for the completion of the work described in the contract documents. 4. Home Improvement Services reserves the right to substitute materials of equal or greater value and kind.Any required material such as fire retardant plywood,tongue and groove board,etc.will be billed on a time and material basis.All other Total changes required by New Jurisdictional Code Enforcement Laws may result in additional charges. 5. Interest at the rate of eighteen(18%)per cent per annum will be charged on all balances not paid as per the terms specified above.Reasonable attorney's tees will be charged to the Purchaser if it is necessary to place this contract in the hands of an attorney for collection,and this charge becomes a part of this contract and obligation of the Purchaser to pay. OSI De t 6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought 1/3 P thereon may be brought in the State of Florida.Venue is hereby agreed to be in Pinellas County,Florida. 7. BUYERS RIGHT TO CANCEL-If you do not want the goods or services,you may cancel this agreement by providing written notice to the seller in person,by telegram,or by mail.This notice must Indicate that you do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you sign this agreement. 8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be Subtotal performed. 9. It is understood and agreed that the buyer hold harmless,Home Improvement Services,for any damages that may occur to the buyer's driveway(s)during the delivery of materials and/or the removal of work related debris that may be required to l3 �� j) perform this home improvement contract.Furthermore,the buyer herein gives permission for typical delivery vehicles and BALANCE DUE $ / typical waste removal vehicles to enter said driveway(s)for the purpose of expediting this sales contract. (PIUS TOt2j frOnl Item N0.3 abOVe) 10.Contractor will coordinate removal and reinstallation of roof related peripherals such as(but not limited to)solar units,skylights T.V.dishes,and air conditioners,etc.The cost for such work will be in addition to contract price and approved by homeowner. UPON COMPLETION 11. Home Improvement Services shall not be held responsible for damage to electrical lines,water lines,refrigerant lines or other mechanical components that have been improperly installed near roof decking and may be damaged while performing installation of roofing materials.Home Improvement Services shall not be responsible for any additional costs due to roof decking that may have old materials adhered in such a way that requires redecking of the structure. 12.Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed under contract,where the loss results from specified violations of Florida law by a state-licensed contractor. For information about the recovery fund and filing a claim,contact the Florida Construction Industry Licensing Board at the following telephone number and address:7960 Arlington Expressway,Suite 300,Jacksonville,FL 32211.7467 or call(904) 727-6530. 13.Chapter 558,Florida Statutes contains important requirements you must follow before you may bring any legal action for an alleged construction defect in your home.Sixty days before you bring any legal action,you must deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept any offer which may be made.There are strict deadlines under this Florida Law which must be met and followed to protect your interests. Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this &dayof ;t ,20_ x. Approved and Accepted: NOTICE TO OWNER a. Do not sign this home improvement contract in blank. b. You are entitled to a copy of the contract at the time you sign. Keep it to protect your rights. (Seal) (X) s`7�'a (Seal) (Dealer-Seller) (Purchaser Sign Here) BY (X3 (Seal) (Title) urchaser Sign Here) SALESMAN HI 0700053 HIS 3-4/24/08 RS 0701566 FL* RL986-R2 Application Type Revision Code Version 2004 Application Status APTOVtd Comments Archived POLYGL SS USA Product Manufacturer 150 Lyon Drive AddresslPhone/Errefl rernieY, NV 894,08 (602)363-7139 w©polyglass•©orn Steve Wadding Authorized Signature stevewGPo%Y9law.aorn ntative 3ames E. Akins Technical-Reprnse 555 Oakridge Road pddress/phone/Email Humboldt Ind. Park •. ! '" Hazleton, PA 18202 (800) 894-4563 akinsOpolY9tess.com Quality Assurance Representative Address/phone/Email Roofing CategOrY - Underlayments Subcategory Compliance Method Certification Mark or Listing Certification AgenCT MiOmi•Dade BCCO • CER Ce.�ff Year Referenced Standard and Year 5jpndr4 D1970 (of standard) S 2001 ATM 1997 ASTM O226 TAS 103 1995 Equivalence of product Standards Certified By A • Product Approval Method Method 1 Option A Date Submitted 06/06/2007 Date Validated 06/06/2007 Date Pending FBC Approval 06/10/2007 Date Approved 06/27/2007 ,Summary of Products FL# Model, Number or Description Name 986.1 PolyProtector UDl_ Polyolefinic muitl-laminated roof underla ment Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes ELI986�Z_SA NQA Q$-022$.05 Approved for use outside HVHZ: Yes QJy_Proteci�Lcdf Impact Resistant: N/A Installation Instructions Design Pressure: N/A Fj.986 R2 iI NQ&QS 22B..Q5 Other: Refer to Miami-Dade NOA. LQj !QteCtOrPdt Verified By: Miami-Dade BCCO - CER 986.2 Polystick P, Basik, Self-adhering roof underlayments IR/IRX, TU, TU Plus or MU Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes F.L986�t2_C�AC_NOA 06-0505.01 Approved for use outside HVHZJ Yes P. k.pdf Instructions Impact Resistant: N/A Installation Design Pressure: N/A . FL98.6 &2.JI NQA 06-0$05.01 Other: Refer to current Miami-Dade e Bdf Miami-Dade BCCO - CER N0A. Verifid FL S FL986-R2 Application Type Revision Code Version 2004 Application Status Appnsvdd Comments Archived POLYGLASS USA Product Manufacturer 150 Lyon Drive AddresslPhone/E►�nail Fernley, NV 89408 (602)363-7139 stevew©poh►9 •corn Steve Wadding Authorized Signature stevewGPoiY9lass.com • ]nines E. Akins Technical-Representative 555 Oakrldge Road Address/Phone/Email Humboldt Ind. Park •• : ~' Hazleton, PA 18202 (800) 894-4563 akinSOPolygiass.corn Quality Assurance Representative Add ress/Phone/Ernal% • Roofing Category - Underlayments Subcategory , Compliance Method Certification Mark or Ustln9 Ce;tiflcation Agency Mimi-Dade BCCO - CER Year Referenced Standard and Year jn lr4 2001 (of Standard) ASTM D1970 1997 ASTM D226 1995 TAS 103 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 06/06/2007 Date Validated 06/06/2007 Date Pending FBC Approval 06/10/2007 Date Approved 06/27/2007 jSummary of Products ' FL # Model, Number or Description Name 986.1 PolyProtector UDL Polyolefinic multi-laminated roof underlayment Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL486_R2 C (CACNQA Q5-022$.05 Approved for use outside HVHZ: Yes PQJxProtgctor pdf Impact Resistant: N/A Installation Instructions Design Pressure: N/A Ft.9$6 R2 II NOA_QS Q22$..Q5 Other: Refer to Miami-Dade NOA. '. fttectorpcIf Verified By: Miami-Dade BCCO - CER 986.2 Polystick P, Basik, Self-adhering roof underlayments IR/IRX, TU, TU Plus or MU Limits of Use Certification Agency Certificate Approved for use in HVHZ: Yes FL986 R2_C CAC NOA 06-0505.01 Approved for use outside HVHZ; Yes Polxstick.pIf Impact Resistant: N/A Installation Instructions Design Pressure: N/A . FL986 R2.JI NOA 06-0505.01 Other: Refer to current lylami-Dade PolXtick.aOf NOA. Verified By: Miami-Dade BCCO - CER ___ - —p0 nyes a=Hams ' Log In Hot Tapia Submit Suss .: 3Latx>!