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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