HomeMy WebLinkAbout105 Cobblestone Way; 16-3409; RE-ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
D r- C 2 Z REC'9
PERMIT APPLICATION
Application No: 16- 34v9
Documented Construction Value: S , S 9
Job Address: c hVV_ Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 2 -tz 6 o
J
Plan Review Contact Person: t; c: ' 1 y;,I ( n C' Title: NA
d
Phone: !J0 1 - 31 4' - L Oil Fax: Email:Da. V t., (:i. F-I 11 C 1, rr'__cx,l ( C
Property Owner Information
Name L,zrrA;nP_ Co /htiiern '-_ Phone: 'V6-7- 3 7O (.70T
Street: /o-r 6p bb ] e_ Aune.. Resident of property?
City, State Zip: S c-^ FL 3a-7-7
Contractor Information
NameAl bws -r--7 ryq Inc Phone:yo 7 J 7 7LI - a/ S e Street: //
D car_d__e_ / p J Fax: City,
State Zip: /y' ait l Gl n-et; R- , 5,P7S I State License No.: /; C Architect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
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. 15
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 Code Revised:
June 30, 2015 Permit Application
0
r
CONTRACT
Commercial & Residential
Home of the FREE Roof Inspection"
www.alansroofinginc.com
LICENSE NO. CCC046942
Phone: (407) 774-2158
Toll Free: (800) 309-5667
Fax: (321) 207-0437
NAME 41- H.PHONE Y07- .00--%j C.PHONE DATE /aZ y
J I-X71 I
ADDRESS /O-T- b/e 9.- ay Wr CITY Jerr ZIP F& E-Mail
MAILINGADDRESS CITY ZIP
SALESMAN CONTACT PHONE 5 -STD _'7 D
M.HOME HOUSE
OTHER COMMERCIAL JOB # C0
BRAND AND DESCRIPTION
OF PROD T F,l/t:1 C/1i1• j c Jv 4 COLOR' w t'` L PITCH .IZ
lA
1. PULL CITY OR COUNTY PERMIT SO. RENAIL WOOD
2. TEAR OFF: SQ. OF OLD SHINGLES SQ. OF FLAT ROOF SQ. OF OLD TILE
3. DRY IN: REINFORCED FIBERGLASS UNDERLAYMENT _ 1 LAYER _ 2 LAYERS ((
w
PEEL & SEAL
4. INSTALL: GALV. VALLEY METAL LF SELF ADHERING VALLEY LINER LF METAL OVER RIDGE LF
5. INSTALL: ALUM. DRIP EDGE LF STEEL DRIP EDGE LF PAN FLASHING LF _ L. FLASHING LF COLOR
Q 6. INSTALL REPLACE: LF OF R.V. PLUGS COLOR FT. VENT SURE
7. REPLACE: 1 1 1/2 IN. —3 -_ 2 IN. _ 3 IN. LEAD BOOTS 4 IN. GRV'S 10 IN GRV'S ELEC. RISE
0 8. STARTER ROLL STARTER STRIPS CIRCLE ONE
9. LAY SQUARE OF,91NEW FIBERGLASS SHINGLES CAP 3 - TAB / PERFY HIP & RIDGE 10.
INSTALL: SM. DEAD VALLEY LG. DEAD VALLEY MODIFIED LIBERTY 11.
INSTALL: TPO LAYER OF INSULATION TBAR / SEAM TAPE El
ACRYLIC SFA FIXED GLASS 12. INSTALLIREPLACE: 2 X 2 2 X 4 4 X 4 SKYLIGHTS DOMES CM CLASSIC 13.
HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS 14.
ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL 15.
ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TO CONDUCTANYORALLINSPECTIONSTHATMAYBEREQUIREDUNDERLOCALORSTATELAW16.
