HomeMy WebLinkAbout13-14785 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�so-oo20 14785
BUILDING PERMIT
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Permit Number: 14785 Address: 5931 FOREST LN
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: FOREST VILLAS
Est. Value: Parcel Number: 1-26-21-0110-00000-0060
Improv. Cost: 6,643.00 ` �n°,���.a����e �
Date Issued: 12/05/2013 Name: WESOLOWSKI, ROSE ELLEN
Total Fees: 70.00 Address: 593614 FORREST LN
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/05/2013 Phone: (607 226-7603
Work Desc: EAR OFF EXIST ROOF SYS & REPLACED W/TIMBERLINE HD ROOF
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TAPE JOINTS ROOF INSP
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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C TRACTOR SI RE PERMIT OFFI R
PERMI EXP ES IN 6 MONTHS WITHOUT APPROVED INSPECTION
L FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
613-780-0020 City of Zephyrhills Permit Application Fax�13-780-0021
Building Department
Date Received (Z�5 l 3
PhoneContactforPertnittin 613 782 9080
OwnersName WESOLOWSKI ROSE ELLEN 607-226-7603
Owner Phone Number
Owner'sAddress 5931 FOREST LANE ZEPHYRHILLS, FL
Owner Phone Number
Fee Simple Titleholder Name FEE SIMPLE �
Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 5931 FOREST LANE ZEOHYRHILLS, FL 33542 LOT# �
SUBDIVISION FOREST VILLAS 10-26-21-0110-00000-0060
PARCELID#
(OBT/UNED FROM PROPERN TAX NOTICE)
WORK PROPOSED B NEW coN57R 8 ADDlALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE �X SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q
DESCRIPTION OF WORK TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITH TIMBERLINE HD ROOF
BUILDING SIZE 1660
SQ FOOTAGE�� HEIGHT ��
�BUILDINC�ROOFIN
6643 00 VALUATION Of TOTAL CONSTRUCTION
QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W R.E C
�r. "__'_'.
OPLUMBING ��
QMECHANICAL $ VALUATION OF ME�CHANICAL INSTAL TION //�//� �
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�GAS X� ROOF9�lG � SPECIALTY Q OTHE
FINISHED FLOOR ELEVATIONS FLOO�ZONE AREA YES N
BUILDER COMPANY JASON NEUMANN/NEUMANN ROOFING
SIGNATURE R�c�sr�r�o Y! N FEECURReN Y!N
Address 30 27 CONIIhERCE R, SAN ANTONIO, FL 3 576 License# CCC1326166
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y!N
Address
License#
PLUMBER � COMPANY r-
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
Address
License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y 1 N
Address License# �-
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bwlding 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 subdivis�ons/large pro�ects
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 wl Silt Fence installed,
Sanitary Facilrties 8 1 dumpster Ste Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans
""PROPERTY SURVEY reqwred for all NEW construction.
Directions:
Fill out application completely
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500)
" 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 if shingles Sewers Service Upgrades A!C Fences(Plot/SurveylFootage)
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, 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 COMMENCEMEN MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB I FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU ICE OF C MM NCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to( r a irme before m this
by by JASON W. EU
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. PERSONALLY KNOWN as identification.
Notary Public ����a f%,� �.. /� ,w,rc Notary Public
Commission No. Commission No. ��/7�.3��
( �`7/'i.S�i�� ////' i (1
Name of Notary typed,printed or stamped Name of Notary typed,printed or stampe
� �, , �HRIBTIE K MAJOR
,� ., �I�T�RY PUBLtC
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State of Florida License#CCC1326166 and #CBC058155
34427 Commerce Drive, San Antonio, FL 33576
Phone (813) 782-9080/Fax(352) 668-4803/www.neumannroofs.com
Rose Wesolowski
5931 Forest Ave.
Zephyrhills, FL 33542
607-226-7603
RE: ESTIMATE/CONTRACT — TIMBERLINE HD ROOF SYSTEM
TOTAL ESTIMATE: $ 6,643.00
Neumann 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 requirea 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 30# felt underlayment.
