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Home My WebLink About11-11533 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (si3)�so-oo20 11533 � BUILDING PERMIT Permit Number: 11533 Address: 38192 MEDICAL CENTER AV 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: 35-25-21-0070-00000-0053 Improv. Cost: 4,700.00 Date Issued: 2/22/2011 Name: MANOHAR, RAJNISH & PRIYA Total Fees: 90.00 Address: 313 FERN CLIFF AVE Amount Paid: 90.00 TEMPLE TERRACE FL 33617 Date Paid: 2/22/2011 Phone: Work Desc: REROOF W/ TPO WHITE RUBBER C� ,/ � `(/ " T�' G� �� TAPE JOINTS ROOF INSP FINAL tZ'L�"L� 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 t) 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 couniy, 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ^�y�� "� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�saso City ot Lephyrhills Nermit Appllcation rax Building Department ,,,/� j/s"'2 7,. f�f" l J Date Recefved - � Phone Contact for Permittin - -� �� Owner's Name � D� I.S h I^/l � v1 c(/t Gi ✓ Owner Phone Number Owner's Address � 1 3 �� v+� C(� fi{ �✓.2 �� r� vf `�' Owner Phone Number Fee Simpie Titleholder Name �— Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS I/ L �t C' L� V �tv� LOT # � SUBDIVISION , PARCEL ID# ��ZS - (jU�O "OUi�b - pp ` - �j (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B New coNSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK �-t= U � O,/� N� �} , - � - '1,� �� ~ 1 �(,� �„�►� � � �h (AZy �e ",� � H` / y BUILDING SIZE � � SQ FOOTAGE �� HEIGHT QBUILDING $/ J�L1 �J v iJ VALUATION OF TOTAL CONSTRUCTION G% QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/ N Address ' License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # � —� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � Address Llcense # �— � MECHANICAL COMPANY SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/ N Address Ucense # SIGNATURE �/ I�ly .. � COMPANY t � ' f'!C. � �z j ` � '` " REGISTERED Y/ N FEE CURRE� Y/ N Address �L� �� ^X �� S� ``� i� I� e l.tcense #�� V S 7%,s � 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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, SaNtarv Facilities 8 1 dumnstpr• ctto w�.� ao�.,,�t s,,. �,��„a:.,��,,..��.._,.,. .._.�,.,,... �`�� , �� <r 3�' ,� ri c i Rl � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS , � . � �ontr_act�-Iomeowner: __ - —(i?I Date Received: � � /�� ) Site: / � L L � . ' �I�C Permit Type: � L� � ./�,/��% �",' ��E- �y.,S�� • Approved w/no comments: Approved w/the below comments: ❑ Demed w the below comments: ❑ This comment sheet shall be kept with the peimit and/or plans. � � / �1 Kalvin itz — Examiner Date Contractor and/or Homeowner (Required when comments are present) Florida Building Code Online Page 1 of 3 =F - . � �a _ �' BCIS Home Log In User Registration Hot Topics ' Submit Surcharge � Stats & Facts � Publicati� � Product Approval � �� USER: Public User • ` Product Ap�roval Menu > Product or Appllcation Search > A�_p_l�cation_Ust > Ap lication Detail �� t FL # FL1601-R5 Application Type Affirmation , R , . � � ° Code Version 2007 ��W�� APPlication Status APProved Comments REVIEW DATE ��- l� � �► Archived CITY OF ZEPHYRHlLI_S _, PLANS EXAMINER�__� Product Manufacturer Carlisle SynTec Address/Phone/Email 1285 Ritner Hi� P.O. Box 7000 Carlisle, PA 17i (717)245-700 ALLWORKSHALLC4MPLYWITHALI. malpezzi@synt PREVAILING CODES, FLORIDABUII.DING Authorized Signature CODE,NATIONALELECTRICCODEAND �oe Mal ez CITY OF ZEPHYRHILLS ORDINANCES P z� malpezzi@synt Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Single Ply Roof Compliance Method Certification M� Certification Agency FM Approvals - Validated By http://www.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDqtFPmdYiNDWr... 2/17/2011 Flarida Building Code Online Page 2 of 3 Referenced Standard and Year (of Standard) Standard FM 4470 Equivalence of Product Standards Certified By � �=i��rr� ;t1�E c�--,-:,a , R Vi!y U(UtIU�.i� ,� �i�lir7�nia C��dr. Documentation from approved Evaluation or Validation Entity .,,�,,, ,�;,� Product Approval Method Method 1 Optic Date Submitted 02/14/2008 Date Validated 02/14/2008 Date Pending FBC Approval Date Approved 03/20/2008 Summary of Products FL # Model, Number or Name Description 1601.1 Sure-Seal, Sure-Weld, Sure- EPDM, TPO and P\ White and Sure-Flex Limits of Use Certification AgE Approved for use in HVHZ: Yes FL1601 R5 C C� Approved for use outside HVHZ: Yes Quality Assuran� Impact Resistant: Yes Design Pressure: +495/-495 Installation Inst Other: Maximum uplift pressure of 495 psf for Sure- FL1601 R5 II 2( Seal, Sure-Weld and Sure-White. Maximum uplift FL1��1 R5 ii 2( pressure of 330 psf for Sure-Flex. Safety Factor of 2 FL1601 R5 II At used to calculate uplift pressures. FL1601_R5_II _At FL1601 R5 II Cc FL1601 R5 II FE FL1601 R5 II FE FL1601 R5 II Hc FL1601 R5 II MI http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param�vGEVXQwtDqtFPmdYiND Wr... 2/ 17/2011 Flc�rida Building Code Online Page 3 of 3 � FL1601 R5 II S1 FL1601 RS II S1 FL1b01 R5 II SI � FL1601_R5_II_S1 � Verified By: FM A Created by Indep Evaluation Repo Created by Indep Back Next � Department of Community Affairs F/orida 8ul/dinp Code Online Codes and Standa�ds 2555 Shumard Oak Boulevard Tallahassee, Florida 32399-2100 (850) 487-1824, Fax (850) 414-8436 OO 2000-2010 The State of Florida. All rights reserv� Privacv Statement � Copvright Statement � Accessibility Statement � Plug-in Software � Product Approval Accepts: � � � � Sf�L.'U17LVM kTNiCS' v.r�s�oe � - . i Tr�st�d � vER��r � http://www.floridabuilding.org/pr/pr app_dtl.aspx?param�vGEVXQwtDqtFPmdYiNDWr... 2/17/2011 CARLISLE'S V�� L .� GUIDE-SPEC MECHANICALLY-FASTENED ROOFING SYSTEM December, 2004 This GUIDE-SPEC is a brief outline of Carlisle's Sure- F1exT"' Mechanically-Fastened Roofing System requirements and A. To ensure compliance with Carlisle's warranty requirements, is intended for use as a submittal with a bid package. Specifiers the following projects should be forwarded to Carlisle for and the Carlisle Authorized Roofing Applicator must comply with review prior to installation, preferably prior to bid. our Sure-Flex Specification prior to design or bid. 1. Projects with fasteners specified to exceed 12". PART1 GENERAL 2. Air pressurized buildings, canopies and buildings with 1.01 DESCRIPTION lazge openings where the total wall opening exceeds 10% of the total wall area where openings aze located. The Sure-FIexTM Mechanically-Fastened Roofing System incorporates Sure-Flex Polyvinyl Chloride (PVC) membrane, 3 Cold storage buildings and freezer facilities. available in 81" wide field sheets and 40.5" perimeter sheets. All sheets are mechanically fastened over an approved 4. Projects where the membrane is expected to come in insulation/underlayment to an acceptable roof deck with the direct contact with petroleum-based products or other appropriate Carlisle Fasteners and Fastening Plates. The chemicals. membrane is available in white, tan or gray and in thicknesses of 50-mil (100' long), 60-mil (80' long) or 80-mil (65' long). B. Along with the project submittals (shop drawings and Adjoining sheets of Sure-Flex membrane are overlapped and Request for Warranty), the roofing contractor must include joined together with a minimum 1-1/2 inch wide heat weld. pullout tests when the pullout values are less than the Sure- Membrane fastening requirements aze outlined in "Attachment II" Flex Specification requirements. in Carlisle's Sure-Flex Specification. C. For all projects (prior to proj