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HomeMy WebLinkAbout09-8775 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8775 • BUILDING PERMIT Permit Number: 8775 Address: 5904 9TH ST 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: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-01500-0150 Improv. Cost: 10,199.00 Date Issued: 1/29/2009 Name: OSTERBRINK ALMA&TAYLOR, SUE Total Fees: 127.50 Address: 5904 9TH ST Amount Paid: 127.50 ZEPHYRHILLS, FL. 33542 Date Paid: 1/29/2009 Phone: (813)788-7518 Work Desc: REROOF 15 SQ METAL HOME IMPROVEMENT SERVICES REROOF RESIDENTIAL 127.50 ✓ 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." CONT CTOR SIGNA E PERMIT OFFI R ERMIT EX PS 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 Fax-813-780-0021 Building Department Date Received 2(a O P Phone Contact for Permitting )Z 1 J Il O 93 r e(f iZ— Owner's Name C Owner Phone Number ' / " Owner's Address o St_ Owner Phone Number 0 /3'-7Jf 7, ` Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS s90 LOT# SUBDIVISION r�_ 7R (- I PARCEL ID# 1r' Z /_ 00 " ' O/i oc) -O/.rO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT E SIGN Q MOVE fl DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM Q OTHER TYPE OF CONSTRUCTION 0 BLOCK E FRRAME STEEL 0 OTHER DESCRIPTION OF WORK (i -)__ ô __- '-T4- --__4 0 F BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ I VALUATION OF TOTAL CONSTRUCTION /0, i /�7 • a a Elil ELECTRICAL I AMP SERVICE E PROGRESS ENERGY 0 W.R.E.C. PLUMBING Is � � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� / 0 GAS FING ROO SPECIALTY OTHER Q FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES QNO r, ✓. S 2 ✓!c FJ BUILDER 1 COMPANY M -�'� !� SIGNATURE REGISTERED YIN FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED I_Y/ NI FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N Address I License# 111111111 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 wl 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. III 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 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 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'SIOWNER'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 b requested,steo, in writing, Ifhe work Building ceases orlal for a ni ninety(90)riod not to exceed ninety c consecutive days, the job is ) days and considered ons de ed bal donedstrate justifiable cause for the WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO O YOUR PROPERTY. IF YOU BEFORE RECORDING YOUR INTEND TO OBTAIN NOTICE OF COMMENCEMENT.' CONSULT WITH YOUR LENDER OR AN ATTORNEY FLORIDA JURAT(F.S. 11 3) C OWNER OR AGENT CONTRACTOR C Subscribed and sworn o rmed)befor e t f �ifs/are bibd and sworn to( r a f re m s j, I�Z_Jf ,�1/ is/areonally kno o me or has/have produced Who personally kno to me or has/have produced L � as identification. as identification. >e Notary Public Notary Public QUELIN 0GES 621833 ..ve •' ..v�'" Commiss n Dt) Comm Ion No.*� *_ Commissi corn sion *= xpires December 12,2010 Bonded Thai law Fein insurance 8 7 9ondad Thai Trial Fain Insurance t300 '"�t9 e o NNotary typedprintedstamped Name of Notary typed,printed or stamped Nam , or Pasco County Parcel: 11-26-21-0010-01500-0150 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, January 24, 2009 Parcel ID 11-26-21-0010-01500-0150 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value OSTERBRINK ALMA M & Ag Land $0 TAYLOR SUE J Land $44,184 5904 9 TH ST Building $60,031 ZEPHYRHILLS, FL 335423514 Physical Address Extra Features $1,300 5904 9TH ST Market Value $105,515 ZEPHYRHILLS, FL 33542-3530 Assessed (Save Our Homes) $75,265 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non-School Additional Homestead Exemption - $25,000 CITY OF ZEPHYRHILLS PB 1 PG 54 Non-School Taxable Value $25,265 LOTS 15& 16 BLOCK 15 School District Taxable Value $50,265 OR 3362 PG 1069 & Warning: A significant taxable value increase OR 5919 PG 267 may occur when sold. Click here for details and info, regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use IlDescriptionhl Zoning Units Type Price H Condition II Value* 11 0100 SFR 00R2 