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Home My WebLink About11-12560 CITY OF ZEPHYRHILLS - 5335 - 8TH SfREET �♦ � (si3)�so-oo20 12560 BUILDING PERMIT Permit Number: 12560 Address: 5254 17TH ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Se�tion: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17800-0160 Improv. Cost: 10,935.70 Date Issued: 11/23/2011 Name: TYLER, KENNETH & JOHNNIE Total Fees: 90.00 Address: 5254 17TH ST Amount Paid: 90.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/23/2011 Phone: (813)782-9092 Work Desc: REROOF SHINGLE ✓ �Q � � �� - TAPE JOINTS ROOF INSP FINAL ? - � O "I � 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 � plans not at job site g) work not acxessible. 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 properly. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Acxompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�saeo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received /l 02 3 Phone Contact for Permitti� — Owner's Name h�/If �� L-� Owner Phone Number �J� � �O� " �` � Owner's Address o�� ! ' Owner Phone Number Fee Simpie Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS � / � �� LOT # � SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK DD� h��o ��}� � � � D �' / �L� ��VS (: Di2fP1�� BUILDING SIZE � SD FOOTAGE �� HEIGHT �� BUILDING $ VALUATION OF TOTAL CONSTRUCTION ��` ��• � DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � �V �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��/ G' �GAS .� ROOFING Q SPECIALTY 0 OTHER ,�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER s COMPANY �`�� LAID UtI �� N�* SIGNATURE REGISTERED Y/ N FEE CU E� Y/ N Address 7 [ � � � �'C��"� (� J�Q�II�y ��` � License # C�C D�3 � � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # —� PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREF Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # � OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Sitt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new p�ojects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Pians. *"'"PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (AlC upgrades over 57500) "* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance w'rth any applicable deed rest�ictions. 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 Counry. 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 appiicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws �egulating 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 prope�ties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE O COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT �� CONTRACTOR � — Subscribed and sworn to or aflirmed � before me this Subscribed and swom t or aHirtned) f r me thls �f ?.�3'l/ by /�E�IT�k /zf�'c.4to �� / � L�-/( b /� � � Who is/ar@ personally known to me or has/have produced Who ls/are personally known to me or has/have duced � ��y� as tdentlfica8on. �fC EK Ss» as identification. „, . otary Public � � Notary Public ,� fis . Epl�1 .-:� "': , EtINE BOGES , _ Commi � •"` . �� # EE 040520 Commission ": � � ° � � '> xp�re,s December 12, 20 f k? �qi, , Baded Thu Troy F�n Mwiraae 8063857019 r "� ,.