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HomeMy WebLinkAbout290 Clydesdale Cir - BR18-002892 - REROOFU CITY Of S,kNFORD - Building & Tire Prevention"Division PERMIT APPLICATION r•Iltr:Dl:rnitTnnr:rvr & Q Application No: i Q -1 11 C QVDocumentedConstructionValue: $ / n/J I 000ff' Job Address: 290 Clydesdale Cir. Sanford FL 32773 Historic District: Yes No Parcel ID: 16-20-31-506-0000-0140 Residential Commercial Type of Work: New[--] Addition Alteration[] Repair Demo Change of Use Move Description of Work: Tear off existing roof and replace with GAF Royal Sovereign Shingles. Plan Review Contact Person: Allison Todd Plione:352-668-4875 Fax:352-668-4803 Name Kelly Hysell Title: Administrative Ass- Eiiiail:atodd@nfoc.net Property Owner Information Street: 290 Clydesdale Cir. City, State zip: Sanford, FL 32773 Phone: 407-314-0040 Resident of property? : Yes Contractor Information Name Neumann Construction & Roofing LLC Phone: 352-668-4875 Street: 30427 Commerce Dr. City, State Zip: San Antonio, FL 33576 Name: Street: City, St, Zip: Bonding Company: Address: Fax: 352-668-4803 State License No.: CCC1326166 Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and ah- conditioners, etc. faC 105.3 shall be Inscribed whit the date of application and the code In effect as of flint date: 61" Edition (2017) Florida Building Code Lc. ?' Z , 00 Revised: January 1, 2018 1 `7cJ•& 5 Pcnnit Application a NOTICE: In addition to lite requirements of this pennit, there may be additional restrictions applicable to this property that may be found in the public records oYthis county, and there may be additional pennits required front other goventtnental entities such as water management districts, state agencies, or federal agencies. Acceptance ofpermit is verification that I will notify the owner ofthe property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee at the time of pennit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the line the pennit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all wot'lc will be done in compliance with all applicable laws regulating constructs p and zoning. signatureor Owner/Agent Date Print Owner/Agent's Name Signature or Notary -Stateor Florida Datc Owner/Agent is Personally Known to Me or Produced I Type of ID I? IF Contractor/Agent is)( --Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Elects'ic - # of Amps Plumbing - # of Fixtures Fire Sprinlder Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarnt Permit: Yes No WASTE WATER: BUILDING: Revised: January 1, 2019 Permit Application FOR OFFICE USE ONLY: Date Processed Project Manager Assigned Processing Representative Insurance Company otJ Neumann Job Number Division T c.l_A"— 1f tpO61tQ Neumann Construction & Roofing, LLC 24/7 Emergency Service Division 30427 Commerce Drive San Antonio, FL 33576 Construction (813) 782-90804M =eowe*,reo-,,9R.*,,'9- 2" we Roofing (352) 668-4875 Toll Free (877) 762-6350 www.nfoc.net CBC 058155 REPAIR AUTHORIZATION CCC 1326166 I/We, V,Cw --I 1 1 <ca (("Owner/insured") hereby request and authorize Neumann Const uction & Roofing, LLC, and their employees/representatives to enter the premises located at: Street Address: Q96 L Wu NF 5t)iAL.c P;;a City: State: FL Zip Code: Property"), to perform the following scope of services, repairs, labor and/or work (collectively, "Work"): 0 Emergency Services (circle): Water traction/Dry-Out Board -Up Tarp O Structural Repair 23mid + / 0- Roofing (circle . Re-Ro Shingle Color `Y.J ( Drip Edge W 14XT. E6o o Other: Insurance Company & Policy Number: _ 0r)pV:XLJ I A.S A ("Owner's Insurance Company'). Neumann Construction & Roofing, LLC shall perform all Work, as identified above, on the Properly for the amount of the estimate agreed upon with the Owner and/or Owner's Insurance Company. Any supplements to the estimate for covered items will be paid by the Owner's Insurance Company. Any work not covered by Owner's Insurance Company will be agreed to in the form of a change order, signed by the Owner and Neumann Construction & Roofing, LLC prior to the commencement of such additional work. Payments for all Work performed under this Repair Authorization, including any additional work not related to the Owner's Insurance Company scope or estimate of repairs, Is the sole responsibility of the Owner, regardless of insurance coverage. I/We hereby assign any and all interest in the proceeds from any payment from Owner's Insurance Company to Neumann Construction Roofing, LLC, and IN1/e further authorize and direct Owner's Insurance Company to issue payment directly to Neumann Construction Roofing, LLC for such Work, or, to include Neumann Constructi & Roofing, LLC as an additional payee on the face of any payment draft for the Work performed on the Property. If any paw to the Owner, Owner agrees to immediately endorse same and furnish to Neumann Construction & Roofing, LLC. (K (Owner/insured Initials) I/We understand that I am individually, jointly