HomeMy WebLinkAbout11-12196 � � - CITY OF ZEPHYRHILLS
5335 - 8TH STREET
' � (s13)�so-oo20 12196
BUILDING PERMIT
Permit Number: 12196 Address: 6132 HARRIET ST LOT 25
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Square Feet: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number: 03-26-21-0210-00000-0250
Improv. Cost: 3,986.00
Date Issued: Name: GOEN, BOB
Total Fees: 82.50 Address: 6132 HARRIET ST
Amount Paid: 82.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/03/2011 Phone: (813)783-3633
Work Desc: REROOF PLY MEMBRANE FOR MOBILE HOME
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TAPE JOINTS OOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when calied e) permit not posted on job site � 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
befo recording your notice of commenceme "
�
CONTRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Aug 02 11 04:53p Cosnfort Cover Systems (727) 298-0111 p.1
STATE OF FLORIDA
DgpARTMENT OF BUSINESS PROFESSIONAL REGULATTON
CQNSTRUCTION INDIISTRY LI SING H�ARD (650) 487-1395
.°'�..�. TALLAHASSSEMONROE 3TRFLT 2399-0783
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biAYS, R88FCCA J �
COI�ORT COV'LR SYSTEMS INC
73.1 TIIRNER ST
CLSARWATER FL 33756
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Congiatulations! With this license you become one aF the n �ly one miNion ,; "; .•,�-.-;
Floridians iicensed b ttte De rtment of Business and ional R ulation. '��. ; .' �3'
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Ou� professionals and businesses range from arc�iteds to ht brokers, from ��-'; _��_ ;1 �� - +� `���`��'�,-'�'�
boxers to bartseque restaurants, and they keep Florida's nomy sirong. -- =�`.��`-. "�' �. _ �' J ��'� � �'�"''``•`
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Eve da we worlc to improve the w we do business in or er to serve a� better. ?.. : . 3���•� -- - .� '
For IMorrnation about our senrices, Pl�se log arto wwwr. � o�idalicense.com. �: ;�., ' - - „a �A��
There ou can frnd more ir�formatiort about our divisions an the ulations thai ,�� �• �•� -�"�=' "'"'�' �'�
impact you, subscribe to department newsietters and learn ore a �bout the � t .. • ��y „ ���
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constantly strive to serve you better so that you can serve y ur customers. ' �� �'� •• �` u. �'. •^'�� �-• •''�' ";
Thank you for doing business in Ftorida, and congratulation on your new license! _ � •�' y ^f. . = _ _- � � • •_ ., �� ' '�;�
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Pasco County Parcel: 03-26: 21-0210-00000-0190 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, July 30, 2011
Parcel ID 03-26-21-0210-00000-0190 (Card: 001 of 001)
Classi�cation 02 - Mobile Homes
Mailing Address Property Value
GOENS ROBERT L& KATHRYN Ag Land $0
6132 HARRIET ST Land $7,200
ZEPHYRHILLS FL 33542-3274
Physical Address Building $5,498
Extra Features $125
�'t:y5 ,I AdC;r�4s fJiA
LeQai Description (First 4 Lines) Market Value �12,823
PINECREST MOBILE HOME PARK Assessed (NOn-School Amendment 1) $12,823
CO-OP OR 4767 PG 100 & Taxable Value �12,823
OR 4814 PG 662
LOT 19
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Tyrpe Price Condition Value
1 0200 MBL HM SUB OOM2 1.00 LT $7,200.00 1.00 $7,200
Additional Land Informa#ion
Acres 0.06 Tax Area 30ZH FEMA Code � Residential Code PNCSLPI
Building Informatio� - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1972 Stories 1.0
Exterior Wall 1 Pre-Finished Metal Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M) • •
Interior Wall i Plywood Panel Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Car�Set .
