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HomeMy WebLinkAbout10-10956 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10956 BUILDING PERMIT Permit Number: 10956 Address: 37443 BLUEBERRY CT LT 29 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10- 26 -21- 0120 - 00000 -0290 Improv. Cost: 8,000.00 Date Issued: 9/22/2010 Name: MILLER, JOHN & EDYTHE, COCHRAN Total Fees: 70.00 Address: 37443 BLUEBERRY CT Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/22/2010 Phone: (813)782 -5690 Work Desc: REROOF SHINGLE UMAN - 1• 1 L 70.00 7C1 C /0 Cj '"a€3m"3a3 A. "�' q _; , ec e. ®tea '�9r_;�- , `YI -1• - ithikiicaa TAPE JOINTS ROOF INSP� FINAL /0' -i `f `tU 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 f) 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. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." C PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION r` CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 14.7...... 0 6 Building Department / Date Received 1 813 782 1 9080 11-- 111 V ((( Phone Contact for Permitting -- Owner's Name John Miller Owner Phone Number 813 - 782 - 5690 Owner's Address 37443 Blueberry Ct., Zephyrhills, FL 3354 Owner Phone Number Fee Simple Titleholder Name John Miller Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 37443 Blueberry Ct., Zephyrhills, FL 33542 LOT # SUBDIVISION Wedgewood Manor Phase I & II PARCEL ID# 10- 26 -21- 0120- 00000 -0290 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR X ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE In SFR I I COMM n OTHER I Residential TYPE OF CONSTRUCTION In BLOCK In FRAME n STEEL n OTHER I Re - roof I Tear off existing roof system and replace with GAF /ELK shingle roof system DESCRIPTION OF WORK • BUILDING SIZE SQ FOOTAGE 2106 HEIGHT ............... ........... .......... . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ........ . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . .......... n BUILDING $ 8,000.00 VALUATION OF TOTAL CONSTRUCTION n ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY In W.R.E.C( x n PLUMBING $ l y� J�VC� � f MECHANICAL $ �O W \\ J/ I I VALUATION OF MECHANICAL INSTALLATION �_ < • .. n GAS I X I ROOFING n SPECIALTY n OTHER J t t( ( C) Cl- FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES rR , BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y 1 N I FEE CURRENT 1 Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address / ' t 1 License # OTHER t "`/// AVM L1 1 COMPANY W.A. Neumann Construction SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address :.0427 Commerce Dr., San Antonio, FL 33576 License # CCC1326166 I 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 after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Building Plans 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ . . . . . ....iii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irections: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) `` Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PIot/Survey /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 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. 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, 1 certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots Tess than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. 1 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 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. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR W rr f Subscribed and sworn to (or affirmed) before me this Subscribed and t (or affirm d) before me this i ,�"d./ o k �� 1 0 by by A 10h. il/8cwmein �Y "' t Who is /are personally known to me or has/have produced who is/ me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. TAMMEY L. WHITE Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped NOTARY PUBLIC ,' -_ STATE OF FLORIDA :•' '. Comm# DD991037 • Expires 5/12/2014 f, AT :: OF LO S(DA, COUNTY OF PASCO ! k 10 c :FTIFY THAT T.h ,FOREGOING IS A 1 k E AND :CORRECT tahRECT COr'Y OF THE DC: =�.UMENT 111111111111111111111111111111111111111111111111111111111111 ;_>Ia F LE.C)i' ;)F' PUBLIC`E§ECORD IN THIS OFFICE T \i'JI Y HAt�iao,N;� eFF'ICIAL EAI- THIS 2010135407 Al' OF I.' ___ PAULA S. O'• .iL, "C:mm'' ,sr COMP ROLLER Rcpt:1327041 Rec: 10.00 ' DS: 0.00 IT: 0.00 r'''_ ,.:% _ DFPO ">YCLERK 09/22/10 K. Garcia, Dpty Clerk NOTICE OF COMMENCEMENT PAULA S.0'NEIL,Ph.D.PpSCO CLERK & COMPTROLLER 09/22/10 ii141!5i 1 of 1 Permit No. PG OR BK 3 Property Identification No. 10- 26 -21- 0120- 00000 -0290 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description :) WEDGEWOOD MANOR PHASE I & II PB 27 PG 11 -14 LOT 29 OR 3436 PG 360 a) Street Address: 37443 Blueberry Court, Zephyrhills, FL 33542 2. General description of improvements: Tear off existing and reroof 3. Owner Information a) Name and address: John B Miller and Edythe Cochran, 37443 Blueberry Court, Zephyrhills, FL 33542 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property R 4. Contractor Information a) Name and address: W A Neumann Construction Inc, PO Box 1207, San Antonio, FL 33576 b) Telephone No.: 813- 782 -9080 Fax No. (Opt.) 352 - 668 -4803 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) - 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C ∎ NCEMENT. �C�v//r/�) r� STATE OF FLORIDA A l l 1 -c -E COUNTY OF PASCO ign ture of Owner or Owner's Authorized Officer/Director /Partner/Manager • n B. Miller Print Name The foregoing instrument was acknowledged before me this Z\ day of .toviikIi - - - ,, , 20 10 by John B. Miller as (ty . o . o ority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of w- .was e Personally Known OR Produced Identification X Notary Signature ."/ i Type of Identification Produced Driver's License Name j •hn W Theede Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belie t_.. re of Natural Person Signing Above FORMS/NOC,u d 4 . . JOHN W.HEEDE NOTARY PUBLIC - f STATE OF FLORIDA .' - '" 4 Comrn# EE017849 Expires 8/1612014 CONTACT PERSON b` j.'4- �` s FOR PERMIT APPLICATION CONTROL IR C7?SS DATE: a lv NAME: 1\1 COMPANY: kec PHONE: 78d- SO CELL PHONE: 7a7 999-39 FAX: SS - (0 CA 6 J ' -MAIL ADDRESS: j Wo■.neuh �,�s��v� -,a� CO NOTES: THE CONTACT PERSON WILL BE CONTACTED FOR CORRECTIONS, ERRORS, ADDITIONAL INFORMATION, ETC. FBC 104.1.6 TIME LIMITATIONS. AN APPLICATION FOR A PERMIT FOR ANY PROPOSED WORK SHALL BE DEEMED TO HAVE BEEN ABANDONED 6 MONTHS AFTER THE DATE OF FILING FOR THE PERMIT, UNLESS BEFORE THEN A PERMIT HAS BEEN ISSUED, • Sep. 22. 2010 9:46AM No. 1473 P. 1 W.A. EUNAN N .eIwd,Qutee4 , Too, 30427 Commerce Dr., San Antonio, FL 33576 Ph: 813- 782 -9080 .Fax: 352- 668 -4803 Fax Cover Sheet To: Permitting Dept Date: 9/22/10 From: Tammey White Good morning, Attached is the up to date State of Florida License for Jason Neumann, Roofing Contractor and Insurance Certificate. Please call me if you have any questions. Thank you & have a great day Tammey White Administrative Assistant I Phone: (813) 782 -9080 Fax: (352) 668 -4803 twhltetwgneumannconstruction .com Sep. 22. 