HomeMy WebLinkAbout318 Cabana View Way; 18-4166; CONCRETE SLABOCT o 4 2018
CITY OF
SkNFORD PERMIT APPLICATION
BUILDING DIVISION
Application No: I — Ll I to
vo
j ` f ,
Documented Construction Value: $ LA . .
Job Address: 3 l 8 pl V 1QW VDU Historic District: Yes NoN
Parcel ID: nA-19 -31- 5J 01- 0 000 - 0110 Residential (3 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
1 1 1. 1
Plan Review Contact Person: 15S I Q_ kukL l
Phone: 40*1-9 &0- 5q 33 Fax: Email: M I591Q, Q, X Rc-y L . corn
Property Owner Information
Name \)aa11 A `4' oMou Te-Nn Q Phone: 3a0 - o) t4 33
Street: `? I?, Qao nft V IQ'w 1NOJA Resident of property?: 7 eS
City, State Zip:,)nY Any:,& 3an-1
Contractor Information
Name C , LLC, Phone: 1409- qb0 - 5g33
Street: l n l q W i g` 'f QQ-r Fax:
City, State Zip: 'D rd _ Ian Ch Ma11 1 State License No.: C G C l t l l &
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
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: 6`s Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe 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.
P
D
Sig tur o n D e
Print Owner/Agent's Name
S r,M "6U-) iol3 aoi8
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID _ Type of ID utwu P
RUTH-ANN RUBIN oP
gsson NOTARY PUBLIC 5;
io
y`t8 Signature
of Contractor/Agent Date Print
Contractor/Agent's ame M
AjbL i o lo fio Signature
of Notary -State of Florida 1A a e RUTH-ANN RUBIN NOTARY
PUBLIC c
o STATE OF FLORIDA LComm#
GG159793 Contractor/
Agent is 1e Person no lapioeMV&3/2021 Produced
ID Type of ID a =
STATE OF FLORIDA BELOW
IS FOR OFFICE USE ONLY Comm# GG159793 r
Net 0 Expires 11/13/2021 Permits
Required: Building Electrical Mechanical Plumbing Gas Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: Flood
Zone: of
Stories: New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads sit-
1 APPROVALS:
ZONING: /0- 2 3 • X0I5 FUTILITIES: Fire
Alarm Permit: Yes []No WASTE
WATER: ENGINEERING:
h`Z L t D Z3` FIRE: BUILDING: COMMENTS:
6 k "n e-rc+t S/at; 14- &a c k - 61 .[Huse e111A1, 9 A4 ec: s ,Jn., Paf:
u OKA -ko tdA emcrete. Slob Oki s'Ae oi- h.eu.s.t a.S Skowe a.., )/an- I""" araa &-
r( o(r,10M3 o^ rc1at-t4i"'a r-0. I-/,c oils t.-ic4-. A ^n;maw of .
s .(,ec¢ f.or si.% fora/ /i n e 'S / ep j e4
REQUMED !NSPECTION' SEQUENCE
i.mriumom(r. 713IF;AOT
mr Max Imsmectioni Deseftfin
Footer / Setback
Sfemwafl
Foundations / Form Board-3urvey
glab-/Wa o Kab-Ptepour
Lintel / Tie[ Beam. / Fill Do.vvm Ceff
Sheathin-g W. alls.
1.1 Sheathing-mL, Roof
1 Roof Dry 1-h
Framc
Insulation Rough In
Tir PatternewallS'crew Patte
JDrywall / Sheetrock
Lath Inspe d.tioii
Final Solar
Finat Roof ]:
Final Stu*- 'Siding
Insulation Final
Final Utility; Building -
Final Door
Final Window
Final Scr-een.Room
Final..Pool Sbreen. Enclosure.
Mobile Home Building- Final
Pre. --Demo
Final Demo.
Final Single 8-bbmb, Residence,
Final. Building (Otker)
RF,VlrSED.* June 2Cf14
Addresm
19 mw
Mn Max I Innspd.eflom Deserktion
I I Electdia Underground
r /' SlabFbote'/ Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
a MIMMMI-131
min max. I Rnspe don Descjd2d.onn
Plumbing Underground
Plumbing Sewer
Plumbing Tub- Set.*
I PlumlAnt Final
Max limsipecoom DescFjgifiom
cham"cal Rough
Mechanical'. Final
M& max I rmsmediom' Des-erg2fl-Onn
Gas Underground
Gas Rough
Gas. Fin!al
Grant Maio Clerk Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018108297 Book:9215 Page:1956; (1 PAGES) RCD: 9/20/2018 11:15:39 AM
REC FEE $10.00
THIS INSTRUMENT PREPARED BY:
Nante. DONALD J. TELKAMP, JR.
