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Home My WebLink About12-12876 � CITY OF ZEPHYRHILLS 5335-8TH STREET �si3��so-oo20 12876 BUILDING PERMIT Permit Number: 12876 Address: 37416 CORNWALL 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: WEDGEWOOD MANOR Est. Value: Parcel Number: 10-26-21-0120-00000-0440 Improv. Cost: 6,900.00 Date Issued: 3/09/2012 Name: WALL, JOAN Total Fees: 70.00 Address: 37416 CORNWALL DR Amount Paid: 70.00 ZEPYRHILLS FL 33542 Date Paid: 3/09/2012 Phone: 813-782-3373 Work Desc: REPLACE REROOF SHINGLE V I �� ,, �-�" (�,U� � TAPE JOINTS ROOF I SPj FINAL �-"Z '��1 �� 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) oondemned work resulting from faulty oonstruction 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 fnancing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans,Specifications Must Aocompany Application. All work shall be pertormed in acwrdance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. . � t � NTRAC R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . • i G�o�r�cct,�o�c. �lac. P.O. Box 1207■San Antonio, FL 33576 Ph: 813-782-9080■ Ph: 352-588-097 0�Fax: 352-588-0911 POWER OF ATTORNEY TO ZEPHYRHILLS FLORIDA BUILDING DEPARTMENT AUTHORIZING PERSONNEL TO APPLY FOR, SIGN AND PICK UP CONTRACTOR LICENSING, PERMITS AND/OR INSPEC'TIONS IN ZEPHYRHILLS FLORIDA I hereby authorize the following agents: Dennis J. Oravec, Bryan Dunn, James McDaniel, and Robert Dodd of W. A. Neumann Construction, C&N Foundation Technologies, and/or Neumann Roofing, Inc. to apply for, sign and receive any and all documents until further notice regarding contractor licensing, building permits, Insurance Wind Mitigation Forms, and/or inspections in Zephyrhills Florida. This Affidavit supersedes and replaces all previous affidavits, whether on file or in the possession of any agent. W. A. Neumann Construction, LLC W.A. Neumann Construction, LLC/dba Neumann Roofing W 3/7/2012 Jaso . Neuman , Contractor STATE OF FLORIDA COUNTY OF PASCO The foregoing instrument was acknowledged before me this 7th day of March 2012 by Jason W. Neumann who is personally known to me. ot� u �� NOTARY PUBLIC-STATE OF FLORIDA Owendolyn A.Godfrey Commission ppp872128 Exp�res:MARCH t g,20�3 �n�1ed Thrii Afaantic:[3undmy Co Inc 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 352 588 -- 0910 �-+ c' Owner's Name J O Ar+ 4�� Owner Phone Number d � � g'2- ,3 Owner's Address 31 l��h W G.� � �lr, Owner Phone Number �13^'� g Z- 3 3?3 Fee Simple Titleholder Name Fee Simple Title Holder Owner Phone Number � Fee Simple Titleholder Address Same as above JOB ADDRESS �?7I(� O r �G I �Y. LOT# ��y� SUBDIVISION PARCEL ID# �Q �2�j "� �l Z.O-�000--0��i a (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MO\/E Q DEMOLISH INSTALL x REPAIR PROPOSED USE � SFR � COMM � OTHER TYPE OF CONSTRUCTION �x BLOCK � FRAME � STEEL Q OTHER n "`nC1�0Y Ra '^ �C�(��G �->' � 1"L.a�C �L... DESCRIPTION OF WORK Fe��,��,�a�ailiz�t' � � � BUILDING SIZE SQ FOOTAGE I HEIGHT N A � BUI�DING $ VALUATION OF TOTAL CONSTRUCTION � 1 � � � N/A � ELECTRICAL $ AMP SERVICE � PROGRESS E=NERGY � W.R.E.0 N/A � PLUMBING $ N A � � tJ .t f�"r � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION N/A t `��1 � � GAS � ROOFING 0 SPECIALTY Q OTHER �/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �NO �� BUILDER '� / OMPANY W.A. Neumann Construction, Inc. SIGNATURE W REGISTERED Y/ N FEE CURRENT Y/N Address 12630 Curle Street Suite104 San Antonio F1. License# �� 132(p!G L 33576 ELECTRICIAN COMPANY SIGNATURE N/A REGISTERED Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE N�A REGISTERED Y/ N FEE CURRENT Y/N Address License# MECHANICAL COMPANY � SIGNATURE N�A REGISTERED Y/ N FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE N A REGISTERED Y/ N FEE CURRENT Y/N Address License# �- 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. *"*PROPERI'Y 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$5000) '* Agent(for the contractor)or Power of Attorney(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 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 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 a�d 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 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 03) OWNER OR AGENT CONTRACTOR /S r be and sw��'or affirme,d,befo me is Su scri d and sworn affirmed) �efq r is 3/ _�/7�bY _O�[(SOI� W• �dLLA►t Ir fK �j /Z— by J'O GJ G�t �s h ! Who is/are�erson�y know�to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. �� Commission No D D Y7�-! Y ��e n d�/y �, [.��.Fr»� L7wtfi Q��yh � csb��1 Name of Notary typ d,printed or stampe Name of Notary typed,printed or stam ed NOTARY PUBUC-SpATE OF FLOR�DA NpTARY PUBL�C-STATE OF wLORIDA Ciwendolyn A.Godfrey Qwendolyn A.Godfrey Commissan#DD872128 Commission�D0s�2�2£� Expires:MARCH 19,2013 Expires:MARCH 19,20?i 3 gpndeci Thrii Ataanbc Bond�ny Co Inc. ��Thni ANantic Bundi�!�� Pasco County Parcel: 10-26-21-0120-00000-0440 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, March 03, 2012 �Parcel iD 10-26-21-0120-00000-0440 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value WALL)OAN B Ag Land $0 37416 CORNWALL DR Land $18,826 ZEPHYRHILLS FL 33542-7953 Building $78,093 Physical Address Extra Features g7i8 37416 CORNWALL DR ZEPHYRHILLS FL 33542-7953 �ust Value ;97,637 Assessed (Save Our Homes) $89,894 Leaal Descri�tion (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 PB 27 PG 1i-14 Non-School Taxable Value �39,394 LOT 44 School District Taxable Value $64,394 OR 3804 PG 1230 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �1 0100 SFR OOR4 4,048.64 SF $4.65 1.00 $18,826 Additional Land Information Acres 0.09 Tax Area 30ZH FEMA Code �Residerrtial Code WDGWLPl Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1997 Stories 1.0 Exterior Wall i 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 Repl.Cost New 1 BAS 1,417 $81,832 2 F R 460 $10,626 � 3 � Q 20 $289 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 ON PTO 1997 88 $149 2 DWSWC 1997 337 $569 Sales History Previous Owner RYMAN CONSTRUCTION INC Year Month Book/Page Type Amount 2007 04 7455/0143 WD $0 2005 08 6538/0810 �C � $0 1997 09 � 3804/ 1230 WD � $89,700 http://appraiser.pascogov.com/search/parcel.aspx?sec=10&twn=26&rng=21&sbb=0120&bl... 3/9/2012 rr 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 March 1, 2012 Jo An Wall 37416 Cornwall Drive Zephyrhills, FL 33542 813-782-3373 RE: ESTIMATE/CONTRACT- TIMBERLINE HD SHINGLE SYSTEM Neumann Roofing, LLC proposes to furnish labor, material, supervision, equipm�nt, 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 Peel & Stick Underlayment 4. Provide and install new drip edge around entire perimeter, matching the e:xisting face dimension. Color: White 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 GAF Timberline HD Shingles with stain guard. Color: Slate Squares: 25 Pitch: 6/12 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 Ridge 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. 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. . e /+owr �� FL License#: CCC 1326166 GAF License#: ME20454 rr 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 15. Our liability insurance coverage is based on completed operations. 16. Provide a GAF Weather Stopper System Plus Limited Warranty with upgraded wind warranty up to 130 MPH (Free of charge). 