HomeMy WebLinkAbout305 Appaloosa Ctnr ,
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JAN 2,s
Documented Construction Value: $ 1qrQS()'0')
Job Addre
Parcel ID:
Type of Work:
Description of Work:
Plan Review Contact Person:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I g_ _581:Q
Alteration ❑ Repair
Phone: -3!Q %a—Q�j[e:� Fax: 3�QnDg0-� ?'s --39
Historic District: Yes ❑ No ❑
Residential ❑ Commercial ❑
Demo ❑ Change of Use ❑ 1Vlove El
Title: —
Email:
Property Owner Information t.o m
Name 0}1 �!�/`lira
Phone: �d%'"Fjo —'(ez?l
Street: 30S f
�v05eL_ Of IN Resident of property?
City, State Zip: cSQtr,/
FL -3g77
Contractor Information
Name
2
Phone: SS.;;�" Big —&Qz�S
Street: A110
Fax:
City, State Zip:
PXA Cr, State License No.: �C 1�-�43(p
rchitect/Engineer Information
Name:
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company:
Mortgage Lender:
Address:
Address:
`YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO),UNIENCEivIENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CONINIENCENIENT MUST BE
RECORDED :IND 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
CO /IMENCEtMENT.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
Revised: huie 30, 2015 Permit Application
yOTICE: 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 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 [CC 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 constntction 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 wort: will
be done in compliance with all applicable laws regulating construction and zoning.
Si. -nature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner,/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
P t Contractor/Agent's Name
Sign lure of Nola - tate of Florida Date
-1 INDSAYD.+t CKrir�ln"I
Corn s s on kk FF 1 72210
M Co! r
,mi ion f_xpires
c:ctr per 29, 2018
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COLNUMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
1111111111111111111111 Hill 1111111111111
Permit Number:
Folio/Parcel ID #: I
Prepared by:
vet, 6" 7 vcayr s vY--
Return to: Covenant Roofing & Construction Inc.
1410 Emerson St.
Leesburg, FL 34748
+'1_i ' i'!H Ri
c.LERK IS 41- 201.8ii10023
NOTICE OF COMMENCEMENT
State of Florida, County of
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.
1. Description of prop
ertiy (legal de
scription,of the pc�perty, and street address if available)
2. General description of improvement
r�_r-b(
3. Owner infgrTation or LL e�see,information if the Lessee contracted for the improvement
Address L >
Interest in Property wK11" r
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name Covenant Roofing & Construction, Inc. Telephone Number 352-728-8818
Address 1410 Emerson St., Leesburg, FL 34748
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 CONSIDERE IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IVD
AYINZINEY
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORD0! OB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITJH YOER BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
� Cane
Sig a re wner or Assee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this 04P—' day of by Z!8�17 \
mon year name of perms
as 0t,3nai for r)k) yl—_
Type of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed
A�� I
f N Public — State of Florida
Personally Known OR Produced ID
Type of ID Produced el//L-- qj—
(s 7!rIEDCC) 7v GRAIN MA1C1Y
CLIZU Or )"i-
AfIDLC'
Form content revised: 01/2 4
BY
Date---__
Print, type, or stamp commissioned name of Notary Public
2018
Limited Power of Attorney
Date
I hereby name and appoint Robert Horne of Covenant Roofing and Confstruction Inc. to be my
lawful attorney in fact to act for me and apply to Ir LJ7
for a permit for work to be performed at a location
described as:
Address of job: J (2�— A- P Past' O&A— C"'r
Joseph E. Rayl, ContractoEJiGexsq #CCC1329936
Acknowledged: (�
Sworn to and subscribed o b me this J day of J , 20 �lS
By Joseph E. Ram who is �', sonally known to me or _ produced as
Public, Statkf Florida
My Commission expires:
f �h n„
i l7 is C�i ii its i�� r F F i72T_ i
f 5�I fly Comrni,s1on L-xpire� i.
