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10-10475
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10475 BUILDING PERMIT . Permit Number: 10475 Address: 5541 24TH 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: HAZEL HEIGHTS Est. Value: Parcel Number: 12- 26 -21- 0070 - 00000 -0060 Improv. Cost: 5,000.00 '" Date Issued: 5/14/2010 Name: MAXON, ROBERT A. Total Fees: 55.00 Address: 5541 24TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/14/2010 Phone: (813)417 -6274 Work Desc: RE -ROOF WITH SHINGLES •W14 - _ - • • F - ID NTIAL 55.00 (tQ-- oa' t . 4q cs a . ``, 3 =. a tW DRY IN'O•FINSP TAPE JOINTS R • OF INSP FINAL 101 (- ( 6 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." 6Cog--- TO '4 '174 X CONTRACTOR SIGNATURE PERMIT OFFI �R 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 � 2 • Date Received �� Phone Contact for Permitting t 3 7 ° ij� __ -- SW Owner's Name 4t ' . ' /12 A Owner Phone Numbe 03 '/7 "" 4 a_75/ Owner's Address ST! / O" CP /L' Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address tT C�/ // J174-1-71— / /f JOB ADDRESS V J S` a 7 r^� - /^' FV LOT # 6 SUBDIVISION //CZ 1! J 44,;(../i II.TJ PARCEL ID# / a- `Lai e`i 4.020 -006W- cO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED Vill INSTALL CONSTR I I REPAIR /ALT n SIGN 1] MOVE n DEMOLISH PROPOSED USE 71 SFR 1 I COMM n OTHER 1 I TYPE OF CONSTRUCTION I I BLOCK / 1 11 / �', FRAME y� 1] STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK f e `,d7' + ea t/ ,/ w a 2„ ;/7fr BUILDING SIZE SQ FOOTAGE 4 6 . 0 � I y HEIGHT lip BUILDING $ S 000 ' fl0 VALUATION OF TOTAL CONSTRUCTION i W 1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 W.R.E.C. I I PLUMBING $ PASCO PERMIT SERVICE (813) 788-5314 I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION FAX 1-866- 824 -7894 I GAS 1 I ROOFING 1 1 SPECIALTY 1 I OTHER ° q FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES nNO BUILDER COMPANY OW/Ca 4 SIGNATURE h REGISTERED I Y/ N I FEE CURRENT 1 YIN 1 Address I STY/ J 0--A41 6 N 3.4.54 License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y / N 1 Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address 1 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 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 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 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. 117.0) s �j� � ,, OWNER OR AGENT � j � "� ` "" / /, J y(/� CONTRACTOR C\�`F G a � - "V- 4 ) /L ubscribed and sw t4 or��mec _� a this / / S bscribed and sworn to (or affirmed) fore ethis / � 02.04by a �SG&i's 62.0/4 b J e /S VVh Is /are personally known to me or has/have produced o is /are personally known to me or has/have produced as identification. N otary Public Notary Public a OF C mmission ,OT ¢ c _. _ re Commission No. , 1 i,ARY PUBLIC STATE OF FLORIDA , Suzanne Bahr , 't Suzanne Bahr Name of Notary typed, R>i "' , � peckion #DD601110 Name of Notary typed prm i � � ! s $ ssion #DD601110 , ,os' Expires: NOV. 15, 2010 „• Expires: NOV 15, 2010 ] HRU ATLANTIC BONDING CO., , r DED THRU ATLANTIC BONDING CO., 1 1111111111111111111111111111111110111111111111111111111111 2010067998 it Rept:1305216 Rec: 10.00 DS: 0.00 IT: 0.00 05/14/10 C. Cook, Dpty Clerk PAULA 5. O'NEIL, PASCO CLERK & COMPTROLLER 05/14/10 11:0 am 1 of 1 OR BK 8332 PG 725 NOTICE OF COMMENCEMENT Permit No. Property Identification No. i -024 ` 70 d dtal—X&O 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. 1. Description of property (legal description AZ el A44r • Pe 6 e oil Lai- 6 OR. 1W7 PY- 73r a) Street Address: Ssy / r J 2. General description of improvements: 0 I caner Information Q ,, L .�'/ �^ �-/ y�,, b) Name and address of fee simple titleholder (if other than owner) r a) Name and address: /�--v 0 rs11- �/1 j► per ' ci • 71/ TT • �r� c) Interest in property 4. Contractor Information , �/���� i a) Name and address: 0(,l�/W` Ar �%O� • '/eXi-OP• b) Telephone No.: Fax No. (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 W A. COUNTY OF PASCO Signaturt/pf O eror Ow razed i Owner's Au zed 0 cer//Dtreector/Partner /Manager Print Name Tot foregoipg�trument was acknowledged before me this /3 day of 1015 , 20/0 , by ��� Al ) as (;)(.0 (type of authority, e.g. officer, trustee, attorney in fact) for c el+L (name of party on behalf of whom instrument was exe uted). 