HomeMy WebLinkAbout109 Boulder CtCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Id-- ; 3 A / Documented Construction Value: $ 10037.03
Job Address: 109 Boulder Ct. Historic District: Yes No
Parcel ID: 33-19-30-518-0000-1700 Zoning:
Description of Work: RE -ROOF
Plan Review Contact Person: nehra Dean Title: QiialifiPr
Phone: Fax: E-mail:
Name Jlimmv MnKPn7iP
Street: 109 Boulder Ct.
City, State Zip: Sanford, FI. 32771
Property Owner Information
Phone:
Resident of property? :
Contractor Information
Name Proquard Restoration Phone: 407-330-7663
Street: 1220 Central Park Dr. Fax: 407-330-7661
City, State Zip: Sanford, FL. 32771
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
State License No.: CCC1330234
Arch itectlEngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: Aspht. Shing No. of Stories: 1
Flood Zone:
Plumbing
New Construction - No. of Fixtures:
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads:
a
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
REV 07.14
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 tomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. 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 ofowner/Agem Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date ;.;•a Signariueoftplorida
Notary Public - State of Florida
My Comm. Expires Apr 22.2018
4;1, a:;; - Commission # FF 115280
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Date
Contractor/Agent is X Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
FIRE: BUILDING:
Shall be inscribed with the date ofapplication and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
REV 07.14
PROGUARD RESTOR4TION
WVFiere Qyality Comes Tif5e i y
1220 Central Park Drive, Sanford FL132771 C
Ph: 407-330-7663 • Fax: 407-330-7661 a
State Certified.#,CCC1330234
www.proguardrestoration.com
PROPOSAL ! CONTRACT Dab %
Submitted To fl ! M l4 e t . r
Address 10 i' AQrr %dc-r r City e,Si9-
n Fm n cr' State gfj Zip 0721 PH# [
gyp y_ 81 73S H# Email Job
Address We
Hamby Submh SpecMcstlons And Esdnfts For. Remove
existing layer roof. Each additional layer at $ per square. Install
underlayment / base ply. Install
valley fief in all valleys d roughout where needed.. Install
new soil stack RasNngs (boots). c.
9oodi Install
new roof vents n the of deck, color _ d , e tt CC Install
r_l Replace
any rotten or damaged wood on the roof deck for $ per foot, or $ per
sheet of plywood (if needed). Add*
W'mn@,lvyork scope or inform ie mv f . w - v 0-
VVArQ '+it .AA - inn On .• e
C MI$
URwNCE C MS ONLY ContractAmount: — ®,3 All
work r
scope
and/or coats specified M this ibrrtr'ad agreement 627 Is
subject to or contingent upon the approval of the customer's Insurance
company. The undersigned further appoints PROGUARD RESTORATION (
hereinafter referred to es "PROGUARD") as its U.S. Dollars {.S representative
and permits PROGUARD to negotiate with the Insurance company
for settlement of the Insurance claim, if there is a difference of Payment to be made upon completion or as follows: work
scope and/or costa, PROGUARD may negotiate a reasonable replacement
and/or replacement cost mutually agreed between PROGUARD and
the Insurance company. PROGUARD will not start until work Is approved
by the Insurance company. INSURANCE
COMPANY S%F
L"`rc Alt
Pey»iwite to be nsede pay aM to PROGUM RESTORMON only ACCEPTANCE
OF PROPp3AL The
above prices, specifications and conditions of this contract are'satisfactory and are hereby accepted. I / We have read and understand the
terms and conditions located on the back of this document / contract agreement. PROGUARD RESTORATIONS hereafter
referred to as "PROGUARD') is authorized to do the work as specified and in accordance with the terms and conditions and stipulations
of this contract agreement. Payment will be made as stated' above. Authorized
ftpatpre Sales + Print
NameZ . + Title
Permit Number:
