HomeMy WebLinkAbout11-12423 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
�ais��so-oozo 12423
BUILDING PERMIT
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Permit Number: 12423 Address: 38029 ARBOR RIDGE DR
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: ARBOR RIDGE
Est. Value: Parcel Number: 35-25-21-0060-00000-0020
Improv. Cost: 34,200.00 � ° :���:x . ��`<�..�rF"':;�:;:�w_ .;;_ . .;A y':
Date Issued: 10/14/2011 Name: ZEPHYRHILLS MEDICAL BUILDING LLC
Total Fees: 315.00 Address: 18608 AVE MONACO
Amount Paid: 315.00 LUTZ FL 33558
Date Paid: 10/14/2011 Phone: 8136180048
Work Desc: REROOF W/INSULATION 8� MOD. BIT
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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 cons�truction 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.
"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."
Complete Plans, Specifications Must Acwmpany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
` � �JO'
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 Zephyrhilis Permit AppliCation Fax-813-780-0021
Building Department �
. Dato Received � — � °- ! one Conta #ss- ' ' g y � V V -- /' 21 •
1 1 1 1 1 1 1 1 � 1 1 i 1
Owner'sName ��� Q�f�Q. ��� OwnerPhoneNumber 0���� 0�70
Owner's Address � ��r`�"� � r� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �—�
Fee Simple Titleholder Address
JOB ADDRESS I / / LOT ff �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PpOPERTY TAX NOTICE)
WORK PROPOSED rvEw CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL �
�DESCRIPTIONOFWOR�C Q��/1�f �r� fH� �V���' r r/1��T'� hQ�(Nsi/�4'Ff�1 •�T. ��� •
BUILDING SIZE S� FOOTAGE � HEIGHT (y` �
� � /
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R E C
OPLUMBING $ � ���
�MECHANICAL $ � Z�y� VALUATION OF MECHANICAL INSTALLATION ��
v�/
�GAS 0 ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANV
SIGNATURE REGISTERED Y J N FEE CURRE� Y J N
Address License # �
ELECTRICIAN COMPANV
SIGNATURE REG�STERED Y J N FEE CURfiE� Y/ N
Address License p
P�UMBER � COMPANY �—
SIGNATURE rtECisTEaEO Y 1 N FEE cuaaEn Y/ N
Address License ri
MECHANICAL � � COMPANY
SIGNATURE ae�isreaeo Y/ N Fee euaaen Y/ N
Address License # �
OTHER � COMPANY MC� n � I G ���
SIGNATURE p cisreaeo Y/ N Fee cuAaen Y N
Address V .L �'I � • License # � Q Q
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach (2) Plans; (2) sets of Building Plans; (t) set of Energy Forms; R-O-W Permit tor new construction,
Minim ten (10) working days after submittal date Required onsi[e, Construction Plans, Stormwater Plans w/ Silt Fence installed,
S ry Faalities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL ttach (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
S�GN PERMIT Attach (2) sets of Engineered Plans.
*""PROPERTY SURVEY required for all NEW construction.
D�rec4ons: •
Fill out application completely
Owner & Contractor sign back of applica[ion, notarized
If over $2500, a Notice of Commencement is required. (q/C upgrades over $7500)
*' Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter hom owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs rf shingles Sewers Service Upgrades A/C Fences (Plot/SurveylFootage)
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 Counry 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'SIOWNER'S AFFIDAVIT I certity 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 shali 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 7.03) �- � nn-f
OWNER OR AGENT T(J „r /' � ( ��NTRACTOH_ Iv� �\`�l C.0 •la' W I�1�G/� �O� I� �
� '� bswor �(or affir�)�fjre me this Sub cJ 3 o nd bworn to (or atfirmedkbafore me this J
Y d�+� � �L Y �(,P 1'Y� F.�' h.[1.�1t�1
Who is/are personal��nown to me or has/have produced Wh is/are personally known to me or has/have uced
as identification. as identificatwn.
