HomeMy WebLinkAbout15-16143 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION LOCATiOfd INFORMATION
, Permit Number: 16143 Address: 38802 HENRY DR
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: PARK HILL TERRACE
Est. Value: Parcel Number: 02-26-21-0180-00000-0160
Improv. Cost: 5,675.97 OWNER INFORMATION
Date Issued: 4/06/2015 Name: HELMS ELIZABETH A
Total Fees: 65.00 Address: 38802 HENRY DR
Amount Paid: 65.00 ZEPHYRHILLS FL 33542-2656
Date Paid: 4/06/2015 Phone: 813-783-2139
Work Desc: REROOF SHINGLE
CONTRACTOR S � APPLICATION FEES
NEUMANN ROOFING INC REROOF RESIDENTIAL 65.00
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Ins ections Re uired -
DRY IN ROOF INSP
TAPE JOIN,TS ROO��NS� �
FINAL ���
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN f MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 4/2/15 Phone Contact for Permitting — 4875
I 1 1 1 1 1 1 I 1 1 1 1 1
Owner'sName OwnerPhoneNumber 813-783-2139
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Fee Simple Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# �
SUBDIVISION Park Hill PARCELID# 02-26-21-0180-00000-0160
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
X INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING�ROOFIN VALUATION OF TOTAL CONSTRUCTION
5 675.97
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ ���
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���
OGAS XQ ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
_.
BUILDER / � COMPANY JASON NEUMANN/NEUMANN ROOFING
SIGNATURE �•/� REGISTERED Y/ N FEE CURRE� Y/N
Address 30 27 COMMERCE DR, SAN ANTON20, FL 3 576 License# CCC1326166
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL 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 affar submittal-date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects '-� - - `� '� -- ---
COMMERCIAL Attach(3)complete sets of Building Flans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new 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 application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
•* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized Ietter from owner authorizing same
OVER THE COUNTER PERMITfING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE 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 AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is 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 IMPACT 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 Counry 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.
CONTRACTOR'S/OWNER'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. I 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 abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a 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 OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
' this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any 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 RECORD A NOTICE OF COMMEMCEMENT 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.
FLORIDA JURAT(F.S.117.03 ` -- — - - ___ _ _ �
OWNER OR AGENT �"�i ' '� CONTRACTOR `-"-� • ^
Subscribed and swom or affirmed)before me this �'' S bscribed and sworyrfo(or affirmedl before me this 3%d
� r _ by � �by JASON W. 1QEUMANN
Who is/are personallv known to me or has/have produced W o is/are ersona�llY known to me or has/have produced
a s i d e n t i f i c a t i o n. P�RSONALLY KNOWN a s i d e n t i f i c a t i o n.
_��12��T,.� � Gr�/IZ� Notary Public � /�. . Notary Public
Commission No. /',�/����� Commission No. �,�f L/331�
���r,`t��� lL. �'YIn`� a ,r— C_J�riS�r�- ��. ��. .cla�
Name of Notary typed,printed or stam ed Name of Notary typed,printed or stamped
p�ppyAS CHRISTIE K. MAJOR p�pRY,�s CHRISTIE K MAJOR
o�' o� NOTARY F�UBLIC o� `��� NOTARY PUBLIC
� -�STATE OF FLOP.IDA o �S7ATE OF FLORIDA
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AFPER RECORDING—RETLIRN TO:
Rcpt:1672449 Rec: 10.00
DS: 0.00 IT: 0.00
�4/06/2015 K. G. , Dpty Clerk
�RULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER
� 'd4/06/2015 10:57am 1 of 1
PERMIT NUMBER: OR BK 917 0 P� �V� f
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,
Florida Statutes,the following information is provided in this Notice of Commencement.
1. DESCRIP'I'ION OF PROPERTY(Legal description of the property&street address,if available�TAX FOLIO NO.: 02-26-21-0180-00000-0160
SUBDIVISION Pa�K HIII BLOCK TRACT LOT 16 BLDG UNIT 1
38802 Henry Dr. Zephyrhills, FL 33542 PB 14 PG 70
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Remove existing roofing system and replace with new GAF Timberline HD Roofing System
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPRO VEMENT:
8.rrame ana aaa�ess: Helms Elizabeth A 38802 Henry Dr Zephyrhills, FL 33542
b.Interestinproperty: FEE S�MP�"E
c.Name and address of fee simple titleholder(if different from Owner listed above):
4. a.CONTRACTOR°SNAME: Neumann Roofing, LLC.
� convaocor'Sadaress: 30427 COMMERCE DR, SAN ANTONIO, FL 33576 b.Pho�enurnber: 352-668-4875
5. SURETY(ifapplicable,a copy ofthe payment bond is attached):
a.Name and address:
b.Phone number: c.Amount of bond:$
I
` 6.a.LENDER°S NAME:
Lender's address: b.Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7.,Florida Statutes:
a.Name and address:
b.Phone numbers of designated persons:
8.a.In addition to himself or herself,Owner designates of
to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b.Phone number of person or entity designated by Owner•
9. Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final
payment to the contractor,but will be 1 year from the date of recording unless a different date is specified): ,20
WARNWG TO OWNER: ANY PAYMENTS MADE BY Tf-IE OWNER AFTER T'f�EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENT'S UNDER CI-IAPTER 713.PART I.SECTION 713.13_FLORIDA STATUTES.AND CAN
RESULT W YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMN4;'NCEMENT MUST BE
RECORDED AND POSTED ON TI-�JOB STI'E BEFORE Tf�FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT
WI'TH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to
the best of my knowledge and belief.
