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Home My WebLink About09-9816 CITY OF ZEPHYRHILLS 5335 - 8T1-I STREET • (813)780 -0020 9816 BUILDING PERMIT Permit Number: 9816 Address: 5140 10 !I-Cs I Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11 26 - 0010 - 19500 - 0030 Improv. Cost: 6,600.00 ,,r xWt F Date Issued: 11/25/2009 Name: McGUIRE, JOSEP Total Fees: 65.00 Address: 5140 10TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/25/2009 Phone: (813)788 -1385 Work Desc: RE -ROOF WITH SHINGLES AN ANN • -u 1• N - - ••F'E 1' - AL 65.00 g a r irk �a z: •=Y1 R•O P TAPE JOINTS ROOF INSP FINAL 1 3 -'1 -0 9 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." K i CONT CTOR SIGNATURE PERMIT OFFI .1 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 Fax -813- 780 -0021 Building Department • Date Received i i i , ..... OQ 1 Phone Contact for Permitting 355 J -- l 0 Owner's Name JC 0�1ne vICE1 UIrP. Owner Phone Number (3S5 - CA i o Owner's Address 3 E. R1 \r e Rd. � T -U' k \ Ni Owner Phone Number Fee Simple Titleholder Name Sm* as C \1 cA1e Owner Phone Number Fee Simple Titleholder Address ROrne Os a l�c l JOB ADDRESS 511-O 1Dih rl, \t�� FL 33 a LOT # `) SUBDIVISION J PARCEL ID# I' - aL - a I - ooze- 1 ct � - lC..c (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I 1 OTHER I I TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME n STEEL n OTHER I I DESCRIPTION OF WORK re — 1 � ‘ ( �.� + � -04 (CQ,S BUILDING SIZE SQ FOOTAGE 1 5 HEIGHT BUILDING $ (17 7 (0W* C VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY I I W.R.E.C. I I PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I ON 9 I I GAS 1 ROOFING 1 1 SPECIALTY I I OTHER 1 , L/v ' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES ONO r L BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N J FEE CURRENT I Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address ,,� I fa License # OTHER , / COMPANY I 1(�1 • / \ • I Veu 1 r f, it 1 Rce , 1 'l SIGNATURE +' REGISTERED Y/ N I FEE CURRENT I Y/ N Address a ' 1 1e. , e. .4 A i ense # I 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 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 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 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 Tots 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 justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the 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 COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) , OWNER OR AGENT CONTRACT°' —��' • Subscribed and sworn to (or affirmed) before me this Subscribed and s • • (or armed) • -fore me this by by Who is /are personally known to me or has /have produced Who is /are personally known to me or ha as have de tiff u as i dentification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 813 -780 -0020 City of Zephyrhills Permit Application Fax - 813- 780 -002i Building Department Date Received Phone Contact for Permitting -- ` •••• Owner Phone Number Owner's Name Owner's Address I Owner Phone Number I Fee Simple Titleholder Namel Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS I I LOT # I I PARCEL ID #I J SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I NEW CONSTR I I ADD /ALT I I SIGN 1 I MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER I TYPE OF CONSTRUCTION 1 1 BLOCK I I FRAME I I STEEL I I OTHER I I DESCRIPTION OF WORK 1 I BUILDING SIZE 1 1 SQ FOOTAGE I I HEIGHT 1 I I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C. I I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS I I ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES I INO BUILDER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y / N Address I I License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 1 License # 1 COMPANY SIGNATURE REGISTERED I Y / N 1 FEE CURRENT I Y/ N 1 Address I 1 License # r MECHANICAL COMPANY J SIGNATURE REGISTERED L Y/ N I FEE CURRENT I Y/ N I Address License # I I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address I I License # 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 subdivisions /large projects COMMERCIAL Attach (3) complete sets of Budding 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 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 N E UT% 4A NN R ooJ i ng, Inc. RESIDENTIAL • MOBILE HOME • COMMERCIAL 12630 Curley Street, Suite 104 • San Antonio, FL 33576 Phone: 352 -588 -0910 • Fax: 352 -588 -0911 LIC# CBCO58155 - LIC# CCC1326166 www.neumannroofs.com November 5, 2009 Re: Re -roof Proposal Mrs. Josephine McGuire 5140 10 Street Zephyrhills, FL 33542 813- 783 -2030 Neumann Roofing, Inc. proposes to furnish labor, material, supervision, equipment, fees and other costs related to the completion of the subject property; specifications listed below: 1. Record NOC and obtain all required permitting. 