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HomeMy WebLinkAbout1108 E 8 St; ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 - Ol SA O Documented Construction Value: $ !W 1 (o 15. ( no Job Address: 11 b $ T" 7+h 5 SC r) rov- cU T- ) , Historic District: Yes No Parcel ID: 3C7- 1 9- 31 5 1 $ - C> p ©O — 0 15 p Residential Commercial Type of Work: New Addition Alteration a Repair Demo Change of Use Move Description of Work: keWo Ve e X I 545 n q Q i2 h c 1 5l%S n Ye,0 i P ("p f.v)+h necA Qste aI+ 5hrnctI s Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Name F L I T L- LC -TYy Sle e E 3_ Phone: Title: Street: 4-UP-4 be-Lo 'Ibr oa d SA Resident of property? City, State Zip: 0 V QL Y dt') P ) , .3 2 7 1 Ll Contractor Information Name &dnays fiec+rx Street: Z 15 (o T:)o a-)P i -e y iY C' c e. IiY• City, State Zip: QY ICLQ0O F ! 7_725. Name: Street: City, St, Zip: Bonding Company: Address: Phone: (40-1 9QZ "4 Cf q Fax: State License No.: CCC 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: 511 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application L NOTICE: In addition to the requirements of this permit, there maybe 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 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date 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: Occupancy Use: 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 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. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of F ' r® e p TANYA RODRIGUEZ Notary Public - State of Florida E Commission #.GG 083859 My Comm. Expires Mar 15, 2021 Bonded through National Notary Assn. Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: Print Contractor/Agent's Signature of Nota*State of Florida Lip TANYA RODRIGUEZ yt p 4 Notary Public - State of Florida Commission # GG 0838- My Comm. Expires Mar :5. 202 olF OCn `, Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 713.135(5)(6) Florida Statutes. REV 07.14 Application No: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ Job Address: 1 107 F= 19" S+. Gnforcl F- 1. Historic District: Yes No Parcel ID: 90 -1q -31-5 L!jO iSO Zoning: Description of Work: ihe IM ove C-'5 t h Plan Review Contact Person: new cu5Ph Ct%t 5 n' y t.e j Title: Phone: Fax: E-mail: Property Owner Information Name ' F LT M L L (_ `Tr os ce V- 12) Q Phone: Street: 4fo } 1Ve_(n 2Xnncl Resident of property?: City, State Zip: () Y 1 Ca n o n 1 I 3 Z 1 y Contractor Information Name Or cia Ml LL ut,_ 4 o f Street: 216fc 5canse-- T-erro-ce Dr. City, State Zip: ()r ki n d o I, 3 Z SZ S Name: Street: City, St, Zip: Bonding Company: Address: Phone: 14Cp-+ - YOZ. -91'(4 Fax: State License No.: C C-C 1330 13 9 Architect/Engineer Information Fi F PEP IVIIT INFQ Building Permit y Square Footage: Construction Type No. of Dwelling Units: Flood Zone: Electrical 0 New Service - No. of AMPS: Mechanical [3 ( Duct layout required for new systems) Phone: Fax: E- mail: Mortgage Lender: Address: RMATION' No. of Stories Plumbing 0 New Construction,- No. of Fixtures: Fire Sprinkler/ Alarm 0 No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 713.135(5)(6) Florida Statutes. REV 07. 14 Tel., 321 214 ROOF Fax. 407 567 9012 Email. RoofDepot@iCloud.com ® ®® M NLO 390 North Orange Ave.Roof Depot c Suite 2300 Of Yave Yire Enterprises inc Orlando, FI. 32801 Our Experience Makes The Difference www. RoofDepotFlorida.com www.RoofDepotFlorida.com Bill To: Estimate FL. Estate License No. CCC1330134 Estimate No: 2266 Date: Jul 5, 2011 JAMES STANSBERRY/ 1108 1108 E 8th St Sanford, FL 32771 Code Description Quantity Rate Amount RPT ROOF PERMIT 1 0.00 0.0 R001 REMOVE EXISTING ASPHALT SHINGLE ROOF AND HAUL AWAY EBRIS 1 0.0 0.0 R003 RE NAIL ROOF DECKING 1 0.00 0.0 TCH13B INSTALL VALLEY PEEL n STICK FOR VALLEYS AND OPENINGS 1 0.00 0.0 R004-03 DRY IN WITH SYNTHETIC FELT UNDERLAYMENT OUBLE LAYERED DUE TO LOW PICTH' 1 0.00 0.0 REMOVE AND REPLACE OFF RIDGE VENTS 1 0.00 0.0 R007 INSTALL NEW LED PIPES _ 15_ 2" _ 3" 4" 8 _ SPLIT BOOT 1 0.00 0.0 R007 INSTALL NEW GOOSE NECK _ 4" _ 6" _ 10" 1 0.00 0.0 R006. INSTALL NEW 2 1/2" DRIP EDGE COLOR 1 