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Home My WebLink About118 Boulder CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: l ' Documented Construction Value: $ i 0 : R cl 1 3& Job Address: 1 1 Pl 00u IGl'P.f (.T .Sa r(,. ft 3 27'11 Historic District: Yes No B Parcel ID: Zoning: Description of Work: re- -ronf to Plan Review Contact Person: QC Cd 12 (70 r) Title: Li 1'1 C 1101 d e,( Phone: 401-330-70&3 Fax: E-mail:oreW rdre)(Ati6n,con Property Owner Information Name _ (,4tQ_Aaje_n A. Phone: ky0-1) 9206".3930 Street: jLS & t)l aCj- Gt- Resident of property? e f City, State Zip: SQ nf- YLr,, FL .32721 Contractor Information Name & w2r d P.l ,-al)) In Phone: q 0 -1 334 r 7ro(o 3 Street: 1170 -'] t rGt ! 4ka' Or. Fax: U, - 3';Q - 7 (o(n 1 City, State Zip: .fan &rd, FG 31171 State License No.: CCC I33 23q Name: Street: City, St, Zip: Bonding Company: Address: Building Permit e Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: `W &9 Construction Type: 1''e.-rnn f- No. of Stories: I No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) 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 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 wil_ 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 COMN- ENCEMENT MAY RESL`LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPS % Y. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB Si T E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FMANCING, CONSU':'I' 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 additi(y•_n, permits required from other governmental. entities such as water management districts, state agencies, or fe6e-at agencies. Acceptance of permit is verification that I will notify the owner ol'the property of the requi-,:,tr,I-nts of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contrac-::i: required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the to calculate the plan review fee based on past 'permit activity levels. Should calculated charges exe--::;: the documented construction value when the executed contract is submitted, credit will be applied to .your =_nit fees when the permit is released. Signature of owner/Agent Print O%mer/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Signature of ContractoriAgent •:aw hel--)rct_ 4 Z)&IL,r — Print Contactor/Agent's Name Sig&turc of Notary -State of Florida mate Steve Pate EX MI. occ 29, 2ot8 www.AmoOoTARY.com - - UTILITIES: FIRE: Contractor/Agent is V Personally :mown to Me or Produced ID 'Type of ID WASTE WATED'-: BUILD1X` 3: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Flori-12. 5:::tutes. REV 07.14 Permit Number: Folio/Parcel ID ##: Prepared by: Pro uard Restoration 1220 Central Park Dr. Sanford, FL. 32771 Return to: Proquard Restoration 1220 Central Park Dr. Sanford, ; L. 32271 r,;;;: tr,Li.!._EliY, t.t t:!i:ill; :^r_li<: _. "t'!'•(t;'" ! ': t:LERK `9 4 20150 6011 l//-.' NOTI E OF COMMENCEMENT ir State cif Florida, County of', Ths undersigned hereby gives notice that Improvement will be made to certain real property, wit,' ;;ha,pter 7'13, Florida Statutes, the following information is provided in this Notice of Commencement. dal?ce 1. Description of property (legal description of the property, and street address if available) Ui- 1 15 ,r,Q nrEJ14_ !ZJ9 h PaY- i_ P_ H3 P6 5?) • cjvS, 2. General description -of improvement - 3. U-.vner information or L N-anie Gd 1-O irr3 r ation if the lessee contracted 1 a Improvement Interest In Property -- Wande and address of fee simple titleholder (if different from Owner listed above). Pram Z Add ra=_s ---- -- 4. Cviih•uolor Idsn e._roguard Restoration Telephone Number 407-330-7663E,ds,r ac 1220 CAnfral Park nr CdnfnrA Ct 47774 5. Sr~rsty (if applicable, a copy of the payment bond is attached) Name. Telephone Numberfddra--ss Amount of Bond $ 6. LJ>iii r Name- _ Telephone NUnluerAltirc-ss -- 7. Pa;'a,:,ny vAE' +in the State of Florida designated by Owner upon whom notices or other documents maybeseneedasprovidedby §713.130)(a)7, Florida Statutes. Narre Telephone Numberrdjie&s 8. In additicn to himself or herself, Owner designates the following to receive a copy of the f.'senor'srNo-dcd as provided In 6713.13(1)(b), Florida Statutes. Na" le Telephone Nurnber AtX ess 9. G:;,,pimtion date of notice of commencement (the