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