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HomeMy WebLinkAbout1503 E 2 St 10-1039- STRUCTURE REPAIRD' CITYOFSANFORD i4p 10 RD1 Z010 iTYO'F 5AN BUILDING & FIRE PaEVE TION RFr. P ' 1,= PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: / S°3 4 2"=' -577-. Historic District: Yes No Parcel ID: 3o- 19-31 - Sa`f-asooZoning: Description of Work: &7A7 L Si7fvt74&r FN W (4 rt?C" DrhuA-G Plan Review Contact Person: /-&""e Title: PIWJCZ r /46)? Phone: O -1965 Fax: 'ta743/—Yo30 E-mail: _ I t c st ow ug Property Owner Information Name tge. (2_s4W9oaKIe1SA'YL Phone: Street: a3 E . 2N9 51-, Resident of property? : \I 0 City, State Zip: Sf+NJf04LO , fL 3 2171 Contractor Information LL Name (W S Tfl (JS , l NG • Phone: `101 9(05 - t 9 Street: 246 1.4v v r Lmz-+ Ca -4E Fax: 16A %31-'103 0 City, State Zip: 1-1*C-)WOtn jz 3Z"1 State License No.: CCI C. 1'_V 9 5 g7 Architect/Engineer Information Name: voPhone: Street: RW.6 UW SS• * (0c) Fax: 35 Z " 6qt - 5y 11 City, St, Zip: Ste`' P Nt 1-o r 'h-335 b E-mail: Bonding Company: Address: Building Permit d Square Footage: No. of Dwelling'Units:' Mortgage Lender: N'i4 Address: PERMIT INFORMATION Construction Type: Electrical 0 New Service — No. of AMPS: Pr Flood Zone: Mechanical 13 (Duct layout required for new systems) No. of Stories: Plumbing O New Construction - No. of Fixtures: A Fire Sprinkler/Alarm O No. of heads: N Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exce documented construction value when s>0e tract is submitted, credit will b wm hen the of Owner/Agent Date Print Owner/Agent's Name ature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONINC> i **10 UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: Date Print Contractor gent's Names of Notary -State of Florida Date DEBBIE- 11LAV'b1N_' AJy C0"1 "JSSION n uowm A:.oc Co. 191M4?; QTARY Contractor/Agent is Personall Known to Me or Produced ID Type of ID L. G - 1 t "I f 13 WASTE WATER: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 16 March 2010 I hereby name and appoint: an agent of: Kuatom US, Inc. Jeremy Howe Name of Company) to be my lawful attorney - in - fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. The specific permit and application for work located at: 1503 a 2nd Street, Sanford, FL 32771 Street Address) Expiration Date for This Limited Power of Attorney: 12/31/2010 License Holder Name: State License Number Signature of License F STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 16th day of March 200 10 , by Sarah Try who is rsona no to me or ? who has produced a identification and who did (did not) take an oath. acc SE l 2— Signature Notary Seal) . _ Print or type name Rev. 3/27/07) Notary Public - State of' k— Commission Nol SUI QD I My Commission Expires:! o -S– C7 SARAH CTRY MY COMMISSION Al DD5616; orfv EXPIRES: June 8.2010 407)39&0153 Flonda Notary Service com 03-30-10;04:02PM; ;(407) 831-4030 # 1/ 3 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 16 March 2010 I hereby name and appoint: Jeremy Howe an agent of: 1CUatom US, Inc. Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. The specific permit and application for work located at: 1503 6 2nd Street, Sanford, PL 32771 Street Address) Expiration Date for This Limited Power of Attorney: 12/31/2010 License Holder Name State License Number Signature of License I STATE OF FLORIDA COUNTY OF Seminole The foregoing instrument was acknowledged before me this 16th day of March , 200 10 , by Sarah Try who is ajffrsona no to me or ? who has produced as identification and who did (did not) take an oath. 1 Signature Notary Seal) Print or type name Rev. 3/27/07) Notary Public - State of Commission Nojji SLo LO °l My Commission Expires:( Z ED 0SARAH CTRY MY COMMISSION # VD5616S IOi 1 e4 EXPIRES: June 5.2010 0 399-0153 Fronde Notary ge,vltwcom THIS INSTRUMENT PREPARED BY: Name: c/,_7?.E! u - ,Lvt,Z)M Address: Z6,3 wrLex– C State of Florida NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID) 30-19-31-509-0800-0080 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. DESCRIPTION OF PROPERTY (Legal description of the property and street address if available) Leg Lots 8 & 9 (less 30 ft of Lot S) Blk 8 Mayfair PB3 PG 52 - 1503 E. 2nd Street, Sanford, FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT Structural repairs due to car impact with house. Masonry, framing, drywall, paint, electric. OWNER INFORMATION Name and address: Randolph Risner, 1503 E. 2nd Street, Sanford, FL 32771 Name and address of Fee Simple Title Holder (if other than owner) : R me and address: xuatom US, Inc., 265 Hunt Park cove, Longwood, FL 32750 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name and address: In addition to himself, Owner Designates To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date is specified. of 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. I STATE OF FLORIDA COUNTY OF SEMINOLE 4J / X l Randolph Risner W ERS SIG TUR OWNERS PRINTED NAME TE: Per Florida Statute '74.13(1) (g), owner must