1 Personally Known (/OR Produced Identification Nmary Signature ,, Type of Identification Produced Name (print) J , 'e- 147 LlJ! f 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. STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A FORMS /NOC,rvsd TRUE AND CORRECT COPY OF THE DOCUMENT Signature of Natural Person Signing Above ON FILE OR OF PUBLIC RECORD IN THIS OFFICE NOTARY PUBLICSTATE CFFLORIDA JJITNES MY HAND A D OFFICIAL SEAL THIS " " "' , Stace Hartwig DAY OF 2 , �/t, ,;, I Commission #DD926164 PAU .• S. O'NEIL, LE OMPTROLLER - Expires: OCT. 16,2013 soNDID THRU Ar..q... nc BONDING co., INC. ' BY . _/L.4,../, ,1 ,J DEPUTY CLERK Apr 21 10 05:50p THIS FORM HAS BEEN APPROVED BY THE FLORIDA ASSOCIATION OF REALTORS' AND THE FLORIDA BAR "As Is" Contract For Sale And Purchase " AS Is FLORIDA A SOC V.TID\ = F. r;LIC) =,S AND THE "LC= :I A. 1* PARTIES: BANK UNITED FSB ( "Seller"), 2* and Robert A. and Cheryl L. Maxon, husband and wife ("Buyer"), 3 hereby agree that Seller shall sell and Buyer shell buy the following described Real Property and Personal Property (collectively "Property ") 4 pursuant to the terms and conditions of this Contract for Sale and Purchase and any riders and addenda ( "Contract "): 5 I. DESCRIPTION: 6* (a) Legal description of the Real Property located in Pasco County, Florida: HAZEL HTS Pa 6 PG 21 LOT 6 OR 8067 PG 735 8 (b) Street address, city, zip, of the Properly: 5541 24T3 ST ZEPHYRBILLS 33542 9 (c) Personal Property includes existing range(s), refrigerator(s), dishwasher(s), ceiling fan(s), light focture(s). and wrdowtreatment(s) unless 10 specifically excluded below. 11* Other items included are: 12* 13* items of Personal Property (and leased items, if any) excluded are: 14* 15* 11. PURCHASE PRICE (U.S. currency); . s 39,000.00 18 PAYMENT Aid bonalaoa I $11':f �Qr`y1! 17* (al Deposit held in escrow by Y ( "escrow Agent") in the amount o` (checks Subject to claara • 4,000.00 18" Escrow Agent's address: Phone: 19* (b) Additional escrow deposit to be made to Escrow Agent within days after Effective Date in the amount of $ 20* (c) Financing in he amount of ( "Loan Amount ") see Paragraph IV below 21* (d) Other $ 22 (e) Balance to close by cash, wire transfer or LOCALLY DRAWN cashier's or official bank check(s), subject 23* to adjustments or proration l $ �7 0100. 00 24 tit TIME FOR ACCEPTANCE OF OFFER AND COUNTEROFFERS; EFFECTIVE DATE: 25 (a) If this offer is not executed by and delivered to all parties OR FACT OF EXECUTION communicated in writi between the parties on or 26* before April 20, 2010 , the deposit(s) will, at Buyer's option, be returned and this offer withdrawn. Unless other - 27 wise stated, the time for acceptance of any counteroffers shalt be 2 days from the date the counteroffer is delivered. 28 (b) The date of Contract ( "Effective Date') will be the date when the last one of the Buyer and Seller has signed or initialed this offer or the 29 final counteroffer. If such date is not otherwise set forth in this Contract, then the "Effective Date" shall be the date determined above for 30 acceptance of this offer or, if applicable, the final counteroffer. 31 IV. FINANCING: 32* X(a) This is a cash transaction with no contingencies for financing; 33* 0 (b) This Contract is contingent on Buyer obtaining written loan commitment which confirms underwriting loan approval for a loan to purchase 34* the Property ("Loan Approval") within days (if blank, then 30 days) after Effective Date ( "Loan Approval Date") for (CHECK ONLY 35* ONE); 0 a fixed; 0 an adjustable; or O a fixed or adjustable rate loan, in the Loan Amotnt (See Paragraph II.