Fuel Electric Heat Forced Air - Ducted
A/C None Baths 2.(� .� r•�r e �
Line DeSCription Sq. Fe •� RepL Cost New
1 FCA 540 $2,175
2 BAS 672 $13, 534
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 A/C-1 � 1973 1 $33
2 UDU-M 1975 1 $92
Sales History
Previous Owner MESSNER WILLIAM S& MABEL L
Year Month Book/Page Type Amount
2009 09 �180; C19i� AL $14,000
2001 12 �£sLt� / i5ti NL r $0
2001 02 � 4567 t ?9,:� � ;��p $0
http://appraiser.pascogov.com/search/parcel.aspx?sec=03&twn=26&rng=21&sbb=0210&b1k=00000&lot=0190 8/1/2011
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a;. °,: �,���a�... r��a,., FL # FL2534-R4
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��'�'��� � Application Type Revision
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;_±+��: . Code Version 2007
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�:���t � ,� i; ;���; Application Status �Approved
� ' � � � Comments \
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Product Manufacturer IB Roof Systems
Address/Phone/Email 2877 Chad Dr
Eugene, OR 97408 L �wZ�H"P'I'L G
(972) 574-3551 � � �DpBU�'��
joelstanley@ibroof.com ALL�
Authorized Signature Joei Stanley Q�„ NATION��� �� �
�oeistanley@ibroof com � �F Z ' �i��}� � �
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Technical Representative Trace Stanley
Address/Phone/Email 2877 Chad Or � � • , ' ' • ' �
Eugene, OR 97408 �
(541) 242-28I1 . ' {�EVIEW DATE ����
tstanley@ibroof.com ��.,� d� �,�,pHYRM`L��
Quality Assurance Representative
PLAN� ��`�IN,�i� � �
Address/Phone/Email
Category Roofing
Subcategory Single Piy Roof Systems
Compliance Method Evaluation Report from a Ftorida Registered Architect or a Licensed
Fiorida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Robert Nieminen
developed the Evaluation Report
Florida License PE-59166
Quality Assurance Entity FM Approvals - QA
Quality Assurance Contract Expiration Date 03/O1/2012
Validated By )ohn W. Knezevich, PE
Validation Checklist - Hardcopy Received
Certificate of Independence ._ , -
ttn://www.fl�ridahtiilding �r¢/nr/nr a»r� �itl aanx�naram=w(;FVX(lwrtT�nv�uPi�x�RFXRvT-TFT(`WG,,,,,,TI�T-IR zii ni�nnQ
�iunua nuiiuui� �,uue vruine - rage .: or �
Referenced Standard and Year (of Standard) Standard Year
ASTM D4434 2004
CAN/CG58 37 54-95 1995
FM 4470 1992
Equivalence of Product Standards
Certified By
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 12/17/2008
Date Validated 12/23/2008
Date Pending FBC Approval 12/30/2008
Date Approved 02/03/2009
Summary of Products
FL # Model, Number or Name Description
2534.1 IB Single Ply Roof Systems Reinforced, polyvinyl chlonde single ply roof systems
�► r � '�� � ��� .Qf u� Instaltation Instructions
� � t�,se in HVHZ: No
` i�t�side HVHZ: Yes
Impa tit i /A Verified By. Robert Nieminen PE-96166
Design Pressure: +NyA/-512.5 Created by Independent Third Party Yes