sign...... and no one else may be permitted to sign in his or her stead." The foreqoing) Instrument was acknowledged before me this ASt<day of %nn/ , 20/0 byAZ)—. Who is personally known to me'21 Nlr of person making statement OR who has produced identification type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. I I. t;Ur. . UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT T FIN VTR ARE TRUE O THE BEST OF MY KN LEDGE AND BELIEF. ERK IT G JF g (1N0 0 TY. FLOR I T O N PE ON SIGNING ABOVE EPUTY CLERK i' Notary X80 • side of Fit" MYIC C`"= m- 30, ZOt! N Notary Signature'— aIOM llMaaM MehlrAYa. ' 1 ' 1' SIFIC Southern Fidelity Insurance Company February 3, 2010 Randolph Risner 2545 Park Dr., Lot 23 Sanford, FL 32771 RE. Claim Number: 6901-3358 Loss Date: 011181,10 ear Mr. Misner: Enclosed, please find a check for the dwelling damages, less the deductible. f7ie claim payment is broken down as follows. Coverage A -Dwelling: 17,380.40 Coverage C- Contents: 369.50 Subtotal: 17.749.90 Less Ikon Recoverable Depreciation: 69.98, Subtoial: 17.679.92 Less 1eductible: 51.000.00 Payment S1.6,679.92 The non-recoverable was taken on the contents items as you do not have the HO 0490 personal property replacement cost endorsement on your policy. As such, Contents are pais at actual cash value. We have enclosed a summary of the dwelling and the personal property loss settlement. We have also enclosed a copy of a brochure for a company called Breakwater. This company o5ers the same type of flooring that suffered damage in this claim. at a discounted price. Please call them at the number on the brochure and they will process and ship the replacement flooring directly to you or your contractor. Please have your contractor work .from the adjuster's estimate. If the contractor has any differences or concerns with the estimate, it will be necessary for him/her to contact me to discuss the differences. We will work with the contractor to come to a fair estimate. However, if the contractor begins work and fails to contact us concerning the differences or finds additional damages during the restoration and fails to notify us in time to re -inspect, we may find ourselves in a position where we are unable to issue a supplemental payment. Therefore, it is recommended the contractor work with the adiuster to orevent such a circumstance. TC1STri -County Inspection Semices Inc. Phone 321-253-9636 Fax: 321-752-9628 Summan• for Dwelling Line Item Total Material Sales Tax @ 7.0000t; x 6,1 15.07 Replacement Cusl Value Less Depreciation Aelual Cash Value Less Deductible Net Claim Total Recoverable Depreciation Net Claim if Depmcialion is Recovered Alburto Carrillo 16,952.35 428.05 17.380.40 2,533.08) 14,847.32 1.000.00) 13,847.32 533.118 16,380.40 I'C:IS-1429 2/1;2010 Page: 10 03-30-10:04:02PM: KUSTOM US, INC. The Undersigned 407) 831-4030 3/ 3 PERFORMANCE AUTHORIZATION 0546 -Par .23 Sam- r." F21 327`7_ Address City State Zip represents that he/she/they are the Owner, or Agent(s) of the Owner (hereinafter collectively "Owner" unless otherwise specified), of the hereafter specified property (and/or its contents), that they have full and complete authority to execute this Performance Authorization and bind Owner to its terms and conditions, and hereby authorize and direct Kustom US, Inc. (hereinafter Contractor") to provide all labor, services, equipment and materials necessary to perform the approved Scope of Work (the Work") attached hereto as Exhibit A and incorporated herein by reference, and to provide all services, including but not limited to the retention of third party professionals and/or consultants of any kind, that are or may be necessary to evaluate, investigate and otherwise develop the Work and assess, investigate and evaluate the condition of the specified real property or structure commonly known as: 2 59-, or(Q r- 3271) Addeess .City = State.' --....--Zip It is understood and agreed'that Contractor will perform the.Work, in• a. professional and workinarillke.marinef and In accordance With the General Conditions set.forth,.below. Itis'.further-agreed.that notwithstanding the applicability. orrterms of any insurance or other policy, that Owner shall pay Contractor for all labor, services, materials and/or equipment provided; y.contractor pursuant to this Performance Authorization. Contractor will. have a policy of'insurance in.full force,.and•will.perform the Work in accordance with applicable building codes in effect at the time of.the IOSs.