2010 9:46AM No. 1473 P. 3 AAOR CERTIFICATE OF LIABILITY INSURANCE OPID SH IU►TE(MMroD/YYYY) kn../ ' NEUMA -1 05/24/10 PROOUcER THIS CERTIFICATE IS ISSUED AS A MATTER OF 1NFORMATIOP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stahl Roes & Associates inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Oldsmar FL 34677 Phone: 727 784 - 8554 Fax: 727 - 789 - 2823 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER SUA Insurance Company INSURERS: Asiorican Interstate Ins. Co. 31895 Neumann Roofing, Inc. INSURER P.O. Box 1207 INSURERD: San Antonio FL 33576 -- ,.- 1 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. C��y� POUCY N�'l1 DATE MMIOD(YYYVI DA (B M DO /Yri ) LTR NB TYPE OF INSURANCE POUGY HUMBER UNITS GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 A X COMMERCIAL GENERAL LIABILRY 1OAPRRF100674GL03 03/04/10 03/04/11 PRE OEa N 'o F ence) 6100,000 CLAIMS MADE © OCCUR MEO EXP (Any one person) $ 55, 000 PERSONAL BAOVINJURY 5 1, 000, 000 GENERALAGOREGATE 5 2, 000, 000 GEN'L AGGREGATE LIMIT APPUE S PER PRODUCTS - COMP /OPAGG S 2 , 000 , 000 POLICY n JECT I I LOC AUTOMOBILE LIABILITY ANY AUTO ss n i ALL OWNED AUTOS BODILY INJURY 3 SCHEDULED AUTOS (per person) HIRED AUTOS — ^ BODILY INJURY $ NON OWNED AUTOS (Per accident) PROPERTY DAMAGE (Peraoddent) GARAGEUABtLITY AUTO ONLY -EA ACCIDENT $ R ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 11 CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION C STATII UTf1 AND EMPLOYERS' LIABILITY X Tr] RY LIMITS 1 1 L R Y $ ANY PROPRIETORIPARTNER/EXECUTNr AVWCFL1883832010 01/01/10 01/01/11 E.L.EACHACCIDENT 5100,000 OFF(CERIMEMBER EXCLUDED? l— 1 (MendMory In NN) EL. DISEASE - EA EMPLOYEE s 100,000 If ee, deeaibe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 5500,000 OTHER DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS Jason Neumann - License CCC1326166 CERTIFICATE HOLDER CANCELLATION SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION FORINFO DATE THEREOF, THE ISSUING INSURER WELL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 90 BNALL IMPOSE NO OBUOATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FOR INFORMATION ONLY )(EPREBENTATIVES. ALIT RE R68ENTATIVE ACORD 26 (2009/01) c 1 88-2009 ACORD CO � AI) rights reserved. The ACORD name and logo are registered marks of ACORD Sep, 22. 2010 9:46AM • No. 1473 P. 2 • • e: w , • 1 • ,- :,.....% • ..i ,. .� . '��. �rJi • ..��, '.,Y; ;t . li. :._ :1.. ', . :i.; • -, � 1L �')i - , ,,. p.l; � �,.,;•, ' . fi -. a • '� 5 :Ci.. 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'(;!, i.' lli�: �°.•.: q; �f.: t11::.:: ' /:•{ „'• /:il;; �.'(!l,�,(� ' � 1 11 q). �)':� d t %, } ; < , a � '�., r ” l .�• ,• �' � _ - y' • � � .1.:q, '� ;?4�3:�. t o.„.;,,,vrt J :1 (9:k•/: P, _,�` ` 9 7 (:: %t, t•'•• ` I}''QI ±; 0, -. , / 'i ., ti . 4 .. ?) t ,, : �• to ly i•) ) ',( :,,11": (• :, , :.` ;' : - ; : - 1c:.• :�; � s 4 ' r , ...wY V%� ' ,•,`,•,7 � E !:.. 1�•.'i��s. • • Pasco County Parcel: 10- 26 -21- 0120 - 00000 -0290 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, September 11, 2010 Parcel ID 10- 26 -21- 0120 - 00000 -0290 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value MILLER JOHN B & Ag Land $0 EDYTHE COCHRAN Land $17,908 37443 BLUEBERRY CT Building $101,279 ZEPHYRHILLS FL 33542 -7940 Physical Address Extra Features $989 37443 BLUEBERRY CT Market Value $120,176 ZEPHYRHILLS FL 33542 Assessed (Save Our Homes) $93,560 Legal Description (First 4 Lines) Homestead 196.031 - $25,000 See Plat for this Subdivision Non- School Additional Homestead Exemption - $25,000 WEDGEWOOD MANOR PHASE I & II Non - School Taxable Value $43,560 PB 27 PG 11 -14 School District Taxable Value $68,560 LOT 29 Warning: A significant taxable value increase may occur when sold. OR 3436 PG 360 Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line I Use IlDescription Zoning II Units II Type I Price I Condition I Value I 1 I 0100 I SFR I 00R4 II 