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Home My WebLink About14-15515 CITY OF ZE HYRHILLS " -* 5335-8T STREET (sisp�o-oozo 15 15 BUILDING PERMIT �.��=�- �.�`��;�°��PERMIT:INFORMATION ' � '}� LOCATION`INFORMATION "`� �""��'�. ��':° Permit Number: 15515 Address: 39209 7TH AVE Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: YINGLING ADDITION Est. Value: Parcel Number: 12-26-21-002A-01300-0020 Improv. Cost: 15,318.77 � �OWNER;INFORMATIO'N`"�3: ��A°� ' ��: R��v �•�� Date Issued: Name: OBERHOLTZER, WILLIAM Total Fees: 172.50 Address: 39209 7TH AVE Amount Paid: 172.50 ZEPHYRHILLS, FL. 33542 Date Paid: 7/24/2014 Phone: (813)505-0645 Work Desc: REPAIR HOME DUE TO VEHICLE DAMAGE � ' CONTRACTOR S � APPLICATION FEES PAUL DAVIS RESTORATIO INC OF PA BUILDING FEE 172.50 I � � �y �� /`� 1 ti a. ' \ :� � v ��,.:�,., �- : - - - - �,�. , : e- , :n_ .. .��,:�,: :�: r� - : _ � . Ins ections Re uired '�' � ' , - ` °� � "^�.��:-- FOOTER 2ND ROUGH PLUMB M�SC ,INSULATION CEILING FOOTER BOND DUCTS INSULATED SE�WER MISC. ROUGH ELECTRIC LINTEL MI�SC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MI$C DRIVEWAY PRE-SLAB SHEATHING MI�C. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following rea�ons: 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�ite� plans not at job site g) work not accessible. NOTiCE: In addition to the requirements of this permit, there �ay be additional restrictions applicable to this properly that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans Specifications Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. N�,O OCCUPANCY BEFO C.O. , (X.�`'�- CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 '-IOUR NOTICE REQUIRED PROTECT CARD ROM WEATHER , � � � . �� ,. � ,�� - :�: :r _ � City of Z phyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � � / � /��j��i!� � � Date Received: �, �(�� Site: 2� �� c /� Permit Type: � � � e C1 � �-°��2 _ y Approved w/no comments: Approved w/the below �omments: Denied w/the below comments: ❑ d�c� v i i� 6 r � �� ,P r G /�dji(� I This comment sheet shall be kept with the permit and/or pl s. ` -�3-/ �� .� � Kal w —Plans Examiner Date Contractor and/or meowner (Required when comments are present) i -- � � _ _ _ � _ _ .� , 813-780-0020 City of Zephyrh�lls Permit Application Fax-813-780-0021 Buildi g Department ' o Date Received / /� '�( �` Phone Contact f r Permitting _ Owner's Name . � � Owner Phone Number Owner's Address 3 / Q� � T� �/1�►'Q-� - Ovvner Phone Number Fee Stmple Titleholder ldame Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 y� a � / Q�'� LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) MIORK PROPOSED e NEW CONSTR B ADD/ALT � C] SIGN Q [� DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK �'�-c9"�'►'� �� 9- � �C�t_1;� BUILDING SIZE SQ FOOTAGE�� HEIGHT BUILDING $ , VALUATION O TOTAL CONSTRUCTION �� $' 77 QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �j � �� s' � � , �`�—��r'`w�/ _ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U Z �� , —�//�v / './/� S� (`'J` '�'j�"` QGAS Q ROOFING Q SPECIALTY 0 OTHER � `�'� G �C��i•- FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO \'�J ��e�� q v � I �..�, � BUILDER � �vCOMP�ANY � ('1�'� SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ' ELECTRICIAN �_ �r COM�ANY ��s� �L.,r r��, (��"��. SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/N i Address I License# PLUMBER COMP�1fdY SIGNATURE REGIST�RED Y/ N FEE CURRE� Y/N Address I License# MECHANICAL COMP�INY SIGNATURE REGIST�RED Y/ N FEE CURRE� Y/N Address I License# OTHER COMPf►NY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facllitfes 81 dumpster;Site Work Permit for subd visionsAarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all niw projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ••"'PROPERTY SURVEY required for all NEW construction. Directions: Fill out appiication completely. Owner&Contractor sign back of application,notarized � If over�2500,a Notice of Commencement(s required. (A/C upgradei over 57500) .. � ;..