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Home My WebLink About111 Monterey Oaks DrApplication No: AUG 17 2015 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ Q )q3Q Job Address: 111 M d n k a eu Oa 1( S n l! • Historic District: Yes No Parcel ID: 33.161 • 3D •S) 7 -1)1)DO - I DSD Zoning: Description of Work: K e- Plan Review Contact Person: 1-D %kn nmf e &y tx Title: &n I n Phone: Fax: &-I.1)73-LAlo I D E-mail: _ ° Q"nehonncowrcxsChO ceZ ((N CtYyc} i An. P pM Property Owner Information Name &A ` bnn" Phone: fi n) ,; 1 U - Le $leg Street: 11 NA D!D jE f f_j 011 Y S D (• Resident of property? City, State Zip: San . 6( d I F L 32-2 -1 1 Contractor Information Name f) M eCWY1 ff S N61 Lt. C 00JCUI4710 Phone: Street: D HIV k e-n nt tAq P%J r1 41 ohD Fax: 223 -1AU 1 O City, State Zip: Tom, 6 3'- U D9 State License No.: Architect/ Engineer Information Name: N C'u Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Cf Square Footage: 'l- 1 Construction Type: - No. of Stories: No. of Dwelling Units: • 1 Flood Zone: Electrical O New Service - No. of AMPS: Mechanical 13 (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: s, 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 a lied to your permit fees when the permit is released. a0w • a ISignattve.of-Oner/AgeHP Date Signature fw 1 -ro f r es Print Owner/Agent's Name Signat e o otary-State of Florida Dat ept' JUSTIN DOWEI.I. 44 i N, MY COMMISSION i FF 163197 EXPIRES: September 25, 2018 Bonded Tl-u NoWf' PuWb lMde wrtten Owner/Agent is Personally Known to Me or Produced ID_ Type of ID 154 C..: APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Date f)Ai M0,xwetl Print Contractor/Agent's Name ri 9i-7l16- Sign a of Notary -State of Florida Date JO ANN WEAVER MY COMMISSION i FF 173882 edl • EXPIRES: dIThENoayPublic d i8BoNtnwsContractor/ Agent is V Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 THIS w 'i'3ti#i41Et'i PREPARED Y' r On w _ NOTICE OF COMMENCEMENT Stafe of Florida County of Sara€now Permit Number ...v................ . Parcel 10 Numbar:.a.: i' ' 612` D.M» The uNetsigred htrehy 91vos not m th-A itr3p:uvernetA Y411 be mada to wrtain real property, and. in accord 3ma Wlh hat rer 713: Ftodda Statutes. tr:e fottowint lr:fonrtattors €s•provided in this NOW of C0.f'1".ffE:Ef)1W . GENERAL AESOMPT€ON Of ttifPRO'tEl> NT' w _ .......... _ Pea Simple Tffl* Holdar (if 010r t *0 wMer`, Name, ............. _...._..._.._.........._ Address: ......... .............. ............................ Femorss wItMa tha state of Florida M,-.%rruw by Owner upon whom malice. tar £rthor dowmants rmy asp semea as lsrovided * Section Florida 5itstar£in. NaMe: ......_._._._ _._._................ _.... _. Inat (lion to hiMsei#, 06na£ Designates ,................................................... of o £stm4%- a ropy of the Ltevor's Notion, as Proutded in Section 713 1 i(1}tT1}: Florida SYaiutes. exptratforr Date of Notico of Comm. *ncemnt (Th* exp#ration data It 4 year r£ons detwof Mortiing u(Itss+e; £t diffmnt clans Ise €#let#} .... N h`Y5Yf2.LQ..i'Tffi=. ANY PAYMENTS MACE BY VIE 04:41---R ArTER '#'M EXPIRATION OF 114F. NC'i' E— OF: C0?v1ME;'40EfAE-NT Para CONSIDERED IMPRt3K.R PAYMENTS UNDER CRAPTER : `•3, PART s, SECTION 713.13. FLORIDA ST-ATU-t-cS, AND CAN RESULT IN YOUR PAYING PIMICE FOR IMPRovEMENTS f0 YQUR PROPERV, A NOTi- E OF COmNIFiCEMENT MUST BE RECORD=f? R140 POSTCD LlD3 THE JOB SITE BEFORE T#<E FIRST lNSI~ ECTIwN. IF YOU INTEND To t3lrTkiN FwA#d{=iNG, Gs7NSiiL1 WITH YOUR I.Eivi7'r'#2 ti{• B'V ATTORNEY BEFORE CC9t WIF-NICINGWORK OR RECORDING YOUR. i6Y1Cf=.OF COMMENCEMENT, Under perla€dess of.poduryt # doc)are ttrat i have that t# O facts V4104, in it.arx3 fxue to the ts"t'raf my knowrNdigo arid. lot, Owo Ftt: r 1a. it83ilrt IIY .13t11;t::- -the vff- r.::iwvm tt* ms "' rF L`ertLra -a a:: M. Oft c.0 :sxiY be P.nlK1"-d to 84i in r4s of * vood. Tfsw foregoing Instrurnss;t evens acknowi0too# Moro ase this s _' day of „,, *ezl"` 1.2 , we by ^ f : sAt# Is perssrc:ady kaown W ift D riA'. ttt2 Cr :Y:)t: tttfllC7Py^ Jitf!.tCx 0R. whQ..hw pro-d(tcad Wersftilwtt on typ* of ItIoatficattan produced: 1 Ml MIAY e,y M t1MMM iR I!f ),lhR3f,Y i#[- tLi61At 1A ttsin`;Is ,; 2t1t8 r.:r sbaflsrtsv: MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK' S # 2015089158 BK 8527 Pq 0135: (1Dq) E-RECORDED 08/13/2015 09:14:07 AM E CON1NISTRSTR UCTION OVAL Installation Agreement lie# CGC 1513427 EIN# 38-3927480, Uc# CCC 1328533 Phone: (888) 742-6163 Exterior Work: ROOF Shingle Types: WGAF Royal Sovereign 25 Year Shingle- 3 TAB _GAF Timberline H.D Lifetime Dimensional Shingle / Flat Roof: YES NO Shingle Color: , P-lj: (Z( _Drip Edge Color: -Ridge Vent: Metal Cobra Off Ridge 4' / Color1 r-nQIO— Underlayment:—%& nthetic 30LB Felt 15LB Felt Peel N Stick *** Roof pitch can affect what is allowed per Florida Building Code*** If you choose to keep the dish, we will not re -install it on your roof. You should call your network provider to relocate the dish*** v ` ob . Payment Details: Insurance: Z2 Depreciation:.'" l7 L&O Upgrade(s):_,Deductible: Payees on Loss Draft: KJG;: d( a a' A O Ism-`'— ] nr o L tf Circle One: Monitored or Non-Monito ed / Mail Away or Local Bank Endorsement / I/We or Dimensional Construction will handle the Bank Endorsement UJ P If you have solar panels, please sele one of the folioing options: I/ We will handle the solar to rtion of this project ourselves. I/We will have the panels removed prior to our install date. The allowance from the insurance company is to be returned to me upon completion of the project by Dimensional Construction, after Dimensional Construction has been paid in full. This includes payment for depreciation. I/ We wish for Dimensional Construction to remove the panels, but I/We will have them re -installed. Dimensional Construction will remove the solar panels at NO CHARGE, but Dimensional Construction is NOT liable for any damage that may occur as a result of handling the solar panels. The allowance from the insurance company is to be returned to me upon completion of the project by Dimensional Construction, after Dimensional Construction has been paid in full. 1/ We wish for Dimensional Construction to supervise the removal and re -installation of the solar panels. Dimensional Construction will have our laborers remove the panels and will hire a licensed plumber to re -install them. Dimensional Construction does not accept any liability for handling solar panels and there is no warranty implied or expressed. If the funds provided by your insurance company are not sufficient, we may supplement them for additional money. Notes: ANY DEVIATIONS FROM THIS CONTRACT MUST BE APPROVED BY ALL PARTIES AND SUBMITTED IN WRITING THROUGH A CHANGE ORDER FORM x 6 Customer Signature: Date Date DimensionalConstructionAuthorizedAgent: Sign Date Customer Signature: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: S 11 11 5 I hereby name and appoint: d 0h o DVWS1It-r an agent of- "o u e n r S C t-)1 c t Q q i t Ll c-1 i Q 0 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): The specific permit and application for work located at: street Expiration Date for This Limited Power of Attorney: 8 1 1 I 1 b License Holder Name: cc n i (h )(w u I State License Number: Signature of License H STATE OF FLORIDA COUNTY OF EA n y) ee The foregoing instrument was acknowledged before me this day of 20V5, by MMa VV 0 1 who is 9'personalry known to me or who has produced identification and who did (did not) take an oath. Si ture Notary Seal) T-d-Anh)1 (,ycf Print or type name I ---- 1, NotaryPublic - State of V' MY COMMISSION # FFR7U82 Commission No.EXPIRES: N embcUnd2m18My Commission Expires: BondedThruNoPublicUnderwritersRev. 08.12) r CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: V__ 2t o I, ®S CLi h6%V\f e `I hereby acknowledge that I personally inspected p Roof deck at water barrier work and have determined that the work Job Site AddrOss) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553,844 F.S.) I certify that understand Section Signature of ai making' of his or her i F.S. sSC_ M kA(1'6A LjI Printed Name of Contractor herein are true and accurate to the best of my belief and that I fully false statements in writing with the intent to mislead a public servant in the iicial duty shall constitute a misdemeanor of the second degree pursuant to qis ls- Date Ua 13U5 3 License # License Type: General Building Residential N Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF LA an a k Q P Sworn to ( or affirmed) and subscribed before me this day of Le h,r , 20 15 , by who is VPersonally Known to. me or has Produced (type of i n ' fic tion f 4_D+—_ as identification. SEAL) SijCature of Notary Public State of Florida ,,,Y o Yt+.v, JO{UJNWEAVER l n a=. MY COMMISSION N FF 17M 1./ 2 EXPIRES: November 4, 2018 Print/Type/ Stamp Name BmW mN rotafr weric Undembm of Notary Public