•A . one-year work6 nship..warranty, will•,be'provided by Contractor, but said warranty shall not. become effective unless and until.,Contnktor'receives full payment.for.any and'.all labor, services and materials provided pursuant to this Performance Authorization:• Owner .hereby transfers„ -assigns and, conveys to Contractor all of Owner's right,'title, and interest in.and- to any insurance policy proceeds (and all subs' egiierit drafts) issued as a result of, on account of, or in any way.connected to the Work. Owner further authorizes and directs.their insurer •(named below) to make "Kustom US, Inc.” a payee -On all insurance drafts issued as a're'sult:of, on'accbunt of::or•.in any...way connected to the Work or this Performance Authorization.'Owner further agrees to.e 'dorse and tender all drafts to -Contractor immediately upon Owner's receipt of same. All Work performed by'the Contractor its subject to the ag4ied upon.:terms of the insurance policy in affect for the listed property, this. Performance Authorization and the. General'Conditions.belbw. • All uninsured, non covered code or other work not specifically included in the Scope of Work. (of''any kind.or nature); applied depreciation, and/or insurance deductibles are and shall be the sole responsibility of,.Owner, and• Contractor• shall have'• no liability;oi.responsibility, of any kind or nature, for the performance or payment of such obligations; or duties::O.Wner, has the,' right,.to:cancel this Performance Authorization by providing Contractor with written notification of•said cancgllation.wjthin three (3) days,of.',QWriets,execution of same. Owner further acknowledges and agrees to be•bound-bythe General Coriditions•set.forth '•below, and':agrees:4hat.this•Performance Authorization shall be incorporated by reference,into any subsequent contracts or agreements betvireen:Co6ir:actor a.nd'Owner, but Owner agrees that in the event of any inconsistency, ambiguity or other conflict •by'and::between the. terms ofthls?:Performance Authorization and any subsequent contracts or agreements, that this• Performante;Authorizatibn shall'goverri•anii`;e'ritrol`The parties agree that the laws of the state in which the listed,property ls•I'ocatedshall goverh',the*te'rms:and conditions:of this:Pedoiinance Authorization. Only to the extent necessary; attached hereto as Exhibiti;K-an'd'incorporated liereinaby reference are the statutory prerequisites and/or disclosures as required;by:the'laws of the state'in yiihich'the:listed_property'it.'loca ed that•are•or may be required to perform the work contemplated,by this•Performance•'Authorization>:; 6L V toS_..:_. . AMOUNT of CLAIM (IF KNdwr9 DATE :OWNER ' clD'7p 71 KUSTOM'US, INC. REPRESENTATIVE. SURE111 W,NEA;%, _IISHO1. ! PRESENTj4TIVE; 411Q'7;ocl...GIJ INSURANCE COMPANY POLICY NUMBER General Conditions owner agrees to allow timely Inspections by municipal Inspector and/or mortgage company agents and to assist with obtaining any third party payee signatures on all Insurance drafts so that Kustom US, Inc. can be reimbursed In a timely manner. If for any reason owner's claim is denied by your Insurance carrier or they refuse to pay the costs of any and/or all Insurance work provided pursuant to this Performance Authorization, or If Owner otherwise delays or prevents the payment of said insurance draft, or use it for other purposes, Owner of the above mentioned property will be personally liable for the costs of all labor, services and materials provided by Contractor. owner acknowledges and agrees that the Contractor shall have no liability for, and shall be indemnified and held harmless from and against, III claims, damages, liabilities and costs, of any kind or nature, and including but not limited to attorney fees and litigation expenses, arising out of or relating to the presence, discovery or failure to discover, remove, address, remediate or cleanup environmental or biological hazards including, but not limited to, mold, fungus, hazardous waste, substances or materials, or asbestos. If for any reason all amounts due under this Performance Authorization are not paid when due, the Contractor shall be entitled to recover its expenses and attorneys fees incurred In the collection of all sums that are or may be owed under this Performance Authorization with Interest on the unpaid balance at the rate of 1.5% per month or the rate prescribed by law. The Owner permits Contractor to obtain a personal credit report to ensure that the insurance proceeds for this project are not in jeopardy. Any controversy or claim arising out of or relating to this agreement, or breach thereof, may be submitted to a court of competent jurisdiction. Contractor Is in good standing with the Better Business Bureau. Contractor reserves the right to terminate this Performance Authorization in the event of any breach, threatened breach or other violation(s) of any of its terms, conditions or the assurance of payment. 265 Hunt Park Cove, Longwood, FL 32750 CGC1059597 CCC 1326430 D' 10 9 Entrance Checklist Exit Checklist Processor Initials: Processor Initials: A lication fee Sto work Order Plan Review Fee Contractor Signature/POA Contractor Registration fee Owner Signature/POA updated docs needed? g1L Contractor Attached to Permit Stopwork Order Contractor Registration fee 2 Surveys IL Copy of signed Contract 4 Sets of Plans p..