expiration date will be 1 year from the date of recordingunlev.; a different date is specified) WARNING T COMER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCE-MENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CANRESULTIN1OUiPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDil) POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 1F YOU INTENT) TO OBTAIN FINANCING. iURSULi` WITH YOUR L 7 EER AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatute of Owner ur Lessee, or Owner's or Lessee's Authorized OfficerlD!rectorlPartner/Manager S;gnatory s i,t,z/Gf:; e The foregoing instrument was acknowledged before me this 4 day of 1, by as -tcuL. MGM! ar narn= cf ,-F.. 1 for [k_ r r>r-) ;,--i-, Type of a.:thonty, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was exectited Siynatut'c of ivotary Public —State of Florida Print, type, or stamp commissioned nerne of Rl::t^!-_.! Puvl::: Persona4y itnown >' OR Produced 10 Type of 11:-roduced AUG 0 6201 t:e 10ERTIMCOPY MrARYANNEMORfiSt CLE OFTHE URTAND FormFlo OJr.,t'; BY' ' °"h`'•.t»".•.• r.`=`"` ti r I" n DEPUTY CLERK truth a Xina ' afl T FRi;~gtv r t7796 cr• ,r S: Ff. B. 09 2017 miH' 55"ti: fir.: FiIhYNeTARi:c m DDivOGUARD RESTORATION Where Qyality Comes First" 1220 Central Park Drive, Sanford FL. 32771 BBB Ph: 407-330-7663 • Fax! 407-330-7661 State Certified # CCC1330234 www.proguardrestoration.com PROPOSAL I CONTRACT Date Submitted To . ,4 Grn ( e, 76 r Address // g C% Vo7-q Y-3930 PH# PH# City SA l'-6 r State f4 Zip ,a 77 Email Job Address 6 We Hereby Submit Specifications And Estimates For: Remove existing In layer roof. Each additional layer at $ per square. Install n Y undedayment / base ply. dInstallvalleyliifierinallvalleysthroughoutwhereneeded.. hI T win Install new soil stack flashings (boots). q,z w 4 Jt Install new roof vent on the oof deck, color M &re h Install' ,cIA44c;.. roof, Replace any rotten or damaged wood on the roof deck for $ _ per foot, or $ 9-e per sheet of plywood (if needed). Additiongl work scope or information: . c -r /2 C jdoed Joa If 0A #a vs A 1(,4 INSURANCE CLAIMS ONLY I Contract Amount: Nil work scope and/or costs specified In this contract agreement s subject to or contingent upon the approval of the customer's nsurance company. The undersigned further appoints PROGUARD RESTORATION (hereinafter referred to as "PROGUARD") as its epresentative and permits PROGUARD to negotiate with the insurance ompnay,for settlement of the insurance claim. If there is a difference of nrork scope and/or costs, PROGUARD may negotiate a reasonable eplacement and/or replacement cost mutually agreed between PROGUAR and the Insurance company. PROGUARD will not start until work is approved by the insurance company. INSURANCE COMPANY 76 1 L A i G 6 U.S. Dollars ( $ ) Payment to be made upon completion or as follows: AU 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 agreeme . P yme ill b made as stated above. Authorized Signature Sales `4ov d— Print Name Title City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. rT C2 ISSUE DATE: CONTRACTOR: JOB ADDRESS: TYPE OF WORK: Post this Permit in a conspicuous place MV 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 PROTECT FROM WEATHER 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 . . . . . 15-00002550 Date 8/10/15 Property Address . . . . . . 118 BOULDER CT Parcel Number . . . . . . . . 33.19.30.518-0000-1750 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 908558 Permit pin number 908558 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 #: J,S— 0 I, EL-& D-M-0 hereby acknowledge that I personally inspected Roof deck nailing and/or 9'<econdary water barrier work at 1) f3(jVl de-- CA--. 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. d aA_4 8 - 1 ? -1 Signature of Contractor Date oPe" , t ao CGC,1330L3 Printed Name of Contractor -- LL License # License Type: General Building Residential 94oofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF S orn to (or affirmed) and subscribed before me his lb day of o , 20' 15 by a n , who is ersonally Known to me kh has Produced (type of ia efiWif icationT as identification. f1 ( SEAL) Public of Notary s Revised. February 2015 CINDY A. DUNN Notary Public - Stale of Florida My Comm. Expires Apr 22, 2018 Commission # FF 115280