•_.. - Agent(for the contracto�)`o�Pouver of Attom"ey(fo�:fhe owne�)would be someone with notarized letter„f�om„owner authorizing_same_:__.,,.,_., ; _ , � � � OVER THE COUNTER PERMITTING -� "; (Front�of Appli_`cation Only) ° �. `� - ' • , •-•. ^ Reroois if shingles Sewers _Ser.vice;Upgrades A%C°`..''Fences(PI USurvey/Footage) ` ''''_'' "'• " '"''J' � " � . �, ; :. .. - : .: ;;,, ` - - , , _ ..,_..._�.._. .,...�r., -_._. : . - .. ,, , .. , .� �. ., � .. �� V Driveways-Not over Caunter if'on putilic roadways..needs ROW ,, . � - ,,,.,-:a..,.Y x. �_. . . �._: t. .` � �/ I I I I ' L N0710E OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS �►ND CONTRACTOR RESPONSIBILITIfES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco 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. COfVT12ACTOR'SlOV11NER'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 regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. f 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 abatemenf. . - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill:� - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted�.at time of permitting which is prepared by a_professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNEit, 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 R@CORD A NOTICE OF COMMENCEMENT AAAY RESULT IN YOUFt PAYING T1nlICE FOR INIPROVEMENTS TO YOUR PROPERTY. IF YOU tNTEND TO OBTAIN FIN�►NCING, CONSUL.T WITH YOUR LENDEI2 O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN f1AENT. FLORIDA JURAT(F.S. 117. ) OWNER OR AGENT �� CONTRACTOR ��lI Subscrtbed and swom to(or affirmed) re me th(s Subscribed and swom to(or affirmed)bef ine this by bv � Who is/are personally known to me or has/have produced Who fs/are personally known to me or has/have produced as idenUfication. as identificaGon. Public ��r'� Notary Public '�� " Com i �*� :."'= Commission#FF 137073 C ssion "� �•= m ssion#FF 137073 Com ss' n No. _ ��= o: une -.�. e, � ��•R�,}4q 8wded'fMiTroyfanlnaurance800.385.70t9 �'�p��,°,.p' Bonded Thru TAy Fain Inturance 800.385.7019 Name of Notary typed,printed or s ampe Name of Notary typed,printed or stamped ' / ' � CITY OF / / I / / BUILDINa , Z�PHY�HILLS DEPARTMENT I ' � ' E T I N �, OF ADDITION C�R CORR C O � • • - • DATE PERMIT�, i �� S�(�' I S�"� 5' THIS JOB HAS NOT BEEN COMPLETED. The following a�ditions or corrections shall be made before the job will be acceptec� � � � � , � I /�� G , 'I It is unlawful tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part ot the work with flooring,lath,earth 780-0020 FOR RE-INSP CTION or other material,until the proper inspector has had ample time to approve tha installation. OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR I ' " % This space far use by Clcrk of the Circuit CouR ouly. �IIIIII IIIII I IIII I I I I I II III II I II II III IIIII IIIII I III I I III I�� 2014117497 Rept:1617973 Rec: 10.00 D5: 0.00 I7: 0.00 NOTICE OF COM NCEMENT 07/23/14 K. Kraengel . Dpty Clerk Permit Number. Tax Folio No. • T'he undetsigned Lereby gives notice that fmprovemenb w01 be made ta cetta[n rea!property,and in necordance with Seetian 713.13 aC the Floridu Statutes,the following fofarmation is provided in the N01'ICE OF�OMMENCEMENT. 1. I.ega(Descri tion of pro erty(street a dress required): /��n�° �°� � _ Vd� � —��3�d ' �� ' �$ao � 7�� / '33j' :� 2 General description of improvements: ti �- � ��C'�}�n� � 3a. Owner Nama: .�.-�"�t-"`^".' I �,,�' � Q / � �'(��i �, Q_, ,��V� Owncr Addcess: � �� 3 b. Owner's interrst in site: �-k"�� 3c. Fee Simple Title holder(of other than owner) I �� Addcess: � 4. ConhactorNazne: �"d �' Address: 5��a � Phone: � �'� � 5. Surety Nazne: Amount of bond: PAULR S.0'NE IL,Ph D PASCO CLERK & COMPTROLLER Aadiess: Phone:_07 OR3 BK 9��'2 PG� 1�3'L 6_ I.ender Name: Contact Address: Phone• 7. Person within the State of Florida designated by owner upon who I notices or other documen[t may be served as provided by Section 713.13(1)(a)7,Florida Statutes Name: Addres i Phone DIIumber. 