(c)) at an initial interest rate not to 36* exceed %, and for a term of years. Buyer wit make application within days (if blank, then 5 days) after Effective Date. 37 BUYER: Buyer shall use reasonable diligence to: obtain Loan Approval; notify Seller in writing of receipt of Loan Approval by Loan Approval 38 Date; satisfy terms of the Loan Approval; and close the loan. Loan Approval which requires a condition related to the sale of other property shall 39 not be deemed Loan Approval for purposes of this subparagraph. Buyer shall pay all loan expenses. Buyer authorizes the mortgage broke -(s) and 40 lender(s) to disdose information regarding the conditions, status, and progress of loan application and Loan Approval to Seller, Seller's attorney, 41 real estate licensee(s), and Closing Agent. 42 SELLER: If Buyer does not delver to Seller written notice of Loan Approval by Loan Approval Date, Seller may thereafter cancel this Contract by 43 delivereg written notice ( "Seller's Cancellation Notice") to Buyer, but not later than seven (7) days prior to Closing. Seller's Cancellation Notice shall 44 notify Buyer that Buyer has three (3) days to deliver to Seller written notice waiving this Financing contingency, or the Contract shall be cancelled. 45 DEPOSIT(S) (for purposes of this Financing Paragraph IV(b) only): If Buyer has used reasonable diligence but does not obtain Loan Approve! 46 by Loan Approval Date, and thereafter ether party elects to cancel this Contract, the deposit(s) shall be returned to Buyer. If Buyer obtains Loan 47 Approval or waives this Financing contingency, and thereafter the Contract does not close, then the deposit(s) shall be paid to Seller; provided how - 48 eve, if the failure to close is due to: (i) Seller's failure or refusal to Jose or Seller otherwise faits to meet the terms of the Contract, or () Buyer's lender 49 fails to receive and approve an appraisal of the Property in an amount suffident to meet the terms of the Loan Approval, then the deposit(s) shall be 50 returned to Buyer. 51 * O (c) Assumption of existing mortgage (see rider for terms); or 52* O (d) Purchase money note and mortgage to Seller (see "As Is" Standards 13 and K and riders; addenda; or special clauses for terms). 53" V. TITLE EVIDENCE: At least — days (if blank, then 5 days) before Closing a title insurance commitment with legible copies of instruments listed as 54 exceptions attached thereto ( "Title Commitment ") and, after Closing, an owner's policy of title insurance (see Standard A for terms) shall be obtained by: 55* (CHECK ONLY ONE): X(1) Seller, at Sellers expense and delivered to Buyer or Buyer's attorney; or 56* Q (2) Buyer at Buyer's expense. 57* (CHECK HERE): ❑ If an abstract of title is to be furnished instead of title insurance, and attach rider for terms. 58' VI. CLOSING DATE: 'This transaction shall be dosed and the closing documents delivered on or before 5/12/2010 ("Closing"), unless 59 modified by other provisions of this Contract. In the event of extreme weather or other conditions or events constituting "force rrajeure ", Closing will be 60 extended a reasonable time until () restoration of utiibes and other services essential to Closing, and (l) availability of Hazard. Wind, Flood, or Homeowners' 61 * insurance. If such conditions continue more than - days (i blank, then 14 days) beyond Closing Date, then either party may cancel this Contract. FAPJBAR ASIS -2x Rev. 2/08 CO 2008 Florida Association of REALTORS' and The Florida Bar At Rights Reserved Page 1 of 5 , �,n / � , r� This software is licensed to [ROXANR TANNER - COLDWELL BANKER. PENCY OWENS RE) www.transactiondesk.com. r)fIfl$ (� Subject to Sellers Addendum %�� • DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, /aQLQij,J 4. /„ ee-xem have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one- family or two - family residence or a farm outbuilding. You may also build or improve a commercial building, provided. your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a .building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regula ions. 40(44/4A 1 OWNER'S SIGNATURE I / • DATE S -- A1 - 1° ADDRESS I e 11 PHONE WITNESS J c^--. 