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Home My WebLink About225 Justin WayDocumented Job Address: Parcel ID: t ) - 4,U • 5 U ° 0 U (' Type of Work: New RP Addition ❑ Alteration ❑ Repair Description of Work: Plan Review Contact PerrPerson:C L Phone;Q01-Q I SCi(3 Fax: Property Owner Ir Name c t`C 3 `r CDEC Street:. City, State Zip: Al Contractor Info Name Street 7 r City, State Zip Architect/Engineer CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION ion No: I 19 1 4 5 Value: $ Historic District: Yes ❑ No 10 Residentiallo Commercial ❑ io ❑ Change of Use ❑ Move ❑ mail: (?C F to) i and wi r ngSP viI ce s . ition r-1- Phone. 4M-21 Z, `` D f 9 J Resident of property": Fax: License No.: Name: Phone: Street:] Fax: City, St; Zip: j E-MI Bonding Company: MOMage . 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 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 secu&d. for -electrical work, plumbing, signs, wells, pools, furnaces, boilers, beaters, tanks, and air; conditioners, etc. FBC 105.3 Shall be inscribed with the date ornpplication and the code in effect as of that date: 5`a Edition (2014) Florida Building Code 3 Revised: June 30, 2015 1 Permit Application NOTICE; In additions to the requirements of this perrak there may be addition found in the public records ofthis county, and there may be additional permits in management districts, stateagencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property < The City of Sanford requires payment of a plan review fee'at the time of permit in order to calculate a:plan review charge and will be considered the estimated The actual construction value will be figured based on the current ICC Valuat accordance with local ordinance: Should calculated chargesfigured off the e; credit will be applied to your permit fees when the permit is issued_ OWNER'S AFFIDAVIT: I certify that all of the foregoing inf be done in compliance with all applicable laws regulating consl y �o rg Sipaturcof Ow=VAWt Dail skffi ire MY COMMISSION # FF213269 EXPIRES March 24. 2019 Owner/Agent is Personally Known to Me or Produced ID _> 'Type of ID Mier5 Permits Required: Building ❑ Electrical ❑ mechanical[ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. +Ocenpaney Load: New Construction: Electric - # of Amps PIK Fire Sprinkler Permit: Yes ❑ No ❑ It of Heads APPROVALS: ZONING: UT111TIES: 1-:013401-mi ;T1-N COMMOCNTS• s applicable to this. property that may be other govemmemal entities such as. water uirements of Florida Lien Law, PS 713. 1:1A copy of the executed contract is required :tion value of the job at the time of submittal. e in effect at the time the permit is issued, in * aet exceed the actual construction value, i is accurate and that all work will nd zoning. M..o CUNT it0T91 _ MY COMMISSION N FF213269 EXPIRES March 24, 2019 �sC�,��i;,-r.•,3 F�oha+Nef+" oevlu�,awr r/Agent is Perso ly. _ e or ID ' Type of ID, i Gas ❑ Roof ❑ Flood Zone: # of Stories: iag -w of Fixttuw ire Alarm Permit: Yes ❑ NoEl WASTE WATER: t o IN _ Rwised:7uae30.2015 - FumitApptieation sirTiZ��:• � sc�s•��i!� fiT)s gig Permit Number: Parcel ID Number: - The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the folloWng information Is provided in this Notice of CommencemenL 1. QESCPJPTJW OF 2. GENERAL QJ�$CRIP'I N OF 3. OWNER INFORMA Name and address: Interest In property: Fee Simple Title Holder (if other than owner listed above) 5. SURETY pf applicable, a copy of "payment bond Is attached): .Amount of Bond: 6. LENDER: Name: Phone 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. Name: Phone Number. Address: 8. In addih'on, Owner designates to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(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 spedfred) WAWVlNG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFreR 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. i wed Owner aOwur's or Lessee's Aufhaizi001�setlU'e¢cII�dPe[Ir18t state of Courrtyof VPm,_n (Peiat Name and P OVM Sigi oWirs TWftKW") The foregoing instrument was acknowledged before me this 2_1 44` day of .20 s by " � �- Q re7 . Who Is personally known to me ❑ OR Name of son niw�&q statement . who has produced iderrtttication' of Identification produced: 'Dn 1WS L e CL NT ROM I'Y COMMISSION it FF2i320 * 'r, EXPIRES March 24.2D*. S tare ►del7f G'13 F� GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2018035321 BK 9101 Pg 1830; (1P9) E-RECORDED 04/03l2018 10:31:44 AM 10.00 CUSTOMER AGREEMENT / CONTRACT PROPOSAL j&M Restoration Services Inc. Central Florida Office 1970 Corporate Sq. Suite D Longwood, FL 32750 422 0002 ustomet rnone 407-960-3931 Fax 321- FL License# CGC 1525663 Sales Rep Name Address Insurance Company_ D t Rep rted Date o � Loss J S J, City State:Zi� _ 7 %3 Claim # Inur ce Company Num r Home Phone Policy 6 Adjuster Phone z l _ /, cy Cell Phone ,6 7 _ 01 Idb Mortgage Company Mortgage Company R /( Email Loan it To Loss ! !' 