HomeMy WebLinkAbout15-16412 ; CITY OF ZEPHYRHILLS
r, ` 5335-8TH STREET
(szs)�8o-0020 16 2
BUILDING PERMIT
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PERMIT INFORMATI4N � LQCATlON INFORMATION
Permit Number: '16412 ; Address: 4749 SILVER CiR
Permit Type: RE-ROOF , ZEPHYRHILLS, FL.
Class of Work: RQOF REP�ACEMENT Township: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: � Subdivision: CHALFONT VILLAS
Es#. Value: Parcel Number: 15-26-21-0190-00000-0110
Improv. Cost: 6,515.00 QWNER INFORMATION
Date Issued: 6/2912015 Name: LARNER ROGER A& DOL.LY
Total Fees: 70.00 , Address: 4749 SILVER CIR
Arrtount Paicl: 70.00 ZEPNYRHILLS FL 33541-65'[2
Date Paid: 6/29/2015 ' Phone: 813-783-4581
Work Desc: REROUF SNING�ES ;
CONTRACTOR S ' APPLICATION FEES
S ROO ING O FLORI IN . R OOF ESID TIAL 7 .00
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Ins ections Re uired
DR IN RO F!N8
TAPE J�TS R�OF[N!S� ,
FINAL �� P-
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REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ttra inspection
trips are oecessary due to any one of the foltowing reasans: a)wrong address b)candemnec!work resulting
from faulty construction c) repairs or carrections not made when inspections called d) work not ready far
inspection when called e) permit not posted on job site f} plans not at job site g)wark not accessible.
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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 caunty, 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
impravements ta your property. If you intend to abtain financing,consult wi#h your lender or an attorney
before recording your notice of corr�mencement."
Camplete Plans,Specifications Must Accampany Application.All work shall be performed in accardance with
Ci Codes and Qrdinances. NO OCCUPANCY BEFQ C.O.
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CONT C GNATURE PERMIT OFFI R
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MIT EXPIRES IN fi MONTjH51NITHOUT APPROVED INSPECTiON
CALL FOR INSPECTIO;N - 8 HQUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 Ci#y of Zephyrhills Permit Application Fax-813-780•002�
, ' _ Buiiding Department
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Date Received �,,cl „/�,'.. � - - - �Phone Contact�#pr-P..'{. . , L� 7.�' �ll�'1..�
i� arntit#in
Owrier's Name . p ' I `' ^ -
� . Cc`°`._„`��; _ . , .. Owaer Pliane!Nunnlaer
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Owner's Address � 7 �C/ :( ; r' 3 3�`�, I � ' ,• OwaerhPhane Number
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:l`�`< , 1f,. r�._. t ' ` � �
Fee Slmple Tltleholder Name� � � ,� ' Owner Phane Number
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FeeSlmple,TltlehalderAddress i ± -
JOB ADDRESS ���'� G,r� ' Z�° � L� I ���'I LOT# ��
SUBDiVISION �— � PARCEI.ID# /5" (p°Z -C7 1 O '� � G�I�
� + (OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED NEw CONSTft ADD/Pi�T �� S{GN [� [� DEMOLISH
� e INSTALI» 8 REPAIR
PROPOSED USE Q SFf2 Q COMNI � OTt{EF2
TYPE OF CONSTRUCTION � � BLOCK C] FRAME C� STEEL [,�
DESCRIPTIbN OF WORK �3•� ,►n? �`112G, ,$ ,S ��f-�
$��Ln�N�$�� SQ fOOTAGE I� CI i HEIGMT .,I C� h �
�8��«���"' r� ����` C/� VALUATION OF TdTAL CONSTRUCTION
, L__.___�.�l�
QEI.ECTRICA� .� � AMP SERVICE Q PROGRESS ENEFtGY Q W.R.E.C.
QPl.UMBING �� �
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OMECHANiCAL $ VAlt1AT1Ql OF MECHANICAC INSTA�lAT10N ,� �
OGAS � ROQFiNG Q SPEC�AI.'i'Y �� OTHEE2
FINISHED FLOOR ELEVATIONS �-� F1,00D 20NE AREA QYES NO
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BUI�DEEt
CBMPANY
SIGNATURE REGI3TEREp Y/ N FEE CURRE� Y/N
Address � Ltcense# �— �
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E�ECTRiC1AN COMPANY
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
Address � License# �� ��
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PLUMBER �pMpq�y
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address � License# ��� —�
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MfCHAl+t1CAL C�MPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Add�ess � � License# �— �
OTNER COMPANY Gt� � .t"i.� �Iu��.
SIGNATURE REGISTERED Y/ N FEE C RE� Y/N.
