HomeMy WebLinkAbout14-15599 �
� CITY OF Z PHYRHILLS
.
� 5335-8 H STREET
. (sis)� 0-0020 � gg
BUILDIN PERMIT
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� � '�PERMIT�'INFORMi4TION'�"�"N`���'�.: , _ "�:�.°��g't _Y.���:�L�"06�ATI'OfV�INFORIIAATIOIV`,�,.
Permit Number: 15599 Address: 5652 8TH ST
, Permit Type: RE-ROOF � ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): � Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: � Parcel Number: 11-26-21-0010-05600-0180
Improv. Cost: 2 200.00 �_ :�}`�"�_���"`�=�$�O�WNER�INF�ORMATI.ON
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Date Issued: 8/26/2014 Name: CLARK CARRIE &PARTTRIDG JOHN C
Total Fees: 50.00 Address: 317 HODGES COVE RD
Amount Paid: 50.00 YORKTOWN VA 23692-3148
Date Paid: 8/26/2014 Phone: 813-789-3039
Work Desc: ROOF OVER SHINGLES
�=y���CO'NTl2ACT.OR,S. "� ,,�. . F�:t ��'. ^�,_ �.APP 1 r .r�,��r���< s w�=.�_�, ���
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BROWN BR THERS AMERI AN ROOFI ( x REROOF COMMERCIAL 50.00
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DRY IN ROOF INSP �
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply wi 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 ade 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 property that
may be found in the public records of this county, and there ay be additional permits required from other governmental
entities such as water management, tate agencies or federal agencies.
"Warning to owner: Your failure to record a notice of ommencement may result in your paying twice for
improvements to your property. If you intend to obtai financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Appli tion.All work shall be performed in accordance with
City Codes and Ordinances. N OCCUPANCY BEFO C.O.
CONT TO IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS W THOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED
PROTECT CARD F OM WEATHER
e�aaeaoozo City of Zephyr ills Permit Application Fax-813-780-0021
Buil ing Department
Dat�Received
Phone Contact for Permittin __
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Owner's Name � C� � p�, O�nrner Phone Mumber - 3
O�nmer's Address �j O�nrner Phone Nurnber
Fee Simple Titieholder Mame Ou�mer Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 2. LOT# �
SUBDINISION PARCE ID#
(OBTAINED FR�OM PROPERTYTO rice)DEMOLISH
WORlC PROPOSED NEW CoNSTR ADD/AL Q SIGfV
INSTALL 8 REPAI �
PROPOSED USE Q SFR Q COMM � OTHER Q
TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME Q STEEL �
DESCRSPTIOM OF W06tK 1�, 0 S� p
BUILDIfVG SIZE d� � _�. � SQ FOOTAGE HEIGHT ��
QBUILDING $L� �'�rl O� VALUATION F TOTAL CONSTRUCTION
(/(.J
QELECTRICAL $ AMP SERVI E Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ��� •� ��
�
QMECHANICAL $ V UATION F MECHANICAL INSTALLATION W�,�
QGAS Q ROOFING SPECIA TY 0 OTHER �� ��Y�-G��
FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO
BUILDER CO PAMY
SIGfd�4TURE REGI TERED Y/ N FEE CURRE� Y/N
e4ddress License#
ELECTRICIAN CO PANY
SIGtdATURE REG� TERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COAA ATdY
SIGNATURE REGI ERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COM AfdY
SIGMATURE REGIS ERED Y/ N FEE CURRE� Y/N
i Address License#
OTHER �"" ` COM ANY �D 6��3�
SIGIdATURE ��W N � S � f REGIS ERED Y/ N FEE CURREA Y/N
Address V l - C�t7 J , U`� License-#
RESIDEMTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Req�ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlities 8�1 dumpster;Site Work Permit for sub�ivisionsllarge projects ___
- --- COilAiBiERCIAL ' Attach-(3)complete sets of Building Plans plus a Life Saf ty Page;('i)set of Energy Forms.R-O-W PermiCfor new constructfon.
Minimum ten(10)working days after submittal date. Req��ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work P.ermit for all ri'ew projects.All commercial requirements must meet compliance
SIGM PERMIT Attach(2)sets of Engineered Plans.
••'"PROPERTY SURVEY required for all NEW constructf�n.
Directlons:
Fill out application completely.