8,400.00 SF $5.26 H 1.00 $44,184 Additional Land Information Acres 0.19 Tax Area 30ZH FEMA Code I ^— i Residential Codell ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1971 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block 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 Carpet Flooring 2 None Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1.0 Line Description Sq. Feet H Repi. Cost New 1 B 1,106 $77,586 2 FSA JI 100 $2,455 -� Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWA 1985 780 $463 2 CLFENCE f 1977 800 $282 3 UDU-M 2004 1 $555 Sales History Previous Owner OSTERBRINK ALMA M Year Month Book/Page Type Amount 2004 06 5919/ 0267 CZC $0 1994 11 3362/ 1069 WD $0 1987 04 1608/ 0542 QC $0 http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 1/29/2009 .......:......: ........... City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Cortractor/Homeowner: /41)n LWC, Date Received: 2 i '_o Site: 59 Permit Type: i&ir1j' f11� Approved wino comments: Approved w/the below comments: El Denied w/the below comments: ❑ This co ' ent heet s b kept with the permit and/or-plans. Kal witzer—Pl xaminer Date Contractor and/or Homeowner (Required when comments are present) ♦.v aavL• Vl' ' J1V11Vt,1 , wvJL1',N f 111111111111111111111]111111111]11111IUII11111111111111III! Permit No. 2009010667 Tax Folio No. THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMME NC NT and in accordance with Section I.Description of property(legal descriPtionfzyo F n /1 /(,/ ir. a)Street(job)Address: LX. 2.General description of improvemen 3.Owner Information a)Name and address: b)Name and address of fee simple tleholder(if other than owner) --c)Interest in property 4.Contractor Information O S a)Name and address: 14377 US 19 NORTH, CLEARWATER, FL 3376 3 7 6 b)Telephone No.: —530-0412 Fax No. 5_Surety Information (Opt.) 727-539-6912 _ a)Name and address: Rcpt:1223300 Rec: 10.00 b)Amount of Bond: DS: 0.00 11: 0 00 c)Telephone No.: 01/26/09 Dpty Clerk No.( Fax NOpt.) 6.Lender PAULA S. 0'NEIL, PASC0 CLERK & COMPTROLLER a)Name and address: 01/26/09 1 Phone No OR BK 8606 1PS�f1672 7. Idenory of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: 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 10. NOTARY PUBLIC-STATE OF FLO Si ature of Owner Owner's Athonzed f" '\ Peter Peter E. Wozniak s .Commission#DD6S2181p,;r,t Name . `',•.,,,, ,?Expires: MAY 04,2011 The fore Ding instrument was day of ,20 by LDs t:y (type of authority,e.g.officer,trustee, attorney in fact)fo (name of party on behalf of whom instrument was executed). Personally Known _OR Produced Identification Notary Signature Type of Identification Produced L" 'S Name(print) enficatton pursuant to Sect on 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. FORMSMOC,rvxd2007 Sigma re of Natural P�son Sigi(�}i (in line#10.)Above — STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUB!.. RECORD IN THIS OFFICE WIT E S MY HAND N OFFICIAL SEAL THIS DAY OF 2 QO 7 PAU S. O'NE ERK COMP ROLL R BY DEPUTY CLERK /Sob S lr►G,�° (7z7) Gay- �f9 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 do the modernization work at the following address: Name d _ r 1C+a rd_ i/" Phon /3 S rr Phone(w) Addr&ss_ ≤ 16 9 $7 Date -1 City li i�IS State ly Zip 7 Sr /'Z- In accords ce with the specifications given below: lat_- Pot ay - nu.- � kvd@qo. T s /del✓ Ott ,V# -- JP2 -i-, 1 ' s,;i.4 .- V,,,,� nc�,.t, _ �r// alc 1. Contract Documents.This contract consists of this document,extra work/wood authorizations,if any,and,if payments hereunder are to be financed,all financing documents.No promises other than those specifically set forth in the contract documents shall be recognized by either party.The entire understanding and agreement of the parties is contained in the Contract Price $ 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. 3. Workonthejobdesc" dint h ctdocumentswillcommenceonapproximately _and and be completed on approximately .The recited dates are approximations and are subject to s duling difficulties of Permit $_ 200.00 Seller,labor a r ate at ges,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 changes required by New Jurisdictional Code Enforcement Laws may result in additional charges. Subotal 5. Interest at the rate of eighteen(18%)per cent per annum will be charged on ail balances not paid as per the terms specified $---- _1---- above.Reasonable attorney's fees 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. 