114/1-14)6 PERMIT # Rehidri. .9 /ylL-xLn Name S,3"'Y1 62- J AddizT ' ' __" l / .._ cu3J - To Whom It May Concern, Please be advised that: Stacie Hartwig and Sharon Reeves of Pasco Permit Service have my permission until further written notice to act as my agent to sign and pick up permits. Sincerely, l,a��[/(/I A. /fu Si natu r g 3 -/3 —/8 Date NOTARY STATE OF FLORIDA, COUNTY OF PASCO The foregoing instrument was sworn to and subscribed before me this / 0 day of /lily , 620/t Personally known / or Produced identification NOTARY PUBI IC STATE OF FLORIDA '''''' Suzanne Bahr Commission # DD601110 Pauires: NO 15, 2010 BONDED TIT 6_, :11 ' ANTIC BONDING CO., INC - 1 C ommissioned Stamp otary S' .. • ture and Expiration Date Florida Building Code Online Page 1 of 2 FLORIDA OZPARTMENT Community Affairs I BCIS Home Log In I User Registration Hot Topics i Submit Surcharge Stats & Facts Publications FBC Staff BC: 1 i lk 4iz Product Approval USER Public User Community 1 Affairs Product Approval Menu > Product or Application Search > Application List > Application Detail '""" TM AM""* FL • FL10124 -R1 ' a KoMM tY Application Type Revision ∎F7 Cj[NCY Code Version 2007 MANAGEMENT t�,E Application Status Approved 2 "*�" Comments Archived Product Manufacturer GAF Materials Corporation Address /Phone /Email 1361 Alps Road Wayne, N] 07470 (973) 872-4421 bmcsorley @gaf.com Authorized Signature Beth McSorley bmcsorley @gaf.com Technical Representative Beth McSarley Address /Phone /Email 1361 Alps Road - Bldg 11 -1 Wayne, NJ 07470 (973) 872-4421 BMcSorley @gaf.com Quality Assurance Representative Address /Phone /Email Category Roofing Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Ard Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Robert Nieminen the Evaluation Report Florida License PE -59166 Quality Assurance Entity Underwriters Laboratories Inc. Quality Assurance Contract Expiration Date 12/01/2011 Validated By John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL10124 R1 COI Trinity ERD Certificaiton of In Referenced Standard and Year (of Standard) Standard ASTM D3161 (Class F) ASTM D3462 http: / /www.floridabuilding. org /pr /pr_ app_ dtl .aspx ?param= wGEVXQwtDquracBeV CbdMQ... 5/8/2009 Florida Building Code Online Page 2 of 2 ASTM D6381 (Class H) ASTM D7158 (Class H) UL2390 (Class H) Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 10/16/2008 Date Validated 12/16/2008 Date Pending FBC Approval 12/10/2008 Date Approved 12/18/2008 Summary of Products FL # Model, Number or Name (Description 10124.1 'GAF -ELK Asphalt Roof Shingles Fiberglass reinforced 3 -tab, laminated 'asphalt shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL10124 R1 II er121108FINAL GAF Approved for use outside HVHZ: Yes Shingles.pdf Impact Resistant: N/A Verified By: Robert Nieminen PE -591i Design Pressure: N/A Created by Independent Third Party: Other: Refer to ER, Section 5. tEvaluation Reports FL10124 R1 AE er121108FINAL GA Shingles.pdf Created by Independent Third Party: Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: RE .60 Bob http:// www. floridabuilding .org /pr /pr_app_dtl.aspx ?param= wGEVXQwtDquracB eV CbdMQ... 5/8/2009 TM 71MBERLINEPRESTIQUE 71MBERLINEfr GH OEFI NI TION SHINGLES on os FJNITro N'8 ralELKI 7JMBERuN E P a 71MBERLINE 'DEFINETION SHINGLES. APPLICATION INSTRUCTIONS English Four Nail Pattern English Size 30inyle: 12,363/8• (305, 924mm) Six Nail Pattern 1.1•- 16.1336-403mm1 1r- 1rpss -un ml y Note: These shingles MUST be -gna-r g 1 2 ,rra 333,,1 Acceptable sn , 1z ,rya -3(311 .= r,,n mL " from bottom of shingles, not in or '� 31113- +eau• nailed a nominal 5 5/8" (143mm) r -„ " )I '""" 7 / 7 j1J -wrynl 3,7m p,m i above self seal, as shown. Nails T ( °° _ m I ' ._ f "yGY4' °• 1 � uurraeuF should remain unexposed. g �pp•_ ( 133- 6ml" I IEmml F i Plaun,6 up 43+ -112 edner.3 A,a*po.ana Waled .utl no tlme,Van v'Y bomW9e AAVnple. GENERAL INSTRUCTIONS • ROOF DECKS: Wood decks must be well - seasoned, (25mm) up from bottom of the shingle. Press shingle firmly into supported, and tightly- constructed with maximum 6" (152mm) the adhesive. For maximum wind resistance along rakes, install wide lumber, having adequate nail - holding capacity and a smooth GAF -Elk Starter Strip Shingles with GAF -Elk Dura -Grip sealant or surface. Plywood or OSB decking as