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HomeMy WebLinkAbout1208 Myrtle Ave (2)CITY OF SANFORD + k� 1HIVE1 d BUILDING & FIRE PREVENTION JAN018 PERMIT APPLICATION __..._. Application No: 8- 3� Oa Documented Construction Value: $ _ 5 e)er_-)C Job Address: 120 8 14r+ t-e, Ave 'ctn.; Historic District: Yes ErNo ❑ Parcel ID: 257- 30 AG -140to Residential a Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration El' Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: rC> C-S S h irl C4k-S Q6f_j Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name �� SSc :t L t��cLnt��y'c - _ Phone: '�-c7,7— Street: 2 P" �:r� �': �J� � c��.�,, �^�-i V'� Resident of property? . N._y n F; , t City, State Zip": c� Contractor Information Name IROc��%__ Phone: &K 1":14 -}'=-''�io Street: 1. 2_5 St63orrep City, State Zip: a-1 S 1 Name: Street: City, St, Zip: Bonding Company: Address: Fax: State I.,icense No.: CC C ^ 0 S 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 macte 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5111 Edition (2014) Florida Building Code Revised: Eme 30, 2015 Permit Application 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 permits4e,quired firom 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 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 figured based on the current ICC Valuation Table in effect at the time the permit 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 work will be done in compliance with all applicable laws regulating constructi nd zoning. ignanjre of ownerlA,,ent Date Signature of Contraetor,'Apent Date ss& ,Pr1nt Owner.. ei?q s n ame Yrinf ConiracioriAgent's Name -State of Date SHARON C. CLARKE-MAXIMIN NOTARY PUBLIC jo STATE OF FLORIDA Comm# GG068895 Owner"Agerit is ,�XPr11049RPPKnown to Me or Produced ID 14�'-7.Type of ID DL ANNETTE BLAND Notary Public - State of Florida Commission # GG 060623 W Comm. Expires Jan 16, 2018 Contractor/Agent is "I' r 11 own to Me or Produced ID __ ......... Type of ID Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[:] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONINCT: ENGINEERING: COMMENTS: OL -63 " T FIRE: Fire Alarm .Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD BUILDING &FIRE -PREVENTION %. JN i ���$ PERMIT APPLICATION Application No: O� Documented Construction Value: $ 0(120� Job Address: 12y M Y �� ^� Historic District: Yes ErNo ❑ Parcel ID: :2- 5-- I cl _ 3 ©- 5 AG -14 D to — 0 0 3 0 Residential ❑' Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration D- Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work:�e �'� �� k i n q kS Q.� r Cy Q)0 Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Title: Name �� ssc�t�L V t�rcLiny�-J� Phone:'— Street: �- P� r S J-y e- Resident of property? : C� City, State Zip: Al' 0 ,Contractor Information Ce-11 Name o o1e Ro� f; riQ Phone: Street: 9_'2-S SWJn ��� City, State Zip: MCi Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: CCC C5 9 2 'atP 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 conunenced 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: ;tll Edition (2014) Florida Building Code Permit Application Revised: June 30, 2015 THIS INSTRUMENT PREPARED BY: r 1s2111 epu[ ■oli■ [fill ]iiii i!!ii !i!1 lIli! Name: John Anderson GRANT MALOYr SEMINOLE COUNTY Address: Geneva, CLERK OF CIRCUIT COURT & COMPTROLLER BK 9054 Ps 1842 Mss) CLERK'S T 2018002908 NOTICE Of COMMENCEMENT RECORDED An RECORDING FEES $10.00 State of Florida RECORDED BY hdevore County of Seminole Permit Number: Parcel ID Number: 25-19-30-5AG-1406-0030 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. DES6WPTION OF PR PEotJY3 t Va tsfdo ion of the property and street address if available) l oown o an or tiP9 l44 ff tr((bb e roo DS ilgJes a°ncFFf6 DO ENT: OWNER INFORMATION: Name Lissette Villanueva Address: 852 Pine Shadow Drive, Apopka, FL 32712 Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Name: Ron West Roofing Address: 225 Swoope Ave., Ste. 106, Maitland, FL 32751 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: In addition to himself, Owner Designates of 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) 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 