HomeMy WebLinkAbout143 Wornall DrApplication No:
C ` 0
Job Address: 143 Wornall Dr Sanford
Parcel ID: 33-19-30-514-0000-0220
Description of Work: Reroof
Plan Review Contact Person: nennis Th
Phone: 407-427-0307 Fax:
AUG 11111
1 CITY OF SANFORD
BUILDING & FIRE PREVENTION
j PERMIT APPLICATION
Documented Construction Value: $ 7800.00
2771 Historic District: Yes No 19
Zoning:
Title: Fstimator
E-mail: Den nis(aD-TAGRoof.com
Property Owner Information
Name Deborah Smith ( Phone:
Street: 143_Wornall Dr I Resident of property? : ` Yes
City, State Zip: Sanford FL 32771 I
Contractor Information
Name TAG GPnpral rnntrartnrG Inr. I Phone: 407-420-7900
Street: 517 19th St Fax:
City, State Zip: Orlando FL 32805 I State License No.: CCC1328779
Architect/Engineer Information
Name: I Phone:
Street: I Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit
Square Footage: Ct
No. of Dwelling Units: ]
Electrical
New Service — No. of AMPS:
Mechanical (Duct layout required for new
Mortgage Lender:
Address:
T INFORMATION
ction Type: No. of Stories:
Zone:
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
Shall be inscribed with the date of application and the code n el%ct as ofthat date (Code 2010 FDC) 731.135(5)(6) Florida Statutes.
REV 07.14
i
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 tle ihownerof the property of the requirements of Florida Lien Law, FS 713. The City
of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order
to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual
construction value will be figured based on the current ICC Valuation Table in effect at the time the permit- is issued, ill accordance with
local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will
be applied to your permit fees when the pert lit isissued. OWNER'S
AFFIDAVIT: I certify that all be done
in compliance with all applicable I Signature of
0«ner/Agent Print Owner/
Agent's Name Notary -State
Owner/Agent
is Produced ID
Date Date
Personally
Known
to Me Type of
ID the foregoing
information is accurate and that all work will s regulating
construction and zoning. TJ3 -> gnature
of
ntmetor/Agent Dale Print Oontroctery\
eent's Name of Florida
Date / M't
roowlssiStON # FF 21236 oR Contractor/
Agent
is Personally Known to Me or Produced ID
Type of ID W IS
FOR OFFI Permits Required:
Building Electri Construction Type:
Y Mechanical
Plumbing
Occupancy Use:
Total Sq
Ft of Bldg: Mid. Occupancy Load: New Construction:
Electric - # of Amps I Fire Sprinkler
Permit: Yes No # q Heads APPROVALS: ZONING:
ENGINEERING: COMMENTS:
UTILITIES:
I21[
13
Gas[] Roof
Flood Zone:
of Stories:
Plumbing - # of
Fixtures. Fire Alarm
Permit: Yes No[] WASTE WATER:
BUILDING: Revised:
June
30, 201 i 1 Permit Application
M—"Ili
TAG GeneralContractors Inc. PREfERRED 2875
S Orange Ave. Suite500l1615CONTRACTOR
Orlando, FI 32806 0
4.. — Tampa 813-693-1950 Fax: 1-866-740-9216 General
Contractors Inc. Orlando 407-617-8066 www.
taeroof.com AGREEMENT
THIS
AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT Eo/ NO INITIAL (20 CUSTOMERg
STREET
V4.3 Wne N sLL a we - CITY
N R- ST k ZIP ?x3111 HOME
WORK CELL `
t 01 _ 41 I t -03(0k FAX E-
MAIL ADDRESS Z -e?J k )Q '-1 i% roM- COM. SOURCE
C C 1 PROJECT
MANAGER V7NkNCfA03 B-
MANUFACTURER OF SHINGLE CS -
STYLE OF SHINGLE A3 19-
eOLOR OF SHINGLE GALLEY
GENTS
STYLE C3=
FEAR OFF YES LAYER (S) G-
PITCH I 0 2 STORY R
PERIv11T `URNISHED REPLACE ALL BOOT JACKS 0-
30 POUND FELT ICE & WATER SHIELD S'
REMOVE ROOF TRASH FROM ROOF, GUTTERS & YARD E
160TECT LANDSCAPE WHERE NEEDED S-
IMLL YARD WITH MAGNET ROLLER EI'
DRIP EDGE KEEP / REPLACE -COLOR SPECIAL
INSTRUCTIONS o
e. 30 "F' a-
3 PAYMENT
SCHEDULE tk FIRST
PAYMENT 50% SJ 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 APPROVES
PAYMENT FOR THE DAMAGE. TERMS:
Tag
General Contractors Inc. is considered to be a certified roofing contractor CCC 1328779 and General Contractor CGC 061644.. THIS CONTRACT IDES 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 WC.DISCIAMISALL WARRANTIES, EXPRESSED
OR IMPLIED WARRANTY OF AIERCIIANTABILITY 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 BY INSURANCE AND THE HO:EOWNER WOULD LIKE LIS TO
PROCEED WITH THE WORK IT WOULD BE THE RESPONSIBILITY OFTHE HO.OfEOWNER TOPAY IN FULL FOR THE ROOF. SIGNBELOWIF
OU WOULD STILL LIKE US TO PROCEED WITH THE WORKAND YOU WILL PA YFOR 100% OF THE WORK QUOTED. I
N J-\, UNDERSTAND ROOF IS NOT COVERED BYINSURANCEAND I AGREE TO PAY LV FULL FOR ROOF. CUSTOMER
HAS READ AND AGREES TO ALL TERMS AND CONDIITIDn O S(
O^NTHE B K OF THIS AGREEMENT. ACCEPTED BY
HOMEOWNER(S) ON: DATE o /0 D. / 1 S BY X ^'^^^^' " J CO-OWNER:
DATE / / BY X TAG REPRESENTATIVE:
DATE 6 / Oa. BY X INSURANCE CO.
