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Home My WebLink About12-12830 , CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 12830 BUILDING PERMIT Permit Number: 12830 Address: 39773 MEADOWOOD LOOP Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est. Value: Parcel Number: 13-26-21-0140-00000-0620 Improv. Cost: 10,000.00 Date Issued: 2/22/2012 Name: COLVIN, TERRY& MONK, RICHARD Total Fees: 85.00 Address: 39773 MEADOWOOD LOOP Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542 Date Paid: 2/22/2012 Phone: (813)355-4972 Work Desc: REROOF SHINGLE l Oc� �, _ ---�� C'� � � TAPE JOINTS ROOF IN P FINAL r Z�- REINSPECTION FEES: Reinspection fees will wmply with Florida Statube 553.80(2)(c)when extra inspec�ion trips are necessary due to any one of the following reasons: a)wrong address b)aondemned work resulting from faulty construction c) repairs or con�ections 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 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." Compl Plans, Specifications Must Aocompany Application.All work shall be pertormed in accordance with Ci Codes and Ordinanoes. NO OCCUPANCY BEFO C.O. � / CO TRA O IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . s��-�so-0o2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department �R�� Phone Contact for Pertnkting - i� - T-T Owner's Name e(' l�I � Owner Phone Number 3 5 7 —( 7� Owne►'s Addresa � / �� J�� '� Owner Phone Number Fee Simple Tideholder Name Owner Phone Number Fee Simple Tkleholder Address JOB ADDRESS �� t9.a�-G�O (� �9 LOT# �� SUBDIVISION � +�lW U 1�C.Y C..'� PARCEL ID� � �� Q (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR�] ADD/ALT Q SIGN Q Q DEMOLISH INSTALL �Q REPAIR PROPOSED USE � SFR Q COMM Q OTHER TYPE OF CON3TRUC170N Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK 'e �� BUILDING SIZE SQ FOOTAGE� HEIGHT BUILDING $ ' (� (�O ,` 0 VALUATION OF TOTAL CON R�J6iTON ( 7 � ` .. �ELECTRICAL $ —� AMP SERVICE � PROGRESS ENERGY � W.R.E.0 .� �� QPLUMBtNG $ / ` � A I�C, ��,,,�,ji�i(C_ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /v �GAS � ROOFING � SPECIALTY Q OTHER f � T�� `�""�n�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� 3 3� ` ' 3-q�(�-53 3.� BUILDER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# �— EIECTRICIAN COMPANY SIGNATURE REGISTERED Y! N FEE CURREN Y!N , Addresa License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# �— MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# �— � � OTHER COMPANY / r(,� , /�7!�J SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address U !�.'T Z I � License# IIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIttlllllllllll RESIDENTIAL Atta (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,Construdion Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Pertnit fo�subdivisionsAarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pe�mit 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 �ot licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state taw 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 conUactors, 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 indicalfon 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 conshuctfon of new buildings,change of use in existing buildings, or expansion of existing buildings, as specffied 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 ident�ed 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, rf Pascb Gounty WatedSewer Impact fees are due,they must he paid prlor.�p permit issuance in accardance with appliCable.pasco Co�nty ordinances. CONSTRtJC�ION LIEN LA1�1F(Chapte�'793�,,Florida Statutes,�s ainended): If`V8luation ot work�is$2,500.00 or more,I certify that I, ihe applicant, have been provided�virith a eopy of the�"`�IbTida_Constructio�,Lien Law—HomeQvlrner's Protection Guide"prepared by the Florida Department of Agriculture and Consurtier 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'SlOWNER'S AFfID/�V1T: �(•��y,that all the information in this application is accurate and that all work will be done in compliance with all applic'able laws P�gulaling constniction, zoning and tand development. Application is hereby made to obtain a permit to do work and instaAation as indicated. I certify that no work or installation has commenced prior to issuance of a pennit 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 wdrk,and that it is my responsibility to identify what actions I must take to be in complfance. Such agencies include but are not limited to• - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WatedWaslewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. - Department of Health 8 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 professionai 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 wali 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 Till wili not adversely affect adjacent properties. If use of fiil 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 fs required. If 1 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 p�ovisions 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(8)months aRer the time the work is commenced. An extension may be requested, in writing,from the Building Officfal 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�OMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU TEND TO OBTAIN FINANCING,CONSULT WITH Y L OR N A RNE EFORE REC CE F M N ENT. FLORIDA JURAT(F.S.117.03) i OWNER OR AGENT CONTRACT '� f^ Subsaibed and swom to(or aflirmed)before me this Subscr{b and \ r� (�rme )be{ th� , bY —2Z— 'Z b 'T Who is/are personally known to me or hasRiave produced Who Is/a e on wn to me or haslhave produced as Identlflcadon. as identlfipBon. Notary Public _ „�� !�,E on{ ohary Public Commission No, Com � " •�S�6�f11�Q��2 ��4 Bordad'Ilw Tmy Fah buranoe 80P386TD1Y Name of Notary ryped,printed or sfamped Name of Notary lyped,printed or stamped 02/22/2Q12 10: 52 FA� 727 682 Q239 PLF5i0L"TH INSt�RANCE AGE\C f�001/001 '4co�i�d CERTIFICATE OF LIABILITY INSU °�'�'�°°"v"'' RANCE z/�z/�oia TFIIS CERTIFICA7E 18 188UED 11s A MATTER Of INFOR�IATpN ONLY AND CONFERS NO RIOHTS UPON THE CERTIFICJITE FIOLpER. THIS CERTiFICATE DOEg NOT AFFtRMA71VEL1l OR NEfiATIVELr AYEND, EXTEND OR A�,TlR THE COVERApE AFFpRpEO BY TFIE POUCIES BELOW. 7HIS CERTiFICATE OF INSURANCE DOEB NOT CONaTITU7E A CpNTqACT BE7WEEN TME 188U/�IO INSURER(8�, AUTFIORIZED REFRESENTAfIVE OR PRODUCER,AND THE CER7IFICATE FIOLDER IMPORTANT: N!M caetlHesh ho1dK b an ADOITIONAL INSURED�IM policy(ies)must be endo�d. M SUBROOATION IS WAIVEO,subj�et to the tarms end eondltlom ot the Po1feY.e�rWn pollei�s may r�qul�t an endaa�m�nt. A�rrt on tlMS c�rtllfe�M dws not cad�r riphb to the catlflut�holdw M Ilau d sueh s. PROOl10ER Plya�outh Ineuraacs 7►gency � �� =Z 2739 II8 H�ry 19 l�orth �877-205-068� ,�w:727-68Z-0239 Soliday, F1, 34691 "�dO�• � tbinaurancea enc .ao� 7Z7-68Z-4040 Af0"0"'� �"� �• INsu�RA �ID-COlITI111ELfT O7tOIIP �� Oa�an Conatruatioa � plu�bing, LLC. r�su�e. �+su�c. P.O. Box 3 6 6 n�su,�R o Lutz, !L 33548 ��RE 813-949-5333 �w�RF COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TN15 IS TO CERTIFY THAT THE POLICIES OF IVSl11il►NCE�I$TED BELOW MAVE BEEN 13SUED TO 1}IE INSURED NAMEO AB01/E FOR THE POLICY PER100 INOICATED. NOTWITHSTANOING ANY REpU1RE1dENT,TERtiI pR CpNDtT1pN OF ANY CONTR/►CT pR p7NER DOCUA�ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POIICIES DE8C7iIBEp HEREIN IS SUBJECT TO AlL THE TERMS. EXCLU310N3 AND CONDfTION$pF 3UCH POLICIES.L/WTS SHOWN MAY HAVE BEEN REDUCED BY PAIp(x/�IM$, 1711 TYPE OF INSURANC� POLICY NUA�ER UMIT$ ce�r� uneiuTv �►+ �� s 1 000 000 a �,�"``�„`�'uT'" �ES �.�„�. : ioo 000 CWMS-Iuu1DE ❑Z OCCUR hED EXP(M ons S EZCLQDSD � 04-GL-00083Z157 l0/1/�oii io/i/�oi� �R�a,,,�,��, s 1,000,000 a�� AGGFEGATE : a,o oo,o 0 0 «�r�L�aoaecnre Llwrr�IE8�: PaooucTS-co�voP�ao S 2,OOO,O O O Z �,�. � �� s AUTOIHOBiIF LIABIUTY NVYAUTO E��ceiOM ALL OWNED BOOILY iNJURV(Per parson) S AV� �OEDULED BOOILV IWURY(Pw saldsrt) f HIREO AUTOS ��NED �y S UI�REI.L/► LU1B �� 5 EXCE8S LIAB EACH OCCUIiREN1;E f CLAIMS-1AADE AGC�IiEOAIE s OED RE7ENTIONt WOW(ER8 OOI�EN811TION s AND EfNPLOVER3'WBIU7Y r�M ANY PROPRIETOR�PANRERIE�CIlTNE �Oy�.��c�EyW�r,l�eea Exc�tioM� a NIA E.L.EACH ACpDEWT s �+��r.�YI� M d�saibsundar E.L.D18EA,9E•EA EMPLOYE t ��T�B b� EL.DI3EA$E-POLICV LIMIT S DESCRIpT�pN OF OPERATIONB/LOCATIONS!VEMIClE3 (AIt�cA ACORp 701.Additianel Rsmerka gv�s0ub.K mo�e�Is roquirotl) CERTIFICATE HOLOER CANCELLATION CITY O�' ZBPH7fR8ILL8 5335 8TH $T SHOULD ANY OF TME ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRAT�ON DATE THEREOF, NOTICE WILI BE DELNERED IN ZSPHYRRILLS. FL 335�Z �ccoa�c�wmir►iePOUCVPRavrsioNS. lAZ: 813-780-Q005 MITFFOR¢EU REPRE9ENTATIVE �� m 1988-Z010 ACOR�COPtPORATION. All rtghts r�eserved. ACORD25(2010/05) The ACORD name and logo are registered marks of ACORD �e��s ��..e �Tw.�,,�.P.�� Pro��s �,..c �� ,, 2012028265 �� r�� N� �ut�..�y �...�N� �,,;:�1 �/ :3a �S� H�� -.S�s�-�OCx� Pertnit No. Parcel ID No I 3-��a�"��-tJ(k�J —�(�,� NOTICE OF COMMENCEMENT State of_ �l(�f i�� County of (,l S� n THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Fio�ida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification Na. �? • �(� - — rn� �� J.� 7X1� SVeet Address: � � � 2. General Descriptlon of Improvement i 3. Owner Infortnation or Lessee infortnation if the Lessee contracted for the improvement: � � / �� /•l�C�ry OD�J' L_-7t.� Name Address Ctty �� ' —'`'— Interest in Property: State Name of Fee Simple TiUeholder• (If different from Owner listed above) Address ^� / L�� i 1 State 4. Contractor �.3 d�l N !T��+�� — �t`.1N N � c7�n n.� pc3 �u ?G,r _�� -� Address �f City State Contrador's Telephone No.. Y3 �� g y�J ,53�3 5. Surety: Name Address City State Amount of Bond: a Telephone N^• Rcp{,:1416861 Ree: 10,�0 6. Lender Name �S� 0.00 02/21/12 J. IT: 0.00 Farias Dpty Clerk Address Ci� . Lender's Telephone No.. "'°" 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Sedion 713.13(1)(a)(7),Florida Statutes: Name Address Crty Stete Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date is speafied): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR REC DING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I dedare that I have read the foregoing notice of commence e t an�l that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Sig ature of ner or Lessee,or Owners or Lessee's Authorized Qfficer/Director/Partner/Manager ^� Signatory's TiUelOffice ��7 � Cp�Irl Il� The foregoing instrument was acknowledged before me thi day of 0�?by as ��'A7£�. (F�pe of authori ,e.g.,officer,trustee,attomey in fact)for ^ (n of party on b�a�hOJTry'nstru t was�ted). Personally Known��Produced Identification Notary Signature ,/ %�[�f Type of identification Produced_ r'L l,2 � Name(Print)_��c C /Li1��4-, _ �� y�n� ��4�;;;!P�•,,, BRENDA L BUCHANAN �t+=. Notary Public-State of Florida i My Comm.Expires Jan 31,2013 ��, P;� Commission�DD 845603 ''••��t�� Bonded TDrough National Notary Asan. wpdata/bcs/noticecommencement�c053048 PAULq S � NEI�,Ph D pqgCO CLERK 02�21�12 0��'j�m & COMPTROLLER � OR BK Q +� L� � PG�GV3Z �TA1"�� .d?�i[�l�, �UiJi�TY OF PASCO 1'NI�I��`��ERi�i�Y"�i�w,1�1 HE FOREGOING IS A ��f�f�F�p�pR1�E�°i CUPY a�TNE DOCU11�i�NT �!V FI�,�qFt pF'�'t1EiLfC f:ECOR[7 IN TMIS OFFICE WITN�S�MY �f;fvC',�N�7 t��FICIAL SEAL TH15 � ( ��av Ur �k�t'�w��( 2 c,,ti PAULA S C)'N�IL, CLERK&COMPTROLLER p�Y uEPUT�'�LERI1 �I'UII'II"I�I' O�IC2 LOC�IOfI: TAMPA �roposai�ate oz/oa/zolz eob# 13249129 Sears Home im rovement Products Inc. G'�`N� �� P.O.Box 522290 TERRY COLVZN 1024 Florida Central Parlcway cusmmers f+ane Pnone Custorners work Pnone LongwOOd,FL 32750-7579 csi3� 355-4972 Home Improvement Products phone 800 469-4663 �'�"� ESTIMATE AND PROPOSAL Contractor�ioe�elRegistra6on Number 39773 MEADOWOOD LOOP �� Roofin FL(Gen.Cont.CGC012538,Roofing Cont. �� LP�e 9 CCC1329316) ZEPHYRHILLS FL 33542 Is installation wffhin ciry limits? Inst�lation Address Coun Pnsco e�o: res BiAing Address('rf Qifferent fram above) City Stahe Zip Code Projet�Consultant Name&License No.('rf applicaWe) DON ROY Descri '°°°f the P and peac� of the S' ni�cant Materials to be Used and E ui t to be i�talled The work to be done under this contract indudes the following(where checiced): Specif'�ations(�=Induded❑=Not Induded) Preoaration 1. � Tear off existing roof shingles down to wood dedc on entire house. 2. � Inspect wood dedc for rotten wood. 3� � Replace any rotten wood found in the dedc area at a rdte of$ 2 85 per square foot. PLEASE NOTE:this amour�t is not included in the TOTAL PRICE ahown below. Customer and Sears agr�ee that the TOTAL PRICE will be amended via a Contract Change Authorizatian form to add the cbsts of replacing rotben wood in the dedc area disc�vered a�er existing roofing materials are removed. Customer(s)infials 1 � Inst�lation 4. 0 Fumish and install Exterior Shingle: TYPE: OAKRIDGE LIFETIME COLOR: SHASTA WHITE 5. 0 Fumish�d inst�l 30# FELT underlayment over roof decking. 6. 0 Fumish and install ice&water eave 8 valley protector. 7• � Fumish�d irtstall starter shingle on all eaves. 8• 6d Fumish and instalUreplace any deteriorated"L'flashing. 9. � Fumish and install metal drip edge abng rake edges and eaves. 10. ❑ Fumish�d install skylight systems. ❑Reuse existing 11• 0 Fumish and install new vent covers on all ve�pipes. 12. � Fumish and install at�c verrtilation system(Chedc alf a�plicable): �Turbines ❑Powier vents 0 Shingle-ov�er ridge veMs ❑Off-ridge vents ❑Soffit vents 13. ❑ Fumish and install new flat roof Exterior Protection System: COLOR: Gut�rs 14. ❑ Fumish and inst�l gutte�ing: COLOR: 15. ❑ Dispose of old guttering. CI n-u 16. � Clean-up and removal of�I job-related debris induding exoess materials.(Extra materiais a�e shipped with each job to avad delays).Manufacturer wartanty will be seM upon canpletion of inst�llation. Sears recommends that Customers have their chimney siding or mortar between txic�c�stone, or Wocks inspected Periodically bY a Profession� ar�d tudc poinbed and/or rraterproofed as needed•Sears shall not be�esponsib�for chimney integrity other than replacing the flashing in conjunction with the insHallation of the roofing materials described above, Customer(s)initials �1�, Additional work to be done: NoNE Work NOT to be done: Repairs and r�eplaoemerrt of any damaged existing stn�ctural members, �rrterior repair to walls or ceilings induding sealing, painting,and/or dryrv�l repair.Removal and/or re-installation of items that may otherwise impede Sears'ability to install a new ��9�m P►KK��stallation. Examples indude,but are not limited to,satellite dishes,solar panels,pool heating panels, gutter protection systems,N antennas,HVAC systems,and weather equipment. NONE SPECIAL INSTRUCTIONS: NONE All of the above d�eck boxes,"Wak NOT b be done,""Additional wak to be done,"and'Special r-- ��ons°s�tior�s hav�been reviewed and e�lained b rr�e. Customer(s)inidals i '� SR]-FL(DiB)Rev 04/14/I I Page 1 of 3 'I'��'I'I�II�il) Job Number 13249129 APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The w�rk wilt staR approximately 3-a WEEKS (Approximate StaR Date) It will be substantially completed by approximately 3-a WEEKS (Approximate Completion Date) These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc.("Sears")or at any other time by mutual written agreemerrt.Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE induding all labor,material,taxes and any�plicable discount is$ iz,039.85 Cor�tract price $ i2,039.85 lnitial Payment(not to exceed 309'0 of Total Price unless Special Order)$ 3,611.96 State Sales Tax( o.oo %) $ o.o0 Final Payment(balance payable upon completion of job)$ s,427.89 Local Sales Tax( o.oo %) $ o 00 The Initial P nt is due 'or to Sears orderin roducts. Total Amount Due 5 lz,039.85 The form and method by which the Customer(s)will pay is desaibed in a separate Cash/Cr+edit Card Payment Adde.ndum made a part of and inoorpora6ed inm this contr�ct by refere�oe. Custome�(s)initials �� NOTICE TO BUYER: YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FlFTH BUSINESS DAY IN ALASKA,FlFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDEI�AFTER THf DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN IXPIANATION OF THtS RIGHT. ADDITIONAL PROVISIONS Pr000sal and A�oroval.Sea►s offers to fumish the ma�erials and artange for their delivery and instaUation as specified on the first page and/or the attached sketches and specification sheets for the TOTAL PRICE shown. This offer must be approved by the Installation Depafinent. If this is a a+edit sale or a payment on oompletion sale, it must be approved by the Cr�dit Sale� pepa�t If this proposal is not approved or the installation cannot be made in accordance with the law,this of�er will be wilhdrawn and any payrnents you have made will be refunded b you.Any materials left over after the installation has been completed are Sears PropertY and will be rerraved by Sears. I�.I understand fhat Sears will not install the materials but will amange for the install�ion.Sears is not responsible for materials or installation NOT fumished or artanged by Sears.Sears'installation contrac�or(s)will obtain all building pem�its requir�ed by bcal law.For homes located in histaic or landmark zoning di�rids,Customer will be r�esponsible for obhaining required�prowals and related permits prior to the oommenoement of woric on this contract. Authoraation.I authorize Sears�:(1)arrange for a oontractor(licensed where required by law)b make the in�allation of materials;(2)issue a work oMer for ihis installation to a conh�actor;(3)inspect the instalt�ion;and(4)Pay�e contracbor when the installabon is complete'rf I have signed a certificate that the installation has been complebed to my salisfac,�tion. �ts in Ir�allatlon.I agree that Sears is not responsible for delays in delivery or installa6on due to weather,fire,strikes,w�,govemment regulations or any causes beyond Sears'oontrol. Qral Aarsements�d Chanaas in ontract I understand that there are no oral agreemeMs betw�en Sears and me. Everything I expect Sears to do has been induded in writing in this cor�tract.Nothirg can be changed in this contract unless it�s in writing on a separafie form accepted by rr�e and Sears. Reaoonsibilitv of Bwer.I agree that any information or measurements that I give to Sears are cortec�and comple�e.I am responsible for any special vwric desaibed in fhis contract. Elsdrical$Plumbk�n Senice.I will provide adequa�e elechic�l�d/a plumbing service(s)to run any newly installed appliances or other tumishings.If the electrical�d/or plumbing servioe(s)do not meet fhe standards of the uhlity c�umpany or electrical and/or plumbing oodes, I wll malce the necessary changes at my expen�unless Sears has agreed in this oontract to make the changes. P ment.I wiN pay Sea�s the cash prioe that covers tlie price of mabe�'ral and inst�lation as shown on tl�e first page. Wa�Informatlon.Appropri�e produd warraMy documents will be given to rr�e by Sears.Sears'WaRanty on Installation is: SEARS'LIMITED WARRANTY ON INSTALLATION In addfion to any m�ufactur�er wartarriy exbended to you on the produd(s)used(which warranty becomes efieCtive the date the mer�handise is instaNed),if the workrnanshiP�a ePP��tion)of�Y Sear�'arran9ed installation proves faulty wilhin fiv�e years(Best),three years(Better),iwo years(Good)a one year (Limited)aPoer products are installed,then upon rwtice from you Sears will c�use such fault,s to be carected by repair a�no additional cost to you. If Sears debertnines that repair is not commeroially practicable or cannot be timely made then, at Sears'sole disaetion,Sears may elect to provide replaoement or r�fund. Service undar this Lim�ad Warranty ls evailable by callMg Sears Home bnprovament Produda at 1-600-222�5030,Option 4.This warranty 9�Y��9��and you may�so have a�her rights that vary from Sh�e to State. SRl-FL(Dig)Rev 04/14/11 Page 2 of 3 DR��f I.ORiDA_ A"�'�-` pROF88� OF �US��38 ��It(a D� CCC13297g2 N� R�G�'ATrp� C$RTIFISD ��1��11 88ROyD �OOFING 09p22I4I7 OC$AN COIiS;� C��g&�'RACTOR �ING LL IS C$RTrFIED uaaor �Ptratioa aeca: AUG th� Drov as 31, 20,7,2 isio of ch.489 L110519p0625 Fs