' Notary Public Notary Public
Commissi n o. Com is on No.
a.,..e.,.a.e. �.oer.nea...n....�nu
Name ef Notary tyPed, p i ' or s am�ed Name of Notary t�ped, printed s
, , C: �rn.�s#s DDJ7�A£�629 m „ tM?►P� �i�!� ,
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Pasco County Parcel: 35-25-21-0060-00000-0020 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, October 08, 2011
Parcel ID 35-25-21-0060-00000-0020 (Card: 001 of 001)
Ciassification 19 - Professional Service Building
Mailing Address Property Value
ZEPHYRHILLS MEDICAL BUILDING Ag Land $0
LLC Land $100,900
18608 AVENUE MONACO Building $234,624
LUTZ FL 33558-5316
Phvsical Address - See All 2 addresses (First Extra Features $2,984
Shown) Market Value �338,508
38017 ARBOR RIDGE DR Assessed (Non-School Amendment
ZEPHYRHILLS FL 33540-1301 1 � $338,508
L@Slal De5C1'IDt1011 (First 4 Lines)
See Plat for this Subdivision ,�`� Taxable Value �338,508
ARBOR RIDGE SUB
PB 22 PG 44 LOTS 2& 3& THAT
PORTION OF 5 Ff EASEMENT
LYING THEREIN VACATED AS PER
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�1 1900 PROF.BLDG OOOP 21,242.00 SF $4.75 1.00 $100,900
Add itional Land Information
Acres 0.48 Tax Area 30ZH FEMA Code � Commercial Code PAR67AA
Buildina Information - Use 19 - Offices Professional or Medical (Card: 001 of 001)
Year Built 1986 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Rigid Frame w/Bar )oist Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Ceramic Clay Tile Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 4.0
Line Description Sq. Feet Repl. Cost New
1 A F 3,425 $374,524
2 CAN 25 $875
Extra Features (Card: 001 of 001)
Line Description Year Units Value
r i PAV A P 1986 10,004 $2,026
2 LFEN E 1986 960 $338
3 � 1986 320 $220
4 TU ILITY 1991 1 $400
Sales History
Previous Owner SARANA CHANDRESH S&
Year Month Book/Page Type Amount
2005 03 �404 / 0125 WD $0
1991 02 1986 / 0548 WD $295,000
1989 12 1870 / 1728 WD $410,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=35&twn=25&rng=21 &sbb=0060&... 10/10/2011
Pasco County Property Appraiser - Physical Address List for: 35-25-21-0060-00000-0020 Page 1 of 1
Welcome : Records Search : Parcel Details : Physical Addresses
Physical Address List for Parcel: 35-25-21-0060-00000-0020
Displaying 2 records View in groups of: 10 25 5Q 100 �
Street Number Street Name + Unit
38017 ARBOR RIDGE DR
38029 ARBOR RIDGE DR
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 1:10:37 PM
The Local Time Is: 10/10/2011 9:12:13 AM
http: //apprai ser.pascogov. com/search/physadd. aspx?parce1=21253 50060000000020&eas... 10/ 10/2011
- � / SBS Heat-Weld Specifications
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Two Ply Mechanicall� Attached and Heat Weleded Modi�ied
Bitumen Mineral Surfaced Roo#ing S�em For use over �D°'°"B �—
Johns Mamille (JM) insulation or approved decks on ° � i
inclines up to G' per foot (3U0 miNml. "�� —�-
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Malerials per 100 sq. ff. (9.3 mz) af roof area �,�� %� e��a , .
in HeaRWeWed Lap :�MaWeW CaP Ri
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Dynalastic 180 S t layer --- �
Cap: s- �o - .
DynaWeld Cap FR 1 ►ayer w�� �� - - - - -
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Approximate installed weight 190-2101bs. (86-95 kgs.) o • . '
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General
5' � 4' EiN Lep .....� .
0 — — — — — . HeatYYelded �
This specification is for use over an approved steel deck which is not 1s[agge�eti6� min.) �_
nailable and which provides a suitable surface to receive the roof. �nsne�-isans• . .-, .
