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HomeMy WebLinkAbout09-9981 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9981 BUILDING PERMIT y 3 ,•_ E LT :07= x Permit Number: 9981 Address: 5036 19TH 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: 11-26-21-0010-21600-0060 Improv. Cost: 4,365.00, Date Issued: 1/08/2010 Name: ANDERSON, L, SAUNDER, J& ELIZABE Total Fees: 55.00 Address: 5036 19TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/08/2010 Phone: (813)779 -1463 Work Desc: REROOF SINGLE FAMILY HOME a i . ,-; 17 '" d %'. - MAN - ••FIN IN - R•• - ID NTIA 55.00 N C. A ra r :3- cAYv V r�G .,.... s3 m,, r P >` .. �`'°�. _. , ..., . ; 3 . . ' w. ._.t_ DRY N Rs • IN P TAPE JOINT - S� FINAL PP 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." 1 44 .. _ i s ► CONT • t• OR SI c IA URE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER -Pasco County Parcel: 11- 26 -21- 0010- 21600 -0060 001 Page 1 of 2 Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, January 02, 2010 Parcel ID 11- 26 -21- 0010 - 21600 -0060 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value ANDERSON LESLIE A & Ag Land $0 SAUNDERS JAMES W & ELIZABETH A Land $13,964 5036 19TH ST Building $31,161 ZEPHYRHILLS, FL 335422167 Extra Features $260 Physical Address 5036 19TH ST Market Value $45,385 ZEPHYRHILLS, FL 33542 -2166 Assessed (Save Our Homes) $45,385 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 Non - School Additional Homestead Exemption - $0 See Plat for this Subdivision 2- CITY OF ZEPHYRHILLS PB 1 PG 54 Non - School Taxable Value $19,885 THE WEST 1/2 OF LOTS 6 & 7 & School District Taxable Value $19,885 THE NORTH 1/2 OF THE WEST 1/2 Warning: A significant taxable value increase may occur when sold. LOT 8 BLOCK 216 Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line I Use IlDescriptionll Zoning Units II Type I Price I Condition I Value 1 II 0100 II SFR II 00R2 I 4,200.00 I SF I $3.06 II 1.00 II $12,852 I 2 II 0100 II SFR Il 00R2 II 2,925.00 II SF II $0.38 II 1.00 I $1,112 Additional Land Information Acres II 0.16 I Tax Area II 30ZH II FEMA Code 1 X (Residential Code I ZHLHLP2 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1957 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 Plastered Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line I Description II Sq. Feet Repl. Cost New I 1 II BAS 1,124 $43,948 l 2 II UST I 63 $978 3 1 FOP 11 24 II $235 Extra Features (Card: 001 of 001) Line II Description ( Year II Units I Value I 1 UDU -M 11 2001 II 1 I $260 I Sales History Previous Owner 1 DEUTSCHE BANK NATIONAL TRUST I Year II Month II Book /Page I Type I Amount I 2008 II 06 II 7862 / 1015 11 gc 1 $0 I I 2008 I 04 II 7828 / 0992 I WD II $81,900 2007 l 09 II 7630 / 0692 II CT II $ I http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &bl... 1/8/2010 Pasco County Parcel: 11- 26 -21- 0010 - 21600 -0060 001 Page 2 of 2 Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &bl... 1/8/2010 813 - 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department /� Date Received 0 Phone Contact for Permitting Ei I- 7 - (c1 Owner's Name t-eS[(k_ A. INIp ercon'4- Sc.Lv'i S G{) • t( ' 9 Owner Phone Number '7- 7igo Owner's Address 50 36 tot l-i-t S� - 7 , �-S r Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS Scwt 42 / LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT pi SIGN I MOVE 1 1 DEMOLISH INSTALL REPAIR cap( Nyl PROPOSED USE Cal SFR 1 1 COMM 1 I DTHER TYPE OF CONSTRUCTION 1 1 BLOCK 1 II FRAME 1 I STEEL n OTHER DESCRIPTION OF WORK Pi Q__—rO t U1 y �-S BUILDING SIZE SQ FOOTAGE l plk HEIGHT I 1 BUILDING $`' ) CO (_ 5 _ '2-9 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE ( 1 PROGRESS ENERGY n W.R.E.C. 1 1 PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 1 GAS IX] ROOFING 1 1 SPECIALTY 1 1 OTHER 4,-ff FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ENO BUILDER COMPANY I SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT 1 Y/ N 1 Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y / N j FEE CURRENT 1 Y/ N 1 Address License # 1 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address I 1 License # 1 MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y / N 1 FEE CURRENT I Y/ N 1 Address 1 License # r OTH �, I COMPANY ��r R- Q(g�l T' ` � SIGNAT - Al, • �,��� ■__ REGISTERED 1 Y / N 1 FEE CURRENT 1 YIN I 1 � * S --CC,.