- Update Plan Review Fee 2 Sets of Engineering Road Impact Statement 3 Sets Energy Calcs NOC Copy of signed contract FEMA packet Fee Calculations Initals Make sure to fill in and check applicable items Application fee: (is owner doing all trades?) Bldg Elec Mech Plbg Plan Review Fee: is update needed after plan review? Fire Impact Fee: S/F IMobile Multi -family of units occupancy type: lCommercials . footage Police Impact Fee: S/F IMobile Multi -family of units Occupancy type: lCommercial sq. footage Parks Impact Fee: S/F IMobile Multi -family of units Occupancy e: lCommercials . footage Radon Recovery Sem Cnty Impact Statement Library School Roads Fire Plan Review Fee Building Permit Fee (stopwork issued - double fee assessed) n a POA OR s Seminole County Property Appraiser Get Information by Parcel ... http://www.scpafl.org/web/re_web.seminole_county_title?PARCE... PARI—Fl r?FTAII DnvrD JOHNSON. CFA. ASA B.A• j PROPERTY APPRAISER m E 2ND ST a e SEMINOLE COUNTY FL. I1 01 E. FIRST sr SANFORD ' 27soe'eee Oy B 6 D 9 2 M 11.0 w i VALUE SUMMARY 2010 2009 VALUES GENERAL Working Certified Value Method Cost/Market Cost/MarketParcelId: 30-19-31-504-0800-0080 Owner: RISNER RANDOLPH & EMMA Number of Buildings 1 1 Mailing Address: 1503 E 2ND ST Depreciated Bldg Value $141,728 154,688 Depreciated EXFT Value $905 943City,State,ZlpCode: SANFORD FL 32771 Land Value (Market) $41,552 41,552PropertyAddress: 1503 2ND ST E SANFORD 32771 Land Value Ag $0 0SubdivisionName: MAYFAIR JUSUMarket Value $184,185 197,183TaxDistrict: S1-SANFORD Exemptions: Portability Adj $0 0 Save Our Homes Adj 1 $0 0Dor: 01 -SINGLE FAMILY Assessed Value (SOH) $184,185 197,183 Tax Estimator 2010 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 184,185 $0 184,185 Schools 184,185 $0 184,185 City Sanford 184,185 $0 184,185 SJWM(Saint Johns Water Management) 184,185 $0 184,185 County Bonds 184,185 $0 184,185 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES 2009 VALUE SUMMARY Deed Date Book Page Amount Vac/Imp Qualified 2009 Tax Bill Amount: 3,847 WARRANTY DEED 05/1987 01852 1438 $21,000 Vacant Yes 2009 Certified Taxable Value and Taxes Find Comparable Sales within this Subdivision DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LEGAL DESCRIPTION LAND PLATS:! Pick... y Land Assess Method Frontage Depth Land Units Unit Price Land Value FRONT FOOT & DEPTH 106 138 .000 400.00 $41,552 LEG LOTS 8 & 9 (LESS S 10 FT OF LOT 9) BLK 8 MAYFAIR PB3PG52 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building 1 SINGLE FAMILY 1988 8 2,065 3,257Sketch 2.065 BRICK/WOOD FRAMING $141,728 5154.894 Appendage / Sgft SCREEN PORCH FINISHED/ 284 Appendage / Sgft OPEN PORCH FINISHED / 138 Appendage / Sgft GARAGE FINISHED / 770 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 1988 1 675 $1,500 WOOD UTILITY BLDG 1988 96 230 $576 1 of 2 3/16/10 11:11 AM IKKUSTOM— Kustom US, Inc. Client: Randolph Risner Property: 1503 E. 2nd St z Sanford, FL 32771 Operator Info: Operator: ALBERT Estimator: Jeremy Howe Business: 265 Hunt Park Cove Longwood, FL 32750 Type of Estimate: Vehicle Date Entered: 1/25/2010 Date Assigned: Date Est. Completed: 3/16/2010 Date Job Completed: Price List: FLOR56_JAN 10 Restoration/Service/Remodel Estimate: KUS-1429 ESTIMATE FORMAT Home: (407) 323-1922 Business: (407) 965-1944 The following contains a copy of our estimate of repairs. This estimate is presented utilizing the Xactimate Estimating System customized to reflect the specific scope of work presented in this loss.' The most recent price list for the Orlando, FL. market was used for some or all of the unit costs. This estimator also may have relied on the use of written or verbal quotes from sub contract labor or suppliers who were deemed capable of completing their respective scope of work. This estimate may also contain pricing information as provided by the RS MEANS COST DATA or the MARSHALL SWIFT BUILDING VALUATION SERVICE. Please consider the following: 1. This estimate contains no allowance for the review of ordinance and law 2. Incurred costs remain open Our opinion as to the building damage assumes a specific scope and methodology of repairs. Any deviation in scope, methods or conditions, may have a reciprocal affect on this opinion. If this should occur, we reserve the right to review such changes and modify our opinion accordingly. E KUSTOM' u .—,.