Insulation should be installed in accordance with the appropriate ' �'
._-►
JM Insulation Specification detailed in the JM IndustriaUCommerical �pD-MA/HW,12' in lap ��rs
Roofing Salutions Manual. This specification can also be used in certain
reroofing situations. Refer to the "Reroofing° section of the JM Industrial/
Commerical Roofing Solutions Manual. Cap Shest Application
Design and installation of the deck and/or wbs�a�e must rewlt in the Neat weld a full width piece of the cap sheet over the installed base sheet.
roof draining fresl� and to outlets aumerous enough and m locatsd as Subsequent sheets are to be applied in the same manner, with 4' (102 mm)
to remove water pron�dy and comple»IY. Areas wMsre waler ponds for side laps and 4' (102 mm) end laps over the preceding sheet
more ffian 24 hours are wia�ble aad are not eligible to receieve a
John Mamille Roofi�g Srstems Guarantee. Apply all sheets so that they are firmly and unifortnly set, without voids.
using a prapane torch, apply the flame to the surface of the coiled portion
Note: All general iostructions contained in the current JM Industrial/ of the roll. Torch across the full width of the roll and along the lap area.
Commerical Roofing Manual should be considered part of this As the surface is heated, it will develop a sheen and the bum-off will
specification. disappeac The generation of smoke is an indication thatthe material is
being overheated. Repeatthe operation with subsequent ralls, maintaining
Flashings proper side and end laps. A healthy compound flow will simplify seaming
Flashing details can be found in the "Bituminous Flashings" section of the the laps.
JM tndustriallCommerical Roofing Manual. At the end laps, soften the bitumen by heating the granule surface with the
torch. When the granules start to sink irtto the bitumen, stop torching and
Application with a hot trowel, embed the granules into ihe bitumen. All laps must be
On roof decks with slopes up to 1 Y4' per foot (125 mm/m►, the modified checked for good adhesion.
bitumen sheets may be installed either perpendicular or parallel to the roof �r special precautions for heat weld applicafions, see sec6on 1A.31 of
incline. the JM IndustriaUCommerical Roofing Manual
Base PIy Application
Starting atthe low point of the roof, fasten a half width, 19'/,a"
(0.5 m►, piece of the base sheet The remaining piles are to be applied full ��_((
width, with 51127 mm) side and 6' (153 mm) end laps over the preceding
sheets. ���/w�� ��1��. �_..._—
Sheets should be fastened 17 (306 mm) an center in the side lap with ��pHYRH�i_�-�
JM-approved plates and fasteners for this system. The 5' (127 mm) side � Q �
lap of the subsequerrt (tap) base sheet should coverthe head of the p �AN� �XAMIN�� N��
fastener in the preceding (bottom) base sheet
Heat weld the side and end laps. Using a propane torch, apply the flame to
the surface of the lap only of ffie coiled portion of ffie top sheet as it is laid
out Torch across the lap portion only of the roll. The generation of smoke
is an indication that the material is being overheated.
Subsequent sheets are to be applied in the same manner, with 51127 mm) � V�1't�' a � . ' = �
side laps and 6' 1153 mm) end laps over the preceding sheets. SxA�L. �-�� � ���j�LDIN�
ALLw�� �•t}�FS,�L�;4�IL�' AN�
PREVA�' . . ��,E�`T'ZiC �ODE
CODE �NAT Ic � ;v. � .L = � LS URI�II�AI��ES
CITY OF Z��"��
Refer to the Material Safety Data Sheet and product
label prior ta using this product
RS-4210 5-101Replaces 3-07)
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P . .. :�: _� . ...�o_. . o WIDTH (X)
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FULL SHEET FULL SHEET INSULATION DECKING
CUT-AWAY CUT AWAY
� PERIMETER� (SEE NOTE 3) (SEE NOTE 7)
WIDTH (X)
N�TES (SEE NOTE 4 or 5)
INSULATION FASTENING
1. CALCULATE UPLIFT DESIGN PRESSURES IN ACCORDANCE WfTH ASCE-7. g�-0 4
2. FASTENING DWGRAM IS BASED ON FM GLOBAL DATA SHEET 1-28. � 4s az' �r u• �r
3. INSTALL INSULATION WITH LONG JOINTS IN A CONTINUOUS STRAIGHT o � � � � �
LINE WITH END JOINTS STAGGERED. § � 4 FASTENERS �
a • ON 1/2 BOARDS
4. ROOF HEI(iHT S 60 FT, THE PERIMETER (X) IS THE SMALLER DIMENSION OF: 5 FASiENERS IN F7ELD. � �
10% OF THE SHORTEST SIDE (PLAN VIEY1� b • PERIMETER. AND CORNER • �
OR
40°� OF THE ROOF HEIGHT,
BUT
NOT LESS THAN 496 OF THE SHORTEST SIDE (PLAN VIEW) OR 3 FEET. CO RNER DEFIN1710N �
' I
5. ROOF HEIGHT> 60 Ff. THE PERlMETER (X) IS: — — — — — — — — — ��
10% O� THE SHORTEST SIDE (PLAN VIE1M1� BUT NOT LESS THAN 3 FEET.