Ovmer&Contractor sign back of appiication,nota�ized
If over 52500,a Notice of Commencement(s required. (A/C upgrad s over 57500)
•• Agent(for the contractor)or Power of Attomey(for the owner)would be omeone wlth notaNzed letter from owner authorizing same
OVER THE COUNTER PERMITTIMG (Front of Applica6on Only)
Reroofs if shingles Sewers � Service Upgrades A/C.�_-=.-.Fences(P ot/Survey/Footage)
Drivern�ays-Not over Counter if on�public roadways:.needs R011N
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PIOTICE OF DE��1 RE�►TF21C'TIOP9�: The undersigned understands that this permit may be subject to"deed" restrictions�'
which may be more res9rictive than County regulations. The unciersigned assumes respor�sib94ity for comptiance with an3/
applicable deed restrictions.
t9PdLlC{EtdSI�D CC1N7F��CY��L� �►�9� �C��lY�1�T'�R f���P�Rl�If�lL,1'PIIE�: If the owner has hired a contractor or
contractors to undertak� work, they may be required to be licenseci in accordance with state and tocal regulations. tf#he
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state iaw. If fhe ov�rner or infended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to cantac#the Pasco County �uilding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the ownar has hired a contractor ar contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application far which they will be responsible. If yau, as the owner sign as the
contractor, that may be an indication that he is not praperly licensed and is not entitled ta permitting privileges in Pascv
Counfy.
7�,RISPO�2YA�'IC1P1 I�l��►CT7l1Tll.l�'IES YflflPe�,�Y�►�9D ���OURC� RECOiI��v F�f�S; The undersigned underskands
that Transportafion Impact Fees and Ftecourse Recovery Fees may,apply to the construction of new buildings, change af
use in existing buildings, or expansion of existing buiidings, as specified in F'asco County Ordinance number 89-07 and _
90-47, as amended. The undersigned aiso u�derstands, that such fees, as may be due, wrill be identified at the time of
permitting. {t is further understood that Transpartation lmpact �ees and Resource Recovery Fees must be paid prioc fo
receiving a "certificate af occupancy" or final powrer release. (f the project does not involve a certificate of occupancy or
fina} povuer reEease, the fees must be paid prior ta permit issuance. Fucthermore, i€ �asco County 1lVaterlSewer Impact
fees are due, they must be paid priar to permit issuance in accordance with applicable Pasco County ordinances.
GONSTRUCT�ON L11EP1 LA1f1t{Chapt�r Y13, (Fleor9���ta�a��s, �s attte�d�e9}: If valuation o#vuork is$2,540.OQ or more, !
certify that I, the applicant, have been provided vvith a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide° prepared by the l�lorida Departm�nt of Agriculture and Consumer Affairs. lf the applicant is someone
ather than fhe"owner", 1 certify that 1 have abtained a copy of the above described document and prorrtise in good #aith to
deliver it to the"owner" prior to commencement.
CflNT'R�C'�"�R'S10V�lNiEFt'� �►��1�3�VI1C: 1 certify that ai1 the information in this applicatiort is accurate and that all work
will�be done in compliance with all applicable lauvs regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installatian as indicated. 1 certify that no work or installatEan has
commenced priar to issuance of a permit and that aH work vuiil be performed to meet standards of alt laws regulating
construction, County and City codes, zoning regulatians, and land development regula#ians in the jurisdiction. I also
certify thaf ( understand fhaf the regulatians af pther government agencies may apply to the intended vuork, and #hat it is
my responsibility ko identify what actions I must take ta be in compliance. Such agencies include but are not limited to:
- Department af Environmental Protection-Cypress �ayheads, Wettand Areas and Environmentally Sensitive
Lands, VVater/Wastewater T'reatment.
- Southwest Florida Vllater Management Dtstrict-V1(ells, Cy�ress Bayheads, Wetland Aeeas, Nltering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Deparfinent o# Health � R�habilitative ServiceslEnvironmental Health Unit-1l�lells, Wasteuvater Treatment,
Sepkic Tanks.
- US Enviconmental Protection Agency-Asbestos abatement.
- Federal Aviation Authoriiy-Runways.
I underskand that the following restrictions apply to the use of fill:�
- Use af fi(I is not allorrved in Flood Zane"V"unEsss expressly permitted.
- If the fill material is to be used in Fload Zone "N", it is understood that a drainage plan addressing a
"compensating vaiume" vuil! be subr�itted at fime of permitting �uhich is prepared by a prafessional engineer
licensed by the State of Florida.
- !f the fill material is ta be used in Flood Zone "A" in connection writh a permitted bui{ding using stsm vsra8
construction, 1 certify that fill will be used only to�li the area within the stem wall.
- If fil! material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properfies, #f use of fill is found to adversely affect adjacent properfies, the owner may be cited for vio#ating
the conditions of the building permit issued under the attached permit application, far lots less than one (1)
acr��hich are elevated by fil1, an ertgineered drainage plan is required.