4,500.00 SF I $4.90 II 0.80 I $17,640 I 2 I 0100 I SFR II 00R4 II 1,156.39 II SF I $0.29 I 0.80 II $268 I Additional Land Information I Acres I 0.13 Tax Area II 30ZH II FEMA Code X IlResidential Code WDGWLP1 I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1995 Stories 1.0 Exterior Wall 1 Above Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet II Repl. Cost New 1 I BAS I 1,661 II $108,879 2 II FOP II 25 $393 3 1 FGR 420 II $11,012 I Extra Features (Card: 001 of 001) Line I Description II Year II Units II Value 1 DWSWC II 1995 466 I $786 2 .I CON PTO II 1995 0 120 I $203 Sales History Previous Owner 1 NEUMANN W A I Year Month II Book /Page 11 Type I I Amount I 2007 1 04 11 7455 / 0143 1 WD I $ 1 1995 I 05 I 3436 / 0360 1 WD I $14,000 1995 05 II 3436 / 0358 1 WD I $13,000 http: / /appraiser.pascogov.com/ search /parcel.aspx ?sec= 10 &twn= 26 &rng =21... 9/14/2010 F4 EUI\4AFSIIN Rpofing I etc, 30427 Commerce Drive, San Antonio, FL 33576 Phone (813) 782 -9080 / Fax (352) 668 -4803 / www.neumannroofs.com September 21, 2010 John Miller 37443 Blueberry Court Zephyrhills, FL 33542 Phone: 813- 782 -5690 Neumann Roofing, Inc. proposes to furnish labor, material, supervision, equipment, fees and other costs related to the completion of the subject property; specifications listed below: 1. Record NOC 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 GAF /ELK Weather Watch Leak Barrier Underlayment, nailed to meet local code requirements. 4. Provide and install new drip edge around entire perimeter, matching the existing face dimension. Color: White 5. Strike lines to ensure a uniform shingle installation. 6. Provide and install new GAF/ELK ProStart Starter Strip at drip edge system. 7. Provide and install new GAF /ELK Timberline Prestique 30 High Definition Shingles with stain guard. Color: White 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 /ELK Seal -A -Ridge Ridge Cap Shingles. 10. Provide and install new 16" valley metal in all valleys. 11. Provide and install 10 feet of off ridge vent. 12. Provide and install new lead boots at plumbing vents. Boots will be painted to match specified roof color. 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. Provide a GAF /ELK Weather Stopper Golden Pledge Limited Warranty. 17. Payment schedule: Full amount at job completion. ir GAF ELK FL License #: CCC1326166 GAF -ELK License #: ME12709 , . . N r , E .. , Roofing, Inc. 30427 Commerce Drive, San Antonio, FL 33576 Phone (813) 782 -9080 / Fax (352) 668 -4803 / www.neumannroofs.com Unit Pricing Schedule for Unforeseen Conditions: 1. Replace any rotted or damaged decking $75.00 per sheet. (Neumann Roofing provides 1- sheet of 4'x8' plywood; included in contract price). 2. Replace any rotted fascia or perlins $4.50 per lineal ft. Neumann Roofing'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. • All carpentry work will be performed in conjunction with roofing work, in a timely 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, Inc. is fully insured with workman compensation and general liability insurance. It is understood and agreed the Neumann Roofing, Inc. 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 roofing 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 my have contributed concurrently or in any sequence to the injury or damage occurs. **Included Warranty ** Standard Warranty: System Plus Warranty: Golden Pledge: 80 -MPH wind warranty 110 -MPH wind warranty 110 -MPH wind warranty 5 -year 100% material 20 -year 100% material l00% material 2 -year workmanship 5 -year 100% workmanship 100% workmanship FL License #: CCC1326166 1326166 GAF I ,1. M . .... GAF -ELK License #: ME12709 Masu�Elite • Nr LINIANN } Rpo I c. 30427 Commerce Drive, San Antonio, FL 33576 Phone (813) 782 -9080 / Fax (352) 668 -4803 / www.neumannroofs.com Grand Total: $ 8,000.00 • 100% payment due upon job completion. • Proposed price is valid for 30 days from proposal date. Accepted By: Neumann Roofing, Inc. / .Date: \\\o Date: I LARisy S L , � -t..