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HomeMy WebLinkAbout136 Circle Hill Rd 17-184; roof4 CITY OF SANFORD. BUILDINGING & FIRE PREVENTION PER''PJIIT APPLICATION Application 1°do: Docu.men.ted. C/onstru:c#ib/n :Value: S Job Address: Ji,/io' Historic Distriett Ye.s No Parcel ID: — ResidentiakR- Commercial Type: df ;Work::, New Addiih n Alteration Repair: Demo Change of Use iVlovi D66 ipt on of -W. Cr o J' Plan Review Contact Person: Stephen Barnett Phone: 407-647-9420 Fax: 407-629-5720 Title: President Email; permits@carrollbradford.com vroperty owner information N2 ame Street: ; IP Reside.nx:of property?; ZZ City, State: Zip:' Contractor Information Nameei Carroll Bradford, Inc Street: 4776 New Broad Street, Suite 201 City;;State:Zip;; Orlando, FL 32814 Name: Street: City, St,. Zip; Phone:. 407-647-9420 Fax: 407-629-5720 State License NO,:. CCC1330656 Architect/Engineer Information Phone: Fax: E-mail: Bonding Company: Mortgage Lender: Address: 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 installationhas commenced prior to the issuance of a permit and that all work wi.ii 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, sins, rve:lls, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code. in effect as of that date: 5":Edition (2014) Florida Building Cudo Revised: June 30, 201 S Permit Application NOTICE: In addition to the re-quiremerts of this permit, there may be additional restrictions applicable to this property, that may befoundinthepublicrecordsofthiscount,,, 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 1 will notify the owner of the properri of the requirements of Florida Lien. Law, FS 713 The City of Sanford requires payment of a plan review fee at the time of permit 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 ti+>ured based on the current iCC Valuation Table in effect at the tune the permit is issued, in accordance with local ordinance. Should calculated charges fisured 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 work will be done in compliance with all applicable laws regulating construction zoning. au /, , 5\gntturc..oi;ownertHgent Date Signal :ofCon n gent Date= m o PnntO.umcr,'Agent's \fit Print C0ntractbffAg6t's:Name ture No. ; sra w turn of s of at JASON EDGAR MILTONo r iNotaryPublic •State of F)rrida = MASON EDGAR MILTON NY Comm. Expires Jun 3, 2018 ' .fYoteryPubNc -State of Ffci ida COMmisslon # FF 129683 MY Comm.:Expires Jun 3, 2p18 Owner/ Agent is er on o Contractor/Agent is Coromfssfon # FF 179683 or Produced. ID vpe of ID _ Produced`ID Type of lD BELOW IS FOR OFFICE USE ONLY Permits. Required: Building Electrical Mechanical Plumbing] Gas Roofk Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Fire Sprinkler. Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised--- kne 30.2015 Permit .Application 4 CARROLL BRADFORD, INC. AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL r r / Customer: A14-vt/2J' Date: ! Property Location: C./lile Ti /t` Day: City: . o q Zip: Evening: E-Mail: ROOF SPECIFICAT ONS - Brand: 4/__Style: f "s 4i 4 C- Colo Ridge Materia R / Valley: Open lose Tear-O 2 Vents: Box Shingle Over. Aluminum Fel R / R Ice & Water Shiel perCode Pitch: r Stor3o 2 / 3 Walkout: Yes / No Roof Accessories to be replaced new and/or painted to match single color. Drop Instructions: SIDING SPECIFICATIONS - Brand: Style: Straight Lap / Dutch Lap Exposure: 4" 4.5" 5" other: Style: Elevation being sided (looking at house from street): Front Left Back Right Drop Instructions: GUTTER SPECIFICATIONS - Co or: Special Instructions: TERMS 2s r Color: 1. By signing this Agreement, you authorize Carroll Bradford, Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company. 2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you must promptly pay Carroll Bradford, Inc. all amounts you receive from your insurance company. Ifyou desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses. 3. This Agreement is not valid or binding on any party unless and until it is signed by hoth you and Carroll Bradford, Inc. Once signed by you and Carroll Bradford, Inc., Carroll Bradford, Inc. will be awarded with the job described above and the scope and price of the work will be set forth in the insurance adjuster's summary. 4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement. Please carefully read the entire front and back of gent. 3,t /Wk U /0 First Check: $ Z Signature (Customer) Date Check p Jl 2 d y 2;r— Balance Due: $ Date Check ti Agreed Price: $ Plus additional supplements & permit fees paid by insurance company 4776 New Broad Street, Suite 201, Orlando, Florida 32814. Office: 407-647-9420 • Fax: 407-629-5720 THIS INSTRUMENT PREPARED BY: Name: o ?I t Address: G //. w r f-C% NOTICE OF COMMENCEMENT Permit Number: GRANT hMALOYr SEMINOLE COUNTY C:L.ER"K OF CIRCUIT COURT & C:ONF'TROLLER BK SS .5 F3 720 (IF'ss) CLERK'S Y 2017005785 RECORDED 01/17/21i17 03:21:29 I'-'(9 RE'C:ORDING FEES $10.00 RECORDED BY hdevore Parcel ID Number: e made to certain real properly, and in accordance with Chapter 713, Florida Statutes, theTheundersignedherebygivesnoticethatimprovementwillb following information Is provided In this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Le/gal oescnp/(ion of t[he/properly and street adds if av folable) G Z 1> -,J 2. GENERAL DESCRIPTION OF IMPROVEMENT: C / 3, OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CO Name and address: 211)rl f Interest in property: 0LV1'1 Pr Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: L4 7 / n f A ED F O R THE IMPROVEMENT: /l 7 : Phone Number: il' e Address: ff .Jr// ie & ,t `'q 5. SURETY (If applicable, a copy of the payment bond is attached): 6. LENDER: Phone Number: Amount of Bond: Address: 7. 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)(a)7., Florida Statutes. Phone Number: Address: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOSITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO BEFOBTAIN 'CONSULT WITH YOUR LENDER OR AN ATTORNEY ORE COMMENCING NG WORKOR RECORDING YOUR NOTICE OF COMMENCEMENT. Print Name antl Provide Signatory Signature of Owner or Lessee, orltimners or Lessee's s Tdta/ Office) Authodzed Ofneer/ Direclodpartner/Manager) County of State of / The foregoing instrument was acknowledged before me this day Of -..:/•^rr 20 Who is: personalI nown to mp-i7OR by %. Name of person making statement who has produced Identification type of identification produced: JASON State Of Florida Note ignature Notary Public 20t8 GRA T M LOY r I Comm. Expires Jun 3, CLER OF TH UI ©U T s'' ° "1 j• d',•' Commission u FF 129663 AND MPT LE f: SEMIN C NTY, DA `........... J AN172017: ,: BY DEPUTY CLERK City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND /ALL FINAL ROOF COVEERIN/GS PERMIT #: ADDRESS: I , 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 REQUIREME TS (BASED QN F.S. CHAPTER 553.844). Ir LICENSE #: 204 ,1 COMPANY / CONTRACTOR: C-1 ( ( 'V CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLDER A FINAL ROOF INSPECTION IS REQUIRED: DATE: l 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. Q (Pd STATE OF FLORIDA COUNTY OF i I /' U. Sworn to and Subscribed before me this day of 1 - 20 (/ by: A1111 (2- . Who is ersonally Known to me or has Produced (type of identifica ry 71 'x'k? Print/Type/Stamp Name of Notary Public as identification. JASON EDGAR MILTONId"'•, of Fio1lda Mls ,Notary Public State 2018 MyComm. EXPIMSJun 3,?, Commissfon 1J FF 128683