HomeMy WebLinkAbout134 Rockhill DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ks- -a— Application No:Documented Construction Value: $ 1 S
o .
Job Address: 2)4 _ 'y_ t t l t i z1:1-6ci 'PL
Parcel ID: 3'6• is • Sd SA(p CJZ:j'Xj k'nN
Description of Work: CC
Historic District: vcs 0 No
Zoning:
Plan Review Contact Person: te= [) I Title: L1(?Ff•ts£'. 4, ljr Phone:
L401 2630 " 1CQ62L3 Fax: qr_)1- `7 L (r I E-mail: j - r Property
Owner Information rr` '
CL' .n , QFM
Name ('
1(OItC(2S - ( 5l Q 0 (? *M12n Phone: A7_1 3 to 7 LORS1 Street:
kkUl '_ , Dj Resident of property? City,
State Zip: VfL = I Contractor
Information Name
n(c Phone: JO "'1tD(03 Street:
UaC) C_ i'irlt1 C?aott"L 1 i( Fax: `r— .5 30 7Cet I City,
State Zip: { _ - i State License No.: C—C-Q. V503aL{ Name: Street:
City,
St,
Zip: Bonding Company:
Address: Building
Permit
Nf Square Footage: _
3 L00 No. of
Dwelling Units: Electrical New
Service -
No. of AMPS: Architect/Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
Address: PERMIT
INFORMATION
Construction Type.
2 No. of Stories: Flood Zone:
Plumbing New
Construction -
No. of Fixtures: Mechanical (Duct
layout required for new systems) Fire Sprinkler/Alarm No. of beads: 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 Lutes 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 wil- 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
RESL"LT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOLTR PROPS RY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB Si t E BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSU-.1. 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 restrictic::s applicable to this property
that may be found in the public records of this county, and there may be additia..a! permits required from
other governmental. entities such as water management districts, state agencies, or fede-at agencies. Acceptance
of permit is verification that 1 will notify the owner of the property of the requi_.;:! .Lnts of Florida Lien
Law, FS 713. The
City of Sanford requires payment of a plan review fee. A copy of the executed contrac:: required in order to
calculate a plan review charge. If the executed contract is not submitted, we reserve the ie:at to calculate the plan
review fee based on past 'permit activity levels. Should calculated charges exec:: the documented construction
value when the executed contract is submitted, credit will be applied to .your *.nit fees when the permit
is released. Signature
of Owner/Agent Dale Signature of Contractor/Age-it •:at.: Print
Owner/Agent's Name Print Contractor/Agent's Name Signature
of Notary .State of Florida Date Signature of Notary -State of Florida mete Steve
Pate EXPIRES:
ft 29, 2018 Owner/
Agent is Personally Known to Me or Produced
ID Type of ID APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Contractor/
Agent is ersonat:y :mown to Me or Produced
ID Type of ID WASTE
WATE'3-: BUILMIN
3: Shall
be inscribed with the date of application and the code in effect as of that date (Code 20 10 FBC) 731.135(5)(6) Florica S-.awtes. REV
07.14
Permit Number:
Folio/Parcel ID #:, twj lc
Prepared by: Pro - and Restoration
M
1220 Central Park Dr.
Sanford, FL. 32771
Return to: -Proa and Restoration
1220 Central Park Dr.
Sanford, FL. 32271
0II!VII1111
IINZYMilf•II:
Li_f:K '17 :JiMIT1 i:"0L?[ ! .. ._ iF;..i:E.....
CLEWS 201503600
11 ` l NOTICE OF POMMENCEMENT
State of Florida, County of sem knmQ
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordancewithChapter713, Florida Statutes, the following information is provided in this Notice of cormencement. 1. Desgription of property (legt11 description of the oronerty. and atraat nr[Armee If n%,_:r.,W_%
2. General
3. Owner
Name
If 1he for the Improvement
Interest In Property. ' '
Name and address of fee simple titleholder (if different from Owner listed above). Name
Address
4. Contractor
y""'" """"""""" _
Telephone Number 407-330-7663Address1220CentralParkDr. Sanford, FI, 32771
5. Surety (if applicable, a copy of the payment bond is attached)
Add
6. Lender
Telephone Number
4mount of Bond $
Name
Telephone NumberAddress
7. Parsons within the State of Florida designated by Owner upon whom notices or other documents maybeservedasprovidedby §713.13(4)(a)7, Florida Statutes.
Name
Telephone NumberAddress
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 NumberAddress
9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recordingunlessadifferentdateisspecified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENTARECONSIDEREDIMPROPERPANTSUNDERCHAPTER7131PARTI, SECTION 713.13, FLORIDA STATUTES, AND CANRESULTINYOURPAYINGTWICEFIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BERECORDEDANDPOSTEDONTHSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
4WITHYOL8
ER OR AN AT Y BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
9OwnerorLessee, r er's or Lessee's Authorized OffmerlDlrector/Partner/Manager S;gnatory's Titiplofiice
The foregoing instrument was acknowledged before me this od day of '11 k1i by
as / - for J
on ye r1 n 1 f persch
Type of auth , e.g., officer, trustee, attorney in fact Name of party on behalf of whom Instrument was executed
yur
Signature of Notary Public — State of Florida
l'
Personally Known t' OR Produced ID
Type otfD roduce
j jam' j '
Et) Co IIYANNE MORS~—
A V i/
K OF
t
E VKrAN0
SEMINOLE U j.y• 04
Form co t rev d: 1 1 -,IA,- I tyri` :ijW
OEP{rC't.EpCt
Print, type, or stamp commissioned name of Notaa: Pubft-
auerrryip,, Debra A dean
CQM IISSIt1NSEE870796aQ;
4`, EMPESr FEB. 09, 2017
nr,u++ IYYr'IY.Q.rRONNOTr ttY.urr[
PROGIIARD RESTORATION
W &re QtyA y Comes Tirse
PROPOSAL/dONTRACT
1220 Central Park Drive, Sanford FL. 32771
Ph: 407-330-7663 • Fax: 407-330-7661
c /Vo w,IL
State Certified # CCC1330234 SeA .c
www.proguardre8torati0n.corn
Date
Submitted To
Address 39 A0 -t City Soh /- 000 y State Zip 3 J7 7/
PH# 36
PH# Email
Job Address
We Hereby Submit Specifications And Estimates For:
Remove existing w- layer roof. Each additional layer at $ per square.
Install 74 - e-Vtunderlayment/ base ply.
Install valley li er in all valleys throughout where needed..
Install new soil stack flashings (boots).
Install new -roof vents on the roof deck, color 1M i4'f'e_1.
Install dt ,./"/,w og "
t
roof,
Replace any rotten or damaged wood on the roof deck for $ per foot, or $
per sheet of plywood (if needed). /
nAdditionalworkscopeorinforrrlation_: R A ov•c m 2-0L ('goo ' nK ov, ti
4,'h r _,,nj Avi a.d- /7N 1 Sir,_ n_ % r., I-, _
e_/t- 1-61 , V 9-
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
ompnay for settlement of the Insurance claim. If there Is a difference of
Nork scope and/or costs, PROGUARD may negotiate a reasonable
eplacement and/or replacement cost mutually agreed between PROGUARD
and the Insurance company. PROGUARD will not start until work is
approved by the insurance company.
INSURANCE COMPANY SL'
RJ
a
Contract Amount:
0
U.S. Dollars ($
Ll
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 bacJo*s document/ contract agreement. PROGUARD RESTORATIONS
hereafter referred to as "PROGUARD") is aed to do the work as specified and in accordance with the terms and conditions and
stipulations of this contract agree ent. Payll be made as stated above.
At
authorized Sig pats a Sales LA
Print Name
Title
City of Sanford
Building -& Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. Is we /
ISSUE DATE: OR.//
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
Post this Permit in a conspicuous place
a;
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 apr
PROTECT FROM WEATHER
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 Mitigation davit will not since as an alternative to receivhm ada-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 . . . . . 15-00002551 Date 8/10/15
Property Address . . . . . . 134 ROCKHILL DR
Parcel Number . . 33.19.30.516-0000-1230
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 908566
Permit pin number 908566
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 #: I S — 2 SS I
I, 16 }jrGi :,/kcLn hereby acknowledge that I personally inspected
G-Roof deck nailing and/ore Secondary water barrier work
at [". 7q P) OC1h i l 1 Or 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 7e
exn Printed
Name of Contractor 1 %
Date
CG
C 1.0? ?N License #
License
Type: General Building Residential 6'Roofing Contractor or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE
OF FLORIDA COUNTY OF &!,m i n 61 Sworn
to (or affirmed) and subscribed before me this day of IPhY ,
who is PlPfersonally Known t id
nti ati n) as identification. SEAL)
Signature
of Notary Public State
of Florida Print/
Type/Stamp al+;Y P;;o;,, CINDY A. DUNN of
Notary Public ; _; •, Notary Public - State of My
Comm. Expires Apr Florida22, 2018 N.
F OF F pP. Commission 0 FF 115280 I/
11111.• Revised.•
February 2015 t/
h f
k 201by o me
o as Produced (type of