�,CtCJ<?r 1G18
1410 Emerson Street, Leesburg, FL 34748 • State Roofing License: CCC1329936 • License: CGC037504
Phone: 352-314-3625 e Toll Free: 855-314-3625 • Fax: 352-240-3439 e www.covenantrnc.com
SALES CONTRACT
Covenant Roofing & Construction,, Inc. agrees to furnish all materials and labor necessary to do the modernization work at the following address:
Name - Phone �A(21"] - CI -'1N-A/Phone (w)
Address---�oQ'`Uif-S0� Date-��
City __�30r 1T' _ L State ip e—
Email
In accordance with specifications given below:
REROOF:
A. SHINGLE ROOF
1. REMOVE OLD ROOF TO WORKABLE SURFACE.
2. RENAIL ROOF DECK WITH RING SHANK NAILS.
3. REPLACE ANY f(OTTED WopD ,1TH STANDARD SHEATHING @ $ PER FOOT AND $ YC� PER SHEET OF PLYWOOD, IF ANY. (Initial)
4. INSTALL �' / �`� . UNDERLAYMENT OVER ENTIRE ROOF. 7
5. INSTALL FHANA EAVES DRIP. COLOR <
6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY.
7. INSTALL NEW LEAD BOOTS OVER VENT PIPES AND RESEAL VENT
8. INSTALL D YEAR FIBERGLASS SHINGLES. COLOR te-, it
9. INSTALL FEET OF RIDGE VENT AT $&4Q_RERZQQT COLOR f 4/ P_%"ti y
10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN.
11. CONTRACTOR WILL COORDINATE REMOVAL AND REINSTALLATION OF ROOF RELATED PERIPHERALS SUCH AS T NOT LIMITED TO) SOLAR UNITS, SKYLIGHT ,,V
T. DI
AND AIR CONDITIONERS, ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FACIA @ $4.25 PER FO A ION TO CONTRACT PRICE, IF REQUIRED. THE - COST FOR
SUCH WORK WILL BE IN ADDITION TO CONTRACT PRICE AND HEREIN APPROVED BY HOMEOWNER. (Initial)
12. ALL WORK COVERED BY A 5 YEAR WORKMANSHIP WARRANTY.
1. Contract Documents. This contract consists of this document, extra work/wood authorizations, if any, and if payments
hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract
documents shall be recognized by either party. The entire understanding and agreement of the parties is contained in the
contract documents.
2. It is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is duly
approved, accepted, signed and witnessed by an officer or officers of the Seller.
3. Work on the job described in the con a t d cu ents will commence on approximately and be
completed on approximately ! The recited dates are approximations and are subject to scheduling
difficulties of Seller, labor and/or material shortages, acts of God and other events not foreseen by Seller Seller reserves
the right to employ any sub -contractor for the completion of the work described in the contract documents.
4. Covenant Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required
materials such as fire retardant plywood, tongue and groove board, etc. will be billed on a time and material basis. All other
changes required by New Jurisdictional Code Enforcement Laws may result in additional charges.
5. Interest at the rate of eighteen (18%) per cent per annum will be charged on all balances not paid as per the terms specified
above. Reasonable attorney's fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an
attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay.
6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought
thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida.
7. BUYERS RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel
this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that you
do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you
sign this agreement.
8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be
performed.
9. It is understood and agreed that the buyer hold harmless, Covenant Roofing & Construction, Inc., for any damages that may
occur to the buyer's driveway(s) during delivery of materials and/or removal of the work related debris that may be required
to perform this home improvement contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and
typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sales contract.
10. Contractor will coordinate removal and reinstallation of roof related peripherals such as (but not limited to) solar units, skylights,
T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner.
11. Covenant Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines
or other mechanical components that have been improperly installed near roof decking and may be damaged while performing
installation of roofing materials. Villages Roofing & Construction, Inc. shall not be responsible for any additional costs due to
roof decking that may have old materials adhered in such a way that requires redecking of structure.
12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. For
information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the
following telephone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904)
727-6530.
13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal
action for an alleged construction defect in your home. Sixty days before you bring any legal action, you must
deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects
and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept
any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to
protect your interests.
Contract Price $ ___��ai%�_'_____
Homeowner Portion $ _ le_)0
(Plus Total from Item No. 3 above)
UPON COMPLETION
Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer,
this day of :3 tln , 20 /r
Approved and Accepted: NOTICE TO OWNER
a. Do not sign this home improvement contract in blank. %
b. You are entitled to a copy of the contract at the time you sign. Keep ' pFe u� rights.
Seal(Seal)
( ) (Sea )
(Dealer -Seller) (Purchaser Sign Here)
BY N (Seal)
(Title)
SALESMAN
(Purchaser Sign Here)
FORD PRESS, INC. 352-787-4650 (mike)
SkNFORD
CITY OF
"� I Building 8c Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY&PROCEDURES
FIRE DEP ARTytENT
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: 24
f5e 2-
PERMIT # (�^
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: ,/SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDO:NI[!N[UN[
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):
**PLEASE !VOTE: ONLY 100SOL%,-1 RE FEET OF TFIE EVISTIVC DECK IS PER WTTED TO BE REPLACED * *
ROOF VENTILATION: OOFF-RIDGE RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
(MAIN ROOF AREA
ROOF SLOPE: LESS THAN 2: l2
-------------------------------------------------------------------------
O 2:12 -4:12 4: l2 OR GREATER
OTURBIINES
TYPE OF ROOF
INIANUFACTURE R
FLORIDA PRODUCT APPROVAL
SHINGLE
eeS�ICeW
FL#
O MMETAL
FL#
0IAODIFIED B[TUMEN
FL#
OTORCH Dow Ni
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS ETC.) **IFAPPLIC IBLE**
ROOF SLOPE: # LESS THAN 2: 12 O 2: 12 -4: 12 O 4: l2 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
® MODIFIED BITUMEN
Al
M wvej
FL# OLJ[ �3'
QTORCH DOWN
FL#
O INSULATED
FL#
OTILE
FL#
0 OTHER:
FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERN1IT /#: G^ � ADDRESS: C—E
3@7n 3
[ , AS A(N) GEN-ER-AL, BUILDING, RESIDENTIAL, OR
O ROOFING C1TR.ACT R, ENGE.NEER, AR HITECT, OF F.S. CHAPTER 463 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOENG INFORMATION IS TRUE AND ACCLRATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF bVORK 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 [ CERTIFY THE NST.ALLATIOV ;MEETS :ALL
REQUIREMENTS FOR SECONDARY WATER BAR.RIER ,AND NAILING OF THE ROOF DECK, N ACCORD.ANCE WITH THE HURRICANE RETROFIT
,MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: rese��P
CONIPA:NY 1 CONTRACTOR:
CONTRACTOR S[GN.ATL:RE: z --
(MUST BE SIGNED BY LICENSE HOLDER OROWNER-!'BUILD
A FINAL ROOF INSPECTION IS REQUIRED:
DATE•
THIS SIGNED .A:ND NOT, iAm AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
.ALONG WITH DIGIT.AL�HOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL CONIPOVENTS (DECKING,
UNDERLAYNIENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT ;NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGR.-0HS ;MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL :NAIL SPICING AND
OVERLAPS, INCLUDING DRIP EDGE .AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY .kND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
*'FAILURE TO FOLLO�1 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 0:\' PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING CO:,IPONENTS.
STATE OF FLORIDA COUNT
Print/Type/Sta
of Notary Pub[
1' OF e'
me this day of aa 20 P by:
Who is ersonally Known to me or has = Produced (type of
as identification.
LINDSAY DUCKHAM
Commission N FF 172210
SR R�
.E My Commission Expires
<°;;;'�` October 28, 2018