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Home My WebLink About122 Rockhill DrApplication No: /5- ; z CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ 76 0 r' Job Address: 122 RGCvHll-6 DRIVE Historic District: Yes Nok Parcel ID: 33-19-30-516-000-1290 Zoning: Description of Work: RE ROOF Plan Review Contact Person: tALI...`b ,R a,v+a S Title: nPhone: y47- 7,'7. Q3D'Z Fax: E-mail; DIE ,'c L I (icobe Property Owner Information Name PAMELA BURFORD Phone: (407) 221-7776 Street: 122 ROCKHILL DRIVE Resident of property? City, State Zip: SANFORD FL 32771 Contractor Information Name TAG GENERALCONTRACTORS- INC Phone: (407) 617-8066 Street: 1700 HOURGLASS DR Fax: (407) 601-7997 City, State Zip: ORLANDO FL 32806 State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical New Service -No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical (Duct layout required for new systems) Plumbing No. of Stories: New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: OWNER Nall be inscribed with the date of application and the code in effect as of that dale (Code 2010 F13C) 731.135(5)(6) Florida Statutes. V 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. 1 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 coning. 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. Signature or0"mer/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: Signature of ontractor/Agent Date Print Contract Agcnt's Name I 1—As Signature d-MotaU-96fee o Date t2p18rS:1u9y°n ontractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: FIRE: 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 THIS INSTRUMENT PREPARED BY: H' `s l6 c 4 1 1111111 Name: : . Address: .. ., ,. i , • r - •. err .. :Ii.;i`l![ : ;14Jf,•; : !',r• ,i??i_:_rf. CLERK'S = 2015064206 NOTICE OF COMMENCEMENT i!': fii:Dfl'ii+?'Eli, :e•, ::.i:: ;t;_ ii`r •. irac?i'L i r1 Permit Number. Parcel ID Number. 3.3 _ J q - 30 -.51(2 - !?006 -- I Z D The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address If available) l _r7 -r I2a ' ,o-4 Z. 2. GENERAL DESCRIPTION F IMPROVEMENT: e .00tF 3. OWNER INFORMATI OR LESSEE INF9,RMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: iJ tY1Qt IiZ % \ O.El tb ut; Sort . 'Y11 Interest in property: N Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name:_, Qh(r -~Ar t N 06'% Phone Number Address: 11tKZ) "%GA-ft%N Zhisr C NVZ 1Do (Zl.Of4DA li:A 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Address: Phone Number. 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(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: S. Explration 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. v i de4 i v signature of Owner or Lessee, or Owner's or L s (Print Name and Provide Signatory's Trde/Oflice, Authorized Oflicer0rector/Parinermanagee G State of '-. County of The foregoing Instrument was acknowledged before me this / day of 20 by Who Ispers6 ally known to met0R^ ' Narne of Gerson maRina statement who has produced identification O type of Identification produced: t -- PATRICIAA.NANt j.., ` ' klyc ISSM I FF 110411 N ry Signature EXPME& Apn17, 2048 €s L wBowedllruNotary Puueft Undernfien LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: Dennis Thomas an agent of- TAG General Contractors Inc. Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): El The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 06/20/2016 License Holder Name:_ Anthony Moore State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this bay of , 20'/, by C?y `,, e Q. who is personally knownT to me or who has produced identification and who did (did not) take an oath. Cf Signature Notary Seal) —Di9ko jr F Print or type name Notary Public - State of Commission No. /2_72,rc, My Commission Expires: - Rev. 08.12) as r 49 i Y' TAG General Contractors Inc. =.: PREFERRED T e-- 2875ltOrange CONTRACTORSn[te 500/1615 a a WTF MR. Orlando, F132806 Tampa 813-693-1950 Fax: 1-866-740-9216 General Contractors Inc. Orlando407-617-8066 mff—A3e1oof com AGREEMENT THIS AGR MENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT / NO INITIAL-12--1) USTOMER YL\N-,_p Lk QU R' ITREET \aa.Roc \z, e ITN F'lYNO sr-2(„_ ZIP all 10MF WORK ELL {Ol.ao1\—^( , FAX