, Adare�s � ' !�!� License# LCG 1";3 D�v(Z
RESlDEtVTiAt; Attach(2}Ptot Plans;{2}sets of 8ulld3ng Plans;{1}set aF Energy Forms;R-O-W Permtt for naw constn,�ction,
Minimum ten.(1.0)working'days after.submittal date. Required onslte,Construction Plans;Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster,Site�Wodc•Permit for�subdivlsionsllarge proJects
GOMMERCEA� Attach(3)compiete sets of Buiidtrig Plans plus a![fe�Safety Page;{1}set of Energy Fonns.R O-W Pertnit#ar new canstruc�on.
Minimum ten(10)working days after submittal date. Required onsite,ConsUuation Plans,Stormwater Plans w/Silt Fence installed,
SaMtary FaciliUes&1 dumpster.Site Work Permtt for alhnew proJects..All commercia!requtrements must meet campllance
SFGN PERMtT Attadi{2)sets of Engtneered Ptans.,-. fi
""'PROPERTY SURVEY required for all NEW constructian.
Dlrectlons:
FIII out applicaUon completely. I
Owasr&Contractor sign back of applicatlon,notar�zed �
If over 52500,a Natice af Comrnencement is requEred. (AtC upgrades over 37500)
" Agent(for ttie conVactor)or Po4uer of Attomey(fa��the awner)would be someone wikh natarized letter from owner authorizing same
OVER TFFE CCiUNTER PERMITFIFiG (Front of Application Only) �
Reroofs if shingles Sewers Service Upgrades A/C Fencis(PIoUSurvey/Fookage)
Driveways-Nat over Counter if on public rosdways..needs ROW i
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IVOTICE O�DEED RESTRICTIONS: The undersigned under.stands that this,p�rmit.may be•subject to"deed" restricttons"
which may be:more rest�ictive than County regulations. �The undersigned assumes responsibility for compliance with any
applicable deed restrictlons.
UNLICENSED COtdTRACTOR� AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required:.to be-Ilcensed In accordance.with state.and�local regulations. If the
contractor is not 13censed as requlred-by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or Intended contraetor are uncertain a� 4o what Iicensing.requirements may apply for the
intended work, they are advised to contact the Pasco County Bulldtng Inspection Divislon—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
portfons of the "contractor Block° of this appltcation 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 noQ entitled to permittfng privileges tn Pasco
County.
TRAfVSf�OR'TA7'ION IMPACYIUTILITIES IMPACT ARID RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry Fees may�apply to the construction of new buildings, change of
use in existing buildings, or,expansion:of ezistin�g�6uildings, as specifled.(n Pasco County Ordinance number 89-07 and
90-07, as arnended. 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 Recov.ery Fees must be pafd prior to
receiving a "ce�tificate of occupancy" or flnai power release. .If�Ehe project does not involve a certificate ofi occupancy or
final power release, the fees must be paid prior to permlt issuance. Furthermore;if Pasco County 1Nater/Sewer Impact
fees are due, they must be�paid_pNor to permit issuance-In accordance with applicabl_e Pasco County_ordin�nces,__ __
CONSTFtUCT10N LIEId LAW(Chapter 713� Florida Statutes,aa amended): If valuation of rsvork is$2,500.00 or more, I
certify that I, the applicant, have been provided with. a copy of the "Florida Constructton_Lien Law►—Homeowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. If the appl(cant is someone
other than the"owner", I certify that i have.obtained a copy.of th�above described docurr�entand.promise ln,good faith to
deliver ft ta the°owner"prior Qo commencement. •
CONTRACTOR'S/AWNER'S AFFIDAVIT: I ceitiiy that.all the-Inf.ormation In thi.s appllcation is accurate and that all work
will�be done in complfance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obta(n .a permit to do work and Instailatlon as indlcafed: °i ce�tify that no work or Installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of ali laws regulating
construction, County and City codes, zoning regulations, and land developm�nt regulattons in the jurisdiction. I also
certify that I underst�nd Qhat the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to ident(fy.what.actions I must take to be,in:.co�pliance. Such agencles include but are.not Iimited to:
- Department of Environmentai Protection-Cypress. Bayheads, Wetland Areas and Environmentally Sensitive
L�nds,Water/Wastewater Treafinent.
- Southwest Florida Water iVlanagement District-Wells, Cypress. Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Se�walls, Docks, Navigable Waterways.
- Department of Health & Rehabifltative Services/Environmental Health Unit Wells, Wastewater-Treatment,
Septic Tanks. � .
- US Environmentai Prot�ctlon Agency-Asbestos abatement.
- Federal Aviatfon Authority-Runways.
I understand that the following.restrlctions apply to the use of flll:�
- llse of fill is not allowed in Flood Zone"V"unpess expressly permitted.