��
l� U P�'r��'1P_ —� �P l.+'�2S
(S ature of Owner or Lessee,or Owner's or Lessee's �Print Name and Provide Signatory's Title/Office)
' Authorized Officer/Director/Partner/Manager)
State of
FLORIDA
County of Pasco
The foregoing instrument was aclmowledged before me this ��'�'�' day of ��.���j,20 l� � � -- - ---- -
bY �J e�-n�-r� � I,zG'�S. •as �!_c���
(name of person) (type of authority,...e.g.officer,trustee,attorney in fact)
for
(name of party on behalf of whom instrument was executed)
Personally Known or Produced Identification �Type of Identification Produced �G �
Notar)�HRISTIE K.MAJOR � ' tl
�ao�PRy'�sso (Signature of Nota Pub ic)
� �, NUTAf2Y PUBLIC (print,Type,or Stamp Commissioned Name ofNotary Public)
� � ,"r T�OF FlORIDA
Rev 10-01-11(S.Recording) ', � T �::"�''
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State of Florida License#CCC1326166 and#CBC058155
30427 Commerce Drive, San Antonio,FI.33576
Phone(813) 782-9080/Fa�(352) 668-4803/www.neumannroofs.com
February 5, 2015
Name � e.�-onn� �e,Ir,S
Address ���a2 J�(eYv� P��l �h��(s� FL. ec.tl� �ar-�. 1,�1�. �,r'�
Phone
Email
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Neutnann Roofing, LLC proposes to furnish labor, material, supervision, equipment, fees and
other costs related to the completion of the subject property; specifications listed below:
1. Record Notice of Commencement and obtain all required permitting.
2. Tear-off existing roof system down to deck substrate and re-nail roof deck to meet State
Of Florida Building Code.
3. Provide and install Synthetic Underlayment
4. Provide and install new '�p�edge�f ound entire perimeter, matching the existing face
� dimension. Color: 4�f-Z
5. Strike lines to ensure a uniform shingle installation.
6. Provide and install new GAF ProStart Starter Strip at drip edge system.
7.—Provide-and-install-new-G-AF-T-imberline-HD-Shingles-with-stain-guaxd. --
Color: Squares: 19 Pitch: 5/12
8. Provide and install GAF Cobra Rigid Vent 3 on ridges. Vent will be covered with
ridge cap shingle to match roof system.
9. Provide and install GAF SeaI-A-Ridge itidge Cap Shingles.
� 10. Provide and install new 16"valley metal in all valleys.
11. Provide and install new lead boots at plumbing vents. Boots will be painted to match
specified roof color.
12. Provide and install new gooseneck vents. Vents will be painted to match specified roof
color.
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304�7 Coananerce Drive, San Antonio,F�33576
Phone (813) 782-9080 /Fax(352) 668-4803/www.neumannroofs.com
13. Sweep magnets around the perimeter area of work to collect loose nails, staples, and
other various scrap sheet metal components. .
14. Haul away all roof-related debris.
' 15. Our liability insurance coverage is based on completed operations.
16. All estimates/contracts are subject to Building Department approval in the appropriate
county/city.
17. Payment schedule: 1/3 down, 1/3 upon delivery of material, 1/3 when complete
iTnit�°�icin�Schedule fo�-'Unfo�eseen Conditions:
l. Replace any rotted or damaged decking$65.00 per sheet. (Neumann Roofing provides 2-
sheet of 4'x8' plywood; included in contract price).
2. Replace any rotted fascia or perlins $6.50 per lineal ft.
3. If there are multiple layers of shingles on the existing roof; we will add$30.00 per
square per layer of roofing to cover the tear off cost.
�
Neumann Roofin�'s Commitment to Quality: �!
• All work will be supervised by project managers to ensure quality work is preformed
according to our proposed contract.
• All work will be completed in a timely manner, excluding acts of nature beyond our
control.
�Al1_car_pentr_y_wor-k_wi.11_be per_for_med_i.n conj.unctio.n_with_r_oof.ng_wor-k,_in-arti.mel-y—
manner following general workmanship quality.
• All work will be completed by skilled and knowledgeable craftsman to ensure production
of high quality of work.
• The job-site will be kept free of debris throughout the duration of the project.
• The perimeter of the project area will be swept with magnets to pick up any loose nails,
staples, or other various scrap sheet metal components.
• Any existing gutters will be cleaned of all organic and roof related debris prior to project �
close-out. ;
• Neumann Roofing, LLC is fully insured with workman compensation and general
liability insurance.
