HomeMy WebLinkAbout2547 Clairmont Ave - BR05-002486 (ROOF) DOCUMENTSe- *r
CITY OF SANFORD PERMIT APPLICATION
Permit # : �� S'7 Date: 4 — O
Job Address: 2-54-1 eL A S K M4 N T A V 6 r 5 9N FofLQf 1:_& 32--7-7_3
Description of Work: R e — k�o 0 f'
Historic District: Zoning: Value of Work: $,if 5,0
Permit Type: Building Electrical - Mechanical Plumbing Fire Sprinkler/Alarm Pool _ jgG bQjy�f
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: a 00
Construction Type: �_ # of Stories: ## of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 3 O -- -OO 30
(Attach Proof of Ownership &Legal Description)
Owners Name & Address: Tn 1 A GC—LANE 1-9 Pw j J r.. yW
—PALM IfXIAQ31 i-FL..3> 216 4 Phone:Mkt?
Contractor Name & Address: 9% / 7
-- rState License Number: �7 0 4A oq_q
Phone & Fax: Contact Person: _Phone: 4O7_��_ 53
Bonding Company:
Address:
Mortgage Leader:
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 he 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 requited 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 lorida Lien FS 713.
Signature of Owner/Agent Date Signature of Con gent Date
Print Owner/Agent's Name Print Contractor/Agent' ame
Eykll9i �e Ll dj 6S
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
Contractor/Agent is _ Personally Known to Me or
Produced ID 04,
APPLICATION APPROVED BY: Bldg 141n g: Utilities: FD:
(Initial & (Initial & Date) (initial & Date) (Initial & Date)
Special Conditions:
ELAINE HOLLAN
Notary Public. State of Florida
My comm expires Jan. 29, 2006
No. DD87691
Bonded thru Ashton Ages cv n (800)451-4854
r. ca
Apr 27 05 06:03p Cheryl Rmirzadeh 407-774-1663
Hpr E6 05 06:19p Rrchwa-4 Group, Inc,
. 407-864-4431
ARC QWA V 43-4:) Up INC.
CGC_15048g9
CONTRACT
KLMIMProioet No. 0130
Ms. Noia Angtlime
15 Pony Express Dr.
Paha Coast. Florida 32164
PROJECT L ,1
2543, 45„47, 49, it &-43 Clairmont Ave.
Sanfotd. Florida 32714
Phone: 407-774.4423
Fax: 407-714-1663 QrYyCounty; Sanford
SCO�pp WORK
IAGI to obtain petrait(s) to install new roofing (75 sgtra:ts)
2. 3•
Remove and properly dispose S shingles, vena and lead
Dry -in roof dock with 1516 felt boots R metal flashings.
4• Insall new kitchen do bates vents.
5- Install new Eave Drip.
6• Insall new mildew resistance 3 Tab, 25 Years Sbergiass
7. Remove and cleat all roof related debris_ mss.
8. Rotted or bad plywood decking to be relrlwed at 543.00 per shoes
9. Client is responsiblefor removal do reinstatlatioa Ofsolar pants do satellite dish(s),
For the Sum Olt 114gr7eeo'Fb065eod Six Handred irsenty Five Dollars
g. 4Q
I • 30 Years ArchimetwW Shingles add:
2. 31 lbs felt anderlaymeiu add:
5750.00
e-1—
AO
Central �e+aditiorts
1. "is Proposal is valid for 30
2• Payment: ClientAgee; that if ft onto
mUs due and with OR � dine eW� ift� bvtrwt limittod tpgreasonabk not paid wlxa dtx, eiimiaL o shall6e liable
to pay
3. W �d owing Iracander sbaA bear WitWIM
*t at eon ttorney-s fee and cosec, which aavorrats
>agctbct
WARRANTY: a Thefiberglass shingles wil[ earrya C75)years manufac
b. The conuam-guarante" the performance of the new roof .s warranty.
4- PAYI�S; y4 dye m � system fora '
5 COMPLETION DATE: 3 was from date o G final m by city or �Y p�tots 5 y�
uU ?Z7424 Max Mameb
04-26-05
Coturactor-s Signa ' Print
Date
The aboveprkM spcificedow and eondntoas m hereby MCRAed. You aro atroh wined to do the work as
�....-�. speciCmd
Ct1tRC5 print `_
Dat— cam_"
Sht'�t's M'atrfartay�;
P.O.Box 916219 Lo Color.
Longwood, Florida 3279t-6219 o Tel. 407-8 84-4273 a FaX
40784.4451
t -d C26E-986-986-1
eioN eu11a2ud et'S:90 SO 92 idd
c f*
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A 17 CFS -WO I C—C° U P
Pei 0 oK 91 &219
Loll&000P.. L, 32791
License #:
Project Information
Owner: lV o I M(!;G& L l NE Permit M
name
15 PaNk� r--XK6--!�S 00 -
address
"f41 --77T^ ItT&3
phone
Subdivision: wA06 M Mr-- T62(�C
1
Lot #: I, <2-, '3� S
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
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this ?--8 day of Afe I L , 20 o S by the
above referenced individual, t-� MAZR AiS,(- , who acknowledged that he/she is a
duly licensed contractor withC t } al R 1 <9 -R -m u P I A/e , and who acknowledged that
he/she was authorize�to execute this document. He/she is either personally known to me or
produced "FI or 4 6- D �— as valid identification.
WITNESS my hand and seal this M day of A doR l L—
Notary Public _..
ELAINE HOLLAN
• Notary Public, State of Florida
My comm. expires Jan. 29, 2006
No o087691
Bonded thru Ashton Agency, Inc. (800451 4854
7