- Of the fiil material is to be used in Flood Zone "A", ft Is understood that-a drainage plan addressing a
"compensating volume" will be submitted at time of permitt(ng which is prepared by a professfonal engineer
I(censed by the State of Florlda.
- If ihe fill material is to be used in Flood Zone °A" (n�connection�with.a permitted building using stem wall
construction, i certiry that fill�:will:be used only.to.fill th�area writhin th�stem�wall. �,�� ' .
- If f611 materlal is to be used in any area, I certify that use of�such flll wilt not adverseiy`��ffect adJacent
properties. If use of flll is found to adversely,affect adJacent•properties,.the owner may be cit�d for violating
the conditions of the build(ng.permit lssued under the attached permit application, for.lots less than one (1)
acre Hrh(ch ar�elevated�by flil, an englneered drainage plan is required. .
If I am the AGENT FOR THE OWPIER, I,:promise In good faith to inform the owner of•the permttt(ng 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; alr conditioning, gas, or other installatlons not spec�icaily included in the application. .A
permit issued shall be constcued to be�a license to proceed with the work and not as authority to.violate, cancel, alter, or
set aside�ny provisions of the technical codes; nor shall Issuance�of a.permit prevent the Buildfrig Official from thereafter
requiring a correction af errors in�plans, cvnstruction or vlolat(ons of any codes. Every pBrmlt Issued shall�become invalid
unless the work autF�orized.by such permit ls.commenced�withln six months of permit issuance, or if work authorized by
dhe permit is suspended or.abandoned for a period of six(8)months.after the time the wrork is commenced. An extension
may be requested, in writing, from the Building,Officfal for a period-not to exceed ninety(90) days and will demonstrate
justifiable cause for.the exfension. If work ceases-for ninety(90)consecutive:days,..th�Job is considered aba�doned.
VEIARNING TO OWNER: YOUR.FAILIJItE.TO.REC:�RD A NOTICE OF�COMI9AENCEMENT MAY RESULT IN YOUR
PAYING TWICE,FOR IMPROVEMENTS TO YOUR•PROPERTY.�,IF YOU-INTEND'T��OBTAIN•-FIPFANCING',�CONSULT
WITH YOUR LENDER.OFi Atd ATTORNEY�BEFORE,RECORDING:•YOUR�NOTICE`OF COIVIMENCEMEtdT
FLORIDA JURA�(F.S. 117.03j �
OWNER OR A(3ENT = CONTRACTOR /�/
Subscrlbed and swom to(or affi ed �e me this Subscribed and'swom to(or afl(rm re me'this
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Who Islar ersonal knovm to.me or has/have produced Who Is/are personellyknow •to me or has/have�produced
as Identlflcatlon, as Idendflca0on.
� tary Public � �
- Plotary Publlc
Com lon No. ,����•,, Com
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:•yg••'•��: • , ti�:Y:ve�.,, JOEL E.BACON
.; ;.= Commission#FF 137073 '
' := Commission#FF 13707
Name of Nolary typ ; 'p ,�$r ' Nam � �P6�Dip�►t�P�l�
�� F roy F�n Insurence BWJ85•7019 'c'��'��, ,•` Bonded Th�u Troy Fain Insurence 800-?85.7019
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CUSTOMER AGREEMENT/ CONTRACT PROPOSAL
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SCM Roofing of Florida Inc.
16603 Plum Rose Court ,
Tampa,FL 33618
Phone 855-SCM-ROOF,Ext. 1 Fax 855-SCM-ROOF ,
info@scmconstructionfl.com
' � FL License#CCC1330612-CGC1521516 Sales Rep
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Customer Name/ � `� ` Insurance Compan�y� Date Reported Date of Loss
"f ! � -��( V C1`' f; I � ^��:r.�?c_C �-,�I
Address /� ( /� Claim# �'2,� /� �� C ,[� � Insur�an-��ce Company Number
i�0/��(C 1 G I�if�C�/� �(�--�-'C./��.) �/ �--L� t�`.�iv..�-' ( f n .��� �
Ci State Zi � i Polic # � '"' ' Ad'uster Phone#
ty .�� , ��� � /l5 �� y � �r-�o� ) b1�5 ,,
Home P�ion�e % -- Mortgage Compariy ) Mortgage Company#
't. i �....oc.c.y't � z�"''G'�(
Cell Phone rJ :�:Loan# i ° T e of Loss
��� • ��� — (J�v � �.,. } � .,� , . �f'Wind❑Hail
1c .i i i liy,sa,u . •�6;�:'•:... I ,
$. i's.'s�.