ect inspection by Carlisle) a final Notes: Projects utilizing 50- or 60-mil membrane are eligible shop drawing must be approved by Cazlisle. for a ma�cimum 10-year System Warranty or 15-year Total System Warranty When a 20-year Total System 1.04 PRODUCT DELIVERY, STORAGE AND NANDLING Warranty is required, 80-mil membrane must be used. A. Deliver materials to the job site in the original, unopened 1.02 QUALITY ASSURANCE containers labeled with the manufacturer's name, brand name and installation instructions. A. This roofing system must be installed by a Carlisle Authorized Roofing Applicator in compliance with shop B Store Sure-Flex membrane on provided pallets in the original drawings as approved by Carlisle. There must be no undisturbed plastic wrap. deviations made without the PRIOR WRITTEN APPROVAL of Carlisle. C. Job site storage temperatures in excess of 90°F inay affect shelf life of curable materials (i.e., adhesives and sealants). B. Upon completion of the installation, an inspection will be conducted by a Field Service Representative of Carlisle to D When liquid adhesives and sealants are exposed to lower ascertain that the membrane roofing system has been installed temperatures, restore to a minimum of 60°F before use. according to Carlisle's published specifications and details applicable at the time of bid. E. Do not store adhesive containers with opened lids due to the loss of solvent which will occur from flash off. C. This roofing system meets Underwriters Laboratories (ITL) and Factory Mutual (FM) requirements. For specific code F. Insulation and underlayment must be stored so it is kept dry approvals achieved with this roofing system, refer to the and is protected from the elements. Store insulation on a skid Sure-Flex Code Approval Guide, Factory Mutual Approval and completely cover with a breathable material such as tarp Guide or Underwriters Fire Resistance and Roofing Materials or canvas. If insulation is lightweight, it should be weighted and Systems Directories. to prevent possible wind damage � • � 1.05 JOB CONDITIONS � 1.03 SUBMITTALS A. This system must not be �M� �Tec Incorpora�d 602125 1 Sure-Flex "MF" Guide - 12/2004 applied on projects where the slope exceeds 18" in one the specifier and accepted by Carlisle, is not the responsibility of horizontal foot. When the roof slope exceeds 5" per Carlisle and is expressly disclaimed by the Carlisle Warranty. horizontal foot, use of an automatic welding machine may be more difficult. A hand held welder should be specified. 2.02 MEMBRANE B Existing roofing material must be investigated by the Sure-Flex white, gray or tan 50-mil (100' long), 60-mil (80' long) specifier and all wet material must be removed. or 80-mil (65' long) reinforced Polyvinyl Chloride (PVC) membrane is used for this system. Field membrane sheets are 81" C. Existing phenolic insulation and sprayed-in-place urethane wide. Perimeter sheets are 40.5" wide. For physical properties of roofs must be removed prior to installation of this system. the membrane, refer to page 4(Gray and tan colored membrane aze not standard stocking items and require a lead time). D. The use of a vapor retarder to protect insulation and reduce moisture accumulation within an insulated assembly should 2.03 RELATED MATERIALS be investigated by the specifier. Consult the publications by ASHRAE (American Society of Heating, Refrigerating and Sure-Flex Non-Reinforced or Reinforced Flashing, Bonding Air-Conditioning Engineers, Inc.) and NRCA (National Adhesive, Cut Edge Sealant, Water Cut-Off Mastic, PT-304 Roofing Contractors Association) for specific information. Sealant, PVC Membrane Cleaner, One-Part Pourable Sealer, Heat Weldable Walkway Pads, Pre-Molded Inside and Outside Corners, E. Coordination