If I am the AG�PJT F06�'�6i� OIiVPVI��t, I promise in gaod faith to inform the owner af#he permitting canditions set forth in
this affidavit prior to comm�ncing canstructian. I understand that a separate permit may be required for electrica! work,
plumbing, signs, welfs, pools, air conditioning, gas, or ofher installations not specifically included in the appticafion. A
permit issued shall be construed to be a license to proceed vvith the work and not as authority ta violate, cancel, alter, or
sef aside any provisions of the technical codes, nor shall issua�tce of a permit prevent the Building O�ficial from thereaffer
requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shall become invalid
unless the work autharized by such permit is commenced within six manths of permit issuance, ar if vrrofk authorized by
I the permit is suspended or abandoned for a periad of six(6) months aft�r the time the work is commenced. An exfension
rnay be reques#ed, in v�riting, from the Building Official for a period not to exceed ninety (90) days and wil! demonstrate
justifiabie cause far the extension. !f vvork ceases far ninefy(90)consecutive days, the job is considered abandoned.
{�iA�2NING '�� CDiiil��Ft: �C1l�E� i��1���R� 3't? ���4�RI} � �9�1'IG� C!� ��(��El����1�6�T M�Y �2��L1�.'T Ii� Y�i1�2
I �4�YIfdG �1fVICE �fJR Ihfl�R�ilI�iWIEP➢TS�'()YClll66t�'I�O�'�RTI(. 9f�YOIJ YN�'�ND TO O�TI�IIV FIN�IN�CIfVG, CON�ULY
� �lVtTH YC}U�F L�Ptl��1�i�R�1Pt�YT�@�t��1���I���f�fft(E��J1�1�04�14�YC�t���9CIY �t��F Cd��1�If���1��1���f�f.
FLORIDA JURAT(F.S. 117.�3} ��M��,,.,,�
OlN1N�6a O€t A.G�NT CO�lT62AGTQgZ
Subscrfbed and swom to(or affirmed}before me th�s Subscribed and swa trm ' efal'e me t '
bY �"�'l� bY� ft/ ���
Wha islare personally known to me or haslhave produced Who IsJare ersona(y k owtn o me or hasthave produced
as Identlfication. �7_,�I�{S,�e,� as identificafion.
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Notary Public �-•rr ��'� Notary Public
Commission No. ComriS� sion N
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Name qf Notery typed,pr(nted or stamped tJame of Nota �� �t �eys �r 12,2Q1�3
^'�,`,ar t+,4t'` 8onded Tlw 7my Fdn Inswanca 804�7019
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r?tM�12ICt1N ROOFTNG�, �c. � �',��r �� �`�,�,�'���'� �� � � �� !�
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itai� n'-'�.. � �r , �, `dYUYri'1'!] 'd PUI'1'171'I71tld AL: ..-..�._.._._�......_^---�•-
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+?a 1l�rapy ��ral'Q��G���•ni�h.�H makr�riala and pocform all nucpu ary laUor for the camplation of raoflnd af existing Btructurd locat6d
:,t_�% t� � .
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Lxie;cin� ruoP r�:mnv�d: Y�t� n • •
hotcen �i�ch and (ar.i��p woocl r�placud:YeG Ida ;f2. Q p�r linearfuat �
Inscall naw euu mweal r�nd plumUi�i�;'�ilAashiny, ss n '
�� pry-in rool`wich: 751U/3DIU f�lt /��i� �
SnlnaJ� In5t.�11 vall�:y m4cal; Y�s1No �•t,
RooP li�sfaii 3U-y4ar dimenbiQnal shiny�es!25 ear 3 tab shi gles - . ^_.____.�---�----
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OJl � Dry-In roQt.wilh: 301U f�lkl6asri A3. �� �
Bulld•Llp MnEa In: 1;2,3,q�►ies af Fta�rglass felc 8 lAp Gaai�rvith i.ot asphalt /��� -
Raufi Ar�a thurou�hiy cleaned oP ddbris: Yes � '
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GTIIER: (�� � � ,�Y ._..,_.�_......-� „��------_
Fiva�yaar Nun�tr�nstaraialr�W�rkmanshi,p 1Marranty.;�„
— �- ---------�—�.--� � -n and sN�G�ficatlons
r�ll ma[ariul is yur�ranleed co b4 �9 s ecifiad, and th� al�ove wark to ba $rfarm�d in accordano�w�th thd drawi F��,
e4pfTlittad Por a�ova work and comp�tod in a sub�ran 'ui workm nlika nannar for the sum of:Q�"j � G>� ` �
�i�v.��:�`� T�ur� /�Gr��f^�� �l�t ��� , �,���
with pnymznty.Co mad�a� I`ollows:
��y al�erau�n or ddviaci�n from aUove s y. on writlan orci0rs,and will
p�.citicatians invWlvis�� o �ra eosls,v.�ill b��xecutr�d only up S ba Qnd our
nacomz anq cxfr� charc�d over and abov�tl�►e asl'imaCe. All a re msnta cQntendrad upon skriK��, �����d�t�pr delay Y
��n�roi Qwnar co car fir�, kur�jado and ather r►c�cdssary ins�ra e� upon abnve skated v�nrlc. WprK►������ Camp�nSatl�an and Liabiliry
insuranc� an �pave s Acuu w�rk ta b� t�kr�n a�al b LiIZQUVN 6R TH�R S AMEI�IGAN ROLIFING, INC. ln th�uv��x�°t G�Ymant Is noc
n�uad �5 spa4ifiad, all fa�� inc,,i�r�;d in th� collo�:lio�n ai`such ea a orn�y f�as, cnurt car��s,.ekc. shall b� aid bY th�own°r oP p�oP��'tY
ar s�gnar.
