HomeMy WebLinkAbout159 Crown Colony Way 17-1307; ROOFJob Address:
Parcel ID: 3
Type of Work: New i
Description of Work:
Plan Review Contact Person, Il {LN
Phone:Ll-117'v`Jg5-7 Fax:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATIOP
Application No:
o
Documented Construction Value: S
1a
Historic District: Yes No
Residential V Commercial
Repair Q Demo Change of Use Move
Email
Title:
n
Property Owner Information /
Phone: 1 1 f 0 1 ' 0 2,
Name R lJv l.w' \_( Yes_ V`I Resident of property.) :
Street: 159
nCity, State Zip: Slit a -7I
Contractor Information `
4 o—T,,-7— qQ5% I lirC - IJ) Phone:
I
Name , vl .
Street: 0 1 (.0, wol) r
C/
Fax:
7/9/
City, State Zip. UY IG /] i 1 3 7jb ZZ State License No.: Jy Arch
itectlEngineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
Fax:
E-
mail: — Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN 'i PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUS RECORDED
AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OB FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTIC COMMENCEMENT.
Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installad commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsresiQtin,g consti in
this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, bbfurnaces, 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- 5`h Edition (2014) Florida Building Co( Pem:it
Application Revised: June
30, 2015 A i
NICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Acceptance of
The City of Sanford requires payment of a plan review fee at the time of permit submittal:
n value of the job
A copy of the executed contract is required
in order to calculate a plan review charge and will be
the current ICCdthetimated
Valuati n Table n effect at the time the permnstructioithe
timets submittal.
The
The
actual construction value will be figured based on th accordancewithlocalordinance. 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 bedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. Date
signature of Contractor/Agent Date
Signature
of owner/Agent Pri
Contractor/Agent's Name Print
Owner/Agent's Name Date
a
Signature
of Notary -State of Florida ANNETTE BLAND Notary
Pubk - State,ot FWWa Comnilssion #
GG tt60629 a
My Comm. Expires Jan 16, 20V writo
Me or Owner/
Agent is Co
PersonallyKnowntoMeorProducedID Type of ID Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing Construction
Type: Occupancy Use: Gas
Roof Flood
Zone: _ Total
Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads ________ Fire Alarm Permit: Yes No APPROVALS:
ZONING: UTILITIES: WASTE WATER: ENGTNEERTNG:
FIRE: BUILDING: CONLMENTS:
Permit
Application Revised:
June 30, 2015
L!C # CCC1330939
LIC # CRC1331435
Licensed & Insured Ins. Co, Q C6I--W'-c1ATS pro 'Q(4y i^S Co First
in Quality rr,,
Tel.#
V First
in Service First
in Satisfaction Claitrl # d 800-
411-0920 Adj. Name74.21, a P p6_cx f 6767
Hoffner Avenue Tel. #
2-2_. S_ Orlando,
Florida 32822 Fax #
PnlirV1-
V43MaS-I-gq PROPOSAL
SUBMITTED TO _I ClrtCttr ( Sc 1JO<, ! DATE 3 ` 1 STREET
EC ro IU I?, C W ik)6-V JOB # CITY, STATE,
ZIP , +s ;{- 3 SUBDIVISION HOME PHONE `
1 -? BUSINESS PHONE SPECIFICATIONS FOR
LABOR AND MATERIAL a -Tear
Off
Shingles: Layers /n t {{
i / C3 Professionally
Install: Brand &' Type ityAl-f,C b e t Color G o 4L t C'New
Valleys Ft. Install: 30
lb. Felt Q Peel & Stick a-.§ynthetic Undedayment ` fix"" C-rs @/Reseal,
sidewalls, counter and wall flashings Re -Use Drip Edge np Edge n w
1-1J2° 2" 3°4° or Plumbing Vents entilation: Goose
Necks Off Ridge Vents Ridge Vents Color la Plywood Sheathing
to Code Skylight 2
x 2 4 x 4 E3 PSI
wood replaced at $60 - per sheet (f needed) B'Clean-
up and haul off all ob related trash [ Rol yard with magnetic roller Prote f yard and shrubs ti , X
n i I. t I i , 7 1 f 1 Atlantic Roofing
is not responsible for pre-existing structural conditions. Buyers agree
they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL ROOFS
HAVE A 5 YR LABOR WARRANTY CONTINGENT ` This
proposal
is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company. Property owner'
s out-of-pocket expense is not to exceed the deductible amount. The insurance company will determine and set the price of the claim. YOU, THE
BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS TRANSACTION.
BY SIGNING ABOVE. PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET WHEN
RECEIVED. We propose
to hereby furnish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance company loss
pe s eel for which is inc rporated herein and made a part hereof by reference, to include customary profit and overhead when muKipie trade incurred
S C Payment u ompieti each trad Authorized Signahrr
Must be
approved by company owner. No other work ed verbally. Ali changes to be in writing and accepted betre commencement of changes. NOTE:
This proposal may be withdrawn if not accepted within 30 days. ACCEPTANCE OF
PROPOSAL- The above prices, cati a it are satisfactory and are hereby accepted. You are authorized to do the work as
specified. r Payment
will
be made as outline abov X Date-3 ' t0 " 7
pJ
THIS iNS,T UMENT P EPARED BY:
Name:
Address: f C
Utr 1. 325 1Z
NOTICE OF COMMENCEMENT
Permit Number: f 30 /
3 (1-
1 -
It 11011111111110 BillI111 11111 is, 11101
E. (. I )1I,t' I _ ,i_,L..e:. .J1,i i
f::itf(. !1'" t:aRi:;!.I1-i ;;:i:,ff T r:. .:3f1PTR0L.LER
I;I:,
V' v:iil.?04.1559i..EftK ..
I,:All
iJ.11,; 1141
i'. C. is _: i•. v:. i_ +lr I. .i t". ..
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. DErsiCFR-IP Ir
I cyo WY (r6 dberlytion
ofSUt U1Uw- 0o street11
if available
1to-
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFOnR1MATION IF vLESSE'E CONTRACTED
Rr,
FFOR T}i E/IMPRO(V E yM E/N T,
J
Name and address: lUA(t V'J S(A -65 &-0y L L Ivnn_ w I,,
I c L/Y t iC.iU % . Z I
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
4.
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Name:
Phone Number:
Address:
Amount of Bond:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may, bANDQ1&
713.13(1)(a)7., Florida Statutes. SEMI
Phone Number:
Address
COUNB(, FLORIDA
RK
8. In addition, Owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.130)(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 specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
t
P
i C Saz-
Name and Provide Signatory s Title/office)
OS
Signature of Owner or Lessee, or Owner's or Lessee's
Pr fit
Authorized Officr/Director/PartnerfManager)
State of ELOn& County of
y 6
The foregoing instrument was acknowledged before me this day
20of
by / ri a V11' ` Who is personally known to me O OR
v r
Name of person making statement FLwhohasproducedidentificationtypeofidentificationproduced:
J 1"
k%^ GRACIELA GAGNE
A a'c MY COMMISSION # FF985949
r ,
Notary Signatu oF ,•• EXPIRES April 25, 2020
a07) 398-0153 FWWsNota .00m
JOB ADDRESS: I5 1 U w n Colo 3
PERMIT # l 1 — 1 3
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
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):
t d D &
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED'
ROOF VENTILATION:
Ai
OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES ( @.NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 60-4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE
D 1
1. T&j FL# _
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#