17. All estimates/contracts are subject to Building Department approval in the appropriate county/city. 18. Payment schedule: Full amount at job completion. Unit Pricin� Schedule for Unforeseen Conditions: 1. Replace any rotted or damaged decking $45.00 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 Oualitv: • 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 b�;yond 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 an,y 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 warkman compensation and general liability insurance. 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 roofmg contractor and the roofing contractor's insurance will exclude all coverage, including defense,damages,related to bodily injury,properiy 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 warkmanship that may have contributed concurrently ar in any sequence to the injury or damage occws. �� e l �� FL License#: CCC1326166 GAF License#: ME20454 r 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 "This document has been prepared for those parties financially responsible for services rendered. Reliance upon this document or upon information,observations or opinions contained herein should not be made 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." WARRANTY: SYSTEM PLUS/WEATHER STOPPER LIMITED WARRANTY: • 130 MPH Wind Warranty • 50 Year 100%Material Replacement—Defective Materials Only • 50 Year 100%Labor to Install—Applies to Defective Materials Labor Onl�—Does Not Cover Labor for Application Defects • 2 Year 100%Workmanship/Labor—Provided by Neumann Roofing • FREE One Time Only Transfer of Owners TOTAL: $ 6,900.00 • 100% payment due upon job completion. • Proposed price is valid for 30 days from proposal date. Subject to price increases after 30 days. • In the event it is necessary to collect any amount of money owed hereunder 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 unpaid amounts by Owner/Agent and for reasonable attorney'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. Ac ted By: Neumann Roofing, LL,C ate: ��C � D/� Date: ��3-/Z �� e "°"""' �ENte FL License#: CCC1326166 GAF License #: ME20454 rr 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 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 CLAIM 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 CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULU 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 THAT 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 thP 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 IiNnors who are not in privity with the owner. This section does not apply when the owner is a contractor lic�nsed under chapter 489 or is a person who created parcels or offers parcels for sale or lease in the ordinary c:ourse of business. Accepted and Approved: c�pGZ,vt (3• W�� „�—C�3�-<�0/'�— PRINT NAME DATE J Client Initials �'�� Neumann Officer . � �-.� �'E1�8 �....�._...� FL License#: CCC 1326166 GAF License#: ME20454 Florida Building Code Online Page 1 of 2 , : . ' ► f . ' - + . � f F�af��3(�fTi�€lt� BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats&Facts Publications FBC Staff BCIS Site Map # Links Search � Busines "?� Professi�ttl�) Product Approval USER:Public User Regulation Produd Aooroval Menu>Produd or Aoolica[ion Search>Aoolication List>Application Detail FL# FL10124-R4 � Application Type Revision � Code Version 2007 Application Status Approved Comments Archived Product Manufacturer GAF Address/Phone/Email 1361 Alps Road Wayne, NJ 07470 (973)872-4421 lindareith@trinityerd.com Authorized Signature Beth McSorley lindareith@trinityerd.com Technical Representative Beth McSorley Address/Phone/Email 1361 Alps Road - Bldg 11-1 Wayne, N)07470 (973)872-4421 BMcSorley@gaf.com Quality