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'` � Roof Specifications i Property Conditions .;, , �
..�, y, , ,
�3-Tab ❑Architectural '' ❑Other ; _ Driveway ,�Cracks /i�Oi1.Sfains
. � ; • �, �. _
❑Tile ❑Metal Roofing ❑Low Slope � Ceilings • ❑Stains . ❑Ivlold ,
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, �, � ,
❑ 15"Felt .�30"Felt ❑Synthetic,ti a Dumpster f f� Driveway ❑Other
�' ��'S �- � �',���`
�Shingle Color Gf i�Pr,'� _ � , Shingle �0 r �`t"� 0 I�Y i;'t_,�a �.Y:�o�
, �- v , y �, i -
1 �
(Brand) (Col'or):'`: ; ,,:.
0`Drip Edge.Color I,� � !�i;r _ ' �� -
,,,�. J �
� []Y Ridge Vent Brand ��•��' -..A" 1�- 1 G i r: � `� Drip . r� l,t..�U�'`l�A _
� . � (Color) �'
^,%a�?Skylights Brand �.�� � ;� _ -_�_ .. ;
- , ----- -- =`` ` , -` - ,-. - Notes?,._ _ - � -
` Pipe Boots 1 �%z- -- � 2" _� 3' � �:'• ��-�' `� S�--�'.� �� % ,.!�'' ` -
'�� . _ _. . . _ , , , _ . " �. , , ,
' .• Chimney ❑Hardie Hop ❑Stucco ❑T-111 ' ' ' " -
�.,r _
�� 0 Viny1,+0 Br•,ick ❑Hardie�Board
, � - _ '_---_:=`.—;�.` -�'....'-'J---r�;:—i-:�..c��—_-f:�'r.=�-,.,^`, - — .. � . ; ._ �_ _'_.�-�_ �_ _= -_ � -- -_ —" ,__ '
``�```` - -.=`��`-=����' �'��'±l4'. --- - -- Total Investment Summary `����� �� �� �
'-' . DeductibTe � t G�''i'l')•G � It is agreed up;on the amount of the contractor�shall be based on the amount equal to full
:3i?:..�« »
-• ' replacement cost,value as stated on insurance .scope of loss including deductible and all
Insurance Proceeds upgrades,supplements,extra charges unless otherwise noted.
, - ::� ,
Change Orders �� /'� _,..J/ -'�' '
X -%f �_��f� l./�, ' G71 (�i(-..��,-��:_.��
Owner � '
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' Bid Price
� Due to the unique nature of repairs related to insurance claims,this contract does not include an explicit price because the final scope has not been agreed upon with the insurer.
� Reaching agreement on the full scope of repairs involves considerable time on Company's part;we will not proceed with this phase unless you agree to allow us to do the work once
� the scope is agreed upon.By signing this agreement,you authorize SCM Roofing of Florida,Inc.to reach agreement on the price and scope of repairs on your behalf:SCM Rbofing .
of Florida,Inc.agrees to bid the work using the primary insurance industry pricing database(Xactimate)based on the scope of work agreed upon with your insurer,including ,
general contractor markup at customary insurance industry rates(20%mazkup;on Xactimate line items).Any substantial additions or deductions to the scope'of work wi116e
handled by written construction change orders.No verbal contracts agreed to.All items agreed upon must be in writing.IF YOUR INSURANCE COMPANY DENIES YOUR
CLAIM,THIS AGREEMENT/CONTRACT SHALL BE COME NULL AND VOID.
NOTICE TO INSURANCE COMPANY•ASSIGNMENT OF CLAIM•COVENANT OF PAYMENT: '.
Owner hereby assigns any and all insurance rights,benefits,proceeds and any causes of action under any applicable insurance policies which cover the damage to the property
that Company is to repair pursuant to this contract.Owner further assigns and authorizes Company to seek reimbursement from Owner's insurance carrier for payment owed
to Company for services rendered or to be rendered by Company via the initiation of a civil action in a court of competent jurisdiction or other means of recovery.In this .
regard,Owner waives privacy rights.Owner makes,this assignment in`.consideration of Company's agreement to perform services and supply materials and otherwise perform �
it's obligations under this contract,including not requiring full payment at the time of service.Owner also hereby directs owner's insurance carrier(s)to release any and all
information requested by Company,it's representative,and/or it's Attorney fori the direct purpose of obtaining actual benefits to be paid by Owner's insurance carrier(s)for "
services rendered or to be rendered. ' �
Acceptance of Terms The above specifications,scope of work and conditions'are satisfactory and are hereby accepted.It is agreed upon that the amount of contract shall be
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"• 6ased on the amount equal to full replacecnent co"st"vatue(RCV)as stated on ttie insurance"scope of loss"including deductilile and all upgrades,supplements,extras/changes,
'�'t?�.r , , .