8. In addirion to himself,Ownec desigaates the following pe�on to re�eiva a copy af t6e Lienor's Notice az provided in Section 713.13{1)(b),Flarida Stalutcs. Name• Address�: Phone I�lumber. - 9. Eapirnfion date of Notice of Commenccment(expiradon date is one(1)year from date of recording unless a difFerent date is specified). I ' WARNING TO OWNEFi:ANY PAYMENTS DSADE BYTHE OWNERAFfERTfi�EXP1RATiON OFTHE NOTICE OF COMMENCEMENi ARE , CONSIDERED IMPROPER PAYMENiS UNIDER C[iAPIER 713,PART 1�SECTI N 713.17,FLORIDA STATOTES�AND CAN RESULT IN YOUR ' PAYII�G TVYICE FOR IhiPAOVEMENTS TO YOUA PROPERiY.A NOTICE OF�COMA�+NCFdKENT MUST BE RECORDED AND YOSIEb ON THE JOB SITE BEFORE'IHE FIItST INSPECfION. IF YOU INTENID'I'O OHiAW FIIVANCItAG,CONSULT WITH YOIIR LENUER OR AN ATTORNEY BEFORE C'OMMENCING WORK OR RECORDINC YOUR NOTiCE OF COMMFNCEMENT. I i S' ature of or I.essee,or e s or Lessee s Autho:ized OfficerlDirectorlPartncr/Manager � � � • Signatory's TifldOffice � i STATE OF FLORIDA � COUNTY OF HII,LSBOROUGH �_ � [ i The foregoing instrument wes a owledgc before me this �6a' day of ��''� .Z��, , by ��41�'Y ��C�� .as � far Personaily Known OR Produced Identification � _� ��,�� , Cq �r� i�rJj i� Type of identificadon Produced � � �— "J ! igna - otary Pnblic Unda penalties af pecjury,I declazz tbet I have tead Ihe foregoing and that stated'm it aze uue to the 6est of my Imowledge and beGef, - A _�o!9:'k�a� ERIC MEUSER � 3�=:: := Commission#FF 045022 a on S' y ove ,.�, e._ �?+ E7( If��B 20�7 (Arnpyofaoyb musebe■ �ttbetimeoCreeotdaNmo[thlsNariuofCammrncemmq •'�Jfd�q`�' �4ry�.epp3�ap1� . , i , • �`�p;�'�:�i� �'�.��;��,z1,G4��;��E3F��0 1'HIS!S TU CC�i iFY 7HA1'THE FOR�GQING IS A �� 1'�U��l�d��C}RRECT CC7PY C��TNE i�QC;U[�ENT �,��6dR -, ,w Oiv rl�,i C7h C)F PUBLIG R�COr�L� IfV"C�-115 OFFICE ,��j� � `��,�� VUITNi SSNi`�HA�!,�;t^OF'FICf�LS�ALTt�-1S _ .r� ��":>,�'Y.�T, ,,s, �' � s��C�AY OF �C,� 2 1� ��i'�� . �,��:' `��: � Pl�UL,�1 S. C'�JEIL, CL Rk�;U ��z.,,�� .,, Y-�� m � C MPT�t�LL R �:,� �f�:��.`�:, ��r:a; — �,��,r,�. .,, BY .4 a"!" � F :'7,`� .�n - yY ;�;t «.l�,,y` "� :.a � DEPUTY CLERK e 3¢ r�� `��'r� �,i y�y!�� 1 7 � � h YL ��` , � '��-_r�' � �,'Y�r��':y. St�'t�a '.: w:.t.L,r�,.. ,.�*°�`��? �:'' �`''` vi��*";��i�� "��'-'��,�� ,- Paul Davis Restoration,Inc. of Pasco � � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 , Office(727)841-8559 Fax(727)841-8663 Client: Oberholtzer,William Home: (813)505-0645 Property• 39209 7th Avenue Zephyrhills,FL 33542 Operator: HWALL Estimator: Howard Wall Business: (727)841-8559 Position: Associate E-mail: hwall@pdr-usa.net Company: Paul Davis Restoration Inc of Pasco Business: 2512 Success Drive Odessa,FL 33556 Reference: Business: (727)841-8559 Company: Paul Davis Restoration,Inc.of Pasco - E-mail. pasco@pdr-usa.net Business: 2512 Sucess Drive Odessa,FL 33556 Type of Estimate: Vehicle Date Entered: 6/19/2014 Date Assigned: 6/19/2014 Price List: FLWH8X J[JN14 Labor Efficiency: Restoration/Service/Remodel Estimate: 10854 OBERHOLTZER S�i.ALL COMPLY`��IT�I ALL 2 ��01� �LLWORK D�S FL��DA�UIL�� r _ U`— CO E A � r {�TE � IN� COD �,��W � VAIL r, TR1C F�E tL�S P�� ELLC C�TY �� L��'�YRNe �, , `: CODE,�ATIOi��LLS ORD�A�CES _ �� Pu��s �x A .'� V ;�g' ,.•=.- C�TY OF Z�?h ��.. Paul Davis Restoration,Inc. of Pasco �� License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 10854 OBERHOLTZER � Main Level Main Level DESCRIPTION QTY REMOV REPLACE TAX O&P TOTAL 1 Dumpster load-Approx.20 yards,4 1.00 EA 496.00 0.00 0.00 99.20 595.20 tons of debris 2. Cleaning-Labor Minimum 1.00 EA 0.00 68.46 0.00 13.70 82.16 Post Construction clean up Total: Main Level 0.00 112.90 67736 5" '�" Master Bedroom Height:7'3" 6@�� t'P - j=? T g" � `� "��T 312.55 SF Walls 151.05 SF Ceiling � 1 �° I 463.60 SF Walls Ceiling 151.05 SF Floor ;,'1 TA�terBedroolrc- � 16.78 SY Floorin� 45.76 LF Floor Perimeter iT 1 � 54.01 LF Ceil.Peiimeter �� ,,.b.. 1 �,Z.z..