2. Tear -off existing roof system(s) down to deck substrate and re -nail roof deck to meet State Of Florida Building Code. 3. Provide and install new 30# felt underlayment, nailed to meet local code requirements. 4. Provide and install new drip edge, matching the existing face dimension. Color: Wu! rE 7 5. Provide and install new GAF /ELK starter strip at drip edge system. 6. Provide and install a new 30 -year Atlas dimensional shingle. Color: Gray 7. Strike lines to ensure a uniform shingle installation. 8. Provide and install 186 -feet of 3 -tab ridge cap shingles. 9. Provide and install 2 new lead boots at plumbing vents. 10. Sweep magnets around the perimeter area of work to collect loose nails, staples, and other various scrap sheet metal components. 11. We will remove the chimney to terminate below roof deck and install deck substrate. 12. Haul away all roof - related debris. 13. Our liability insurance coverage is based on completed operations. 14. Provide a 30 -year manufacturer's warranty; 60 MPH (Free of charge). 15. Provide a 5 -year workmanship warranty. 16. Payment schedule: Full amount at job completion. EBB ArEl FL. Contractor #: CCC1326166 GAF ELK GAF -ELK License #: ME12709 mutsume 12630 Curley Street- Suite 104- San Antonio • Florida • 33576- Ph: (352) 588 -0910 • Fax: (352) 588 -0911 s4EuIv Sao ui , RESIDENTIAL • MOBILE HOME • COMMERCIAL 12630 Curley Street, Suite 104 • San Antonio, FL 33576 Phone: 352 -588 -0910 • Fax: 352 -588 -0911 LIC# CBCO58155 - LIC# CCC1326166 www.neumannroofs.com Unit Pricing Schedule for unforeseen conditions: 1. Replace any rotted or damaged decking $75.00 per sheet. (Neumann Roofing provides 1 -sheet of 4'x8' plywood; included in contract price). 2. Replace any rotted fascia or perlins $4.50 per lineal ft. Neumann Roofmg's Commitment to Quality: • All work will be supervised by project managers to ensure quality work is preformed according to our proposed contract. • All work will be completed in a timely manner, excluding acts of nature beyond our control. • All carpentry work will be performed in conjunction with roofing work, in a timely manner following general workmanship quality. • All work will be completed by skilled and knowledgeable craftsman to ensure production of high quality of work. • The job -site will be kept free of debris throughout the duration of the project. • The perimeter of the project area will be swept with magnets to pick up any loose nails, staples, or other various scrap sheet metal components. • Any existing gutters will be cleaned of all organic and roof related debris prior to project close -out. • Neumann Roofing, Inc. is fully insured with workman compensation and general liability insurance. It is understood and agreed the Neumann Roofing, Inc. will be held harmless for alleged or actual damages /claims as a result of algae, fungus, or mold. It is understood the roofing contractor and the roofing contractor's insurance will exclude all coverage, including defense, damages, related to bodily injury, property damage and clean up directly or indirectly in whole or in part for any action brought by mold, including fungus and mildew regardless of the cost, event, product or workmanship that my have contributed concurrently or in any sequence to the injury or damage occurs. > . FL. Contractor #: CCC1326166 GAF -ELK License #: ME12709 MasWiElite *MUM 12630 Curley Street- Suite 104. San Antonio • Florida • 33576- Ph: (352) 588 -0910 • Fax: (352) 588 -0911 ELIPAANN R9fiifj, .Inc. RESIDENTIAL • MOBILE HOME • COMMERCIAL 12630 Curley Street, Suite 104 • San Antonio, FL 33576 Phone: 352 -588 -0910 • Fax: 352 -588 -0911 LIC# CBCO58155 - LIC# CCC1326166 www.neumannroofs.com Total: $(6,600.00) Upgrades: tl=' Final Total: $ e ' . . 