between trades is essential to avoid unnecessary Pipe Flashings and Sealant Pockets. traffic over sections of the roof and to prevent damage to the membrane roofing system. PART III EXECUTION 1.06 WARRANTY 3.01 GENERAL All warranties are available for commercial projects only A. When feasible, begin the application at the highest point of the highest roof level and work to the lowest point to prevent A. 10-year Membrane System or Total System Warranty is moisture infiltration and to minimize construction tr�c on available for a charge for projects that use 50-mil, 60-mil or completed sections. This will include completion of all 80-mil membrane. flashings, terminatioas and daily seals. B. A 15-year Total Roofing System Warranty is available for a B. Follow criteria outlined in the Sure-Flex Specification to charge for projects that use 50-mil, 60-mil or 80-mil prepare the roof deck or the existing substrate prior to the membrane. application of the new roofing system. Mechanically-Fastened Roofing Systems over cementitious 3.02 ROOF DECK CRITERIA wood fiber or gypsum decks, upon review, may receive a maacimum 15-year Total System Warranty when building A. Proper substrate shall be provided by the building owner height is not greater than 40' and a minimum of 3 perimeter The structure shall be sufficient to withstand normal sheets are utilized. construction loads and live loads. C. A 20-year Total System Warranty is available for a charge for B• Defects in the roof deck must be reported and documented to projects utilizing 80-mil thick Sure-Flex membrane and the specifier, general contractor and building owner for incorporaxing additional design enhancements as outlined in assessment. The Cazlisle Authorized Applicator shall not this specification. proceed with installation unless defects are corrected. Note• Total System Warranty projects require that only C. Acceptable decks and the applicable Carlisle Fasteners: materials from among those manufactured or marketed by Carlisle be specified and used to complete the 1 • Steel, 22 gauge or heavier - Carlisle HP-X roofing system. Some of the materials included are: Fasteners/Piranha Plates or HP-Xtra Fasteners/Piranha insulation, membrane, flashing, adhesives, sealants, Xtra Plates are required with a minimum pullout of 500 fasteners and plates and termination bars. Carlisle pounds per fastener. Edgings and Copings must also be specified when metal fascia systems are to be covered by the Carlisle 2• Lig6tweight Insulating Concrete over steel - Cazlisle W�ty HP-X Fasteners/Piranha Plates or HP-Xtra Fasteners/Piranha Xtra Plates are required with a D. Standard peak gust wind speed coverage is 55 mph (measured minimum pullout of 360 pounds per fastener (into steel 10 meters above ground). Greater wind speed coverage, up deck below the lightweight concrete). to 72 mph peak gusts, is available upon request. PART II PRODUCTS 3. Structural Concrete, rated 3,000 psi or greater — 2.01 GENERAL Carlisle CD-10 or HD 14-10 Fasteners (with Piranha Plates) aze required with a minimum pullout of 800 The components of this roofing system are to be products of pounds per fastener Cazlisle or accepted by Cazlisle as compatible. The installation, performance or integrity of products by others, when selected by 4 Wood Plank or minimum 15/32 thick Plywood - Carlisle HP-X Fasteners/Piranha Plates or HP-Xtra 602125 2 Sure-Flex "MF" Guide - 12/2004 Fasteners/Piranha Xtra Plates are required with a minimum pullout of 360 pounds. 2. Membrane sheets shall be mechanically fastened with , � the appropriate Carlisle Fastener/Fastening Plate spaced 5. Oriented Strand Board (OSB), minimum 7/16"thick; 6", 12" or 18" on center, depending on project criteria, The Carlisle HP-X Fasteners/Piranha Plates or HP-Xtra within the membrane splice. Refer to the Sure-Flex Fasteners/Piranha Xtra Plates aze required with a Specification for required number of perimeter minimum pullout of 300 pounds per fastener. membrane sheets and fastener spacing. 