HomeMy WebLinkAbout601 Pine AveFEB 0 6 2018
+� CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ , 00.00
Job Address: 601 Pine Ave Sanford, FL 32771 Historic District: Yes ❑ No 0
Parcel ID 25-19-30-5AAG-080C-0060 Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair® Demo ❑ Change of Use ❑ Move ❑
Description of Work: RE -Roof due to Hurricane
Plan Review Contact Person:
Phone: 407-330-7104
J.M. Hillery Sr.
Fax: 407-328-8055
Title: VP
Email: jmhillery@rlhmanagement.com
Property Owner Information
Name Robert L. Hillery/ Victory Temple of God, Inc.
601 Pine Ave.
Street:
City, State Zip: Sanford, FL 32771
Name RLH Construction
Street: P.O. Box 625
City, State Zip:
Name:
Street:
City, St, Zip: _
Sanford, FL 32772
Bonding Company:
Address:
Phone: 407-321-8864
Resident of property? , Yes
Contractor Information
Phone: 407-402-2269
407-328-8055
Fax:
State License No.: CBC12511684/ CCC1328743
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. 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: June 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 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 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 construction and zoning.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
w o2 6
Signat ofContracto A en D to
Print C trac or/Agent's Name
Signature of Notary -State of Florida Date
ANNETTE M BLAND
E�-
otary Public — State of FlondaCorrmissior = GG 170900
Comm. Expires Jan 16.2022
y` W"..
C/o r "'= , I nown to Me or
Produced ID Type o I
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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30.2015 Permit Application
THIS INSTRUMENT PREPARED BY: Name: J.M. Hillery Sr.
Address: P.O. Box 625 Sanford, FL 32771
NOTICE OF COMMENCEMENT
State of Florida
GRANT NALOY, SENINOLE COUNTY
CLERK OF CIRCUIT COURT & CONPTROLLER
SKK 9070 Pq 97 6 (1Pss)
CLERK'S r 2018014001
RECORDED 02/0612n18 I_11:52:28 PN
RECORDING FEES $1CI,pl_I
RECORDED BY aeckenro
County of Seminole
Permit Number: Parcel ID Number: 25-19-30-5AG-080C-0060
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)
601 Pine Ave. Sanford, FL 32771
GENERAL DESCRIPTION OF IMPROVEMENT:
ReRoof due to Huricane
OWNER INFORMATION: Name: RT Hillery I Victory Temple of God, Inc.
601 Pine Ave. Sanford, FL 32771
Address:
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: RLH Construction J.M. Hillery Sr.
Address: P.O. Box 625 Sanford, FL 32772
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:
Address:
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, 1 declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
0 er Signature Owner's Printe ame
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."
Y
State of County of
The foregoing instr ent was acknowledged before me this ��lday of�1� J�� �� 20
a
n* - 1 W
by h , I `� r' Who is personally known to me ❑ W, n
Name of person making latement
OR who has produced identification type of identification produced: r 9
;:,�;�� �!6••.• ANhETTE M 8LAN0
Notary Public- State of Florida
Commission # GG 170900
My Comm. Expires Jar. 16.2022
SOWN :hro�yh Naional No:ary Assr
C22U-
t�uW
�L�C)
Notary Signature Zu G O O
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u E %A m
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Billing Department
RLHP.O. Box 625 BUILDING -ROOFING CONTRACTSanford, FL 32772-0625 MvGCARLHManaeement.com
CBC1251684/ CCC1328743/CGC1512297 Page 1 of 2
CONSTRUCTION COMPANY Phone 407-330-7104
Reliable Luxury Habitations Fax 407-328-8055
Work Write Up/JOB SCOPE AND PRICING
ate: October 23 2017
Client: Victory Temple Of God, Inc
Job Number:
Report No: N/A
Address: 601 Pine Ave
171023-01
City/State/Zip: Sanford, FL 32771
Job Property Address:
Fax Phone: N/A
Work Phone: 407-321-8864
601 Pine Ave, Sanford, FL 32771
Parcel:
Cell Ph. N/A
Email: Superstars@VTOG.org
N/A
Claim or Policy No. N/A
Insurance amount: N/A
After review of the above referenced property, including specifications, supplied by the owner; RLH
Construction Company shall furnish all labor and materials for a lump sum show here for stated work
listed in the job scope below:
1. RLH Construction Company will provide all applicable permits.
2. Remove old shingles and underlayment to bare deck and dispose of properly.
3. Inspect existing decking for water damage and re -nail according to code. We will remove and
replace at a rate of $55/per man-hour plus material. Estimated sheets of plywood (Note: If
unforeseen).
4. Supply and install code approved 30# felt or Synthetic Underlayment to deck using simplex
nails.
5. Supply and install code approved 2 Y2" galvanized painted eave drip and secure to the roof
deck with nails around all eaves and rakes. (Please specify drip edge
color:_TBD )
6. Secure the eave metal with mastic and then apply starter shingles at all eaves with the seal
strip at the edge of the roof.
7. Supply and install all lead flashings for plumbing penetrations.
8. Supply and install code approved painted galvanized 4' off ridge roof vents OR code approved
painted aluminum 10' on -ridge vents as required. (Please specify vent
color:_TBD )
9.. Supply and install code approved Polystick IRX self -adhered underlayment along all valleys
per manufacturer's specifications.
10. Supply and install Tamko 25/ 30 year dimensional shingles per manufacturer's specifications
and all applicable building codes. (Please specify shingle color: _TBD )
11.All workmanship to be warranted for five (5) years from date of completion of building.
Additional Work: AMOUNTS INCLUDED IN PRICE BELOW
1. Gutter Replacement
2.
3.
Page 2 of 2
Order Material Now -PRICING MAY CHANGE
Pricing Clause —Due to the current market conditions and unstable price of materials, RLH
Construction cannot guarantee any quotes further than thirty (30) days from the date set forth above
(x: )
RLH Construction must receive payment for the specified shingles PRIOR TO THE DATE SET
FORTH ABOVE in order to avoid any future price increases that may be implemented by the
manufacturer (x initial here)
With payment to be made as follows: 50% Upon Start 50% upon Completion and Final
Inspection.
RLH Construction Company proposes to furnish the material and labor for a lump sum of $30,300.00*
for stated work listed in this job scope. A manufacturer's warranty shall be furnished if called for
above. Thank you for the opportunity to quote this project. By signing below you are agreeing to pay
the Total Cost of Job according to the terms of this contract for the Work desired as identified in the
Job Scope.
CONTRACTOR: Prepared and Presented by:
Jose ' 111111ery, , V General Contractor
Date: October 23, 2017
OWNER(5):Reviewed and Accepted by:
Owner of gent
Date: 2/6/18
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FL
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS 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, THE 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. Initial:
CITY OF
SkNFORD
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-739 ADDRESS: 601 Pine Ave
Sanford, FL 32771
I _Joseph Hillery, Sr. , 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 #: CCC1328743
COMPANY / CONTRACTOR: RLH Construction
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HO ER OR
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,
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 Lem 1, le -
Sworn to and Subscribed before me this 16 day of 20 /`6 by:
Iq 61 . Who is ❑ Personally Known to me or has Produced (type of
identification) p �! -K -73-33 as identification.
tgna ure of Notary Public
State of Florida
jpsf�Nay. bra Din
�g State of FIWW
Pr iWblic
n cplresTVIUM
of Nod 'Commisslm No. GG 5M