't. Wind ❑ Had Scopeof Work Removal and disposal of existing Restoration system down to the wood deck Includes: shingles, underlayment, drip edge, /f ipe boots, ridge/off ridge -vents, valley metal 1 /Re -nail wood deck with 8dring shank nails, per city code 0 stall new underlayment Or%Install new drip edge roof vents, and replace pipe,flashing ❑ Protect landscaping, driveway, and other household components not associated with project O/Remove/Install existing satellite dishes '(Note: These % ioed'to be recalibratedgby:satellite provider:)` ( A'solar contractor will remove and reinstall solar panels and /solar water/heating systems as needed to perform tear off/reroof O' .Additional Wood work 2 sheets will be replaced for free and $70 per sheet after that. $5 per Linear foot of lumber X Driveway ❑ Cracks ❑ Oil Stains Ceilings ❑ Stains ❑ Mold Dumpster Shingle ❑ Driveway � 7 A) / [J i rtJ. (Brand) (Color) upgrade Cost Drip [IOG (Color) . Total Investment Summary i 7 ' It is agreed upon the amount of the contract shall be based on the amount equal to full DeductibleAi J replacement cost value as stated on insurance "scope of loss7 including deductible and all upgrades, supplements, extra chargess unless otherwise noted. In the event of a discrepancy, the deductible amount stated on the insurers Scope of Loss x shall overrule Deductible listed. Owner Bid Price Due to the unique nature of rcpairsrelated to insurance claims, this contract does not include an explicit price because the final scope bas not been, agreed upon with the insurer. Reaching agreement on the full scope of repairs involves considerable time on Company's part: we will not proceed with this phase urdess you agree to allow us to do the work once the scope is agreed upon. By signing this agreement, you authorize )& M Restoration Services, Inc to reach agteement on the price and scope of repairs on your behalf. I&M Restoration Services, Inc. agree to bid. the work using the primary insurance industry pricing database (Xactimate) based on the scope of work agreed upon with:yourinsurcr, including general contractormarkup at customary,insumnce industry rate (20% markup on Xactimate line items). Any substantial additions or deductions to the scope of work. will be handled by written construction change orders. No verbal contracts agreed to All items agreed upon must be in writing. IF YOUR INSURANCE COMPANY DENIES YOUR CLAIM, THIS AGREEMENT/COtrrRACT SHALL BECOME NULL AND VOID. NOTICF.TO INSURANCE COMPANY.. ASSIGNMENT OF CLAIM. COVENANT OF PAYMENT: Owner hereby assigns any and all insurance. rights, benefits, proceeds and any causes of action under any applicable insurance policies which cover the damage to the property that company is to repair pursuant to this contract Owner further assigns and authorizes Company to seek reimbursement from Owner's insurance curler for payment owed to Company for services rendered or to be rendered by Company via the initiation of a civil action in a court of competent jurisdiction or other means of recovery. In this regard, Owner waives privacy rights. Owner makes this assignment in consideration of Company's agreement to perform services and supply materials and otherwise perform it's obligations underthis contrac4 including not requiring full payment at the time of service: Owner also hereby directs owners insurance carrier(s) to release any and all information requested by Company, it's representative, and/or it's Attorney for the direct purpose of obtaining actual benefits to be paid by Owner's insurance carrier(s) for services rendered or to be rendered. Acceptance o fTerms The above specifications, scope of work and conditions are satisfactory and are hereby accepted. It is agreed upon that the amount of contract shall be based on the amount equal to full replacement cost value (ACV) as stated on the inmmnce'scope of loss" including deductible and all upgrades, supplements, ezaas/changes,. unless otherwise noted. I&bi Restoration