6. Cementitious Wood Fiber and Gypsum - The Carlis(e 3 Overlap adjacent membrane sheets approximately 5-1/2" HP-NTB Fastener is required with a minimum pullout of at those locations where Fastening Plates are located 300 pounds. (along length of the membrane) and a minimum of 2" at end roll sections (width of the membrane). 3.03 SUBSTRATE PREPARATION 4. Heat weld the membrane sheets a minimum of 1-1/2" A. On retrofit-recover projects, cut and remove wet insulation, with an Automatic Heat Welding Machine. as identified by specifier, and fill all voids with new insulation so it is relatively flush with existing surface. C. Additional Membrane Securement B. For ail projects, substrate must be even without noticeable The membrane must be secured at the perimeter of each roof high spots or depressions, and must be free of accumulated level, roof section, expansion joint, curb, skylight, interior water, ice or snow. wall, penthouse, etc., at any angle change which exceeds 2" in one horizontal foot and at all other penetrations in C. Clear the substrate of debris and foreign material. Fresh accordance with Cazlisle's Details published with Carlisle's bitumen based roof cement must be removed or concealed. Specifications. 3.04 INSTALLATION D Membrane Flashing Refer to the applicable Material Safety Data Sheets and Technical Flash all walls and curbs with Sure-Flex reinforced Data Bulletins for applicable cautions and wamings. membrane. Non-Reinforced membrane shall be limited to inside and outside comers, field fabricated pipe seals, A. Insulation Attachment scuppers and Sealant Pockets where the use of pre-molded accessories are not practical. Terminate the flashing in 1 Carlisle Insulation shall be mechanically fastened to the accordance with an appropriate Carlisie Tertnination Detail. roof deck as follows: E. Other Related Work a. For HP Recovery Board, Dens-Deck or minimum 1-1/2" thick Polyisocyanurate, a minimum of 5 1. Walkways are required for all traffic concentration fasteners and plates per 4' x 8' boazd aze required. points (i.e., roof hatches, access doors, rooftop ladders, etc.), regazdless of traffic frequency. Walkways are also b For Polyisocyanurate less than 1-1/2" thick or required if regular maintenance (once a month or more) Foamular or DOW Extruded Polystyrene, any is necessary to service roo8op equipment. Walkways thickness, a minimum of 6 fasteners and plates per are considered a maintenance item and are excluded 4' x 8' boazd aze required. from the Carlisle Warranty, Note: Sure-Flex PVC membrane cannot be a. Sure-Flex Heat Weldable Walkway Rolls are installed directly over extruded required when walkway pads are specified and aze polystyrene insulation. A layer of HP heat welded to the Sure-Flex Membrane. Protective Mat must be installed over the insulation prior to installing membrane b. When concrete pavers are used, they shall be loose (approved with white Sure-Flex laid and installed in conjunction with a slip sheet of membrane only). reinfocced membrane. Concrete pavers are not recommended when the roof slope is greater than c. Insulation boards 4' x 4', regardless of thickness, 2" per 1 horizontal foot. must be fastened at the minimum rate of 1 fastener and plate every 4 square feet. c. Carlisle InterlockingTM Rubber Pavers, 24" X 24" X 2", weighing approximately 6 pounds per square 2. Cazlisle Piranha Plates, Seam Fastening Plates (2" foot may be loose laid directly over the membrane. diameter) or Insulation Fastening Plates (3" diameter) Installation instruction sheets are available from may be used with appropriate Carlisle Fastener for Carlisle. insulation attachment. 