<Fad ', Pu Ikatrons 1 me Surf Prodluct Approval • Uni Public User Pr duct Apltraxsl Msnu>Pro4ust9r ApAWra Search> U911rAd0M Ust>�Wftvdon Datall . Q FL # FL7006. " Application Type New 2004 Code Version Approved Application Status Comments Archived A1t •j product Manufacturer IKO Industries, Ltl Address/Phone/Email 40 Hansen Road Uouth Brampton, NON-US L6W 3H4 (708) 496-2800 et 200 ��■� maciek.rupar@lk .com 1111a1111■I■� . IIILu.uiuui Maciek Rupar Authorized Signature maciek.rupar@ikd•com w TechnicalRepresentative Maciek Rupar 6600 S Central Aue Address/Phone/Email Chicago. IL 60630 t :a (708) 496-2800 • maciek.rupart�ika•com Quality Assurance Representative Maciek Rupar Address/P hone/Email 6600 S Central 6 A4 Chicago► IL (708) 496-2800 ma ciek.rupar@114com Roofing Category Asphalt Shingles Subcategory Compliance Me thod Certification'Mark►or Listing ` .f1...�-..L�..�.I..l...:J.�:..... .+ ..1....1..r w�« +1 anw'1V o/io/nnn �� I - 3 Ii(y(e 7 ■ BCIS Homo ' Log In ; Hot Topics I Submit Surcharge .: state ill Fac�s Pu lications ; FBC Staff B •Product Approval USER: Public User 1Rt i e QrQduct ApRrvxallNsn�� > Pr9Siustm RR¢Usat1QD Search> for Ust >jAppikation Detail FL # FL7006, Application Type New Code Version 2004 Application Status Approved. Comments Archived product Manufacturer IKO Industries, Ltd Address/Phone/Email 40 Hansen Roadouth Brampton, NON-.JS L6W 3K4 (708) 496-2800 e}ct 200 maciek.ruparOlk .com_________ j Authorized Signature Maclek Rupar maciek.rupar@lkd.com Maclek Rupar Technical Representative 6600 S Central Ave Address/Phone/Email Chicago, IL 6063> (708) 496-2800 maciek.rupar@lkd•com ;i Quality Assurance Representative Maclek Rupar 6600 S Central A Address/Phone/Email Chicago, IL 60634 (708) 496-2800 : macIek.rUPar@tk .com Roofing Category Asphalt Shingles Subcategory Hance Method Certification -Marklor Usting Com p O 11 O/1,ne" P-.;J..L.. ..... r.•. — ••,1 ie.r,yr x.�IvllvllC',1�!L.�ML+'1V'1' 1111111111111111111111111111111111111111111111111111 1111 Jill 2009011477 Perini t No. Tax kdio No. �Q © •--tDOOr�'-Q0-yO THE UNDERSIGNED hereby gives notice'that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. I.Description of property(legal description): 7s=� .s 041<S /?'&(f E OdE Z! Z f� a)Street(job)Address: C /L 2.General description of improvements: PR ri' 3.Owner Information 2lz. a) M4y Name and address: ._6v66/ A/®tcCL,¢k D/� /{'L CJ ' :, b)Name and address of fee simple titleholder(if otter than owner) c)Interest in propertyCW R 4:Contractor Information a)Name and address: 14377 US 19 NORTH, CLEARWATER, FL, 33764 b)Telephone No.: —530-0412 Fax No.(opt.) 727-539-6912 5.Surety Information _ a)Name and address: Rcpt:1223548 Rec: 10.00 b)Amount of Bond: DS: 0.00 I T: 0.00 c)Telephone No.: 01/27/09 Dpty Clerk Fax No.(Opt.) 6.Lender PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER a)Name and address: 01/27/09 1 1 1 Phone No. OR BK 866 PGof 14?3 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: h)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 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 I,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 `a INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PINELLAS ]�_ NOTARY PUBLIC.STATE OF FLORIDA S' store o Owner Owner's Aut prized OfficedDirect er anger Peter E. Wozniak 6 ,r, g ' i Commission#DD652181 Pant Name Expires: MAX 04,2011 The foregoing instnuneabsioE"il $�� 5cr°e'me this day of J ,2O2 by as p(1 / rf��-- (type of authority,e.g.officer,trustee, attorney in fact)for (name of party on beh f of whom instrument was executed). Personally Known__OR Produced Identification Notary Signature Type of Identification Produced Name(print) Verification pursuant to Section 92.525,Florida Statutes. Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC.rvsd2007 i9 gnaturc of Natural Pers igning(in kin 10)SSSSAIIIIbove VVVV STATE OF FLORIDA,COUNTY OF PASCO "IS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT OPY OF THE DOCUMENT (YI FILE OR OF PUB IC ECORD IN THIS OFFICE WI S MY HAND ND FICIAL SEAS .� DAY OF PAUL O'NEIL K& MPTROLL R DEPUTY CLERK