Assurance Representative Address/Phone/Email Category Roofi ng Subcategory Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report- Hardcopy Received Florida Engineer or Architect Name who Robert Nieminen developed the Evaluation Report Florida License PE-59166 Quality Assurance Entity Underwriters Laboratories Inc. Quality Assurance Contract Expiration Date 05/17/2012 Validated By John W. Knezevich, PE Validation Checklist- Hardcopy Received Certificate of Independence FL10124 R4 COI Trinitv ERD CI - Nierninen.odf Referenced Standard and Year(of Standard) Standard Year ASTM D3161 (Class F) 2003 ASTM D3462 2004 ASTM D7158 (Ciass H) 2005 Equivalence of Product Standards http:1/www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeV Cbd MQNZD6... 3/7/2012 Florida Building Code Online Page 2 of 2 Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/17/2010 Date Validated 02/08/2011 Date Pending FBC Approval 12/23/2010 Date Approved 02/10/2011 Date Revised 12/12/2011 Summary of Products FL# Model, Number or Name Description 10124.1 GAF Asphalt Roof Shingles Fiberglass reinforced 3-tab, laminated, 5-tab and hi /ridge asphalt shingles Limits of Use Installation Instructions Approved for use in HVHZ: No FL10124 R4 II er020211FINAL GAF FL10124- Approved for use outside HVH2:Yes R4 Asohalt Shinales.udf Impact Resistant: N/A Verified By: Robert Nieminen PE-59166 Design Pressure: N/A Created by Independent Third Party: Yes Other: Refer to ER, Section 5. Evaluation Reports FL10124 R4 AE er020211F�NAL GAF FL10124- R4 As ha�t Shin les. df Created by Independent Third Party: Yes Back Next Contad Us: 1940 North Monroe Street,Tallahassee FL 32399 Phone:850-487-1824 The State of Florida is an AA/EEO employer Coovriaht 2007-2010 State of Florida ::Privacv Statement::Accessibiliri Statement::Refund Statement Under Florida law,e-mail addresses are public rxords.If you do not want your e-mail address released in response to a public-records request,do not send electronic mail to this entity Instead,contact the office by phone or by traditional mail.If you have any questions regarding DBPR's ADA web accessibility,please contact our Web Master at webmasterCa�dbor.state fl.us. Product Approval Accepts: � � � � 8CC.7ItIL MF:i'itiC� ver�si,n� ,� T�rsMd � vr...r► http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDquracBeV CbdMQNZD6... 3/7/2012 EXTERIOR R�SEARCH & DESIGN, LLC. CertiAcate ofAuthorJiatJon a�9503 TRINlIY I ERD 353 CNRISTIA OXFORD,�CT 6478 PHONE: (203) 262-9245 FAX: (203) 262-9243 EVAI.UATION REPORT GAF Matarials Corporation Evaluation Report 01506.01.08-R6 1361 Aips Rosd, Butidin� 7-3 * Wayne, N7 07470 Dste of issusnca: 01 03/ � e� Revision 6: 02/02/2011 SCOPE: This Evatuation Report is i�sued under Rule 9N-3 and the applicable rules an� regulations governing the use of construction mateHals in the State of Ftorida. The documentation submitted has been reviewed by Robert Nieminen, P.E. fo� use of the product under the Florida Building Code and Fiorida Building Code, Resid�ntlal Volume. The products descNbed hereln have been desfgned to camply with the 2007 FBC and 2007 FBC Resid�ntial Volume sections noted herei�. DESCRIPTION: GAF Aaphalt Roof Shin9les UBELINO: Each unit sh�ll bear labeling in accordance with the requfrements the Accredited Quality Assura�ce Agency noted herein. CONTLNUED COMPLIANCE: This Evatuation Report is valid until such time as the named produd(s) changes, the referenced Quality Assurence documentation chanqes, ar provtsions of tht Cod� that relate to the product change. Acceptance of this Evaluation Report by the named dient constitutes agreement to notify Robert Nieminen, P.E. if the product chanyes or the referenced Quality . Assurance documentation changes. THnity�ERD requires a complete revi�w of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluatfon Report number preceded by the words"TNnity�ERD Evaluated" may be displayed in advertlsing literature. If any portion of the Evaluatfon Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this �ntire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspectfon at the job site at the request of the Building Offlcial. This Evaluation Report consists of pages 1 throuqh 4. Prapsred by: „��o��,,, /Zo[! �.?