HomeMy WebLinkAbout127 Rockhill DrApplication No: /g 07,3 3 C7
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 9507.83
Job Address: 127 Rockhill Dr. Historic District: Yes No
Parcel ID: 33-19-30-516-0000-0830 Zoning:
Description of Work: RE -ROOF
Plan Review Contact Person: nPhra nPan Title: QualifiPr
Phone: Fax: E-mail:
Property Owner Information
Name Rvan R Trinin Maurk
Street: 127 Rockhill Dr.
City, State Zip: Sanford, FI. 32771
Name Proguard Restoration
Street: 1220 Central Park Dr.
City, State Zip: Sanford, FL. 32771
Phone:
Resident of property? :
Contractor Information
Phone: 407-330-7663
Fax: 407-330-7661
State License No.: CCC1330234
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: Aspht Shang No. of Stories: 1
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
I
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.1 I
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 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 EVIPROVEMENTS 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.
7/13/15
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
COMMENTS:
Print C s arne
ML-
o5 v Aignattue of ftw7CWk Florida Dateu
a ' z Notary Public • state of Florida
My comm. Expires Apr 22, 2018
Commission B FF 115280
Contractor/Agent is X_ Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:,
ENGINEERING: FIRE: BUILDING:
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
t
i PROGUARD RESToRATIo j
Wriet-e Qua% Cnmes Tine
1220 Central Park Drive, Sanford FL. 32771
Ph:407-330-7663 Fax:407-330-7661
State Cerhfited # CCC1330234
www.proguardrestoration.com jPROPOSAL !CONTRACT Dab %/ 74o/ 5
i
Submitted To — 410eA Address
1 citx state Zip + PH# /
07a12) '><S 8 9 PH# Email I
i
JobAddressi
W*
Hwoby Submit Specfficatlons And Esdmabs For. I
Remove
O istinq layer roof. Each additional layer at $ per square. Instajl _SY't r underla Install #
n valleyHrter __a
aN
valleys throughouted yment /base
where need..
f I
new s Fiiri sMoots)• InstgN new
roof v' " on {he roof deck, color " • S 1p roof, a
1 t'
Replace
bny rotten or'damaged wood on the roof deck for S 3, per foot, or S per sheetofplywood (if needed). Additionaf work
scope or information: G a t C:
onhW Amount: 9 I
All work
scope and/or costs specified In this contract agreement I Is subject
to,or contingent upon the approval of the customer's ,. Insurance company.
The undersigned further 60points PROGUARb RESTORATION "relnefter
referred to as •pROGUARD-) as its U.S. Dollars { $ i representative and
permits PROGUARD to negotiate with the Insurance compnny for
settlement of the Insurance claim. H there Is a difference of Payment to be made upon comphWort or as foll%ft: work scopeand/or costs, PROGUARD may negotiate a reasonable replacement and/
or reptacenrent cost mutually agreed between PROGUARD and the
Insurance company. PROGUARD tirlll not start until work Is approved by
the Insurance company. INSURANCE COMPANY ,
a1l.I l For ANpaymwotO
be rnatN {oayaWi lio PROQUitRD RrESTnRAT1QIY oNy ACCEPTANCE OF
PROPOSAL, The above
pdces, s s and conditions of this contract are ?;aatisfasto y and are hereby accepted. I / We have read and understand the termsandcoitionslocate_ the back of th document / contract agre ant PROGUARD RESTORATIONS hereafter refedtoas "PR U zed to do the work as''s I and In accordance with the terms and conditions and F stipulations ofIscontractame1willbemadetede, t Author d
re } Salesftaj &Ldr Print NaTitle
Permit Number;
Folio/Parcel ID i
Prepared by: _
Return to:
1220 Cer
l llllll lull IIIII lull Ilfll lull Ill) Ills
NARYANHE HORSE: SEMII40i_E COWT1
i'LERK OF` CIRCUIT COURT & COMPTROL.l.LF,
Ei 3501 F'
CLERK'S T 2015074808
RECORDED, 021101201' 0-10'20 Ph
RECORDING -FEES Whrll)
RECORDED C1' .ieckenru
NOT CE OF COMMENCEMENT
State of Florida, County of3[!'}tu my
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. 1. Do scjpjyn.,ofoperty Megal d"priptipn gfj h®,pfogeny,,ancjkeet address if available)
2. General d
3.
4.
5.
6.
7.
8.
9.
the Lessee contracted for the improvement
Interest ii Propert `
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
Contractor
rvame r guaru Re5iorauon Telephone Number 407-330-7663Address1220CentralParkDr. Sanford FI. 32771
Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address
Lender
Amount Qf Bond ,$
Name Telephone Number
Address
Persons within the State of Florida designated by Owner upon whom notices or other documents maybeservedasprovidedby §713.13(1)(a)7, Florida Statutes.
Name Telephone Number -
Address
In addition to himself or herself, Owner designates the following to receive a copy of the Lienor'sNoticeasprovidedin §713.13(1)(b), Florida Statutes.
Name Telephone NumberAddress
Expiration date of notice of commencement (the expiration date will be 1 year from the date of recordingunlessadifferentdateisspecified)
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLOR16A STATUTES, AND CANRESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERERDEDANDPOSTEDONJOBSIEFORETHEFIRSTINSPECTION. IF YOU INTEND TO oimw FINANCING, CONS41X-.... W T YOUR LENDER O A R EY B RE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEis
5i oratureofOumerorLessee, Ouvner's or Lessee's Authorized OfricerJDlrector/PartnedManager SignatOrys Tillelotfic o
C
The foregoing instrument was acknowledged before me this day of by ..::.` `-'
as
r ; mon ear name of pe on cisfor 1Zc ..c LU
Type of authe ry, e.g.,. officer, trustee, attorney in fact Name o arty on behalf of whom Instrument was executed11zE
ur r1rr
U pSignatureofNotaryPublic — State of Florida Print, type, or stamp commissioned name of Notary Publ !'
Personally Known OR Produced 10 .. 1 u _.
Type of ID Produced LLOYD CHANDLM FORTSON 8 ' u
r
MY COMMISSION #FF179567 W o h o
EXPIRES November 30, 2ol s .
X 713990163 Fbrld GMg3erviae.Com Id'S u y m Form content revised:
01/23/14
PERMIT NO. 151. <2 3 Z 0
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: 0 9, / it /"'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 REQ UIRED
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation Affidavit will not suce as an alternative to receiving a drv-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
I REVISED: October 2014 Inspection Line 855.541.2112
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit#
1= _Q_j d . Q, hereby acknowledge that I personally inspected
roof deck nailing and/or E Secondary water barrier work
at M —I 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.
Cabk&A a)e(),r-)
Signature of Contractor
Printed Name of Contractor
1-ag,-i.-
Date
0,0_C
License #
License Type: 0 General J Building 0 Residential Lve'k`oofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 6
rn to (or aff1rmed) and subscribed before me this day of , 20 %J , by0P(z `( P ,n , who is Personally Known to a or h s C- Prod uced (type of
id6 lleaf) (SEAL
as identification.
Signature of Notary Public
State
DJIoC° 1 r f-o
LLOYD CHANDLER FORTSONPrint/type/Stamp Name
of Nota Public =*
4 *' MY COMMISSION #FF179587 I
e=
EXPIRES November 30, 2018
407) 398-0153 Floddallotaryservice.com
Revised: February 2015