SPECIAL INSTRUCTIONS a crime t 1 - I (/n IA`' :
tit n ax, TOTAL
CONTRACT AMOUNT Price
is good for 30 days DEPOSIT Q of000ACCESS:
Customer agrees to allow access to the property and realizes that heavy equipment is being used. Contractor
shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems and any other
structures thereof, as a result of rooftop or job deliveries. BALANCE DUE UPON DAMAGE
ETC.: Customer shall be responsible for removal, reinstallation and recalibration of satellite dishes. Should customer become aware COMPLETION ofdamagetopropertybyContractor, his agents, or employees during the course of installation of the roof, said damage shall be brought to the L. attention
of the Contractor prior to the time of payment for the roof in question. If Customer fails to notify Contractor of said damage, within 5 working
days of occurrence, then shall waive all rights against Contractor concerning said damage. Alan's Roofing is not responsible for roofing nails penetrating A/C lines in the attic. Customer agrees to secure and protect
their assets including shelves, ceiling fans, tools and other valuables to avoid damage from vibration, breakage and/or detachment of parts, etc. DELAYS,
ETC.: Hereby acknowledges that Contractor may be subject to delays occasioned by inclement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the Contractor
and hereby accepts delays occasioned by one or all of these circumstances in the installation of the roof. PAYMENT
OF CONTRACT: Customer hereby agrees that ail amounts due for this work shall be paid upon completetion of installation. Any amounts unpaid will bear interest at a rate of 1 1/2% per month. Contractor shall be
entitled to all costs of collection including attomeys' tees. RIGHT
TO CANCEL: If this is a Home Solicitation Sale, and 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 service and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all
or part of any cash down payment. IF
THIS IS NOT A HOME SOLICITATION CONTRACT: Once it is signed, you are bound to it by the laws of the State of Florida. If in the event you breach or attempt to cancel this contract, the Contractor shall be entitled
to all lost profits from the contract ACCEPTANCE
PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. All
contracts are subject to Alan's Roofing, Inc. management approval. Customer agrees to allow Alan's Roofing, Inc. to
letters of recommendation, satisfactions forms, etc. to be used for advertising purposes. caseIneanyoneormoreoftheprovisionscontainedhereinshallbeinvalid, illegal or unenforceable in any respect,the validity, remfa'
i/iniingprovisions and other application t eof s not in any way be affected or i4aded. SALESMAN SIGNATURE legalityandenforceabilityoftheCUSTOMER
SIGNATURE _\Q l +C i.-.1 DATE r In MANAGEMENTAPPROVAL i
t.;
onstruction Industries Recovery t-urd: Nayment may be available from the construction industries recovery fund 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 CILB at the following telephone
number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 16-01
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe
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.
tgnatur -of Owner/Agent Date Signature of-Contractor/Agent Date
y o Yrc, P C_jlhr4rn Al=
Print Owner/Agent's IJane i 1nt Cnntrnctnr/,
g //
Signature of Notary -State of Florida Date
t3EHEL (.IEFF) APPOI.OPI
NOTARY PUBLIC Q
STATE OF FLORIDA d
Own r Age
3-
Yerstonally Known to Me or
Produced ID — Type of ID Ptwe*5 Li c erg s
I
Signaturiftme or FTonda _ ate
T MURAD
tn
DAVID
MY COMMISSION #FF039243
July 24, 2017
uroi 39R-0153
EXPIRES
FlondallotaryService.com
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.