-12._ �S�s�S Address e , �qt�. ( Licen # 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 (PIot/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 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 job is considered abandoned. WARNING TO 0 ER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE IMPROVEMENTS TO YOUR PROPERTY. IF YU INTEND TO OBTAIN FINANCING, CONSULT WITH YOU - LE ► R OR AN ATT ∎ - NEY BEFORE RECORDIN t Y f► R NOTICE OF C . _ CEMENT. FLORIDA JU - Wj.C4 17.03) / \ NEI . AGEN / /AI CON • . A _ —Agra Subscribe. _ . d swo to (or affi before m'•' Subscrib �j .'swom to (or a "4a.) before me( by Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped mastei6rd, VISA # AsIP aped* Reope9,906, ti r A Division of Ryman Construction, Inc. Proposal # 0 219 INC. 36413 SR 54 • Zephyrhills, Florida 33541 Estimate # Phone: 813- 782 -6094 • Fax: 813- 788 -6773 License # CCC 1325505 Job # 1-800-800-ROOF Also, Serving the Central and East Coast of Florida (7663) Customer: AM rdw,� DTs Date: I /J / 1 0 Address:. O g /1 • .54. Cit � )- irk• :LB Zip: 33s1-1 D Home 90,1 Cell #: 77%-- -- T 6 3 Business #: E -mail Address: 3- 5 0 u-A , . la q Tc`ar`4• Tr. cor rik mplete tear off of existing 51,4-15z 3 3 11c..,*' Additional Items: ? 379 ` aF 129-1-4-"" ar e cure all loose roof decking as needed according w), to 1orida Building odes 4,p!/- 1 oof dried in with ata. L... -4 L5 _ \\--- 0 i,• 1n.45 - c I (Ade S 1 4P new valley metal with galvanized metal 40 ) x_15 cF (1.1L4.orx)L cT e-4 ick all new " drip edge color: ZI A, l freauto . 4'2 , S r,aC7 Aeon C2Arrl 4..l -Jb(i j Ilipstall all new lead boots ;u . Le-a (4/15 1/1"'l '44e U all new .3C7 year fungus- resistant shingles o,,, k . hingle brand/color: To... -.1r(0 C-, 64∎0— L,.1,1 k , S' � a T Z. 1-,or Warranty Package. 131ll roof related debris removed from job site Laill materials, labor and permits furnished Total bid price $ 4 3 r D Extra's • l�'t3ad plywood replaced at a cost of $ 1. !oO per sq. ft. m the roof field. All other wood work/additional labor, such as, but not limited to, valley rebuilding, rafter replacement, etc. will be a rate of $..5751 per man hour plus the cost of materials. THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT 1. All material is guaranteed to be as specified and completed in a substantial workmanlike manner. 2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work. 3. Labor warranty does not cover damage to roofs caused by lightning, hurricane, tomado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion failure or cracking of roof deck, walls or foundation of a building. 4. Workman's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING, INC., a Division of Ryman Construction, Inc., or its subcontractors. 5. RYMAN ROOFING, INC., a Division of Ryman Construction, Inc. is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decking or fascia boards, is not included and will be charged as an extra unless otherwise stated herein. 6. This contract is subject to final approval by RYMAN ROOFING, INC., a Division of Ryman Construction, Inc. and is the entire agreement of the parties and no other written or other forms will recognized. 7. A charge of 1.545 will be made on all unpaid balances after 30 days, plus charges incurred for non - payment procedures, plus attorney's fees. 8. A 496 processing fee will be added to all credit card orders. Ryman Roofing, Inc., a Division of Ryman Construction, Inc. will not be responsible for any damage to septic tanks, sod, shrubbery, paint, satellite signal loss, sprinklers, concrete drives or any underground piping. "� Payment Schedule: I V 7 c a -A -1fX \ Payment Method: C.�a''�� t v? 1-1 Ca,1t1,t. Vi 0 \ Acceptance of Proposal it 6.1 4 1 1 t 1 L r, • ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001 - 71337, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB - SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COM "ANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER ". FLORIDA'S CONSTRUCTION LIED LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. I ACCEPT THIS PROPOSAL AND HEREBY CERTIFY THAT I HAVE RI';AD AND FULLY UNDERSTAND THE . E PROVISIONS OF THIS CONTRACT Purchaser: X f � Date: — / .S- /0 Purchaser: Estimator: • 1 11111111111111111111111111111111111111111111111111111111111 • 2010003102 Rcpt:1281912 Rec: 10.00 DS: 0.00 IT 0.00 01/08/10 Dpty Clerk • NOTICE OF COMMENCEMENT PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER 01/08/10 of 1 19 OR