� Door 3'9"X 6'8" Opens into MASTER CLOSE Door 2'X 6'8" Opens into Exterior Door 2'6"X 6'8" Opens into Exterior Window 3'X 4' Opens into Exterior Window 3'X 4' Opens into Exterior DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 3. Contents-move out then reset- 1 00 EA 0.00 109.75 0.00 21.96 131 71 Extra large roon� all contents will have to be moved out of room 4. R&R 1/2"drywall-hung,taped, 156.28 SF 0.40 1.60 5.25 63.58 381.39 floated,ready for paint 5. Texture drywall-light hand texture 156.28 SF 0.00 0.40 0.55 12.62 75.68 6. R&R Baseboard-3 1/4" 11.67 LF 0.43 2.85 0.91 7.84 47.03 7 R&R Rigid foam insulation board- 84.58 SF 0.29 0.62 2.78 15.94 95.69 3/4" 8. Drywall tape joint/repair-per LF 27.00 LF 0 00 i 4.83 0 43 26.16 157 00 Cracks noted periineter of ceiling 9. Remove Acoustic ceiling(popcorn) 151.05 SF 0.43 0 00 0 00 13 00 77.95 texture In order to install tape joint where walls meets ceiling popcorn texture will have to be removed and replaced. 10. Acoustic ceiling(popcom)texture 151.05 SF 0.00 0.74 0.53 22.46 134 77 10854 OBERHOLTZER 7/8/2014 Page:2 �I Paul Davis Restoration,Inc. of Pasco � 1 License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 CONTINUED-Master Bedroom DESCRIPTION QTY RENIOVE REPLACE TAX O&P TOTAL 11. Seal the ceiling w/latex based stain 151 OS SF 0.00 0.43 0.74 13.14 78.83 blocker-one coat(ceiling) 12. Mask and prep for paint-tape only 54 O 1 LF 0.00 037 0.I S 4.04 24 17 (per LF) 13 Paint the walls-one coat 312.55 SF 0.0 i 0 47 2.19 29.82 178.91 14 Seal the surface area w/latex based 83 61 SF 0 00 0.43 0.41 7.28 43.64 stain blocker-one coat(New Wall) . 15 Window blind-horizontal or 2.00 EA 0.00 26.56 0.00 10.62 63 74 vertical-Detach&reset 16. Paint baseboard-two coats 11 67 LF 0.00 0.94 0.09 2.22 13.28 17. Paint baseboard-one coat 34.09 LF 0 OOI 0.62 0.17 4.26 25.57 18. Paint door/window trim&jamb- 1 2.00 EA 0.00 13.99 037 5.68 34.03 coat(per side) 19 R&R Carpet pad 151.05 SF 0.11 0.55 5 08 20.96 125.74 20 Remove Carpet 151.05 SF 0.25 0.00 0.00 7.56 45.32 21 Carpet 186.92 SF 0.00 2.85 30.36 112.62 675.70 22. R&R Furring sh-ip-1"x 2"- 156.28 SF 0.50 0.98 3.83 47 02 282.14 applied to concrete Totals: Master Bedroom � 53.84 448.78 2,692.29 master closet Height:7'3" �-a�i�°-� T a•s�� 1 68.61 SF Walls 9.02 SF Ceiling 'Ynasrer closet i �''9"-'' i 77.63 SF Walls&Ceiling 9 02 SF Floor g" 1.00 SY Flooring 9.16 LF Floor Perimeter 12.91 LF Ceil.Pe�imeter Door 3'9"X 6'8" Opens into MASTER_BEDRO DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 23 R&R Carpet pad 9.02 SF 0.11 I 0.55 0.30 1.26 7.51 24 Remove Carpet 9 02 SF 0.25 0.00 0 00 0.46 2.72 I 25. Carpet 33.67 SF 0.00 I 2.85 5.47 20.30 121 73 Totals: master closet 5.77 22.02 131.96 10854 OBERHOLTZER 7/8/2014 Page:3 Paul Davis Restoration,Inc. of Pasco ' � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 Front Elevation Formula Elevation 38'6" x 8'x 0" 308.00 SF Walls 38.50 LF Floor Perimeter 308.00 SF Long Wall 308.00 SF Short Wall 38.50 LF Ceil.Perimeter DESCRIPTION QTY REA40VE REPLACE TAX O&P TOTAL 26. R&R House wrap(air/moisture 308.00 SF 0.04 0.20 3.02 15.38 9232 barrier) 27 R&R Siding-vinyl 308.00 SF 0.41 2.80 3234 204.20 1,225.22 28. R&R Vinyl outside corner post 16.00 LF 1.19 3.61 1.86 15.74 94.40 29. R&R Vinyl J trim 77.00 LF 0.98 2.12 2.70 48.28 289.68 30. R&R Soffit-vinyl 41.42 SF 0.29 3.31 3.94 30.60 183.65 31. Block wall-decorative-retaining 1 00 EA 0.00 375 00 10 76 77.16 462.92 (Bid item) Detach and reset in order to work on front elevation 32. R&R Block-glass-4"x 8"x 8" 4.00 