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Home My WebLink About184 Brushcreek DrApplication No: /'6- () CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ 1 V 61g- -7S Job Address: I 4 &,uW cire eK Or . 1Anii-)r J_ E L 37T11 Historic District: Yes No Parcel ID: _3? - 1 I - C - 51 r C C)OG -1 e Z0 Zoning: Description of Work: r - r f 'i n Plan Review Contact Person: Oe ra OQctn Title: Ur_e nsr_ hn1dC Phone: U-) -3.30 Fax: E-mail: pr •Cornurd@ort d ecfi Gtb'n Property Owner Information Name Fdtard 0 la olw 3 l aoyle, Santos Phone: Q U-) -23 4 - 7(&;,G 3 Street: I !4 rt1Sh (-.-f K !?t Resident of property? &Q S City, State Zip: SCtyg f6r-(, F, L 3 2 73 r Contractor Information Name Py-n Q11 (1rj Pie iP M ra hOCI Phone: 4 U 1 - 3C7 J 71a(o Street: ! : L f nwri i Pnr K- Or. Fax: 4 U 1 - 330 _ 'Ito(o I City, State Zip: ';Q-fccdif' `_ ?? -1-` i State License No.: c Lr l 33Dz Ott Arch itect/Eng 1 neer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: PERMIT INFORMATION Building Permit Square Footage: `L (00 7 Construction Type: _ -e -rnG-F No. of Stories: 1 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 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 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, he tens, 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 COM_Ir'\ ^EMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPL ti.:Y. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB Si f E BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN F>i1rANCING, CONSUL WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM;ti'.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:-.a! permits required from other governmental. entities such as water management districts, state agencies, or feae-at agencies. Acceptance of permit is verification that 1 will notify the owner of'the property of the requir;;:r.:-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 ::e:_zt to calculate the plan review fee based on past permit activity levels. Should calculated charges exce::_- the documented construction value when the executed contract is submitted, credit will be applied to your crmit fees when the permit is released. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Signature of Contractorr'Agent •:at.: Print Contractor/Agent's Name Sigiiaturc of Notary -State of Florida _,ate Steve Pate comma" 0 RIM Of fft Oaf. 29, 2018 ih • 11 ` 1MIYYY.{IAB00CWY.M Contractor/Agent is Fersonat'_y :mown to Me or Produced ID Type of ID WASTE WA`I'E. -: l3UILM',,:,3: Shall be inscribed with die date of application and the code in effect as of that date (Code 2010 f BC) 731.133(5)(6) Flori-la S:tutes. REV 07.14 Permit Number: Folio/parcel ID #: Prepared by: Pro and Restoration 1220 Central Park Dr. Sanford, FL. 32771 Return to: Proauaard Restoration "- 1220 Central Park Dr. Sanford, FL. 32271 LI:Rf.''"a T ?Uf.-,p 6ti14 rar L: ... NOTIPE OF COMMENCEMENT State of Florida, County of f X e.. x 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) Loi I k 2 Yrf r >- PH .7, P {, _Ar%Q4 Ara C i % — 12 2. General description of lm rovement Rs -Roof 1§,q t;rLCnCCYe:P 3. Owner information or Lessee Inform, n If the Lessee co Improvement Interest in Property >1 Name and address of fee simple titleholder (if different from Owner listed above) Name Addi ass-------- 4. Contractor 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 maybemenredasprovidedby §713.13(1)(a)7, Florida Statutes. Narne Felephone Number Address 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lis•nor'sNOiceasprovidedIn §713.13(1)(b), Florida Statutes. Narne Telephone NUiTiber Address -- -- 9. Exphation date of notice of commencement (the expiration date will be 1 yearfrocT, the dats r-f 9cor:tingunlessadifferentdateisspecified) WARNING: TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF CONIMENCEMEN1' ARE CONS10FR=D IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CANRESULTit! )LOUR 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 COMMENCEI1PIr:N7. Signature of Owner or Lessee, or Owner's or Lessee's Authorized OffrcedDirector/Partner/Manager Signatory's Tit:e/Ctr, The foreg ooing instrument was acknowledged before me this f' day of f l:j by a5 I .)f l i f mon h/y ar name f srsc: for C:, • .. e Tyne of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was execuied 51anatu,e of Notary Public— State of Florida Print, type, or stamp commissioned r•arre of No' ar•! hub•' AUGWown OR Produced ID eoduced , ++ti" kill :r tra A p, eary- CER PEDCOPY—MARYANNEMOME rc,; ';i Mr; "TC tidl, ;iflsEESI079St. c CEEtiK OF THE CIRCUIT COURT AND.,..'>gE-VIRES: FEB. 0 tOMPT90LLER i Ff• ! `' rnn C +tiyW gofINL7' 2017 dIiMINOLE COUNTY, FLORIDA rr1 °<<tctiv' ` AffE Form content revised: DMW14 by DEPUTY CLERK PROGUARD RESTORATION $ 00 veep W&re Qyyaffty Comes'First•" , rTS e e J 1220 Central Park Drive, Sanford FL. 32771 B"k bP BBB 407-330-7663 Fax: 407-330-7661 FLOM'' State Certi led # CCCI-330234 www.proguardrestoration.com ' PROPOSAL/CONTRACT Date 7 - V2 S - /,5— Submitted To b VAIJo 4 G,aoA- -54 r, to s Address / ?V B ,r v.sA c.+ e e- /c City 5,4 J' o et( State fe Zip 1-2> >/ I o7 :7,7/ 9l/ y e qv7 g-6A -6 ,/a PH# PH# Email av Pie 54 ,%s 6) Job Address I We Hereby Submit Specifications And Estimates For: I Remove existing le layer roof. Each additional layer at $ per square. Install undefiayment / base ply. Install valley liner in 611 valleys throughout where needed.. _/f w 1 ti Install new soil stack flashings (boots). Install new roof vents on the roof deck, color M ate tTwp1 Install Q e, n &,.,o-f, d,4 roof, Replace any rotten or damaged wood on the roof deck for $ 3'" per foot, or $ Vs- ° o per sheet of plywood (if needed). Additional work scope or information: /< S oo f o,, /loose 1, . fl a •, All work scope and/or 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 a"s "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 company. INSURANCE COMPANY J s Z Contract Amount: U.S. Dollars ( $ i 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 _, Sales oy, Print Name v A--P- -Qn 77a - GJs' Syf Title City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERNfIT NO. 4501 (.o:;.S# 7 ISSUE DATE: 08. 11 1. l i CONTRACTOF JOB ADDRESS: 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 REQUIRED *" For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Affidavit will not su f ce as an alternative to receiving a dg-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 . . . . 15-00002547 Date 8/10/15 Property Address . . . . . 184 BRUSHCREEK DR Parcel Number . . . . . . . 33.19.30.518-0000-1620 Application description . . ROOFING APPLICATION Subdivision Name . . . . . Property Zoning . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 908517 Permit pin number 908517 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 Ill BL03 FINAL ROOF / / C CITY OF SANFORD BUILDING SERVICES O Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #• I!g— I, -Dehra I%PL1.n hereby acknowledge that I personally inspected 4of deck nailing and/or M-S condarywater barrier work at 1 Q y ?ro sh ue-e.k. 0 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. Signature of Contractor Date 2t 1.,, ra,133?_ D ,3L4 Printed Name of Contractor License # License Type: General Building Residential hoofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this I day of 20 I J , by who is 9-Versonally Known to me or lias Produced (type of t> tc tion) as identification. WntiWtyt,f r "9' (SEAL) Signature of Notary Public ,.. State of Florida r Print/ Type/Stamp Name of Notary Public Revised.• February 2015 LLOYD QRAND LfifORTS01 MY60 8$1(A_*FF179587 EXPIRE S tivember00, 2018