---- Kustom US, Inc. KUS-1429 Main Level k,-.. PORCH Ceiling Height: 8' i 189.19 SF Walls 155.26 SF Ceiling 344.44 SF Walls & Ceiling 155.26 SF Floor 17.25 SY Flooring 27.67 LF Floor Perimeter 30.33 LF Ceil. Perimeter Missing Wall: 1 - 2'8" X 618" Opens into FOYER Goes to Floor Missing Wall: 1 - 8'1" X 4'5" Opens into DEN Goes to neither Floor/Ceiling Missing Wall: I - 6'7" X 8'0" Opens into Exterior Goes to Floor/Ceiling Missing Wall: 1 - 237" X 8'0" Opens into Exterior Goes to Floor/Ceiling DESCRIPTION CALC QNTY Light fixture - wall sconce 1 1.00 EA R&R Slone floor covering F 155.26 SF Brick - Add for column 32''2 64.00 SF replace two brick columns that were damaged. R&R Brick veneer 11'8"•8' 93.33 SF Patio wall damage between window to front door. Aluminum window - Detach & reset 1 1.00 EA R&R Shutters - wood - louvered or paneled 1 1.00 EA Seal & paint window shutters - per side (set) 1 1.00 EA Soffit - metal/vinyl - Detach & reset C 155.26 SF Temporary shoring post - Screw jack (per day) 4 4.00 DA two jacks for two days to lift up roof to place new brick columns. R&R 1" x 4" lumber (.333 BF per LF) 23' 23.00 LF damaged cross beam. R&R Trim board - I" x 8" - installed (pine) 16'•3 48.00 LF cross beam trim damaged. Seal & paint trim - two coats 23' 23.00 LF R&R Porch or deck handrail w/turned balusters 15' 15.00 LF Prime & paint ext. railing - 2 coats primer, 2 coats paint 15'+4' 19.00 LF KUS-1429 3/16/2010 Page:2 J KUSTOM' v -- ---- Kustom US, Inc. CONTINUED -PORCH DESCRIPTION CALC NOTES: FOYER 211.30 SF Walls 287.61 SF Walls & Ceiling 8.48 SY Flooring 31.83 LF Ceil. Perimeter QNTY Ceiling Height: 8' 76.31 SF Ceiling 76.31 SF Floor 25.33 LF Floor Perimeter Missing Wall: 1 - 10'1" X 8'0" Opens into DEN Goes to Floor/Ceiling Missing Wall: 1 - 4'5" X 8'0" Opens into LIVING Goes to Floor/Ceiling Missing Wall: 1 - 1'11" X 6'8" Opens into PANTRY Goes to Floor Missing Wall: I - 1'11" X 6'8" Opens into COAT Goes to Floor Missing Wall: 1 - 218" X 6'8" Opens into PORCH Goes to Floor DESCRIPTION CALC QNTY Contents - move out then reset 1 1.00 EA Mask the floor per square foot - plastic and tape - 4 mil F 76.31 SF Light fixture - Detach & reset 1 1.00 EA R&R Exterior door - Deluxe grade - wood w/detail - pre -hung 1 1.00 EA R&R Exterior door sidelight (window) - 12"- 14" width 2 2.00 EA Door lockset & deadbolt - exterior 1 1.00 EA Remove Tile floor covering F 76.31 SF Install) Tile floor covering F 76.31 SF Material Only) Tile floor covering F 76.31 SF Tile damaged at entrance. Tile runs continuous with kitchen and dining room. KUS-1429 3/16/2010 Page:3 J KUSTOM" v—...--.-- Kustom US, Inc. CONTINUED -FOYER DESCRIPTION CALC QNTY R&R Acoustic ceiling (popcorn) texture C 76.31 SF Paint the walls - two coats W 211.30 SF NOTES: RMR COAT Ceiling Height: 8' 9• i T 45.89 SF Walls 3.19 SF Ceilingv 49.08 SF Walls & Ceiling 3.19 SF Floor j 0.35 SY Flooring 5.42 LF Floor Perimeter f s• 7.33 LF Ceil. Perimeter Missing Wall: 1 - 1'11" X 6'8" Opens into FOYER Goes to Floor DESCRIPTION CALC QNTY Contents - move out then reset 1 1.00 EA Remove Tile floor covering F 3.19 SF Install) Tile floor covering F 3.19 SF Material Only) Tile floor covering F 3.19 SF Tile damaged at entrance. Tile runs continuous with kitchen and dining room. NOTES: KUS-1429 3/16/2010 Page:4 KUSTOM' u —•---- Kustom US, Inc. PANTRY Ceiling Height: 8' 45.89 SF Walls 3.19 SF Ceiling 49.08 SF Walls & Ceiling 3.19 SF Floor 0.35 SY Flooring 5.42 LF Floor Perimeter 7.33 LF Ceil. Perimeter Missing Wall: 1 - 1'11" X 6'8" Opens into FOYER Goes to Floor DESCRIPTION CALC QNTY Contents - move out then reset 1 1.00 EA Remove Tile floor covering F 3.19 SF Install) Tile floor covering F 3.19 SF Material Only) Tile floor covering F 3.19 SF Tile damaged at entrance. Tile runs continuous with kitchen and dining room. NOTES: KITCHEN Missing Wall: l - 810" X 810" Missing Wall: 1 - 71" X 6'8" Missing Wall: l - 3'2" X 810" Missing Wall: 1 - 3'0" X 6'8" KUS-1429 222.30 SF Walls 356.41 SF Walls & Ceiling 14.90 SY Flooring 36.33 LF Ceil. Perimeter Opens into LIVING Opens into DINING Opens into DINING Opens into FORMALDINING Ceiling Height: 8' 134.10 SF Ceiling 134.10 SF Floor 26.08 LF Floor Perimeter Goes to Floor/Ceiling Goes to Floor Goes to Floor/Ceiling Goes to Floor 3/16/2010 Page: 5 KUSTOM' v — Kustom US, Inc. DESCRIPTION CALC QNTY Contents - move out then reset 1 1.00 EA Cabinetry - upper (wall) units - Detach & reset 5'6"+8'8"+1'5"+4' 19.58 LF Upper cabinets have to re -secured. They dropped due to impact. Remove Tile floor covering F 134.10 SF Install) Tile floor covering F 134.10 SF Material Only) Tile floor covering F 134.10 SF Tile damaged at entrance. Tile runs continuous with kitchen and dining room. NOTES: DINING 209.43 SF Walls 335.07 SF Walls & Ceiling 14.05 SY Flooring 38.03 LF Ceil. Perimeter Ceiling Height: Sloped 125.64 SF Ceiling 126.44 SF Floor 21.42 LF Floor Perimeter Missing Wall: l - 10'10" X 810" Opens into LIVING Goes to Floor/Ceiling Missing Wall: 1 - 4'10" X 3'10" Opens into Exterior Goes to neither Floor/Ceiling Missing Wall: I - 610" X 6'8" Opens into Exterior Goes to Floor Missing Wall: I - 3'2" X 810" Opens into KITCHEN Goes to Floor/Ceiling Missing Wall: 1 - 7'3" X 6'8" Opens into KITCHEN Goes to Floor DESCRIPTION CA LC QNTY Contents - move out then reset 1 1.00 EA i Mask the floor per square foot - plastic and tape - 4 mil F 126.44 SF Heat/AC register - Mechanically attached - Detach & reset 1 1.00 EA Outlet or switch - Detach & reset 6 6.00 EA Chandelier - Detach & reset 1 1.00 EA Window drapery - hardware - Detach & reset 2 2.00 EA Window blind - horizontal or vertical - Detach & reset 1 1.00 EA KUS-1429 3/16/2010 Page:6 KUSTOM' Kustorn US, Inc. CONTINUED - DINING DESCRIPTION