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HomeMy WebLinkAbout290 Live Oak BlvdM AUG 17 2015 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: ' c6 uv @- 014-L 4t -v -e Historic District: Yes No 19 --- Parcel ID: //- Zo - 3 d - SAO i -6bno - O S/ c Description of Work: Ke - Zoning: Plan Re ew C tact Person: 072 Phone: Property Owner Information Name _ UA -c/ id 14 XJ ti Phone: 3 i.- q? r Street: a2 QD Li' d e. 0-k- Resident of property? City, State Zip:f"o- Contractor Information Nameo' t 2 Lti Phone: (07 - 7 7 a;Zj S Street: &6 eiWa/'j kne- iye_ Fax: A/ -M "6437 City, State Zip: rc-- 32,7S'-/ State License No.: CCC -!2 & 7' Z— Arch itect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: Building Permit Square Footage: oA 13 3 No. of Dwelling Units: OA) e Electrical New Service - No. of AMPS: PERMIT INFORMATION Construction Type:;? -R" 767 No. of Stories: Flood Zone: Plumbing A) L - New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: 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. Signa re of Owner/Agent Date Print Owner/Agent's Name MY COMMISSION # EE197491 EXPIRES May 10, 2016 Owner/Agent is ) Personally Known to Me or Produced ID _ Type of ID ff bl— APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: S Signature ofContra r/Agennt ate A.Ai Print LEONARD GONZALEZ MY COMMISSION 9 EE197491 EXPIRES May 10, 2016 Contractor/Agent is K Personally Known to Me or Produced ID — Type of ID FW I, WASTE WATER: BUILDING: THIS INSTRUMENT P P BY: Name: nJ t'- Address: V+c/imed 014-- S 1 rc e 0111!4,, L . 3M7S/6o NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number.//- Zo -9 c --Col- 0 000 11111 o" 11111 11111111 MARYANNE MORSE, SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER UK 8528 Ps 291 (IPss} CLERK'S A 2015089836 RECORDED 08/14./2015 ii2:4.1:17 PN RECORDING FEES $10.00 RECORDED BY hdevore 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 PR PERTY: (Legal description of the prope nd street a ess if availab 2. GE L DESC/R0 rON CSF IMPR/OVS /) e/ Ct Gr , nJC l eS 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESbEE CONTRACTED FOR THE IMPROVEMENT: Name and address:CQrf-Q CSkjf1IfI QJVl Of CS au-)Ie,U .210 LIVC CdJl 8)0 30j)Ay-df 'PO 31773 Interest in property: Dlc)'tfli!' Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: .&t^/j S K o -f. tq )5A/C- / Phone Number: SFJ _7 _ Address: /10 t ! nfJlJi e lJi2 `f/ &v• tF 10q m -4&j r C . --; x77 s 5. SURETY (if applicable, a copy of the payment bond is attached): Name: 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: Address: 8. In addition, Owner designates of to•receive a copy of the Lienor's 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 1, 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. c Signature of Ofteivor Lessee, or Owner or Lessee's (Print Name and Provide Sign ory's Title/Office) Authorized Officer/Director/Partner/Manager) State of County of The foregoing instrument was acknowledged before me this 3 day of GI tom `1 205 by I N ST.- Fit Who is personally known to me OR Name of person making stateme t who has produced identification I Ktype of identification produced: dv'Pi LEONARD GMICiZALEZ 4 MY COMMISSION it EE197491 EXPIRES May 10, 20111 40T 39"153 Floddallota Service.eom AUG Please Print CONTRACT Commercial & Residential Home of the FREE Roof Inspection" www.alansroofiinginc.com LICENSE NO. CCC046942 Phone: (407) 774-2158 Toll Free: (800) 309-5667 Fax: (321) 207-0437 NAME /t C.0 R-7Ez HONE i zoi- DAT ADDRESS v'GI' U2 0/q -L ALVC1, CITY ZIP SALESMAN /%e sJ . CONTACT PHONE 7 M. OTHER HOME OUSERCIAL 02 JOB #(__ 01 3 BRANDAND DESCRIPTION j" OF PRODUCT d C t C1J$ \—.p GJc7r' (`) q! FA/i COLOR PITCH / ? Construction Industries Recovery Fund: Payment may be Oailable from the construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specified violations of Florida Law by a State Licensed Contractor. For information about the Recovery Fund and filing a claim, contact the Florida CILB at the following telephone number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 15-06 1. PULL A CITY OR 'COUNTY PERMIT CZ SQ. RENAIL WOOD 2. TEAR OFF: ;?ZL3 SQ. OF OLD SHINGLES SQ. OF FLAT ROOF 6 SQ. OF OLD TILE 3. DRY IN: REINFORCED FIBERGLASS UNDERLAYMENT _ 1 LAYER= 2 LAYERS PEEL & SEAL 4. INSTALL: I GALV. VALLEY METAL LF ; ' SELF ADHERING VALLEY LINER LF a METAL OVER RIDGE LF 5. INSTALL: _ ALUM. DRIP EDGE A TEEL DRIP EDGE LF — PAN FLASHING LF = L. FLASHING LF C OR Eg 6. INSTALL REPLACE: LF OF R.V. PLUGS COLOR L FT. VENT SURE 11 7. REPLACE: 11/2 IN. 6Ar,2 IN. IOP43 IN. LEAD BOOTS 0134 IN. GRV'S _ 10 IN GRV'S — ELEC. RISER STARTER ROLL STARTER STRIPS CIRCLE ONE 9. LAY SQUARE 0 " FIBERGLASS SHINGLESX&44 CAP OD/ / PERF / HIP & RIDGE 10. INSTALL: —TSM. DEAD VALLEY ' LG. DEAD VALLEY "— MODIFIED LIBERTY 11. INSTALL: TPO LAYER OF INSULATION TBAR / SEAM TAPE 12. 