Address:
0"AUTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 29-19-31-501-0000-0710
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713. Florida Statutes, thefollowingInformationisprovidedinthisNoticeofCommencement.
1. E iTfLQJ QF3YROPRIY{ega1 dcLj tigrLof fha property and street address if avaiiable) C.ttt tC
t1nYrF4-rn4 PIC ir tBirt—y br-rta. w.,,
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE-RPPF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: DONALD J. & SHELLY M. TELKAMP, JR. 318 CABANA VIEW WAY SANFORD, FLORIDA 32771
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: XRC, LLC Phone Number: 407-960-5933
Address: 4019 W 1st STREET, SANFORD, FLORIDA 32771
S. 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 Section713.13(1)(a)7., Florida Statutes.
Phone Number:
S. 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 date of n,cording un ass 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 MIUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
uWr v mnr nr or Cvnrtner ftanegcr)
s or Losteri a (Print Name and Prowda Sig ldry's TiLJOr6ce) Aulhaize'-OUrgrrnjo•,Wr/PertrrerafA
State of County of /I^ c4e—-
The foregoing Instrument was acknowledged before me this day of. ferry Y 20
by
Who is personally known to me ORNacreo: person ma:hg slatemom
who has produced identification iJ type of Identification produced:
VALERIE E. MORRIS
MY COMMISSION # GG 128867
EXPIRES: August 11. 2021
onded Thru Notary Public Undenitters
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 06Db0h 4. 9018
I hereby name and appoint: X'551e' kk)6ko
an agent of: )( RC, LLC..
Name of Company)
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):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: C G' C, 1 5 18 (o I
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF5 kjMk
The foregoing instrument was acknowledged before me this t r4 day of QGA06jr ,
200 8 , by _ lil Azoa who isX personally known
to me or who has produced
identification and who did (did not) take an oath.
LAM_(Im A&Z
Signature
Notary Seal) Ru'tY1- t-knn myo\r
0, yq RUTH-ANN RUBIN Print or type name
o
NOTARY PUBLIC
aS STATE OF FLORIDA - State ofNotaryPublic 'br%da
Comm#GG159793 —
Expires 11/13/2021 Commission No. G nq-ict?5'
My Commission Expires: ll a I gl I
Rev. 08.12)
as
XRC Xtreme Roofing & Construction LLC
CGC1511861 / CCC1329126
4019 W 1st Street (SR-46)
Sanford, FL 32771
407) 960-5933
Sates Representative
Lacey Hall, Matt Jr Appel[, Missie Rubin
Don Telkamp
Job #53180 - Don Telkamp- Personal Property
318 cabana view way
Sanford, FL 32773
ry0 0 e
Roofing & Construction
St Xsr — hyw'
Estimate #` —, 181375
Date 9/12/2018
Item Description MY ! Price j! Amount
Concrete Price to include Prepping Ground, Forming and Pouring. 500.00 $7.76 $3,880.00
This includes a broom finish. When concrete is cured,
form boards will be removed and ground will be raked.
Price is per Sq Ft.
Dump fee Dumpster will be on site for dirt and debris removal. 2.00 $350.00 $700.00
Note on Estimates NOTE: Estimate are based upon what could be visually 1.00 $0.00 $0.00
seen at the time of inspection, any unforeseen damage
will result in a change order and possible additional
charges. XRC LLC will not be held responsible for
damages to any sprinklers, underground pipes, drains,
foundations, or any other unmarked or privately owned
underground systems. XRC LLC will preform locates for
power, telephone and cable lines by calling 811 for
locations on your property.
Payment Terms 20% due at signing for permitting & down payment on 1.00 $0.00 $0.00
materials, 50% start and 30% completion. In the event
payment Is not made as agreed, a late fee of 5% will be
added to past due balances.
Sub Total $4,580.00
Total $4,580.00
S P E C I A L I N S T R U C T 1 0 N S
Thank you for taking the time to meet with me.
The estimated fee is valid within 7 days from the date of this proposal; therefore, this proposal shall be considered as a legal and binding
document within those 7 days. A review estimate fee will be done after 7 days if the proposal is not signed and returned. All deposits are non-
refundable. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any
alternations for deviation from the agreed upon specifications involving extra costs will be executed only upon written orders, and will become an
extra charge over and above the estimate. All agreements are contingent upon strikes, accidents, or delays beyond our control. Owner is to carry
fire, tornado and other necessary insurance. All materials remain property until payment is received in full. If litigation arises out of this contact, the
prevailing party will be entitled to its attorney fees and costs. The venue of any litigation arising from this contract shall be Seminole County,
Florida.