CALC QNTY Remove Tile floor covering F 126.44 SF Install) Tile floor covering F 126.44 SF Material Only) Tile floor covering F 126.44 SF Tile damaged at entrance. Tile runs continuous with kitchen and dining room. R&R Acoustic ceiling (popcorn) texture C 125.64 SF Paint the walls - two coats W 209.43 SF NOTES: DENo• I m 4 • SIO m Missing Wall: Missing Wall: Missing Wall: Missing Wall: Missing Wall: DESCRIPTION I- 8'1"X4'5" 1- 10'1„X8'0” 1 - 0110" X 810" 1 - 911 It X 89091 l - 2'8" X 618" 298.26 SF Walls 513.81 SF Walls & Ceiling 23.95 SY Flooring 43.95 LF Ceil. Perimeter Opens into PORCH Opens into FOYER Opens into FORMALDINING Opens into FORMALDINING Opens into Exterior CALC Ceiling Height: 8' 215.54 SF Ceiling 215.54 SF Floor 41.30 LF Floor Perimeter Goes to neither Floor/Ceiling Goes to Floor/Ceiling Goes to Floor/Ceiling Goes to Floor/Ceiling Goes to Floor QNTY Contents - move out then reset 1 1.00 EA Mask the floor per square foot - plastic and tape - 4 mil F 215.54 SF KUS-1429 3/16/2010 Page:7 KUSTOM' 9 ---- Kustom US, Inc. Tk CONTINUED - DEN DESCRIPTION CALC QNTY Light fixture - Detach & reset 1 1.00 EA Heat/AC register - Mechanically attached - Detach & reset 1 1.00 EA Outlet or switch - Detach & reset 6 6.00 EA Window drapery - hardware - Detach & reset 1 1.00 EA R&R 1/2" drywall - hung, taped, floated, ready for paint 64 64.00 SF R&R Baseboard - 3 1/4" 17'3" 17.25 LF R&R 5/8" drywall - hung, taped, ready for texture 32 32.00 SF To replace drywall compromised as ceiling dipped. Blown -in insulation - 12" depth - R30 32 32.00 SF R&R Acoustic ceiling (popcorn) texture C 215.54 SF Paint baseboard - two coats PF 41.30 LF Seal then paint the surface area (2 coats) 64 64.00 SF Stud wall - 2" x 4" - 24" oc 11'8""8' 93.33 SF Batt insulation - 6" - R19 93.33 93.33 SF damaged wall area. Clean and deodorize carpet F 215.54 SF NOTES: KUS-1429 3/16/2010 Page:8 KUSTOM" KUstom US, Inc. Missing Wall: Missing Wall: Missing Wall: Missing Wall: Missing Wall: Missing Wall: Missing Wall: DESCRIPTION LIVING 1- 8'0"X8'0" 1.00 EA 1 - 10'10" X 8'0" 1- 2'4"X5'1" 1 1 - 2'4" X 591" 1- 2.4„X6.8" 6 1 - 4'0" X 6'8" 1 - 4'5" X 8'0" 339.05 SF Walls 650.34 SF Walls & Ceiling 34.35 SY Flooring 70.64 LF Ceil. Perimeter Opens into KITCHEN Opens into DINING Opens into Exterior Opens into Exterior Opens into Exterior Opens into Exterior Opens into FOYER CALC Ceiling Height: Peaked 311.28 SF Ceiling 309.17 SF Floor 35.58 LF Floor Perimeter Goes to Floor/Ceiling Goes to Floor/Ceiling Goes to Floor Goes to Floor Goes to Floor Goes to Floor Goes to Floor/Ceiling QNTY Contents - move out then reset 1 1.00 EA Mask the floor per square foot - plastic and tape - 4 mil F 309.17 SF Heat/AC register - Mechanically attached - Detach & reset 1 1.00 EA Ceiling fan - Detach & reset 1 1.00 EA Outlet or switch - Detach & reset 6 6.00 EA R&R Acoustic ceiling (popcorn) texture C 311.28 SF Paint the walls - two coats W 339.05 SF NOTES: KUS-1429 3/16/2010 Page:9 KUSTOM" KUSIODI US, Inc. FORMALDINING Ceiling Height: 8' 215.40 SF Walls 123.17 SF Ceiling b 338.57 SF Walls & Ceiling 123.17 SF Floor 13.69 SY Flooring 25.43 LF Floor Perimeter 1 34.43 LF Ceil. Perimeter IL 1. Missing Wall: 1 - 9'1" X 890" Opens into DEN Missing Wall: 1 - 0'10" X 8'0" Opens into DEN Missing Wall: 1 - 3'0" X 618" Opens into KITCHEN Missing Wall: 1 - 6'0" X 618" Opens into Exterior DESCRIPTION CALC Goes to Floor/Ceiling Goes to Floor/Ceiling Goes to Floor Goes to Floor QNTY Contents - move out then reset 1 1.00 EA Mask the floor per square foot - plastic and tape - 4 mil F 123.17 SF Heat/AC register - Mechanically attached - Detach & reset 1 1.00 EA Chandelier - Detach & reset 1 1.00 EA Paint baseboard - two coats PF 25.43 LF Outlet or switch - Detach & reset 6 6.00 EA Window drapery - hardware - Detach & reset 1 1.00 EA R&R Acoustic ceiling (popcorn) texture C 123.17 SF Paint the walls - two coats W 215.40 SF Clean and deodorize carpet F 123.17 SF NOTES: Miscellaneous DESCRIPTION CALC QNTY Dumpster load - Approx. 20 yards, 4 tons of debris 1 1.00 EA KUS-1429 3/16/2010 Page: 10 KUSTOM' Kustom US, Inc. CONTINUED - Miscellaneous DESCRIPTION CALC QNTY General clean - up 8 8.00 HR Debris and post construction clean up. Electrical repair - Minimum charge 1 1.00 EA repair damaged electrical in area of impact. R&R Gutter / downspout - aluminum - 6" 8' 8.00 LF Taxes, insurance, permits & fees (Bid item) 1 1.00 EA TBD when application for pen -nit is processed by Seminole County. Engineering fees (Bid item) 1 1.00 EA Engineering by Florida Engineering Solutions. Architectural/Drafting fees (Bid item) 1 1.00 EA County may issue permits with engineering report provided. Kustom US, Inc. will determine following permit application. NOTES: Grand Total Areas: 1,776.72 SF Walls 1,146.37 SF Floor 0.00 SF Long Wall 1,146.37 Floor Area 929.09 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 1,147.67 SFCeiling 127.37 SY Flooring 0.00 SF Short Wall 1,218.10 Total Area 164.91 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 2,924.39 SF Walls and Ceiling 213.64 LF Floor Perimeter 300.21 LF Ceil. Perimeter 1,776.72 Interior Wall Area 0.00 Total Perimeter Length KUS-1429 3/16/2010 Page: 11 KUSTOM" v Z.