�+.�.yt,'�a` O�/ 96 O�fOt/// k ° %�° � � ..ace-s+++3' ;t � �'~'' �+�•-f�T�A•!�. � �a�,P.E o�i�0��/��zed Robert 7.M. Nieminen, P.E. ati �+��.� ��f�� ' �'�.�,�'i,,+j;@ ^�� eoa,m«ic. �,se,kA M.Acop+e:n,ve Florlda Rcglstrallon No. 59166, Fforlda DCA MfE1983 ` .��.a�.�k;�•"'�' �'�°D�"°rod��'� "� to aro n.n,ee ciknc ClRTI/tGTION OF INO[HNDtNClC 1. Trinity�ERD doea not hsve, nor does k Intend to acqWre or wNl it aa}uire, a Nnandal Irttercst In any company mmWacturinq or distributlny produds k evs4wtes. 2. Trinity�ERO is not vwned,aperated a controtled by my company manufactuHrq or distributinp produds k evaluMes. 3. RobeR Ni�minen,P.E.does not have nor w�l acquire,a Anarxiat iMercst in any compamr rnanufsduring or distributiny products for wMch the evaluadon reports are�ein9lssued. 4. Robert Nleminen, P.E. doet not have, nor will acq�rc, a financial Interest ki any other eMiry invofved in the approval process of the product. � TRINITY�ERD ROOFING SYSTEMS EVALUATION: 1. SCOPE: Product Category: Roofing Sub-Category: Asphalt Shingles Compliance Statement: GAF Asphalt Roof Shingles, as produced by GAF Materials Corporation, have demonstrated compliance with the following sections of the Florida Building Code and Florida Building Code, Residential Volume through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations/ Conditions of Use set forth herein. 2. STANDARDS: Section Prouertv Standard Year 1507.2.5, R905.2.4 Physica� Properties ASTM D3462 2004 1507.2.5, 1507.2.10, Wind Resistance ASTM D3161, Class F 2003 R905.2.4.1, R905.2.6.1 1507.2.10, R905.2.6.1 Wind Resistance ASTM D7158, Class H 2O05 3. REFERENCES: Entitv Examination Reference Date PRI (TST 5878) ASTM D3462 GAF-059-02-01 09/02/2004 PRI (TST 5878) ASTM D3462 GAF-080-02-01 05/25/2005 UL(TST 1740) ASTM D3462 93NK6295 11/29/1993 UL(TST 1740) ASTM D3462 99NK43835 Ol/12/2000 UL(TST 1740) ASTM D3462 O1N1(06632 02/02/2001 UL(TST 1740) ASTM D3161 O1NK9226 05/21/2001 UL(TST 1740) ASTM D3161 O1NK37122 12/18/2001 UL(TST 1740) ASTM D3462 O1NK37122 12/19/2001 UL(TST 1740) ASTM D3161 02NK12980 04/10/2002 UL(TST 1740) ASTM D3161 02NK30871 09/09/2002 UL(TST 1740) ASTM D3161 03CA5367 03/11/2003 UL(TST 1740) ASTM D3462 03NK26444 10/17/2003 UL(TST 1740) ASTM D3462 04NK13850 06/07/2004 UL(TST 1740) ASTM D3161 04NK13850 06/23/2004 UL(TST 1740) ASTM D3161 04NK30546 03/10/2005 UL(TST 1740) ASTM D3462 04NK22009 05/06/2005 UL(TST 1740) ASTM D3161 04NK22009 05/09/2005 UL(TST 1740) ASTM D3462 05NK27924 02/10/2006 UL(TST 1740) ASTM D3161 05NK27924 02/11/2006 UL(TST 1740) ASTM D3161,ASTM D3462 06CA18077 06/05/2006 UL(TST 1740) ASTM D3161,ASTM D3462 06CA18074 06/16/2006 UL(TST 1740) ASTM D3161,ASTM D3462 06CA35251 10/18/2006 UL(TST 1740) ASTM D3462 06CA31603 12/O1/2006 UL(TST 1740) ASTM D3161,ASTM D3462 06CA41095 12/27/2006 UL(TST 1740) ASTM D3161 07NK05228 03/13/2007 UL(TST 1740) ASTM D3161 06CA31611 04/04/2007 UL(TST 1740) ASTM D3161 06CA61148 04/09/2007 UL(TST 1740) ASTM D3161,ASTM D3462 07CA31742 11/08/2007 UL(TST 1740) ASTM D3161,ASTM D3462 08CA06100 03/13/2008 UL(TST 1740) ASTM D3161,ASTM D3462 07CA55908 04/O1/2008 UL(TST 1740) ASTM D3161,ASTM D3462 09NK06647 08/O1/2009 UL(TST 1740) ASTM D3161,ASTM D3462 09CA27281 