and severally, liable to Neumann Construction & Roofing, LLC for full payment in connection with Work performed on the Property. I/1Ne acknowledge that this Repair Authorization and the Work required hereunder is Object to Florida's Construction Lien Law, and that should I/We fail to make full payme leumann Construction & Roofing, LLC, as provided in this Repair Authorization, a lien will be placed on the Property. F ( Owner/Insured Initials) I/We understand that I/we are solely responsible for the following expenses: (1) Any insurance deductible or non -recoverable depreciation in accordance with the Owner's Insurance Company to be collected at the start of the repair process; (2) Any and all repairs or work performed on the Property by Neumann Construction & Roofing, LLC, which are not authorized by this Repair Authorization; (3) Any and all code upgrade items that are not covered under the Owner's Insurance Company; (4) Any and all additional work requested by any change order; and (5) Emergency services, in the event that no insurance coverage is available for any repairs made to the Property. (6) Neumann Construction & Roofing, LLC collects in draws/payment throughout the process: 1/3 upon work commencing, 113 at 50% job completion, final payment at 100% job completion. I/We understand that should I/we choose to cancel this Repair Authorization prior to completion of the Work, I/we will remain responsible to pay Neumann Construction & Roofing, LLC all actual expenses associated with Neumann Construction & Roofing, LLC's performance of the Work, which includes any overhead and profit payments agreed to by the OWper' n<urance Company, regardless of the quantity or completeness of Work performed by Neumann Construction & Roofing, LLC (Owner/Insured Initials) REMEDIES FOR NON-PAYMENT: Neumann Construction & Roofing, LLC shall have all rights to payment and enforcement provided by Chapter 713, FLORIDA STATUTES, which is incorporated herein by this reference. 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 the prevailing party (or substantially prevailing) in such matter will reimburse the other party for its reasonable attorneys' fees and enforcement costs at all tribunal levels and in all dispute resolution proceedings, including bankruptcy and post -judgment collection, whether or not suit be brought. A service charge of 1.5% per month will be due on all invoices ten (10) days past due, along with all collection costs incurred. Work may be suspended or terminated by Neumann Construction & Roofing, LLC if not paid in full ten (10) days after invoice or billing, In the event of termination by Neumann Construction & Roofing, LLC as a result of delinquent payment or non-payment, Neumann Construction & Roofing, LLC shall be entitled to compensation for lost profit and unabsorbed overhead for all Work not preformed. Neumann Construction & Roofing, LLC shall also be entitled to collection from the Owner/insured of any monies withheld by a lien holder as party to a co -payee check as a result of default or delinquency by the Owner/Insured on a mortgage or other obligation on the property. It is expressly understood that Neumann Construction & Roofing, LLC pre -construction services including but not limited to estimating, site visits, planning, permitting and similar activities shall be payable at a minimum of 10% of total value of the estimated repairs if the Work is not performed by Neumann Construction & Roofing, LLC. SPECIAL NOTICE — INSURANCE CHECKS: Neumann Construction & Roofing, LLC is agreeing to perform Work on the Property based solely upon Owner's agreement to make payment for the Work performed, as set forth in this Repair Authorization. Owner hereby agrees to assign or endorse any and all payment received from Owner's Insurance Company directly to Neumann Construction Roofing, LLC. Owner is responsible for any unpaid amounts, including any deductible owed. You are a trustee of any funds paid by the Insurance Company for the whole Work performed on your Property. FLORIDA STATUTE 713.31, specifically states: "Tire name Insured who receives any proceeds of the policy shall be deemed a trustee of the proceeds." Moreover, execution of this Repair Authorization gives Neumann Construction & Roofing, LLC joint ownership of the check(s) issued by the Owner's Insurance Company for the work done under this Repair Authorization. This joint ownership exists regardless whether Neumann Construction & Roofing, LLC is co -payee of any check(s). Any negotiation of such check(s) without the express written permission of Neumann Construction & Roofing, LLC may be subject to criminal prosecution under FLORIDA STATUTE, $12.014. In the event that such check(s) exceed $300.00, the offense may be a grand theft felony. CHANGE ORDERS: There shall be no deductive change orders from the original scope or estimate of repairs exceeding the amount of the Insured's deductible. Any additive change