�;`,xw unlessiotheiivise noted.SCM Roofing o£Florida,Inc::is'liereby authorized to do the work as specified above,along with Xactimate estirnate,scope of work,and missing items from
� ''i`�rist�r�nce loss'report.Owner acknowledges reading,uriderstanding and accepts the additional terms and conditions on'the back of this form.Buye�'s Right to Cancel-If the buyer
wishes to no longer receive the goods or services presented,buyer may cancel this agreement by providing written notice to SCM Roofing of Florida,Inc.in�Person,by Telegraph
or by Mail.This notice must indicate that the buyer does not want the goods or services and must be delivered or post marked before midnight of the thiid(3'').business day after
the agreement is signed. � ` .-: ` .
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�:>, . � ',� .:-;-� i7 1 i :J��'L'ti=i.L.:�
� O%v`ner'Approval
� ��.�� ���� = �
� �AdditionavOwner Approval �
By signing this contract, you agree�to al! ter'ms on front and 6ack of this contract �
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TERMS AND CONDITIONS OF SERVICE . ° -
1. The services that SCM Roofing of Florida,Inc.hereaker referred to as SCM INC.,will provide are limited to those specifically described herein.The services described herein constitute a comprehensive
specification that expressly excludes any and all services no[specifically described in this contract.SCM iNC:s performance of the services is limited by,among other things,the pre-existing conditions
and characteristics ofthe premises.SCM 1NC.EXPRESSLY DISCLAIMS ANY RESPONSIBILITY OR LIABILITY FOR ANY PRE-EXISTING OR HIDDEN CONDITIONS KNOWN OR i]NKNOWN.
Customer shall retain responsibIlity and shall be liable for effects of and costs necessary to correct such situations.in the event tha[a party other than SCM INC.makes corrections while SCM INC.is
performing�vork,SCM INC.shall be entided to stop�vork and receive payment for the percentage of the tivork completed to date.SCM INC.may resume the project once the condition has be rec[ified.
2• All contracts are subject to our approval of our credit department and office without exception.'Ihe Person executing this contract must obtain the approval of an officer oE SCM INC.for this contract to'
be effective under any conditions in the state of record.
3. IF TH1S CONTRACT IS CANCELLED BY THE CUSTOMER LATER THAN MIDNIGHT OF THE 3RD BUSINESS DAY from execution,customer shall pay to SCM INC.twenty percent(204'0)of
the insurance proceeds or$2,000.00,whichever is greater,as liquidated damages,not as a penalty,and SCM INC.agrees to accept such as a reasonable and just compensation for said cancellation to be
effective,notice must be sent via certified mail to SCM INC.Client understands this 20%is for inspection services,estimating,travel expenses and working with the adjuster to win claim.
4. CUSTOMER ACKNOWLEDGES AND AGREES THAT MOLD IS COMMONLY FOUND THROUGHOUT THE ENVIRONMENT AND AGREES TO HOLD HARMLESS AND INDEMNIFY
SCM iNC.FROIvi ANY CLAIMS ARISING OUT OF OR RELATING TO INDOOR AIR QUALITY,Iv10LD,FUNGUS,SPORES,OR OTHER ORGANISMS WHETHER EXISTiNG OR A FUTURE
CONDiTION REGARDLESS OF WHETHER IT MAY BE ASSOCIATED WITH DEFECTS IN SCM INC:S CONSTRUCTION OR SERVICES,INCLUDING BUT NOT LIMITED TO PROPERTY
DAMAGE,PERSONAL INJURY,LOSS OF INCOME,EMOTIONAL DISTRESS,DEATH,LOSS OF USE,LOSS OF VAI.UE,ADVERSE HEALTH EFFECTS OR ANY SPECIAL,CONSEQUENTIAL,
PUNITIVE OR OTHER DAMAGES. �
5. If hidden and unknown conditions are encountered at the site�vhich either(1)materially different from those indicated in the agreement or(2)materially different from those ordinarily found to
exist and generally recogniied as inherent in construction activities of the character provided for in this agreement,then notice by the observing party shall be given to the other party promptly before
conditions are disturbed and in no event later that 21 days aker the first observance of the condition(s).The Customer and SCM INC.will promptly investigate such conditions and will negotiate for an
equitable adjustment to the contract amount,contract time of both.
6. Customer hereby authorizes SCM INC.to make all openings necessary to perform this Contract,and SCM INC.will close such openings in a�vorl:manlike manner.Customer acknowledges that it is
often not possible to exactly match existing colors,textures and the like.Customer understands and agrees that SCIvt INC.is not responsible for evaluating design factors induding but not limited to
venting and circulation systems and that vents and soffits will be installed according to Florida Building Codes.
