HomeMy WebLinkAbout1000 W 5 St RoofApplication No: l d
Job Address: 1000 W. 5th Street
Parcel ID: 25-19-30-5AG-0613-001A
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 402 75 • ---
Historic District: Yes ❑ No ❑
Zoning:
Description of Work: Re -roof with' asphalt shingles
Plan Review Contact Person: Michael E . Torres Title: Owner
Phone: 407-484-2633 Fax: 407-264-6800 E-mail:.michael@roofprosusa.com
Property Owner Information
Name Altermease Harper Phone: 954-292-8188
Street: 1000 W. 5th Street Resident of property? : Yes
City, State Zip: Sanford, FL 32771-1082
Contractor Information
Name Roof Pros USA, LLC
Street: 1000 Savage Court, Suite 102
City, State Zip: Longwood, FL 32750
Name:
Street:
City, St, Zip:
Phone: 407-574-4856
Fax: 407-264-6800
State License No.: CCC13 2 6 64 0
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bonding Company:
~
Mortgage Lender:
Address: 1
e
Address:
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i :,:PERMIT INFORMATION'`
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Building Permit. ® .,.,.. ////l��(�/♦° '
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Square Footage: -�" 1$14i
Construction Type:
Re -roof No. of Stories:
.-A
1'
No. of Dwelling Units: 1
Flood Zone:
Electrical ❑
Plumbing ❑
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical 11 (Duct layout required for new systems) Fire Sprinkler/Alarm 13 No. of heads:
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, heaters, 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 exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Altermease Harper
Print Owner/Agent's Name
S gmbre of Notary -State of Florida Date
NEIL BLANCHETT
•*c MY COMMISSION # EE103903
--XPIRES Jane 15, 2015
(407 39"M F{oridallote S6NkR.corn
Owner/Agent is Personally Kn�n tQM e or
p
Produced ID i� Type of ID 19
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
� �' 'tom -ZC�►Z
Sig ature o or/Agent Date
Michael E. Torres
Print Contractor/Agent's ame
-�-(a
Signa re of Notary -State of Florida Date
•;:�� : NEIL BLANCHETT
•*: MY COMMISSION # EE103903
EXPIRES June 15. 2015
3W-0163 F1oWaNtrvServe.cm
Contracto is oa ow4e or
Produced ID Type of ID
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Rev 11.08
mew
,
CUSTOMER AGREEMENT / CONTRACT PROPOSAL Serving:
MM ROOF PROS USA, LLC Orlando: (407) 574-4856
AfFCORPORATE HEADQUARTERS Jacksonville: (904) 371-3235
1000 Savage Court Suite 102 Miami: (954) 234-2616
P R, US� Longwood, Florida 32750 FL Lic. #CGC1507133
Phone: (866) 407-0250 - Fax: (407) 264-6800 PI I it �trrr���aann
Customer Name: — Date:
Job Address: 00 0 Cell Phone: c9
City /State: CA n'(!r Zip: Home Phone:
Insurance Company S i' I) h n k S Policy No.3 30 3 O i 6Q
ROOF SPECIFICATIONS
Remove one layer of roof materials and dispose.
Re -nail existing deck to meet uplift codes.
Install painted metal drip edge a_ round perimeter of roof.
n 2"a
Install boots to pipes 1+3"
Install Gooseneck vents 4" 101,
Apply ASTM�b)e7nT-st,61uled:
nderlayment to wood deck.
Apply METAL S/ TIL / SHAKES FLAT ROOF SYSTEM
-� Style of roof to�Color: Pitch: 1-1
Install ridge or off ridge vents Qty:Size: ,
$70 per sheet if decking replacement is needed T—
OTHER PROPERTY CONDITIO S
❑ Existi Driveway DamK
No
❑ Skylights:
❑ Interior Damage:
❑ Emergency RepairNo
WORK INCLUDES:
✓ Remove trash fr .
✓ Protect Ian apin
✓ Roll y with mag
✓ nish permit
✓ 2 Year Warranty
We propose to furnish material and labor in accordance with specifications above for the sum of $
UPGRADE RECOMMENDATIONS / NOTES
pra Ped
Insurance Proceeds + Deductible:5 4"'9- W. '
Chan a Orders / Upgrades:
TOTAL COST: Ins. Proceeds + Deductible Change Orders /Upgrade:
ACCEPTANCE OF AGREEMENT: This Agreement DOES NOT OBLIGATE THE CUSTOMER OR ROOF PROS USA, LLC IN ANY WAY
UNLESS PAYMENT FOR DAMAGE IS APPROVED BY THE INSURANCE COMPANY AND ACCEPTED BY ROOF PROS USA, LLC. By
signing this agreement, Customer hereby grants the right and authority to ROOF PROS USA, LLC to do the following:
a)To cooperate with Customer's insurance company for insurance proceeds for the restoration of the damage covered by the insurance proceeds,
with the intent to have Customer's requested work paid by the insurance proceeds at no additional cost to Customer except for
Customer's insurance policy deductible and those items that Customer's insurance policy excludes for coverage. Customer agrees to pay
for all items excluded by Customer's insurance policy. Roof Pros USA, LLC will provide customer with a cost break down of those items
excluded from the insurance policy after that information is made known to Roof Pros USA, LLC.