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that 1 have read to,the-bes)my knowledge and belief. ITS O,finells Signature the foregoing and that the facts stated in it are true r Owner's Printed Name Florida Statute 713.13(1)(9): ' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State o/(,%%/ County of—S24q//70/16—�, The foregoing instrument was acknowledged before me this day of by; �.77e�� V ! l! U./)0V�� Who Q,ec,vbe-, ,zo Name of person making statement OR who has produced identification El type of identification produced: �Wy SHARON C. CLARKE-MAXPAN MNOTARY PUBLIC _STATE OF FLORIDA Cornm# GG068895 EA 9�e Expires 2/2/2021 orb. F� IA APPLICATION # I q — Z (0(P FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic. Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District❑✓ Is this a retroactive request? Yes[] No❑✓ Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes❑ No❑✓ Proposed improvements will affect the following elevations: North ❑ South ❑ East ❑ West ❑ Property Address: 1208 Myrtle Ave. Property Owner Information Print Name: Lissette E. Villanueva Mailing Address: 852 Pine Shadow Drive, Apopka, FL 32712 Phone: 407-949-8183 Email: lilyvil@msn.com Applicant/Agent Information Print Name: Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DE-T-ERMINE-IF-A-BUILDING-PERMIT-IS-REQUIRED.-FAILURE TO-OB-T-AWN A-BUILDING-PERMIT-WIL-L RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACC TO THE BEST OF YOUR KNOWLEDGE. Signatur : Date: Zo Zo ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. Re -roof Remove shingles. New eaves. Install a Tamko Heritage shingle color Oxford Grey. Remove flat roof; install a peel and stick base sheet then install a certai❑teed Flintastic SA Cap sheet color Moire Black. New eaves drip white. HISTORIC PRESERVATION BOARD - 300 S. Park Avenue - Sanford, Florida.32771-407.688.5145 - www.sanfordfl.gov/HP THIS INSTRUMENT PREPARED BY: Name: John Anderson Address: e ev, NOTICE OF COMMENCEMENT State of Florida County of Seminole I I fill 1111111111111111111111111111111111 GRANT 11AUJYr eJEMINOLE COUNTY CLERK OF CIRCUIT COURT & CONTROLLER BK 9t)54 F'� 194.2 (1pis) CLERK IS 4 201$002908 RECORDED 01/09/2018 11:24:50 Ail RECORDING FEEL' $10.CICI RECORDED BY Ildevore Permit Number: Parcel ID Number: 25-19-30-5AG-1406-0030 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformation is provided in this Notice of Commencement. D 8glPTION OF PROPER t��3 tilKaLc�sfGiption of the property and street address if available) I own o rtan or Dpgg 61D hh((bb e roof FilgRes laan8FFtia ooi ENT: OWNER INFORMATION: Name: Lissette Villanueva Address: 852 Pine Shadow Drive, Apopka, FL 32712 Fee Simple Title Holder (if other than owner) Address: CONTRACTOR: Name: Ron West Roofing Address: 225 Swoope Ave., Ste. 106, Maitland, FL 32751 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: In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. M. To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement (The expiration date 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 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to,the'bes f mly knowledge and belief. T_ O✓me 's Signature Owner's Printed Name Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' State of /0 r/ d.Ct, County of �� Ile The foregoing instrument was acknowledged before me this /_ day of (� Y/Y% /_JCJ 20 7 Who is personally known to me 'o_'� Name of person making statemm ent i OR who has produced identification ❑ type of identification produced: v1sw7v SHARON C. CLARKE-MAXIMIN NOTARY PUBLIC STATE OF FLORIDAm Com# GG068895 Expires 2/2/2021 r 0 a i tJotary Signature co m CITY OF, r SkNFORD PERMIT # FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 0 ,°�LJY%�a /ly` `��1�r(�'�I W 2 STRUCTURE TYPE: (SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: ©REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): 1-?6 r l q,#k **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: J OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES (? No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ------------------------------------------------------------------------------------------------------------------------------------------------------------------ MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (�<:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE I �� FL# O METAL FL# ►MODIFIED BITUMEN FL# OTORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# OTORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL# CITY OF Sk�4FORD Building &Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART 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 RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: c= TIE 5 sit - ��-; x`" at ac 'k `i.fi..z!� €'�. xz«ts�.�+,, "'?4rr �",:.v.✓*t .c`.- uu' ,#�.et..?',„r «I, .1"- , >., t.. p y»ixra:y 5 a^�'it'E i r# "�Yie#} x.'£i,`,` ✓,.�aa „t . i z ;i, a {"i'. � , A,. Ye MIN sA MA EN-1 �T y CERIFICAI"E®�RO RIA1'E IEESSgr.=1a v. d .s i`K'k`°b-+.M,. €Y±. '','av'.,v.r sr,.s -'.fie+ ;rfr x s Vie. .�AnW "�, ,�:�+,°.:...' ' R *x ;HISTOJ RICR�ESER��TION BOARD>� , # R�z x 3 ,YRR MIA CITl(§®FJSAN'F®RD3,. , G k _..:'.�1 . 3� w2 .. .s ;P_, '€a+ Y..s'Ps`.Y q'� 7Y'F. . m w:+, `c�., 'r ,z..<' { t "s"at-s.' -1 .c'..-t ,.,, "Mro`'b' "' zz:¢ u z 'x a. a 1r- mkt a @.;; g ss'f.:^t-�,Frr�`mM3, �5x^a J "'x„# : "".x i. .,: x .,i ;,; e4ik° -'ems .r�,.,; ' �,.:..z"u�4y easy fu° 'zx.::�.. .,r, t�', W -��, N 300 S ParkAuenues �g M 4: c ti eat a �wM :.,Sanford Flor-i,da 32771,E . '" "`.,.rt^ ,4 xz ns*�^ . ! a3 y . !'`Yx ',:..t"�.:. '<,,,, a ,.z..:,� ... �. z` t '' a" kt f c .#.& .+ a ti Y`_ r 3'` . '� :""'."�. ®% 688�5145y ®w,}}w�w sa�nfordfl o� I-■I°PA s, t, t• f '^ F -' fixr�'3a..A�.l� .d����aA t".f s.1y a-'Z`4 �,� R��a 4 a SZ i�i _ro �.t: �" �?�" a„"� '��'§ �`'�-..�:"...:, 6C' t � �.�€+xz'�� S3'1'.. i`�`��.n..�.-sL� n ��"1 p.'"�- � � € r S?'•.,�°`"°" , ,'a .� x Sid ER`P ST'E ®, /�l' /ALL 3if I ES��IJ ,r,.S4 'j* r P 3. "J' .� l{ t X -`sh;. � z' 4 , t �� � �.. ., • t),' '� y Sn �iF .c �: � Y _ x< -� e+ J ry .,.v i € ,.,� � '� 1 ^-;��' t 3z+- .3* a •.�°4- r i � '� � 7 'fix: �nn � � _ � � ', a ;: � y C,: yet» .�.:���2� _ . r. w,� `:', s„t�s �`�..a�t�.�. ,,.,... � ..�. F ���f a :.. � .,. . #., �:f ..-:�.3 _:..t _.. :.'� .1,.. ..x�.,:'•t � .. �from�� =1877 APPLICATION # I q - Z (0(00 FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.6146 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District❑✓ Is this a retroactive request? Yes[] No❑✓ Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes❑ No❑✓ Proposed improvements will affect the following elevations: North ❑ South ❑ East ❑ West ❑ Property Address: 1208 Myrtle Ave. Property Owner Information Print Name: Lissette E. Villanueva Mailing Address: 852 Pine Shadow Drive, Apopka, FL 32712 Phone: 407-949-8183 Email: lilyvil@msn.com Applicant/Agent Information Print Name: Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE-IF-A-BOIL-DING-PERMI-T-IS-REQUIRED.-FAILURE TO-OB-T-AIN A-BUILDING-PERMIT-WIL-L RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACC TO THE BEST OF YOUR KNOWLEDGE. // Signatur : Date: 4& / Zo / 2 ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. Re -roof Remove shingles. New eaves. Install a Tamko Heritage shingle color Oxford Grey. Remove flat roof, install a peel and stick base sheet then install a certainteed Flintastic SA Cap sheet color Moire Black. New eaves drip white. HISTORIC PRESERVATION BOARD - 300 S. Park Avenue - Sanford, Florida.32771-407.688.5145 - www.sanfordf1.g6v1HP RON WEST ,0 Roof with the BEST - Ron West! 225 Swoope Ave. Suite 106'- Maitland, FL 32751 ronaldwestroof ing@yahoo.corn - ronwestroofing.com State Certified I Lic. # CCC 057776 1 Lic. # RC 0065002 1 Since 1991 844-RON-WEST (766-9378) CONTRACT PROPOSAL 1 3 y i -.w��' 3 r� ,� x�._.� s .. 'r r• ,� �:- Customer f � F' > Date: Property Location: Il i�f.*`-�.� Day Phone: M❑H City/State tx°u% t �', i' Zip: r: I i Evening Phone: ❑ M ❑ H Email: HOA Approval Needed: ❑ Yes ❑dN.ol ------------------- ----- -- ----------- ---- ROOF SPECIFICATIONS - Brand: -- ------------- --- Color Construction Type: ❑ New Construction 0°'Remove & Replace Story ❑ -1, "_ . 0-2" Pitch:• f Layers: �1' ❑ 2 ❑ Peel & Stick 0 El Valley: tOpen w-❑ Closed z Lead Pi pes: ❑ 1 5" ®.�2" El3" ®4'° Uriderlayment: ❑ Synthetic prFelt'� Ventilation: Type Qty. Color .E ` " Drip Edge:,Color ._a Kitchen/Bath Vents:' 4.." 