6. Parties agree that this agreement shall be construed according to the laws of_fthe State of Florida and any action brought thereon may be brought in the State of Florida.Venue is hereby agreed to be in Pinellas County,Florida. Less Down Payment $ 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. B. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be 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 BALANCE DUE $ perform this home improvement contract.Furthermore,the buyer herein gives permission for typical delivery vehicles and typical waste removal vehicles to enter said driveway(s)for the purpose of expediting this sales contract. 10.Contractor will coordinate removal and reinstallation of roof related peripherals such as(but not limited to)solar units,skylights (Plus Total from Item No.3 above) T.V.dishes,and air conditioners,etc.The cost for such work will be in addition to contract price and approved by homeowner. 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 UPON COMPLETION 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 vitiations 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. ExecutI in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this li7 dayof.-,� ,20V_. 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)J\/ � �z_ j (Seal) (Dealer-Seller) ( urchas Sign Here) BY (X) �- (Seal) (Title) (Purchaser Sign He SALESMAN HI 0700053 HIS 2 -11/05/07 RS 0701566 FLORIDA ROOFING,SHEET METAL&AIR CONDITIONING CONTRACTORS ASSOCIATION,INC R SA - - • P.O. BOX 4907•WINTER PARK, FL 32793• (407) 671-FRSA 1-800-767-3772• FAX (407) 671-2520 CERTIFICATE OF INSURANCE ISSUED TO: COPY PROVIDED TO: City of Zephyrhills JHR of Tampa, Inc . d/b/a 5335 8th St . Home Improvement Services Zephyrhills FL 33542 14377 U.S. Hwy 19 North Suite 101 Clearwater FL 33764 ATTN: To whom it may concern Date : 12/31/2008 This is to certify that JHR of Tampa, Inc . d/b/a Home Improvement Services 14377 U. S. Hwy 19 North Suite 101 Clearwater FL 33764 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 & AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND. COVERAGE NUMBER: 870-033224 LIMITS / /2 0 0 9 Workers' Compensation Statutory-State of Florida EFFECTIVE DATE: 01 01 01/01/2010 Employers' Liability $100,000- Each Accident EXPIRATION DATE: $100,000-Disease, Each Employee $500,000-Disease, Policy Limit REMARKS: Non-cancelable without 30 days prior written notice, except for non-payment of premium which will be a 10 day written notice. Qualifier for Home Improvement Services is Joseph E. Rayl License # CCC058227 This certificate is not a policy and of itself 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. By: By: ie44,i, Brett Stiegel,Administra Debbie Kemmerer-Underwriting Manager FRSA-SIF FRSA-SIF ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LA DATE(MWDD/YYYY) JHROF-1 12 19 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GULF COAST COMMERCIAL INS HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 815B CYPRESS VILLAGE BLVD. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. SUN CITY CENTER FL 33573 Phone: 813-633-7705 Fax:813-634-2911 INSURERS AFFORDING COVERAGE NAIC# INSURED J.H.R. OF TAMPA INC. DBA INSURER A: FIRST MERCURY INSURANCE Co. 1O657 JOSEPH RAYL LIC 4 C#C058227 INSURER B: PETER WOZNIAK LIC CRCO16377 HOME IMPROVEMENT SERVICES INSURER C: 14377 US HWY 19 NORTH INSURER D: CLEARWATER FL 33764 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 TO WHICH 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.tSR DD LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMID FFECTIVE D DATE MM/DD ICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 r 000 r 000 A X COMMERCIAL GENERAL LIABILITY FMGA000564 12/19/08 12/19/09 PREMISES(Eaoccurence) $50,000 CLAIMS MADE OCCUR MED EXP(Any one person) $EXCLUDED PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $EXCLUDED