HomeMy WebLinkAbout215 Brushcreek DrApplication No: / 5 — 4: 3 _7/
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 9000.00
Job Address: '215 Brushcreek Dr Sanford FL 32771 Historic District: Yes No R
Parcel ED: 33-19-30-518-0000-1860 Zoning:
Description of Work: Complete re -roof
Plan Review Contact Person: - Dennis Thomas Title: Fstimatnr
Phone: 407-427-0307 Fax: E-mail: Dt-nnisnTArRnnf rnm
Property Owner Information
Name ChriStopher. .lanes Phone:
Street: 215 Brushcreek- Dr _ Resident of property? : yes
City,'State Zip: Sanford FL 32771
Contractor Information
Name TAG General Contractors Inc. Phone: 407-617-RO66
Street: 517 19th St. Fax:
City, State Zip: Orlando FL 32805 State License No.: CCC1328779
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
Building Permit
Square Footage: 1750
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
Plumbing
No. of Stories: 1
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 or 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, Beaters, 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 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:
76 Signature
df Conn r/Agent Date Print
Conunctor/Agen ' e _ L9LryW%
fXpta -State of Florida Date h11y
µq C pMM10ins. 27,401b Contractor/
Agent is Personally known to Me or Produced
ID Type of ID UTILITIES:
WASTE WATER: FIRE:
BUILDING: Shall
be inscribed with the date of application and the code in effect as of that date (Cone 2010 FBC) 731.135(5)(6) Florida Statutes. REV
07.14
Y TAG General Contractors Inc. PREFERRED2875SOrangeAve.
Suite 500/1615 (ONTRACTOR.Orlando F132806 '
0"~ Tampa 813-693-1950 Fax: 1-866-740-9216GeneralContractorsInc. Orlando 407-617-8066
mliv.taeroof.com
AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT !& / NO INITIALP) CUSTOMER C_ I 1pt— - , STREET
cC SvSac Cne
n
vt
CITYST \ ZIP 3a 1-1 HOME
WORK CELL `
i 0l S}-clag FAX E-
MAIL ADDRESS C a U 11 I SOURCE
C PROJECT
MANAGER SPECIFICATIONS
M
MANUFACTURER OF SHINGLE g
STYLE OF SHINGLE I
COLOR OF SHINGLE 0
VALLEY 0
VENTS 0 STYLE TEAR
OFF 0 YES LAYER (S) 61
PITCH'. 02STORY 12
PERMITTURNISHED REPLACE ALL BOOT JACKS G
S?a nrC 1
30 POUND FELT 0 ICE & WATER SHIELD 11
REMOVE ROOF TRASH FROM ROOF, GUTTERS & YARD 9
PROTECT LANDSCAPE WHERE NEEDED SPECIAL
INSTRUCTIONS PAYMENT
SCHEDULE FIRST
PAYMENT 50% SECOND
PAYMENT 50% FINAL
PAYMENT DUE AFTER ROOF COMPLETED CUSTOMER
AGREES TO PAY US 25% OF
THE INSURANCE APPROVED DOLLAR AMOUNT IF
CUSTOMER CANCELS AFTER THE INSURANCE M
ROLL YARD WITH MAGNET ROLLER APPROVES PAYMENT FOR THE DAMAGE 19DRIP
EDGE KEEP / REPLACE -COLOR W TERMS: ag
General
Contractors Inc. is considered to be a certified roofing contractor CCC 1328779 and General Contractor CGC 061644.. THIS CONTRACT DOES NOT OBLIGATE WE PROPERTY
OWNER OR "Tag General Contractors" IN ANY WAY UNLESS IT IS APPROVED BY THE PROPERTY OWNERS INSURANCE COMPANY and or iOMEOWNER AND
ACCEPTED BY "Tag General Contractors." BY SIGNING THIS AGREEMENT THE PROPERTY OWNER AUTHORIZES "TAG" TO PURSUE THE ROPERTY OWNERS
BEST INTEREST FOR PROPERTY REPLACEMENT OR REPAIR AT A "PRICE AGREEABLE" TO THE PROPERTY OWNERS INSURANCE OhiPANY AND "
TAG" WITH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURANCE DEDUCTIBLE. WHEN "PRICE AGREEABLE" IAS BEEN
DETERMINED TT SHALL BECOME THE FINAL CONTRACT AMOUNT AND THE PROPERTY OWNER AUTHORIZES "TAG" TO OBTAIN LABOR AND AATERIAL IN
ACCORDANCE WITH THE "PRICE AGREEABLE" AND SPECIFICATIONS SET OUT HERIN AND ON THE REVERSE SIDE HEREOF TO tCCOMPLISH THE
REPLACEMENT OR REPAIR THEREFORE "TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN xCORDANCE WITH
THIS AGREEMENT. ALL PRICES ARE SUBJECT TO CHANGE. YOU, THE BUYER, MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR 0 MIDNIGHT
OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. TAG GENERAL CONTRACTORS INC.DISCLAIMSALL WARRANTIES, EXPRESSED OR
IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFIC4LLY EXPRESSED ON HE REVERSE
SIDE OF THIS AGREEMENT. IF FOR ANY REASON THIS ROOF IS NOT COVERED BYINSURANCE AND THE HOMEOWNER WOULD LIKE US 10 PROCEED
WITH THE WORK IT WOULD BE THE RESPONSIBILITY OF THE HOMEOWNER TO PA YIN FULL FOR THE ROOF. YGN BELOW
IF } 011 WOULD STILLLIKE US TO PROCEED IVITH THE W'ORKAND YOU WILL PAY FOR 100% OF THE WORK QUOTED. r ,w`
1t\4 UNDERSTANDROOF IS NOT COVERED BYLYSURANCE AND I AGREE TO PA YIN FULL FOR ROOF. CUSTOMER HAS
READ AND AGREES TO ALL TERMS AND CONDITIONS ON THE BBAACK,, /OF TINS AGREE[ iCCEPTED BY
HOMEOWNER(S) ON: DATE / I 0 / IS BY X IL ,- CO-OWNER:
DATE / / BY X TAG REPRESENTATIVE:
DATE fn /_-/_ BY X 11NOUKAINUt IAJ.
CLAIM NO. ADJ DATE/TIME Ul3 -r. ,
M.JA-aN o3a•g3St3 Nips tv
as koz Pkll
Name: c• ty-ic r r Or r7 c: 14, r\ v Vlw L—)
Address. «F k
o) 95t .
NOTICE OF COMMENCEMENT:. t • . • :.:.,,. •, ;,`;;:>::
1...-;;:..n:.....
rr' 2rii`_07794?
Permit Number: (
r'•'
Parcel 10Number: _ 3— -.3U :tiii:i;f: %. 012 The
undersigned hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter 713, Florida Statutes, the followinginformationisprovidedinthisNoticeofCommencement. 1.
DESCRIPTION OF PROPERTY: (Legal des ption of the property and street address if available) vr1g6 ,37 ay CL.r(9 PA&w Ai-? 'Pis S8 P4 2.
GENERAL DESCRIPTION QF 1twpROVE tEN i2de-
Q [ AcA CJ. (100 F- $Tk7 nl C S 3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and
address:_(7h-21SI:o P"nO f1_ J0NeT r;t 15 f32C. SWC1Z6sT 0/L SA N Fa rLo r=L 3 Z 71-?7 Interest in
property: O W N E,2 Fee Simple
Title Holder (if other than owner listed above) Name: 4. CONTRACTOR:
Name; r C-tt=.l.J r UL CAfJI n-AC."Ca 115' _ Phone Number. L4 07 6 5;02 Address: -,?-?7S
Sa . O/ZAo 14 e AA F, . s,j i S73D%/fi"/ f Aa-1A r)Oc7 , P 3;.l'U o 5. SURETY (
If applicable, a copy of the payment bond Is attached): Noma: Address: Amount
of Bond: 6. LENDER:
Name: Phone Number: Address: 7.
Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(
1)(a)7., Florida Statutes. Name: Phone
Number: S. In
addition, Ownerdesignates of to receive
a copy of the Lienoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration
Date of Notice of Commencement (The expiration is 1 year from 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 ARE 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 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 COMMENCEMENT. Signatum o
wneror Lessee, or Owners essea's (Print Name and Provide SlgnatorysiitlefOffice) AL4horizedOfficedDlredor/Partner/
Men er) Stateof (i
Q County of The foregoing instrument
was atdmow ed ed before me this . , l . day of by C 4 .
Who is personally known to m Name of parson
m2RMg statement who has produced
Identification type of identification produced: Aim y CtN
ulY
27 ) n,ttat° puottcW° bore Notary
signature
MO9SE
PA(GO
PLO
d rLV
SA
nitrPrlTlfl
PERMIT NO.
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
5_a3-7
TA4
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: oz 411, is
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 Mitigation Affidavit will not since 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: October2014 Inspection Line 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspectionxequested must be scheduled under the appropriate permit type
Follows the prompts
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
ROOF
Roof Dry In 116
Mitigation Affadavit 129
Final Roof 111
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
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 . . . . . 15-00002379 Date 7/21/15
Property Address . . . . . . 215 BRUSHCREEK DR
Parcel Number . . . . . . . . 33.19.30.518-0000-1860
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 905869
Permit pin number 905869
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 / /