HomeMy WebLinkAbout800 E Airport Blvd; 11-1843; RE-ROOF12'1`5i
FS t'tiu'i;
Application No:
RECEIVED
JUL 5 2011
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
w
Documented Construction Value: $
Job Address: Spa E i k4 PJ2-C G-VO Historic District: Yes No
Parcel ID: n / " Z- i3 r3 8 " 8 `06 O 0 V 3--3 Zoning:
Description of Work: Q (= r1N r
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name -itj ET L 6+ Phone: Li c3 7 ' ZZ '
Street: SO y F 1'k I I Fat-T- Resident of property? : y e
City, State Zip: FL_ -?-L ?
Contractor Information
Name iy two - --{'raor nil r Phone: 4 S-Z C zZ 3 Street:
Z, CtIQ 9':M gd Fax: City,
State Zip: y(her r t-A l S t-k_d `L 3 Z State License No.: e CC -OY 3 Z V 6 i Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Square
Footage: No.
of Dwelling Units: Electrical
New
Service - No. of AMPS: Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: f St, F No. of Stories: Flood
Zone: Mechanical (
Duct layout required for new systems) Plumbing
New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm No. of heads:
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
7-S-Z611
Sign re of Owner/Age t Date Signature of Contractor/Agent Date
4ctor/Agent's N e
Signature of Notary -State of Fl ida Date SignAO of Notary -State of Florida Date
KE ELANEY „I EVIN DELANEY
Y" MY COMMISSION #EE035014 o.Y .
ri. n MY COMMISSION #EE035014
EXPIRES: OCT' , 2014 EXPIRES: OCT 17, 2014
F Bonded through 1 st State Insurance " 0 Bonded through 1 st State Insurance
Owner/Agent is rsonal e or Contractor/Agent is /tPersn'ior Produced ID
Type of ID Produced ID Type of ID APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: COMMENTS:
FIRE:
BUILDING:
Rev 11.
08
THIS INSTRUMENT PR PA ED BY: iARY W W)R t CLERK OP CIRCUIT CURT
Name: v- SEMINOLE Cr` TY
Address:' SL ` i ^' 8K 61595 Pq 1663; Qpg)
CLERK'S 20111070.-677 State & Florida RECIIN
l) 07/05/20111 03:04:55 Ph REWHOING
FEES 10.00 NOTICE
OF COMMENCEMMMUM BY I EcRenroth(all) Permit
Number Parcel ID Number (PID) 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 des ription of the property and street addr s if availabl s
f vtCr S %S t`v `C F r -i- l--
L- 3 7 3 GENERAL
DESCRIPTION OF IMPROVEMENT OWNER
INFORMATION T
T / 900 y _ ( (' / Name
and address:y f LF-14 - 7- L70 0 f t - 3 r j .:> ci `''" v Name
and address of Fee Simple Title Holder (if other than owner) : CONTRACTOR
Name
and address: I'
d r-t--- 13 Z ?J- 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
and address: In
addition to himself, Owner Designates 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. Of
l:-
Qy 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 IMPROVMENTS 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. ST
F. t COUNTY OFzf/ O
IGNATURE OWNERS PRINTED NAME NOTE.
Per Florida Statute 713.13(1) (g), owner must sign...... and no one`else may be perTmitt/ed/ t sign in his or her stead." The
foregoing Instrument was acknowledged before me this- day of C u ` _, 20 l by
b Name
of person making statement is
personally known to r4 OR
who has produced identification type of identification produced CERTIFIED
COPY VERIFICATION
PURSUANT TO SECTION 92.525, FLORIDA STATUTES. i61ARYANNI=
MORSE UNDER
ALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS'STATIRLq fT OF CIRCUIT COURT ARE
U TO THE BEST FFF f KN WLEDGE AND BELIEF. i '
SEMINOLE
COUNTY, FLORIDA SI
URE OF NATURAL FiERSOOIGNING ABOVE f/ nFPI
rTV RI FRK KEVIN
DELANEY JUL ® o`•'
Y ` MY cowilSrp-N #EE035014 - " EXPIRES.
2014 Notary
Signatur to, $
nrINA t1Nntigh ist State Insurance
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ~ S" 2"--)1 /
I hereby name and appoint: ' j
an agent of: ` -FAt-- 1-a au-
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
The specific permit and application for work located a -
so 0 r Pvr s tf ' L Z. 7 -1
Street Address)
Expiration Date for This Limited Power of Attorney: Z C3 Z
License Holder Name: b y h
State License Number: C C C (3 Z `6 11(-ab (
Signature of License Holder: O-L.3 --
STATE OF FLORIDA
COUNTY OF
The foregoing inst ent was a knowledged before me this Yday of J' I
2000 , by ,--' joy who is o a
to me or who has produced as
identification and who did (did not to oath.
Signature
Notary Seal)
KEVIN DELANEY
MY COMMISSION #EE035014
EXPIRES: OCT 17, 2014
Bonded through tat State Insuranoo
Rev. 3/27/07)
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
2555 N Courtenay Parkway 2596 Sheffiled Dr
Merritt Island FL 32953 DeltFria FL 32738 407-
421-4:17:1 —A--) Name:
L FIgC ff DATE: Street
Pr t e pp(Z-T lgL V () CCC#1328861 City/
State/Zip S°AN F Home
Phone p
3 2 ?. 3 CRC#1328021 3
y8 CellPhoneEmail
DESCRIPTION ($)
AMOUNT This
bid includes labor and material as described below as well as full management of the construction
process. This estimate has been prepared based on the preliminary ideas and
changes may occur based on customer choices, local permitting, and engineering r quirements. ROOF
Due Care taken to protect home exterior, shrubs and landscaping. N -,cw Includes
labor to remove existing shingle roof and haul off -'10 Dumpster
included Includes
inspecting deck fordamage and renailing to code with 8D ringshank nails `yam( U CLQA Includes
replacing new ridge vents alp Includes
saving gutters, soffit, fascia on existing home (some damage may occur in construction) Includes
replacing existing drip edge in choice of color .2 l/Z " WWI %F OX )?I?A Wf" Includes
1 1/4" roofing collated nailsu/A Includes
installing new shingles in choice of color PAO k Includes
replacing all lead boots and goose vents (does not include gas related vents I I % r 11,Z I l " 3 Includes
new galvanized pre -formed metal in all valleysO/A Includes
starter shingles and ridge cap per code N%A Includes
obtaining and posting permit with local jurisdiction I in C,10 A A Includes
magnetically sweeping job site, cleaning out gutters and hauling away debris. t C v C SHINGLES
Limited Lifetime Architectural/Dimensional 130mph Lifetime
Architectural/Dimensional 130mph UNDERLAYMENT
Peal and stick 301b
Felt 151b
Felt New
Aluminum Fascia and Vinyl Soffit $ Blown
in Insulation R $ Seamless
Gutters $ MISC
pN L 0 W S Lz,-PIEV a F P P-6A, L.L 1; 6)_sPLY M
o 0 l r-( Gn d l TUM4ly ROWC S YS'7_/yi CAN S% 5 _T I F 6
f 5l 11 i?A'5'E S Tfl S #15197— Deteriorateexistingdeckingreplacedat $ per sheet of plywood vs Deteriorated
existing decking/fascia/trusses/subfascia replaced at $ per linear ft. C)1-1 U Does
not include painting to match._ SURE
START 3-Star Coverage 10 Yr INCLUDED WARRATIES
4-Star Coverage 20 Yr $ 5-
Star Coverage 25 Yr $ AIITazes
me utletl °TT L sly:,
1 T 4
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