7. CUSTOMER UNDERSTANDS AND AGREGS THAT SCM INC.WILL NOT BE RESPONSIBLE FOR ANY SPECIAL INDIRECT,PUNITIVE SPECULATIVE,CONSEQUENTIAL DAMAGES
FOR ANY PENALTIES REGARDLESS OF THE LEGAL OR EQUITABLE THEORY ASSERTED INCLUDING ANY DAIvIAGES CAUSED BY SETTLEMENT,VIBRATION,DISTORT[ON WATER
INTRUSION,OR FAILURE OF THE FOUNDATION ON WHICH THE ROOF RESTS,OR DAMAGE CAUSED BY HA[L,HURRICANES,GALE WINDS,UNUSUAL WEATHER CONDITIONS
OR ACTS OF GOD NOR FOR ANY DAMAGES OR DELAYS DUE TO STRIKES,F1RES,ACCIDENTS,BAD WEATHER,OR OTHER CAUSES BEYOND SCM INC:S CONTROL;NOR INHERENT
DEFECTS IN THE PREMISES ON WHICH THE VJORK IS TO BE DONE AND IN NO EVENT SHALL SCM INC.BE RESPONSIBLE FOR INTERIOR OR EXTERIOR DAMAGE TO THE
BUILDING,ITS CONTENTS OR SURROUNDING PROPERTY.
8. The contract is based on the fact that SCM 1NC.�vill have direct access to the eaves of the roof for heavy trucl:s and equipment unless otherwise stated.If such access to the eaves of the roof is over the
existing drive�vay or lawn,SCM INC.will not be responsible for any damage that may occur as a result of the weight of the equipment and vehicles even if protection is provided.Protection of driveways,
pavers and lawns or other means of access will be provided only if expressly included in SCM INC:s scope of work.Altl�ough SCM INC.may cover any brick pavers or smmped concrete driveway with
wood plaril:ing during the course of�vork,customer understands and agrees that SCM I NC.will not be responsible for any damages that may occur as a result of the weight of its equipment or vehicles.
9 If skylights aze present and SCM INC.is not paid and!or contracted to install ne�v skylights,SCM 1 NC.shall not be held liable for any leaks or issues relating to existing skylights and/or existing flashing
even if they had to be removed and re-installed by SCM INC.in order to complete SCM INC:s�vork SCM INC.recommends that Customer purchase new skylights in order to avoid any problems.
]0. If decking is required but not covered by your policy it will be replaced and you agree to pay SCM INC.570 per sheet of pl}nvood decking and$4.00 per]ineal foot repaired for plank decking.
11. lf re-nailing of your roof sheathing to the trusses is required but not covered by your policy it will be replaced and you agree to pay SCM INC.$0.25 per square foot.In addition,Customer is responsible
for any and all engineering lees if required by the city and not covered by the insurance policy.
12. Section 489.126,Florida Statues provides that:A contractor tivho receives,as initial payment,money totaling more that 10 percent of the con[ract price for repair,restoration,improvement,or construction
to residential real property mush(a)Apply for permits necessary to do the work�vithin 30 days aker the date of payment is made,except where the work does not require a permit under the applicable
codes and ordinances,and(b)Start the work within 90 days aker the date all necessary permits for ivork,if an}�,are issued,unless the person who made the payment agreed,in writing,to a longer period
to apply for the necessary permits to start the work or to longer periods for both.Customer hereby agrees that Customer and SCM INC.have diswssed the time required ro obtain permits for the work
and the time required to actually start the work.Customer agrees that SCM INC.may take]onger for both periods,provided that reasonable efforts will be made by SCM INC.to perform its contractual
obligations in a timely manner.
13. SCM INC.shall not be liable for failure of performance due to labor controversies.Strikes,fires,weather,inability to obtain materials from usual sources,or any other circumstances beyond the control
af SCM INC.
14. Customer agrees to Cully cooperate�rith SCM INC.to secure any license,permits or any other authorization necessary to accomplish Ihe work Customer hereby appoints SCM INC.as its agent to procure
said license,permits or authorizations. ' � � - ----
l5. SCM INC.will provide Customer with a five(5)year limited warranty,which shall be limited to a repair or replacement of defective material or defective workmanship.Customer agrees that the decision
of whether to repair or replace the defective material or defective worl:manship will be based solely and exclusively on SCM INC:s professional discretion.SCM INC.tivill not be liable for any damage to
the roof or below the roof due to�vind,condensation,hail,thunderstorms,rain,ice or any other Act of God during the warranty period.
16. SCM INC.shall be entitled to a charge of 125;'o per month on all balances left o�ved over 30 days,Should legal action be brought under the terms of this Contract or arise out of the performance of the
Services referenced herein,or should the matter be turned over for collec[ion,SCM INC.shall be entitled to the fullest extent permi[ted under the law to all costs oEcollection,including but not limited
to reasonable attorney's fees.