0.00 0.0 R009 INSTALL 25_ YRS ASPHALT SHINGLE 3-tab_ STYLE BRAND U'COLOR SHINGLE 130 mph 1 4,674.15 4,674.1 MODIFIED BITUMEN ROOFING SYSTEM DRY IN WITH _75_ LBS FIBER GLASS BASE SHEET INSTALL CAP SHEET 4.2mm (168 mills) THICK _ white _ COLOR R010 CLEAN GROUNDS THOROUGHLY & RUN MAGNET ( INCLUDED) 1 0.00 0.0 5YR WORKMANSHIP WARRANTY 1 0.0 0.0 112 Roof Depot Inc. Contract for Services General Terms and Conditions Project Name / Number: 4404 Owner: FLTR LLC TRUSTEE FBO/ JAMES STANSBERRY Jobsite Address:1108 E 8th St Sanford, FL 32771 1) INSURANCE a) Roof Depot, Inc. will carry workman's compensation insurance covering Roof Depot, Inc.'s, employees and liability insurance covering the operation of trucks and automobiles. Roof Depot, Inc, will also take out and maintain General Liability Insurance. b) Evidence of the insurance is in the form of certificates that will be issued to the Owner prior to starting work. Certificates of insurance shall be filed with the Owner. 2) COMMENCEMENT OF PROJECT 3) Start Date and Delays - Roof Depot, Inc. shall be given reasonable time in which to make delivery of materials and/or labor to commence and complete the performance of the contract. Roof Depot, Inc. shall not be responsible for delays or defaults where occasioned by causes of any kind and extent beyond its control, including but not limited to: delays caused by the Owner, architect and/or engineers, delays in transportation, shortage of raw materials, civil disorders, labor difficulties, vendor allocations, fires, floods, accidents and acts of God. Roof Depot, Inc. shall be entitled to equitable adjustment in the contract amount for additional costs due to unanticipated project delays or accelerations caused by others whose acts are not Roof Depot, Inc.'s responsibility and to time extensions for unavoidable delays. 4) Working Hours - Work called for herein is to be performed during, regular working hours. All work performed outside of such hours shall be charged for at the rates or amounts agreed upon by the parties at the time overtime is authorized. a) Change of Conditions - If unexpected conditions are encountered during the work, or if the Owner, Owner's agent, or any public body inspector directs additional or modifications to the work and the conditions adversely affect the cost or progress of work, Roof Depot, Inc. will notify the Owner immediately, and the Owner will negotiate a change -order to resolve the unexpected condition. 5) Materials and Deviations — Roof Depot, Inc., shall guarantee all material to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from these specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon delays beyond our control. 6) PRICING and PAYMENT a) Pricing - The prices given in all quotations are those currently in effect. In the event of price increase of material, supply, equipment, or energy occurring between the date of this proposal and the first day of performance of the contracted work through no fault of Roof Depot, Inc. the contract sum shall be equitably adjusted by change-order(s) to reflect the price increase(s) Payment (See chart) I b) ProjecfAmount-(Total): $ 4,674.15 c) Amount due upon Acceptance of Contract: d) Amount due after in progress Inspection,passed: $ alance due in full upon 100% completion: $ 4,674.15 Plus Any unforeseen wood damage. 7) initiC4.. 8) 3.3. Work Stoppage — Roof Depot, Inc., shall have the right to stop work and keep the job idle if payments are not made to it when due. After thirty (30) days of payment being due, on 5 days' notice, Roof Depot, Inc., may demand and receive payment for all work executed and materials ordered and supplied and other losses sustained including Roof Depot, Inc., normal overhead plus profit of 20% of the contract price. Therefore, Roof Depot, Inc., is relieved of further liability. If work stops for any reason, Owner shall provide for protection of all materials on the premises and shall be responsible for any damage, warp, age, racking, or,loss of said materials 9) WARRANTY Upon completion of construction and payment in full by Owner, Roof Depot, Inc. will warrant the Owner