MAIL ADDRESS"`lA orn olll`' OURCE !Zop""A l IROJECf MANAGER SPECIFICATIONS MANUFACTURER OF SHINGLE daS B—STYLE OF SHINGLE 7 COLOR OF SHINGLEe VALLEY 1 E s STYLE 9-TEAR OFF YES LAYER (S) B-PITCH S 2 STORY IStMIT F HED REPLACE ALL BOOT JACKS SPECIAL INSTRUCTIONS OFF R LDV- a= a sue, PAYMENT SCHEDULE FIRST PAYMENT 50% SECOND PAYMENT 50% FINAL PAYMENT DUE AFTER ROOF COMPLETED D 30 POUND FELT CR'fCF. & WATER SHIELD CUSTOMER AGREES TO PAY US 25 34EMOVE ROOF TRASH FROM ROOF, GUTTERS & YARD OF THE INSURANCE APPROVED DOLLAR AMOUNT d PROTECT LANDSCAPE WHERE NEEDED IF CUSTOMER CANCELS AFTER THE INSURANCE ROLL YARD WITH MAGNET ROLLER APPROVES PAYMENT FOR THE DAMAGE. EKDRIP EDGE KEEP / REPLACE - COLOR kJ-.\e TERMS: rag Gmml Contactors Inc. is wasidcn:d to be a eeni6ed roofing contractor CCC 1328779 and Genial Cootraelar CGC 061674.. THIS CONTRACT DOES NOT OBLIGATEDIEPROPERTYOWNEROR "Tag Gmml Contractors" IN ANY WAY UNLESS IT IS APPROVED BY THE PROPERTY OWNERS INSURANCE COMPANY and orJOMEOWNERANDACCEPTEDBY "Tag Gmcral Contractors." BY SIGNING THIS AGREEMENT THE PROPERTY OWNER AUTHORIZES "TAG- TO PURSUE,THEIROPERTYOWNERSBESTINTERESTFORPROPERTYREPLACEMENTORREPAIRATA "PRICE AGREEABLE" TO THE PROPERTY OWNERS INSURANCEUMPA.N'1' AND RAG" WrIH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURANCE DEDUCTIBLE. WHEN "PRICE AGREEABLE" IAS BEEN DETERMINED IT SHALL BECOME THE FINAL CONTRACTAMOUNT AND THE PROPERTY OWNER AUTHORIZES TAG" TO OBTAIN LABOR ANDMATERIALINACCORDANCEWITHTHE "PRICE AGREEABLE" AND SPECIFICATIONS SET OUT Hlim AND UN THE REVERSE SIDE HEREOF TO4CCO\IPLISH THE REPLACEMENT OR REPAIR. THEREFORE "TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN4CCORDANCEWITHTHISAGREEMENT. ALL PRICES ARE SUBJECT TO CHANGE. YOU, 111E BUYER. MAY CANCEL TIUS PURCHASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. TAG GLNERAL CO\'TRACTORS INC.DlSCLALHSALL WARRANTIES, EXPRESSED OR IMPLIED WARRANTY OF AfERCHANTABLLITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON THE REVERSE SIDE OF THISAGREEMENT. If FOR ANYREASON THISROOF IS NOT COVERED BY INSURANCE AND THE HOMEOWNER WOULD LIKE US TO PROCEED WITII THE WORK IT WOULD BE THE RESPONSIBILITY OF THE HOMEOWNER TO PA YIN FULL FOR THEROOE SI611 BELOW IF 'DU WOULD STILL IJKE US TO PROCEED WITH THE WORK AND YOU WILL PAYFOR'"%OF THE WORK QUOTED. I \+ UNDERSTAVD ROOF IS NOT COVERED BYINSURANCEA.VD IAGREE TO PA YIN FULL FOR ROOF. CUSTOMER HAS READ AND AGREES TO ALL TEILMS AND CONDI;P[6NS ON TllJtTE K gF'l)FHS,PRE361p- T. ACCEPTED BY HOMEOWNER(S) ON: DATE BY X CO- OWNER: DATE / / BY X TAG REPRESENTATIVE: DATE / !_ BY X INSURANCE CO. CLAIM NO. ADJ DATEI TIME 6' ti MN (cc 31g319 City of Sanford Building & Fire Prevention Division PERMIT NO. ISSUE DATE: CONTRACTOR: JOB ADDRESS: TYPE OF WORK: K & K () 0 Re -Roof Permit Card 07 07. /S' 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 RE UIRED` * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitigation Afdavit will not su fzce as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR MISCELLANEOUS INSPECTIONTYPE 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 III 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 . . . . . 15-00002256 Date 7/07/15 Property Address . . . . . . 122 ROCKHILL DR Parcel Number . . 33.19.30.516-0000-1290 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 904508 Permit pin number 904508 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 10-1000 129 BL29 MITIGATION AFFIDAVIT 10 116 BL15 ROOF DRY -IN 1000 Ill BL03 FINAL ROOF / / CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit I, hereby acknowledge that I personally inspected Roof dec fling and/or 0 Secondary water barrier work at / O 10n -IC/C:A,—& L - 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 1 i5 Date CCC 13 7 q License # i License Type: 0 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 ORS Sworn to (or affirmed) and subscribed before me thiK day of , 20 , by Oh cV /«—' , who is b'Personally Known to me or has Produced (type of identificatio as identification. a70M_ &_ F=y '0op— (SEAL) Signature of Notary Public State of Florida Print/Type/Stamp Name =•' MYc ssiYorEi S of Notary Public EXPi N ES: 18 ONctaryPublbUndnrkn 3