SF 1.56 22.91 4.21 20.40 122.49 33. R&R Block- 12"x 8"x 16"-in 112.00 SF 2.60 6.05 22.81 19832 1,189.93 place 34 R&R Steel rebar-#5(5/8"14/2) 56.00 LF 1.37 1.10 2.31 28.12 168.75 35. Down Pours per engineering 3.00 EA 0.00 425.00 36.59 26232 1,573.91 36. R&R Framing hurricane tie 16.00 EA 1.56 4.14 1 11 18.46 110.77 37. R&R Framing/truss hurricane strap 16.00 EA 1.56 6.92 4 02 27.94 167.64 38. Concrete cutting-wall(per LF per 14.00 LF 0.00 3.48 0.00 9.74 58.46 inch of saw depth) 39. Expansion joint-Plastic/PVC 28.60 LF 0 00 2.59 2.66 1536 92.09 Totals: Front Elevation 12833 972.02 5,832.23 Left Elevation Formula Elevation 40'x 8'x 0" 320.00 SF Walls 40.00 LF Floor Perimeter 320.00 SF Long Wall 320.00 SF Short Wall 40.00 LF Ceil.Perimeter DESCRIPTION QTY REMOVE I REPLACE TAX O&P TOTAL 10854 OBERHOLTZER 7/8/2014 Page:4 Paul Davis Restoration,Inc. of Pasco � � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 CONTINUED Left Elevation DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 40. R&R 2"x 6"lumber(1 BF per LF) ' 108.00 LF 0.5� 1.79 635 52.04 312.19 41 R&R Header-double 2"x 6" 4 00 LF 5.64 3.99 0.56 7.84 46.92 42. R&R Framing/truss hurricane strap 14 00 EA 1.SG 6.92 3.52 24.44 146.68 43. R&R Bottom plate-2"x 6"- 8.00 LF 2.38I 2.15 0.56 736 44.16 treated 44 R&R Top plate-2"x 6" 8.00 LF 0.62 1.80 0.48 3.98 23.82 45. R&R Aluminum window,single 1.00 EA 21.26I 228.96 11.50 52.36 314.08 hung 20-28 sf 46. Additional charge for a retrofit 1.00 EA 0.00 85.35 1.03 17.28 103.66 window, 12-23 sf 47. R&R Metal lath&stucco 320.00 SF 0.71 3 71 22.40 28736 1,724.16 48. Clean with pressure/chemical 320.00 SF 0.00 0.24 0.22 15.40 92.42 spray 49 Seal&paint stucco 320 00 SF 0 00 1 00 5.82 65.16 390.98 50. R&R Steel reUar-#5(5/8"14/2) 56.00 LF 137 1.10 231 28.12 168.75 51. R&R Wedge anchor bolt-5/8"X 4.00 EA 8.83 7.44 0.61 13.14 78.83 6" 52. Concrete cutting-wall(per LF per 28.00 LF 0.00 3 48 0 00 19 48 116.92 inch of saw depth) 53. R&R Soffit-vinyl 20.00 SF 0.29 331 1.90 14.78 88.68 54. Expansion joint-Plastic/PVC 28.00 LF 0.00 2.59 2.61 15.02 90.15 Totals: Left Elevation 59.87 623.76 3,742.40 Engineering&Permit DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 55 Egineering 1.00 EA 0.00 1,675.00 0.00 335.00 2,010.00 56. Permit/OPEN LINE ITEM EA 0.00 0.00 0.00 0.00 0.00 Totals: Engineering&Permit 0.00 335.00 2,010.00 Total:Main Level I� 247.81 2,514.48 15,086.24 Labor Minimums Applied DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 57. Finish carpentry labor minimum 1.00 EA 0.00 174.58 0 00 34.92 209.50 10854_OBERHOLTZER 7/8/2014 Page: S i i Paui Davis Restoration,Inc. of Pasco � � License Number CBC051266 FEID 59-3267155 �' 2512 Success Drive Odessa,FI,33556 Of�ce(727)841-8559 Fax(72'7)841-8663 CONTINUED-Labor Minimums Applied DESCRIPTIt7N Q'I'Y REMt3V REPLACE TElX O&P TOTAL 58. Insulation labor minimum 1.00 EA 0.0� 19 19 O.OQ 3.84 23.03 Totals: Labor Minimums Applied 0.00 38.76 232.53 Line Item Totals:10$54 OBERHOLTZEI2 247.81 2,553.24 15,318.77 Grand Tatal Areas: 1,009.16 SF Walls 160.07 SF Ceiling 1,169.23 SF Walls and Ceiling 16Q.47 SF Fioor 17.79 SY Flooring 133.42 LF Floor Perimeter 628.00 SF Long Wall 628.00 SF Short Wall 145.42 LF Ceil.Perimeter 16d.07 Floar Area 173.32 Tota1 Are� 381.16 Interior Wal]Area 413.56 Exterior Wall Area 56.67 Exterior Perimeter of Walls 0.04 Surface Area 0.00 Number of Squares 0.04 Total Perimeter Length O.OQ Total Ridge Length 0.00 Total Hip Length 1 10854 OBERHOLTZER 7/8/2014 Page: 6 � I � , . � I Paul Davis Restoration, Inc. of Pasco � � 1 License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 S mmary Line Item Total 12,517.72 Material Sales Tax 247.81 Subtotal 12,765.53 Overhead 1,276.62 Profit 1,276.62 Replacement Cost Value $15,318.77 Net Claim $15,318.77 Howard Wall Associate 10854 OBERHOLTZER 7/8/2014 Page:7 Main Level , 7' 11" 4' S" 2' 6" master closet �" in cV N _ O� 00 1 °� M M 4' 9"-� 4' 3"-� � 4 N �_ —— - - -- � — N M - - �--� Ol �n �--� cV Master Bedroom � --� 11' 6" M I_f�l 12'2" � ,I Main Level 10854_OBERHOLTZER 7/8/2014 Page: 8 I �� ` I Paul Davis Restoration,Inc. of Pasco � � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 Client: Oberholtzer,William Home: (813)505-0645 Property: 39209 7th Avenue Zephyrhills,FL 33542 Operator: HWALL Estimator: Howard Wall Business: (727)841-8559 Position: Associate E-mail: hwall@pdr-usa.net Company: Paul Davis Restoration Inc of Pasco Business: 2512 Success Drive Odessa,FL 33556 Reference: Business: (727)841-8559 Company: Paul Davis Restoration,Inc.of Pasco E-mail: pasco@pdr-usa.net Business: 2512 Sucess Drive Odessa,FL 33556 Type of Estimate: Vehicle Date Entered: 6/19/2014 Date Assigned: 6/19/2014 Price List: FLWHBX JUN14 ' Labor Efficiency: Restoration/Service/Remodel Estimate: 10854 OBERHOLTZER ti .(��;��`��:� Q� ��` P� titi�' ti�� C�� S Sl��' �,S� 2�� 1�� i0��C��v��o��l. ��1P P�1�� `��Q'�� , � ��0`L�'� ��►1�� '��N��_��S �► �i CyS � , M ,C�-�`( S�� ,`� ��N I �� Paul Davis Restoration, Inc. of Pasco " License Number CBC051266 FEID 59-3267155 � 2512 Success Drive � Odessa,FL 33556 Office(727)841-8559 Fax(727) 841-8663 10854 OBERHOLTZER Main Level Main Level DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 1. Dmnpster load-Approx.20 yards,4 1 00 EA 496.0� 0.00 0 00 99.20 595.20 tons of debris 2. Cleaning-Labor Minimum 1.00 EA 0.0� 68.46 0.00 13.70 82.16 Post Construction clean up Total: Main Level 0 00 112.90 67736 5" '�" Master Bedroom Height:7'3" F(k'r�kl •I'a - J=_'r j$" � `� '��T 312.55 SF Walls 151.05 SF Ceiling � 1 �° I 463.60 SF Walls&Ceiling 151.05 SF Floor .'1 Th�steBedroocvc- � 16.78 SY Flooring 45.76 LF Floor Perimeter i� T -�,��, °� 54.01 LF Ceil.Perimeter i � �,.�.. 1 �,z.z,.� Door 3'9" X 6'8" Opens into MASTER CLOSE Door 2'X 6'S" Opens into Exterior Door 2'6"X 6'8" Opens into Exterior Window 3'X 4' Opens into Exterior Window 3'X 4' Opens into Exterior DESCRIPTION QTY REMOV REPLACE TAX O&P TOTAL 3. Contents-move out then reset- 1.00 EA. 0.00 109.75 0.00 21.96 131 71 Extra large room all contents will have to be moved out of room 4 R&R 1/2"drywall-hung,taped, 156.28 SF 0.40 1.60 5.25 63.58 38139 floated,ready for paint 5 Texture drywall-light hand texture 156.28 SF 0.00 0.40 0.55 12.62 75.68 6. R&R Baseboard-3 1/4" 11.67 LF 0.43 2.85 0.91 7.84 47.03 7 R&R Rigid foam insulation board- 84.58 SF 0.29 0.62 2.78 15.94 95.69 3/4" 8. Drywall tape joindrepair-per LF 27 00 LF 0.00 4.83 0.43 26.16 157.00 Cracks noted perimeter of ceiling 9 Remove Acoustic ceiling(popcorn) 151.05 SF 0.43 0 00 0 00 13 00 77.95 texture In order to install tape joint where walls meets ceiling popcorn texture will ave to be removed and replaced. 10. Acoustic ceiling(popcorn)texture 151 OS SF 0.00 0.74 0.53 22.46 134 77 10854_OBERHOLTZER 7/8/2014 Page:2 I �; 4 . Paul Davis Restoration,Inc. of Pasco � � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727) 841-8559 Fax(727)841-8663 CONTINUED-1�Iaster Bedroom DESCRIPTION QTY REMOV� REPLACE TAX O&P TOTAL 11. Seal the ceiling w/latex based stain 151 OS SF 0 0o 0.43 0.74 13.14 78.83 blocker-one coat(ceiling) 12. Mask and prep for paint-tape only 54.01 LF 0.00 037 0.15 4.04 24 17 (per LF) 13. Paint the walls-one coat 312.55 SF 0.00 0.47 2.19 29.82 178.91 14 Seal the surface area w/latex based 83 61 SF 0 00 0 43 0.41 7.28 43 64 stain blocker-one coat(New Wall) 15. Window blind-horizontal or 2.00 EA 0.00 26.56 0.00 10.62 63.74 vertical-Detach&reset 16. Paint baseboard-two coats 11.67 LF 0.00 0.94 0 09 2.22 13.28 17. Paint baseboard-one coat 34 09 LF 0.00 0.62 0.17 4.26 25.57 18. Paint door/window trim&jamb-1 2.00 EA 0.00 13.99 037 5.68 34.03 coat(per side) 19. R&R Carpet pad 151.05 SF 0.11 0.55 5.08 20.96 125.74 20. Remove Carpet 151 OS SF 0.25 0.00 0.00 7.56 4532 