R4apeeil`ully�ub0�itt� by � .
eruwn Rrat�t►c�r's Amar�can R�oftng, Inc. •
L.icansa Number: R�0 6�6533 '
ti'rurr:mansf�i�a Warranty is null and void iF v�a�k is alter�►d Uy othe'a.
Irtanaga,��ant resai�-�s the ric�l:t to rej��t any contract.
Th` °hpvz h'ri��y� sp�cii�icatinny� and canqilions ar�sa�faF nN nd a e�l prOS ucaa� ted. Brp ►BrUthor's Amerlcan Ro�fing, Inc., IS
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authqri�ed to qa che wor as spdcifir�d. P�tyrneiSC w1ll I���t���d s�autllned o �.�,
, �cceptad� �/° � '
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�� AUG. 25. 2014 �:2�ANE A. KILBRIDE INSURANCE, INC. N0. 47$� P, 1 — —
� ���"'�- C�RTIFICAT� OF L.IA lL.ITY INSURANGE DATE(MM(pbIYYPY�
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THI�CEttTlFICATE IS IS�U�D AS A MATTFR OF INfORMATIUN ONLY ND CON�ERS NO Fi1GH7S UPC1H i'NE CERTiFtCA'fE HOLDER�TNtS
CERTIFICATE D0�5 NQT AFFIFtNWTIVELY OR N�GATIVEl.Y AMENC} END bR A4.T�R THE C41fERAGE AFFORDEd 8Y THE POLICIES
BEi,QW, THtS CERTIFICAT� OF tNSURANCE DOE� NOT CONSTITU A CONTRACT 6ETWE�N1 THE 158UING INSURER{S), AU7NORI�ED
REPR��EHTAT{VE OR PRQDUt�ii,AND TyE C�RTiF1CAT�HOCD�R.
IMPORTANT. !f tho certi�fic�e holder is an ADDIT�ONA�INSUR�D,tha p Ilcy{,es)must be endorsed. if SUBROfiATiON IS WANED�subject to
the terms a�11d canditlo�6 of tha pollCy,Certain pollCie&may requil'�sn en oYSemenf. A st8tement on this eo�cato does not cenf8r right6 to the
certi�cate hotder in ileu af sueh endorsement�s).
PR4DtlCEtt AME:
A.KII.�RIDE INSUh'APlCE INC. HoNE .$�(3����f-7�87 C xe:$'�$-�"�'2 73��
�4a�w,Busah 6ivd. 'fl'�s,cettificate af'�.�kilbride.cam
T�mpa,FE 33692
813.931.7467 Phcne tNSURER S AFFORDINfi�COVERAQE NAIC#
913.9327336 Fax I SUAERA:North Poi nte �ns Co Q3514
iN8URE0 1 sURER B:
grown 8rothet`s AmeriCa�t ROa�ng,lno. � suqER C:
1006 Briarwood Aven�
Tampa, �L 33�13 1 SOR6RD:
( SUR6R E:
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COYERA�ES CERTIFlCqTE NUMB�R� `°� - R�YI&iqN NUMBER;
7HI8 IS TO CERTIFY THA7 TH�POLICIES OF INSURANCE USTEO BELOW HAV B�EN ISSUER 70 THE INSUk�ED NAMED A�OVE FOR THE POLICY PERlOD
INDICA7'ED. NOTMTH9TANDING ANY R�QUlREtN�M',TERM OR CONDiT10N 0 ANY CONTRACT OR CYTiiER DOCUMENT WlTFt R6SPHCT YO WNICH TNiS
CERTIFICATE MaY BE IS$UED OR MAY pERTAIN,THE INSURANC�AFPORDE BY TNE ROLICI�a DESCRIeEp HEREIN 15 SU8JEC7 TO Af.L'CH�TERMS,
EXCLtt510NS Ahlb CGNDITtONS 4F SUCH POLiCtES,LIMITS SWOWN MAY HAVE p EM REOUGED BY PAiD CLA(M3.