08/27/2009 UL(TST 1740) ASTM D3161,ASTM D3462 lOCA13686 05/15/2010 UL(TST 1740) ASTM D3161,ASTM D3462 lONK11951 10/30/2010 UL(TST 1740) ASTM D3161,ASTM D3462 lONK12070 11/04/2010 UL(QUA 1743) Quality Control Inspection Report, File No. R21 12/07/2010 UL(QUA 1743) Quality Control R3915 Current Euterior Research and Design, LLC. Evaluation Report 01506.01.08-R5 Certifcate of Authorization#9503 FL10124-R4 Revision 6: 02/02/2011 Page 2 of 4 � TRINITY�ERD 4. PRODUCT DESCRIPTION: 4.1 Royal Sovereign is a fiberglass reinforced, 3-tab asphalt roof shingles. 4.2 Camelot, Camelot II / Camelot 30, Capstone, Country Mansion, Country Mansion II, Grand Canyon, Grand Sequoia, Grand Slate, Grand Slate II, Timberline ArmorShield II, Timberline Natural Shadow, Timberline HD / Timberiine Prestique 30, Timberline Prestique 40 / Timberline Cool Series, Timberline Ultra HD / Timberline Prestique Lifetime, and Timberline Majestic / Timberline Majestic 30 are fiberglass reinforced, laminated asphalt roof shingles. 4.3 Slateline is a fiberglass reinforced, 5-tab asphalt roof shingle. 4.4 SeaI-A-Ridge, SeaI-A-Ridge Armorshield, Ridglass 8, Ridglass 10, Ridglass 12 and Timbertex Hip and Ridge are fiberglass reinforced, hip and ridge asphalt roof shingles. 4.5 ProStart Starter is a starter strip for asphalt roof shingles. 5. LIMITATIONS: 5.1 This Evaluation Report is not for use in the HVHZ. 5.2 Fire Classification is not part of this Evaluation Report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.3 Wind Classification: 5.3.1 All GAF shingles noted herein are Classified in accordance with FBC 'Tables 1507.2.10 and R905.2.6.1 to ASTM D3161, Class F or ASTM D7158, Class H, indicating the shingles are acceptable for us in all wind zones up to 150 mph. Refer to Seckion 6 for installation requirements to meet this wind rating. 5.3.2 Classification by this method applies to buildings less than 60 feet high and with Wind Exposure B and C only in an Occupancy Category of I or II. 5.3.3 For buildings falling outside the constraints in 5.3.1 or 5.3.2, calculations by a qualified design professional in accordance with UL2390 / ASTM D7158 / ASCE 7 may be conducted for the specific project with data for the specific shingle. Contact the shingle manufacturer for data specific to each shingle. 5.3.4 All GAF hip & ridge shingles noted herein have been evaluated in accordance with ASTM D3161, Class F. Refer to Section 6 for installation requirements to meet this wind rating. 5.5 All products in the roof assembly shall have quality assurance audit in accordance with the Florida Building Code and F.A.C. Rule 9N-3. 6. INSTALLATION: 6.1 Underlayment: 6.1.1 Underlayment shall be acceptable to GAF Materials Corporation and shall hold current FBC Approval, or be Locally Approved per Rule 9N-3, per FBC Sections 1507.2,3 and/or 1507.2.4. Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R5 Certi�cate of Authorization#9503 FL 10124-R4 Revision 6: 02/02/2011 Page 3 of 4 , � TRINITY�ERD 6.2 Asphalt Shingles: 6.2.1 Installation of asphalt shingles shall comply with the manufacturer's current published instructions, but not less than four (4) fasteners per shingle in accordance with the requirements of FBC Section 1507.2 or FBC Residential Volume Section R905.2, with the following exceptions: ➢ Camelot, Camelot II / Camelot 30, Grand Slate II and Country Mansion II require minimum five (5) fasteners per shingle 6.2.2 Fasteners and fastener placement shall be in accordance with manufacturer's current published installation instructions. 6.2.3 Where the roof slope exceeds 20 units vertical in 12 units horizontal (166-percent slope), special methods of fastening are required. Contact GAF Materials Corporation for details. 