HomeMy WebLinkAbout130 Mayfair CtApplication No:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
e
Documented Construction Value: $ (Oi Z S%
Job Address: / 2 d
Parcel ID: 3 3- l 7 ,.? 0 _S o S' Q oa 0- Ot ko O
Description of Work: k oa vC—
Plan Review Contact Person:
Phone: Fax:
Historic District: Yes No
Zoning:
E-mail:
Title:
Property Owner Information
Name US4- kc' fr-w Phone: 7-
Street: 3 c7 AY C ` r C f Resident of property?
City, State Zip: — 3 Z i
i
Contractor Information
Name -Tu-k i D Y l^- ' i Phone:
Street: Z nIV Fax: Cav Ka, /_
City, State Zip: (" r S C c, FL Zsrl State License No.: - Z l
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
1 Z_c Vrzl-4).1-2,3
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: 1?`_f— No. of Stories:
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
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 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 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.
Signature of Owner/Agent Date Signature of Con ctor/Agent Date
LPG
Print O ner gent's Name l '
Signature of Notary-State`617"i loricTa // Date
KEV%DELANEY
MY COMMISSION #EE035014
EXPIRES' OCT 17, 2014
Bonded throur,.t 1st State Insurance
Owner/Agent is rsonall -te a or
Produced ID _eof ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
g,4D1**L%vc*1— Print
Co trac Agent's Na S
gnature of Notary -State of Florida Date KEVIN
DELANEY wY
co:
80ded
MMISSIDN #
EE035014 t
IRES: OCT 17, 2014 a:
through 15t State Insurance Contractor/
Agent i ! Pe own to r Produced
ID Type of ID WASTE
WATER: BUILDING:
Rev
11.08
f ,
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: % — S- - z3z:, y(
I hereby name and appoint:
an agent of: —To /-C, ( Alhj-
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.
C The specific permit and pllication for work located at:
Expiration Date for This Limited Power of Attorney: I -S - Z,,. t Z
License Holder T- tx-&,-ru
State License Number: C 2 g (
Signature of License Holder:
STATE OF FLORIDA _
COUNTY OF Se^eAoC.-
The foregoing instrument: a knowledged before me this Sday of
2001( 'by_ who is a personally known
to me or who has produced as
identification and who did (did not) tal e_awoath.
Notary Seal)
KEVIN DELANEY
MY COMMISSION #EE035014
EXPIRES: OCT 17, 2014
Bondad Waugh tat 61ate Insuranas
Rev. 3/27107)
Signature
Print or type name
Notary Public - State of _
Commission No.
My Commission Expires:
ling" null 11111111all11dusNo1111111111am THIS
INSTRUMENT PREPARED BY: Name: /
Address:
Z-S-S r /(I L
i'f State
of Florida WORW
MRSPi MW OF CIRWIT CM SENINOLE
COUNTY B9
07589 Pg 11521 (1pg) CLERK'
S #d 201 1065920 RECORDED
06/21/16,011kol5alas pN RECORDING
FEES 10.00 RECIADED
BY T Wth NOTICE
OF COMMENCEMENT Permit
Number Parcel ID Number (PID) 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 escription of the propertylland street address if available) AAA
i— 64 ,? Z"7 7 / GENERAL DESCRIPTION
OF IMPROVEMENT OWNER INFORMATIO
Name and
address:f, Name and
address of Fee Simple Title Holder (if other than owner) : CONTRACTOR Name
and
address is -S
Z9 S-3 Persons within
the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(b), Florida Statutes. CDY Name and
address: In addition
to himself, Owner Designates To receive
a copy of the Lienor's Section 713.
13011b1. Florida Statutes. OF 0
i4o c, 1
Expiration
DateofNoticeofCommencement: f1 The
expirationdateis1yearfromdateofrecordingunlessadifferentdateisspecified. 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 I, SECTION 713.13, 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. STATE OF
COUNTY OF AL, `qay
OWNERS SIGNATURE
OWNERS PRINTED NAME NOTE: Per
Florida Statute 3(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 Z day of %, 20 1 t by 0!"'
Wh personally known to meEl Name of
person making statement OR who
has produced identification type of identification produced VERIFICATION PURSUANT,
TO SECTION 92.525, FLORIDA STATUTES. UNDER PE
LTIES OF PERJ , I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE'
9/ifHE BEST OF1W KNOW( -EDGE AND BELIEF. SIGNATURE OF
NATURAL PEIAON SIGNING ABOVE 4 Y'
4 KEMN DEI.
ANEY W q
6.. l N #EE035014 MRESi T
17, 2014 Bonded through
1st State Insurance Notary
321-4 52-922RANOR2555NCourtenayParkway2596SheffiledDr0.' Merritt Island FL 32953 Deltona FL32738_
407-421-4171 - A-3.
Name: LIF %j2j DATE:
Street 7a 0 Alt Fl. ( Je COL)aT CCC#1328861
City/State/Zip SnUr_()g0 rL Z - ' HomePhonei^
G 9 ^ Z 8 G CRC#
1328021 Cell
Phone Email
DESCRIPTION
AMOUNT This
bid includes labor and material as described below as well as full management of the construction
process. This estimate has been prepared based on the preliminary ideas and
changes may occur based on customer choices, local permitting, and engineering requirements. ROOF
Due Care taken to protect home exterior, shrubs and landscaping. Includes
labor to remove existing shingle roof and haul off '" lJ Dumpster
included Includes
inspecting deck for damage and renailing to code with 8D ringshank nails c(v LA Includes
replacing new ridge vents -7 0 FEFT S t4 \ N GLF C) v Cf- 9-i i V EA-1 T Includes
saving gutters, soffit, fascia on existing home (some damage may occur in construction)D
Includes
replacing existing drip edge in choice of color Z1-A_I 1 -(' 1 F i 1 44 VQ Includes
1 1/4" roofing collated nails?] I v1C,_1I V JU-4 Includes
installing new shingles in choice of color--3 vCIA 1` Includes
replacing all lead boots and goose vents (does not include gas related vents)! Includes
new galvanized pre -formed metal in all valleys y,L, Jtio-2 Includes
starter shingles and ridge cap per code l>n C permit
Includesogtainingandpostingwith local jurisdiction .Z;Dp k tNLJ vC A_ t/ rrep ncludes
magnetically sweeping job site, cleaning out gutters and hauling away debris V ^'T S SHINGLES
Limited Lifetime Architectural/Dimensional 130mph.I rC Lifetime
Architectural/Dimensional 130mph UNDERLAYMENT
Peal and StICk- N U7°L-LFv S ArJLD 151b
Felt New
Aluminum Fascia and Vinyl Soffit $ Blown
in Insulation R $ Seamless
Gutters $ MISC
cc-"'
Of T S Deteriorated
existing decking replaced at $ :-2 per sheet of plywood ' 50 Q Deteriorated
existing decking/fascia/trusses/subfascia replaced at $ per linear ft. Does
not notinclude painting to match SURE
START 3-Star Coverage 10 Yr INCLUDED WARRATIES
4Star Coverage 20 Yr 5-
Star Coverage 25 Yr $ All
Taxes included TOTAL S