!�� TYPEOFtNSURRNCE, �� POLtGYNUMeER MMr�DDY � MMmD P IJMITS
G£NERAiIlA811yi'Y EACHOCCURRENCE S 'I�ODO,OOO
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CtA1MS�MG4flE ✓�OGCUR 209412381� $f 1Sf14 8J15I�.5 �l�� ._.._
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OEN'LAGGREGATELIMRAPP�IBSP�R� ODUC7'8-GOMPlOPAG(i s 2,000,000
f PDLICY �Ra �OC �
AUTdMOattFt�aetE.i11Y e exieen��+�Gt�Lt
�,�0 eoD►c.Y INJURY(Par paracn) S
At�tT�� AEC!'tN'OS�� BODlLYlN,lURY(Peeascidem) a
NON�OINNED Pe�a�denDAMAG�"– g
HtR£Q AUTpS AUT4S
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1JMBRE�LA UAB p��R EACH OCOURRENCE S
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0$Q RE7ENT! N S �
W4AKEfis G061p�NSATIQN. WC STA7U- OTH-
ANO EMPLOYeRS'WaeluTY
AN'f FROFRtETQR1FARTNEWEXEGUtIVE Y� N}a E.6 F•ACN AGC@ENT �
OFFlCERIMEMBER EKCLUDED? ��
(Mitf!d0lcry In NN) E.L DISEqSE-EA EMPLO S
tfyps dawrlbe urruer
DEB�RIPTI N OF�PEf7ATI0NS balnw E.L DISEASE.POLICY LIMIY S
DESCHIFIIGN QF QP�q'ATlONS!{.QCA7i0N$l1+BNfCCE�S{Attasd AGORD 10l,Addi�orrm Renutir:S d�$,tt mere ap��v�mRuir�
Raofing Contractor /�G OOG4533
Liceri�e Quafifier!/ Frankii Brown
C�RTiFlCA'f�HOLDER C NC�L�ATiCN
Cify of Zephryhiits�uilding Depsrkmen# HOULD ANY OF TFIE A80VE DESCRIBEO PQLICIES BE CANC�LI.ED 9EFOqE
5385 8th Street � �xP�r�►�naa �are ��R�o�, Noncs wr�� ae n�uvea�a �H
Zephryhilis,F!3�542 cpRDANGE WlTH YN�P0�lCY PROVIStONS,
f;843�780-Q021
A HORfLE�R�PREBENTAiNE
� - �o AcX>Rp CORPOI�A�noH. Atf rig reserved.
AGQRQ 2S(204Ql05t The AGORb natne and(ogb$r� gi�tered marks of AGQRD
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STATE OF FLO IDA
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DIVISION OF WORKERS'COMPENSATION
' BUREAU OF COM LIANCE
, EMPLOYER EXEMP�'IONS REPORT
Employer ID: 001496485 FEINISSN: 200341014
Name:BROWN BROTHERSAMERICAN ROOFING INC
Street1: 1006 BRIARWOOD AVE
Street2:
City: TAMPA State: FL Zip: 33613-
- �. • . . �. - . .-
FRANKLIN L BROWN PRESIDENT 05/02/2013 05/02/2015 CONSTRUCTION
FRANKLIN L BROWN PRESIDENT 03/29/2011 03l28/2013 CONSTRUCTION •
FRANKLIN L BROWN PRESIDENT 11/25/2008 11/25/2010 CONSTRUCTION
FRANKLIN L BROWN PRESIDENT 11/28/2006 11/25/2008 CONSTRUCTION
AMES F BROWN ICE PRESIDE 06/07/2011 O6/06/2013 CONSTRUCTION
AMES F BROWN ICE PRESIDE 02/14/2004 05/09/2005 CONSTRUCTION
FRANKLIN L BROWN PRESIDENT 07/30/2004 07/30/2006 CONSTRUCTION
FRANKLIN L BROWN PRESIDENT 02/14/2004 07/25/2004 CONSTRUCTION
ATTHEW K MCCARTHY REASURER 03/12/2005 03/12/2007 CONSTRUCTION
ATfHEW K MCCARTHY REASURER 02/14/2004 07/25/2004 CONSTRUCTION
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