6. THE CORNERS MAY BE TREATED AS PERIMETERS IF THE PARAPET IS � BUILDING I � BUILDING I
GREATER THAN OR EQUAL TO 3 Ff ON ALL SIDES ACCORDING TO ASCE-7. NE ��� HEIGFIT
I 5 eo Fr I I > 60 � �
7. MEMBRANE SIDE LAPS MUST RUN PERPENDICULAR TO MEfAL DECK FLUTES.
xL ----- ----
S. THE USE OF COVERSTRIPS OVER EXPOSED FASTENERS ALLOW THE
FASTENEO BASE SHEET TO BE CONSIDERED A WATERPROOFING LAYER. � (SEE NOTES 4,5 8� 6)
MECHANICALLY ATTACHED BASESHEET (12" O.C.) �
DRAWINGNO_ SCALE 133UEDATE REV NO. JdarMr�s eMmWaduordminsdrmaliBP��ando/ssfiYrn�mw�pl�l ��
N.T.S 1 st Sept 09 � Haaiion byw e� aoul�ry. ili �y NrMnca Y nolb 6� uwd or ialsd Wc^ b!'
BM 12 .�....�����.�����
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. YKVYV aAL 091311-1
McENANY ROOFING, INC.
CCG037013
8R03 tndustrial Drive
Tampa, Florida 33637
(813) 98l;-16b9 • Fax: (813) 98R-18S5 • mcenanY�nc�}mcenan �. com
Proposal Submitted To Phone Date
Florida Medical Clinic 813-618-0048 09-12-20ll
Street Job Name
38135 Market S uare Arbor Rid e Office
City, State and Zip Code Job Location
Ze h rhills, FL 33542 Dade Cit
Attn: Fax Job Phone
Rod Shelton 813-780-8382
We hereby submit specifications and estimates for
Reroof Scope of Work
1. Remove all base flashings, coping caps and scuppers.
2. Sweep and remove all loose rocks from roof.
3. Clear parapet walis. Remove soil stack and drain flashings.
4. Install '/�" Densdeck prime insulation 4 X 8 sheets and fasten with 11 fasteners in each board.
5. Install two layers of modified bitumen membrane by Soprema.
6. Install new soil stack and drain flashings.
7. Install new aluminum painted .040 mill coping cap.
S. Provide Soprema's 20-year warranty and McEnany Roofing, Inc.'s two-year workmanship
warrant .
We propose hereby to furnish materiai and labor in accordance with the above specifications #or the sum of:
Thirt Four Thousand, Two Hundred Dollars and Zero Cents ............................................$34 200.00
Arbitration Clause: Any controversy arising out of this Contract or the performance thereof shatl be decided by arbitration in accordance with the Con�tructian Industry
Rules of tbe American Arbitratiort Association and judgmenE may be entered on the award by any court having jurisdiction. As a condition precedent [01he filing of
an arbitration demand the arties shall en a e in a ood faith mediation of the di ute.
All material is guaraMeed to be as specified. All wotk to be completed in a workmantike manner according to Estimator Name:
standard practices. My alteratron or deviation from above specificatlons invdving e#ra costs will be executed onty
upon wrkten aders. and will become an e�dra charge over and above the estimate. AII agreements ca#ingent �on
strikes, accideMS or �lays beyond our control. Owner to carry fire. tomado arW ather necessary insurance. Our
workers are fuly covered by Workmen's Compensation Insurence. M$rIC � VI President
Due to the eMreme priee volatilify regardirg petroleum produds. the price quoted in this proposal is valid only tor ��
orders placed and paid within Me rrext 45 days. H Mere is an inaease in the price paid by McEnany Foofing. Inc. for
asphal[, polyisocyanurffie, stael w other materials induding tra�portation charges, the amouM of this `�'
proposal/contrad shall be similarly increase to reflect the increased cosGS fo obtain the materials.
Note: This propo may be m by us If not accepted within 3U day
Aeceptance of Proposal - The above prices. speciFications and conditio�s are satis(actory and are hereby accepted.
You aie authorized to do the work as specified. Payment wi11 be made as outlined above Signature
Date of Acceptance
Signature
--- 1�I 1� ROO�Il�G Il�TC.
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� October 6, 20ll `
:
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i City of Zephyrhilis
' S338 8` Street ,
� Zephyrhills, FL 33542
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� To Whom It May Concern: f
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This letter is to authorize Mark Sloat, Ken Floyd and Cody Goodin to process and i
' purchase permits and/or licenses for McEnany Roofing, Inc. j
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; Sincerel , �
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McEnany Ro g, . �
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Michael T. McEnany - E
President �
,nae�e.nsnunaie�x"e•e�aase.�:a.ar�nunuu.oe �
.j��:_i�F.. �SIYZ� �
� :,";:,: t;ss;�;n� D'�Cli�$629 �
r' �` �`�~`� : - �:tasoa�s 12Je5f?_011 �
` 5 ��'� x ` F!�^.�;+a f�of :.ry r.^sn., InC �
! / aa..�r..7+tYanelY#r%en9tc[faYSf�Yt�/��+�e�����\ I
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� Ju i Bird, Notary Date �
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•�� �OGiy� �o��F!n;r; ���`i4)r3 It��ltititri�tl I)1'i�•� rCRUG FREE �
1 �ON T � nC � t lR'; ----- -- °—_ _ �'
-- ----'� t� nS:;uc�nrnr I�>>n�>;�. I'I..3.'�(i��i � �ti�ORKPLAGE
s Mer�er.a
�� �' DATE (MMIDDIYYYY)
`ACO�R'C7 CERTIFICATE OF LIABILITY INSURANCE
io/os/soii
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certi£cate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certifcate holder in lieu of such endorsement(s).
PRODUCER 1-813-229-8021 CONTACT MiChelle LiWOSz
NAME:
M. E. Wilson Co., Inc. PHONE ,g13-229-8021 FAX 813-739-6036
N E . AIC No :
E�MIAIL mliwosz@mewilson.com
300 W. Platt St. ADDRESS:
Ste 200 PRODUCER
Tampa, FL 33606 C TOMERIDp: 920
Dwi ht Wilson INSURER S AFFORDING COVERAGE NAIC #
INSURED INSURERA. FCCI COMMERCIAL INS CO 33472
McEnany Roofing, Inc. INSURERB. NATIONAL TRUST INS CO 20141
8803 Induatrial Drive INSURERC. AMERICAN GUAR & LIAB INS 26247
Tampa, FL 33637 INSURERD. BRIDGEFIELD CAS INS CO 10335
INSURER E
INSURER F .