4. Provide and install new drip edge around entire perimeter, matching the existing face
dimension. Color: Brown TBD 250'
5. Strike lines to ensure a uniform shingle installation.
6. Provide and install new GAF ProStart Starter Strip at drip edge system. 1 bundle
7. Provide and install new GAF Timberline HD Shingles v��th stain guard.
Color: TBD Shakewood Squares: 21.67 Pitch:
4/12 -
8. Provide and install aluminum ridge vents on ridges. 30' Brown
9. Provide and install new lead boots at plumbing vents. Boots will be painted to match
specified roof color. 1- 2" 1- 3"
10. Provide and install new gooseneck vents. Vents will be painted to match specified roof
color. 1- 10"
1 l. Remove and discard Satellite Dish.
12. Remove existing siding and trim at chimney and replace with Cementicious Panel and trim.
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.
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FL License#: CCC 1326166 GAF License#: ME20454
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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
16. All estimates/contracts are subject to Building Department approval in the appropriate
county/city.
17. Payment schedule: Full amount at job completion.
Unit Pricin�Schedule for Unforeseen Conditions:
l. Replace any rotted or damaged decking $65.00 per sheet. (Neumann Roofing provides 1-
sheet of 4'x8' plywood; included in contract price).
2. Replace any rotted fascia or rafters $5.00 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 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 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 metai 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.
It is understood and agreed the Neumann Roofing,LLC will be held harmless far 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,property damage and clean up directiy 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 ar in any sequence to the injury or damage occurs.
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FL License#: CCC 1326166 GAF License#:ME20454
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State of Florida License #CCC1326166 and # CBC058155
34427 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 wark 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 Materia�s Only
• 50 Year 100% Labor to Install—Applies to Defective Materials Labor Only—Does Not Cover
Labor for Application Defects
• 5 Year 100%Workmanship/Labor—Provided by l�euma�n Roofing
• FREE One Time Only Transfer of Owners
TOTAL:
• 70% payment due upon job completion with the balance to be paid within 80 days at no
more than thirty day intervals.
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FL License#: CCC1326166 GAF License#: ME20454
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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
• 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.
• We accept cash, check or credit card far payment. If you choose to pay by credit card
the following fees will be added to your contract/invoice amount:
Visa/Master Card—add 2%; AMEX—add 3%. Fees are non-negotiable.
Accepted By: Neumann Roofing, LLC
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Date: � � �' �3 Date: //�/y�,.�--o �
CONSTRUCTION LIEN LAW
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FL License#: CCC 1326166 GAF License#: ME20454
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State of Florida License#CCC1326166 and #CBC058155
34427 Commerce Drive, San Antonio, FL 33576
Phone (813) 782-9080/Fax (352) 668-4803 /www.neumannroofs.com
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, boidfaced 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 YOUf2 PROPERTY. 7HIS 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, E1lEN 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 1fOUR 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 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 tIEN 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.
Accepted and Approved: �S� �Ue��(�,c��k�� I�� l� I 13
PRINT NAME DA E
��Client Initials _!�..�--Neumann Officer
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FL License#: CCC 1326166 GAF License#: ME20454
AFTER�C�RD,�G-�T�N TO , I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
2013204927
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Rcpl:1367127 Rec: 10.00
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12/0'3/13 B. MeBee, Dply Cl��k
PERMIT NUMBER: PRULR S 0 NEIL,Ph D Pp5C0 CLERK L COMPTROLLEN
NOTICE OF COMMENCEMENT lZ RSBK �9�a6 1PGo 1271
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 L.e descri tion of the ro 70-26-21-0110-D0000-0060
( g� p p perty&street address,if available)TAX FOL�O n0.:
SUBDIVISION Forest Villas Unrec gLOCK Tw.rr �oT 6 BLDC u�vrr
PB/PG 12/4 Neighborhood 202009.00 Bon Air Area
2.GENERAL DESCR[PTION OF IMPROVEMENT:
Tear off existing roofing system and replace with GAF Timbe�line HD roofin system
3. OWNER[NFORMA7'ION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
e.Neme e�a eaa�ess: Rose Ellen Wesolowski 5931 Forest Ave.Zephyrhills, FL 33542
b.�nterest in properry FEE SIMPLE
c.Name and address of fee simple titleholder(if diPferent from Owner listed above):
. a.coNrxacroa•sNnMe: Neumann Roofing, LLC
, co�o-a�eor'saadress: 30427 COMMERCE DR, SAN ANTONIO� FL 33576 b.pno�en�mbe�� 813-782-9080
3. SURETV(ifapplicable,e copy ofthe payment bond is ettached):
a.Name and address:.