Authorized Acceptance Signature
Date of Acceptance
Note: This proposal may be withdrawn if not accepted within 7 days.
RECORD COPY
PLAT OF SURVEY
DESCRIPTION
LOT.. 71 _CELERY KEY, AS RECORDED IN PLAT BOOK 64, PAGES 85 THROUGH 96, PUBLIC RECORDS
OF SEMINOLE ;COt7NTY , FLORIDA.
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PERMIT
ISSUED SHALL BE CO LICENSE TO
PROCEED WITH THE CURVE DATA
AIJ•fHORITY TO VIOLATE, CANC d = 23A00'
06' ASIDE ANY OF THE PROVISIONS R = 100.
00 CODES, NOR SHALL ISSUANCE 0' L = 40.
15' THE BUILDING OFFICIAL FRC CHORD REQUIRING
A CORRECTION OF N62'43'
26'W CONSTRUCTION OR VIOLATIO 39.88'
PLAT N62'40'
09"W 39.98'
MEAS r? . R•
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BOUNDARY SURVEY CERTIFIED TO: DONALD J TELKAMP JR; SC64-85
LOT 7t REAL ESTATE MORTGAGE NETWORK INC., 1SAOA/ATIMA; C Ai
c*, I 12in, 11 TITLELINK; BUTLER & HOSCH, P.A.; FIRST AMERICAN TITLE NOTES: t.
BEARINC
STRUCTURE IS BASED ON THE MONUMENTED fflffllfl CENTERLINE
OF CABANA VIEW WAY BEING NF4.55.44'W PER 1061F PLAT, Y. THIS
BUILD/NC/LOT LIES IN ZONE ")r. BASED ON FLOOD Orlando rnc.,
LB 4475 INSURANCE RATE MAP 110. 1YI11C0050F. COMMUNITY NO, 2012 E.
Robinson St. t20294 (CITY OF SANFOROd SEMINOLE COUNTY. FLORNTA. EFFECTIVE SPTEUBER
28, 2007. pf Orlando,
Tlorida
32803 www.AccurightSurveys.
net FRO ENT ONLY MATTERS OF RECORD AS occusurvey@bellsouth.net
DE'D
BY 4. UNDERGROUND
tMPROVEMENiS HAVE NOT BEEN LOCATED. PH0118 (407)
894-6314 FAY (407) 897-YM S. BU,wo TES SHOtt?•T ON THIS SURVEY SHOULD NOT BE USED TO
RECONSTRUCT PROPERTY LINES. 6. THIS
SURVEY 1S VALID ONLY FOR THE PARTIES TO WHOM IT IS
CERTIFIED. IT ReillL..
7.
SET ISSURVEY FIEXCEEDSTATHE ACCURACYREOUIREMENTS SFALLOwid F
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CONCRETE LS - LICENSED SURVEYOR CLF - CHAIN
UNK FENCE CM - CONCRETE
MONUV_ENT LSA - LANDSCAPE AREA MEAS - MFASUREO
CONC - CONCRETE
MF -METAL FENCE COVO - COVERED
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PC - POINT OF CURVATURE DOT MANHOLE
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MRFENCE / COMPLIANCE
10
STRUED
TO
BE A VORK AND
NOT AS L, ALTER
OR SET F THE
TECHNICAL A PERMIT
PREVENT 4THEREAFTER RRORS
IN
PLANS, S OF
THIS CODE
S FORD
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE-R 0 OF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, ANDALLFINAL ROOF COVERINGS j
PERMIT#:
I U I 1 / ADDRESS: 33—T Lus(tano WM n
rd 32113 h1
I J 1 Vn NOW) OVI
AS
A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRACTOR, 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;!#:
cccl -_-w 1 E;e COMPANY /
CONTRA CONTRACTOR
SIGNA MUST
BE SIGNED B Y CTOR:
G C TUR
DATE: . LICENS
OLDER OR OWNS UILDER) 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 131t VA&0 Sworn
to and Subscribed before me this10 q_ day of 20 g by: 5
Who is VPersonally Known to me or has Produced (type of identification)
as identification. Signat
a KNotary Public o!0yPu80PABLOARES State
f Florida * MY
COMMISSION # FF 998006 o
EXPIRES:
June 1, 2020 Bonded
Thru Budget Notary Servic0s Print/
Type/Stamp Name of
Notary Public