O,th�r: Refer to ER Section 5 for Limits of Use. The Evaluation Reports
design pressure noted herein relates to one specific
assembiy. Refer to the ER Appendix for all assemblies and �
max. design pressures Created by Independent Third Party Yes
DCA A_dmmist@tion
Department o/ Community A/fairs
Florida Building Code Online
Codes and Standards
2555 Shumard Oak Boulevard
Taflahassee, Florrda 32399-2100
(850) 487-18Z4, Fax (850) 414-8436
�_c^, 2000-2005 The State of Flonda. All nqhts reserved. Copynght and Disdaimer
Product Approval Accepts:
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Aug 02 11 04:53p Comfort Cover Systems (727) 298-0111 p.2
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_'rsie 1-IAr�nRV TLl ]/.[f�1 Ix3F' A�114.Y�t3htIJ�iE
813-780-0020 City of ZephyrhiHs Permit Application F�-s��-�saooz�
. Building DepartmeM
Date Recehred � - � —�� Phone Corrtact for Permitti � �� a � _ Q `� °
Owner's Name 1� bP S �7 Owner Phone Number ��3� ��,� ^ 3�33
Ownars Address �� 3 a- �'( c�. c r�'� �- , Owner Phone Number
Fee Simple T'itleholder Name Owner Phone Numbsr �
Fee Simple Titleholder Addrass
JOB ADDRE33 G l 3'�.. �1 o.Y r; c �- <�}, � q
LOT �
9UBDMSION Pir���re �- M H P PARCEi.ID#� ��'��6'�-l� ��-�tl - Q f`� ()
(OBTAINED FROM PROpERTY TAX NOT1Cf)
WORK PROPOSED e NEW CONSTR � ADD/AlT O SIGN Q MOVE Q pEMOLISH
INSTALL REPAIR
PROP08ED USE � SFR Q COMM Q OTHER
TYPE OF CON8TRUCTION Q BLOCK Q FRAME Q STEEL C] OTHER
DESCRIP710N OF WORK Re C p.re � ff�� I�i w-� L.J c � �� l I� e v,� 6 fOwt,
BUILDING SQ FOOTAGE � �—� HEIGHT
BUILDING a.� ��� c G� VALUATION O� TOTAL CONSTRUCTION
Q ELECTRIGAL $ � AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
Q PLUMBING $
j 2-( �
Q MECHANICAL $ VALUA710N OF MECHANICAL INSTALLATION �
� GAS Q ROOFING � SPECIALTY O OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YE3 �NO
-,
BUILDER �� r Q�t COMPANY �0 � l�� e r S S S ��c �
SIGNATURE � REGISTEREO Y/ N FEE CURRENT Y/ N
Addr�s Z 11 I v r<]-�, e -�3 7 S�o License # ��'-0 5 �°� �
ELECTRIqAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y J N
Address License � �_
PIUMBER COMPANY
31GNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
A� License � �
OTHER COMPANY
SIGNA'fURE r�as�Re� Y/ N FEE CURRENT Y i N
�d� �icense #
RESIDEN11Al Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-aW Permit for new oonsUudion,
Minimum ten (10) working days after submittal date. F2equired onske, Construction Plans, Stormwate� Plans w/ SiR Fence installed,
Sanitary Facilities 8 1 dumpster, SRe Work Pertnit for subdivisionsliarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new construction.
Minimum ten (10) waking days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Sift Fenoe installed,
Sanitary Faalities & i dumpster. Site Work Permit for all new projects. All commeraal requiremeMs must meet cqmplianoe
SIGN PERMIT Aitach (2) sets of Engineered Plans.
