HomeMy WebLinkAbout1200 Sanford AveR E C V E D CITY OF SANFORD
DEC' 1 4 Z010 BCIILDfNG & FIRE PREVENTION
PERMIT APPLICATION
Application No: I 5 Documented Construction Value: $ t
Job Ad"dress: i aG QV1'2:`7 PV rP Historic District: Yes No
Pareel ID 19 22C) 5 - 4bCO Zoning: Description
of Work: =renjC_rj-- Plan
Review Contaet Person: Title: Phone:
yL) 6-719 aMO Fax: o E-mail: Property
Owner Information 1Vame-
l a 1%(?y15:. 1 fV b(-i Ck Phone: n
Street:
D(p , C sf.il1 Q-VP ) C Cit_ rf_Resident of property? f % Ci&".
State Zip: Contractor
Information NamePhone:
C { Street: City,
State
Zip: a->Jt_['( State License No.: Arch iteCUEngineer
Informatiop Name: Street.
City,
St,
Zip: Bonding>Coll
Address: E-
d
PERMIT
INFORMATION
L Building.
Permit
Square Footage:
Construction Type: No. of Stories. No. of
Dwelling Units: Flood Zone: Electrical 0
Plumbing New Service -
No. of AMPS: New Construction - No. of Fixtures: Mechanical (Duct
layout required for new systems) Fire Sprinkler/Alarm 17 No, of heads: CIA- l'
d
900tU9LOb JNHMJ MJ3HiMJ8 JNIW3IJ a$6:Z006 Ol.oe'0'
4
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 o'separate permit
must be seen red 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 incompliance with altapplicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CONDO ENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR.PROPERTY. A NOTICE
OF C0MM.ENCEMENT MUST BE; RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. . ' IF YOU INTEND TO OBTAIi i FINANCING), CONSULT. WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit; there maybe 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 1 will notify the owner of the property of the requirements of Florida
Lien Law, FS 113..._
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.
Si cof /Agent. Dal SignatureoFContractor/Ag
OwnedAgenf s Na.-ne
t 2 41
GLORIA` DUNMIRE
t' Nola y RM-Stated Florida
e My Can'rn Expires Feb 14, 2012
Commission # DD 749138 '...
Bordod 1FY 4 Nf71ord Notay Assn
Print mtrac IAge s e
Z-tp;U
Signature o rc o orida }
flrt04 .0" 1
q ,• ,,1 r. i.St'it # DD8813437
EXPIRES MAY 11, 2013
wwW,AAR0N DTAR%=M
Owner/Agent is Personally Known to Me or C gent is
11
PersonallyKnown to Me r
Pco'duced ID Type of ID Produced ID Te o
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rev 1 L08
Z-d 900V6L9L01v ON1300b SZ 3HlOb8 ONIW3l3 dtq:Z0 01 06 08a
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake -Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: In
an agent of: .SL
r
Y IL 1A ia
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary,to this appointment for (check only one option):
All permits and applications submitted by this contractor.
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: t
License Holder Name: (Y _)
State License Number: ill ( 'I ) U l ter. rL" I
Signature of License Holder:'
STATE OF FLORIDA
COUNTY OFr n Q y i
The foregoing insti*fient was a r o
AL-L by
to me or who has produced
identification and who did (did not) tale
Notary Seal)
COFFLO"F
No!tary
Florida4046
Rev. 3/27/07)
before me this )CO day, of
who is rsonally kno«vn
as
Print -Or type name
Notary Public - State of
Commission No. ?l
My Commission Expires: i2 .2-
M ARYANNE NORM, CLERK OF CIRCUIT COWT jSENINOLEt;l]fRJTV:
8K 074996 PR; 1Q-41 {ipgb
CLERK" E;" #4' .=01sii1= 3678 2
Permit No.
I `
irCG X110 12.28rle PN
Tax Folio No
tOEiRECRDDG
FEES11i. I
NOTICE
OF COMMENCEMENT RECORDED BY T 5atah State
of Florida County
of Seminole The
undersigned hereby gives notice that improvement will
be made to certain Teal property, and in accordance with
Chapter 713 Florida Statutes, the following information
is provided in this.Notice of Commencement. 1.
Description of property: (legal description of the pnoe and street address if available)Ll
V
ln
2.
General description of improvement. 3.
Owner information: Nama: Address: L
b.
lnterest
in property: C. Name
and address of fee simple titleholder (if other than owner): Name: Address: 4.
Contractor
Name: 1 i ;.a Phone number: r c.
Address:
t ' 5. Surety
Name M RSE Address: OURT
b. Amount
of bond: $ i UNT`h FLORIUA 6. Lender:
Name: Address: b.
Lender'
s phone number: ct.ERer
7.a.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as n provided by
Section 713."")(a)7,, Florida Statutes: Name: Lo Address: 8.
a
In addition 1.to
himself
or herself. Owner designates o o receive a copy of the Lienor's
Notice as provided° in Section 713.13(1)(b), Florida Statutes. b. Phone
number of person or entity designated by owner: 9. Expiration
date of notice of commencement (the expiration date is 1 year from the 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
C0 4MENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART l; SECTION 713.
