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Home My WebLink About107 Salem DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ( T Documented Construction Value: $_ 10, 5S a • 9e) Jab Address: 10 "} SQ l e m Or SA f) ford 3 2-1 7 1 Historic District: Yes No Parcel ID: 3-5 G- 3 G- S l l - C-jn c) - 0 5 1 U Zoning: Description of Work: Re -roof - Plan fleview Contact Person: Q2 brQ p_" Title: LiCefanSe koldel Phone: q 0 '1- 33 U - 7 0 (D3 Fax: _ 4 0 i - 3 30 ` - (o (a l E-mail: prGQ Orla LkldrGs tufA Property Owner Information Name _ M [I)pSo M i o o ej A - Ar. Phone: (n1Q- S Uri 0 7 Street: J () SQ i e rvm Q(. Resident of property?: ! f City, State Zip: _,J(A o f e)j•-d i F L 3*2 7 7 J Contractor Information Name PYn rc/ ili rSl'c2e + t6f1 Phone: 141)7 `330 - 7k(, 3 Street: t 22((etify-a i Ctr!C or. Fax: 14 U 1 .3: CQ ` 7 laia I City, State Zip: .S Gtrl-(0Kd, FL 3'L7 71 State License No.: C r- c Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 9( Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: Construction Type: A'21C-rQQ4 No. of Stories: 1 si-0 No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Mechanical ( Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBQ 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 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 ABFIDAVIT: 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 PROPIE?RY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB Si t E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSI;' .T 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 restrictic:_s applicable to this property that may be found in the public records of this county, and there may be additia_.a! permits required from other governmental. entities such as water management districts, state agencies, or feoe-at agencies. Acceptance of permit is verification that 1 will notify the owner of the property of the requi-:;tr:-ants of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contrac-::r required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the rig.at to calculate the plan review fee based on past permit activity levels. Should calculated charges exc_-a i the documented construction value when the executed contract is submitted, credit will be applied to .your cnnit fees when the permit is released. kca- - 4 K5 arl Signature of owner/Agent Date Signature of Contractor/Ageat :aL Z ) f e L) r(L 4 Z,), _ Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary .State of Florida Date Signature? Notary -State of Florida ate Steve Pate s = E MRES: ft 29, 2018 www. AARONNl1?ARY.wm - - Owner/ Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Contractor/ Agent is V_11Personal:y :mown to Me or Produced ID Type of ID WASTE WA'IEPR: BUILMIN, z: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 f BC) 731.135(5)(6) Florid:. 5:_ttttes. REV 07.14 i iilill ON! N111 Hill 11,E1I "Im- 1111 Im Perinit Number: _ Folio[Parcel 1D #: 3 i GI - :3() -nSI Q Prepared by: Proquard Restoration 1220 Central Park Dr. Sanford, FL. 32771 Return to: Proquard Restoration 1220 Central Park Dr. Sanford, FL. 32271 i,LEFY " a '}itt. ii;6l:l i? NOTIPE OF COMMENCEMENT State of Florida, County of 1% 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. Description of property (legal description of the property, and street address if available) I ri+ .5I r'.,, ni-rxA r-Iu;7 ffrrto -V y 6 s . L,'; Thru (" co. -- 2. General description of Improvement 3. Owner Information or If the Lessee contracted for the improvement Address .1)'`I In-ZA- IL'YA 1)f_T L 3-1 r i I I IH y Interest in Property Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name Proquard Restoration 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 be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address S. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided In §713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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•JO13 SITE BEFORE THE FIRST INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT GTH YOUR LENDWOR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner. -di -Lessee, or Owne! s or Lessee's Authorized Offlcer/Director/Pannertmanager Time foregoing instrument was acknowledged before me this q day of (' i by mon n ear Signatory's Tllle/Office name of person Typb of authority, e.g.. officer, ti ustee, attorney in fact Name of party on behalf ofwhorn instrument •rras executed t>- t> signal re of Notary Puhlfo — State of Florida Print, type, or stamp commissioned name of Notary Public Personally Known V OR Produced ID i` m 0 op U 1 Produced A. D ad PURTANDNNEMORSf6-:1" CLERK TH Crf, . t; !ES:IM 04,2017 COMP ROL (( 4 j e FJ ni d'' WiS tiY.PAx0;VN0iARYcom FonncontcnEre' ris IDA hrr"I::::' SY DEPUTYCLERK PROGUARD RESTORATION Where QyaCity Comes T irse 1220 Central Park Drive, Sanford FL. 32771 BBB Ph: 407-330-7663 • Fax: 407-330-7661 1. State Certified # CCC1330234 www.proguardrestoration.com PROPOSAL /CONTRACT Date ZI,3,,l Submitted To // 11 9 U 2. I aat 9—r6rks a Address 7 S ei 1 gem. 10 f . City 1!"/'d State Zip PH#( & 4 S'QV yPH# Email Job Address - We Hereby Submit Specifications And Estimates For: emoveexistin la er roof. Each additional la er at 9YY $ 11er s uare. pqnstall4-Swmil. P i' c underlayment /base ply. Install valley liner in`all valleys throughout where needed.. Install new soil stack flashings (boots). Install new roof vents on the roof deck, color 174f/es Install n, r. t)il r„-h n roof, /— tr.n . Replace any rotten or damaged wood on the roof deck for $ per foot, or $ S •J per sheet of plywood (if needed). Q Additional work scope or in ormation, ft S. Oc INSURANCE CLAIMS ONLY Contract Amount: All work scope and/or costs specified In this contract agreement 5 (] Is subject to or contingent upon the approval of the customer's Insurance company. The undersigned further appoints PROGUARD PROGUARD") U.S. Dollars ($ RESTORATION (hereinafter referred to as as its representative and permits PROGUARD to negotiate with the insurance compnay 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'costs, 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 comma. IINSURANCE COMPANYlilL/P r f\ I All payments to be made payable to PROGUARD RESTORATION only ACCEPTANCE OF PROPOSAL 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-willabe made as stated above. rizeSna AuthoiSales0 Print Name v(* Title City of Sanford Building & Fire Prevention Division Re -Roof Permit Card 019/ Own PERMIT NO. ISSUE DATE: I' CONTRACTOR: I JOB ADDRESS: TYPE OF WORK k! O Q "ar Post this Permit in a conspicuous plac/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 Mitigation 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 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 15-00002549 Date 8/10/15 Property Address . . . . . . 107 SALEM DR Parcel Number . . 33.19.30.514-0000-0510 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 908541 Permit pin number 908541 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 111 BL03 FINAL ROOF / / CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: T I, ]1-va pCt,n hereby acknowledge that I personally inspected woof deck nailing and/or W-Secondary water barrier work at An-7 fa j P.!'Y) Or 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 performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. J Signature of Contractor khra iie&M Printed Name o Contractor tom® Date CGG License # License Type: General Building 0 Residential eRoofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF SS Sworn to (or affirmed) and subscribed before me this Irl day of Augulf 20 5, by D-ebe-a T_ka ern , who is G 'ersonally Known to me df has Produced (type of ide tification) as identification. I C.u.M (SEAL) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public Revised: February 2015 rPU°°• LLOYD CHANDLER MY COMMISSION #FF179587 o•° EXPIRES November30, 2018 407) 398ots3 FbridallotaryService.com