b.PFane numbv c.Amount of bond:S
6.a.LENDER�SNAME:
Lender's addfess: b.Phone number:
7 Persons within the State of Florida designated by Owner upon whom notices or oth�documents may be served as provided by
Section 713.13(I)(a)7.,Florida Statutes: ��"w �V Y
uyZ�? �
a.Name and address: ���� �� � W
b.Phone numbers ofdesigneted persons: �?��F�— `J J }
��Cj�._.i N d F—
8.a.In addition to himself or herself,Owner designates �g ��W z� Q �
to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
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b.Phone number of person or entiry designeted by Owner: ��F— � Q O
w � �v
9. Expiration date of notice of commencement(the expiration date may not be before the wmpletion oFconstruction and final j��O� J�
payment to the contractor,but will be 1 year from the date of recording unless a different date is specified): ,20 O� CL W
UQO �� t��
�NQ�IG TO OWNER• ANY PAYMENTS MADE BY THE O R FT R F�rnrRprr N OF THE NOTICE OF OWAdEN EI�NT = V U
CON ID FD QviPROP R PAVn,tFU'r'c i R�mFD�}{qpTER 713 PART 1 E ION 713 1 F �R ma�rp rrFS AND CAN Q~ ►— � Q �
RESULT IN YOUR PAYING TWICE FOR QvIPROVEMFN'C TO YO 1R PR(IPFRTV e NOTICE OF COMMEN EWIENT ST B �u��p � U
R�CORDED AND POSTED ON THE JOB crrg gEFORE THE FiR T AI PE ION �'YO i MTr�.m Tn OBTAIN FINANCING CON n T ��� a Q O ,_j
WTI'H YOUR LENDER OR AN ATTORNFY RFFORE COMMEN IN WO K OR RECORDIN YO 1R NOTI .F OF CO NCEMENT. ,J�O L� = Q W
Under penalry of perjury,I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are true to I.i Q�cr� �p
the best of my knowledge and belief. �� Z p � �
�.e��-�J��� 12 c��e �C, �w� o r�r Q� `� �z� �
� a-
(Signature of Owner or I,essee,or Owoer's or Lessee's �Print IYame and Provide Signatory's Title/OfSce) fry���� Q }
Authorized OfficerlDirector/Partner/Manager) a m
State of FLORIDA G`,�GU1T . * *
County of PasCO �•
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The foregoing instrument was aclmowledged before me this�_day of �v 20 ,� '� . �,cy'.�' .�
by lc.o`x ��Lc� W�-s o��W 5� 8s ov�r� � • �`� `�� oec
(name of person) (rype of authoriry,...e.g.officer,trustee,attomey in fac �� q��� '�
for r tir 1 ' �
(name of party on behalf of whom instrument was executed) �� . .¢�O
Personally Known or Produced Identification� Type of Identification Produced F�o��a w _()L W�,Y�7�� r7� ' „��.'