CLAIM NO. ADJ DATE/TIME gel•-' o
b 1 sAn q,o z
01-NviM
w rl Ili aHlAt 14111 iftinn ti.1m III,. n....
TF(IS INS'
Name: _
Address:
BY:
NOTICE OF COMMENCEMENT
MAIZYAN14E MORSEY 9EM1NOLE CO UNIY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 3519 Pg 1975 (LP95)
CLERK'S 4 201508Q66
RECORDED 08/03/2015 0:35:52 PPI
RECORDING FEES $10.00
RECORDED BY hdevore !
Permit Number:
Parcel ID Number. i "' S) IdJD -"aD
The undersigned hereby gives notice that Improvement will lie made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following Information is provided in this Notice of Commenceent. 1.
DESCRIPTION OF PROPERTY: 11.0al description of the property an;kstreet address tfiye(lable)_ 2.
GENERAL DESCRIPTION OF IMPROVEMENT: 3. .
OWNER INFORMA ON OR LESSEE INF RMAT Name
and address: Interest
in property:WN . Fee
Simple Title Holder (if other than owner listed 4.
CONTRACTOR: Name:: beN901SL Address:
f 12 1 11 eed S.
SURETY (If applicable, a copy of the payment bond 6.
LENDER: Address:
THE
LESSEE CONTRACTED FOR THE IMPROVEMENT: l3
1J.9CYLwJAI.`.lt-. `NFa D.\• 3ci11\^"iiS Name:
u
C- Phone Number. attached):
Name: Amount
of Bond: Phone
Number. 7.
Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.
13(1)(a)7., Florida Statutes. 8.
in addition, Owner designates to
receive a copy of the Lienor's Notice as provided In 9.
Expiration Date of Notice of Commencement (The ex; Phone
Number. of
i
713.13(1)(b), Florida Statutes. Phone number: is
1 year from date of recording unless a different date is specified) WARNING
TO OWNER: ANY PAYMENTS MADE BY TOE 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. Signature
or Owner or Lessee, or Owner's or Lessee•d Autthhorizzeed%
Offiirer/Directoorr/P%arrNMa eNneger) State
of ` Y r ;
Jl /
County of The
foreaolna_Instrument was acknowledged before me this _ by
who
has MY
COMMISSION ti FF 127236 EXPIRES:
July 2T, 2oia BonedThroNotarypubreUodelw
Ors i
M IT CLERK
OF SEMINOLE\
OUP Aw
03ISM produced: Print
Name
and Provtdo Signatory's Title/ORtce) L1 day
of
U y Who is
personally known to e R CLERK
I City of Sanford
Building & Fire Prevention Division
1-
0-UP—M, Re -Roof Permit Card
mom
PERMIT NO. ISSUE DATE: 00?. a /4
JOB ADDRESS:
TYPE OF WORK:
o0P n a!/
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 Mitigation (davit will not sufficeice as an alternative to receivitm a drv-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 . . . . . 15-00002505 Date 8/04/15
Property Address . . . . . . 143 WORNALL DR
Parcel Number . . . . . . . . 33.19.30.514-0000-0220
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . pUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 907832
Permit pin number 907832
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 _/_/_
f3)r,
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: / %. Q -
I, hereby acknowledge that I personally inspected
oof deck nailing and/or Nbl econddanary water barrier work
T
at ZY3 tz ppL /x 1-2r .5,,-df kI3Z7-7 ( and have determined that the work
l
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. /
J
Signature o ntractor Dat
r__ eG'Gl3y9-Z7% Id"Id 4 / A&,
Printed Name 9f Contractor License #
License Type: General Building Residential WRoofing Contractor
e or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn_f.94(or affirm d subscribed before me t ' day of 0 , 20/3 , by
Agn 7`1 D?? y C1''- , who is ersonally Known to me or has Produced (type of
i 'cation) as identification.
a (SEAL)
Signature of No ary Public
State of Florida
Dl2U7T Y
Print/Type/Stamp Name
of Notary Public\_
3