'""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owr�r 8 Contractor sign badc of application, notarized
If over i2500, a Notice of CommencemeM is rsqulred. (A!C uqgrades over;5000)
*' Agent (for the coittrador) or Power of Attomey (for the oNmer) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PE�NG (Front of Application Only)
Reroois Sewers Servioe Upgrades A/C Fenoes (PIoUSurvey/Footage)
Driveways�Not over Counter if on puWic 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 restric�ions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITtE3: If the owner has hired a contractar or
contradars to undertake woric, they may be required to be licensed in accordance with state and local regulations. If the
contracto� is not lioensed 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 unoertain as to what licensing requiremeMs may apply for the
intended work, they are advised to contact the Pasco County Sui)ding inspec,�tion Division--Licensing Sscpon at 727-847-
8009. �urthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portians of the "oontractor Blodc" of this application for which they will be responsible. If you, as the awner sign as tMe
contractor, that may be an indic�tion that he is not propeHy lioensed and is �ot entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNTIl.1'T�S IMPACT aND RESOURCE RECOVERY FEE3: The unclersigned understands
that Transportation Impad Fees and Recourse Rec:avery Fees may apply ta the oonstruction of new buiWings, change of
use in existing buildings, or e�ansion of existing buildings, as specifled in Pasco County Ortlinanoe �umber 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be du�, will be iden�ed at the time of
permitting. It is further understood that Transportatan tmpad Fees and Resource Recovery Fees must be paid prior to
reoeiving a"cert�te of occupancy° or finaf power release. If the project does not involve a certiflcate of occupancy or
final power release, the fees must be paid prior to peRnit issuanoe. Furthermore, if Pasco County WateNSewer Impact
fees are due, they must be paid p�or �o permit issuanpe in accordanc� with applicabis Pasco County ordinances.
CONSTRUCT�N LIEN LAW (Chaptsr 713, Flo�ida 8�s, as amsnded): If valuation of woric is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Constniction 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", 1 ce�tify that I have obtained a copy of the above described documeht and promise in good faith to
deliver it to the "owner" prior to oommenc�ment.
CONTRACTOR'S/OWNER'3 AF�fDAVR: 1 certity that aN the information in this application is accurate and that all work
will be done in complianoe witt� aii applicable laws regulating const�uctipn, zoning and land developmerrt. Application is
her+eby made to obtain a permit to do woric and installation as indicated. I cefify #hat no work or installation has
commenced prior to issuance of a pertnit and that all work will be perfc�nned to meet standards of all laws regulating
construction, County and City oodes, zoning regulations, and tand development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work, and that it is
my responsibility to identify what acaons I must take to be in compliance. Such agencies indude but are not Hmited to:
- Department of Environmental Protection-Cypress Bayheads, Wedand Areas and Environmantaliy Sensitive
Lands, WateNWastewater Treatment.
- Southwest Florida Water Managament District-Wells, Cypress Bayheads, Wedand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Dodcs, Navigable Waterways.
- Department of Health 8 Rehabititative Servicea/Enviranmental Health Unit-W+aNs, Wastewa#er Treatment,
Septic Tanks.
- US Environmental Protection Agency Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the folbwing restrictions appy to the use of fill:
- Use of fill is not alkywed in Flood Zone "V" unless expressiy permitted.
- If the fill material is to be used in Flood Zone "A°, it is understood thai a drainag+e plan addressing a
"compensating volume" wiil be submitted at time of permitting which is prBpared by a professional engineer
livensed 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, 1 certify that fill will be used only to fill the area within the stem wall.
- If frll material is to be used in any area, I certify that use of such flll will not adversely 8ffect adjacent
properties. If use of #ill is found to adversely affect adjaoent properti�es, tMe owner may be c�ted for violating
the vonditions of the building permit issued under the attached permit applicadon, for lots less than one (1)
acre which are elevated by flll, 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 commenang constniction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditior�ing, gas, or other instaliations not specifically inciuded in the application. A
pen'nit issued shaA be construed to be a lic:ense to prooeed w'rth the work and not as authocity to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuanoe of a permit prevent the Building C�ficial from there8fter
requiring a conedion of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the woiic authorized by �uCh pertnit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period af six (6) months after the time the work is oommenoed. An extension
may be requested, in writing, from the Buikiing ORcial for a period not to exceed nine#y (90) days and will demonstrate
just�iabfe cauae for the extensicn. If work ceases for ninety (90) c�onsecutivve days, the job is considered a�andoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONIMENCEMENT MAY RE8ULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y�U INTEND TO OBTAIN FINANCING, CONSULT
WITH YQUR LENDER � AM AITORNEY_ �E�ORE RECORDMIG YOUR NOTICE OF COMMENCEMENt.
