HomeMy WebLinkAbout141 Country Club DrCITY OF SANFORD PERMIT APPLICATION
Applicatiop #: , 1 0 R E (;FA4521 Date:
Job Address: Co u^,+ m) Y-L ND_V _JNJI.ZQIQV,,k: $ 76WO
q - _30- 4)Qoning: Historic District: Parcel ID: 3S - / 0-/-0 C, —
Description of Work: ROOFING Ripa, _1C Square Footage: //100
4 .....................................................................................................
Permit Type: Building X Electrical 0 Mechanical 0 Plumbing 0 Fire Sprinkler/Alarm 13 Pool 0 Sign 0
Electrical: New Service - # of AdVIPS Addition/Alteration 0 Change of Service 11 Temporary Pole 0
Mechanical: Residential 11 Non -Residential 11 Replacement 0 New 0 (Duct Layout & Energy Cate. Required)
Plumbing/ New Commercial: 4 of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential 0 Commercial 11
Occupancy Type: Residential X Commercial E3 Industrial 0 Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
o ............................................ ...................... e ..........................
PropertyOwner: Will 1.CA,,-LJ A.P42 M3 Contractor: HALL BROTHERS ROOFING INC
Address: Co u,-,,+y2 3_ L 14-6 'DrL Address: F6 P70 ItA_
3a-77/ ORLANDO, FL 13 IR_
Phone: YM— —6%k-mail: t060 P) kJ I Phone: 407-425-8908 State Lie ense Number: CCC044918
I$onding Compan y:
4 OL 0 Ca'L Mortgage Lender:
Address: Address:
ArchitectlEngineer:
Address:
Plan Review Contact Person: Phone: Fax:
Phone: 407-i25-8908
Fax: 407-84 1-6009
E-mail: )kCweV_)VV_ 141V1
13,2o 116AS 10,9 6 L5
I C 0),
Application is hereby made to obtain a permit to do the work,land 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 ui derstand 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 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 RECORDING YOUR
NOTICE OF COMMENCEMENT.
NOTICE: In addition to thearequirements of this*,pennit, 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 propert aw, FS 713.
9 0 Or* - &/_-5_-A5) DOW Ava,
Signature of Owner/Agent Signature of Contractor/Agent Date
7 DONALD L. HALL
Print Owner/Agent's Name Print Contractor/Agent's Nam
Q4,Ak 4'd,+ 41 C1 K.J- 0-1 10 4 U, L.,A 10\
F77-5-a-w-re-oT17-of 2-e-aff Date Date
3E YNN ERNAN EZTLH6LYNNHERNAN EZ
P'lly COkIMISSION # DD832610
fEXPIRES October 20, 2012R
407) 398-01,9
Owner/Agent is Person ly Kno Me or
Produced I
APPROVALS: ZONING: UTIL: FD:
F,1RIDGET LYNN HERNANDEZ
Y 'Ok`-,`AISSION # DD832610
F,"PIRES October 20. 2012
aCtOr/Ageni is
Produced ID
ENG: BLDG:
Special Conditions:
IiALL BROTHERS ROOFING INC. 5517 Force Four Plinvy * Orlando, FL 32839
Phone: 407- 425 - 8908 * Fax Line: 321 — 445 - 4176
www.1-1 alBrothers Roofing. coin
Full Service Rooft-iig Specialist: Sliihgle, Tile, Re -Roofs, Metal & Repairs "
State Certified Roofing Contractor CCC 044918 * Fully Insured * 23 Years in Business * 10 Year
BED & CONTRACT FOR LOW SLOPE RE -ROOF WITH 10-YEAR WARRANTY
PAGE I
DATE 11/15/10 HBRI SALES REP. JEANNINE, KEVIN, BRIDGET
CUSTOMER NAME WILLIAM WITHEROW CONTACT WILLIAM WITHEROW
ADDRE SS 141 COUNTRY CLUB CIR. SANFORD, FL 32771
Contact Phone Nurhbers HOME 407-628-2902 CELL 407-466-6461
FAX
EMAIL ADDRESS loco8lwitherow@aol.com
Reroof Address: 141 COUNTRY CLUB CIR. SANFORD, FL 32771
WITH THE HIGHEST QUALITY OF PROFESSIONAL WORKMANSHIP AND SUPERVISION, WE PROPOSE TO:
REMOVE AND HAUL OFF THE EXISTING ROOFING, INSTALL NEW ROOFING, SUPPLY ALL LABOR AND MATERIALS,
IN ACCORDANCE WITH THIS CONTRACT.
LOW SLOPE ROOFS - LESS THAN 2/12, TOO LOW FOR SHINGLES, WILL BE ROOFED WITH;
POLYGLASS, POLYFLEX BASE SHEET & CAP SHEET - Modified Bitumen Self Adhering SAV-SAP System,
Number Of FLAT Roofs I Number Of Sqs. 16 $7,000
Owner. IntsCOLORSELECTION
INSTALLATION
All existing roofing materials will be removed down to the root'decking as needed unless stated differently below. Ali inspection
ofthe decking will be made to insure that tile nailing ofthe decking meets the 2003 wind LIP lift requirements. Ifneeded
additional fasteners will be added as needed to meet code requirements.
1.30LB felt will be used to build up drips in decking as needed.
2. Lead Plumbing pipe flashings, kitchen and bath vents will be replaced with new
4. All inaterials.will be installed per manufacture installation.
5. Roof cement will be used as need to sea] roof areas as needed and required.
7. All Permits and required docs will be completed to meet tile requirements ofthe Municipality in which thejob is being done.