��v°�"4�;` ERNEST 9RYAN GFiEGORY
'�} � �"" ! � � -''�
!' " MYCOMMISSiONkFF028819
ti��19l���.j
raM1d• EXPIRES June 17 2017 (Signature ary Public)
iaon 3$e-ms� Fionewa�sa�woe.�om (Print,Type,or Stamp Co is oned Name of ot blic)
Rev.fO-0I-I l(S.Recording)
Permit Packa�e Instruction Sheet
Job Name: b�e�j� -.51,��, Job #: ���-� Permit Reference #•
Permit Area: (' , �� �-�' �- �;�_ L�j Issued Permit #:
Step�1. Initial Drop Off& Recording of NOC Step 3. Dropping Off Completion Reports �
Payment arranged? Yes�No A. Pasco County
Payment Type Amount$ Payment arranged for Clerk's recording of
completion package? Yes No
MapQuest from Clerk to B. D.? Yes No
Payment Type Amount$
Special MapQuest made? Yes No
Pasco Completion Instructions and/or Comments:
Permit Drop off Instructions and/or Comments:
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B. Other Counties
Step 2. F[�°k��tg ��,�r' I,ss��erl Peri��[ts' Completion Instructions and/or Comments•
Payment arranged? Yes No
Payment Type Amount $
MapQuest from Clerk to B. D.? Yes No
Special MapQuest made? Yes No
Permit Pick up Instructions and/or Comments: OPTIONAL. Other Work
B. Extensions, etc.
Instructions and/or Comments:
�" � �III
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
POWER OF ATTORNEY
I hereby authorize the following agents:
Bryan Gregory and Robert Stevenson
to apply for, sign and receive any and all documents until further notice regarding Contractor
Licensing, Building Permits, Insurance Wind Mitigation forms, and/ar Inspections in Pasco
County Florida. This Affidavit supersedes and replaces all previous affidavits, whether on file
or in the possession of any agent.
Neumann Roofing,LLC
December 5. 2013
Ja on W. Neum nn, Contractor Date
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 5th day of December,2013 by
Jason W.Neumann,who is personally known to me.
� �
�
Notary Public �
�SpRY �HRI571E K AAAJOk
o� NOTARY PUBLIC
o �STATE OF FLORIDA
" ?Comm#EE143314
`��'�'CE 1g�� Expires 11/2/2015
� FL License#: CCC 1326166 GAF-ELK License#: ME20454 �'EII[e
�
AFTER�CO�ING-�TU�TO: I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII
2013204927
� Rtp4.:1567127 Rec: 10.00
OS: 0.00 IT: 0.00
l2/05/13 B McBee, Dpty Clerk
PRULR S 0'NEIL Ph D PASCO CLERK & COMPTROLLER
PERMIT NUMBER.
NOTICE OF COMMENCEMENT 12/05/13 09:59am 1 af 1
OR BK ���6 PG 127'1
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.: 10-26-21-0110-00000-0060
SUBDIVISION Forest Vilias Unrec BLOCK TRACT LOT 6 BLDG UNIT
PB/PG 12/4 Neighborhood 202009.00 Bon Air Area
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Tear off existing roofing system and replace with GAF Timberline HD roofing system
3 OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE 1MPROVEMENT:
a.lvameandaddress: ROSe E112r1 WeSOIoWSki 5931 FOreStAV2. ZephyrhillS, FL 33542
b.lnterest in property FEE S�MP�'E
a Name and address of fee simple titleholder(if different from Owner listed above):
�'� a�� a. coNTRncTOx�sNnME: Neumann Roofing, LLC
yf�� 30427 COMMERCE DR, SAN ANTONIO, FL 33576 813-782-9080
Contractor's address: b.Phone number
5. SLIRETY(ifapplicable,a copy ofthe payment bond is attached):
a.Name and address:
b.Phone number� c.Amount of bond:$
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 of the Lienar'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
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSmERED IMPROPER PAYMENTS iJNDER CHAPTER 713,PART I. SECTION 713.13,FLORIDA STATUTES,AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONIMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CONIIvIENCEMENT.
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.
°�-�' �- �t-x''a��`-�� �C�S� �� ���J 1 l�u���l
(Signature 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 faregoing instrument was acknowledged before me this_�day of �"� � ,20 '�
by �,O",a� '�11� W�-So� o� S� ,as U�.;�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 �„r�.a � �L. W,�.y,t,7�S3�7y D
o`'";��`e��� ERNEST BRYAN GREGORY
` MY COMMISSION#FF028619
.,��� o:
� f„Fo� EXPIRES June 17.2017 (Signature No ary Public)
ta07�398•0153 FlorldallotaryService.com �PT'lllt,TypB, Ot S�rilp CO 1S OriBC�NBTTle Of Ota Ub11C�
Rev 10-01-11 (S.Recording)