21. Carpet 186.92 SF 0.00 2.85 3036 112.62 675.70 22. R&R Furring strip-1"x 2"- 156.28 SF 0.50 0.98 3.83 47.02 282.14 applied to concrete Totals: Master Bedroom 53.84 448.78 2,692.29 master closet Height:7'3" �a��i°� T a�s�� 1 68.61 SF Walls 9.02 SF Ceiling '� :'lnastercloset i �-3 9-4 i 77.63 SF Walls&Ceiling 9.02 SF Floor g" 1.00 SY Flooring� 9.16 LF Floor Perimeter 12.91 LF Ceil.Per'meter Door 3'9"X 6'8" Opens into MASTER BEDRO DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 23. R&R Carpet pad 9.02 SF 0.11 0.55 0.30 1.26 7.51 24. Remove Carpet 9.02 SF 0.25 0.00 0.00 0.46 2.72 25. Carpet 33 67 SF 0.00 2.85 5.47 2030 121.73 Totals: master closet 5.77 22.02 131.96 10854 OBERHOLTZER 7/8/2014 Page: 3 1 I �� Paul Davis Restoration,Inc. of Pasco 0 � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727) 841-8559 Fax(727)841-8663 Front Elevation Formula Elevation 38'6"x 8'x 0" ' 308.00 SF Walls 38.50 LF Floor Perimeter 308.00 SF Long Wall 308.00 SF Short Wall 38.50 LF Ceil.Perimeter DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 26. R&R House wrap(air/moisture 308.00 SF 0.0 0.20 3.02 1538 92.32 barrier) 27 R&R Siding-vinyl 308.00 SF 0.41I 2.80 32.34 204.20 1,225.22 28. R&R Vinyl outside corner post 16.00 LF 1.19 3.61 1.86 15.74 94.40 29. R&R Vinyl J trim 77 00 LF 0.98II 2.12 2.70 48.28 289.68 30 R&R Soffit-vinyl 41.42 SF 0.29I 331 3.94 30.60 183.65 31 Block wall-decorative-retaining 1.00 EA 0 00 375.00 10 76 77.16 462.92 (Bid item) Detach and reset in order to work on front elevation 32. R&R Block-glass-4"x 8"x 8" 4.00 SF 1.56 22.91 4.21 20.40 122.49 33 R&R Block-12"x 8"x 16"-in 112.00 SF 2.60 6.05 22.81 19832 1,189.93 place 34 R&R Steel rebar-#5(5/8"14/2) 56.00 LF 1.37 1.10 2.31 28.12 168.75 35. Down Pours per engineering 3.00 EA 0.00 425.00 36.59 262.32 1,573.91 36. R&R Framing hurricane tie 16.00 EA 1.56 4.14 1 11 18.46 110.77 37. R&R Framing/truss hurricane strap 16.00 EA 1.56 6.92 4 02 27.94 167.64 38. Concrete cutting-wall(per LF per 14 00 LF 0 00 3.48 0.00 9 74 58.46 inch of saw depth) 39. Expansion joint-Plastic/PVC 28.60 LF 0.00 2.59 2.66 1536 92.09 Totals: Front Elevation 12833 972.02 5,832.23 Left Elevation Formula Elevation 40'x 8'x 0" 320.00 SF Walls 40.00 LF Floor Perimeter 320.00 SF Long Wall 320.00 SF Short Wall 40.00 LF Ceil.Perimeter DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 10854 OBERHOLTZER 7/8/2014 Page:4 I .^ Paul Davis Restoration,Inc. of Pasco � 1 License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 CONTINUED-Left Elevation DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 40. R&R 2"x 6"lumber(1 BF per LF) 108.00 LF 0.5¢ 1.79 635 52.04 312.19 41 R&R Header-double 2"x 6" 4 00 LF 5 6 i 3.99 0.56 7.84 46.92 42. R&R Framing/truss hunicane strap 14.00 EA 1.5 i 6.92 3.52 24.44 146.68 43. R&R Bottom plate-2"x 6"- 8.00 LF 2.3y� 2.15 0.56 7.36 44.16 treated I 44 R&R Top plate-2"x 6" 8.00 LF 0.62 1.80 0 48 3.98 23.82 45. R&R Aluminum window,single 1.00 EA 21.26 228.96 11.50 52.36 314.08 hung 20-28 sf 46. Additional charge for a retrofit 1 00 EA 0.0 8535 1.03 17.28 103.66 window, 12-23 sf 47. R&R Metal lath&stucco 320.00 SF 0.7 3.71 22.40 287.36 1,724 16 48. Clean with pressure/chemical 320 00 SF 0 0 0.24 0.22 15.40 92.42 spray 49 Seal&paint stucco 320 00 SF 0.00 1 00 5.82 65.16 390.98 50. R&R Steel rebar-#5(5/8"14/2) 56.00 LF 1.37 1.10 2.31 28.12 168.75 51. R&R Wedge anchor bolt-5/8"X 4.00 EA 8.83 7 44 0.61 13.14 78.83 6" 52. Concrete cutting-wall(per LF per 28.00 LF 0 00 3 48 0.00 19 48 116.92 inch of saw depth) 53. R&R Soffit-vinyl 20.00 SF 0.29 3.31 1.90 14.78 88.68 54. Expansion joint-Plastic/PVC 28.00 LF 0.00 2.59 2.61 15.02 90 15 Totals: Left Elevation 59.87 623 76 3,742.40 Engineering&Permit DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 55. Egineering 1 00 EA 0.00 1,675.00 0.00 335 00 2,010.00 56. Permit/OPEN LINE ITEM EA 0.00 0.00 0.00 