orders shall require: (1) the written consent of Neumann Construction & Roofing, LLC and the Owner; and (2) any and all actual cost(s) (including overhead and profit) associated with the performing the additional work. Any and all executed change orders shall be considered part of this Repair Authorization. Payment for change orders will be due as follows: 50% upon acceptance of the change order and the entire balance due upon completion of the additional work. WARRANTIES PROVIDED BY NEUMANN CONSTRUCTION & ROOFING, LLC: Neumann Construction & Roofing, LLC hereby warrants and agrees to: (1) Perform all Work in a timely and workmanlike manner, in accordance with current industry standards; (2) Provide workman's compensation and liability insurance to all personnel hired by Neumann Construction & Roofing, LLC; (3) Provide all standard industry warranties; and (4) Perform any warranty repair upon complete and final payment of all amounts owed to Neumann Construction & Roofing, LLC. Neumann Construction & Roofing, LLC shall have no warranty obligation for any Work performed hereunder If the entire amount due under this Repair Authorization is not paid In full within sixty (60) days of the last work was performed on the Property. SITE ACCESS: Neumann Construction & Roofing, LLC shall have full access to the Property to perform the Work every Monday through Friday commencing at 8:00 a.m. and ending at 6:00 p.m. Owner shall remain responsible for Property security and safety unrelated to Neumann Construction & Roofing, LLC's Work. In the event the Owner requests Work be performed other than Monday through Friday commencing at 8:00 a.m. and ending at 5:00 p.m., Owner may be responsible for over time labor rates, as same may be applicable. DAMAGES: Any damaged property shall be compensable at actual cash value. Owner shall have no right to consequential damages related to the time of performance or schedule, or arising or related to the work itself. EXCEPTIONS / AMENDMENTS: 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. 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 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 LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. This Repair Authorization is intended to be a legally binding contract between all parties, their successors and/or assigns. I/We have read, understand and accept all terms of this Repair Authorization. OWNERIINSURED Print Name. Date: NEUMANN CONSTRUCTION & ROOFING, LLC, a Florida Limited Llabll y_C mpany By: Its: Date: lik Print Name: Date: Estimated Cost Anmal Not To Exceed Insuwnce Setllement LEMMD POWER OF ATTORNEY DaW4&_ I hereby name and appoint An agent of. American it and Heat To be my lawful attorney —in-fact to act for me to apply for, receipt for, and sign for and do all tbings necessary to this appointment for: I -Ayes e;IL, Address of Job) Expiration date for this lunited power of attorney: 413011 S, Printed Name ofCmWactor and License Number) S= of F ' of2 Counly Ole 39S to and =b f me this —" of 1:12-OLILbycribsZ( me0apersonallyboz or who bw FOftCO—,(idandficai1oq) Notary SeaQ Commission expires: 1.2 WBARA L GMCILL L MY COMMISSION 0 FF 939109PrintorTypeName) EXPIRES: December 19,2019W-11010, 3x4WThruNDtwPub5CUnder*ftn r, SXRFORD S"B'itilldling* aF9ire3PYevendon Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. 16 W;q a ISSUE DATE: it & a? 7,0 ' I? CONTRACTOR: /V PDMON I JOB ADDRESS: A I V L__%LL d La_K(1 i ILA " Y' 6 TYPE OF WORK: nc x I -VCJ` WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF WSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF L_ I F FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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 ADDITIONTOTHE REQUIREMENTSOFTHIS PERMIT, THERE MAYBE ADDITIONAL RESTRICTIONSAPPLICABLETOTHIS PROPERTY THAT MAYBE FOUNDIN 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 FEDERALAGENCIES. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or SSS.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112, Provide the items requested during the message `• The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts • . PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the next business day. If you experiefice difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - *5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III Inspection Policy & Procedures A Final Roof Inspection is the only inspection required for Residential Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o RoofDeck Nails used (including a measuring device or ruler showing size ofnails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location ofnails Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection MVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 f F D City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope bf Work are required to be submitted as pant of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will ulYin affidavit provided