POLICY fl 1PEC JECTfl LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/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 30 DAYS WRITTEN CITY OF ZEPHYRHILLS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 727-539-6912 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 5335 8TH ST ZEPHYHILLS FL 33542 REPRESENTATIVES. ALIT D REPR T E ACORD 25(2001/08) ©ACORD CORPORATION 1988 McELROY METAL CORPORATE OFFICE • P.O. BOX 1148 - SHREVEPORT. LA 71163-1148 • (318) 747.8000 • FAX (318) 747-8029 'it1ri-! Nlrrl, UI I rr! INI Issue Date : August 19, 2004 No. 99-187-04 MAX-RIB 26 GAUGE Manufacturer's Recommended Fastening Pattern For Buildings Less than 40' Maximum Roof Height Roof Pitch 10°(2.1:12 ) to 300(6.9:12 Fastening Pattern for Various Wind Speeds Roof Wind Speed Zone Fastener Substrate 90-120 120-140 140-160 MPH MPH MPH #9-15 x 1-1/2" t/2"Plywood 36" 30" 18" Zone Wood 1 Minimum #12-14 x 1-1/4" SD 54" 48" 48" 16 a steel #9-15 x 1-1/2" r/2"Plywood 18" 12" 11" Zone Woodgrip 2 & 3 Minimum #12-14 x 1-1/4" SD 36" 30" 24" 16 a steel Notes: 1. Table is calculated using ASCE 7-98 Minimum Design Locals for Buildings and Other Structures". 2. Values cannot be utilized for buildings with a peak height greater than 40'. 3. Values cannot be used for buildings with a roof pitch less than 10°or greater than 30°. 4. Fastening pattern is the distance between fasteners running parallel to the panel length. 5. Fastening pattern perpendicular to panel rib is 9"olc,i.e.,one fastener next to each major rib. 6. Calculations use pullout values provided by the screw manufacturer. 7. Factor of safety used for pullout is 2.25 when attaching to steel and 3.00 when attaching to plywood.Adjust values accordingly for a different factor of safety. 4 8. See Diagram below for roof zone definition. I I 1 I I I 1 I I I I I 1 I I I I I ' Dimension "a" is defined as 10% of the least I I I I horizontal dimension or .4h, whichever is I t 1 1 1 2 T I tQ I T smaller, but not less than 4% of the least I I I horizontal dimension or 3 ft. Where "h" is I ' defined as the mean roof height in feet I I I I I I I I 1 I v 3 2 3 J 7 3 CORPORATE OFFICE SHREVEPORT, LOUISIANA 0WES?DIVISION • CLINTON, IL SOUTHEAST DIVISION • PEACHTREE CITY.CA WESTERN DIVISION • ADE�ANTO, IOI TIEAST DIVISION • WINCHESTER VA SOUTHWEST DIVISION • BOSSIER CITY. LA BLUEGRASS DIVISION• LE'WWViS'ORT K WEST TEXAS DIVISION • MERKEL. TX GREAT LAKES DIVISION • MARSHALL,MI TYPICAL FRAMING AND STITCH FASTENER PATTERNS MAX-RIB PANEL T 1 fi FRAMING FASTENER (PATTERN#1) STITCH FASTENER g" (B1'-8'O.C.(MAX.) ROLL TAPE SEALANT @ SEAMS MAX-RIB PANEL T T t t t t t t - -" I GG FASNER E't I I I I I I I I I I I I I I I I I I I I I STITCH FASTENER @ 1'-8 O.C.(MAX.) 3'-0" ROLL TAPE SEALANT @ SEAMS MAX-RIB PANEL TRIM 1` T STITTTERN FASTENER I _ 9 � I 3'-0" NOTE: TAPE SEALANT ON WALL SEAMS AND BOTH SIDES OF CLOSURE IS OPTIONAL. McELROY METAL, INC. 1 BASE TRIM DETAIL I . BASE GIRT MAX-RIB j BASE GIRT FRAME PANEL I COLUMN MAX-RIB FRAME PANEL I COLUMN I I I FRAMING INSIDE CLOSURE I I FASTENER (RECOMMENDED) INSIDE CLOSURE (PATTERN#2) FRAMING (RECOMMENDED) I FINISHED FASTENER FLOOR (PATTERN#2) RODENT J - S //// / //// /♦ GUARD BASE FLASHING -1k- MAX-RIB FRAME COLUMN � I RODENT GUARD(P-RG) I FINISHED I FLOOR FRAMING I FASTENER I J__jjI . 5 I BASE FLASHING'B (P-BFB) w " y� INSIDE CLOSURE N (RECOMMENDED) BASE FLASHING BASE AND DRIP FLASHING BASE FLASHING"A"(P-BFA) (P-OF) McELROY METAL, INC. 2 'rr, Ii , \a'I PA DW.A.t-r, IN Issue Date: September 9,2004 Revised:June 1,2006 No.04-189-04 Florida State Approval Non-Structural Metal Roofing (Applied over solid decking) The following roofing products have been approved by the Florida Building Commission for being in compliance with the 2004 Florida State Building Code. 'lillhilllr' •mITm (MrAII DV-Crimp 26 182.1 I MasterLok 90 24 1832.2 Max-Rib 29 183?..i .- Maxima 24 1832. 4 Medallion I 24 1832.5 Medallion II 24 1832.6 _.... ._ U____-_ _ s..9 MedallionLok 24 1832.7 Mega-Rib 26 1832.8 i \ : Mirage 24 • 1832.9 Multi-Rib 26 1832.10 . . R-Panel 26 1832.11 Meridian 26 2358.1 For additional information and verification pleage y lsit