1NSTALUREPLACE: — 2 X 2 2 X 4 "— 4 X 4 — SKYLIGHTS ACRYLIC SFA FIXED GLASS DOMES CM CLASSIC Elio 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS 14. ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL 15. ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF ITS CHOICE TOCONDUCTANYORALLINSPECTIONSTHATMAYBEREQUIREDUNDERLOCALORSTATELA 16. INSTRUCTIONS% SPECIAL 1 Y r S / J t,+/Llirci ` / /v tl iii f f C ti TOTAL CONTRACT AMOUNT 16 3 Price is good for 30 days CkrK DEPOSIT pip Oti ACCESS: Customer agrees to allow access to the property and realizes that heavy equipment is being used. Contractor shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems and any other structures thereof, as a result of rooftop or job deliveries. BALANCE DUE UPON DAMAGE ETC.: Customer shall be responsible for removal, reinstallation and recalibration of satellite dishes. Should customer become aware COMPLETION of damage to property by Contractor, his agents, or employees during the course of installation of the roof, said damage shall be brought to the attention of the Contractor prior to the time of payment for the roof in question. If Customer fails to notify Contractor of said damage, within 5 working days of occurrence, then shall waive all rights against Contractor concerning said damage. Alan's Roofing is not responsible for roofing nails penetrating AIC lines in the attic. Customer agrees to secure and protect their assets Including shelves, ceiling fans, tools and other valuables to avoid damage from vibration, breakage and/or detachment of parts, etc. DELAYS, ETC.: Hereby acknowledges that Contractor may be subject to delays occasioned by inclement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the Contractor and hereby accepts delays occasioned by one or all of these circumstances in the installation of the roof. PAYMENT OF CONTRACT: Customer hereby agrees that all amounts due for this work shall be paid upon compleletion of installation. Any amounts unpaid will bear interest at a rate of 1 1/2% per month. Contractor shall be entitled to all costs of collection including attomeys' fees. RIGHT TO CANCEL: If this is a Home Solicitation Sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or service and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment IF THIS IS NOT A HOME SOLICITATION CONTRACT: Once it is signed, you are bound to it by the laws of the State of Florida. If in the event you breach or a mpt to cancel is con AContractor shall be entitled to all lost profits from the contract. t ACCEPTANCE PROPOSAL: Thea a prices, specifications and conditions are satisfactory and hereby accepted. AN contracts are subject to Alan's fi , Inc. anage t pprovaI- Customer agrees to allow Alan's Roofing, Inc. SALESMAN SIGNATUR to use photos, letters of recome do satisfy s f to be used for advertising purposes. v ! S CUSTOMER SIGNATURE DATE ,f MANAGEMENTAPPROVAL Construction Industries Recovery Fund: Payment may be Oailable from the construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specified violations of Florida Law by a State Licensed Contractor. For information about the Recovery Fund and filing a claim, contact the Florida CILB at the following telephone number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 15-06 Date: u jb)5 I, Pian ;:Rf,1d , do hereby authorize to Uiu 1l aumchu,l- pull the V-eY17bf permit for aqy live ©aK gvd Santzrd, TL 3 Type of Permit Job Address Signature e<m- Notary Signature LEONARD GONZALEZ MY COMMISSION is EE197491 EXPIRES May 10, 2018 0133 FlorldaNaftrySeivice.com Personally known to me or driver's license # State of Florida, County of _G,Q, on day of f 111 20 15. City of Sanford PPRoofPermitApplication Checklist yam, All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, andfederal code requirements. CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: / S__ O&zi hereby acknowledge that I personally inspected Z Roof deck nailing and/or econdary water barrier work at ZM Z, r OR -4 61,0,X ,X 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 83M6 F.S. o Contractor Date BIW r i C6C 0&1 qL Printed Name of Contractor License # License Type: General Building Residential Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF SFMLiEW Sworn to (or affirmed) and subscribed before me this /& day of 59, , 20 / by A/l , who is C ersonally Known to me or has Produced (type of identific as identification. SEAL) 4 Signature of Notary Public LEONARD G®N; ;; i'; State of Florida M" COMMISSION Print/Type/Stamp Name of Notary Public LEONARD GONZALEZ e MY COMMISSION 9 EE197491 EXPIRES May 10, 2016 40 3080153 FloddeNoia rvloe.tom EXPIRES May 10, L f9VA53 Fbidallo%!xServktecur Y • r t4ARD 6I OiYALEZ iF407 d,tM ISSN 9 EE19749• niRES Mey10.2016 rd8N .CDm