2. Copings, counterflashing and ot6er metal work, not supplied by Carlisle, shall be fastened to prevent metal B Membrane Placement, Attachment and Heat Welding from pulling free or buckling and sealed to prevent moisture from entering the roofing system or building. 1. A minimum of two perimeter sheet shall be installed at edges of each roof level and 81" wide membrane shall Attach copies of the applicable Carlisle Details t6at pertain to be installed in the field of the roof. the ind'mdual project to complete a bid package submittal. 602125 3 Sure-Flex "MF" Guide - 12/2004 Membrane Ph sical Pro erties Property of Unaged Property After ASTM Physical Property Test Method Sh � D3045 aging 56 days 176° F Tolerance on Nominal Thickness, % ASTM D 751 t 10 Thickness over scrim, in. (mm) ASTM D 4434 50-mil & 60-mil Optical Method 0.016 (0.406) min. 80-mil av . of 3 areas 0.025 0.635 min. ASTM D 751 200 (35j min. 90% min. retention of Breaking Strength, Ibffin. (kN/m) (Grab Method) 300 (53) typical original breaking strength Elongation at Break of fabric, % D 751 15 min. 90% min. retention of 25 ical ori inal elon ation Tearing Strength, Ibf (N) 8 x 8 in. specimen ASTM D 751 45 (200) min. B-Ton ue Tear 100 445 t ical Low Temperature Bend, ASTM D 2136 -40 (-40) max. -50 -46 t ical Linear Dimensional Change (shrinkage), ASTM D 1204 +/- 0.5 max. After 6 hours at 176° F 80° C -0.3 ical Ozone resistance,100 hm, 168 hours ASTM D1149 No cracks Resistance to water absorption After 7 days immersion 158° F(70° C) ASTM D 570 3,0 max. Chan e in mass, % 2.0 typical Field seam strength Ibffin. (kN/m) ASTM D1876 z5 (4.4) min. Seam tested in eel after weldin 60 10.5 t ical Water vapor permeance, Perms ASTM E 96 0.10 max. 0.05 t 'cal Puncture resistance, Ibf (N) 250 (1110) min. (see supplemental section for additional puncture data FTM 101C 280 (1245) typical 50-mil Method 2031 320 (1423) typical 60-mil 3801690 ica180-mil Resistance to xenon-arc weathering ASTM G155 Xenon-Arc, 6300 kJ/m= total radiant exposure, visual condition 0.35 W/m' No aacks at 10X (ASTM D 4434 light & spray cycle) 63 ° C No crazing 5000 hours B.P.T, is black anel tem rature Copyright 2004 Carlisle SynTec Incorporated Carlisle, Sure-Flex, Interlocking are Trademarks of Carlisle SynTec Incorporated. Foamular is a Trademark of UC Industries, Inc. Cazlisle SynTec Incorporated, P O Box 7000, Carlisle, PA 17013-0295 Phone:800-479-6832 http://www.carlisle-syntec.com 602125 4 Sure-Flex "MF" Guide - 12/2004 � S�e� Proposal/Contract . sc�ztt z� �' • , ��c. � P.O. Box 1188 • 33010�� San Antonio, FL 33576 �ra��wee�l, �, (352) 588-R04F (76�3) • (813) 782-1330 �'s��G & Fax (352) 588-9763 ?,� www.scottblackmanroofing.com �°°�"'�� email: blackmanroofingC�aol.com Date �� v G(��G 457957 _ PRO POSAL SUBM(TfED TO WORKED TO BE PERFORMED AT � Name _�/r� ___�� r Street Street � C�� c 4 !�i f 5" /P✓d� C"tty — -- -- __ City _� ��l—G� Li� �� _ -- State _ Z�p State _� � _ _ Zip Owner of Property Phone Number _ _ Fax Phone Number__ _ F� We hereby propose to furnish ali the materials and perform all the iabor necessary for the compietion of: U Remove existing shingle roof Cl Replace bad fascia boards at $_ per foot J Remove existing buiit-up roof ❑ Replace t x decking at $ per foot U Dry-in with U i 5 ib. U 30 Ib. CJ Install feet of ridge vents J Dry-in with a fully adhered underlayment $ 0 Install modified bitimen (granulated) torch down roafing U Install new galvanized valley metal additional black, white or other color U Install new lead boots 0 fnstall 25 yr. fungus resistant 3-tab shingles t_l Install new exhaust vents ❑ Install 30 yr. fungus resistant