FLORIDA JURAT (F.S. 117.03)
OVYNER OR A�iENT CONIRACTOR
Subscribed and swom to (or afBm�Ad) before me this bed and swom to ) thfs
by i i by
Who islare personaNy known !o me or hes/have produced are persona9y knoNm to me or ha
as identification. as identlfication.
Notary PubliC Notary Public
Commission No. Commission No.
j o
Name of Notary ryped, printed or stamped Name of Notary typed, printed • ExpKes t t
=o �►o`� °�s Notary Pubhc State o orida
, Anne M Meade
N„ c_ o My Commission DD936510
'�i Expires 11/04/2013
. i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
p�� Q, � � 2011118332
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r� Rcpl:1380949 Rec: 10.00
�c��' DS . 0. 00 IT : 0. 00
�e�x�'��-� �(-33?S� 08/01/il K. Gar-cia, Dpty Clerk
----- — ---- - -- - - -- - - PAULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
08/01/11 02:10 m 1 of 1
NOTICE OF CO�it�fM.E�I-C'�I��NT OR BK �5�� PG 2���
Perm�t rvo �x
a -a.�-�-t � (�
T�x Fol�o��arcel ID (�atC� ^CsGac3C1 ^C�'l4 O State `�-- County °�-� �-o
The undersigned hereby gives rtotice that improvemant arvill be ma�le to certain real property In acaordance
with Chapter 713, Fiorida Statutes, the follow�ng informa�tion is prqvided In the Notic� of Commencement:
t �escnpt�on of property (legal description, Ipt..block, and s�reel address if ava�lable) (�3--`a-G•a-l^Qalv'�UO�e`��� ��
�� ��-��-z��- � c��- (� P�� ►�s� t�'1 H� ���.�,-�.�tt� �. 3�s��
2 General descnption of improv�tnent. ' I�et"�CE�
3a , Owner name/address Y��ie.(� ��
�013' �lo.rr5ck ��, __ 7--�a�y�'�.�<<S _.��-- �3S�4a--
# 3o Interesl �n property C1,S►.«'-� (
3c. Name and address of fee s�mple litle hotder (if other than owner) 1`� I�
4 Contrac.tor - Qualifier Name and Address �c.c,,� � � �'° � �
� �t I Ut'ke�� �. 33�,S-C. 2�-?��-qE�Q9 �"}
5 Surety - Neme and Addre65 _� I�_
, �ri�U�f bf bond S
6. Lender - Name and Address � I�
7 Persons with�n the State of Flonda deaignated by Owner upon wnom nol�ces o� other documents may be served as
provided by S�ection 713 13(1)(a) 7, Fiorida St��ey�
I fh
8 In add+li0n t0 �im/her5eil Qwner designa{es the followmg person�a) to rece�ve a copy o� the Uenors NoUCe as
pro��ded �n Secuon 7 t 3 t 3( �)(b) F londa Statutes [Prpvide Name/Maihng Addressl
�T
9 NoC exp�rabon date (one fuU year trom�tne date of recording unieas d�ffere�t date �s s�neafled)
� �a-
WARNING TO OWNER AiJY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONStDERED IMPROPER PAXMENTS uNOER CHAPTER 713 PART I SECTION 713 �3
FLORIDA STATUTES AND CAN RESUIT IN YOUR PAYING TW��,E FOR IMPROVEMIENTS TO YOUR PROPERTY
A nOTIC;E OF COMMENCEMENT MUST BE RECORDED ANp PaSTED ON THE J08 SITE BEFORE TME FIRST
INSPECTION IF YOU INTEND TO OBTAIN FINANCING, CONSUI.T WITH YOUR �ENDER OR AN ATTORNEY
6EFOR� COMMENCI ORK OR RfCOR�1NG YOUR N0710E OF COMMENCEMENT
Z`. �be(T L, � - `Z �- ti
ignature af Owner (or Owner's Authorized Officerl Date
pirector/PartnerlManager)
STATE: OF FL,QR4DA
County of �Sco
�
The fa�egoing instrument was aeknow�ledged b�efore me thisaSo day of , 20�, by
• r
��, �.,..� ��,�,� (print name of per�on} as (type of
authority, e.g. officer, trustee, at�orney in fact) for (name of pa�ty on
behall of whom instrument was executed),
���y, Notary Public S�ate Of FIO�de
_° � `'F� Geoffrey H Wnght
Notary Ub�iC �� �. My Comm�ssio� OD733663
of �° E t t/O81201 t
PersCnally Known -OR- Pfoduc�d identification ,,,�L► !,�� .