0.00 0.00 Totals: Engineering&Permit 0.00 335.00 2,010.00 Total:Main Level 247.81 2,514.48 15,086.24 Labor Minimums Applied I DESCRIPTION QTY REMOVE II REPLACE TAX O&P TOTAL 57 Finish carpentry labor minimum 1 00 EA 0.00 174.58 0 00 34.92 209.50 10854 OBERHOLTZER 7/8/2014 Page: 5 � , ` � Paul Davis Restoration,Inc. of Pasco ' � License Number CBC051266 FEID 59-3267155 , � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 CONTINUED-Labo Minimums Applied DESCRIPTION QTY REMOVE REPLACE TAX O&P TOTAL 58. Insulation labor minimuin 1 00 EA 0.00 19.19 0.00 3.84 23.03 Totals: Labor Minimums Applied 0 00 38.76 232.53 Line Item Totals:10854_OBERHOLTZER 247.81 2,553.24 15,318.77 ' Grand Total Areas: 1,009.16 SF Walls 160.07 SF Ceiling 1,169.23 SF Walls and Ceiling 160.07 SF Floor 17.79 SY Flooring 133.42 LF Floor Perimeter 628.00 SF Long Wall 628.00 SF Short I all 145.42 LF Ceil.Perimeter 160.07 Floor Area 17332 Total Area 381.16 Interior Wall Area 413.56 Exterior Wall Area 56.67 Exterior Perimeter of W alls 0.00 Surface Area 0.00 Number of Squares 0 00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length � � 10854 OBERHOLTZER 7/8/2014 Page: 6 � I � Paul Davis Restoration,Inc. of Pasco � � License Number CBC051266 FEID 59-3267155 � 2512 Success Drive Odessa,FL 33556 Office(727)841-8559 Fax(727)841-8663 S mmary Line Item Total 12,517.72 Material Sales Tax 247.81 SuUtotal 12,765.53 Overhead 1,276.62 Profit 1,276.62 Replacement Cost Value $15,318.77 Net Claim $15,318.77 Howard Wall Associate I 10854 OBERHOLTZER 7/8/2014 Page:7 Main Level ` 1� 7' 11" 4' S" 2' 6" master closet '—' � N N _ p1 � 1 °� `� � 4' 9"-� 4� 3�� -4 N _ _ -- �-- --- -- .� N f+1 - - �'-' 01 �n r-+ N Master Bedroom � � 11' 6" M Lf�.J 12'2" � Main Level 10854_OBERHOLTZER 7/8/2014 Page: 8 � . p�-� — z�G�- � -=��1� 3 EPQPS;AMCRAF-441769 '`"'**"""�"'k*'`**"'"�***'•�` CUSTC?MHR CQPY """"**`"`*"""`�"'"***""" Page: 1 140505 1041 AIC1010 Qvora ribnr#3so4 7/16/2014 ABC Suppiy/Amcraft TC/Hud on - Sim#: 002842 ��'j�''� �'�`-' 400 West McNab Raad Emp: ��I�� Fo�t Lauderdale, FL 33309-2 44 Entered: 7/16/2014 � Phone: 800-283-78$2 Xmitted: Fax; 727-819-8672 PO#: Customer#: 6280700 JofS Name:Paul D �vis Rest Home Owner: Hudsan Sales Pro�ect ID: Lacation: �j�.Fy`�-�,�r Lot#: , Model: Phone: Contact; Fax: � Cust PO#: �n Qty Long Description ��,� No Ord 01 1 36 1/2"(0)X 621/2"(0)Grand Estates New Constr�ction White Single Nitng; Unit Extended Rough 4pening Size; DLX;lntercept; Daub[e Glaze�; ReguEar Strength; Hal# Price Price Screen Fiberglass RoII�Formed Scr Mold; 00 No Re�nforcement; Maximum Ciearance Hardware; Fiorida Window;Two White; Pisin{U1=99"); DR:35;7est 186.4� 186.44 Number-00835.01; U-Factor:.47; SNGC:.62;�Unit do�s not qualify for any ENERGY STARCJ regions. 'i Total Qty Windows 1 Total Qty Units Sub Totai: 986.4Q. NOTES: Sub Total: ' 186.40 Tax: 7.0000% 13.05 199.45 � Non•Tax Labor: 0.00 � Total: 199.45 , Qeposit Paid: 0.00 I • Amount Due: 198.45 Submitted by:Neafher D Accegted I y: Date: , � ._ � , - DAMAGE REPORTS � � " � Q FIRE Q AUTOMOBILE LOCATION: ADDRESS, CITY: DATE INSPECTED: SUBDIVISION: PARCEL#: INSPECTORS#: OWNER: CONTACT PERSON: NAME: NAME: ADDRESS, CITY: PHONE#: PHONE#: DAMAGE TO: FRAME, EXTERIOR WALLS, INTERIOR WALLS& ROOF: � CONCRETE, WALLS, LINTEL, SLAB 8� STUCCO: � ELECTRICAL WIRING, SERVICE, POLE 8� BOXES: � PLUMBING, INTERIOR PIPES, SEWER LINE& FIXTURES: � � MECHANICAL SYSTEMS, DUCT WORK, UNITS & HEAT PUMPS: � � ENGINEERING REQUIRED: ❑ EXISTING TRUSSES � D(ISTING BLOCK&LINTELS ❑ EXISTING BEAMS&ROOF SUPPORT ❑ EXISTING SLAB&STEM WALL ❑ NONE REQUIRED INSPECTIONS: ❑ FOOTING/SEfBACKS ❑ ROUGH MECH I NICAL ❑ SLAB � FINAL MECHANICAL ❑ LINTELS ❑ ROUGH PLUM �ING ❑ FRAMING/ROOF ❑ TOP OUT � ❑ FINAL BUILDING � SEWER LINE O�VLY ❑ PVC ELECrRIC ❑ FINAL PLUMBING � ❑ ROUGH ELECTRIC ❑ FIRE WALL ❑ FINAL ELECTRIC � FIRE MARSHALL COMMENTS: � � � I � �