HomeMy WebLinkAbout2551 Clairmont Ave - BR05-002483 (ROOF) DOCUMENTSr _ -
t CITY OF SANFORD PERMIT APPLICATION
Permit # : S /4 -?-Z-05
Date:
Job Address: 25 S1 CL A 1 R Ma N T "I✓, F02 Q, F- 2.7'7'3
Description of Work: /Q E — 60—,30 P
Historic District: Zoning: Value of Work: S 2, O
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
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: OD
Construction Type: �_ # of Stories: # of Dwelling Units: Flood Zone (FEMA form required for other than X)
Parcel M D& —2-a— 3 o -- 5o:5-060-0-00 5 (Attach Proof of Ownership & Legal Description)
Owners Name & Address:�(p /SAW GC—L /N E Vi Pwi y .-1(gR 9 �-
A4LM eZ^A-511: , Fl- 32- 16!Z Phone: �, T% 4
Contractor Name & Address:
�?'evr-rte rs �
State License Number: 1 5<) 4A pl
Phone & Fax: _ Contact Person: bAA/��}l ° MA zPhone: 4O% � — 53
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, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requiremen f Florida Li aw, FS 713.
/f
Signature of Owner/Agent Date Signature of Co r Agent Date
Print Owner/Agent's Name
Signature of NotaryState of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
VA" I t/'r zle+c' 1
Print Contractor/Agent's Name
_ _fr --6S
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally wn to Me or
✓lrroduced ID
APPLICATION APPROVED BY: Bt�g;At f'�Dte)
8nmg-.V (I (Initial & Date)
Special Conditions:
Utilities:
(Initial & Date)
FD:
(Initial & Date)
ELAINE HOLLAN
Notary Public, State of Florida
My comm expires Jan. 29, 2006
No, DD87691
Bonded thru Ashton Agercy !nr, 1800)451-4854
-__j
F—
Rpr 27 05 06:03p Chert'] Rmirzadeh
Hpr` 26 05 06:19p Rrchw" Group, Inc.
CWWAV QDOUplo ITC.
CGC_1504899
407-774-1663
407-884-4451
CONTRACT
Project No. 0130
Ms. Noia Angeline
15 Ptwy Express Dr.
Patin CoaM Florida 32164
OJECT' L
2543.45„47, 49. 11 di:,53 Clakmont Ave.
Sanford Florida 32714
Phots: 407-774.4423
Fax: 407_774-1663 Ciry/County: Sanford
SCOPE OF wQjtK
2. AGI to obtain Permit(,) to imtalt new roofing (75 stg
rares)
Rcmove and properly &$PCe wasties shiagtcs, vents and Iced boots 6t metal flashings.
3. Dry -in mofdeck with 15 lb felt
4. Insall new kitchen do bathroom vents
5- Install new Eave Drip.
6. losall new mildew resistance 3 Tab, 25 years ftbcrS4,s shiagks.
7. Remove and ekaa all roof related debris.
S. Rotted or bad plywood decking to be replaced at 543.00 per sheet
9. Client is responsible for removal & reic$Wlation ofsolar panels d: satellite disb(s).
Fortte Sam o1 Fmttieen IM04520d Six Handred T*eafy Five Dok&n
I. 30 years Architectural Shingles add:
2. 30 lbs felt underlaymeru add:
S750.00
5300 00
Itatrlal Coaditiees
I This Proposal is valid for 30 days.
2• Payment Clieru i®'crs that if the amt
mts due and to Day all costs of colkadoa, ia¢hrdkW but not limice4g heswrader are not Paid rhea doe, cliear also tdsall be liable
3 * all sums due and owing hereunder shall bear bdcrcm atjnnabk r raftlIL rotaey's Cee orad cores, which sm'u m togethu
WARRANTY- a. The fibergku shingles will carry a (25) years numfactmes waran
4. PAYMENTS: Ys due acThe ,contmcW afiksb.guawn. rho paforenatatx of the new ruo(systetn for a Period of S
5• CO)dPLETiON DATE: 3 weeim from date of .. t ori inspe bye�,�copy e s
Coonactor's Signa
Pfint
Drax Mamzb
hate
04-2"S
ACGEPti ANCE OF PRott+ric♦ r "'„�n'TRACT
The above pones, spepNfi'ca ///J dntoas are hereby accepted You aro soft and to do the work as
OJrCrQd
print —�--- --- - ..
�osie's �aataetorrer:
P.O.Box 916219Color'
LOnBw+ood, Florida 32791-6219 o Tel. 407-884-4273 a Fa)L 407-884-4451
1•d 626E-986-986-1 eiow eu1la2ud ebS:90 SO 92 idd
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ANCEW&J 6&0UP,1iJC-
po 0 ox 91 /0219
"AJ-6J0,0D,FL., 32791
License #:�
Project Information
Owner: �Ajo I l i MC, -,—r-- L I NE Permit M
15 Pb,& r-Xff &3S M
address
.It 1 1 T-- It Lt 2-3
phone
Subdivision: V11-0 06 M MC TCDre%�ACC
Lot#:
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: /4
signa
Pic "—zR1r-&�-
printed name
STATE OF FLORIDA
COUNTYOF ��-I"1il�pLL
This instrument was acknowledged before me this Z-- day of (f/21( , 20 ®5, by the
above referenced individual, MAz� , who acknowledged that he/she is a
duly licensed contractor with 4:dck- W F} � C--P—,ouP /&C , and who acknowledged that
he/she was authorize�to execute this document. He/she is either personally known to me or
produced B of-, N D `(— as valid identification.
WITNESS my hand and seal this day of �'} d°� ( L— 20 D .
Notary Public
ELAINE HOLLAN
Notary Public, State of Florida
My comm. expires Jan. 29, 2006
No. OD87691
Bonded thru Ashton Ager.cy,Inc.(800)451-4854