Folio/Parcel ID #: • / ..57
Prepared by: Pro uar'd Restoration -
1220 Central Park Dr.
Sanford, FL. 32771
Return to: Proguard Restoration
1220 Central Park Dr.
Sanford FL.32271
MARYAHNE HORSE, GEM=WO:-E COUNT Y'
CLERK OF CIRCUIT COURT GOMf'TI:OL.f_I:f
Pl: 850P v?r• Pv-"'" CLERK'
S T 201 074.809 RECORDED
07/tO;2015 12s11.0a20 Ph RECORDING
FELc R-
CORDED I.•,'f .ie.-.1;2nro ILOK'
NOTI ' E OF COMMENCEMENT State
of Florida, County of The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance withChapter713, Florida •Statutes, the following information is provided in this Notice of Commencement. 1. De CCnpption of pr9perty {legs descrip r of to prrty} aAstreet a les available) , ,j l//17"- /. i _ t-,?a,
3.
Owner 1p(oftnation or Lessee contracted for Interest
in Propeay. Name
and address of fee simple titleholder (if different from Owner listed above) Name
Address
4.
Contractor Telephone
Number 407-330-7663 5.
Surety (if applicable, a copy of the payment bond is attached) Name
Telephone Number Address
Amount of Bond $ 6.
Lender Name
Telephone Number Address
7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may beservedasprovidedby §713.13(1)(a)7, Florida Statutes. Name
Telephone Number Address8.
In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's NoticeasprovidedIn §713.13(1)(b), Florida Statutes. 9.
Expiration date of notice of commencement (the unless
a different date is specified) Telephone
Number date
will.be 1 year from the date of recording WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES; AND CAN RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITHYOURLENDERORANATTOEtNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT_.+` •,i ,: r
Lt7 R• :
j`
a
O it
N orLessee, or Owners of Lessee's Authorized OfflcedDirector/Partner/Nlanager Signatory's The
foregoing instrument was acknowledged before me this /D day o as
j/ t L• for TType/
of outho ' , e.g., officer, trustee, attomey to faa Signature
of Notary Public — State of Florida Personally
known FOR Produced ID Type
of ID Produced Form
content revised: 01123114 f
7 /, by . most
ear name gf person , n$
of party on "If of whom ins ent executed o z T
Print,
type, or stamp commissioned name of Notary Pub d
A"-
p g'. DebM A.. Dean O
c C;
i1il SS!vf-0796 LA- y
3e3: 2017 1= a '
h
i t``9 4 V'ti4'.A.3fi h'flfOiAFKeppl w `` O w uuuv,
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
City of Sanford
Building & Fire Prevention Division
4219
d 4 kaept
Re -Roof Permit Card
ISSUE DATE: D 7 • / ve /%T
Post this Permit in a conspicuous place outside PROTECT FROM WEATHER
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected
Permit expires six (6) months from date of issue or last approved inspection
A R OOF DR Y-IN INSPECTION IS RE UIRED
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The MitigationL Affidavit will not suffice as an alternative to receiving a dry -in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ROOF DRY -IN
MITIGATION AFFIDAVIT
FINAL ROOF .
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. FBC 105.3.3
REVISED: October 2014 Inspection Line 855.541.2112
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: f ;5— 7 ; ?
l: lie bYCt D c n hereby acknowledge that I personally inspected
Roof deck nailing and/or E,4econdary water barrier work
at j (j 9 ,P Q 11_je f- C j and have determined that the workJobSiteAddress)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fullyunderstandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant toSection837.06 F.S.
Signature of Contractor
7 h rGi PCt n
Printed Name of Contractor
ID/l6j
Date
Ecc
License #
License Type: General J Building 0 Residential Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 5e-m n O
or}-to (or armed) and subscribed before mg this 1 O day of s" , 20 , byl6rtffiwhois Personally Known to me 4 has C Produced (type ofidtipdoasidentification.
SEAL)
Signature o Notary Public
State of Florida %- _ _
Print/Type/Stamp N
of Notary Public
Revised.• February 2015
CINDY A. DUNN
Notary Public - State of Florida
My Comm. Expires Apr 22, 2018Commission # FF 115280