recommended by APA -The cement shingles to underlayment and each other in a 4" (102mm) Engineered Wood Assn. is acceptable. Do not fasten shingles width of asphalt plastic cement. Caution: Apply ONLY a thin directly to insulation or insulated deck unless authorized in writing uniform layer of asphalt plastic cement less than 1/8" (3mm) thick. by GAF -Elk. Roof decks and existing surfacing material must be Excess amounts can cause blistering of the shingles and may dry prior to application of shingles. soften the asphalt in certain underlayments, including • UNDERLAYMENT: Underlayment beneath shingles has many StormGuard ®, Weather Watch and other GAF -Elk Leak Barriers, benefits, including preventing wind- driven rain from reaching the resulting in the asphalt flowing, dripping and staining. interior of the building and preventing sap in some wood decking • RELEASE FILM: The film strips on the back of each shingle from reacting with asphalt shingles.Underlayment is also required are to prevent sticking together of the shingles while in the bundle. by many code bodies and is required to maintain the UL Class A Their removal is NOT required during application. fire rating. Where an underlayment is to be installed, use • MANSARD AND STEEP SLOPE APPLICATIONS: For a breather -type underlayment such as GAF -Elk Shingle- Mate ® , roof slopes greater than 21" per foot (1750mm /m), shingle must be Leatherback or Deck - Armor' underlayment. hand sealed (DO NOT use on vertical side walls). See "Wind • FASTENERS: Use only zinc - coated steel or aluminum, 10 -12 Resistance /Hand Sealing" for the application of adhesive. gauge, barbed, deformed or smooth shank roofing nails with heads • SHINGLE TAB ADHESIVE: Use asphalt plastic cement 3/8" (10mm) to 7/16" (12mm) in diameter. Fasteners should be conforming to ASTM D4586 Type I or II. long enough to penetrate at least 3/4" (19mm) into wood decks or • THROUGH VENTILATION: All roof structures must be just through the plywood decks. Fasteners must be driven flush provided with through ventilation to prevent entrapment of with the surface of the shingle. Overdriving will damage the moisture -laden air behind roof sheathing. Proper ventilation is also shingle. Raised fasteners will interfere with the sealing of the necessary to prevent mold growth. Ventilation provisions must at shingles and can back out. least meet or exceed current F.H.A., H.U.D. or local code minimum • WIND RESISTANCE /HAND SEALING: These shingles have requirements. Note: Minimum net free ventilation area of 1 sq. foot a special thermal sealant that firmly bonds the shingles together per 150 sq. feet (1 sq. meter per 150 sq. meters) of ceiling area is after application when exposed to sun and warm temperatures. required. When vents are located at the eaves and near the roof's Shingles installed in Fall or Winter may not seal until the following peak (balanced) for maximum air flow, ventilation may be reduced Spring. If shingles are damaged by winds before sealing or are not to 1 sq. foot per 300 sq. feet (1 sq. meter per 300 sq. meters). exposed to adequate surface temperatures, or if the self - sealant • NON - CORRODING METAL DRIP EDGES: Recommended gets dirty, the shingles may never seal. Failure to seal under these along rake and eave edges on all decks, especially plywood decks. circumstances results from the nature of self - sealing shingles and • EXPOSED METAL: All exposed metal surfaces (flashing, is not a manufacturing defect. To insure immediate sealing, apply 4 vents, etc.) should be painted with matching GAF -Elk roof quarter -sized dabs of shingle tab adhesive on the back of the accessory paint. shingle 1" (25mm) and 13" (330mm) in from each side and 1" 1 Underlayment: Standard Slope -4/12 (333mm /m) or more 1a Underlayment: Low Slope 2/12 -4/12 (167mm-333mm/m) Application of underlayment: Cover deck with one layer of underlayment installed Application of underlayment and eave flashing: Completely cover the deck w two without wrinkles. Use only enough nails to hold underlayment in place until covered by layers of underlayment as shown. Use only