10" Color _y„� t .i Skylights:' Size Type `' 3. Qty. _ Replace Flat Roof: Ell -,Yes ❑ No Color. .. +^ Lumber: Size Type Qty. { �,..s Solar: Description- Misc. Warranty: 0. ❑ System: = Delivery Notes: .Standard _ GUTTER SPECIFICATIONS: Size %I` Color Lineal Feet -Downspouts ' _ SIDING SPECIFICATIONS: Lap Size (Expo"sure) Trim Size 4Finfsh ❑ Smooth El Woodgrain J SPECIAL INSTRUCTIONS' !{" • �' t` a � �>i� ,I'`� .�.' a. /'.Cry t . � �' _ t a- Al", 41111 � `• - � ,A TERMS a ar 1. B signing this Agreement, you. Authorize, Ronald West Roofing; LLC to be present during the insurance adjustment and negotiate„fhe settlement with your; insurance company. 2. Unless other agreed m wntm our out-of-pocket costs will'be 5 x Y 9 9 .6, y p _ : e limited to,your insurance detluctible'amount. However, -you must promptly pay Ronald_West,Roofing'LLC all amounts you receive from your insurance company: If you desire material upgrades or'.other work done on your property, you willincur additional out of-pocket'expenses. . ' - _3. This Agreement_.is not valid -or binding on any other party�unless_and; untilitis signed by both you Ronald West Roofing,.. LLC.: Once it is,r signed by you�and Ronald West Roofing, LLC, Ronald West Roofin g„LLC will be awaided.with the job described above and the'scope and price of the,work will be setforth in the insurance adjustes summary. -ow provides your agreement to all the terms and conditions set forth omthe front and back of this Agreement Please read easefully the ehtireafront,and back of,this agreement. 4. Your signature be ., 4r FIRST CHECK: $' % "SigiiicturCustonter Date Check#• BALANCE DUE: $ Check # Signature - Ronald West Roofing, LLC Representative Date AGREED PRICE: $a Plus additional suuplements and permitfee paid by insurance ecompany Florida Statute: 2004 Chapter 489.1425 - Duty of Contractor to notify residential property owner of recovery fund. — Payment may be made available from the construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specific violations of Florida Law by a state -licensed contractor, for information about the recovery fund and filing a claim, contact the Florida Construction Licensing Board. ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW SECTIONS 713.001.713.37. FLORIDA STATUTES THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND A E .NOT PAID IN FULL HAVE A RIGHT TO ENFOR E THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUB- CONTRACTOR. FAILS TO PAY SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE PAYMENTS, THE PEOPLE WHO ARE OWED MONEY MAY -LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN .IF YOU HAVE 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 OTH- ER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR.MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED. THAT WHENEVER A -SPECIFIC PROBLEM ARISES YOU CONSULTAN ATTORNEY. t GENERAL TERMS AND CONDITIONS The terms and conditions found on this page are an express part of the Agreement between you and Ronald West Roofing, LLC. Please read this page carefully. 1. All work to be done by Ronald West Roofing, LLC is outlined with specificity on the front of this Agreement ("Work") and includes all labor, materials, equipment, apparatus, tools, transportation and services necessary for, and incidental to, the proper installation and completion of the Work. 2. All Work will be completed in compliance with applicable municipal and state codes. Ronald West Roofing, LLC will obtain all necessary permits for the Work. 3. Ronald West Roofing, LLC will perform all Work in a workmanlike manner according to standard practices. All trash will be removed from the yard, gutters, and roof. Magnets will be used to comb the yard for nails, staples and other metallic devices. 