� 4t r �Y i FL License #: CCC1326166 GAF4K I GAF -ELK License #: ME12709 • m RPOfi-ilg, • • 30427 Commerce Drive, San Antonio, FL 33576 Phone (813) 782 -9080 / Fax (352) 668 -4803 / www.neumannroofs.com September 21, 2010 John Miller 37443 Blueberry Court Zephyrhills, FL 33542 Phone: 813- 782 -5690 Neumann Roofing, Inc. proposes to furnish labor, material, supervision, equipment, fees and other costs related to the completion of the subject property; specifications listed below: 1. Record NOC 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 GAF /ELK Weather Watch Leak Barrier UnderIayment, nailed to meet local code requirements. 4. Provide and install new drip edge around entire perimeter, matching the existing face dimension. Color: White 5. Strike lines to ensure a uniform shingle installation. 6. Provide and install new GAF/ELK ProStart Starter Strip at drip edge system. 7. Provide and install new GAF /ELK Timberline Prestique 30 High Definition Shingles with stain guard. Color: White 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 /ELK Seal -A -Ridge Ridge Cap Shingles. 10. Provide and install new 16" valley metal in all valleys. 11. Provide and install 10 feet of off ridge vent. 12. Provide and install new lead boots at plumbing vents. Boots will be painted to match specified roof color. 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. Provide a GAF/ELK Weather Stopper Golden Pledge Limited Warranty. 17. Payment schedule: Full amount at job completion. inwsurr FL License #: CCC1326166 GAF GAF -ELK License #: ME12709 Maa Elite i . . , NEUN%AF% r Inc. fi Rpo lig, 30427 Commerce Drive, San Antonio, FL 33576 Phone (813) 782 -9080 / Fax (352) 668 -4803 / www.neumannroofs.com Unit Pricing Schedule for Unforeseen Conditions: 1. Replace any rotted or damaged decking $75.00 per sheet. (Neumann Roofing provides 1- sheet of 4'x8' plywood; included in contract price). 2. Replace any rotted fascia or perlins $4.50 per lineal ft. - Neumann Roofing'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. • All carpentry work will be performed in conjunction with roofing work, in a timely 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, Inc. is fully insured with workman compensation and general liability insurance. It is understood and agreed the Neumann Roofing, Inc. 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 roofing 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 my have contributed concurrently or in any sequence to the injury or damage occurs. **Included Warranty** Standard Warranty: System Plus Warranty: Golden Pledge: 80 -MPH wind warranty 110 -MPH wind warranty 110 -MPH wind warranty 5 -year 100% material 20 -year 100% material 100% material 2 -year workmanship 5 -year 100% workmanship 100% workmanship Ir GAF ILI 1:1 - FL License #: CCC1326166 i GAF -ELK License #: ME12709 M8s10rilite 4 EuI vtAr.4s R pofi n g , Inc. 30427 Commerce Drive, San Antonio, FL 33576 Phone (813) 782 -9080 / Fax (352) 668 -4803 / www.neumannroofs.com Grand Total: $ 8,000.00 • 100% payment due upon job completion. • Proposed price is valid for 30 days from proposal date. Accepted By: Neumann Roofing, Inc. - Date: 1 o \\ Date: I LArLry 7/ .114 " t15-- clA L " 4 COC-" )/ License#: CCC1326166 LK GAF FL Li tcomm ,• GAF -ELK License #: ME12709 III erEMOIBI