HomeMy WebLinkAbout209 Bruchcreek DrIMP
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: / —/
v
O Documented Construction Value: $ 11199.76
Job Address: 2f19 an,chrreek nr Historic District: Yes No
Parcel ID: 33-19-30-518-0000-1930 Zoning:
Description of Work: RE -Roof
Plan Review Contact Person Dahra DAnn Title: ouaifie_
Phone: 4o7-330-7BB3 Fax: 407-330.7661 E-mail: driPan l2malArdreatoration.rnm
Property Owner Information
Name Lorena Linck Phone:
Street: Resident of property? ;
City, State Zip:
Contractor Information
Name _P_= iarrl Rpctnration Phone: 4a _3An_7rA i
Street: i n rental Park Dr. Fax: 407-330-7661
City, State Zip:-.Sanford.FL 32771 State License No.: -r CC1330234
Architect/Engineer Information
Name: Phone:
Street: Fax:
City; St, Zip: E-mail:
Bonding Company:
Address:
Building Permit
Square Footage:
No, of Dwelling Units:
Electrical
New Service — No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type- P No. of Stories:
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No: of Fixtures:
Fire Sprinkler/Alarm No. of Meads:
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, 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 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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature ofOwner/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:
Signature of Contractor/Agent Date
Print Co / nt' Name
UTILITIES:
FIRE:
CINDY A. DUNN
Notary Public -State of Florida
My Comm. Expires Apr 22, 2018
Commission N FF 1152E9
Contractor/Agent is > Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.I35(5)(6) Florida Statutes.
REV 07.14
Permit Number:
Folio/Parcel ID i
Prepared by: Pr
Return to:
IX/P NOTI E OF CpM ENCEMENT
State of Florida, County of! J
The undersigned hereby es notice that improvement will be
with Chapter 713, Florida Statutes, the following inf atlon is
1. De crlpti °r a pr party (le I descrl n o th 0 e
P.#
MARYANNE MORSEP SEMINOLE "CUNT
CLERK OF CIRCUIT' COURT & GONF'TROLLER
Bit W-13 P3 1d52 tips))
CLERk'S Y 20I5080603
RECORDED 07/24-/201 1 10:18:07 Ai.
NECORDING FEES $10*CIO
RECORDED BY hd-vore,
made to certain real property, and in accordance
provided in this Notice of Commencement.
strddrsXss availabJ e) A i
3. Owner Ilo>t or l1essee ctfaril etJon lf the Lessee contr y ed for
Interest In Prop(erfjl
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Telephone Number407-330-7663
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address
Amount of Bond $ 6. Lender
NameAAA^^ Telephone Number.
7. Persons within the State of Florida designated by Owner upon whom nodces or other documents maybeservedasprovidedby §713.13(1)(a)7, Florida Statutes.
Name Telephone NumberAdrfracc
8. in addition to himself or herself, Owner designates the following to receive a copy Of the Lienor'sNoticeasprovidedin §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date may not be before the completion of
construction and final payment to the contractor, but will be 1 year from the date of recording unless adifferentdateisspecified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CANRESULTINYOURPAYINGTWICEFORiMPROVEiNENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHEJOBsi'rE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULTWITHYOURL5NDERORANATTORMEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
Q1Wne1ure oT u mer or LG"9G 4r umer's or Lessee's Authorized Officer/Director/Padner/Manager Signatory's T18e3f_ce
The foregoing Instrument was acknowledged before me this 4tl day of 7 /.5 by f
as AW 4e%lfor month/
year naive of person C,f ' Type
of aftrfty, e.g., officer, trustee, attorney in fact Name of party -on behalf of whom Instrument was executed DigXe-.4 & ; Sip
tun: of Notary Public — State of Florida Print, type, or stamp commissioned name of Notary biic Personally
Known ' OR Produced ID ` Type
of ID Produced Forth
content revised:10117/12 Ln
N
t1i
Vi-
p-R O'EYMI ES: FER Cg 2017 ` rrrnM V'V' i,/t," > ' ' Rord lG7AFY.eom c L
JV
PROGUARD RESTORATION
Whffe Qwaty Cotes Fast"
1220 Central Park Drive, Sanford FL. 32771
Ph: 407-330-7663 • Fax: 407-330-7661
State Certifzed # CCC1330234
www.proguardrestoration.com
PROPOSAL ! CONTRACT Date
Submitted To n C. le -
Address _ 205 u s r e a t C, De. City '54 , /19r4 state _FL Zip 3 a )_7/,
PH#-?"S-(0SI- 14V7
Job Address tt
W
PH# Email
We Hereby SubmIUSpeciflcadons And Estlnuttss For:
Remove existing ._ layer roof. Each additional layer at $ per Aquare.
Install Sh., rf' `I undedayment / base ply.
Install valley finer in all valleys throughout whom needed..
Install new soil stack flashing* (boots).
Install new roof vents on the roof deck, color nr;1ZIZ,aa
install iC - &" :a roof,
Replace any rotten or damaged wood on the roof deck for $ a per foot, or $ 5-0
per sheet of plyWood (if needed)- n
INSURANCE CLAIMS ONLY
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 as "PROGUARD") as its
representative and permits PROGUARD to negotiate with the Insurance
compnay for settlement of the insurance clsim. H "wa is s diftenence of
work scope and/or costa, 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 n w C e
Contract Amount: 7F
U.S. Dollars ( $
Payment to be made upon completion or as follows:
All psymwO to be nm* psyablo b 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 condtions 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
stlpul Wons of this contract agreement. Payment will be made as stated above.
Au ho izeedd Signature / Sales
Print Name Loa-.- A L, nuk.
Title
PERMIT NO.
eolt*
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: d 9. A I.
JOB ADDRESS: cjo T ,3 ru sh C roe 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
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
Miti atg ion 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 . . . . . 15-00002418 Date 7/27/15
Property Address . . . . . . 209 BRUSHCREEK DR
Parcel Number . . . . . . . . 33.19.30.518-0000-1930
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 906511
Permit pin number 906511
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-1000 129 EL29 MITIGATION AFFIDAVIT
10 116 BL15 ROOF DRY -IN
1000 Ill BL03 FINAL ROOF / /
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 15 - U4
I, Debts AN 'Dean hereby acknowledge that I personally inspected
Goof deck nailing and/or R' econdary water barrier work
at ZW(A R7,rLIShCCM)L o MP 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.
a-baL -,d - a
Signature of Contractor
Del rcL 4. Zl)ea-n
Printed Name of Contractor
Date
C,Anp 133a3
License #
License Type: General Building Residential U16ofing 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 day of , 20 Lb , by
abro— 4 zp-e , who is C-Personally Known to me or as Produced (type of
identification) as identification.
SEAL)
Sign} to •e of of Public
State o #1 a
Print/Type/Stamp Name
of Notary Public
Revised: February 2015
CINDY A. DUNN
Notary Public - State o1 FloridaMyComm. Expires Apr 22. 2018Commission # FF 115280