0 1 ) .00 • 100% payment due upon job completion. • Proposed price is valid for 14 -days from proposal date. Accepted By: Neumann Roo 1g, Inc. I , Date: i/ P / o f Date: ` /// '9 BBB GAF ELK ir. FL. Contractor #: CCC1326166 GAF - ELK License #: ME12709 Ma 12630 Curley Street- Suite 104- San Antonio • Florida • 33576- Ph: (352) 588 -0910 • Fax: (352) 588 -0911 • 1 111111 IIIII IIIII 1111111111111111111111111 III111111111111111 2009169624 Rcpt:1275322 Ree:10.00 DS: 0.00 IT:0.00 11/25/09 Dpty Clerk NOTICE OF COMMENCEMENT PAULA S. O'NETL, PASCO CLERK & COMPTROLLER Permit No. 11/25/09 2t5 1 013186 - - - -- OR BK 8 PG Property Identi_ication No. 11 - 26 - 00.10 19500 - 0030 Tit dUNDERSIGNED hereby xiye informs vol: that the improvement 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 \OTICE OF C'O\Il1E\C:E]IE\T. TOWN OF ZEPHYRHILLS PB 1 PG 54 LOTS 3 & 4 & THE SOUTH 10.00 FT OF LOT 5 ;.Description of property• { legal descriptfvn: l BLOCK 195 OR 7602 PG 1453 a) Street Address: 514f) LOTH STRFFT 7FPHYRHII I S Fl 38549 -5091 '.General delscription of improvements: ' TFAR -OFF SHINGI F ROOF ANIl INSTAI I NFW ATI AS IDIMFNSIONAL SHINC;I F ROC)F SYSTFM 3.Owner I :.formation a) Nati:e and address: MCGUIRE, JOSEPHINE; 5140 10TH STREET, ZEPHYRHILLS, FL 33542 - 5021 b) Name and address of fee simple titleholder :if other than owner: Fee Simple Titleholder + 'i c) Interest in property Fee Simple Titleholder sntt actor Information ' '' f at Nan :e and address.: Neumann Roofing, Inc. — 12630 Curley St., Ste. 104; San Antonio, FL 33576 is i Telephone No.: 352 -588 - 0910 Fax No. (Opt.) 352 588 - 0911 .S: rest- :uforillatioii • a) Nail :e and address: N/A b) Amou:ItofBond: • - -- c) Telephone No.: Fax No. (Opt.) C1.Lencler a) Name and address: N/A Phone No. 7. :dentity of person within the State of Florida designated b- owner upon whom notices or other documents may be served: al Name and address: b) Telephone No.: Fax No. (Opt.) _ :,.In addition to himself owner designates the t011otivin. person to receil:e a cop,' of t e'Lienor's Notice as provided ire Section 713.13(11(b). Florida Statutes: a) Name and address.: h) Telephone No.: Fax No. (Opt.) 9 Expiratioi1 date of Notice of C onunertcemeut :Ate expiration date is one year front 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 C:AN RESL>LT 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 INSPECTION. LF YOU INTEND TO OBTAIN FI\ ANC.LNG. CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMIMENC I\ G; WORK OR RECORDING YOUR NOTICE OF C.ONIMENC:EMIENT. SIAIE OF FLORIDA C Ot "NTY OF P rC 0 �� t.4„ze DANIELRAY BONEBRAKE, JR. - f it Notary Public, State of Rorida / e o r cc Ov. - ter, 0 .' ::ii -orize3 O'_' :ce: Dire:tar = =_ -ue: .. gage: liq My Commission Expires June 15;2012 ,,.) czeph nt. rL ' mtbL i r Commission No 0107013045 P -iut Nut The foj�gotg instrument was acknowledged before me this �' day of EN . ::: U- . b _ i l.`IlA as 1 ( (t of uthority. e.g. officer. trustee. attorney in fact) for 5 , nut c ., 1111 FL `bkinanle of parry on behalf of w ho • tr.: was. executed). ..) 7/ , Pers.o :.al1v Kno v :: OR Prod :iced Identification X Notary Signature -- Type of Identifk.ation Pr ocluced h'Y gg ft4115' 4 / 61 Naine (print) EiviEG !f/r1i.9,we e.4, - . Veri:ication pursuant to Section 92 :' Fl Statutes. Under penalties ofper±ar-. I declare that I have read the foregoing and that the facts stated in it are true to the best of n:7,- knowledge and belief. _k ,, . / i • 5 i ''Nita : :al.e : :xiSigimsAt :"e • • • 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 PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AN9 9FFICIA HI I � SQ DAY OF l VQlk/v SEAL THIS PAULA O'NEIL. CLE & COMP :OLLER BY %� • TYCLERK DEC. 8. 2009 2:49PM WA NEUMANN CONST, NO. 3182 P. 1/1 o co, * • PASCO COUNTY FLORIDA Building Inspection Division toRro RE: Permit# 991 G Form: 10/01/07 Inspection Affidavit I, t/ fV ail„ A 441/ , licensed as a(n) Contractor */Engineer /Architect/FS 468 Building Inspector* License #: C �SS� � S 7 3c g 146, On or about f J) E C O , did personally inspect the Roof Deck Nailing or Secondary Water Barrier (Circle one and /or both) At the following address: I�Scp/jal v ;re, s1 y otit 5 2r1n Ai yrh s l_ 3 1.< 11 4? (Job Sitk Address) **** ***** *** ** **7 *** ***** ***+U** **** *** ***7 * ** * * ****eU**** MAR# **** ** ****** Based upon that examination 1 have determined the installation was done according to the Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.) 1 have included photographs of each • lane of • - roof for each inspection, with the permit # clearly shown marked on the deck. dif / Si a ,FIA E 2012 , STATE OF FLO A LYA.DO meson COUNTY OF VA c.t Sworn to and subscribed before me this day T) cz.e(.ribe.(', 2000 Q bUst By ■74 0 S"-( Lx.\ • Neu. i 0 , Notary Public Sate of Florida P IJn 2p., (Print, type or stamp name) Commission No: 1• $ 3i/ t `1s6 Personally know or Produced Identification f I � Type of identification produced: 0. L I k' �L *General Building, Residential, or Roofing Contractor or any individual certified under 468. F.S. to make such inspection.