4. Grass, shrubs, plants, pools, yard fixtures, etc. will be covered by plywood and tarps as needed. Notwithstanding the foregoing, you acknowledge that given the nature of roof and siding replacement, damage to grass, shrubs, plants, pools, yard fixtures, etc. often occurs. You agree that Ronald West Roofing, LLC is not responsible for any loss or damage to any grass, shrubs, plants, pools, yard fixtures or other property in the yard. 5. In the course of completing the Work, Ronald West Roofing, LLC may discover pre-existing conditions, mold, underlying damage, or other defects or damage to the property. You agree that finding any such issues is outside the scope of Work. Ronald West Roofing, LLC will identify any such situations it encounters and upon your request, provide an estimate to fix such issues. 6. You agree to pay the "Agreed Price" set forth on the front of this Agreement for the Work performed by Ronald West Roofing, LLC. You will pay the first deposit upon execution of this Agreement and promptly pay Ronald West Roofing,, LLC any and all monies you receive from your insurance company relating to the work, including amounts paid as overhead or profit and/or cost increases. The balance will be due promptly upon completion of the Work. You will be responsible for all costs of collection, including reasonable attorney's fees and court costs. Overdue payments will incur interest at 1.5% per month. 7. In certain circumstances, the insurance company's estimate may be revised after Ronald West Roofing, LLC estimates the Work. In such circumstances, you may receive additional payments from your insurance company for the increased estimate. These are referred to as "Supplements." You agree to pay Ronald West Roofing, LLC all Supplements you receive for the Work and/or trades done by Ronald West Roofing, LLC under this agreement. 8. Ronald West Roofing, LLC will not be liable for any delays due to weather, strikes, material availability or any other reason beyond its control. This Agreement: (a) is governed by Florida Law; (b) embodies the whole and complete agreement of the parties; and (c) supersedes all discussions, representations, oral agreements and negotiations between the parties. Any modifications, amendments, change orders, alterations or supplements to this Agreement must be made in writing and signed be by authorized representatives of each party. 9. Driveway damage may occur as a result of heavy equipment and dumpsters being utilized on your project. You agree that you will hold Ronald West Roofing, LLC and all material suppliers, harmless in the event of such damage. 10. THERE ARE NO WARRANTIES THAT EXTEND BEYOND THOSE SET FORTH IN THIS AGREEMENT. EXCEPT AS PROHIBITED BY LAW, RONALD WEST ROOFING, LLC DISCLAIMS ALL EXPRESS AND IMPLIED WARRANTIES, INCLUDING AN WARRANTY OF MERCHANTABILITY AND ANY WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE. RONALD WEST ROOFING, LLC AGGREGATE LIABILITY FOR ANY AND ALL CLAIMS OR DAMAGES UNDER THIS AGREEMENT IS LIMITED TO THAT AMOUNT PAID UNDER THIS AGREEMENT. NOTWITHSTANDING THE FOREGOING, RONALD WEST ROOFING, LLC WILL NOT, IN ANY EVENT, BE LIABLE TO YOU FOR ANY SPECIAL, INDIRECT, CONSEQUENTIAL OR INCIDENTAL DAMAGES IN CONNECTION WITH OR OTHERWISE ARISING OUT OF THIS AGREEMENT. 11. YOU MAY CANCEL THIS CONTRACT AT ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS CAY AFTER RECEIVING A COPY OF THIS CONTRACT. IF YOU WISH TO CANCEL THIS CONTRACT YOU MUST EITHER: 1. SEND A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION BY REGISTERED OR CERTIFIED MAIL, RETURN RECEIPT REQUESTED: OR 2. PERSONALLY DELIVER A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION TO: RONALD WEST ROOFING, LLC 225 SWOOPE AVENUE, SUITE 106 MAITLAND, FLORIDA 32751 t CITY OF Siki4FORD Building & Fire Prevention Division RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: U ' Cam_ Y `1 9_� . 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 #: COMPANY / CONTRACTOR: s �C�� , CONTRACTOR SIGNATURE: DATE: (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: 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, UNDERLAVMENT, 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 OF rQkn Sworn to an Subscribed v V efore me this day of � 20 � by: i�nn l 9—Sr , Who is ❑ Personally Known to me or has 0 Produced (type of identification) as identification. ignature of Notary Public Notary Public State. of Florida o State Florida �is I; Lisa Ann Matthew's ' My Commission GG 143102 1 S p a Expires 09/14/2021 Print/Type/Stamp Name of Notary Public