Verifitidtion pursuant to Section 92.5�25, Florida Statutes• Under penalties of pe�jury, i declare that I
have read the for oing and fhat the facts stat�ed in it ane true CO tt16 be5t of my knowledge antl aelief,
� '
Sign<�ture of Naturai Parsan Signing Above
�� -
_3 -'
STATE OF FLORIDA, CO ��l 0� PASCO
fibl� �� fiG C�RfiI�Y THAT ��QR�UIQ�N ��E A.,, .
TRUE AND CORRECT COPY OF TH€-DOGI� _
ON FILE OR OF PUBUC RECORD IN Th11S ¢�FICE 1 • - �
WITNE��YHANDAN FICIAL ALTNiB' , .
� DAYOF 2 ��
PA LA S. O' EIL. CL MPTROLLEH
� ` DEPUTY CLEKtk
�ti� -
Cont�act
(�2� 2sa-os�
��� � COMFORT COVEltSyS7�M5 ci��� FL 33756
Fatt: (72� 298-0111 �
FL Lic.k CCCO57691
PROPOSAL SUBMITTED TO ��`� �
PHONE 3 ONTRACT DATE `
a
STREET � r' MHP NAME � '
CITY, STATE, ZIP .- � � MHP ADDRESS Q
�
REPRESENTATIVE: APPROX. JOB START DATE .
Ws h�nby submk tl» followinp sp�ciflesUons and aNmatp: YNr; �Aeke: Moda:
1. INSTALL COMFORT COVER SYSTEMS ATENTE� ROO ING SYSTEM FOR THE �
FOLLOWING AREA:� i _� dy
2. SYSTEM TO BE INSTAILED:
.�_WHITE GRN. GREY BEfGE
3. INCLUDE DOtJBLE—FOIL-FACE� tNSULATION AS INDICATEO:
.�2" nom. 3!4" nom. NONE
4. INCLUDE NEW VENTS, EXCLU�ING FURNACE VENT;
(ELIMINATE DEAD AIR SPACE VENTS)
5. INCLUDE ALL REQUIRED PERMITS.
6. CLEAN UP AND REMOVE ALL JOB-RELATED DEBRIS FROM JOBSITE.
7. #�_SKYLITES TO BE INSTALLED. NO INSIOE FINISH INCIUDED.
8. PROViDE TRANSFERABLE IiFETIME CONTRACTOR'S WQRRANTY COVERING
LA80R ANO MANUFACTURER'S BACKED LIFETIMf WARF2ANTY COVERfNG
MATERIALS.
SPEC/AL INSTRUCTIONS & EXTRA WORIC (USE ADOITIONAL PAPER /F NECESSARY )
R �M c+^� t �e�c�-i-' 'Q' tlP,.�
�,��. ��: �
�`9�� . �����. ��/ 7� N��
�
��� S`�" �4ti 3 7 ��_ 5 0�- i� c �F 7�� �'�i�
C� � �r �..�.�
f�in•�a /Lc�Fr�.a-
NOTE: RETAlL SALES TAX MUST BE CHARC,ED UNLESS THE CUSTOMER S/GNS THE FOLLOWlNG:
I certify that I own the land on which the strudure I am improving is permanently affixed. Futhermore, I have filed
a deGaration with the Property Appraiser reques6ng the structur a essed a realty and it bears an "RP" decal.