� 3k�' � e�a n�, r� Fe;,, i Name of Notary typed, p nte or s a Name of Notary typed, p n --� •� �,-, ACOR CERTIFICATE OF LIABILITY INSURANCE CERTFICATENO./DATE AC11-38300067-1096388 11/21/2011 10:14 SOAM Pr�nuc�rt TF9S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION aighpoiat Risk Servicea LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5501 i.sJ ��mY, SUITE 120o HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Dallas, TX 75240 (800) 728-0623 (972) 404-0380 Faa: (972) 404-0380 INSURERS AFFORDING COVERAGE INSURED: �S 1/c/f• INSURERA. KEITH MEIIIDY ROOFING INC. INSURERB: 7912 BLACKEIAWK TR INSURER C: SPRING HILL, FL 39606 (352) 683-8789 Fax: (727) 817-1505 INSURER D: INSURER E. THE POLIqES OF INSURANCE LJSTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEWOD INDICA7ED. NO7YKiHST/WpNG ANY REQUIREMEHT, TERM OR CONDIiION OF ANY CONTRACT OR OTHER DOCUMENT YMTH RESPECT TO YYHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, iHE INSUR/WCE AFFORDED BY THE POLK.'IES DESCRIBED HEREIN IS SUBJECT TO ALL TNE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIE3. AGGREGATE LIMITS SHOYYM MAY HAYE BEEN REDUCED BY PAID CWMS. N R TypE pF INSURANCE POLlCY NUYBER �CY EFFECTNE POLICY EXPIRA V �� GENERAL�WB��TY FLGL105227 09/26/2011 09/28/2012 EnCHOCCURReNCE t 1000000 COMMERCIAL GENERAL LWBIIfN FIRE DAMNGE (Arry One F�e) S 1 O O O O O CWMS MADE � OCCUR MED EXP (Any one person) i S O OO A a�tsoru�BnoVIruURY S 1000000 G��rtnLAC�cRECnre S 2000000 GEN'L AGGREGATE LIMR APPUES PER: PRODUCTS - CdNP/OP AGG S Z O O O O O O POLICY �a LOC �T� �TY COMBINED SINGLE LIMR ANYAUTO «�� S ALL OWNED AUTOS BODILY INJURY 9CHEDUIEDAUTOS (p�P°� S HIRED AUTOS BODILY INURY s NON-0WNED AUTOS (� �K) PROPERI"Y DMAAGE s 1� a�) GARAGE IJABILITY AUTO ONLY- EA ACCIDENT S ANY AUTO OTHER THAN � � AUTOONLY� A � s EXCESS LIABtIlTY EACH OCCURRENCE S OCCUR ❑CWMSMADE AGGREGATE S S oEOUC7I�E S RETENTION i i WORKERSCOMPENSATION/WD DPE26272740060 09/21/2011 04/O1/2012 X W �� A X� EMPtAYERS' uABIL1TY 10 0 0 0 0 0 EL EACH ACCIDENT i A E.L. oisensE - en v.t�OVEE i 1 O O O O O 0 El. DISEASE - POLICY LIMIT S 1 O O O O O O OTHER LIMRS S LIMRS S . This certificate remains in effect, provided the client's account is in good standing with AMS. �*�*PLEASE�SEE�ATTACAEDe MPlOYEE s R o�f P AMS e leased w to c REITH MELADY ROOFING 09/21/2011. CERTIFICATE HOLDER A�AL NSURED; NSURER LETfER CANCEILATION DATETHEREOF, THE ISSUNGNSURHt WILBJDEAVOR TOMAL 30 DAYS WRffTEN CITY OF ZEPHYPHILLS NO7ICETOTHECERTFICATEHOLDER NAMm TOTHELEFT, BUTFALURETODOSOSHALL ATT; BILL BURGESS MAPOSE NO OBLK'.ATIONOR lJpBIITY OFANY KMID UPON THENSURER, fTSAGENTSOR 5335 8TH ST. R�J7ATTIE& ZEPHYRHILLS, FL 33592 AUTHOR�D REPRESENTATNE _ � q _ �� ACORD 25-S (7/97) OO ACORD CORPORATION 1988 , .... .. __.._,. , ....�., . .�`�: '��'� -.;� � � _`;�.�� '_�, �,�z��. � � �� , �; �� .�� ; , , ; ��,��i�sr.�� , ' ��.��°=. ?- �'T.�.80fr,75'71 _ �}�. ��,f' ��',,: . , - _ ..s � �Q� , �. .� ' , . , �.. � , `f„�j� ti ,'Ay . J; ,.. T ' () () ' i�Y: 1 �� 1 - y �', "�. �r�;S��.��+�"�f� a''��`3!�.�dEl�.�`,c'1i.,'�8'�`tR,;,. �si��q� 3a4��'.' A�fa `3��y i,'� , .'L.�1'Si'��Sfl3'x`1 ,,. IIIIIIIIII III,IiI OFfICe LOC�10�1: TAMPA Rn�osaioa�e io/os/zoii �o�� iz Sears Fbmelm rovemeM Products, Inc. CLstomer Name �� P.O. Box 522290 �oHr�hlE Tv�ER 1024 Fbrida Central Parkway LLstorr� s Home Phone Customers Work Phone LOngwOOd, FL 32750 <8�3� '82-9092 Home Improvement Products p�ne 800 469-4663 Street Address ESIIMATE AND PROPOSAL Contractor LicensaRegistratfon Nurrber 5z5a i�rH sT FL(Gen. Cont. CGCAl2538, RoofingCont_ �tY State ZpCode R+oofing �1329316) ZEPHYRHI�LS FL 33542 �S IflS��10�11N1�f11�Ct�/�I1P11tS� Irtstallation Address Cou Pnsco �fNp ; YES Biiling Address (rf drfferentfr�m abovej Cit�r State �p Code Projed Cms�tart Narre & license No (rf applicablej BRUCE FIE�D Descrf on of the Pr ect and Descri ion of the Si nfffcaM Malerials to be Used and ui meM to be installed The work to be done underthis contract includes the fdlowing (where checked): soec�icatlons (B1= �nc�udea a= No� �nc�ude� Pr ra�ion 1. 0 Tear o�f exisfing roof st�nc�es dovm to wood deck on entire house. 2. � Inspect wood deck for rotten wood_ 3_ 0 Replaoe arry rdten woad found in the deck are�a at a rate �$�� g 5 per square foot. PLEASE NOTE: this amount is not included in the TOTAL PRiCE shown below. Customer and Sears agree tt►at the TOTAL PRICE will be amended via a CoMract Change Authorization form to add the o�ts of replacing rotten wood in the deck area discovered after e�6sting roofing materials are remo�red. Customer(s) initials � ! 1�� , hstallation 4. 0 Fumish and install Exterior Shin�e: TYPE: OAKRIDGE COLOR: DESERT TAN 5_ 0 FU�I11SF1 2(ld II15�II 30# FELT underlaymerrt aver roaF decking. 6. ❑ Furrush and install ice 8 water eave & valley protector. 7. � Fumish and install st�ter shingle on all eaves. 8. 0 Furrrish and instalUreplace any d�eriorated'L' flashing. 9_ � Furnish �d install metal drip edge along rake edges and �nres. 10. ❑ Furnish ar�d install skylig� systems. ❑ Reuse existing 11. � Fumish and install naw vent covers on �I ver� pipes- 12 Ef Fumish and ir�stall attic ventilafion system (Cl�eck all applicable): ❑ Turbnes ❑ Power vents 0 Shngle-0ver ridge vents 0 O�F �dge vents ❑ Soflit wents 13. ❑ Fumish and install new flat roof Exterior Protedion System: COLOR: Qitters 94. ❑ Fumish and installguttering: COLOR: 15. ❑ Dispose of old guttering. p 8811-UD 16. B1 Geao-up and rerraval of all job�related debris inGuding excess m�s. (Extra materials are shipped with e�ach job to avoid delays). Man�dacturer waRanty will be sent upon compl�ion of installation. Sears recommends th� Custamers have th�r chimney siding or mortar between brick, stone, or blocks inspected periodic�ly by a professionat and tuck pointed �d/or waterpraofed as needed. Sears shall not be respa�sible for chimney integrity other than replacing the flashing --� in conjunction with the installation of the roa�rg ma�i�s described above. Customer(s} initials �-� �.� A�t10�12) WOfIC t0 � dOf1B: REMO\'E AND DOSPOSE OF EXTERIOR ANTENNA, WEATHERLOCK APPLIED IN \'ALLEY Work NOT to be done: Repairs and replacement of arry damaged existing structural members. Interior repair to walls or ceilings induding seating, pairrting, andlor diywall repair_ Removal andlor re-installatiai of items that may akherwise impede S�ars' abilit�+ to install a new roo�ing system prior to installation. Examples include, but are not limited to, satellite �ishes, solar panels, pod t�ea6ng panels, gutter pr�tection systans, N aMemas, HVAC systems, and weather eq�pment ROOF OF DETACHED GARAGE AND VdORKSHOP SPEqAL INSTRUCTIONS: r�or�E A9 of 1he above chedc boxes, "Wo�ic NOT �O be done," `�tional work b be da�e," and 'Spedal .—�- Ir�struc�ons° sections have been reviewed and e�q�lained to me. Customer(s) initi�s �.�, �� SRl-FL (Dig) Rec 0� 1� 11 Pa¢e 1 of � �� ,�� JobNumber iz�aiss9 APPROXIMATE START DATE and APPROXIMATE COMPLEIION DATE: The wark will start appra�cimately 4-a VrEEKS (qppraxim�e Start Date) ft will be substantially completed by approocimatdy a-a wEEKS (Approximate Completion Qate) These dates are s�ject to charge a� the dme the contract is aocepted by Sears Home Improvement Products, Inc. ("Sears'} or at any o�er time by mutual written agreement_ Customer understands that the Ap�o�cimate Start D�e is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor, material, taxes and arqr applicable d'scount is $ lo , 9 3 5.' o Contract Price $ lo , 9 35 .' o Initial Paymerd (not to exceed 3096 of Todal Price unless Special Order) $ 3, Z80.'1 State S�es Tax ( o. oo %) $ o. o0 Frral Paymer� (b�ance payable upon completion of job) $'> 65 4. 99 Local Sales Tax ( � oo %) $ o. o0 The Initial P ment is due ' to Sears orderi ro�cts. Total Amount Dus; lo , 9 35 .,' The fam �d method by which the Cus�omer(s) will pay is described in a separate CastJCreciit �tomer(sj initi�s �. � �� Card P'ayrt►er� Addend�n made a part o# and incorporated ir�o this contract by refe�enae. - --- NO110E TO BUYER: YOU, TF� BUYER, MAY CANCEL TFNS TRANSACTION AT ANY 11N� PRIOR TO MIDPNNGHT OF THE THIRD BUSINESS DAY (F1FTH BUSINESS DAY IN ALASKA, FlFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLD� AFTER THE DATE OF THIS TRANSACTION. SEE TfE ATTACHED NOTICE OF CAI�LATION FOItM FOR AN D�LANATION OF THIS IbGHT. �►DDITIONAL PROVISIONS Pr000sa) and AoDroval. Sears df�s to ftxrrsh the materials �d �range for their delivery arid install�ion as specified on the first page andlor the atkached sketches and spec�icatian sheets for the TOTAL PRICE shown. Thi� offer must be approved by the Installation Depaitrtient. If this is a credit sale or a paymer� on completion sale, it must be approved by the Credit Sales Depardnent If this proposal is not approved or the installation cannot be made in accordance with the law, tltis offer will be withd�awn and arry Paymer�s you have made will be refunded to you. My rnaterials left wer �ter the installation has been completed are Se�ars propertyr and will be removed by Sears. Instell8ti0n. I understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for materials or installation NOT furnished or arrarged by Sears. Sears' installation contractor(sj will obtain �1 building permits required by local law. For homes located in histaic or landmark zonirg distrids, Customer will be responsible for obk�airing required approvals and related permils prior to the commencemer� of walc on tf�s cor�ract. Authorlletion.l authorize Sears to: (1) �range for a contractor (hcensed where r�quired by law) to make the installation of materials; (2j issue a work order kOr this installation to a cortractor; (3) inspect tt�e installation; and (4) pay tfie contractor when the installation is cornplete if I have sigr�ed a certifir,�e ttiat the installadon has been c�mpleted to my satisfacti�n. Delays in Installation. I agree that Sears is nok respor�sib� fw delays in delivery or installation due to w�iher, fire, strikes, war, govemment regulations or arry causes beyond Se�s' contrd. Oral A�reements and Chan�es In Contrad. I understand that there are no oral ac�eements between Sears and me. EverytF�ng I snpect Sears to do has been included in writing in this oontract. Nothing can be changed in this cor�ract unless it is in writing on a separate fwm accepted by me and Se�s. ResDOnsibility of Buver. l agree that erry infom�ation or m�surementss that I�ve to Sears are correct and complete. I am responsible for any special wark described in this oor�act. 6ectrlcal8� Plumbing Serv(ce. l will provide adec�ate electrical andlor plumbing service(s) to run any newly installed appliances or akher fumishings. If the electrical and/or plumbing service(s) do not meet the standards of the utility company or eledrical andlar plumbing codes, I will make the necessary changes at my expense unless Sears has ageed in this cordr�ct to make the changes. Payment I will pay Se�ars the cash pric:e thatcovers the price of material and installatiai as sho�m on thefirst page. W�arranty Information. Appropriate product warrant�r documents will be given to me by Sears. S�rs' Warranty on Installation is: SEARS' LiMI'fED WARRANTY ON IWSTALLA710N In addition to any manufacturer wa�rrardy �ctended to you on the product(s) used (which warrantyy becomes effective the date the mercharxlise is installed), if the warkmanship (or application) of any Sears' arranged installation proves faulty witFrn five years (Best), tt�ee y�ars (Better), Mro years (Good) or one ye�ar (Limited) after products are ir�t�led, then upon rptice from you S�rs will cause such faults to be corrected by repair at no additional cost to you. If Sears de�ermines that repeir is not commerci�ly practicable or cannot be timely made then, at Sears' sde discretion, Sears may slect to provide replacement or refund. Servlce under this Limlted Warranty Is available by calling Sears Home Improvement Products a� 1�00-222�030, Option 4. This warraMy �ves you specific legal rigF�s, �d you may �so have other ric�hts that vary from Sta�e to State. SRl-FL (Die) Rec• 0� 1� 11 Page � of 3 ��'�� JobNumber 1Z'aiss9 � NOTI(� TO BUYER 1. DO NOT SIGN THE AGRffMIEM IF ANY � THE SPACES INTENDED FOR THE AGREED TERMS TO 1tiE D(7ENT OF THE AVAILABLE INFORMATION ARE LEFf BLAf�C. 2 YpU ARE ENTITLED TO A COP'Y OF TFHS AGREEf�NT AT TF� T1ME YOU SIGN IT. KEEP R TO PROTECT YOUR LEGAL RIGHTS. 3. THIS HOIu� II4�ROVEMENT CONTRACT MAY CONTAIN A MORrGAGE OR OTHERWISE CI�ATE A LIEN ON YOUR PROPERTY THAT COULD BE FORECLOSED ON IF YOU DO NOT PAY. BE Sl�2E YOD UPDERSTAND ALL PROVISIONS OF THIS CONTRACT BEFORE YOU SIGN. 4. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE 111�Bt TF� Af�2EBY�PIT AT ANY TIME, AND IN SO DOING YOU SHALL BE ENTITLED TO A FULL REBATE OF i'FIE UI�ARN� FlNANCE AND INSURANCE CHARCES. 5. YOU MAY CANCEL TI�S TRANSACTION AT ANY TIN� PRIOR TO NdDMGHT OF THE THIRD BUSII�SS DAY [FlFTH BUSINESS DAY IN ALASKA, FlF�ENTH BUSIt�SS DAY IN NQRTH DAKOTA IF YOU ARE AGE 65 OR OLDEI� AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACFIED NOTICE OF CANCELLATION FORbI FOR AN EXPLANATION OF TWS RI('HT. FAILUI� TO DCERCISE THIS OP'T10N, HOWEVER, WILL NOT INTERFEItE WITH ANY OTHER REI�EDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS. IF YOU WISH, YOU MAY USE THIS PAGE AS NOTIFlCATIO�N BY WRITING' 1 HEREBY RESGND' At� ADDING YOUR NAME AND ADDRESS. A DUPLICATE OF THIS RECEiPT IS PRO'VIDED BY THE SELLER FOR YOUR RECOImS. 6. IT SHALL NOT BE LEGAI. FOR THE SElLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMINIT ANY BREACH OF THE PEACE TO REPOSSESS GOODS PINtCHASED UNDER TMS A(�tEEMENT. R.OF�UA HOI�OWI�RS' CONSTRUCTiON RECOVERY FUI� PAYNfEtVT MAY BE AVAILABLE FROM THE FLOWDA HONEOVVNERS CONSTRUCTION RECOVBtIf FUWD IF YOU LOSE MONEY ON A PROJECT PERFpRMED I�ER CONTRACT, WHBtE 1HE LOSS RES'ULTS FROM SPEqFIED VIOLATIONS � FLORlDA LAW BY A LICENSED CONTRACTOR FOR IIVFORMATIOId ABOUT THE RECOVERY FUPD AI� FlLING A CLAIM, CONTACT THE FLORIDiA CONSTRl1CT10N II�USTRY LIt�NSING BOARD AT THE FOLL0IMNG TELEPHOt� Pa1MBER AND ADDRESS: CONSTRUCiION INDUSIRES RECOVERY FUND,1940 NORTH MOPIROE STREET, TALLAHASSEE, FL 3�399; TO.EPNOWE: (�0) 921-�93. ACCORDING T4 FLORIDA'S CONSTRIICTi(NV LIEN LAW (S'ECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YQUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOVIM AS A CONSTRUCTION LIEN. IF Y�tJR COIJi'RACTOR OR A SUBCONTRACT�t FAILS TO PAY SI�CONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEQPLE WHO ARE QWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR COP(T'RACTOR IN FULL. IF YOU FAIL TO PAY YDUR CANTRACTOR, YOUR CONTRACT�R MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTQR OR A SUBCONTRACTQR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TQ PRQVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YQU A"NOTICE TO OWNER." FLORIDA'S WNSTRUCTION LIEN LAW IS COMPLIX, AND IT IS REC4MMENDED THAT YOU C4NSULT AN ATTORNEY. �� ia�o5/zuli �� iaios/ZOii Uistomer's sgnature Date Customer's signature Date �... �,F.� Accepted by Sears Home Improv�ement Pro�cts, inc. ('Sears°) on 1�/o5/zuiz bY� - Date Management Representative SRl-FL (Dig) Re�• 03 13 11 page 3 of 3 f ASSESSED IN SECTION 11, TOWNSHIP 26 SOUTH, RANGE 21 EAST, ' PASCO COUNTY, FLORIDA TOWN OF ZEPHYRHILLS PB 1 PG 54 LOTS 16 17 & Sl/2 OF LOT 18 Tli�s Ii�st�z BLOCK 178 OR 1917 PG 829 Name _ _ _ S��I�S �f0�1� I�IPROV�MENT PRODUCTS, INC. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIfiiiIlll 1024 Floncla Central Parkway L�»gwood, FL 32750 2011182268 Phone: 407-551-6000 NOTICE OF COMMENCEMENT Yernut No Rcpt:1400701 Ree: 10.00 �✓ IT: 0.00 �lerk Tax Folio No j � ps : 0.00 �ook , Dpty � 00 D � D/ (� D iiiz3iii c. TI-IE UND�RSICNLD hereby gives, informs you that the improvement will be made to certain real property, and in accordance �vrt}i Sectton 713 13 of Uie Flortda Stahites, the following infortnation is provided in this NOTICE OF COMM�NCEMENT. 1 llescnptio❑ of property (legal description.) S�� a) Stceet Address � � .(.-S , l "� 1 2 Gei�eral descriptiou of iinptovemeuts �� `, 3 Owner InCormaUon a) Nan�e and address �,�y� j�,-s ..�, �� _ 4 ✓ i �- '� � Z.��1R��yu�, 't�i �3u b) Name and address of fee simple trtleholder (if other than owner) c) Iuterest ►n property• �' �� + 4. Coulraclor lnformatiou. � a) N.ame and address � ��, /` ^ GY�� b) Telephone No w � � /�if7' 5 Surety Inlormahou. � � �� -� � Fax No. (Opt.) a) Name ;lnc� address � b) Amount of Bond. c) 1'elephone No . PAULA S O�NEIL,Ph D PqSCi C of 1 COMPTROLLER 6 Let�dei Fax I� 11/23/11 09�:+22am a) Nan�e an�l address , OR BK �VZ� pG 2464 Phoue No - --- - - --- 7 iuentity of person witliin the State of Florida designated by owner upon whQ uotices or other documents may be served. a) Naiiie aiid address� b) Telephone No 8 In addil�ou to himself, owner designates the following personto�receive a copy of the Lien or's Notice as provided in Section 7] 3.13 (1) (b), Florida Stahites a) Name aucl address ' b) "feleplioiie No Fax No. (Opt.) 9�xpirat,ou clate of Notice of Coirunencement (the expiration date is one year fi�om the date of recording unless a different clate is spec�ried.) �VARNING T'O OWNER: ANy p?,ylVIENTS MADE BY THE OVVNER AFTER THE EXPIRATION OF THE NOTIC� O1� CONIIYI�NC�A��NT AR� CONSIDEIZED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, I�LORIDA S'I'ATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROV�MENTS TO YOUR PiZOPERTY• A NOTICL OF COIVIMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE TIIL I+lltST 1NS1'�CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR L�NDER OR AN AT'1'012NL+'Y 13L1�OR� COMMENCING WORK OR R�CORDING YOUR NOTICE OF COMMENC�M�NT. STA`CL OF F�LURIDA COUN1'Y UF �,� ' -� NOTARY pUgLICSTATE OF F1,pR� ( � �� .. s BPUCC W. 1�'jg]d 'gnature of Owner or O r's Authorized Officer/Director/Partner/Manager a �.= Commissioa � EE112714 '.•„ ,,.� ExpirES: , TULY 17, 2015 � BONDED THRU APLAIPTtC BUNp� �.1�G � PRINT NAME The foregouig inst�umeut was acknowledged before me this �_ day of QG(U/,,,1 �°� 20 � � K�.r �,�, � t�y ---T- ---�j �Y'� __ as �}�, ;� (type of authority, e.g. ofGcer, trustee, attorney ul fact) for party on behalf of �vtiom instrument was executed). (name of Persoually Known OR Produced Identification V Notary Signatur `�^� Type of [dentification Produced � �L. j�� , �--�., � 3 Nan1e (print) �� Ce � ,. �—"/� C � Ver�ficatton �ursuant to Section 92 525, Florida Statutes. Under of er u I declare that I have read the foregoing and that } P P .1 �'> the facts stated iu it are true to the best of my knowledge and belief. roRtv�sitv �.S-fgnature ofNatural Person ' _ oC�vE�oo� S iiiiig Above 5 �� i..flR{DA, COl1NTY f3� �'ASCO TNIS IS TU CERTIFY THAT THE FOREGOiNG IS A TRLJc ,4NQ CORRECT COPY CF THE DOCUMENT ON FILE OR OF P!lB�fC RECORD IN THIS OFFICE ��.�ITNESS MY HAND AND OFFICIAL SEAL THIS Z�. DAY OF�,_✓'k�___ 2 �' �/ PAU� 7� S O'NEIL, CLERK & COMPTRO�LER , �Y : L�-� �-�l�v --- [�F Pi irv rLERK