6.3 Hip & Ridge Shingles: 6.3.1 Installation of Ridglass 8, Ridglass 10 and Ridglass 12 asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per side and asphalt roofing cement. 6.3.2 Installation of SeaI-A-Ridge and SeaI-A-Ridge Armorshield asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per shingle. 6.3.3 Installation of Timbertex Hip and Ridge asphalt shingles shall comply with the manufacturer's current published instructions with a minimum two (2) fasteners per shingle and beads of Sonneborn NP1 Gun Grade Polyurethane Sealant or Henkel PL Roofing and Flashing Sealant. 7. LABELING: Each unit shall bear a permanent label with the manufacturer's name, logo, city, state and logo of the Accredited Quality Assurance Agency noted herein. 8. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. 9. MANUFACTURING PLANTS: Contact the named QA entity for information on which plants produce products covered by Florida Rule 9N-3 QA requirements. 10. QUALITY ASSURANCE ENTITY: Underwriters Laboratories - QUA1743 (847) 664-3281 - END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 01506.01.08-R5 Certi�cateofAuthorization#9503 FL10124-R4 Revision 6: 02/02/2011 Page 4 of 4 � �"1 NEUMA-1 OP ID: KS '`��°ROm CERTIFICATE OF LIABILITY INSURANCE DATE�MM/DD/YWY) 03/05/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 727-784-8554 NAMEACT Stahl Ross 8 Associates Inc. 3939 Tampa Road 727-789-2823 ac No Ext: aC No: Oldsmar,FL 34677 E-MAIL Sandie Grimes ADDRESS: INSURER�S)AFFORDING COVERAGE NAIC# INSURERA Starr Indemnity&Liability Co 38318 INSURED Neumann Roofing�LLC. INSURERB Amerisafe Insurance Group P.O.Box 1207 San Antonio,FL 33576 INSURER C. INSURER D: INSURER E. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR 7ypE OF INSURANCE POLICY EFF POLICY EXP LTR POLICY NUMBER MMlDD/YYYY MMlDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ��OOO�OO A X COMMERCIAL GENERAL LIABILITY SIPGGL0032600 03/04/12 03/04/7$ pREMISES Ea occurrence $ 10�,�� CLAIMS-MADE ❑X OCCUR MED EXP(Any one person) $ 5,0�� PERSONAL f:ADV INJURY $ 'I�OOO,OOO GENERALAC;GREGATE $ Z,OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPlOP AGG $ Z,OOO,OOO POLICY PR� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE: $ DED RETENTION$ $ WORKERS COMPENSATION WC STPTU- OTH- AND EMPLOYERS'LIABILITY �,�N TORY LIMITS X ER B ANY PROPRIETORlPARTNERlEXECUTIVE AVWCFL2074322012 01/01/12 01/01/13 E.L.EACH AC;CIDENT $ ��0�� OFFICER/MEMBER EXCLUDED? � N�A (Mandatory In NH) E.L.DISEASE:-EA EMPLOYEE $ �,��,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE:-POLICY LIMIT $ ��OOO�OO DESCRIPTION OF OPERATIONS/LOCATYON5/VEHICLES (Attaeh ACORD 701,Additional Remarks Schedule,if more space is required) Jason Neumann-License CCC1326166 CERTIFICATE HOLDER CANCELLATION ZEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. Building Department Fax 87 3-780-0021 AUTHORIZED REPRESENTATNE 5335 8th Street �C� � �1�� Q / Zephyrhills,FL 33540 "�UL`— O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD --- — - - -- - - - ,�. I�`A��t� ��►TJ�l`��'� � ��:��.�_ � - (=r='��_ I�..�;c�=�;�_�= _�- ��_1-1� T-_ issued pursuant and subject to.Florida Statutes and Pasco t;ounty�:dinarces. �ss:.ance does nc+�ertif��co,npliance wi!'; � �oning or other laws. This receipt must be posieci cons�icuausfy in place n*business. E..n� es S��ter�ber?� ! � �1�. �� :;,,, � ACCOUNT NO� 076610 ` �' T'�� i�'-++^"'"��=' �� .�� i��_�_.��,_..��_ TYP� OF BUSINESS� SIC CODE� 1761 �-•-��• w-�• -�-�- ROOFING CONTRAC7QR � e�r9��:� �.� _T.�'",.�i-y�,1�°_,, •°�-".