SIGNATURE:
CASH PRICE AND PAYMENT SCHEDULE: (Reference to a phase of construction means all work, materiais and equip-
meM necessary to complete that phase) Buyer ag�ees to pay Seller the Cash Price at Seller's office in accordance with the
folbwing payment schedule: 3 � �' - 1'�L�,
`►�b ' v I� � na�e n�e 8�a,ority m orde► me above work ena ao so orde� as o�,�uned na�ei�,
�, P�� $ , it is agreed that the setler will retain titfe to any equipment or material fumished
2. 7 .� � until finel � complete payment Is made. M express mechanic lien is hereby
�knowledged for security of this debt and the total arrwunt will be peid wiThin
3. Down P ment S ce� srw�,.
4 ��� — I, (we) herewlth expressly agree to pay not as a penally but as liquidated
••••��� ` damages. 25% o'the principal arra�nt of this contract to Comtort
ON COMPLETION OF ALL WORK �verSystems in the event of a breach oi this agreement by I(we) for any
reason whatever.
Terms: O Cash O Credit (Subject to the approval oi the Credit Sales Department.)
Autho�fud
Signeturo N9TICE TO OWNER
AN materlel ia puarant pecified. All work to be completed in a workmanlike Do not sign this home improvement Contract in
mar�er aocorcfiny to rd pradices. Any afleration or deviation from above specifica- blank, or before you read it. You are entiUed to a
tions invdvk►p extra oosts wIU be executed only upon written orders and will become an �PY of this contract at the time you sign. Keep it
extra c�rye over and above the estirr�ate. All agreements cont�ngent upon strikes, to protect your legal rights. Buyer's nght to cancel
accidents or delays bsyaxi our control. Owner to carry fire, tomado, and other necessary °^ reverse side
insu►ance. Our worke� are tuNy covered by Workers CompenaaSon Insurance.
ACCeptanCe o} COntraCt – The above pnces, specifi- Signature
cations and conditions are satisfactory and are hereby -
accepted. You a►e authorized to do the woric as specified. Signature
Payment will be made as oudine above.
. �
f1 l
t ��' �'"
<r �` ��l
;
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ntract �Iomeowner: �._.- " �� ��p�h _
�
Date Received: �' �
Site: ���� �� .�' j C�/ �/h`
Permit Type: � , ( � �°��
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comm t sheet h 1 b t with the permit and/or plans.
,
Kalvin — ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� TxE
� - a -� F � � STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
.Q
• � C OD WC� `
Date: November 14, 2011
Charlie Crist
Governor
Chuck Drago Building Official0
Secretary Zephyrhills Building Department
5335-8 Street
Division of Zephyrhills, FL 33542
Professions and Regulation
1313 North Tampa St. RE CONFIDENTIAL - DBPR Case Number: 2011-044479
Suite 915 Contractor: Rebecca J. Mays
Tampa, FL
33602 Dear Sir/Madam:
VOICE
813 546-3642 I am investigating a complaint this agency received against the above
named contractor and need your Department's input as to the contractor's
FAX
813233-4420 compliance with your building code on the job in question.
INTERNET The details of the job are given on the attached questionnaire. Please
www.myflonda.com have someone on your staff ascertain from your records if a permit was
pulled, inspections passed, etc. If your staff would then complete the
questionnaire and return it to me within 10 days, it would help us greatly.
Thank you in advance for or your assistance.
Sincerely,
� ���.� w�. -
.��
Bill Darner
Investigator
Atchmt: Building Department Questionnaire
. �'��� � � .
_ ��
� - STATE OF FLORIDA
j . � DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
.� ��.