-MLL. Kustom US, Inc. Risk 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 12 KKUSTOM- I mv-- Kustom US, Inc. 2 AddressConfirmation 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 13 KUSTOM- y ._ u Kustom US, Inc. lmpactArea 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 14 KUSTOM- Kustom US, Inc. CarPath 1/21/2010 Taken By: Alberto Carrillo Direction vehicle traveled. KUS-1429 3/16/2010 Page: 15 KUSTOM" Kustom US, Inc. DamagedDownSpout 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 16 s t x ' T:. J{u of ` y :• ^ - r F. t ) I//f ta, c di=' f , a,t '•,! r(" ._. ''r ti's '. \ rev i fid. 7_Z "'111---,-. -; Li' ,' i .,( } } .. i16i a f.; 57 x. '+, .;, ! i"r ' jv t r ].i, , fir+ i' r. i S + a c KUSTOM- Kustom US, Inc. DamagedSprinkler 1/21/2010 Taken By: Alberto Carrillo About three damaged KUS-1429 3/16/2010 Page: 18 KUSTOM- Kustom US, Inc. 8 DoorSideWindow 1/21/2010 Taken By: Alberto Carrillo Damaged. KUS-1429 3/16/2010 Page: 19 KK--u--B.—TO—m-- Kustom US, Inc. DamagedPatioCover 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 20 K_USTOM" W Kustom US, Inc. 10 BrickColumn 1/21/2010 Taken By: Alberto Carrillo Was knocked down due to the impact. KUS-1429 3/16/2010 Page: 21 KUSTOM- Kustom US, Inc. 11 SupportBeamLocation 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 22 KUSTOM- Ma. Z.•Mis. Kustom US, Inc. 12 CrackedCrossBeam 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 23 KUSTOM- ms Kustom US, Inc. 13 Soffit 1/21/2010 Taken By: Alberto Carrillo Will need to be popped back in KUS-1429 3/16/2010 Page: 24 KUSTOM- Kustom US, Inc. 14 PushedInWall 1/21/2010 Taken By: Alberto Carrillo Was boarded prior to inspection KUS-1429 3/16/2010 Page: 25 KUSTOM KUStom US, Inc. 15 BrickWallDamaged 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 26 KUSTOM- Kustom US, Inc. 16 BrickWallDamaged 2 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 27 KUSTOM- Kustom US, Inc. 17 PushedInWindow 1/21/2010 Taken By: Alberto Carrillo Pushed in about 1/2" KUS-1429 3/16/2010 Page: 28 KUSTOM" Kustom US, Inc. 18 DamagedWindowPanel 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 29 KUSTOM- Kustom US, Inc. 19 DamagedWindowPanel 1/21/2010 2 Taken By: Alberto Carrillo Close up of damage KUS-1429 3/16/2010 Page: 30 KUSTOM- Kustom US, Inc. 20 DamagedWindowPanel 1/21/2010 3 Taken By: Alberto Carrillo Close up of damage KUS-1429 3/16/2010 Page: 31 KUSTOM" Kustom US, Inc. 21 DamagedFumiture 1/21/2010 Taken By: Alberto Carrillo Patio furniture KUS-1429 3/16/2010 Page: 32 KUSTOM" Kustom US, Inc. 22 DamagedRailing 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 33 KUSTOM- Kustom US, Inc. 23 Damagedrailing2 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 34 KusTonn Kustom US, Inc. 24 PartsOfRailing 1/21/2010 Taken By: Alberto Carrillo Was damaged due to impact KUS-1429 3/16/2010 Page: 35 KKUSTO — Kustom US, Inc. 25 DamagedPillar 1/21/2010 Taken By: Alberto Carrillo On other side KUS-1429 3/16/2010 Page: 36 KUSTOM" Kustom US, Inc. 26 DamagedPillar 2 1/21/2010 Taken By: Alberto Carrillo Due to impact. KUS-1429 3/16/2010 Page: 37 KUSTOM" k=.••.:— - Kustom US, Inc. 27 Foyer 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 38 KUSTOM- M Kustom US, Inc. 28 Foyer 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 39 KUSTOM Kustom US Inc. 29 FoyerTile 1/21/2010 Taken By: Alberto Carrillo Cracked due to impact. KUS-1429 3/16/2010 Page: 40 KUSTOM" Kustom US, Inc. 30 ContinuousTile 1/21/2010 Taken By: Alberto Carrillo Continuous into pantry closet KUS-1429 3/16/2010 Page: 41 K_USTOM- Kustom US, Inc. 31 ContinuousTile 2 1/21/2010 Taken By: Alberto Carrillo Continuous into coat closet KUS-1429 3/16/2010 Page: 42 KUSTOM" Kustom US, Inc. 32 TiledFloor 1/21/2010 Taken By: Alberto Carrillo Runs continuous from foyer to kitchen. KUS-1429 3/16/2010 Page: 43 KUSTOM- Kustom US, Inc. 33 KitchenFloor 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 44 KUSTOM- a-.=m= Kustom US, Inc. 34 FloorToDiningRm 1/21/2010 Taken By: Alberto Carrillo Kitchen floor runs continuous into dining room. KUS-1429 3/16/2010 Page: 45 KUSTOM- Kustom US, Inc. 35 DiningRmFloor 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 46 K_USTOM" U,d,-e-i- Kustom US, Inc. 36 DamagedWall 1/21/2010 Taken By: Alberto Carrillo Interior view. Electrical has been disconnected by fire department KUS-1429 3/16/2010 Page: 47 KUSTOM" KU5tom US, Inc. 37 CeilingDamage 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 48 KUSTOM" Kustom US, Inc. 38 DoorFrame 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 49 KUSTOM" Kustom US, Inc. 39 DamagedDoorTrim 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 50 KU_STOM" Kustom US, Inc. 40 SupportInDen 1/21/2010 Taken By: Alberto Carrillo The roof is coming down in this area. The fire department put up the support. KUS-1429 3/16/2010 Page: 51 KKUSTOM' Kustnm i1S_ Inc. . 