enough nails to hold underlayment in place shingles. Application of eave flashing: Install eave flashing such as GAF -Elk Weather until covered by shingles. Use blind nailing for eave flashings. At eaves and where ice Watch', StormGuard°, or other GAF -Elk Leak Barrier in localities where leaks may be caused dams can be expected, use one layer of GAF Weather Watch', StormGuard' or other by water backing up behind ice or debris darns. Eave flashing must not overhang the eave GAF -Elk Leak Barrier. Eave flashing must not overhang the roof eave edge by more edge by more than 1/4" (6mm) and extend 24" (610mm) beyond the inside wall line. than 1/4" (6mm) and extend 24" (610mm) beyond the inside wall line. Where ice dams or debris dams are not expected, install 2 plies of Shingle -Mate° underlayment. 4" (102mmr Weather Watch•, StormGuard 2" to 4" h� 12" (305mm) Deck or other GAF -Elk Leak Barrier (51mm to 102mm) / 12" (305mm) / �jj Weather Watch°, StormGuard Minimum Slope. ::::: � 3y pm �9 wide Shingle- Male a . �,yn\ 1 ShinglaMate•or r or other GAF -Elk underlayment \ t o . a other 874e- Elk underla \ i v / Up to 1 /4'(6mm) roof overhang � \ ' " 'fie :� � � •• Wsheets `. ,s. -� 2" (51 mm) side lap Rake drip edge ,as to (( 8 m) \ double coverage. Along rake. place drip etl on top �s i of underla 4" (102mm) end lap Up to1 /4" (6mm) roof overhang Eave drip edge Along eave, put underlayment on top of metal drip edge Z Starter Course First Course Apply as shown. Note: GAF -Elk starter strips with sealant are recommended at the 3 Start and continue with full shingles laid flush with the starter course. Shingles may be laid eaves and rakes for best performance and required for the best limited wind warranties from left to right or right to left. DO NOT lay shingles straight up the roof (racking) since this on certain products (see limited warranty for details). procedure can cause an incorrect color blend on the roof and may damage the shingles. Place shingles dose together Start al either rake and lay In either dlredion but don't crowd Continue with full- length Non-corroding trimmed shingles Starter Course Metal a 0' 1 J p Continue \ Place shingle 114' 3l4' ` I se - ' (6 19mm) over eave . with whole For maximum wind resistance along rakes cement any �. 41., G^ and eke etlrid s \� . first course Shingles GAF -Elk starter strip containing sealant or cement gip• 1p pro de p edge. First Course shingles to underlayment and each other in a 4' li/e If not using a pre -cut (102mm) width of asphalt plastic cement ! \" starter strip, trim tabs off / all course shingles, then place and nail as ` t Start first course with whole shingle Trim 6" (152mm) to 7' (178mm) from end of firs) shingle then placed 1/4" -314" ( &19mm) over eave to 102mmm) ) from eave 02, f o' ( and rake edges to provide drip edge to 1ave 4 Second Course Course Start and continue second course as shown. Trim 6" (152mm) from the end of the 5 Trim 11" (279mm) from the first shingle in the course; then continue with full shingles shingle. Position the shingles in the second and subsequent courses flush with the tops across the roof. Strike a chalk line about every 6 courses to check parallel alignment of the wide cut -outs. This results in a 5" (127mm) exposure. Continue with full width with eaves. NOTE: Shingles may be laid from either left or right -hand side. shingles across the roof. me � rnird course • ® `� . Second Course \� . R\ ` •.. • r First Course Trimmed Shingles 14, . Trim Shingles 6' (152mm) s Fourth Course and Remaining Courses ' Hip and Ridge Trim 17" (432mm) from first shingle in the course, then continue with full shingles Install GAF -Elk Timbertee, Z °Ridge, Seal -A- Ridge", or Ridglass` hip and ridge shingles across the roof. Fifth and subsequent courses; repeat Steps 3 through 6. (check regional availability).Follow the application instructions shown on the hip and ridge wrapper. Fifth Course Full Shingle :i::: ow '' ia ��. i T °:'mom ,' ;.:.. e.:-- 0 s: ' p ol mi\ . ,) e • 1.1"' ' � , '. �Sti '1�6 8 Wall Flashing Sheathing —o-- -t— Siding 5" (127mm) Minimum Metal Flashing (Nailed to the deck, not to vertical side wall) • i Cap shingle – Do Not Nail. Install with asphalt plastic cement A Asphalt Plastic Cement /.