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State of Florida License#CCC1326166 and# CBC058155
30427 Commerce Drive, San Antonio,FL 33576
Phone(813) 782-9080/Fax(352) 668-4803/www.neumannroofs.com
It is understood and agreed the Neumann Roofing,LLC will be held harmless for alleged or actual damages/claims
as a result of algae,fungus,or mold. It is understood the roofing contractor and the roofmg contractor's insurance
will exclude all coverage,including defense,damages,related to bodily injury,property damage and clean up
directly or indirectly in whole or in part for any action brought by mold,including fungus and mildew regardless of
the cost,event,product or workmanship that may have contributed concurrently or in any sequence to the injury or
damage occurs.
"This document has been prepared for those parties firiancially responsible for services rendered. Reliance upon this
document or upon information,observations or opinions contained herein should not be rriade by any party other
than the intended recipient designated on the title sheet of this estimate or report. The intent of this evaluation is to
prepare an opinion of the probate scope and/or cost of work to be performed based upon the parameters set forth by
the client and the individual needs and conditions found within the structure at the time of inspection. This opinion
assumes a specific scope and methodology. The user is cautioned that changes in either scope or methodology
would have a reciprocal effect on this opinion. If this should occur,we reserve the right to review such changes and
then modify our opinion accordingly. Furthermore our opinion assumes resulting work will be competitively bid
and as such it is advisable to solicit multiple bids for such work."
OPTIONS:
UNDERLAYMENT:
PEEL AND STICK: $ 585.00
��econdary wat`er barrier
o Rublbe�, self heali�g cha�acte�istic
• Fully adheres to the deck
WARRANTY: $ 450.00
GOLDEN PLEDGE WARRANTY: PREMIER WARRANTY
• 130 MPH Wind Warranty
• 50 Year 100%Material Replacement—Both Defective and Application Defects
• 25 Year 100%Workmanship and Labor—Applies to ALL Labor—Both Defective and
Application
• FREE One Time Only Transfer of Owners
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30427 Co�nxerce Drive9 San Aaxtonio,FI�33576
Phone(813) 782-9080/Fax(352) 668-4803/www.neumannroofs.com
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• INCLUDES GAF CERTIFIED INSPECTION
TOTAL: $
• Proposed price is valid for 30 days from proposal date. Subject to price increases
, after 30 days.
• In the event at is necessary to collect any aanourat of money owed hereuander by
referral to an attorney, collection agency, or court proceeding,it is agreed that
Neumann Roofing,LLC shall be entitled to reimbursement for all costs of collection
of unpaaci a�ounts by Ov�v�er/Agent and fo��easo�able atto�-�ey's fees and costs for
the breach, or enforcement of any terms of this entire service agreement. A service
charge of 1.5% per month will be due on all invoices thirty (30) days past due.
• We accept cash, check or credit card for payment. If you choose to pay by ca�edit
card the following fees will be added to your contract/invoice aa�ounta
Visa/1Vdaster Ca�d—add 2%; AlO�I�X—add 3%. Fees are non-nego4�able.
Accepted By:
Neumann Roofing, LLC
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Date: ��1 �^� �� Date: 3 �3
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30427 Commerce Drive, San Antonio,FL 33576
Phone(813) 782-9080/Fag (352) 668-4803/www.neumannroofs.com
CONSTRUCTION LIEN LAW
Florida State Statutes 713.015: Mandatory provisions for direct contracts. (1) Any direct contract
greater than $2,500 between an owner and a contractor, related to improvements to real property
consisting of single or multiple family dwellings up to and including four units, must contain the
following notice provision printed in no less than 12-point, capitalized, boldfaced type on the front page
of the contract or on a separate page,signed by the owner and dated:
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW(SECTIONS 713.001-713.37, FLORIDA STATUTES),
THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID �
IN FULL HAVE A RIGHT TO ENFORCE THEIR Cl.�►IM FOR PAYMENT AGAINST YOUR PROPERTY. THIS �
CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO
PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS,THOSE PEOPLE WHO ARE
OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID
YOUR CONTRAC�OR IN FULL. IF YOU FAIL TO PAY YOdlIR CONTR/�CTOR,YOUR CONTRAC�'OR MAY AL�O
HAVE A LIEN ON YOUR PROPEI2TY. THIS MEAiVS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD
AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR
OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE
IN THIS CONTRACT TFIAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO
PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS
' PROVIDED TO YOU A"NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT
' IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY.
(2)(a) If the contract is written, the notice must be in the contract document. If the contract is oral or
implied,the notice must be provided in a document referencing the contract.
(b) The failure to provide such written notice does not bar the enforcement of a lien against a person
who has not been adversely affected. —
(c)This section may not be construed to adversely affect the lien and bond rights of lienors who are not
in privity with the owner. This section does not apply when the owner is a contractor licensed under
chapter 489 or is a person who created parcels or offers parcels for sale or lease in the ordinary course
of business.
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� Accepted and Approved: �l�i�j'i')� ����li'� � � � lV`--
PRINT NAME DATE
Client Initials Neumann O�cer
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