41 SupportlnDen 2 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 52 KUSTOM" Kustom US, Inc. 42 DamagedDrywall 1/21/2010 Taken By: Alberto Carrillo Runs continuous from foyer KUS-1429 3/16/2010 Page: 53 611KUSTOM Kustom US, Inc. 43 FoyerCeiling 1/21/2010 Taken By: Alberto Carrillo Runs continuous from foyer to den KUS-1429 3/16/2010 Page: 54 KUSTOM" b- Kustom US, Inc. 44 DenCeiling 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 55 KUSTOM' Kustom US, Inc. 45 DiningRmCeiling 1/21/2010 Taken By: Alberto Carrillo Runs continuous from den to formal dining room KUS-1429 3/16/2010 Page: 56 KUSTOM- Kustom US, Inc. 46 FormalDiningRm 1/21/2010 Taken By: Alberto Carrillo Walls and ceiling runs continuous with the den area. KUS-1429 3/16/2010 Page: 57 KKU_STO M" Kustom US, Inc. 47 Livingrm 1/21/2010 Taken By: Alberto Carrillo Walls and ceiling run continuous into living rm from foyer KUS-1429 3/16/2010 Page: 58 KKUSTOM- i—Ta:s. Kustom US, Inc. 48 LivingRoom 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 59 KEc_usTo_ nn' Kustom US, Inc. a,....;....,mv 49 Wall & Ceiling 2 1/21/2010 Taken By: Alberto Carrillo Runs continuous into dining rm KUS-1429 3/16/2010 Page: 60 KUSTOM- Kustom US, Inc. 50 LivingRmWall 1/21/2010 Taken By: Alberto Carrillo Continuous from dining room KUS-1429 3/16/2010 Page: 61 KUS _TOM" Kustom US, Inc. 51 DiningRm 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 62 OWKY M-11- Kustom US, Inc. 52 DiningRmCeiling 1/21/2010 Taken By: Alberto Carrillo Crack in ceiling edge due to impact KUS-1429 3/16/2010 Page: 63 Kusronn Kustom US Inc. 53 UpperKitCabinet 1/21/2010 Taken By: Alberto Carrillo Was jolted due to impact and has gap. KUS-1429 3/16/2010 Page: 64 KUSTOM" Kustom US, Inc. 54 UpperKitCabinet 2 1/21/2010 Taken By: Alberto Carrillo Was jolted due to impact and has gap. KUS-1429 3/16/2010 Page: 65 KUSTOM" Kustom US, Inc. 55 Kitchen 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 66 KUSTOM" Kustom US, Inc. 56 UpperKitCabinet 3 1/21/2010 Taken By: Alberto Carrillo Shows slight drop, due to impact KUS-1429 3/16/2010 Page: 67 teKUSTOM' a...-........ Kustom US, Inc. 57 UpperKitCabinet 4 1/21/2010 Taken By: Alberto Carrillo Shows slight drop, due to impact KUS-1429 3/16/2010 Page: 68 KUSTOM- Kustom US, Inc. 58 Attic 1/21/2010 Taken By: Alberto Carrillo Unable to check roof area above den due to insulation KUS-1429 3/16/2010 Page: 69 cusTonn Kustom US, Inc. SANFORD POLICE DEPARTMENT 81`xSOUTH fRLNCHAVENUE SANFORD, FLORIDA 32771 c' BRIAN F. TOOLEY CHIEF OF POLICE 911 EMERGENCY 407) 686-5074 NON -EMERGENCY 407) 688-5071 FAX E-mail: TooleybOsanfordfl.g www sanfordpolice. org71 59 PoliceBsnCard 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 70 KUSTOM- Kustom US, Inc. 60 Insured'slnfo 1/21/2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: 71 KUSTOM- a.µ.... . ,- Kustom US, Inc. 61 GrandFatherClock 1/21/ 2010 Taken By: Alberto Carrillo KUS-1429 3/16/2010 Page: STOM- KU.,. w.— Kustom US, Inc. 62 GrandFatherClock 2 1/21/2010 Taken By: Alberto Carrillo Destroyed due to impact KUS-1429 3/16/2010 Page: 73 KUSTOM- Kustom US, Inc. 63 HomePriorToLoss 2 1/21/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 74 KUST_OM" Kustom US, Inc. 64 HomePriorToLoss 1/21/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 75 KUSTOM Kustom US, Inc. 65 Pics taken by insrd 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 76 cusTonn Kustom US, Inc. 66 Pies taken by insrd2 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 77 ILKU_STO_M" Kustom US, Inc. 67 Pics taken by insrd3 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 78 KUSTOM- Kustom US, Inc. 68 Pics taken by insrd4 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 79 KUSTO_M" Kustom US, Inc. 69 Pics taken by insrd5 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 80 KUSTOM" Kustom US, Inc. 70 Pics taken by insrd6 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 81 KUSTOM- Kustom US, Inc. 71 Pies taken by insrd7 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 82 KUSTOM- M--;- Kustom US, Inc. 72 Pics taken by insrd8 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 83 KUSTOM' Kustom US, Inc. 73 Pics taken by insrd9 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 84 KUSTOM" Kustom US, Inc. 74 Pies by insrd 10 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 85 K!j%TOM" Kustom US, Inc. 75 Pies by insrd11 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 86 EcUSTOM Kustom US, Inc. 76 Pics by insrdl2 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 87 KusTonn Kustom US, Inc. ATOM 77 Pics by insrd 13 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 88 KUST©M" Kustom US, Inc. 78 Pics by insrd14 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 89 KKUSTOM" j -m Kustom US, Inc. 79 Pics by insrd15 1/18/2010 Taken By: Insured KUS-1429 3/16/2010 Page: 90 Main Level Main Levei KUS-1429 3/16/2010 Page: 91