BUILDING DEPARTMENT QUESTIONNAIRE/BDQ
DATE: November 14, 2011
Rick Scott
Governor DBPR CASE NO. 2011-044479 INVESTIGATOR: W. Darner
Ken Lawson COMPLAINANT: Robert Goens PROPERTY OWNER: Same
Secretary
SUBJECT: Rebecca J. Mays JOB ADDRESS: 6132 Harriet Street
Division of
Professions and Regulation COMPANY NAME: Comfort Cover Systems TYPE OF JOB: Roof Work
1313 N. Tampa Street LICENSE NUMBER: CCCO57091 JOB COST: $3,986.50
Suite 915
Tampa, FL
33602 APPROXIMATE MONTH/YEAR JOB BEGAN: August 12011
VOICE
813 546-3642 COMPLAINT GENERALLY CONCERNS: F.S. 489.12 (1)(M), Incompetency or
Misconduct
FAX
813-233-4420
(PLEASE CIRCLE THE APPROPRIATE ANSWER)
INTERNET �_ -��
www.myflorida.com I. Do your records show a permit issued for this job? YE NO
(If no permit was issued, go to section II)
A. Permit No. Date issued: - Z- 2-{: �/
Describe work permitted e+ o-F �yr.�Q,
B To your knowledge was the permit obtained on time? � NO
C Has a successful final inspection been done yet? YE NO
D Has a certificate af occupancy been issued for this job? YES NO
or � None Required for this jo�
1 If "yes", what was the date of issue?
E. Is the final inspection or certificate of occupancy being held up for
correction of c e violations or other problems on the job?
YES ��
F To the best of your knowlec�ge.are there any code violations in the
work at this time? YES NO
If "yes", list violation(s)
BUILDING DEPARTMENT QUESTIONNAIRE — Page 2. Case No. 2011-044479
II If no permit was issued, please answer these questions
A. If no permit was issued, and assuming the above description is correct, would
this apparently be a violation of your building code? YES NO
1 If no permit, what code section was violated?
(Please furnish a copy of the code)
B If no permit, have you previously been made aware of this job or had some
involvement on it prior to this letter, such as red tagging it for lack of permit,
etc? YES NO
III Has your Local Board taken any disciplinary action against the above contractor?
YES NO
If so, furnish copies of code violated and the Board minutes
,�
��l�e� � es �'�SS
TITLE
�-`� �/3 - ?l�o - �%C> Lo
P� T NAME TELEPHONE NUMBER
�C- %5- 20 /(
DATE SIGNED
Return to: Department of Business and Professional
Regulation, 1313 N. Tampa Street, Suite 901, Tampa, FL
33602 (or) FAX to 813-233-4420 Attn: Bill Darner
, ,
1X Result Report P �
' 11/15/2011 16:47
S@t'lal N0. AOEDW11001438
TC: 54295
Addressee Start Tine Time Prints Result Note
92334420 11-15 16:45 00:02:43 009/009 OK
NOte T IX U e T �zed Or3 P�n1: � M.ua wFarra e PC: d P e C-Fax.
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Result OK= Communication 0�, S-OK: Stop Cosnunication, Pw-OFF: Power Switch OFF,
TEL: Rx from TEL, �� Other Error, Cont� Continue, No Ans: No Answer,
Refuse: Receipt Refused, Busy: Busv, M-Fu11:Menory Full,
LOYR:Receiuin9 length Over, POUR�Receiuing pa9e Ouer, FIL:File Error,
DC:Decode Error, MDN�M�1 Response Error, DSN:DSN Response Error.
` �. - �`"° �.- -
City of Zepliyrhills: �
Build3xig Daparcmant
Plson�: (813)-780-0020
Fax: (813)-780-0021
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: 3'O: DBPRI A'TTN: Bill Daraer FROM: Jaclde
� FAX: 813-233�3420 FAX #:
� DATE: 11/15/2011 # OF PAC3ES: 9
: MESSAGE:
� Seo attacl�mant for complaint # 201 1-044479.
; Jac3ci� Bogea CSS
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