17-_'ihis Agreement contains the entire agreement of the parties.Cusromer agrees and acl:nowledges that no representations or�varranties of any Icind have been made by SCM INC.or its employees other
than those expressed herein.All prior agreements respecting[he subject matter thereof have been incorporafed in the terms herein and are no longer of any Force or efiect.All modifications to this
Agreement shall be in writing and signed by botl�parties.
I8. All claims,disputes and other matters in question arising out of or relating to this contract or the breach thereof shall be decided by Arbitration in accordance with the Construction Industry Arbitration
Rules of the American Arbitration Association.Tlie award rendered by the arbitration shall be final,and judgement may be entered upon the award in accordance with the Florida Arbitration Act.If the
arbitration of this Agreement is contested by either party,the issue shall be submitted to a court competent jurisdiction,and the arbitration shall be stayed until the determination by the court.In the
event that the court finds that the claims,disputes or matters in question are not subject to arbitration,Customer and SCbI INC.hereby each waive their respective rights to a trial by jury�vith respect
to said claims,disputes and matters.
19 Every provision of this Agreement is intended to be severable.If any terms or provisions hereof is found by a Court of competent jurisdiction to be in invalid,such invalidity shall not affect the validity
of[he balance of the Contract or the remaining terms and provisions hereof.This contract shall be governed and be construed in accordance with the Laws of the State of Florida.And the parties hereto
agree that the proper venue for adjudication in any matter resulting therefrom is in a Court of competent jurisdiction wherein the project or property is]ocated.
Mortgage Information Release and Authorization:Attention:Loss Drak Department:SCM Roofing of Florida,Inc.has been engaged to perform the work[o address the damage and improve the condition
' oCyour collateral.Please note owner has irrevocably assigned and transferred to[he Contracror all insurance proceeds paid to address the damage caused by this loss.Please promptly fonvard all such proceeds
ro Contractor.
Mortgage Company is hereby irrevocably authorized and directed to immediately release any and all inCormation concerning O�vner's account to the Contractor,or its agents upon request,including the status
of the release o-E funds obtained for this"loss by your institution for the duration of claim.The information may indude but not be limited to-the loan status,-account balances,_paymen�activity,_receipt and _
processing of loss drafts and insurance proceeds,the status of disbursement of insurance proceeds and other information as shall be requested.Therefore,Mortgage Co.may release additional information to
Contractor in the future without Owner's further authorization,and to discuss the status of Owner's account and proceeds paid for this loss with representatives of Contractoc O�vner(s)understand Company
will be helping us prepare&coordinate the necessary forms and inspections Cor expediting the insurance drak.
Owner(s)collectively and individually agree that Mortgage Co.shall have no obligation or responsibility�vhatsoever to verify the identity ofthe recipient of this Release,and Owner(s)release and hold Mortgage
Co.harmless from any and all claims,responsibility or liability whatsoever related to,in connection�vith,or arising out of Ivlortgage Company's release of inFormation under this Authorization and Release.
Fur[hermore,Owner(s)hereby instruct Mortgage Co.to immediately release any and all funds for work provided by SCM Roofing of Florida,inc,upon demand.As such Mortgage Co.is hereby on notice
that the untimely release of insurance proteeds for work provided Uy emergency services and reconstruc[ion may result in further legal proceedings against the Mor[gage Co.for Lost Interest and Unjust
Enrichment.
I NOTICE TO INSURANCE COMPANY•ASSIGNMENT OF CLAIM•COVENANT OF PAYMENT:
Owner hereby assigns any and all insurance rights,benefits,proceeds and any causes of action under any applicable insurance policies which cover the damage to the property that Company is to repair pursuant
to this contract Owner further assigns and authorizes Company to seek reimbursement from O�vner's insurance carrier for payment owed ro Company for services rendered or to be rendered by Company
via the initiation of a civil action in a court of competent jurisdiction or other means of recovery.In this regard,Owner�vaives privacy rights.O�vner makes this assignment in consideration of Company's
agreement to perform services and supply materials and otherwise perform it's obligations under this contract,including not requiring full payment at the time of service.Owner also hereby directs owner's
insurance carrier(s)to release any and all information requested by Company,iPs representative,and/or it's Attorney for the direct purpose of obtaining actual benefits to be paid by Owner's insurance carrier(s)
for services rendered or to be rendered.