BK +he Permit No. Property Identification No. It -2.4) — 2_1 — ©d /0 = f 06 -006 0 THE UNDERSIGNED hereby give informs you 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 NOTICE OF COMMENCEMENT. e Z y v-htlIS P6 t e 'rho we OF- c.. t'tz O ots 6�- -'t t ,� No lZ 1.Descri tion of property (legal description:) ' ' • W„ oc.4 - - a) Street Address: Q . ■A 1111112111P 2.General dmscription of i mprovements: 3.Owner Information a) Name and addresst&l Q A• fyndfrz p- 7 CyYvii9 S (,o . — 667(17 cc 4- - t Cli r S b) Name and address of fee simple titleholder (if other than owner c) Interest in property owner) S D 3� [ �( 141 , 4.Contractor Information ? "c ice' Ni"k (((S app a) Name and address: - RA) \ • 6 (./1 b) Telephone No.: -.!� , r Fax N o. (Opt.) / �( 5.Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: Phone No. 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: b) 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 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 PASCO X Y _ .. Signature of Owner or Owner's Authorized Officer /Director /Partner/Manager Le',h k An e Print Name The foregoin instrument was acknowledged before me this r clay of �, , 20 (0 , by (.6/4 t-c d S as (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). Personally Known 7 OR Produced Identification Notary Signature 40 ../ Type of Identification Produced Nanie (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. FoRMSiNOC,rvsd2007 Signature of Natural Person Signing Above • cis ,a P`s ° Notary Public State of Florida Christian Ryman �� r . buy Commission DD751610 '� or an' Expires 01/24 /2012 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 WIT SS MY H . ND OFFICIAL SEAL THIS DAY'rdii 1J �. PAU :. i N - , .i - K & CO i•TROLLER B Al • UTY CLERK x ccv1 c QT`S ASPHALT SHINGLES 2007 FBC PRODUCT APPROVALS MANUFACTURER PRODUCT TESTS PASSED MIAMI -DADE FL 4 LESS THAN 110 MPH 110 MPH AND HIGHER ASTM ASTM TAS ASTM ASTM TAS 03161 07158 107 D3161 07158 107 CLASS 0 CLASS G CLASS F CLASS G CERTAINTEED CLASSIC HORIZEN X 5444.1 • CARRIAGE HOUSE X 5444.1 CENTENNIAL SLATE X 5444.1 GRAND MANOR X 5444.1 LANDMARK X 5444.1 LANDMARK PLUS X 5444.1 LANDMARK PREMIUM X 5444.1 LANDMARK TL X 5444.1 PRESIDENTIAL SHAKE X 5444.1 PRESIDENTIAL SHAKE TL X 5444.1 HATTERAS X 5444.1 PATRIOT X 5444.1 GAF -ELK ROYAL SOVEREIGN X - 10124.1 CAMELOT " X 10124.1 CAPSTONE X 10124.1 COUNTRY MANSION X 10124.1 GRAND CANYON X 10124.1 • GRAND SEQUOIA X 10124.1 GRAND SLATE X 10124.1 GRAND TIMBERLINE X 10124.1 . TIMBERLINE ARMORSHIELD II X 10124.1 TIMBERLINE PRESTIQUE GRANDE X 10124.1 TIMBERLINE PRESTIQUE 30 X 10124.1 TIMBERLINE 30 X 10124.1 TIMBERLINE PRESTIQUE 40 X 10124.1 TIMBERLINE 40 X 10124.1 TIMBERLINE PRESTIQUE LIFETIME X 10124.1 TIMBERLINE ULTRA X 10124.1 SLATELINE X 10124.1 OWENS CORNING OAKRIDGE PRO 30 X 10674.1 OAKRIDGE PRO 30 AR X 10674.1 OAKRIDGE PRO 40 X 10674.1 . OAKRIDGE PRO 40 AR X 10674.1 OAKRIDE PRO 50 X 10674.1 OAKRIDGE PRO 50 AR X 10674.1 DURATION X 10674.1 DURATION PREMIUM X 10674,1 CLASSIC X 10674.1 CLASSIC AR X 10874.1 SUPREME X 10674,1 SUPREME AR X 10874.1 PROMINENCE X 10674.1 PROMINENCE AR X 10674.1 BERKSHIRE X 10674,1 WEATHER GUARD HP X 10674.1 TAMKO GLASS SEAL AR . X 1956.2 ELITE GLASS SEAL AR X 1956.1 HERITAGE 30 X 1956.3 HERITAGE XL X 1956.5 HERITAGE 50 " X 1956.4 HERITAGE VINTAGE AR X 7154.1 • City of .Zephyrhfills BUILDING DEPARTMENT RE: Permit # Q9E5 / 9/17/07 Inspection Affidavit / 7 ftV91() ,licensed as a(n) Contractor* /Engineer /Architect, (please print name and circ e Lic. Type) FS 468 Building Inspector* License #; e' c_ / ' z S S te $ On or about / — / — /L , I did personally inspect the roof (Date & time) deck nailing and/or seondary water barrier work at (Job Site Address) 6O, tp 19 Z 7 - /f5 1Z . Based upon that examination I have determined the installation was done according to the Hurricane Mi _ - : on Retrofit Manual (Based on 553.844 F.S.) ice ; e STATE OF FLORIDA COUNTY OF Sworn to and subscribed before me this ff day of . 200E o By Notary Public, State of Florida (Print, type or stamp name) / � p y -TERRY S yfr 6 Personally known ,. or r o y � * r� , Notary Public -State of Honda ,�, y . c My Commission Expires Apr 4, 2012 Produced Identification N�� o Commission # DD 740169 Type of identification produced. ', f , ' goner Through National Notary Assn. * General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the . deck for each inspection.