Services, Inc. is hereby authorized to do the work as specified above, along with Xactimate estimate, scope of work and missing items from insurance loss report Owner acknowledges reading, understanding and accepts the additional terms and conditions on the back of this form Buyer's Right to Cancel- If the buyer wishes to no longer receive the goods or services presented, buyer may cancel this agreement by providing written notice to I&M Restoration Services, Inc in Person, by Telegraph or by Mail, This notice must indicate that the buyer does not want the goodsor services and most be delivemd'or post marked before midnight of the third(34) business day after the agreement is signed. i Owne�� -1 A di 'otial Otvner Approval this rontrecq you agree to ail terms on front and back of this conrrae[. CITY OF S..iI4FORD FIRE DEPARTMENT Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. ' �" O ISSUE DATE: `- 1 1 0 16 CONTRACTOR: a JOB ADDRESS: � PROTECT FROM WEATHER • Post this Permit and all required documents in a conspicuous place outside • Digital Photographs are required - please follow re -roof policy and procedures guide • All trash, debris and dumpsters must be removed from job site at final inspection • Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 CITY OF rt SANFORD FIRE DEPARTa'vttNT PERMITTING REQUIREMENTS —NO THIS DOCUMENT (SIGNED) ALONG WITH ANACCURATE AND CON REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICA' THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLOR DA COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. C *PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED MOBILE HOME, APARTMENT AND/OR CONDOMINIUM RE —ROOF THE FOLLOWING IS REQUIRED TO BETROVIDE ON THE JOB SITE: • PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERI • COMPLETED RESIDENTIAL RE' —ROOF SCOPE"OF WORK • COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING Building & Fire Prevention Division RE -ROOF POLICY & PROCEDURES REvLEw REQUIRED RESIDENTIAL RE —ROOF SCOPE OF WORK ARE ;T APPROVAL NUMBERS FOR ALL ROOF WILL BE MADE TO POST ON THE JOB SITE. REQUIRE PLAN REVIEW AND APPROVAL BY THE (SINGLE FAMILY, TOWNHOUSE, LOCATION ALLATION 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 EVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYM.ENT PATTERN & SPACING (INCLUDING f1 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 FLORIDADESIGN PROFESSIONAL (ARCHITECT OR ENGINEER),CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: CITY OF SANFORD PERMIT # FIRE DEPARTMENT Building do Fire Prevention Division RESIDENTIAL RE ROOF SCOPE OF WORK JOB ADDRESS 2- STRUCTURE TYPE: %%INGLE FAMILY RESIDENCE/TOWNHOUSE RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REP O RF-COVER (NEW ROOF INSTALLED OVER EXISTING � a DECK TYPE (PLEASE SPECIFY: **PLEASE NOTE: 0,NLYI00 SQUARE FEET OF THE EX1S ING DECK IS PF,RA ROOF VENTILATION: �FF-RIDGE O RIDGE OSOFFIT SKYLIGHTS: O YES Q60 IF YES, PLEASE PROVIDE FLORIDA PRO MAIN ROOF AREA ROOF SLOPE: O LESS THAN.2t12 r t MOBILE HOME O APARTMENT/CONDOMINIUM E WITH NEW COMPONENTS) TED TO BE REPLACED** OPOWERED VENT OTURBINES CT APPROVAL #: 0 2:12 - 4:12 199 :121 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL �CAINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# 0 TILE j FL# THER: -- �3 L//a ..V Qr_ � V-2 -• ROOF EXTENSIONS (.PORCHES PATIOS ETC) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN.2:12 O 2:12 - 4:12 O 4:12 OR GREATER. t TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE j FL# OMETAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED 'FL# O TILE I FL# O OTHER: j FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: / 511570 ADDRESS: % Z!!� 0_v5TVj R)4- 1 r 9NF&PL1 AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR NSPECTOR, 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 #: IZC 1 2' 29-5 3 / COMPANY / CONTRACTOR: (jG /-- �(,�/ lC • CONTRACTOR SIGNATURE: DATE: �170 (MUST BE SIGNED BY LICENSE HOLDER 4R OWNE I ER) 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, 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. STATE OF FLORIDA COUNTY OF !ii IAMl-F`' Sworn to and Subscribed before me this & day of elm= 20 I O by: 9f (CAML /�� . Who is L/ �la�ersonally Known to me or has El Produced (type of identifical!im'69 _ as identification. Signature of Notary Public ; �►;: CLINT ROTH State of Florida :': MY;CQMMISSION #FF213269 +++ EXPIRES March 24, 2019 Print/Type/Stamp Name of Notary Public