b) To request payment from customer's insurance company for items not included in the Insurance Company's estimate. All monies received from the
insurance company as contractor overhead and profit and/or cost increase supplements will be paid to ROOF PROS USA, LLC.
c) IF THIS CONTRACT IS CANCELLED BY THE CUSTOMER LATER THAN MIDNIGHT ON THE 3rd BUSINESS DAY from execution, customer shall
pay to RPUSA twenty percent (20%) of the insurance proceeds or $2,000.00, whichever is greater, as liquidated damages, not as a penalty, and
RPUSA agrees to accept such as a reasonable and just comp
ensation for said cancellation.
Accepted by Property Owner: Date:/ By:
_At5�622kl
Accepted by ROOF PROS USA, LLC: Date: / / By:
Sales Representative: Date:// By.
ALL PAYMENTS SHOULD BE MADE TO ROOF PROS USA, LLC - NOT THE SALE MAN
\AJ��
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 08/14/2012
I hereby name and appoint: Robin Belhumeur
an agent of: ROOF PROS USA
(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:
(Street Address)
Expiration Date for This Limited Power of Attorney: 08/14/2013
License Holder Name: MICHAEL E. TORRES
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF ORANGE
The foregoing instrument was acknowledged before me this 14 day of AUGUST
20012 , by (IntiP 1 lc:) ftP S who 4<personally known
to me or ❑ who has produced as
identification and who did (did not) take an oath.
NEgL' IBI AIVCHEiT
a OWPS) Y-z;I0iN # EE1039M
El.PI3rE8 June 15, 2015
(407 30"153 FlaldallotnrySeNke.egtt
(Rev. 3/27/07)
Signature
K9MCAe+
Print or type name
Notary Public - State of L
Commission No. IV? Jo3
My Commission Expires: G - (SS ( S
T. I rl 1,11 i I
THIS INSTRUMENT PREPARED BY:
Name: Michael E. Torres
Address: 1000 Savage Court, Ste 102 5k
Longwood, FL 32750 rSEOLE COUNTY
State of Florida NATURALCHOICE
MARYANN9 MgRSE•1 CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 07833 Pg 17781 U pg )
CLERK'S # 2012096075
RECORDED 08/15/2012 07:59:29 AM
RECORDING FEES 10.00
RECORDED BY T Smith
NOTICE OF COMMENCEMENT
Permit Number Parcel ID Number (PID) 25=19-30-5AG-0613-001A
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)
1000 W 5TH STREET, SANFORD,FL 32771-1082
LEG E 1/2 OF SE 1/4 BLK 6 TR 13 TOWN OF SANFORD PB 1 PG 112
GENERAL DESCRIPTION OF IMPROVEMENT
REROOF WITH ASPHALT SHINGLES
OWNER INFORMATION
Name and address: A
CONTRACTOR
% LO`2
Name and address: .Roof Pros USA, LLC
(% 1000 Savage Court, Suite 102 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 Lienol'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 I, 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.
STATE OF FLORIDA COUNTY OF SEMINOLE
irk
OWNERS SIGNATURE OWNER8 PRINTED NAME
"(NOTE: Per Flerida Statute 713.13(1) (g), awner must sign...... and no one else may be permitted to sign in his or her stead."
The foregoing instrument was acknowledged before me this �_ day of �- u ad�� , 20
by 41-I 7 C✓yr' " `k Who is personally known to me
Name o person making statement
OR who has produced identification _ fl , & . type of identification produced
VERIFICATION PURSUANT TO SECTION 92.625, FLORIDA STATUTES.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT
ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
NATURE OF NATURAL PERSON SIGNING ABOVE
NEIL BLANCHETT
*: MY'COMMISSION # EE103903
'-' EXPIRES June 15, 2015
(ao�jaes-01s3 FlorfdaN ryServkexom Notary Signature
City of 'Sanford
BUILDING DIVISION
RE: Permit # % 02 - 02 2
Inspection Affidavit
I LeVae 1 E . Tn c f S ,licensed as a(n) Contractor* /Engineer/Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; (` I -?� 2 (a L yL
On or about 20 GZ , I did personally inspect the roo
'e I r
deck nailing and/or secondary water barrier ork at /DOO W . 5A cat .
(circle one) (Job Site Address)
S a .,:L EL
Based upon that examination I have determined the installation was done according to the
Hurric e Mi 'ga ion Retrofit (Based on 553.844 F.S.)
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this tday of 6, _ 200 ! 2
BYiehlLe-� E Tl1CCpS
Notary Public, State of Florida
Print, type �orstarnp name)
Commission No.:
Z
�uc�edIde�ntifi
or
cation
Type of identification produced.
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.