Other materials information
DECKING IS Plank or Plywood
UNDERLAYMENT IS Selfarthering
EAVE METAL IS 2.5 " jEave Drip Color lowners Ints
GUTTERS None
TURBIN VENTS 2 REMOVE AND REPLACE WITH NEW Included
PLEASE READ PAGES 2 & 3 OF CONTRACT, MAKE SURE YOU UNDERSTAND ALL THE ITEMS
YOUAREAGREEING TO, AND, INITIAL EACHPAIGE, THANK YOU
TOTAL COST OF CONTRACTED WORK WITH CHOSEN OPTIONS ...................... . .
20% DEPOSIT DUE ON SIGNING
80% DUE ON COMPLETION
PROPOSAL SIGNATURE: Jeannine Hall 11/15/10
FOR HALL BROTHERS ROOFING, INC.
T14E ABOVE PRICES, SPECIFICATIONS AND CONDITIONS (PAGES 1, 2 &3) ARE SATISFACTORY AND I HEREBY
ACCEPT THIS PROPOSAL AS A CONTRACT WITH HALL BROTHERS ROOFING, INC. WHO WILL SUPPLY
MATERIALS AND LABOR, COMPLETE THE WORK, AND BE PAID, AS DESCRIBED ABOVE. Any deviations
from the above specifications will be executed upon written change orders only and will become all extra
charge over and above the proposal. THESE PRICES ARE GOOD FOR 10 DAYS OF TFHS CONTRACT DATE. WE
REQUIRE A 20% DEPOSIT TO/PROCEED WITH THIS AGREEMENT WHICH IS NON-REFUNDABLE AFTER 3 DAYS.
SIGNED: 1 DATE://Z</__r7ze
PRINT NAME
LIMITED POWER OF ATTORNEY
DATE 11-15-10
I hereby name and appoint Mr< -a 1+P-1 of HALL BROTHERS
ROOFING, INC. to be my lawful attorney in fact, to act for me, and apply
for a roofing permit to be performed at location described as:
Section Township Range _ Lot Block
Subdivision
Addressofjob/ 141 Country Club Dr.
Sanford, FL 32771
Owner of property William Witherow
Address 141 Country Club Dr.
Sanford, FL 32771
And to sign my name and do all things necessary to this appointment.
DONALD L. HALL CCC044918
Signature bs&& zw 0 -/
Acknowledged:
Sworn to and subscribed before me this 15 day of November, 20 10
Notary Public, State of Florida, County of Orange
Seal or Stamp)
Signature"
Personally known or Produced identification
Type of Identification produced
And (did) (did not) take an oath.
JANE
D ZBRIDGETLYNNHERNANDEZ
JAj F DD832610S 'JON #
Octo r 0 201 2IREbe2
P'
jY
XP S
yrIN
yjy CnMMISSION # DD832610
F-XP!RES October 20, 2012
I
IAV,
407) 396-0153, FlondallolarySerylce-COM
I toll Is 119 It out at IIIII If gel 94 111 as lit Is IiIIIIIIIIIIIA It 1114 IN ]III IN at
MARYANNE MORSE, CLERK OF CIRCUIT COURT
THIS INSTRUNIENT PREPARED BY: SEMINOLE COUNTY
Name: BK 07481 Pg 03-30; Qpg)
Address: 5-517 Fbrz4-'C F-01v Pyk: CLERKIS it 201c)i32699
0 ol- RECORDED 11117/2010 10:46:44 AN
State of Florida RECORDING FEES 10.00
RECORDED BY J Eckenroth(all)
NOTICE OF COMMENCEMENT
Permit Number rcel ID Number (PID)
z -0/ -6J, S- - 19 - 30 - -S -CC 00 --26
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) 2- to - -
L -L(kk MaA-, 07 a/kA C; P )3 1 / P 110
f
GENERAL DESCRIPTION OF IMPROVEMENT C, C)
OWNER INFORMATION
La
Name and address: I
2
Name and address of Fee Simple Title Holder (if other than owner)
CONTRACTOR
Hall Brothers Roofing, Inc.
5517 Force Four Pkwy.
Name and address: Orlando, FL 32839
407-425-8908
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(l)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates
To receive a copy of the Lienor's Notice as P - rovided in
of
Section 713.13(l)(b), Florida Statutes.
Expiration Date of Notice of Commencement:
The expiration date is 1 year from date of recording unless a different date is specified.
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVIVIENTS 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.
STATE OF COUNTY OF
OWNEF(S SIGNATUR'E' OWNERS PRINTED NAME
NOTE: Per Florida Statute 713.13(l) (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 k)FO-Q e- ., 20 1 —C;
by W k L C, V,, T W Who is personally known to me
Name of person making statement
OR who has produced identification Ertype of identification produced
A.;t UP),
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. MARYANNE M6RSE'
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE§11g;ffAqPSI'IJOU
I
RT-
ARE TRUE TO THE BFT OF MY KNOWLEDGE AND BELIEF. MI,NOLE.COUNTY,. FLORIDA
I A
0EPUTY-- CLERKSIGNATUREOFNATURALPERSONSIGNINGABOVE
NOVAI 2010
jt)6c-j'L -iERNANDEZ
ftlk,)DD832610MYCOI"iAiS,06 L
7, Nbtary Signature
BR -YNN
i XPIRES October 20,2012
2-3 e rv i c; e. c 0 m
a