��:�.;; LOCATION RDDRESS� ! NEUMANN ROOFING LLC %°�v�''�=�o,��: 12630 CURLFY ST S7E 104 I 12630 CURLEY ST STE 104 � ,� _ =i ,�a^'�:; SAN AN70NI0 � SAN ANTONIO FL 33576-8095 "��-��'-'�a� . !a}�. • �� etl";•I�CLDW2�g`�'� DATE RECEIPT AMOUNT � a. ' 08/04/11 609055 31 .25 ��1�1'�1�11�1'�"II"��'�11�1'1�"I��1�1�'111�1'I1II11��1�1��1 � :ea�e-.Y�_.r_�,�r_._.�.__ ,r*cn�rc>.-.:.s��-+v.a�rttt . w•.sxr^.:�s» , � �,�n,�� ,.� ST�T�-�� OF�tDA _ ' _ DEPART�IENZ' �:F' BUSI3�;S�-: ANb PRO�*'ESS.�ON�rL REC:�T,Lp'i'TIO1tT. CpNS�'�tUG,TIO�T,;,1�1,�D�-'TRY _I�T��NSING, B��RD ` S�Q#L�'0070�00803 � _ " _ _- � _ � � _ K ,__.-''.I'. --_ - _ � ___ � . : . . .�i ,. :i.. ' _ __ -. .. _ _r, __: - - LICENSE 'NBR - _ , � - _ : - ' :.;�. �°_ - iT��:01;:2`4,`10 - b�9��74935`,''_':'_ CC�'132.6�.66._ . - ::.: `�r,.< - _ ' . P.a. �, „a. , .: - . _,w„�.T ., - :, _ _- „ .. , - ]�e - ��`v�� '�tC��,.,., `atinei�`��e-�ci�`r,��I��_� `�TIF�Lp � _ - �:'�-_ -. .� . - - iider-'=��e�ovisians of Chapte� ;�8�I�, �'S. _ xpiration date: �G' ��1-, rt°�aZ� - ,� -� �_. ,��. ., _:' „ ,, - ��., J��so�' wA�.�i�rr , � F� � _ - V�=-?A:'_�Ui��NN._=CZ�NST��JCTION INC '�^'r;'; _ � - � PO�''�it7X 'T�207 � SAN ANTONIO FL 33576 CHA�2LZ;E .-CR�ST � -: C�3,ARI�IE,'=;LIEM; - ,. ' „ :�QVERNflR � ' I�NTE�tIM SE�1�ET:�i3.2Y; ' '. - ' DISPLAY AS REQUIRED BY LAW ` --- �ER�CO��G-�T�TO: I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIIi IIIII IIII IIII 2012037920 Rcpt:1420420 Ree: 10.00 DS: 0.00 IT: 0.00 03/08/12 C. Cook, Dpty Clerk PERMIT NUMBER. 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. DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO NO.: �0••26-21-0120-00000-0440 SUBDIVISION WEDGEWOOD MANOR PHASE I&II BLOCK TRACT r.oT44 BLDG UNIT 37416 CORNWALL DR,ZEPHYRHILLS, FL 33542;WEDGEWOOD MANOR PHASE I&II PB 27 PG 11-14, LOI�44 OR 3804 PG 1230 2. GENERAL DESCRIPTION OF IMPROVEMENT: TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITH TIMBERLINE HD ROOF SYSTEM 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a.Nan►ea�dadare5s: WALL, JOAN B, 37416 CORNWALL DR, ZEPHYRHILLS, FL 33542 b.Interestinproperty: FEE $�MPLE c.Name and address of fee simple ritleholder(if different from Owner listed above): a COIVTRACTOR'SNAME: JASON NEUMANN / NEUMANN ROOFING, LLC , co�traotor'sadaress: 30427 COMMERCE DR, SAN ANTONIO, FL 33576 b.Phone�umb�r: 813-782-9080 5. SURETY(if applicable,a copy ofthe payment bond is attached): a.Name and address: PpULR S 0'NEIL,Ph D PR5C0 CLERK & COMPTROLLER 03�08�12 �6�6 1 �3458 b.Phone number: c.Amount of bond:; OR BK P� 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 desigiated 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):_ ,2p WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TI-�NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART SECTION 713 13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMI�IENCEMENT MUST BE RECORDED AND POSTED ON TI�JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMEN ING WORK OR RECORDING YO 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�� JOAN WALL (Signa r o er or Lessee,or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office) Aut ' ed Officer/Director/Partner/Manager) State of FLORIDA County of PASCO fl The foregoing instrument was aclmowledged before me this � day of j11�Cf� 20� bY J v/41U �IIALL K/il�'L�.� ,as_ ame of person) (type of autharity,...e.g.officer,trustee,attorney in fact) for ��Q/�f �i L L (name of party on behalf of whom instrument was execu d) Personally Known or Produced Identification �T e of Identificarion Produ J�"L. �GtJ � YP ced 1� L �7�01�- ��?�Z �/� (Signature of Notary Public) (Print,Type,or Stamp Commissioned Name of Notary Public) Rev 10-01-11(S.Recording) STAi`� 0� F`aRt�A, COUNTY OF PASCO TH IS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITN MY HAND D OFFIC L SEAL THIS DAY 0 G�^ � � G'��' PA A S. O'NEI , C RK&COMPTROLLER g ' ��(.1�`DEPUTY CLERK