Direct Payment Authorization:Owner hereby irrevocably authorizes,directs,and instructs all insurance carriers and/or their agent(s)who may be liable to Owner for this loss,in�vhole or in part,to make
all paymen[s direc[ly to SCM Roofing of Florida,Inc.("Assignee"),the sums that are due and owing Assignee for the services rendered to Owner,whether said payment is voluntary or the result of a judgment
or verdict agains[the carrier.Owner authorizes Company be given irrevocable po�ver-of-attorney and owner's express permission to endorse Owner's name on any and all checks received from an insurance
company on Owner's behalf for services provided by Company.Owner also hereby authorizes,directs and unequivocally instructs direct payment of any benefits or proceeds to Company and to include
Company's legal name as an additional payee on all payment drahs issued for tliis loss and direct the carrier to mail such draks direcdy to Company at 16603 Plum Rose Court,Tampa,Florida 33618.Owner
agrees that any portion of work,deductibles,betterment,depreciation or additional work requested by the undersigned,not covered by insurance,must be paid by the Owner on or before it's completion.In
the event that Owner(s)do not have insurance coverage,O�mer(s)understand that O�mer(s)remain personally responsible for payment of services rendered.
IPRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER '
� I 06/29/2015 03:59 m 1 of 1
- � � � OR BK 9215� P� 1180 -
� ���� Pertnk No. I PereellD No ,,� • �/�` L��d j�6�Oa•i74 �Ol�Q
— � � NOTICE OF COMMENCEMENT
_ � ,� � �ta of �1 n�:�a., I �„�„or P.�,=.n
= i 0 N , THE UNDERSIGNED hereby.gives notice that improvemerd w�be made to certain real ptoperty,end in accordance with Chapter 713,Floflda Stahrtes,
Ne tolowing iMortretion is provkied in this Notiee of Commer�ceme I --
� I 0 V I 1.. Oescription of Properly: ParcellderdifieaUon Na "V + S ���� (,p-���
� .. 0m� t' �
= ..�Q� Street Address: �{ i �
� �
= p I 2 General Description of Impmvemetd--- -f'�� 2�i� C�7�1-� 1! .N�.� �3.�s�r.��'+w/S
� p� .. .
� � �~� ,
— � � 3. Owner 'on or Lessee iMortnaUon if the Less eoritraded for the improvement
�� i M � i
�� , � � �
�,,�.� I rn m o ' �'1 �'1�� BS'�ic.�` �,a►-�C' � � ��
��
m o c� ; aaare� i cny s'��`
_'" ' '.".o rn i�re��n�o��y: EYsl�,f"'
�N i � N I
�Q 0 � Name of Fee Simple Titleholder. I
(H dilfereM from Owner Iisted above)
Address � Clly State
i CoMraelor. �
N ' � �
Address � Ciry State
Contrado�'s Telephone No.: �'/�� � �Z�" k`�
5. Surety: I
Neme I
Address I Ciry State
' ArtrouM of Bond:S Telephone No.:
6. Lender. I
Name I
aaare� I c�r smc�
Lendefs Telephone No.:
7. Persons wdhin the State of Florida designated by th I owner upon whom notices or other dacumeMs may be served as provided by
Sedbn 713.13(1)(a)(n,Fbrida Statutes:
Name
Address I City State
'� Telephone Number of Designated Person:
8. In addition to hirreea,the owner designates I of_
M re�ive e copy of the Lienor's Notice es provided'm Sedion 713.73(1)(b),Florida S�tutes.
Telaphone Number of Person or Entily Deslgnated by Owner.
9. ExpiraUon date of Notke ot Commencement(the expi Ition date rt�y not 6e befare tlie completion of canstruction and final payment to the
conhador,but w�be one year from the date of reeording unless a d'ifererrt date is specfie�:
WARNING TO OWNER: ANY PAYMENTS MADE�BYj THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
' RECORDED AND POSTED ON THE JOB SRE BEFORE THE FlRST INSPECTION. IF YOU INTEND TO OBTAIN FlNANGNG,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE CAMMENGNG WORK OR RECORDINO YOUR NOTICE OF COMMENCEMENT.
Under penaky ot perjury,I dedare U�at I have read the i repoing notice of commeneemerd and thatlhe fads stated therein are true to the best
- of my fmowledqe and befiei.
STATE OF FLORIDA
COUNTY OF PASCO
Signa oi Owner or Lessee,ar Owners or lessee's Author¢ed
OfflcedDirectodParfnedManager
� fl'�u111��
� signatoys Title/ORica � .
The foregol�f�tnaneM was adcnowledged before me this�day of�_,20� "��
�— as d w�/1� (iype ot a ority,e.g.,offxer,trustee,attomey in fad)for
�- � (rrame of pa on ha f wh m Instrume s ez te�.
i I sb
Persona9y Known❑Og Produeed Identifx.ation� i Notery SFgratu
Type of IdenU7wtion Produced `l� 1,� �� ����Nartre(Prird)
`�,�,,,,,,,' Atexandra M. Marulanda
. . State of Florida
; ��My Commission Expires 0411012019
� �"�"''� Commission No. FF 216469
wpdatalb�/noticecortunencement_pc053048 �
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