that all work performed is free from defective workmanship and materials for a period of _ years. The warranty will obligate Roof Depot, Inc. to repair without cost to the Owner any such defects that are discovered during the term of the warranty. A Limited Labor Roof Warranty is attached and when executed forms part of the contract documents. The exclusive remedy shall be that Roof Depot, Inc., will replace or repair any part of its work, which is found to be defective. Roof Depot, Inc. shall not be responsible for damage or defect caused by abuse, modifications not executed by Roof Depot, Inc. improper or insufficient maintenance, improper operation or normal wear, tear and usage. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING ANY WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. 10) USE OF PREMISES 11) Use of Premises - Owner is to prepare all work areas so as to be acceptable for Roof Depot, Inc.'s work. 12) Roof Depot, Inc. will not be called upon to start work until sufficient areas are ready to ensure continued work. Owner shall furnish all temporary site facilities including suitable storage space, temporary electrical and water at no cost to Roof Depot, Inc. Owner shall grant free access to work areas for workers and vehicles and shall provide areas for storage of material and debris. Roof Depot, Inc. shall not be liable for damage to driveways, walks, lawn and shrubs caused by movement of trucks, workers or equipment in discharging the contract. 13) Owner's Responsibility -The Owner will periodically examine the work in progress, as well as upon completion in order to ascertain the extent to which the materials and procedures conform to the requirements of these specifications. 14) ROOF CONDITIONS 15) Roof Mounted Equipment - During the roofing project it is often necessary to raise pipes, conduit and air conditioning units to roof under them. Roof Depot, Inc. will exert due diligence to handle these items with care, however, Roof Depot Inc. will not accept any liability for damage to pipes, conduits, air conditioners and ducting or other roof top mounted equipment which is raised or moved during the normal roofing activity. Similarly Roof Depot, Inc. is not responsible for the operational condition of these items after reinstallation. 16) Foil Insulation - Foil, insulation, and other equipment such as heater units and lighting systems attached to the underside of roof members can be disturbed during normal roofing activities. Roof Depot, Inc. will not accept any liability for any item that may become dislodged or deemed to have become inoperable as consequence of normal exterior roofing activities. 17) Drainage - Uniform Building Code and some city building codes specify that the roof is to have positive drainage. Roof Depot, Inc. shall not be held responsible if the design or structure of the deck being roofed does not conform to these requirements with resulting standing water. 18) MISCELLANEOUS 19) Integration Clause -This document and all documents incorporated by reference constitute the parties' entire agreement. No other agreements, oral or written, regarding the work to be performed under this agreement exist between the parties. 20) Initi s 21) Severability Clause - If any provision of this Agreement or the application thereof shall be invalid or unenforceable to any extent, the remainder of this Agreement or the application thereof shall not be affected, and each remaining provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. 22) Governing Law - This agreement shall be construed in accordance with and governed by, the laws of the state of Florida. 