HomeMy WebLinkAbout2545 Clairmont Ave - BR05-002481 (ROOF) DOCUMENTS73— , / l CITY OF SANFORD PERMIT APPLICATION
Permit # : a `Y� Date: 4 — 05
Job Address: 95-545 C- A 1 K Ka N T A V 6, SAN Fo(Z-Q, 17y— 2-7-7'3
Description of Work: IPE — e-4 Q P
Historic District: Zoning: Value of Work: S 2 s Q
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: 1.0-00
Construction Type: �# of Stories: # of Dwelling Units: Flood Zone (FEMA form required for other than X)
Parcel #: 2 2 0 o " 5 O 5 — Q �O D "®� Attach Proof of Ownership &
/1 � � ( P Legal Description)
OwnersnNam`e, & Address:
Q_yNn i!iyy C t�—L>IN E % �j �ptj�(��SS�C 9 t_ t�
, �� . ��. .� 4 Phone: 617 s-�i-7 4 --k2Z
Contractor Name &Address:o�We r
State License Number: 1'5n 48,01
,01
Phone & Fax: Contact Person: zf�}{ phone:OT.
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 requirements o Florida Lien L FS 713. / 04 '---JyJ�
`f —
Signature of Owner/Agent Date Sign f Co;t&et'0'qffgC6 Date
Print Owner/Agent's Name
Signature of NotaryState of Florida
Owner/Agent is _ Personally Known to Me or
_ Produced ID
Date
P1141 MA-ZRA,6fl
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is — Personally jCttown to Me or
Produced ID
APPLICATION APPROVED BY: Bid . a b -V��Lon� g Utilities: FD:
(Initial & -Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
ELAINE NOLLAN
Notary Public. State of Florida
My COMM ax;nres Jan. 29, 2006
No. DD87691
LBO_AShton AcP.!,q In( f800)481°4684
�w
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ASCH-Woj 6fbt4p /i\1e'.
po 86x 91&2-19
LaIJC3-W0QD,FL-. 32791
Owner: A% I R &UGE L! NE
name
License #:
Project Information
5 () lobk� 1 /—* 6.53 (M
address
-1t 77 `TT? -3
phone
Permit #:
Subdivision: W-0 On M CME Tbel A<f C
1
Lot #:
J � L4
I, %"2WAIC—� , 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 dr) -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor: "4 Lz��
signatu
printed name
STATE OF FLORIDA
COUNTY OF ��f r til oLL
This instrument was acknowledged before me this 2day of AfR I L , 20QS by the
above referenced individual, RA -K �i Z4t 4r-4 , who acknowledged that he/she is a
duly licensed contractor with cj+ol R � C4 -42-o u e I a,/(' , and who acknowledged that
he/she was authorize to execute this document. He/she is either personally known to me or
produced Or 1 K as valid identification.
WITNESS my hand and seal this day of C/��°� l L , 20 P
Notary Public
ELAINE HOLLAN
Notary Public, State of Florida
My comm. expires Jan. 29, 2006
No.DD87691
Bonded thru Ashton Agency, Inc. (800)451-4854
Rpr 27 05 06:03p Cheryl Rmir2adeh
Hpr 25 05 06:19p Rrchway Group, Inc.
ARCHWAY' QDgUp INC.
CGC_1504889
407-774-1663 p,1
407-884-44SI p,1
CONTRACT
>��et xa. moo
Ms. Noia AngWine
IS Pony PJW= Dr.
Palm Cori. Florida 32164
PROJI-AZ LOCA7Y N
2543-45,47,49.51 & 53 Clakmont Ave.
Saufotdr Florida 33714
Phone: 407-774.4423
Fax: 40'► -774-1663 CiVC0w Sanford
SCOPE OF WORK
I AGI to obt in pamit(s) to install new roofing (75squares)
Remove and properly dr xw existing shingles, vents and lead
3. Dry -in reefdodt with 15 Ib felt- boots Bt metal flashings.
4. Install new kitchen do bathroom vents.
5- IasW new Eave Drip,
6. Install new mliidea resistance 3 Tab, 25 years
7. Recaove and clean all roof related fiberglass shingles.
S. Rotted or bad Pbn o decking debris.
9- Client is res to be replaced at 343.00 per shag
pao;ble for removal rtinstailation ofsoiar panels & satdlire disXs).
Fortlre Sura of Faatrlten IM"3e0d Six Ruadred ibenty Five DoWss
Dations .Q
!. 30 years Arrltiteetutal Shingles add:
2. 30 lbs felt underlaymeru add: x750.00
5300 0
Central Coad:rY.ns " f!
1. This ProPM9 is valid for 30
2• Paytrtrnr. Client aging that if the arao
to Pay "t costs of coltecti tints due and owing hereunder, ge not paid when dtwe chenr also shall be liable
wiffi all sums due and o � but not limited to reasonable attorney's fee and cases, which amounts a Hater
3 WARRANTY: a The
ettoder sMali bear mtcrtsl at 1.5.Y oronth
b The fiberglass shingles will carry a (25) years ma_factuter•s
4- PAYMENTS: % dtae as emconpftwe l;uaranttaeS the Pafon erste of the new Hoof system forAnac
5 COMMETION DAIS: 3 %Kilts from date of c&fmaJ ' pfd of S years.
Ltspccsion bye 0,
`/4x // 4Ukj
Contractor's Sigaataae
Prim
Max Maaaeb
04-2645
The above ACCEPT" O O
s us and conditions m hereby C
aooepted You am autlhoxtito do the
�2� works as spiel&ed
Cyient•s``� �- O
Date'—`
slaws dfett rn;
P.OBOx 916219 a Lo Cokor.
n8wood, Florida 32791-6219 • Tel. 407_8 84-4273 • FaX 407-884-4451
1•d 626E -9136-986-T eioN eutla2ud ets:90 SO 92 idd