by a Florida Design Professional (architect or engineer), certif ing FBC cod co pli nce by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: 1 DATE: % PERMIT # CID 73 City of Sanford Building Division Residential Re -Roof Scope of Work Joel ADDRESS: 290 Clydesdale Cir. Sanford, FL 32773 STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCF/fOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMIINIUM RE -ROOF TYPE: Q REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITII NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): Plywood PLEASE NOTE: ONL I' 100 SQUARE FEET OF THE EXISTING DECK IS PERDIITTED TO BE REPLACED" ROOF VENTILATION: QOFF-RIDGE ® RIDGE OSOFFIT QPOWERr:D VENT OTURBINES SKYLIGHTS: 0 YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q 2:12 — 4:12 ® 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL a SHINGLE GAF Royal Sovereign FL# 10124.1 Q METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FLY p TILE FL# o o II;R: FL# ROOF EX'rENSIONS (POI PATIOS, rC.) **IFAPPLICABLE" ROor SLOPE: O LESS -rHAN 2:12 Q 2:12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# p METAL FL# OMODIFIED BITUMEN FL# QTORCII DOWN FL# QINSULATED FL# QTILE FL# Q OTHER: FLY FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number ... . . . 18-00002892 Date 6/29/18 Property Address . . . . . . 290 CLYDESDALE CIR Parcel Number . . . . . . . . 18.20.31.506-0000-0140 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1061167 Permit pin number 1061167 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / te a c,-J 6r AFTERRECORDU:O-RETURN TO: •.a/a.0/ JI(it/ cc VeOON Ann QovP)nW 3oK27 C—Afw'f.-fCa ILtt O e'j-„ G—e l al Tn Res. 3dS7( at: s hr- O M PEMUT NUMBER: NOTICE OF COMMENCEMENT 10N The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, a W O N -O O O zcol Florida Statutes, the following information is provided in this Notice of Commencement. eat r- ^4 0 • e • 00 • f.a1 a -a . P O.4 . DESCRIPTION OF PROPERTY (Legal description ofthe property it street address• ifavileble) TAX FOLIO NO.: t1g' 2 ' S1 ls 000 f7 T 0O - W --+ n InUTRACT BLOCKTCTLOT DLDG UNR Q Cl Gsde.., ly,z v,o.. 0 W ta.a Da .+ o ,-, w 4 N co, W O cz- GENERAL DESCRIPTION OPIMMPROYEEHT: w + w OOU1W zW' O' 00 1— X0.1CLfLQppCW0, W V V C8' OWNER INFOMtATION OR LESSEE INFORAIATION IF THE LESSEE CONTRACTED FOR TOE IMPROVEMENT: OCJX WWW O '• 3 W CU dVWWWNamcandaddrtst: b.Interesttnpeopeey: PEE SIMPLE r- Name and address of fee dmpta ddchdder oraffcrem from Owner noel above): d. 8. CONTRACTOWS NAME: Neumann Construction & Rooting, LLC Conuaaoesoddness 304 7 COMMERCE DR, SAN ANTONIO, FL 33576 b.Fbeoemmbcr. 352-668-4875 S. SURETY(hpoicamO.. Py a psyreemboaWisauachtd): a. Nameand address: ` • b. Phone number a Amountofbond:S 6. a LENDER' S NAaIEt J& LoWersaddmss: y & b. Fbme number 7. Persons within the State of Floridadesignatupon whom notices or other documents may be served as provided by Section 713.13 ( 1) (a) T. Florida Statutes: a. Name and address b. Phone numbers OdedBtsted personsaA 8. a. In addition to himself or herself Owner designates of to receive a copy ofthe Lienor's Notice as providedin Section 713.13 n ) ' %f_1rjjda Statutes. b. Phone number of person ceendydesignated by Owner. 9. Expiration date of notice of commencement (the expirationdate may not be bEtpUd'tl_a copletion ofconstruction and finalpayment to the contractor, but will be 1 year from site date of recording unless adi e tis specified): 20 Underpenalty 01 pe 'ury, I declare that I haveread the foregoing notice of commencement and thatthe r6cTs stated therein we true tothe best )y edge and belief Slgna ure of Der Lessee, or0waer's r Lessee's tPrint Name a d Providl Signatory's Title/Ofllce) Authorized eer/D I eetor/Partoer/hfanagState of FLORIDA County o - The foregoing instrument was cknowledged before me this h day of Q 20 [ 7 by as RnM© tt%nL e for m (nae fperson) ( typeof authority,... e.g. officer, trustee, attorney in feet) name of party on behalfof whom instrument wasexecuted) Personally Known —&« Produced Identifipttion Type of IdenlificationAoduced VAM NobqPAk fte of Pop* MrCW tL EviM land) lfoMt aev.to-0t• a) CowMioelMa.ii?IOi1 ic) CITY OF SkNF0R, D FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDA VIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: 12— C g(9 ADDRESS: () P I ( V4 el rV, le oir l- Alm"LA n I L X A a )Y I k V y 21 1 t 3L 1 1. 11 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE M COMPANY / CONTRACTOR SIGNATI MUST BE SIGNED BY LICENSE A FINAL ROOF INSPECTION IS REQUIRED: DATE: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS. STATE OF FLORIDA COUNTY OFft Sworn to and Subscribed before me this day of lG1V_ 20 d by: m d-LWho io'—personally Known tome or has 0 Produced (type of Te ' ication) as identification. ture o Notaryublic D apyA Allison Todd State of Florida o+ri NOTARY PUBLIC STATE OF FLORIDA o a Comm# GG083826 Prin ype/ Stamp Name SINCE I9 Expires 3/16/2021 of Notary Public