HomeMy WebLinkAbout824 Catalina Dr - BR17-000212 - ReRoofPERMIT APPLICATION
Application No: i cq
Documented Construction Value: S 8,400.00
Job Address: 824 Catalina Dr. Historic District: Yes El NoO
Parcel ID: 31193151200001080 Residential El CommercialEl
Type of Work: New 2 Addition El Alteration El RepairEl Demo El Change of Use 11 MoveEl
Description of Work: remove existing shingles & felt. renail deck per code. install rhino underlayment
CSC Duration 30 yr shingles per manufacturer's specifications and code,
Plan Review Contact Person: Debra Dean Title: License Holder
Phone: 407-330-7663 Fax: .407-330-7661 Email: ddean 0. pro() uard restoration. com
Property Owner Information
Name David & Marjorie Johnson Phone: 321-356-6021
Street: 824 Catalina Dr. Resident of property?
City, State Zip: Sanford, FL. 32771
Contractor Information
Name pro, qL ard Restoration..... Phone: 407-330-7663
City, State zip: Sanford, FL. 32771 State License No.: CCC 1330234
Arch itectlE nginter Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
flooding Company: Mortgage Leader:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MIJST 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, beaters, 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'a Edition (2014) Florida Building Code
Revised June 30, 2015 Perynit Application
rn=geraenvdistricts,state agencie&, or-federal,agencie&,
Acceptance ofpermit is verification that I will notify the owner ofthe property ofthe requirements of FloridalLienLaw, FS 713. MN1
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Sipurtur, of
OwnelAg,,t L Signature of Contractor/Agent Print Contractor/
Agcrit's Name i nzt
or 0 te of Florida Date 0 D
CHANDLER FORTSON 114Y COMMISSION #
FF 17V5$7' LL Y
EXPIRES Nwambor
30,2oig Owner/Agent
is — C c or Produced ID —
Type of ID 9 L "#
tILI 1_1_1BELOWIS
FOR OFFICLE USE ONLY W0h14**Wt*
0t AWMft(3 Ele,[] MM*kaiD P14mbiftE) 43al Construction Type:
Occupancy Use: Total Sq
Ft of Bldg: Min. Occupancy Load: # Of New Construction:
Electric - 4 of Amps Plumbing - # of M fire
Sprinkler
Permit-. Yes[] 'NO [3 # Of Heads — fTre Alarm Illermth es 0 X00 APPROVALS: ZONING:
COMMENTS- UTILITIES.-
WASTE
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Revise& June
30,2015 permit
whffie Qy4frty Comes Tim"
1 Central Park Drive, Sanford FL. 32771
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existing roof todeck:«f
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All work scope and/or costs specified in this contract agreement
is subject to or contingent upon the approval of the customer's
4risurance company. The undersigned further appoints PROGUARIJ
RESTORATIONs. a. (hereinafter referred * anal a r M as its Dollars a
xepresentative and permits PROGUARD to negotiate with the insurance
a
4 • ' ., it ' i :: ! M 1 »
work scope and/or costs, PROGUARD may negotiate M reasonable r ` a t
rt ^^ rE r s,st mvtmafly awre&j! .. .... , .
and the insurance company. PROGUARD will not work is
wt a -insurance compa....,.. ,rwrc
INSURANCE
a • •VOW
ent contract agreement. PROGUARD RESTORATION
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Sales
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PREPAREDTHISINSMUNIENT
Address- 64'
NOTICE OF COMMENCEMENT
f
GRANT I"IALOYa SEMINOLE COUNTY
l ERY, OF CIRCUITUIT COURT & CO F
RF:S'•ilRU '1 ji/1;1;01? 1'2- 1)
1 FEESa 10-00
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ex a'«« «•+ a :;, •i x «,: • ;e: t a.+ ^« atz t :.: ri« «: F: ;;: " a t t
fb1lovAng filbanation Is provided Inthis Notice of Commencement
1. qESTPT!qNO P 0".-"!yscrlgAq and street add It ava
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7 -7F, Z =7-IM.,, iFR,77, 7
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Adds:
S. LENDER*Na Phone Number
S. In addition, Owner destgnaras Of
to receive t copy of '^• Noticei*: provided .`. ti8 • t Flotioa Statutes. Phone «e:
9. E*mbonDate of i L ! t S:': C+ : (Thoexpiration Is I yaa'rftmt . 3 Y'f: recording unless . different date »:. : ::lf
pp f7j
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MI I
Iiii mi i y a MII i I
E BY THE OWNER AFTER THE EXPIRATION OF THE NO'nCE OF COMMENCBA
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CITY OF SANFORD BUILDIN'G SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Perrault 42..
hereby ac kno vledgge that I personally inspected
Roofdeck nailing and/or -"','wcondary water barrier work
at, OA4 Co_-baAW*%4.#: and have determined that the work
Job Site Address
Nxas done according to the Hurricane N/liticyation Retrofit lklamlcd. (based )n _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 tile
performance of his or tier official duty shall constitute as misdemeanor of the second degree pursuant to
Section 837.06 F.S.
1_icense Type: , General - BUildin Residential t/loofing ontracror
or any individual certitied in accordance with F.S. 468 to make such an inspection,
STATE (W FLORIDA COUNTY (0 SeXf% t AV
S-worn to (or affirmed) and subscribed before me this (111v of",- ill by,
c"LlPersonallyKwhois %,, flown to nit or has I (typeas
identification) as _
SEA L)
Signature of Notary Public
State of Florida
Print/Type/Stanip Name
of Notary Public
Reviseil: b braao- 2015