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HomeMy WebLinkAbout107 Reel CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Y S-Ug Job Address: 1 0 % R e.,1 L' -T- Historic District: Yes No Parcel ID• ©- - a, o- 3 1 " 9D'7- 00OD ` D z ZD Residential0--commercial Type of Work: New Addition AlterationK Repair Demo Change of Use Move Description of Work: P 0. 2 Plan Review Contact Person: ) 7 1514 3 na a rN Title: Phone: 1-i O-) . LfiV - 05_r3 Fax: Email: i n rra q Os , .d417 Property Owner Information Name J © 0 4 L.J Phone: Street: C-E- Resident of property? : yGS City, State Zip: -4_1' t-d- - _0( Contractor Information Name C Street: City, State Zip:0 Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer I Phone: qo % - Li 7 O`-_ Fax: + State License No.: ( C C -13 Z Z t G9 Dion Phone: Fax: E- mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. cg-L, Signature of Owner/Agent Date r z/_ — av_— Sig atur of Contr r/4.tl_V_D Print Owner/Agent's Name o r Print Contractor Agent's Name Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date Y NALD W. WATSON Owner/Agent i s or Produced ID e o "" a Is, zola RONALD W. WAZS MYcommiss Y FFt73/]a Con R1 119 Noiia Known to or Produce ype o BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application July 16, 2015 107 Reel Court Sanford, FL 32771 CONTRACT FOR ROOF REPLACEMENT Description of item Price Remove and replace approx. 23 squares of roofing materials (AR Shingles) Replace underlayment Replace approx. 12 linear ft of valley metal Replace 6' X 8' and 3' X 8' area of decking Replace 30 linear ft of drip edge Total 49500.00 Cvvo- TonySingletary Project Manager 407- 470-0558 CCC- 1327169 CBC- 159056 ofin Baw omeowner THIS INSTRUMENT PREPAR BY: Name: Imo, Address: a In NOTICE OF COMMENCEMENT l Permit Number: Parcel ID Number: 0 -7 — 20 — O J (3.3 O 22 R` r;'ahfE hIGf:SL= r t3011NOLE C:GUI'f1'YC:IRC:IJIT C:GUf 7' C: NPTROLLER CLERK'S v 20151-i76136tiEiGiGt''L II'f ; `}IJ:L•':i J1:le i ej;; tl ItIEC'tjRl;11113 FEES 11i,Clli RECORDED G'1' hdeVorp 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. 2. GENERAL DESCRIPTION OF IMPROVEMENT: 2,- a Ei 3. OWNER INFORMATIONORLESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: John A--J Interest in property: V n e Fee Simple Title Holder (if other than owner listed above) N 4. 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713. 13(1)(a)7., Florida Statutes. Address: 8. In addition, Owner designates Phone Number: of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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 COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, 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 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. b d[. Nal L 0 —ne-t` Si at e f owner or Lessee, or er s or Le % (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) State of County of The foregging instrument was acknowledged before me this 1 Z day of by Cj n bA J ho is personal) nown to me OR Name of person making statement who has produced identification type of identification produced: w gtt WfaFED CO MUIUR MORSE , ERK OF TH CAND e'. L C•'r'2 : S CLERK SEMINOLE COUNTY MULTI%URISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: / L I hereby name and appoint: an agent of: 01 SI1-26W 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. Or The specific permit and apn for work located at: plica io V //' / o e Expiration Date for This Limited Power of Attorney: License Holder Nam State License Number: Signature of License Holder: STATE OF FLORID COUNTY OF I Ciru C32 The foregoing instrument was acknowledged before me this _L!A,_day of Ab L—, 20 1 S' , by who is ersonally known o me or who has produced as identification and who did (did not) tak n oath. Signature of Notary 9My QDg6N # ARSON P](PIRES. Nocnbc,13, 2018 Print or type Notary name Notary Public - State of 7l 4 Commission No. 0- 1's- q—a My Commission Expires: N©V /,3— Zol N City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, andfederal code requirements. 1 7 V, CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit / S- 2 3 C=, 0 I, , F C r P J hereby acknowledge that I personally inspected Roof decknailingand/or,+Secondary water barrier work at / 0 /- X,—,( CT— Sr&,6 -C-C, and have determined that the work Job Site Address) 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 fully understand that making any false statements in writing with the intent to mislead a public servant in the perform ce of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 7.06 F.S. r < Sig ure of C tractor Date Printed I<ame of Contrac or License # License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. 4 STATE OF FLORIDA COUNTY OF `3&i?/li7 ) (- Sworn to (or affirmed) and subscribed before me this _A— day of au 20 9 S , by I S je , who is Personally Known to me or *s roSuced (type of ent ation) ri v-e as identification. SEAL) Sig tore _ of Nota Public f Florida GUERRE ALAIN ROBERT 20` ; Notary Public - state of Florida Print/ Type/Stamp Name My Comm. Expires Sep 9, 2015 of Notary Public ;"•9: Commission # EE 118327 OF f°° Bonded Through National Notary Assn. 3