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
Date: /2 / 11-19
I, , do hereby authorize to /, i /t
pull the/2 ermit fop r /() S cobble J' ft1Y W 3 ? Type of Permit
Job Address
Signature
Notary Signature
Personally known to me or driver's license #
DAVID T MURAY7398-ol
COMMISSION FF039243EXPIRESJuly2d. 2017FloridallotaryServicc.com
State of Florida, County of /Av /-a- on day of _
Property Record Card161-1 CFA Parcel: 33-19-30-508-0000-1150
Owner: COLBURN LORRAINEIn
WNW= tSPLOF ok Property Address: 105 COBBLESTONE WAY SANFORD, FL 32771
Parcel Information
Parcel 33-19-30-508-0000-1150
Owner COLBURN LORRAINE
Property Address 105 COBBLESTONE WAY SANFORD, FL 32771
Mailing 105 COBBLESTONE WAY SANFORD, FL 32771-3681
Subdivision Name MAYFAIR MEADOWS
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(1997)
36 40 40 40 40 50
C
1.41 40 40 40 40 50.27
Seminole County GIS
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market CosVMarket
Number of Buildings 1 1
Depreciated Bldg Value 92,105 88,718
Depreciated EX FT Value
Land Value (Market) 24,000 24,000
Land Value Ag
Just/Market Value ** 116,105 112,718
Portability Adj
Save Our Homes Adj 30,337 27,546
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 85,768 i $85,172
Tax Amount without SOH: $1,202.38
2016 Tax Bill Amount $722.50
Tax Estimator
Save Our Homes Savings: $479.88
Does NOT INCLUDE Non Ad Valorem Assessments
1! il Illy llll 1 11 1111111 gill 1111THISINSTRUMENTPREPAREBY:
Name: I 0, C ,
Address: 11b C=Qr Permit
Number. 1 CO- 314 dg 11f-
ili't'ANNE MORSEr SEMINOLE COUNTY CLERK
OF CiRCUIT COURT & COMPTROLLER B„
8830 Po 173 (1 F's s ) CLERK'
S v :0IL13270L RECORDED
12/22/201 L i , :00: i_i2 AM RECORDING
FEES $10.00 RECORDED
BY hdevore 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 following
Information is provided in this Notice of Commencement. 1.
DESCRIPTIONN OF ROPERTY: (Legal description of the property and street address if available) C
o wt Si-n-r r-- r-L 327-7l 2.
GENf RAIL DESCRIPTION OF IMPROVEMENT: 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: , Name
and address: G 0 I-a-t / C n l A/Lrn (D S D b o 2 c11"y Q- W j; S G-^ FO C FLI Interest
in property: Z
I Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name. (an 3 d2o 6 ^ ° I ai c Phone umber: Ild % "- 7?4/—_ ,) /S g Address: % GLI
eta 1- 3 2 7 S 5. SURETY (
If applicable, a copy of the payment bond is attached): Name: Address: Amount
of Bond: 6. LENDER:
Name: Phone Number: 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(
l)(a)7., Florida Statutes. Name: Phone
Number: 8. In
addition, Owner designates of 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 dale 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. Slg--tu.
I owner or Les e, 0-e- Authorized Officer/
Director/Partner/Manager) Print Name
and Provide Signatory's TitlelOffice) State of
aD r7GLa Countyof 8P.1r1 %0 ['<0197- The foregoing instrument
was acknowledged before me this day of f. (-,( M b W . 20 J by 1,
J)Y r a f" C.0 lbt4 n . Who is personally known to me OR Name of person
making statement who has produced
identification EJ type of identification produced: GEHEL (JEFF) APPOLON
NOTARY PUBLIC STATE
OF FLORIDA
Comm# FF002634 Expires
317 =17
RI<6F Tic
Cir;CU JEC 22 / COMPTR01-
L U t SEMI
1N0LEC ^-T', AND BY Y I
v
DEPU i j CLERK
I
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: (6
h hereby acknowledge that I personally inspected
oof deck nailing and/or /Secondary water barrier work
at and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Signature of Contractor
A&44. Pl,e
Printed Name of Contractor
License Type: General Building Residential A0,01 fang Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF S
Swo to (or ffirmed) and subscribed before me this 2-1 day of ! , 20 4 , by
a1 r` who is Eersonally Known to me or has Produced (type of
identification) as identification.
QR; L,•c (SEAL)
Signature of Notayy Public
e of or-'
DAVID T MU RA
Print/Type/StampName ;_ °'° MY COMMISSION #FF039243
of Notary Public? EXPIRES July 24. 2017
407) 398.0153 FloridallolarvService.com
3