dimensional shingles J Install new drip edge, _____ color color U Install new flashing as needed nstall TPO, white rubberized roofing membrane U Replace plywood at $ _ per sheet ❑ ther: �l Repair ratten trusses at $_ __ per foot ' � *Woodwork is an additional charge, see pricing above — All material is guarantsed to be as specified, and the above work is to be performed is accordance with the drawings and specifi- cations submitted for above work and completed in a substantial workmanlike manner for the sum of $_ y�j)�,7d �L� with payments to be made as follows: Pavment due in full on completion, un less otherwise noted. Thank You — -- ^._ Credit cards accepted, additional 2.8% charge. "Not responsible for satelite signal when sateiite is rei�stalled 'Not responsible for A/ & electrical lines too close to roof decking Any alteration or deviation from abov� specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. Alt agreements contingent upon strikes, accidents or delays — beyond our control. Owner to carry fire, tornado and other necessary insurance Officer/Agent Scott Blackman Roofing upo� above work. Workers' Compensation and Public Liability insurance an above Note: This pr osal may be withdrawn by us if not acceptec work to be taken out by Roofing Contractor Extreme caution should be used during and after constructfon for debNs and nails missed duNng Wtthlfl days. cleanu ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. I have read the back of this Proposal/Contract, which contains Florida Statues 713.Od1-713.37. Payment will be made as outlined above. Cl�nt gives permission to drive on driveway to deliver materials Accepted ` � nature � n.,r,. n ___.. .._ i iiiiii iiiii ii�ii iiiii iiiii iiiii iiiii iiiii iiiii iioi iiii iiii 2011024588 Rept:1351301 Rec: 10.00 D5: 0.00 IT: 0.00 02/16/11 K. Garcia, Dpty Clerk PRULA S 0'NEIL Ph D PRSCO CLERK & COMPTROLLER 02/16/11 01:17 m 1 of 1 OR BK 85 �4 PG 3��7 NOTICE OF CONIMENCEI�IENT Permit No Property Identification No 3s —�-- Z �-0 V O c,aov� - aaS'3 THE iTNllERSIGNED 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 thisN OTICE OF COMN�E�10E ENT. Pa s� � �CGII c c. q l►�'r Pc,n f v P TS � P t� Z N a�F z 7�� 1 Description of property (legal description :) p .� pv'N„ 3,S' 1 o'� �..p�` ,s t�2 S'�- f`�'� f J� � S� a a) Street Address. � 9�- M 't �. t.r�• F '{ p 2 General descnption of improvements v�v v� !/� O ,,, �..� 3 Owner Information . /� ��- ,s � � a) Name and address. � YI IS �„ Mo�we �a V s� �� 3�C IrN ��'1'f" /T�/C ��►'�'f/� ��CVl��ce� b) Name and address of fee simple titleholder (if other than owner) ,� lo j, c) Interest in property 4 Contractor I�formation a) Name and address tv�qc k�'''��►rt/la�n�s - j - �� 33�r �S�S� P� R�;clld'k n�,�h�� f�.3 � b)TelephoneNo 352-fS�-7(o(v?j FaxNo (Opt.) 35Z-S��b 3 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 Idenhty of person within the State of Florida designated by owner upon whom notices or other documents may be served a) Name and address: b) Tele}lhone No Fax No (Opt.) 8 In addition to himself, owner des:gnatcs the f�llc�.vir.g pNrson to receive :i 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: �NY PAYMENTS MADE BY THE OWNER AFTER TAE 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 fJN THE JOB 5ITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCE ENT. STATE OF FLORIDA /� �, � /Z � COUNTY OF PASCO �� / Signa re o wner or Owner's Authorized Officer/Director/PartnedManager �iJ�, /�'lichc�t�� Print Narhd - The foregoing instrument was acknowledged before me this ��day of C" � , 20�, by h I S�_ lM �1 h �` �'ik �� as D i.J "� t v (type of authorrty, e g. offic r, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). Personally Known �. OR Produced Identificat�on Notary Signature ��¢�--