23) Indemnification - Roof Depot, Inc. will indemnify and hold harmless the Owner from damages only to the extent such damages were caused by sole negligent act or omission of Roof Depot, Inc. 24) Risk Insurance - Owner shall purchase and maintain risk insurance upon full value of the entire work and/or materials delivered to the job site, which shall include the interest of Roof Depot, Inc. 25) Claims - No back -charges or claim of the Owner for services shall be valid except by an agreement in writing by Roof Depot, Inc. before the work is executed, except in the case of Roof Depot, Inc.'s failure to meet any requirements of this Contract. In such event, the Owner shall notify Roof Depot, Inc. of such default, in writing and allow Roof Depot, Inc. reasonable time to correct any deficiency before incurring any cost chargeable to Roof Depot, Inc. 26) Asbestos and Hazardous Waste - Unless the agreement specifically calls for the removal, disturbance, or transportation of asbestos containing material or other hazardous substances, the parties acknowledge that such work requires special procedures, precautions and/or licenses. If Roof Depot, Inc. encounters such substances, Roof Depot, Inc. will immediately stop work and take steps to institute the special procedures, licenses and precautions. Such work will be treated as a change under this contract. 27) AUTHORIZATION 28) The above prices, specifications and conditions are satisfactory and are hereby accepted. Roof Depot, Inc., is authorized to do the work as specified. Payment will be made as outlined above. Home Owner/Authorize Agent Print Name re Roof DeInyalthorize Agent Date: Signature: `--- , Date: 7-6-17 Print Name: YOrdoyS HeCtOr TITLE: Project Manager FLORIDA STATUTES ON CONTRACTOR'S LIENS ON PROPERTY ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN _FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR .OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUBSUBCONTRACTORS, OR MATERIAL SUPPLIERS; THOSE 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 TI+AT 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 REQUIREDTO 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 ISRECOMMENDW THAT YOU CONSULT AN ATTORNEY. WOOD REPLACEMENT IS NOT INCLUDED. WOOD CHARGE WILL BE CHARGED AT $60.00 PER PLYWOOD AND $4.86 OR Subtotal $4,674.15 LESS PER LINEAR FOOT OF WOOD. BEFORE AND AFTER PICTURES WILL BE TAKyEN OF THE WOOD. Discount $0.00 HOMEXE 4 Signs Total $4,674.15 Print// Date 17 ROOF DEPOT P. Signature — Print Date - 212 LAND TRUST AGREEMENT 1108 E 8th Land Trust April 24, 2015 THIS LAND TRUST AGREEMENT ("Trust Agreement") dated this April 24, 2015 and known as the 1108 E 8th Land Trust by and between FLTR LLC as Trustee, which designation shall include all successor trustees, and the following beneficiaries (hereinafter called the "Beneficiary", whether one or more, which designation shall include all successors in interest to any beneficiary or beneficiaries) in the percentages set opposite their names: 100% JAMES M. STANSBERRY TRUST. The Trustee shall take title to real estate under the provisions of Section 689.071, Florida Statutes, and he agrees to hold it and the proceeds, profits, and avails thereof, if any, which may come into his. possession, in Trust for the uses and purposes and under the terms herein set forth. The objects and purposes of this Trust shall be to hold title to the Property until its sale or other disposition or liquidation or until the expiration of this Trust Agreement as provided in paragraph 11 hereof. Absent direction from the beneficiaries. the Trustee shall not manage or operate the Property nor undertake any other activity not strictly necessary to the attainment of the foregoing objects and purposes; nor shall the Trustee transact business of any kind with respect to the Property within the meaning of Chapter 609 of the Florida Statutes, or any other law, absent direction from the beneficiaries. LAND. The Trustee shall take title to the following land located in the County of Seminole, State of Florida: Lot 15, LONG'S ADDITION, according to the plat thereof as recorded in Plat Book 3 Page 97, of the Public Records of Seminole County, Florida. Parcel ID/Follo# 30-19-31-518-0000-0150 Commonly known as 1108 E 8TH ST SANFORD, FL 32771 Title to the Property shall be conveyed to the Trustee in accordance with and the rights of the parties shall be governed, to the extent applicable, by the provisions of Section 689.071 and 689.073, Florida Statutes. The Trustee shall accept the deed to the Property and shall has cause said deed to be recorded in