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HomeMy WebLinkAbout131 Spanish Bay DrM CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No:15 «T Documented Construction Value: $ Job Address: Historic District: Yes No R Parcel ID: 10 ' k 01 ' 30J"kCk M-60 Zoning: Description of Work: Plan Review Contact Person: .°_ T,itl`e: eeo5t. o IcAe' Phone: ' L(,,3 Fax: 3 ""(.Q(D1 E-mail: d6et u Np OCGblyint Property Owner Information. Name Uji%dt Ettt Wu 5 1 Phone: LkM a0Z. Street: 1'M SResident of property?: City, State Zip: ba - '__L - null l 1 Contractor Information Name f 1 D l a t S ill e'n Prone: 4m 33b _1(Q103 Street: Ilb Fax: (405 33t) Iko uJ i City, State Zip: SCSn&NI L ;;2&1 1 Sate License No.: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 133 Architect/Engineer Informatta7 hane: Fax Mortgage Lender: Address: PERMIT INFORMATION' Square Footage: :.J 7,,T Construction Type: No. of Stories: j No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Mechanical (Duct layout required for new systerls) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: Shall be inscribed with the date of application and the code in etiect as of that date (Code 2010 FRQ 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 CONIN EN ^E'_VIENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOL'•R PROPSti _FY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SiT E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSUL-1- WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMA°1 E.NCEMENT. 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 additio:r.a: permits required from other governmental. entities such as water management districts, state agencies, or fede-at agencies. Acceptance of permit is verification that I will notify the owner of the property of the requi-., .:--nts of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contrac-::c required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the ::ezt to calculate the plan review fee based on past 'permit activity levels. Should calculated charges excez:: the documented construction value when the executed contract is submitted, credit will be applied to .your - ccnnit fees when the permit is released. Signature of Owner/Agent Print Owner/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: kc(L -4 kop a'r-1 Signature of ContractorlAgent :at 7- Print Contractor/Agent's'same Signature of Notary -State of Florida ate Steve Pate comma" 0 FF21M FIRES: Oct. S, 2018 nw.AmoulimARv cm - UTILITIES: FIRE: Contractor/Agent is Vf"Personal'.y Known to Me or Produced ID Type of ID WASTE WATER-: BUILDSN is Shall be inscribed with die date of application and the code in effect as of that date (Code 2010 FBC) 731.135{5)(6) Florida 5-mattes. REV 07.14 Permit Number: Folio/Parcel ID #: ' 4i Prepared by: Proauard Restoration 1220 Central Park Dr. Sanford, FL. 32771 Return to: Proauard Restoration 1220 Central Park Dr. Sanford. FL. 32271 1'1 r i'F•t iE'ii-. lii.;...> _ :'':!•I t... ...: !''f i;!•. i. - i:N ='< ''t (i..t;:. i`:i,!).ii, t 4 (::•`•)i1r i E:ELi.:.: CLERK'S 44.`2015086009 I NOTICE OF COMMENCEMENT State of Florida, County of The undersigned hereby gives notice ta?MmprolvreVnAwiI 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) 2. General description of IlELnprovement Re -Roof %1)1 L=tt h ?iM. IC. 3. Owner information or Lessee Inform tion if the Lessee rovement Interest in Property • Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name Proguard Restoration Telephone Number 407-330-7663 Address 1220 Central Park Dr. Sanford Fl. 32771 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 8. 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 Aft 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 OSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y04UR L ER AN ATT FORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature 41i 6wner or Lessee, or er's or Lessee's Authorized OfficedDirectorlPartner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this —Alcl day of ') 1 Y by an e r name of person as i 1YZ cc for I -TP_.( Type of a thority, e.g., officer, trustee, altomey in fact Name of party on behair of vhlorrf Instrument was executed ignature of Notary Public — State of Florida Print, type, or stamp commissioned name of Notary Public Personally Known OR Produced ID Type of ID Produced :, ...... L1AYD CHANDLER FORTSON MY COMMISSION #FF179587au6osFIED4OURTAND at D+Mf. 2,I NNEMORSE t J '' +a;d'r EXPIRE5November30,2018KOFT• (407) 3ve-0t53 Fbrfdakot servite.comCOary SE11A 0Formcontent EIDA 4!<< •.....fir By I DEPUTY CLERK PR®GUAI l RESTORATION Wfure Qi 4sf Cows Tirst" 1220 Central Park Drive, Sanford FL. 32771 BBPh: 407-330-7663 • Fax: 407-330-7661 State Certified # CCC1330234 www.proguardrestoration.com PROPOSAL / CONTRACT Date _ 71 ' Submitted To cit lA r ri S Address Y S [z city State PH# % 7 PH# Email Job Address We Hereby Submit Specifications And Estimates For: Remove existing layer roof. Each additional layer at $ per square. Install underlayment / base ply. Install va ley liner in all valleys throughout where needed.. y Install new soil stack flashings (boots). Install new roof nts on the roof deck, color /vwo j Instal0l. r .Gn^G/,'l'ft -' roof, ' r.'— -p- Replace any rotten or damaged wood on the roof deck for $ per foot, or $ per sheet of plywood (if needed). Additional work scope or information: S nr7 S t ll ` j C y n All work scope and/of costs specified in this contract agreement Is subject to or contingent upon the approval of the customer's insurance company. The undersigned further appoints PROGUARD RESTORATION (hereinafter referred to as "PROGUARD") as its representative and permits PROGUARD to negotiate with the insurance compnay for settlement of the insurance claim. If there is a difference of work scope and/or costs, PROGUARD may negotiate a reasonable replacement and/or replacement cost mutually agreed between PROGUAR and the insurance company. PROGUARD will not start until work is approved by the insurance compa ny. INSURANCE COMPANY I Contract Amount: U.S. Dollars ($ 4 Payment to be made upon completion or as follows: 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 will be made as stated above. Authorized Signature SalesIN Print Name a S Title City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. IS - O T y PISSUE DATE: V • /.. 450 CONTRACTOR: y r o G &.& JOB ADDRESS: TYPE OF WORK: 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 ROOF 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 Miti atgionAffidavitwillnotsufficeasanalternativetoreceivingadf-y-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 . . . . . 15-00002548 Date 8/10/15 Property Address . . . . . . 131 SPANISH BAY DR Parcel Number . . . . . . . . 33.19.30.519-0000-0730 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 908533 Permit pin number 908533 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 _/_/_ I q, .fq1- i ' -r CITY OF SANFORD BUILDING SERVICES' Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: J,S -- Q,Sy A I,{. % hereby acknowledge that I personally inspected Uv<oof deck nailing Or "econdary water barrier work at 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. e t&1 y/j-DA - Signature of Contractor Date it e,)7ra D U4 cc.c Printed Name of Contractor License # License Type: 0 General Building Residential [91400fing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Se m j n 0 J ,, Sworn to (or affirmed) and subscribed before me this W day of 9 S/Y.c laPLt n , who is [personally Known t ide 'fication) as identification. 1-&—_ (SEAL) Signature of Notary Public State of Florida 2y2 e(Gt'P. Prmt/Type/Stamp Name `' ' , Steve Pate COIMYfISSM f FF212852 EXPIRES: OCL 29, 2018 www AARalloTARY.com of Notary Public Revised: February 2015 20 /,5 by o me r has Produced (type of