•� f— Shingle Roof Deck —► 9 Chimney Flashing Non - corroding metal counter Cricket on flashing to extend down over high side of base flashing � , chimney : . 1 ch Non- corroding metal base Flashing. One piece step flashing for ea course. Cement in place and nail with 2 nails. .� :' / % r , Bond overlying shingles in asphalt plastic cement i A V' ,/ ew . . , -„,- • ii", 4 w -- '' ' ' • *■• .■ *4 • • 0 4■ • V 40* 10 Valley Construction - Closed or . Woven Valley Center a full 36" (914mm) width of Weather Center full width rot No fasteners within 6" (152mm) of center line Watch °, StormGuard° or other GAF - Elk Leak of Weather Watch ®, StormGuarde Barrier over entire valley length to seal the or other GAF -Elk Leak Barrier Valley center line Extra fastener in valley. Lay Shingle or other GAF - Elk [6" (152mm) end laps] in valley. _ of shingle underlayment into the valley and overlapping f the Leak Barrier a minimum of 6" (152mm). - Design the valley for water flow over the trimmed shingle by installing the valley Clipped corner set in beginning with the roof plane that has the lower asphalt plastic cement slope or lesser height. Extend the bottom shingles 12" (305mm) past the valley center line. Use normal shingle fastening methods (no ��, fasteners within 6" (152mm) of valley center line, two nails at the shingle's end). Continue to • la y Run starter strip and the top of the valley in the same manner. Trim first shingle course shingles 2" (51mm) back from valley center line '. I ..� �: .� 1.. � ♦ only across valley. on top roof plane. Clip shingle comers after the ., . . �.. 12^ (3o5mm) minimum Install underlayment i cut to keep water flow n the valley center. Seal ( ) y .� . .. . • P the voile us l roof cement; seal the 6" 152mm over valley using p leak barrier ....:..: . . " . 4 *r4 valley shingles l each other for the best protection. (Note: Excess cement can cause : , . : •�. �:: .. :� shingle blisters). Shingles trimmed 2" (51 mm) back from valley center line II Valley C onstruction —Open Cut Center full width roll Center a f ull 36" width of Weather Watch of WeatherWatche, StormGuard or other GAF -Elk Leak Barrier StormGuard°orother over entire valley length to seal the valley. Lay GAF - ELK Leak Barrier Shingle-Mate' or other GAF -Elk underlayment r in valley ) end laps] into the valley and overlapping the leak barrier y a minimum of 6 ". Center valley metal using 20" Cement 12" (305mm) _ _ Crop top comers (508mm) wide aluminum, galvanized steel, metal laps with asphalt of shingles at copper, or other non - corroding, non - staining plastic cement valley as shown metals (24 gauge minimum). Embed the metal laps in asphalt plastic cement a minimum of 12" (305mm). Nail the metal on the edges so Embed shingles in the nail heads hold it in place. Do not puncture Center metal in valley asphalt plastic the metal. Nailing through the metal may cause a cement in valley leaking and buckling due to movement. Install shingles to the valley, covering the metal 4" I Top of valley 6" (152mm) (102mm) minimum on each side to seal. Clip wi denshmgles. the top corners to keep water flow toward the Sp betwee 1/9 (tOmm /m) valley center. Taper the valley shingles to per foot toward eaves. • handle increasing water volume. Start at 6" • (152mm) wide at the valley top, widen 1/8" 11 I • • . '� . Shingles should extend (3mmt per chalk 111111111111111/ v .,.. min. 4 over metal at eaves. lines to ensure shingles properly in ce Embed ts tee shingle div die hinead ends plastic . e cement water l to seal the shingles and s ll the metal a and *Now: Excess c o ca .. blisters. cem ienu cement can n under cause m cause shingle 1 blisters. \` Precautionary Notes These shingles are fiberglass, self - sealing asphalt shingles. Because of the natural characteristics of the high quality waterproofing material used, these shingles will be stiff in cold weather and flexible in hot weather. 