the Public Records of Seminole County, Florida, and shall continue to hold title to the Property for the uses and purposes herein stated. The Beneficiary shall advance to the Trustee all monies required by the Trustee to record said deed including, but not limited to, all appropriate documentary stamp taxes. The Beneficiary may not dedicate or cause any other property to be conveyed to the Trustee under this Trust Agreement unless the Trustee consents thereto in writing. Should other property subsequently be conveyed to and held by the Trustee pursuant to this Trust Agreement, the term "Property" as used herein shall mean and refer to all property, the title to which is held by the Trustee pursuant to this Trust Agreement. This Trust Agreement is identified as the 1108 E 8th Land Trust. The Beneficiary shall during the term of this Trust Agreement maintain and purchase at its expense insurance either in the name of the Trustee or showing the Trustee as an additional insured thereunder with said insurance to protect the Trustee against public liability in the amount of $TBD and to protect the Trustee against such other hazards or liabilities as the Trustee may reasonably require and in such amounts as the Trustee may reasonably require. All such insurance shall be written on insurance companies reasonably acceptable to the Trustee. At the request of the Trustee, said policies of insurance shall be delivered to the Trustee or, in lieu thereof, certificates reflecting said coverage shall be delivered to the Trustee. In all events, said policies of insurance and certificates shall contain a provision that thirty (30) days notice shall be Return to: If ff tff f f flf tffff i ti i ii it i iiFtt=lh T I iE'ii._1_7'1 ; jE 11 N0L_E: f.'00TY i..EEtF. }f t:_ IFiCUIT COUR-T C ci t'IF' ih`.4{L_E_tE: 1 J J i k 1 S e Ci_ERIt'U x 201706K,l7 1.1125 2`30 FA FEE-6 $101 cjl NOTICE OF COMMENCEMENT State of Florida, County of Orange 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. Description of property_ (legal description of the property, _and street address if available) 2. General 3. Owner i Name ntormation or Lessee information if the Lessee contracted for the improvement F- f't L L C Trvs4-ce. Ir f3C) Interest in Property Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Telephone Number_, 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ 6. Lender Name Telephone Number - - - Address - 7. Persons within the -State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1Ka)7, Florida Statutes. Name Telephone Number Address 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 PO TE ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR-NDEIYOIYAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. The foregoing instrument was acknowledged before me this _ as DL-1 Aklkel for Type of auth , e.g., officer, trustee, attorney in fact a a&A z , Nature of otary Public — State of Florida Personally Known OR Produced ID Type of ID Produced \,e..-`S license- Signatory's Tide/Office rday of by -A S Eu S mon year name of person Name of party on behalf of whom instrument was executed Print, type, or stamp commissioned name Afdt.0`ry`Pri61 MRton M b, .k Notary Publlo State of Florida my Commission Expires 0412812020 Commbwo No. FP 886848 Form content revised: 01/23/14 Detail by Entity Name Page 1 of 2 Florida Department of State tilt jf1 al aittsl of 1,1orifiv srWire Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Limited Liability Company FLTR LLC Filing Information Document Number L07000033343 FEI/EIN Number N/A Date Filed 03/28/2007 State F L Status ACTIVE Last Event LC STMNT OF AUTHORITY 21 Event Date Filed 11/16/2015 Event Effective Date NONE Principal Address 4767 NEW BROAD STREET ORLANDO, FL 32814 Mailing Address 4767 NEW BROAD STREET ORLANDO, FL 32814 Registered Agent Name & Address MANZO & ASSOCIATES, P.A. 4767 NEW BROAD STREET ORLANDO, FL 32814 Authorized Person(s) Detail Name & Address Title MGRM MANZO & ASSOCIATES, P.A. 4767 NEW BROAD ST ORLANDO, FL 32814 Title Manager MANZO, ISAAC 4767 NEW BROAD ST ORLANDO, FL 32814 Title Manager DIvISION OF CORPORATIONS