13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOURPROPERTY. ANOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED QN'CHE JOB SITE BEFORE
THE FIRST [NSPECTION.W YOU INTEND TO.OBTAIN FLNANCING; CONSULT WITH YOUR LEN ER
O -N AfiTORNEY—aF-FORE COMMENCING WORK OR RECORDiNCr'YOURNOTICE OF CO ENC
efe'r
f Owne
r Owner's Authorized officer/Ditector/PartncrlManager iotn mstr entwasacknowledgedbeforemethisdayof _ 6 ear) , by (name of person) as (type of g autiority, ..,.
e.gJo tcer, trustee, attomey in fact) for (name of party on behalf of whom instrument was executed) r. (SEAL)
Signature of
Votary Public Personally Known
OR Produced Identification Type of Identification Produced Veri cation
pursuan to Section 92.525 Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the acts
stated i r ..best-ofrny knowledge and belief:. oa"w'
n"',., GLORIA DUNMIR6: ign a
of al Person Signing Above =o rR ` • Notary Ptbllc-Stateof Florldc Rev. da
312008 MyCorrrn E
Ues Feb 14, 2012 ? Commisslon # DD
749138 ` S-d
900b6LWOtr JNIJOOU Sd3Hl0b8 ONIN3 3 d9I,:ZO oI 0l, 080 i _ ..
t
Dec 1310 12:06p FLEMING BROTHERS ROOFING 4076794005 p.1
tW FLEM IS BROTHERS ROOFING
The Oldest Roofing Company in the hinter Park Area"
Farnily Owned and Operated - Over Three Generations of Quality Roofing
435 Aulin Avenue, Suite A, Oviedo, FL 32765
FBRooFING, INC. Office 407-679-2070 O Fax 407-679-4005
Licensed CC C041318 RC0067429 Bonded and Insured .
Retimntt' / Contract CC C041318
1%.-VVV/-Tb7 - - --
PFd:NE o^TE
PROPOSAL SUB VITTED-0
IC, G -
STREET JOB NAME
QUOr'
CITY. STATE AND W -
JOB LOCATION
AFTER VISUAL INSPECTION OF TIHE JVId 459111:, VVr.'ttstttaSCOT Ovmzvte ® Shingle
Roofing Roof Repair Remove
existing roof and haul away all debris I renail decking f / r
Dry
in with 34Ab. Asphatt coated U.L. felt _ Install
new lead pipe flashing and kitchen vents h ,, Cif.,-/ L/ei !' tar
Install new eave drip melal Cr Install
new 26 ga. galvanized steel valley metal with
self-adhesive underlayment• Install
25 year 0 e 40 year '(limited mfq qua tee) Self -
dealing fiberglass shingles 3 Tab Architectural AU
Homeowner responsible for Solar 1 Satellite Dish removal Furnish
and instal12x2___ 2x4___ other skylights r
Furnish and install_ _ ft. of ridgevent ___._ vrr+i Install
new off ridge vents Fabricate
and install new 26 ga, gal. steel base 8 counter flashing to chimney 19
Clean yard thoroughly and sweep magnetically for loose nails Apply
a -single ply rubber roofirig sptem to flat areas of home at an ditional
cost of ILd
Labor and material warranty: _1P4e_yri__ 6s1 carpentry
work to be billed on a time and material basis, not
to exceed $100.00 without customer nolification. r m. 35.
00 per man h r plus""materials. BB
bbbeorg r4% ::
Nz PleaseXiBLoMEWFLEt
ING BROTHERS ROOFING IS NOT RESPONSIBLE FOR, LOW SLOPES OR PONDING WATER. titl
ropose hereby to Turn' h material a labor c pie in a oidan with bone specification, for the sum of eve,
CC __—,z _ . Dollars Payment
to be made as follows: 112 (
Half) Down at commencement, Balance upon Completion. Price Includes all taxes, delivery charges. permits
and dump fees, We
cannot be held liable for direct, incidental, coincidental. Interior or exterior water damage, property damage, unforseenwiring
damage, mold or mUdew damage or personal injury related to the repairing or reroofing of the -- structure
while job is in progress or after completion- Owner to carry Gre, tornado and any other necessary ate: Title proposal may be withdrawn by,us If riot insurance.
Disputes arising out of terms or conditions of this contracture subject to Mediation and Binding Arbi- Decopted vilwn _ days. tration by
both parties. Mediation and Binding Arbitration is administered by the Better Business Bureau'Care program. Customer
responsible for any and all attorney fees. Payments not
rendered In accordance with contract, agreement shall be subject to finance charges of 18%. Acceptance of
Proposal- The above prices, specifications and conditions are satisfactory and are hereby accepted. You a authorized to do the work a'. specified. Payment
will be made as outlined above., / PLEASE READ
THE FOLLOWING AND INITIAL: We cannot be held liable for damaged V driveways sinceaccesstoandfromthestructureIsessentialforre -roofing. signature --- ) 7 understand
Final Payment is due irnmecilately upon.compleiton. t Customer Is
responsible for notifvinp FBR of re -mains. __ {please In81al) Aeeeptance Da1e