COVERAGES CERTIFICATE NUMBER: 23493999 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 7ypE OF INSURANCE D U R pp�ICY NUMBER M OL pY EFF M' O pCD EXP LIMITS
LTR iA
A GENERALl1ABILITY GL0011181 O1/O1/1 O1/O1/12 ACHOCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY DAMA E TO RENTED 100, 000
PREMISES Ea occurrence $
CLAIMS-MADE � OCCUR MED EXP (Any one person) $ Excluded
PERSONAL & ADV INJURY $ 1, 000, 000
GENERALAGGREGATE $ 2,000,000
GEN'IAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $ 2,000,000
POLICY X PRO- LOC $
8 AUTOMOBILELIABILITY CA0017356 O1/O1/1 O1/O1/12 COMBINEDSINGLELIMIT $ 1,000,000
X ANY AUTO (Ea acadent) __
BODILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURV (Per accident) $
SCHEDULED AUTOS
X PROPERTY DAMAGE $
HIRED AUTOS (Per accident)
X NON-OWNED AUTOS $
$
C X UMBRELLA LIAB X OCCUR AIIC591802605 O1/O1/1 O1/O1/12 EACH OCCURRENCE $ 5, 000, 000
EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5, 000, 000
DEDUCTIBLE $
X RETENTION $ � $
D WORKERSCOMPENSATION 0196179270 O1/O1/1 O1/O1/12 X WCSTATT- OTH-
AND EMPLOYERS' LIABILITY �. � N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500, 000
OFFICER/MEMBER EXCLUDED? � N � A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 500, 000
If yes, describe under 500, 000
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Sehedule, if more space is required)
General Liability and Umbrella Liability policies do not contain Residential Excluaion with respects
to roofing operationa.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Zephyrhills-Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
5335 8th Street
AUTHORIZED REPRESENTATIVE
Zephyrhills, FL 33592 _ `
USA `--" - �-- >- „�.�4 - —
srsooi OO 1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
23493999
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2011-2012 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-30-2012 FOLIONO
STAMPS FACILITIES OR MACHINES ROOMS SEATS " EMPLOYEES
0 0 0 125 RENEWAL 1868.0000
H.WASTE TAX
OCC CODE BUSiNESS TYPE SURCHARGE
090 023 CONTRACT R- ROOFING �, 40 00 338.00
,�.
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eusiNess $803 INDUSTRIAL DR
LOCATION TAMPA 33637
NAME MCENANY MICHAEL T/DBA/MCENANY ROOFING INC
MAILING 8803 INDUSTRIAL DR
ADDRESS TAMPA FL 33637-0000
B U S I N E S S TAX R E C E I PT DQUG BELDEN, TAX GOLLECTOR PAI D- 11109 - 85
HAS HEREBV PAID A PRIVILEGE TAX TC ENGAGE 813-635-52d0 � 1 � 377 50
IN BUSINESS, PROFESSION, OR OCCUPA"ION SPECIFIED HEREON. THfS BECOMES A TAX RECEIPT WHEN VALIDATED.
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�M. �^�;,'�Yie ROOF,I G' � `CONTRACTOR�, .�' , i, . . -'� -- - 'q�,: , ,,�, ` �` �, ,,,,. ;;� , .,, . ,; � �� ���;� ;�r.� q.
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ly . �ame�d be'1ow ;:IS' �.CERTIFIED' - �., _ - - - -
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�' Under • the provis�ions of�=`Chapter� 89����'S ; - : _�}.t y.� . , ' ; - �
Expiration date. ATJG 31, 201.2 �,�,'"` � � -�"'°`_'""'-'""�'�;
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� �� MCENANY�; ' MICHAEL T ' . *` :�.� } �` `-� x , ,, , " , � ',
� MQENhNY__ROOF.ING INC�' '� � , ` �"_ � - � � , °� � , , ; , _ � � � 'i
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86''MARTI�NIQUE � ' ��' �-r. ','� -, k. _ � , , � � ,� �„ , _ �
TAMPA FL 33606 �
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' � CHARLZE . CRIST � � - - �'� CHARLIE �LIEM. ,
GOVERNOR='" " ' ' ' SECRETARY-' �
' -'_ � -- ' - DISPLAY AS REQUIRED BY LAW _ - _
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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ontractor meowner: � .���?
Date Received: �O `�D -" l �
,
Site: � � C� ��'t p � o
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Permit Type: �� ,
�-t.J -l/%? � °`� -�' � `r.`
Approved w/no comments: Approved w/the below comments: ❑ Denied w/ e�a'elow comments: ❑
This comment sheet shall be kept with the permit and/or plans.
�� �� r
Kal ' Switz Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
` 2011155485
. • �v..�.a r.r..� r� ca.�t.r� c.�.:c c..K..y.