http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 8/2/2017 Detail by Entity Name Page 2 of 2 EDMONSON, J. RANDY 4767 NEW BROAD STREET ORLANDO, FL 32814 Annual Reports Report Year Filed Date 2015 01 /09/2015 2016 01/26/2016 2017 02/14/2017 Document Images 02/14/2017 -- ANNUAL REPORT 01/26/2016 --ANNUAL REPORT 11/16/2015 — CORLCAUTH 01/09/2015 — ANNUAL REPORT 01/19/2014 -- ANNUAL REPORT 05/24/2013 -- CORLCMMRES 02/15/2013 -- ANNUAL REPORT 03/01/2012 — ANNUAL REPORT 03/02/2011 --ANNUAL REPORT 04/26/2010 --ANNUAL REPORT 04/24/2009 — ANNUAL REPORT 01/08/2008 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF forma View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Flonda Department of State, Dlvlsion of Corporations http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 8/2/2017 CITY OF S,;NFO FIRE DEPARTMEN Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. 17-- 4C1759w1lr ISSUE DATE: (9. 17. 17 CONTRACTOR: %n C. ® JOB ADDRESS: ,E Z IL TYPE OF WORK: 125 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 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code III Inspection Policy & Procedures A Final Roof Inspection is the only inspection required for Residential Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation 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 device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a 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 Florida Design Professional (Architect or Engineer), certifying FBC code compliance by personal inspection REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — No PLAN REVIEw REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation 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 device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a 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 Florida Design Professional (architect or engineer), certifying FBC co mpliance by personal inspection. J CONTRACTOR (OR OWNER/BuiLDER) SIGNATURE: DATE: PERMIT It j a City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS:! t 0O E 8 'th 5+ San Po r cl F STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE - ROOF TYPE: eREPLACENENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) ORE - COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): _ PLEASE NOTE: ONLY 100 SQUARE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: OOFF-RIDGE RIDGE OSOFFTT OPOWERED VENT SKYLIGHTS: O YES ('NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 §k2:12 - 4:12 O 4:12 OR GREATER O TURBINEs TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE h L1 L FL# O METAL FL# OMODIFIED BITUMEN FL# O TORCH DO WN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** 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# 0MODIFIED BITUMEN FL# OTORCH DOWN FL# OINSULATED FL# OTILE FL# 0 OTHER: FL# N ` City of Sanford Building and Fire Prevention PERMIT #: RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS ADDRESS: P Z+h 3 AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRAC R, 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 #: ( CC_ 1 il!301 COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICEI, DATE: l / 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 0 "rQY-1Ge Sworn to and Subscribed before me this G day of*,,) l.I 20X— I— by: d ( (Aa )25-406Who is Personally Known to me or has [Y15'roduced (type of identification) L as identification. 1 Signature of Noiary Public TANYA RODRIGUEZ State of Florida cio notary Public - State o1 Florida Commission # GG 083859 T y' y;" N - My Comm. Expires Mar 15. 2021 Print/ Type Stamp Name —'` %°; ; ,,' Bonded through National Notary Assn. of Notary Public FIRE INSPECTIONS CITY OF SANFORD 07.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00002528 Date 8/17/17 Property Address . . . . . . 1108 E 8TH ST Parcel Number . . . . . . . . 30.19.31.518-0000-0150 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . LONG'S ADDITION Property Zoning . . . . . . . MULTIPLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 999631 Permit pin number 999631 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 Ill BL03 FINAL ROOF _/_/