1. These shingles are particularly tough, heavyweight shingles with a definitely rugged - looking appearance. They require additional effort to trim to fit on the roof. Curved blade utility knives are more effective than straight blade utility knives in cutting these shingles. Using a circular saw equipped with carbide- tipped blades is also effective. 2. Regardless of the tool used, always wear proper protective wear, i.e. gloves, eye protection, etc; follow all protection procedures and use tools carefully to prevent personal injury when working with these heavier products. 3. Do not drop bundles on edge or on other bundles to separate shingles. Do not load bundles across a hip or ridge. Do not bend bundles over shoulder for carrying. Premium weight may cause cracks at sharp bend points. 4. Handle carefully. Shingles can easily be broken in cold weather or their edges damaged in hot weather. 5. Store on flat surface, in a covered, ventilated area — maximum temperature 110 °F (43 °C). Do not store near steam pipes, radiators, etc., or in sunlight. 6. GAF -Elk does not recommend long -term storage of double stacked pallets. If double stacking is required for short periods, slip sheets of 1/2" (13mm) plywood cut to the pallet size are required between pallets to minimize damage. Long -term double stacked storage, especially in hot weather, can result in possible sticking, staining and distortion of the shingles in the lower layers of shingle bundles. 7. If shingles are to be applied during PROLONGED COLD periods or in areas where airborne dust or sand can be expected before sealing occurs, the shingles MUST be hand sealed. See "Wind Resistance /Hand Sealing" instructions. IMPORTANT: Repair leaks promptly to avoid adverse effects, including mold growth. Re- Roofing If old asphalt shingles are to remain in place, nail down or cut away all loose, curled or lifted shingles; replace with new; and just before applying the new roofing, sweep the surface clean of all loose debris. Since any irregularities may show through the new shingles, be sure the underlying shingles provide a smooth surface. Fasteners must be long enough to penetrate the wood deck at least 3/4" (19mm) or just through plywood. Follow above instructions for application. Note: Shingles can be applied over wood shingles if the surface can be made smooth enough. This may include cutting back old shingles at eaves and rakes, installing new wood edging strips as needed, and the use of beveled wood strips. Install #30 underlayment to maintain Class A rating. For more information, visit our website at www.gaf.com or call Technical Services at 1- 800 -ROOF -411. This product is sold with an express LIMITED WARRANTY only. A copy of the LIMITED WARRANTY stating its terms and restrictions is printed on the product wrapper or may be obtained from the distributor of this product or directly from GAF -Elk Corporation. Any deviation from printed instructions shall be the responsibility of applicator and /or specifier. ©2007 GAF -Elk Corporation Building Schematic - Pasco Co. Property Appraiser Page 1 of 1 Double -Click on the schematic first, then click on the action button below Original drawing Zoom In Zoom Out Pan W14 BAS =159 S16 W23 W10 N29 W10 FE P =2301 S10 S10 S13 N13 W23 / S24 tE -400P N21 N24 E30 • FOP =1 E 17 S3 W E22 UCA =170 S10 N10 E17 http: / /www. appraiser. pascogov. com / search / traverse /showtray.asp ?traverse = BAS %3dW 14... 5/14/2010 CITY OF / / / / BUILDIND ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT # r5---/ 29 il SJ 7`z 1'- /D (04 THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. 1\ R q 6 S; Z . 5 ,) liali. slut. (i be 1, i A fool w t' I V tvi. , e ta.' /-)r a Re) [Iilrt v CF P('cLt co 1 It l4 wii-te ('STh D S 1 ?Y WI'd .Q . 'ji ✓! t iqi , ca4� Q q° At/1) ✓'1 0 F �' Poop C ,oe.N .,,1" I/1 s i(to Dv of -1-ke d f;,o pi,, F1q ,� 3 Oh' ,,.„ , tour ' _r f i . w 'VI ..e) 5x It is unlawful for any Carpenter, Contra or, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780 -0020 FOR RE -IN PE or other material, until the proper inspector has had ample time to approve • the installation. OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR