The URL can be used to link to this page

Home My WebLink About12-13501 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 13501 BUILDING PERMIT Permit Number: 13501 Address: 39241 9TH AVE Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: SUNSET ESTATES Est. Value: Parcel Number: 12-26-21-0300-00000-0020 Improv. Cost: 6,935.00 Date Issued: 10/01/2012 Name: LINDNER, GEORGE& SONDRA Total Fees: 105.00 Address: 39241 9TH AVE Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/01/2012 Phone: (813)715-0042 Work Desc: REPLACEMENT WINDOW 6 SIZE/SIZE �� L' �,� , ! �-- �o � � � , FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 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,consuit with your lender or an attorney before recording your notice of aommencement." Compiete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. ''� CONTR CT IGNATURE PERMIT OFFI R PEf� EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER _ � e��-�ao�oo2o City of Zephyfiills Permit A cati Fax$1378P0021 , �� oaa weNv.d � � � � � � � � � � Pn�.co�aro. _ � i�i Owner's Nam� � Owrwr Phon�NumbN � � � . �U 1 OwMrs Addnss �� o[�l � { � T��/L Own�r Phon�NumMr 13 F«aimPa nwi,aa..N.m. Owner PAons Numbar � Fee 81mp1�TkMho�der Addnss JOB ADDRESS � -1 �`� VG LOT i � susavisiow �rw t� d�Af�T PARCEL IDA �d- 6-o� 1- 0 3 O o- QOQUO —W16 (OlTAINCD PROM iROPERTY TAX NOTICE) WORK PROP08ED e NEW CONS7R� App/p�T Q SIGN Q � pEti►Q�ISH tNSTALI REPAIR PROPOSED USE O SFR Q COMM � OTHER rrr�oF cowsraucnoN [] s�ocic Q FRAME � sreE� � �------, DESCRIPTION OF WORK f LAG�.M 4t�� U �✓�,(�W` �g �� N-fj P_ SZ�� BUI�DIN(i SIZE Sp FOOTAGE� FIEIGHT � -BUIIDING s � S VALUATION OF TOTAI CONSTRUCTION QEIECTRICAL S AMP SERVICE Q PROGRESS ENERGY �R.E.C. QPIUMBING S � N"�� ,, r OMECHANICAL j VALUATION OF MECHANICAL INSTALLATI01� � � ��` y' I�y / 7 OG� Q ROOFING Q SPECIALTY Q OTHER ��' �h�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QyES NO ��R �OMPANY SO V I�.aJ��t ^- SI(iNATURE rtEGisrErtEO Y/ N FEECU� wy1N�' ��` naa►es: 1 7 S : 3 ��{(,,a� C � s O,� u�n 4 M 3 ELECTRICl/W CWNPANY g�� REG44TERED Y/ N FEE CURRE� Y/N Addnss License N PLUMBER � COMPANY SIONATURE RE613TERED Y/ N FEE CURRE� Y/N Addnss License# � MECHANiCAL � COMPANY -� SIONATURE RE(i�STERED Y/ N FEe cUwtEn Y/N Addreas � License# OTMER COMPANY SIGNATURE REOISTERED Y/ N FEE CURRE� Y/N Addross license N IIIIIIIIIII11111111111111111111111111111111111111111111111111111111 RESIDENTIAL Atlach(2)Pbt Pl�a:(2)sets of Bulkfirg Plana;(1)set of Energy Forma:R-O-W Pertnit tor new oonsUucflp�, Minimum ten(10)worki�9 deys aRer subniqal date. Required onsite.ConsMudion Plarn.Slormwater Pla�e w!Sitt Fence insfaNed, SaNfary FacUitles 3 1 dumpster;Ske WoAc Permit/pr supdivisp�y��p�j�,,h COMMERCIAL Attsch(9)camPlete aets o/Building Plans plus a life SetetY Fage;(11 set of Energy Forma.R-O-W Permit for new consWction. Minimum ten(10)worlci�0 days afler suDmittal date. Required or�site,ConstnrcUOn Plans.Stamweter Plaru w1 SiH Fence inataNed. Senitary�acNities 3��e Wak Permit fw aN new projecta.All canmeraal requirementa must meet oompliance SIGN PERMIT Atfed� 2 aeb oi E ••«PROPERTY SURVEY required for all NEW oonsWCtio�. DinctfoM: FlII out apq{cetlon c.ornplsteiy, Owner 6 Contrsda sipn beck o(application.rwtarized H ovN t2S00�a Notla ot Comm�ne�rr»nt h nqulnd. (MC uppr�d��owr 57300� •• Agant(for tt�e oontractor)w Power of Attorney(fa the owner)would be wmeone with natarized btter from owner authorizkg seme OVER T11E COUNTER PERMITTIN(3 (Front of AppNcation Ony) Reroota if ahinWee Sewers Service Upprades A/C Fencea(PlotlSurvey/Footage) Drlveways-Not over CouMer'rf on pudic roadwe�y..r�eeda ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnil may be subject to"deed"restrictlons' which may be more restrktive lhan County regulations. The undersigned assumes responsibitky for compliance with any applicable deed restrictions. UNLICEN3ED CONTRACTORS AND CONTRACTOR RESPONSIBILITIE3: If fhe owner has hired a contractor or contractors to undertake work,they rney be required to be licensed in accordance with state and local regulatans. If the contractor is not licensed as required by law, both the owner and contractor rriay be cited tor a misdemea�or violation under state iaw. If the owner or intended cbnVactor are unceAain as to what licensing requirements may apply for the intended work,they are advised to contad the Pasco County Building Inspection pivisiun—Licensing Section at 727-847- 8009• Purthermore, if the owner has hired a conVaclor or contractas, he is advised to have fhe contractor(s) sign portions of the"conUactor Bbck"of this application for which they wili be responsible. If you,as the owner sign as the contractw,that may be an indication that he is not properly Iicensed and is not entitled tp permitting privileges in Pasco County TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impad Fees and Recourse Recovery Fees may appy to the c�nstruction of new buildings,change of use in existing buildi�s,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,wip be identified at the dme of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to fi�iving a"certificate of occupancy'or final power release. If the project does r►ot involve a certificate of occupancy or power release,the fees must be paid prior to permit issuance. Furthemwre, if Pasco County WatedSewer Impact fees are due,they must be paid prior to pertnit issuance in axordance with applicable Pasco Counly ordinances. CONSTRUCTION LIEN LAW(Chapter 713,FloHda Statutas,as amended): If valuation of work is$2,500.00 w more,I certify that t, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowners Protection Guide"prepared by the Fbrida Department of Agricufture and Consumer Affairs. If the appiicant is someone other than the'owne�',1 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'3/OWNER'3 AFFIDAVIT: I certify that all the infortnation in this appllcation is accurate and that all work will be done in compliance with aN applicable faws regulating consUuction,zoning and land development. Application is hereby made to obtain a permit to do waic and installaiion as indicated. I certify that no woric or installation has comniern�d prior to issuance of a permit and that all work wiN be performed to meet standards of all laws regulatlng consUucUon, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulatbns of other govemment agenaes may apply to the intended work,and that it is my responsibility to idendfy 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,WateNWastewater Treatment. - Southwest Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Artny Corps of Engineers-Seawalls,Dodcs,Navigable Waterways. - Department of Heakh 8 Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand fhat the folbwing restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill materiat is to be used in Flood Zone 'A", 8 fs understood that a drainage plan addressing a "compensating volume°wiN be submitted at time of pertnitting which is prepa�ed by a professional engineer licensed by the State of Fbrida. - If the fiN material is to be used in Flood Zone "q• in connection with a permitted building using stem wall consUuction,I certify that fill wiH be used only to fill the area within the stem wall. - If fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owne�may be cited for violating the conditions of the building pertnit issued under the aUached permit application, for bts tess 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 infortn the owner of the permitting conditions set forth in this affidavit prior to comme�cing construction. i understand that a separate permit may be required tor e�cal woric, plumbing, signs, weils, pools, air conditioning, gas, or other installatbns not specifically included in the application. A permit issued shall be c�nstrued to be a license to proceed with the work and not as authority to violate,cancel,atter,or set aside any provisions of the technical codes,nor shall issuance of a pertnit prevent the Building Official from thereafter requir(ng a correction of errors 1n plans,oonstrucUon or violadons of any codes. Every permit issued shall become invalid the permit is s�s authorized by such permit is oommenced within six months of permft issuance,or if work authorized by pended 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 ni�ety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninery(90)consecuGve days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUIT IN YOUR PAYIN(i TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT FLORIDA JURAT(F.S.117.03) N � M OWNER OR AGENT CONTRACT Subspibed and swom to(pr afflrtned)be{pre rr�e mis s Ib d to or a1fi ) me this � L WFa is/are personaly krrown to me or harlhave produced Who is/are Ily known b me or hes/have produced aa identificaUon, • aa Idenlificatlon. �Y..�.vr� ,yu... G � Notery PubNc ry Public Cammission No. C ss - EJ( If@S �Cf'1 �.f �' Name of Nota �'�$:�"t• , BaMed 11ru Tmy Fain Inuanc �;-a"�..�•t+ �Y�YP�.Pnnted w stamped Name d Nafary tyPed.Prinled w atamped Permit Number _ _ I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII Parcel ID�Number � � �� "-�" _.1..�.'• �_�_o��.-_��.�.Q._-�SI.�Q�._.Q_._.-:_.�0 7►b N � �' eCE OF COMMENCEMENT 2012160054 State of F(orida 7HE UNDERSIGNED hereby gives notice that improvements will be made to certain rea( property, and in accordance with Sectian 713.13 of the Florida Skatutes,the foilowing ir�tormation is provided in fhis NOTICE OF COMMENCEMENT 't.Description of property(legal description): ��n��..�. ��.��,�5 �n!� _ a}Street(job)Address: '�`'. �dr_-Z - .� _.. --- _. .._. �'?..��1L____�f�._._..�..k.R,..___�..C�._M.�t_��t..__.._�_l.._��.��.��.--_�__...__.__..--.---.____._._ 2,General description of improvements: -_._____�..__.__........_.__.._._.__...._...__�_...__ ...---.-_-_._.__.._.___._.�.._ -.--.--.__._.., ...__..�.. _._..........__._._...._.__._,,._..... ---- ___ _ ._ _ _��A��c�n�n�. _G�1�_.�_�11��_ _ --___ ._ ._ _._..._.. 3.Owner Information or Lessee information if the Lessee contracted for the improvernent; . ._ __. _...___. a)Name and address; KJ �c�._---..�_ .L__i.n.�r_.._...�.�'i�K.�__.�....�u.�... Z�. �.. r.. Ua _ S Y b)Name and address of fee simpie titleholder(if different tha�Owner listed abovej �� ^!��--•--- c)lnteresf in property: �-�--�- - _�. ----.. ..._.__.___.._..._._...._,__.___._._�._.._.___,._.___ ,..__ .��L?�(___.._---------_-..,___..._.._.._._._..._._. 4.Contractor lnformation '----'-°" -- ---,...__.-.,_, ......................-�----._..._�_. ._._.._..._.._. a)Name and addrass: � L � - _ � ��._.._��_.._C_._.�-c n�._- �n-.--..--.�s_�z.�__...�A,t.._ � b)Telephone No.: 21, .. �L...._�U.(.►.t�.�_�.--��b:��- � �V�'1'_�dU�._... Fax No. (optional) S.Surety(if appiicable,a copy of the payment bond is altached} --_ -- �_. ..�.1- -9 r3_ c�lr y_.._..._.__�._------ a}Name and address: Rcpt:1462780 Rec: 10.00 �____.----.. .__._. ...�..._„_.__.._._.. .____ - ---- DS: 0.00 b)Telephone No.: -- " � -��- ��- IT: 0.00 .---..�.._...._..,_...__--._----....______._.._........_..___.____._..._.�_....09/21/12 S. Shultz, Dpty Clerk - c}Amount of Band: $ _ 6.Lender �~ _�'Y'Y�-��~M�_T�� •��.. w 'ry PFiULA S 0'NEIL,Ph D PRSCO CLERK 8 COMPTROLLER a)Name and address: 09/21/12 0�2�4�p� i of 1 _...________......_..___._..._._-- -_._.__..___....._._....----._.__. .�--- OR BK 1603 b)Telephone No.: ..� �� . Q 5 PG .....�.__----.__....._�...__��..._.____.._.__..__..�__._..__� _ 7.Persons within the State of Florida designated by Owner upon whom notices or ather documents may be seNed as provided by Section� � 713,13(1)(a)7,, Florida Statutes: a)Name and address: �_.. .___._. ...__. ...__._..__.. ._. .------- b)Telephone No,: � ....__. __...---.-. ---..__.._ _.._ ..- -�-- -_ _ .._.,._,. _.�..._�. _ Fax N �-~- 8.a.in addition to himself or herself,Owner designates Q•�(optional) .. __._.�._._. .._._ ._.__.._..,--- -__________.__._�_. to receive a copy of the Lienor's Notice as provided in Section 713.13(9)(b),Florida S#atutes. ,._._._...._._..__ ° _.__---___.._.�___..._.�.._,�..._....._.._.___..---_— b)Phone Number af Person or entity designated by Owner: - _.._.._.�---..---__.....__..._._.. ..__..___._._____.._..__-.----.. ._._-.._..__..,___'.._�.. 9.Ezpiration date of notice of commencement(the expiration date may not be before the completion of construction and fihal payment to ihe contractor,but will be 1 year from the date of recordin�unless a different date is s ecified�: ; WARNING TO OWIVER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE dF COMMENCEMENT ARE _ . _.__ ._ _.._..._.___�________... _ ---_ _�.._ ....._.._.._,....._�. ._.__._._..__, , CONSlDEP,E[3 IMFROPER PAYMENTS UNDER CNAPTER 713, PART!,SECTIQN 713.13,FLORIDA 5TATUTES,AND CAN RESULT IN YOUR ; PAYING TWiCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE pF COMMENCEMENT MUST BE RECORDEQ AND POSTED ON ! THE J08 StTE BEFORE THE' FIRS7 INSPECTION. IF YOU lMTEND T� OBTAIN FINANCING, CONSULT W�TH YQUR LENDER OR AN i ATTORNEY BEFORE COMMENCIHG WORK OR RECORDfNG Y�UR NOTICE OF COMMENCEMENT. Under pe alty of perjury,I declare that I hav read the faregoing notice of commencernent and that fhe facts stated therein are true to the best of my k e e and bel�ef. � � ,., � � C22��'2:J �/ .._.��.� - . c5 a.11 A�4' � � < (S naiure of Qwner or Lessee r 0 ef r Lessee's(Auihorized Officer/DirectorlPeriner/Manager) Print Name and�ide S" nato /�U�u�� _....___�___....._._._.__.._..._._.._.._...._,......_.....____ .___.__.�. ._W 7he�regoing instrument was acknowledged before me this 1 '�J da of � ry' ��e) bY O c�lC�► ..._.___... ..__... Y .�1_�Q�.{ti,.�1.�f_..--- �20. l'►� -- .-.- _,._._______.._.�.. _._._.__.______.._._____�___ ..DS�.�!'�___.�...__ ------.--- ^ _ as �� . _ (rype oi aulhoriry,e.g officer,trustee,atforney ln fact) for - � - �- �._.. ._. _._�._.�5,...l.aP_ ,as .__ ._. (Name of Person) "` �'° --- ._. ._._ .. .. ._.. ._.._..._._ _....___....._. fOr ype o authorily,, e.g.o�cer,trustee,atiorney in tact) ......,.._... _..__......._.._.._._......_..__._.._...... .._ . (name of party on behalf of whom instr was exec Personally Known [� j�� -��4r ,�D.ROBEY ._._. Produced ID ,�;��.,� °�' COI�MISSION i EE 165819 Type of ID Notary Signature � '` IRES:Fehruary 2,2016 ._....--------_. .... .,_. . _ _._ - -- Print narne �.��., _ t�sa�y sem�. ....- _ ... ,. ._. ._ . �<►K�L�nF�' _. ... - ... ..._ ��o�c� ��}� �� i,�� , � ' ' . �„�,��'9" ',�� r k..;:s"„` ' , � � , � . , ..i�C .,,. ._ !. � � • � , � '-' �,.. ..� � r��' � * � In yod ry''e Trust • � _ � , . , �• � * � u `,r �J � •* -''� � ` C � � f�� * 1$R� r�' :."�. , � . � � . p � • • �A1L�OF F�� ' , �l l l� _ .' ��- �-- ..,w.�.� - .4 . � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS r--� Contractor/Homeowner: ��(��,{,�-�-i'I (,t��$'� � � �� Date Received: - 2 �-�Z Site: `�� Z �/ 9 �^�-- Permit Type: �QC � °�� lp (�,(��/(Uo�t/St 2��5�� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. ��'� � Kalvi Swit r- ans Examiner Date Contractor and/or Homeowner (Required when comments are present) Exception Sheet With drawin� r!i N� � �/ Window Size Type Series Impact/Non Screen Half/Full Obscure Y/N Grids Color � � 3 �,�. 3< n. (L z�{ N�� %�- u� Z �� '' 1`4,� �r► �,, �J VW 3 �/ �� U N ?`� ur) �--, 4 �� 5 �` .t 6 35 �� 1� � s 9 10 11 12 13 14 15 16 17 18 19 20 21 22 � � y � � �, Florida Building Code Online Page 1 of 5 � � , Q s a - t � ��yr � 4V O��r:�' a ♦ > ! , r .- , BQS Hame Loq I� User Reqistratlon MM Topks SubmR Surcharqe Stats&Facts Publkadons FBC S[aH BQS Sfte Map 'Links Search Busines ��} Professi�na) � PERd��proval , �<c�tJlJ��;�!;'.r? � F�rocii;r.�_ 0 3i M_nu>Produr.t Gr AoDhcat on SearCh>A I tion t>AppllcsGon M 11 PA�*- — — ;� � ��t� FL# � 167-R11 ---> �+� ! Application Type evislon Code Version 3010 Applicatfon Status Approved *Approved by .Approvals by DCA shall be reviewed and ratifled by the and/or the Commission if necessary, Comments Archived Product Manufacturer Sfmonton Windows Address/Phone/Emall 1 Cochrane Ave Pennsboro,WV 26415 (800)746-6687 Ext2329 tiffany_davies�simonton.com AL L `�� , r��ALL Authorized Signature Tiffany Davles P�}'�' "� ' TU1LD i tiffany_davies�simonton.corr��j,� rn(v7 T�r,., JDE AND �_. . Technlcal Representative Tiffa�y Davles ,,,-;��VAj�C�� Address/Phone/Emaii PO Box 1646 5300 Brlscoe Road Parkersburg, WV 26102 (800)542-9118 Ext9329 tiffany_davies�si monton.com Quality AssuranCe Representative AAMA � �� -.�,,i� �l-�� Address/Phone/Emafl ��, 1827 Walden Offlce Square �'��YR�„��LS Schaum5burg,IL 60173 ��`" �'�hMI�iER '/� c. (847)303-5664 �..�_,((� r-^--.,., webmaster�aamanet.org l —"'" - Category Wlndows Subcategory Double Hung Compliance Method Certfflcation Mark or Listing Certiflcatlon Agency American Architectural Manufacturers Association Validated By American Architectural Manufacturers Associatlon Referenced Standard and Year(of Standard) Standsrd Year AAMA 450 2006 AAMA 450 2010 AAMA/WDMA/CSA 101/I.5.2 A440 2005 Equivalence of Produd Standards Certifled By http://www.floridabuilding.ort�Jpr/pr anp dtl.aspx?param=wGEVXQwtDqtZM1u8740Km... 9/21/2012 Florida Building Code Online Page 2 of 5 Product Approval Method Method 1 Optlon A Date Submitted 03/27/2012 Date Validated 03/27/2012 Date Pendfng FBC Approval Date Approved 04/06/2012 'Summary ot Products F�* Modal Number or Name Desc�i tion I 5167.1 07-09,07-10 and 07-20 Reflectfons 5500, Prism Platinum,Sea►s 9300 Vinyl Double Hun limits of Usa Certitication Ayaney Certtflcate Approved for use in NVHZ:No FL5167 Rl l C CAC 07-09 DH 37x84 R60. df Approved tor up outsida HVH2:Yes FL5167 Ri l C CAC 07-10 07-20 waiver to 07-09. df Impact RosistaM:No Quality Assuranc�Contract Expiration Data Desty�Praasuro: +60/-60 07/28/2013 Othar: 37x84 Installstion Instructlpns FL5167 Rll II IN0103 07-09 07-10 07-20 DH 2X, df Verifled By:American Architectural Manufacturers nssodanon Created by Independent Third Party: Evaluation Reports Created b Inde ndent Third Pa 5167.2 07-09,07-10 and 07-20 Refledions 5500,Prism Platinum,Sears 9300 Viny Double Hun L(mits of Usa Cartiflcstion Ayancy Cartificata Approvwd for use in HVHi:No FLSifi7 Rli C CAC 07-09 DH 36x63 R50. df Approvad tor use outside HVHZ:Yes FL5167 R11 C CAC 07-09 DH 37x76 R65. df Impact Reslstant:No FL5167 R11 C CAC 07-09 DH 4Zx64 R50. df Dasiyn Pressure: N/A FL5167 R11 C CAC 07-09 DH 47x71 R50. df Other:48x80(+/-25 PSF),56x84(+/-25 PSF), 53x76 FLS167 Ril C CAC 07-09 DH 48x80 R25. df (+/-50 PSF), 36x63(+/-50 PSF),42x64(+/-50 PSF), FL5167 Ri l C CAC 07-09 DH 53x76 R50. df 47x71 (+/-50 PSF),37x76(+/-65 PSF) FL5167 R11 C CAC 07-09 DH 56x84 R25. df FL5167 Ril C CAC 07-10 07-20 waiver to 07-09. df Quality Assuranee Contraet Expiration Dsta 03/13/2013 Installatton Instructlons FL5167 Rll lI IN0067 07-09 07-10 07-20 DH 2X. df Verifted By:Amehcan Architectural Manufacturers Assodatlon Created by Independent Third Par[y: EvsluaUon Rtports Created b Inde ndent Thlyd Pa : 5167.3 07-09,07-10 and 07-20 Reflectlons 5500, Prism Platinum,Sears 9300 Viny� Double Hun with Transom Limits of Usa Certifteation AQaney Carttflpta Approved for us�in HVHZ:No FL5167 R11 C CAC 07-09 PW�ver DH 37x 107 Approved for use outslda HVHZ:Yes R65.adf Impsct Reslstant:No FL5167 R11 C CAC 07-09 PW over DH 53x107 Design Pressure:N/A RSS.odf Other:53x107(+/-55 PSF)&37x107(+/-65 PSF) F�5167 Rl l C CAC 07-10 07-20 wa�ver to 07-U9. df Quaiity Assursnc�Contract Exp(ration Date 04/14/2013 Installation Instructtons FL5167 Rll II IN0063 07-09 07-10 07-20 DH w- ransom 2X. df Verifled By:Amerlcan Architectural Manufacturers Assocladon Created by Independent Third Party: Evslustlon Rwports Created b Inde ndent Third Part : 5167.4 07-20(Nalling Pin Installatlon) Reflections 5500, Prism Platinum, Sears 9300 Vinyl Doubfe Hun Amits of Use Certifiution Ayency Certtficata pproved for usa in HVHZ:No FL5167 R11 C CAC 07-20 DH 37x76 R65. df Approved for us.oubide HVHZ:Yes FLS]67 R11 C CaC 07-20 DH 53x76 R50�df Impaet Resistant: No FL5167 R11 C CAC Sim 07-20 DH 56x84 R25 odf httn://www.floridabuildin�.or�/vr/vr app dtl.asnx?uaram=wGEVXOwtDqtZM1u8740Km... 9/21/2012 > m �'M'MAX. O�ERALL FRM1E HEICHT� QO1, � � � � L b N D X . tn � m o p ,►`� X �L O N � F O � � V C� � o �'�'� o � �� g� �X � � � o �$ v o � � �- � �-'_—' � � g ~S� A IIIt1111!/ � P • � � . • a' �1Z i �o.c. 6. o m � �.••� d rt �•,, ��x. trv ' s �� `ro�� \� ��c<`�� R� �n _ �� z : _ �� • z�O � "`�': � P p h� y�.D �f\ 2:(n� 4 G (A 1� t (� (� + .� O � p � � #� r'�O O vi�b: � � V G � N OI Ol pp �O 9 4 I ti�� "•,,2�;N, �,�oa,� . . . �� q x � � ''�°'' �R��I`'',,, u a � o � � w R 8 •�� gg ° ] � . . u � �� i� • � Y� � O O \ �� a� �+ � µ ►� � 3 ��r�[� � o o �, � ;o 0 � � � � r i� s �ni Sni '�'i s(�i y� 3 4- c ��s�� p�'YN r o o¢ vP �L� � +� � �S� Y �� mr$R��"3�� N» � ��t� � � �s �� $�� p�S4 � � �_y��.�Y � �� i� �•�p� � � � iys +�t�N�� : ` y � �� 8 JC�O _� �� 9 � ;�� _�� • �� Q�� ,�� r��t � ��16� � �3 � �; ��s x� • ,,• � � ��+��y �+� �� $ •�� •....� � � fR � � � , N�.� �� R� $� ��s��$S `,• ,•. s� �g � � � �� $�� :' ` ..: �� .'�� y� � �o �$-�'"� � � �°cm .:: x � :••t�. �� s s �� Y��,� � � g �" �•� ��4 �� C � � � .., r� a = � °S � 1FS�$g ± ` '!' ° �+y �� R� �o�g��• ;> ��,�215j �$j� �� S b "3 Q ]aQ � 7� � X 22 �xK �� a �� d� 4 � � � ��£ � � § � �i I$f q } b' � Q C � ± �C Q A �sQi � � �5�5 4 =� � ��= g � � � � � Y �� ~ � g � �' �� ° � �� 3 � � �� s v w a • � ��. � � �� g� s`�� ' s �� '� �� a � �� a � x , 8 ��:� �s� � 4 �� '-- . � > o �� $ � � �� . : • ",` r' s �� o� �� ° s' .o �_ � '� s� �� s 3 S g '� �� 3 � �e � x� 8 ' � � � €� _ � � � �� $ � � � � � : � �'� � �� € � � ¢ � � � � � � � �� ' � ' � - � � a � � � � � > ? a � � � � . Florida Building Code Online Page 1 of 5 . „ : ; ` } i - , � �� I•�• ';;1:,,.<"•�!�=1); BCtS Home loq In User Reqlstration Hot Topks Submit Surcharye Stats A Fac[s PubNCatlons FBC Shfl BCIS Sfte Map Links Sesrch Busines �,�� Professi�na� � PERd��pproval ��='�lllcltl(,)C'I � Prod,:ct�pyrp:_ai_nteriu>Product or aooi�cadon Search>Aoolication�st>App1lc�Hon D�tall FL# f15179-RS -�=-=� Application Type Revision Code Version 2010 Application Status Approved *Approved by DCA.Approvals by OCA shall be revlewed and ratifled by the POC and/or the Commission If necessary. Comments Archived Product Manufadurer Slmonton Windows Address/Phone/Email 1 Cochrane Ave Pennsboro, WV 26415 (800)746-6687 Ext2329 tiffany_davles�sl monton.com Authorized Signature Tiffany Davies tiffany_davies�sl monton.com Technlcal Representative Tiffany Davies Address/Phone/Email PO Box 1646 5300 Bnscoe Road Parkersburg,WV 26302 (800)542-9118 Ext9329 tiffany_davies@simonton.com Quality Assurance Representative AAMA Address/Phone/Email 1827 Walden Offlce Square Suite 550 Schaumburg,IL 60173 (847)303-5664 webmaster�aa manet.org Category Windows Subcategory Horizontal Slider Compliance Method Certification Mark or Listing Certiflcation Agency American Archltecturel Manufacturers Assoclatfon Validated By American Archltectural Manufadurers Associatlon Referenced Standard and Year(of Standard) Stsndard Year AAMA/WDMA/CSA 101/I.S.2/A440 2005 Equivalence of Product SWndards Certifled By httn://www.floridabuildine.org/nr/nr ann dtl.asnx?naram=wGEVXOwtDatOcIh%2bCtW... 9/21/2012 Florida Building Code Online Page 2 of 5 Product Approval Method Method 1 Option A Oate Submitted O1/18/2012 Date Validated 03/13/2012 Date Pending FBC Approval Date Approved 03/20/2012 ;Summary of Products FL# ModN Number or Nama Desc�i tfon � 5179.1 07-09,07-10 and 07-20 Refledions 5500, Prism Pladnum,Generatlons,l Impresslons 9800,Sears 9300,AmcraR Grand Estate Premlum Plus Grandura Vin I 2-Ute HoMzontal Slider Limits of Use Certitication A9ancy Certiflcste Approved for use In HVH2: No FL5179 R8 C CAC 07-09 HS G3x48 R55. df Approved for usa oubide HVNZ:Yes FL5179 R8 C CAC 07-09 HS 73x51 R50. df Impsct Res(stant:No FL5179 R8 C CAC 07-09 HS 78x63 R25. df Dasiyn Prossure: N/A FL5179 R8 C CAC 07-10 07-20 to 07-09 Waiver, df Other: 78x63(+/-25 PSF),73x51 (+/-50 PSF),63x48 Qualily Assurance Contraet Expirstion Dsto (+/-55 PSF) 07/30/2013 Installstion Instructlons FL5179 R8 II IN0137 07-09 07-10 07-20 Sl 2X. df Verifled By:American Architectural Manufacturers Assoclatfon Created by Independent Third Party: Evaluatlon R�ports Created b Inde ndent Third Pa 5179.2 07-09,07-10 and 07-20 Reflections 5500,Prism Pladnum,Generatlons, Imp�esslons 9800,Sears 9300,Amcraft Grend Est s Premlum Plus Grandura Vin I 3-Ute Endvent SII er �Limits of Use Certiflcatton Ayeney Certiticata Approwd for usa in HVHZ: No F�Sll9 RS C CAC 07-09 EV IOOx48 R45, df Approvad for usa outside HVHZ:Yes f15179 R8 C CAC 07-09 EV 136x60 R25. df Impsct Resisbnt:No fL5179 R8 C CAC 07-09 EV 136x63 R25. df Desiyn Pressuro:N/A FL5179 R8 C CAC 07-09 EV 148x48 R30. df Other: 136x63 8�136x60(+/-25 PSF), 148x48&84x63 FL5179 R8 C CAC 07-09 EV 84x48 R55. df (+/-30 PSF), 105x51&100x48(+/-45 PSF),84x48(+/- FL5179 R8 C CAC 07-09 EV 84x63 R30. df 55 PSF) FL5179 R$ C CAC 07-09 HS 1O5x51 R45. df FL5179 R8 C CAC 07-10 07-20 to 07-09 Waiver. df Qualit�r bsuranee Contract Expiration Dsta 10/12/2013 Instsllation Instruetions FL5179 R8 II IN0227 07-09 07-10 07-20 EV 2X. df Verlfied By:American Architectural Manufadurers Associadon Created by Independent Third Party: EvaiusUon Raports Created b Inde ndent Third Pa 5179.3 07-20(Nalling Fin Installation) ReFlections 5500, Prism Pladnum,Generetlons, Impressions 9800, Sears 9300,AmcraR Grand Estates Premium Ptus Grandura Vin I 2-Lite Horizontal Slider Ltmits of Use Certifleation Ayeney Certifleata Approved for use in HVHZ: No FL5179 RS C CAC 07-20 H5 73x62 R50. df Approvad for usa outside HVHZ:Yes Quality Assuranee Contraet Expiration Date Impact Resistant: No 07/27/2014 Desiyn Pressure: +50/-50 Installstion Instructions Other:73x62 FL5179 R8 Il IN0526 07-20 SL 2X. df Verifled By:Amerlcan Architectural Manufacturers Assodatlon Created by Independent Third Party: Evatuatlon Reports Created b Inde ndent Third Pa 5179.4 07-75 D 6500 Varrta e Pointe Vfn 1 3-Lite Endvent Slider Umib of Use Certificstton Ayenq Certtftcate Approved tor usa in HVHZ: No FL5179 R8 C CAC 07-75 EV 700x48 R45.�df Approved for usa outstda HVHZ:Yes FL5179 R8 C CAC 07-75 EV 110x63 R40. df Impact Raslstant: No FL5179 R8 C CAC 07-75 EV 136x63 R25. df Desiyn Pressure:N/A F1.51�9 R8 C CAC 07-75 EV 84x48 R55. df Other: 136x63(+/-25 PSF),84x63(+/-30 PSF), FL5179 R8 C CAC 07-75 EV 84x63 R30. df ilOx63(+/-40 PSF), 100x48(+/-45 PSF),84x48(+/-55 Quality Assurance Contract Expiration Date PSF) 01/12/2014 http://www.floridabuildin�.or�/pr/pr app dtl.aspx?param=wGEVXQwtDQtOcIh%2bCtW... 9/21/2012 � m �'N'MAIf.OVQtALI FRAI�HEId1T� Sd u u m � L Q o H � � N 4 � 1�1 t �` ♦ � b p � ' � � � $ � `" � {/� G N N O tNJ� ,U � � V1 Q • � 'K � � S �o � =p X `��' �" �' V C � Q �� x O q � � � �r � A F --_-----_--_ ?a o $ � � � 4 �i�uni�U�� !Q ��. d r ''�, o a 0 .. . . R � � :��fj� ''.;9�i � �;.� �3' $ '��,�, � 0�;�' \' o �:�7c� �'��i s o g ;O '� C�:N� � �� 9 rt\ Z:b: �% v i�� ;� ° "i�c„ e�� =,��; co�: � =a � � �.NF • ...*• `�� .� o ,��'��n�u``�, I I °. � � �--I-6- I—��ic aTr�P� 6�Y--1 3 � o 4 �f' �� Z• O 4 � �� _ � � L 3? i � �� ...5 ° f � � _�� r °� � �� wuij.N � 0 1°P v° y��F N '�� vo Y ��s�� t�°��`�� g So � . � �� ,�� $�� s� � �� ` � �� Se$ �� s ; � � ��y� Y � � � � � ��► �� g��$�� X . ,�� #��;� �� :�� '� � � �' �- � � � �� , �s� � � ;.:.,... R �� in �s 4 0� �;�� Q . � • �$��5� �S � p m . .� }� O � a 1 ;s Er �'+' + � � . ` � �� $ �� i= ��4 r� In �� $ S �� :s s� �$ � _Y N g i ]� �+ O y � ��+ g � 3 �O s� � � �', � X= ��? . �dpx� � - 3 �� S��888• �� ` � �ii� � � � ��N�� Z�. 3 3 •i ��4 A� � � 9 �� Y ��o � .•; ��i.�, �� s �� O�� t ' � !y ��' � � � � �Q�g�� r �� $� � o � �� 4 � x �� : %� �" �� p � � � � � � � � � � : . � �'38 � g�� g �� '��' ��,� o�tt� ~ �� g � Y s� ��~ n �� R � � o ` Q.1 � � �.� �� P O ♦ 4 N � � w � ir �. � �.� ��a� ��g� � x � � . �� g �� . � � � s�� -� ��z � �� "_: :.�� g � � � _ S �� O sR� s i � 3 �� x� � r � +� ',. � �� z �� a �� S m e � � � ' � °H �� q = � � �� 3 � � � S � s A.. ,� :O `� S 3 � � s g •� �,� 3 $ �� g� B � � � � g � � � �� 3 ; g � s� s F � Z � 4 � �,� : � � � � � � � � � _ _ _ s m.. � �� ` �o� � . °' � ? � � � � � , Pasco County Parcel: 12-26-21-0300-00000-0020 001 Page 1 of 2 Data Current as Of: Weekly Archive - Saturday, September 22, 2012 Parcel ID 12-26-21-0300-00000-0020 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value LINDNER SONDRA L Ag Land $� 39241 9TH AVE Land ZEPHYRHILLS FL 33542-4715 $13,600 Physical Address Building $39,835 39241 9TH AVE Extra Features $638 ZEPHYRHILLS FL 33542-4716 ]ust Value #54,073 Assessed (Save Our Homes) $54,073 Leaal DeSCrintion (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision Non-School Additional Homestead Exemption - $4,073 SUNSET ESTATES UNIT 1 Non-School Taxable Value PB 14 PG 124 LOT 2 $24,500 School District Taxable Value ;28,573 OR 3492 PG 1822 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Descrlptfon Zoning Units Type Price Condition Value �� 0100 SFR OOR2 6,800.00 � $2.00 1.00 $13,600 Additional Land Information Acres 0.16 Tax Area ZH FEMA Code �Residential Code ZHL LP4 Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1977 Stories 1.0 Exterior Wall i Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle interior Wall i Drywall Interior Wall 2 None Flooring i Carpet Flooring 2 None Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1.5 Line Description Sq. Feet Repl. Cost New 1 B'i 832 $35,235 2 FEA 3 350 $10,376 � 312 $5,294 4 � 72 $762 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 �-�� 1977 333 2 LFE E $312 C NC 1977 520 $183 3 �� 1977 1 $143 Sales Hlstory Previous Owner GROSS WILLIAM A JR&CAROL J Month/Year Book/Page �� DOR Type Code Condition Amount SO/1995 3492/ 1822 WDeedtY C] Improved $54,000 07/1992 3049/ 1261 Wp�dtY �� Improved $45 000 02/1983 1234/ 1816 � Improved $38, 000 http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0300&b... 9/24/2012 Southwest Flo�ida Construction, Inc. Lic.ense#CBC05�307 1575 Quail Dr. Dunedin, FL 34698 Phone: 727-269-5702 • Fax: 727-947-7665 CONTRACT PURCHASER N p}��: �. ��. �i N / O -I Address: � Cell Phone E-mail � y ✓z.� . c�ry2x- � �``: - Zip: (,[�9'r"i C� Sales Rep: Other Phone ` 'C.`-� Generel Description of Work: G3 iJ{� �(a, �Q�U3y!+LvL�;�•. �'�`��'Nt��w.,,$' -�'....vSf"sz-�'1 �� S�r:+�-ic}c.`f"c;.,�.. ��j�.��`r�c.. �,.u,�:�.,�lc>�,� ��✓t�, �d 4.... -E'...3�G� G.�t.,�e,-�''� �.,��.�.�'�-' S !r-�a-Ss� ��.�"ir►,=�-,.:��c_1 v c�uX. LJ!�S z'S��Q v/C �-!1 a��'-.t�=� � _ tt ��... /:.�v C—�+�' �� -which is firrtt�er d�ibod in the detailed spxification s6xt attached hereto as Exhibit"A°and initialod by the parties. The above wodc will be completed in accordaoce with the tenns,coadi6ons and spocificatia�s 6erein,with payment w bc a�sde aa�ordance wiW the following payment schedule: )�'7� 1. PRICE S �v `>3 S" „_"' ,�J�'�S",�" �i�---�' ��` �f� rnaS 2. TAX S !� --^ �i��'�'--��,t,Vt �- ' 'Y�('c',v�c.� 3. TOTAL $ �, � 3 4. DOWN PAYMENT S_ Z C� a p -- �� D ��j�, 5. BALANCE $_ � q �" — UPON COMPLETION OF WORK PAYMENT TO BE MADE BY CHECK PAYABLE TO"SOUTHWFST FLORIDA CONSTRUCTION.INC:'WHICH CHECK LS DUE AND PAYABLE A1'SUUTHWEST FLURIDA CONSTRUCTION,INC. OFFICE AT THE ADDRESS SET FORTH ABOVE. AI,L APP[.ICABI,E DISCOUNTS HAVE BEEN APPLIED. BUY •R' R •!ff '�NrF� PRO�VIDING WRftTEN�NOTICB 7'�Ox7'��LLER IIY iEItSO NBY TF.I.��GRA�(',OOROBllYB OMAII. THI.4�'NOTI�MUSf�TL THAA T Y�DO NOT YOU SIGNETHI.�S�A �GREEA�N'��YOU�C�NCEL�REEMENT.'1�E SELLERB MARY�KEET ALL OR T�AR1'�Ggg�p�WN PAYMEN'f, NOTE: RETAIL SALES TAX MUST BE CHARGED UNLESS THE CUSTOMER SIGNS THE FOLI,pWpVG: I cerlil� that I own the laod oo�v6ic6 tbe atructure I am improviog n permanently afli:ed, Fu ermore,I have tiled a declantbn witr the Property Appraiser requestiog the atructure be asseseed�s realty and it bears decal. �� f Sigoature: 21�4 d , `��2 � STATUTORY NOTICE REGARDING CONSTRUCTION LIENS: ACCORDING TO FLO , FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPER OR PROVIDE MATERIALS AND SERyICES AN� ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CI,AIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB- SUBCONTRACTORS, OR MATEItIAL SUppI,IERS, TgE pEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR 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, MpTERiAI,S, OR OTHER SERYICES THAT YOUR CONTRACTOR OR A SUBCONTRACI'OR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRqCT THAT BEFORE ANY pAyMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU c�ty2�c, j., �: �p ��T—'i �p� — � CZC.c'� Z Sales Rep: Other Phone C r� General D^escription of Work: �✓� �� 7 fl�1�'yy�i LvL,.�.. C�i ,t�cJ�c%�-.S'. ,-1--�57�'"'ct..t"/ � J t �'s�'lG�v�'"c'i-.v __� l l�_:.�t;...t., ;:.,c1, ��3�..,,P w< ,�, ,� ,.� -,�-'_��''�..Gz �:-,-�...e..� 'z+-��'$ C---�ct-.�5: /��'lfi,=�--�,-�c:l��c7Co�-�', D:S��st<Q c•�' �I c�•F'.�� :-u ��:- ,�f � - �._s� -which is further descxibod in the detailed spxification sheet attached}�reto as Exhibit"A"end initialed by the parties. The above work will be oompleted in accordance with t6e terms,conditions and speciScations herein,wit6 payrneat to be made acoordance with the following payment schedule: �;�"��, l. PRICE $ lv `13 5 ."' �� " '�.S'.•71" �---�-� �,G� 34, rri�S 3. TOTAL $ L� .._-,� �j�,��/"��,�t�_ ��('C��'t�. $_ � 5 3 4. DOWN PAYMENT $_ z,C� r,p _ �/,;�� Q �--�j� 5. BALANCE $__ � q � �' -- UPON COMPLETION OF WORK PAYMENT TO BE MADE DY CHECK PAYABI,E TO"SOUTHWEST FLORIDA CONSTRUCTION,INC:'WHICH CHECK IS DUE AND PAYAI3LE AT SUUTHWEST FLORIDA CONSTRUCTION.INC. OFFICE AT THE ADDRESS SET FORTH ABOVE. AI.,L AAPI.ICABLF,DISCOUNTS HAVE BEEN AYPLIF.D. $UY�R'�S RI(`HT T( `�N[`t'i t PRO�VID�aWRiTTEl�1V0!�'�PO�TH�R IN YER.ON BY TELEG�OR BY�MAII. THI4I�YOTI�MUST IIVD�GTE�IHAA T�Wp'p WANT THE(',OODB OR 811tV[CES AND MUST BE DEIJVLR�D OR PO6T11��A D BEROR6 MIDAIIGHT OF TfIB THIRD BU3IIV1ES3 DAY AFI'ER YOU 31GN TIDS AGRECMEIVI; IF YOU CANCEL THIS AGRLEMEIYt'.7'HE SgLI,gR MAY T1pT KEET ALL OR PART OR ANY CAgg DpqRV PAYMENT, NOTL: 1tETAa.3ALES TAX MUST BE CAARGED UNLESS THE CU3TOMER SIGN31�FOLIAWING: I certity that I own the land os�v6ic6 t6e�truetnre I am improviag ia permaneotly ag�ed, Fn ermore,I 6ave 51ed a declantbn witb tbe Property Appraiaer reqaating t6e strncture be as�eseed as realty and k bears decal, � �� Signature: Cfi`t d t � !�1 � �i FLO STATUTORY N4TICE REGARDING CONSTRUCTION LIENS: ACCORDING TO THOSE WHO WORK O1V YOUR PROPER OR PROVIDE MATERIALS A�ND DSERVICES AN� ARE NOT PAID IN FULL gAVE A RIGHT TO ENFORCE THEIR CI,AIM gpR PAYMENT AGAIlVST YOUR PROPERTY. THIS CI,AIM IS KNOWN A5 A CONSTRUCTION LIEN, IF ypUR CONTRACTpR OR A SUBCONTRACTOR FAII,S TO PAY SUBCONTRAGTpRS, SUB- SUBCONTRACTORS, OR MpTERTpT, SUppI,IERS� THE pEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EyEN Ig ypjJ gp� pq� Y�� CONTRAC~I'pR IlV FUI,L, IF y0U FAIL TO PAY YOUR CONTRACI'pR, yOUR CONTRAG'I'pR MAY �LS� HAVE A LIEN ON YOUR PROPERTY. THIS MF,ANS IF A LIEN IS FII,ED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WII,L TO PAY FOR LABOR, MqTERIAI,S, OR OTHER SERVICES THAT yOUR CONTRAGTOR OR A SUBCONTRAGTpR MAy gAVE g,�II,ED TO PAY. TO PROTECT YpURSELF, YOU SHOULD STIPULATE IN THIS CpNTRp� 1.�p.j. BE�RE ANY PAY11'IENT IS MADE, YOUR CONTRACTOR IS RE UIRED TO PROVIDE YOU WITH A WRITTEN R�I,EASE OF LIEN FROM ANY pERSON �R COMPANy THAT gpS PROVIDED TO YOU A KNOTICE TO OWNER". FLORIDA'S CONSTRUCI'ION LIEN LAW IS COMPLEX AND IT IS RECp��ED THAT YOU CONSULT AN ATTORNEY. INCLUDII�iG THE TERMS�qND CONDI ON�S C�ONTAINED ON TI�EREyERSE IDE, AND I AGREE O ALL OF AT�' PROVISIONS,TERMS AND CONDITIONS THEREOF. � ' � r� � � � • , SOUTH�'VFS'I'FLORIUA CON ' UCTION,INC. r � Zr , . �� BY: / ''� _'_''``' . �r _ , aser AS: