HomeMy WebLinkAbout103 Pinefield Dr 11-367 (roof repair)RECEIVE®
NOV 2 Gt Z019 CITY OF SANFORD
BUILDING &'FIRE PREVENTION
PERMIT APPLICATION
Application No: ' Documented Construction Value: $ ]' 90
Job Address 3 i1° 5h NI=D Historic District:-
F
4 ,
Yes No
Parcel ID• 3 A`l q - 31- 51 S _ 0060 9 S0 Zoning:
Description of Work: fd jC- rc-0a1'rS
Plan Review Contact Person: b 1? 5 h er Title:y whtY
Phone:.LtO_7 $ 3-D_ 3330 Fax: (40-7^ E-mail:
Property Owner Information
Name .kKVI1, Hove I - Phone: J07 ;zU '32 3
Street: b 3' e l of Resident of property?':
City, State Zip . Sc 5•i fiZ 31'7
Contractor Information
Name W n-Y 5pi"o55 Ki &at QI Phone: qo7 83_ 333
Street, to S L' C &L L'" Jo . Fax: yu- 3a7 W 7 5`
City, State Zip: lnl n lam' Spycr S,, t l 3 a"7 0 State License No.: R C a 9 o a l Sy
Architect/Engineer Information
Name: IV lay Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: 01 R4vb li C Mortgage Lender VIA
Address:,
n
PEthAIT' INFOR
Building Permit
Square Footage:, Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical
New Service :- No. of AMPS:
Mechanical -(Duct layout required for new systems)
No. of Stories:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
00.1
IF
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. A WOTICE
OF COMMENCEMENT MUST 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 FBEFORE 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 of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract ,is required in -order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges' exceed ` the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
to
ignature of O er/ ent Date
Kc J I l
Print-Owner/Agent's Name
of Notary- of Florida.
w
IIIIIIII\\• ` Lvii,i J J;:.i I. ;A)
Print Contractor/
f I Z llb
AMW J.
of N
Plotory Pubilc • S ida
yr 8Ay Comm. Expires Jun 15, 2013
Commission # DO 899428
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Date
G
of Florida _Date —
TH MPS0 1
0 _ S*N # DD721364
S October 25, 2011
467 9 r - Ffnri atlo+nryServico:ccxx
Contractor/A ent is Personally IKno to Me or
Produced ID Type of ID r t " ( > '
WASTE WATER:
BUILDING:
Rev 11.08
MARYANNE MORSE, CLERK AF CIRCUIT COURT
THIS INSTRUMENT PREPARED BY: SEMINLi1 ECOLNTY
Name: 3 i ! I StA iv-1 Y12. \hiS%z L; LCc
t Address- ) Z L- 1 5 L cj A' i.;K " t>748:? Rg 1498; 11 pg)
I w' T 4 rLCLEW' S # 01t_)1342-11 State
of Florida REGARDED 11/19/20010 02:381,24 pM RECORDING
FEES 10.0 NOTICE
OF COMMENICEMEMORDED BY IT Saith Permit
Number Parcel ID Number (PID) -31 -1 o "_o The undersigned
hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement. DESCRIPTION OF
PROPERTY (Legal description of the property and street address if available) L 0 -
i" q C, C`_ i =•-1 ell _ +l i A i_ i= S P t1 AS j- t r, 1 , S ' 7
5 -+- 7 (: 1 r 3({ i f`a` i Z f ` RIF GENERAL DESCRIPTION
OF IMPROVEMENT 1 !y 'T 1 \ e -tr r OWNER INFORMATION
Name and
address: C U
V2 `7 Name and
address of Fee Simple Title Holder (if other than owner) CONTRACTOR Name
and
address: lit !t! 7` 2-1 I S IZv r ( rf 'P i : i C Persons within
the State of Florida Designated by Owner upon: whom notice or other documents may- serve tl as p/ovtged by Section
713.13(1)(b Florida Statutes. . rr ')\ r) Name and
address: j -, . im L'P"r I
l
L' i ; h ' tJ . f f r LL
C1 r 'S
L i S La . - ERTIFIED COP' In addition
to himself, Owner Designates — A Y ANNF- IMORSt To receiveacopyoftheLienor's Notice as Provided in BAR CIRCUIT COURT Section 713.13(1)(b), Florida Statutes. CLERK CIF Expiration Date
of Notice of Commencement: SEMI LINTY, Fi
IDA
The
expiration
date is 1 year from date of recordingunless a different date is specified. 1 . WARNING
TO
OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOT OF -NOV n
COMMENCEMENT
ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713 113, ` FLORIDA STATUTES,
AND CAN RESULT IN YOUR PAYING TWICE FOR"IMPROVMENTS TO YOUR PROPERTY. A NOTICE OF,
COMMENCEMENT MUST, 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 COMMENCING
WORK -OR RECORDING YOUR NOTICE OF COMMENCEMENT. STAT OF -
L6 .1 D COUNTY OF 'S AA I / N r : Lr X OWNERS
SIGNATURE , OWNERS PRINTED NAME NOTE: Per
Florida 5 tute 713.13(1) (g), owner must sign...... and no one else may be permitted to sign in his
or her stead.' The foregoing
instrument was acknowledged before me this day of 1 V ?)1i _t1 JP_r , 20 t by K
E!:y ! (its ej Who is personally known to me Name of
person making statement OR who
has produced identification type of identification produced VERIFICATION PURSUANT
TO SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES
OF PPJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT AR RUE TO
TH E T`F MY KNOWLEDGE AND BELIEF. IGNATURE OF N`
TU L PERSON SIGNING ABOVE 01 67- it
ffiimb dNota
rgnatur MY COMM' ExpNGS
JIM 18, 2019 C6MMIsslon # DID 899428
arahbabd Wofk Standard 1 year EU
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a Acceptance:
of°Proposal by signing this contract I°am authorizing Winter Spnn'gs Roofing and Repair to do they DepOSlt Due at: work ,
as described above The ,above; sped Iications conditions and prices are satisfactoty and°'-here by accepted ACCe tenCe p II
understand that paynient,will•be ma8e-`in fbWup6e completion of;"work w All material
is 'guaranteed, by. manufacturer. AII'work willbe`completed according to standard roofing practices and r current'building.codes :Any alterations;or supp ementaI oik over and extra'cost will r I abovespecifications-,
involving
be executed
only upon wntten,o[ders anZ.d will become an,extra charge item --over and above this agreement: Not tip r
ti
Check # '` responsiblefor;unforse'en damage or prexlsting condtions which will be'subtect to additionalfees N"ot responsible f " for
irfdirect'damage during the course of this work; As well as any`'mold `mildew ,wood'eatrng or Boring insects and Balance Due any, alterations:'made;bythe.homeowner` on, Completion' y
j
i f
3 Signature. Acceptance4Date4,+
r FioridaHomeowners ConslrticUon
Recovary.Fund According to Floridas construction lien law (Section;743:001 713:37, Florida Statutes .those who workon:'the Paymem'mey.be`eyaueble from itie Flodda:Homeowners"consiruaion: . ,pr6pdrtyror provide materials and are not paidAon full have aright o enforcetheir claim for payment agak-i'on'the RacoverylFand tryoulosemonegonaproJea'perforined `under comma; property; -If, your contractor "or "a subcontractor,fails'to, pay •subcontrctors,: sUb-subcontractors; or, material. whereoe, loss, results from specified violations.'of the Florida law by a:` ' - - suppliers the'people'who'are owedmoney,.maylook to your property forvpayment,even ifyou„liave'already: paid. I¢ense4contrembc,i'For. mfortnalion about the'recovery-fund-and rune a-' our.contractorin-fulC' If. you fail: to a ciaim,-contact'the Florida corsiruction•indestry. hcenslna, boem at me` Y r. p.
y Your.contractor,'your contractor,, may: „also; have'a lien; your piopery. ronowin `tole
none''"Dumber aria' :adore a.' < This ,means if a:lien "is, riled.,your property; coul l; be sold?agalnst yourtwilhto pay fore{abor matenals; orYother; B. e' , s s.}" n ,,., services_;that,
your-, contractor, or asubcontractor may have .fiale'd to pay. ','To prot"ect-your• self,,you'sfiould es Coriswdlon Indu"s'try Licensing Board °, stipulatein ttiis contract thatrbefore,any payment.is made', your contractor is required.to'provide you with a.wntten` 1940Nort6Mon oestreet release oflienfromanypersonorpompany.that has provided to,you a "Notice to Owner "Florida's contruchon Tallahassee; FL`32399 ]395lien` law'is complex and it is- that you consult an attorney t350-0 17-1395itProposalGoodfor 60 ®
ay, s