HomeMy WebLinkAbout128 Rockhill Drw
ul
Job
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
No:
Q3 /, Documented Construction Value: $ 7850.00
128 Rockhill Dr Sanford FL 32771 Historic District: Yes No 9
Parcel ID. - 33-19=30=516-0000-1260 Zoning:
Description of Work: Complete re -roof _
Plan Review Contact Person: _ n .nnis.Thomas Title: Estimator
I
Phone: 407-427-0307 Fax: _ E-mail: nPnnic;4TArRnnf rnm
t
Property Owner Information
Name Pstrir:k PottingPr Phone:
Street: 198 Rorkhill Dr Resident of property? : Yes
4
City, State Zip: Sanford R R9771
I
Contractor Information
Name TAG General Contractors Inc Phone: 407-420-7900
Street: 517 19th St - Fax:
City, State Zip: nrlanrin FI R27805 State License No.: CCC1328779
ArchitectlEngineer Information
Street:
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit
Square Footage: 1745 Construction Type: No. of Stories: 9
No. of Dwtelling Units: Flood Zone:
Electrical El Plumbing
New Service —No. of AMPS: New Construction - No. of Fixtures:
1'
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads:
i
Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 Fl3C) 73 I.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, and11
air conditioners, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be done id 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
LENDEROR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE:
IIn 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
othdgovernmental 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 Signature
ofNer/Agent Date a Print
Owner/
Ag ent's Name Signature of
N {#nry Slate of Florida Date t OpQO
yE Owner/Agent
is Personally Known Produced ID
Type of TD i APPROVALS:
ZONING:
UTILITIES: e ENGINEERING:
COMMENTS:
1
FIRE:
Contractor/
Agent
is Produced ID
1-5
Personally Known
to Me or 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) 731.135(5)(6) Florida. Statutes. REV. 07.
14 i
I 2
TAG General Contractors Inc. PREFERRED
2875 S Orange Ave.
Orland500/1615
328 CONTRACTOROrlando, Fl 32806
Tampa 813-693-1950 Fax: 1-866-740-9216
General Contractors Inc. Orlando 407-617-8066
www.taerooEcom
AGREEMENT
THIS AG MENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT YES / NO INITIAL
CUSTOMER Vk--q Gk \
STREET
CITY Pw-.0 ST L. ZIP 3a11
HOME WORK
CELL (_ 1'O -- S(,A —)%) FAX
E-MAIL ADDRESS V 9A9DOty tQ MAC
SOURCE
PROJECT MANAGER
SPECIFICATIONS
9 MANUFACTURER OF SHINGLE
ID STYLE OF SHINGLE
19 COLOR OF SHINGLE
VALLEY
99 VENTS `' STYLE
49 TEAR OFF BYES LAYER (S)
M PITCH 6t l-Zl— 2 STORY
PERM1 PURMSHED LIREPLACE ALL 13UU"1 JACKS
30 POUND FELT ICE & WATER SHIELD
B-nMOVE ROOF TRASH FROM ROOF, GUTTERS & YARD
ErfROTECT LANDSCAPE WHERE NEEDED
SPECIAL INSTRUCTIONS
GoOa
a
3t
PAYMENT SCHEDULE L
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
B'-ROLL YARD WITH MAGNET ROLLER "" APPROVES PAYMENT FOR THE DAMAGE.
DRIP EDGE KEEP PLACE - OLOR W\r\
TERMS:
Tag General Contractors Inc. is considered to be a certified roofing contractor CCC 1328779 and General Contractor CGC 061644.. THIS CONTRACT DOES NOT OBLIGATE
THE PROPERTY OWNER OR "Tag General Contractors" IN ANY WAY UNLESS IT IS APPROVED BY THE PROPERTY OWNERS INSURANCE COMPANY and or
HOMEOWNER AND ACCEPTED BY "Tag General Contractors." BY SIGNING THIS AGREEMENT THE PROPERTY OWNER AUTHORIZES "TAG" TO PURSUE THE
PROPERTY OWNERS BEST INTEREST FOR PROPERTY REPLACEMENT OR REPAIR AT A "PRICE AGREEABLE" TO THE PROPERTY OWNERS INSURANCE
COMPANY AND "TAG" WITH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURANCE DEDUCTIBLE. WHEN "PRICE AGREEABLE"
HAS BEEN DETERMINED IT SHALL BECOME THE FINAL CONTRACT AMOUNT AND THE PROPERTY OWNER AUTHORIZES "TAG" TO OBTAIN LABOR AND
MATERIAL IN ACCORDANCE WITH THE "PRICE AGREEABLE" AND SPECIFICATIONS SET OUT HERIN AND ON THE REVERSE SIDE HEREOF TO
ACCOMPLISH THE REPLACEMENT OR REPAIR. THEREFORE "TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN
ACCORDANCE WITH THIS AGREEMENT. ALL PRICES ARE SUBJECT TO CHANGE. YOU, THE BUYER, MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR
TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. TAG GENERAL CONTRACTORS INC.DISCLAIAISALL WARRANTIES,
EXPRESSED OR IAIPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON
THE REVERSE SIDE OF THIS AGREEMENT. IF FOR ANY REASON THIS ROOF IS NOT COVERED BYINSURANCE AND THE HOMEOWNER WOULD LIKE US
TO PROCEED WITH THE WORKIT WOULD BE THE RESPONSIBILITY OF THE HOAIEOIVNER TO PAY INFULL FOR THE ROOF.
SIGN BEL01YIF[
IU
WO ULD STILL LIKEUSTO PROCEED IVITH THE IYORKAND YOU (FILL PAY FOR 100% 0FTHE IVORX QUOTED.
1 UNDERSTAND ROOF IS NOT COVERED BYINSURANCEAND I AGREE TO PAY IN FULL FOR ROOF.
CUSTOMER HAS READ AND AGREES TO ALL TERMS AND CONDITI NS ON TILE BACK OF THIS AGREEMENT.
ACCEPTED BY HOMEOWNER(S) ON: DATE o BY X 2.
CO-OWNER: DATE / / BY X
TAG REPRESENTATIVE: DATE / 01 S / IS BY
INSURANCE CO. CLAIM NO. ADJ DATE/TIME
ow W, LL Q•c~d dp1S SaoS Cub- Zgov 15 sq-S9
1"D:l )V'zo .
THIS INSTRUMENT PREPARE(] BY:
Name: DenniLlmas
Addtssa: 5 r +ym .+t nanuo FL 3280
NOTICE OF COMMENCEMENT
MARYANNE MORSEr SEMINOLE (I)[IN ( i
CLERK OF CIRCUIT WLIRT i, C'LVIPTR.fiLI.L•R
8K 8511) F'a Soh (IP94)
CLERIC'S 2015078576
RECORDED 07/21/2,1"IS
RECORDING FEES $10.UO
RECORDED BY tsmirh
Permit Number.
Parcel ID Number. _== 3-1() .30 r,16 0000 1260
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following inrormatlon 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 IMPROVEMENT:
Complete re -roof
k CCRd:
r
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: o
Name and address: Patriclt Pottin er 128 Rockhill Dr Sanford FL 32771 W
interest in property: Owner OCCU nt
Fee Simple Tide Holder Qf other than owner listed above) Name: Q
r
Address: a R
4, CONTRACTOR: Name: TAG General Contractors Inc Phone Number. 407-617-BG66 a '_
Address: 51719th St Orlando F132805 M
3. SURETY (if applicable, a copy of the payment bond Is attached): Name: z
Address: Amount of Bond: a "
8. LENDER: Name: Phone Number.
Y O
Address:
V...,_ v V to m
7. Persons w1tMn the State of Florida De signatod 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, Ownerdesignates 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 reoording 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,
wm Uannr'w Les:ee or oWn , s lessee's
ed OMovOlrado7PaMedM eager)
Pant NamO and Prorlde signatory's'IiBtlOK,es)
State of / " County of v 0n 10 The
foregoing Instrument was SCISDOW194190d bellne orro ethis day of by Q
r of A, 'B-- Who Is personal known to m R Name otpi+
raon ' p etntemertt who has
uced IdentificathNt pe of identification produced: 3: ti • ,
a
pOSEuiY7286.j
2ipJtiotW ECOXP1Ri{f
dten
ature gowndThm
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
aw
PERMIT NO. IS R / ISSUE DATE: 4 1 ,6
CONTRACTOR: —
40L.
JOB ADDRESS:
TYPE OF WORK:
4/
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 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
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow 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 . . . . . 15-00002389 Date 7/21/15
Property Address . . . . . . 128 ROCKHILL DR
Parcel Number . . . . . . . . 33.19.30.516-0000-1260
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 906081
Permit pin number 906081
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 / /
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit C S- ` 23Z
I, /"' ^ / / k,-7, 1 hereby acknowledge that I personally inspected
bZoof deckMailing and/or Secondary water barrier work
at 12 V-1 6k VA D (• 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
perfor pnee of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Sectia83'7.06 F.S. /I
Signature
Name of Contractor
Z3IS
Date
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 OF1
Sworn to (or affirmed) and subscribed before me th' day of d , 20 , by
14„ 40sg se u-z'- , who is ersonally Known to me or as Produced (type of
identifi on) as identification.
o c, (SEAL)
Signature of Notary Public
State of Florida DOROTHYE E NS
MY COMMISSION W 127286
r EXPIRES: Jafy27, 2018
Print ype/Stamp Name A , BondeQihruFoCaryPubliaUndenvriten
of Notary Public