' ARBOR RIDGE SUB PB 22 PG 44 LOTS 2& 3& THAT
PORTION OF 5 FT EASEMENT LYING THEREIN VACATED AS PER ��
RES NO 161 IN OR 1461 PG 1910 OR 6404 PG 125 �...�
m �
NOTICE OF C011�IIVIENCEMENT °�' � �-►
�mw
Permit Number. ~ � �
.�Tax Folio No. b 11 QQ60 � Q Q ZO ?� �
�
1'Ye 0daa�d kqefi7 gve� aMfee dut iopravmab w� 6e made bo artai� ieal P�oP�*tY. and'u urnrdaaa wit► See4on 713.13 of the �
Florida 3htatea, ffie follow�ieg isfervatlo� is praeided 'm tke N01TCE OF COAII1�tCIIVffi�T.
� N
1. Legal Description of �� � a�e � 3 So �-g �4r bdr 2� d�t � �. Z�ohy r�/�,� • °� ��
l 3� =S�' z/ ` pO�PO D6 eeo ae 3 0 �TT "� e
S' G , [a .� �a m m
2. General desa�iption of improvemeoig: I�' �" '
K �
B
fl
3a Owner Name: f IOr � G�R /�'I.Q�i C�e,� C�i Ni C !b 4 �
o�� naaress: ��r 3� Mar s�, 2�yr •%!s F�• 3fYz ;
3b. Owner's interest in site:
3c. Fee Simple Title holder (of other than owner)
Address:
4. Conuacwr Name: L� EKf� i /�t �'
Address: f/i /. .[ lGL. Phone: B/3 488 lP �-+ v
y7 �n
5. Siuety Name: ��� Amamt of bond: p\ �
Address: Phone: � � D
��! 01 �
6. Lender Name: Il�i► Contact: � r o
Address: Phone: /// ��� yyy ��� ~ m
7 Person within the State of Florida designated by owner upon whom notices or othet docimmenis may be served as provided by �,�"',� �
Secvon 713.13(lxa)7, Florida Statutes. �p �
N o
Name: Addnss: �� D
Phone Number: v '
c�
t.a o
8. In addition to himsel� Owner desigpates the following pason to teceive a copy of the Lienor's Notice as provided in Section �
713.13(lxb}, Florida Sffitutcs. � p m
��
Name: Address:
F+ vo
Phone Number: � o
3
9. Expiration date of Notice of Commencement (eupiration date is one ( I) year firom date of recording unless a different date is �
specified). � o
r
r
m
WARNIlVG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFI'ER THE ERPIRAIYON OF THE NOTICE OF �
COMMENCEMENT ARE CONSIDERED Il►�ROPER PAYMENT3IINDER CHApPLR 713, pART 1, SE(.TION T13.13, FLORIDA
STAT[TfFS, AND CAN R&SULT 1N YOUR PAYING TWICE FOB IlIIPROVEMENIS'PO YODR rROPERTY. A N01iCE OF
COMMENNCEMBNT M[J3T BE BECORD&D AND POBIED O ST1E BEFORE T9E FiBST INSfECfION. IF YOU
INIEPID TO OBTAIN F71�TANCING, CONSULT WIfH YODR AN TPO BE CObII1�i4�iG WORK OR
RECORDING YOIIR NOTICE � COM11ffi�IC@�1V'P_
�
Si f Own ' or Owner's Authoriud PfficedDirector/PartnedManager
STATE OF FLORIDA
COUNTY OF HII,L3BOROUGA ��j.
The fae�qipg instrument edge befon me this ��,�� of � l� (J � e� 2� � f ./�
bY -� Qe �(��a.���- .as ____I✓i�V faa l7 �' 1 lC .C: ��i1 �C.
Personally Known R
Type of idenfifi �•ur
,.•`� •. � •
c : Notary Public . State of Florid� ��: /
;' •= AAq Comm. Expires Nov 5, 2 l�- «
'% : Commia�bn #� EE 30133 s�goeam�- A,nuc
•,�;; ;••�
undetpenaltiesof ed r Niti
in it me true to tl� best of my knowledge and belief.
Signahrte of Nahval Person Si�iing Above
(A wpy of mry bond rtuut be attached at the time ofrecoMation of Utis Nouce of Co�ne�rc) 17p� �, Zppg