HomeMy WebLinkAbout2549 Clairmont Ave - BR05-002485 (ROOF) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Permit # : l f—�.2_=LCL Date: y 2 — O
Job Address: 25 4 CL. A 1 P Ko N T f tr , 5AN F"OZO+ 2'7'7'3
Description of Work: a a'F'
Historic District: Zoning: Value of Work: S OL , �O
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm PoolE-j=
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential ✓ Commercial Industrial Total Square Footage:1.2-00
Construction Type: �_ # of Stories: # of Dwelling Units: Flood Zone (FEMA form required for other than X)
Parcel#: 20— �o ^ SOJr—QD+®U�(�
(Attach Proof of Ownership &Legal Description)
Owners Name & Address: /1/n 1CA- �C—L/N E A S Po t1 4 ny tpR d) iz--
�� Phone: ! 6ga—
Contractor Name & Address:
--' State License Number:I 5opo_
Phone & Fax: 444 Contact Person: HAJ:°. MA7&ftl:�f+_Phone: 407- -A
Bonding Company:
i
Address:
Mortgage Lender:
Address:
Architect/Engineer.. Phone:
Address:
Fax:
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. 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, orfederal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Inorida Lien FS 713.
09
_" -05
Signature of Owner/Agent Date Sign re of Con gent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
_ Produced ID
Print Contractor/Agent's Name
lam ---/-���
Signature of Notary -State of Florida Date
Contractor/Agent is l*5r—Persona11wn to Me or
c --Produced ID�1
D_�
APPLICATION APPROVED BY: Bld : � i .►Zoning: Utilities: FD:
(Imtial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
ELA114E HpLLAN
Notary Pubi u State of Florida
My comm. enwes Jan. 29, 2006
No. DD87691
Bonded thru AShton ,4-C° 800)451-4854
Rpr27 05 06:03p Cheryl Rmirzadeh 407-774-1663 p-1
H
pr z6 05 06:19p Rrchwa.4 Group, Inc. 407-884-4451
P.1
ARCHWAY c -'D oUp jN'C,
rcc_iso4se9
CONTRACT
9LMMProleet r 0 5
MAngeline
15 Pooy Exprea Dr.
PWM CaaM Florida 32164
PROJIK L TION
2543, 45.47, 49, 51 dt.53 Clairmont Ave.
Sanford. Florida 32714
Ph=: 407-774-4423
Fax: 407-774-1663 CiVCounty Sanford
SCOPE -OP WORK
2. AGI to obtain Perttdt(s) to install new roofing (75 squar=)
Benue and Properly (KS� Pr�t>sting dangles, vr& and lead boots & metal flasbin
3. Dry -in roofdwk with 151b felt ga
4. 'retail new kiw1wo do bathroom vests,
5- Install new Ea" Drip.
S. Insall new mildew resistance 3 Tab, 25 years fiberglass shiaglos_
7. ReMOW and clean all roof related debris.
9. Rated or bad Plywood decking to be replaced at 543.00 per shod
9. Client is responuble Sor removal & reinstaNadw ofsolar panels d: satellite disbC4
Fonda Sum o1! Fattrttte* 7%06320d Six Hundred ibcoty Five Dollars
LMAM
1. 30 years Amhiteedual Shingles add:
2. 30 lbs fah underlaymm add:
5750.00
5300 OO
Ceaafl bndiliions
1. This DroPosst is valid for 30 days.
z• Payment: Client notes that ;rthe aero
10 Par all cores ofeolk%ai tints due sad owing heratrrder ate not paid when dor, cheat also ") be liable
le
wilh alt sums due and owing It mMWIIeer ssball arm" t Ited to .S% P attorneymonaLs f, andacres, -lied amoum tMaher
3. WARRANTY: n.. 7� fiberglass sWagees will �*y a (25) years manufacturers warran
cuwra bparantt= the Pesformante ofthe newroof
4- PAYMENtS % due a system for a
5• C01dpi.E7iON DALE: 3 seeks"data o e Etna'tripe by Orco�Y DmsPatorseriod of 5 yes
CO Sigaattae
Print
butt Mameh
Date
04-26-05
A
The above paces„ specirKadow and conditions Me b L T
hereby accepted. Yon are a MOrized to do the work as speciCmd.
C6rs Print MA /moo:
Sbingws
P.O.BOX 916219.calor
cod, Florida 32791-6219 Tel 407-864-4273 a FaX 4p7-884-445 Z
1•d 626E -986 -98E -T etoN euila2ud e�,9:90 SO 92 odd
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ANCEWAn � ° U �, / C.
Po0cK91&219
L-M6,-0oa0,FL, 3279l
License #: flga�
Project Information
Owner: �0 1 �� L l �E Permit #:
name
15 Foli4j r-- XeA 53 O k,
-address 2
l(fl —77 /Lt
-7— 1 1—ItT23
phone
Subdivision: W-0 06 M CMC—_ TC-71ff%CC
1
Lot #: (, 2 , -:5, Ir 5
J (
affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the ap licable codes and standards.
Contractor:
sign
i`vc 1� &�t
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this 2-8 day of AMI L , 2005, by the
A-2
above referenced individual, ( M/� , who acknowledged that he/she is a
duly licensed contractor with AgC-k�a1 Rel CP—o UP I A/C , and who acknowledged that
he/she was authorize�to execute this document. He/she is either personally known to me or
produced Bort N D'(— as valid identification.
WITNESS my hand and seal this day of , 20 t► .
Notary Public
ELAINE HOLLAN
Notary Public, State of Florida
My comm. expires Jan. 29, 2006
No. 0981691
Bonded thru Ashton Agency, Inc (800)451.4854