HomeMy WebLinkAbout152 Rockhill DrApplication No:
Job Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 4:>
o-+
152 ROCKHILL DR SANFORD FL 32771 Historic District: Yes NqX4_
Parcel ID: 33 19-30-516-0000-1140 Zoning:
Description of Work: RE ROOF
Plan Review Contact Person: A*14 Title:
Phone: y07-(/27—y7o-7 Fax: Frmail: J)ew.-.s oe Z;td A..00, cow
tol
Property Owner Information
Name STEVEN BRIM Phone: (407) 625-0408
Street: 152 RnCKHILL DR Resident of property? : OWNER
City, State Zip: $ANFnRn Fl 39771
Contractor Information
Name TAG GENERAL CONTRACTORS, INC. Phone: (407) 617-8066
Street: 1700 HOURGLASS DR Fax: (407) 601-7997
City, State Zip: ORLANDO FL 32806 State License No.: CGC61644
Arch itectlEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
New Service — No. of AMPS:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical (Duct layout required for new systems)
No. of Stories: I
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
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 r
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, 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
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 of Owner/Agent Date
Print Qwmer/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: - UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
ignaiure o Contractor/Agent Date
NC/ y0 L
Print Contra for/Agent's Name
Signature of Notary -State of Florida ale_
A(,CQ
OO of
a WAS' : Ey-
4Z;ai*rat
Contractor/Agent is 1/ Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Shall be inscribed with the date of application and the code in effect as of that date -(Code 2010FBC) 731.135(5)(6) Florida Statutes.
REV 07.14
THIS INST U ENT PREPAR
Name: S
Address: Na
NOTICE OF COMMENCEMENT
l R. tPC{t't'+^.. ni.: hi klil'' r•:il,:•, J.:,1L. JL.•i. 1. L. L•• I) ERK '
i" %R(:l.I :?' (=0URT : 0NPTR€)LUrt: CLERK
JS i 201517IS4210 ii`
r:i.{;•'it'ir: `E.k.:a' #ri.Fl,;ii.! Permit
Number: L
Parcel
ID Number. "I ^ "30 "5 1, "O+~ '< <ii The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement. 1.
DESCRIPTION OF PROPERTY: (/Leegal description off the property and street address if available) l.•
V _ 114 C fast 1,Y% / r L Ak-.- • Y M S 2.
GENERAL DESCRIPTION OF IMPROVEMENT: 3.
OWNER INFORMATION OR LESSEE 1k1FqRMATION IF THE LESSEE CONTRACTE FOR THE IMPROVEMENT: Name
EMENT:
Name
and address: 1 'tc- emu, • `wFofNo p Interest
in property: tz AN Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name: \ Address:
X %Q z "ra 5.
SURETY (If applicable, a copy of the payment bond Is attached): Name: L.
Phone
Number,W) 1,011" Address:
Amount of Bond: G.
LENDER: Name: Phone Number: Address:
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)T., Florida Statutes. Name•
Phone Number: Address:
a.
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: 9.
Expiration 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 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. lure
o r or Lessee, or Owners or Lessees (Print Name and Provide Signatory's Tniefumcei Autlwrized
OF9cerlDirector(Partner/Manspr) State
of (ACt County of The
foregoing Instrument was acknowledged before me this 1 1 day of l.ti 20 :~ i
r
by _ ^ '
r k 1 to Y t `C`1 Who Is personally known tome 0 OFU ; Name
of person making statementC j who
has produced Identification i'lype of identification produced: i= L il_ L-> { 1`' 'a` 3 s ue — SHANA
BALAY NOTARY
PUBLIC STATE
OF FLOPJDA — Catrrnhk
FF17T115 Expires
9/2=18 tS
Notary
signature r
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):
The specific permit and application for work located at:
Sveet 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 J day of ,
205, by J Gfiq who is personally known
to me or who has produced
identification and who did (did not) take an oath.
Signature
Notary Seal) -pneal-wr E
Print oror type name
Notary Public - State of
Commission No. 27Z
My Commission Expires:_
Rev. 08.12)
M
4. qwR
TAG General Contractors Inc.
2875 S Orange Ave.
o Suite 500/1615
ra Orlando, F132806
Tampa 813-693-1950 Fag: 1-866-740-9216GeneralContractorsInc. Orlando 407-617-8066
www.taaroof com
AGREEMENTTHISAGREEMENTISSUBJECTTOINSURANCECOMPANY
USTOMERlM SV
STREET
ITY ST CZIP
TOME WORK
ELL O1'S'N,-5110? FAX
MAIL ADDRESS avNw r2^ Q C L• . C
OURCE
ROJECT MANAGER ,Akoj C t s co
SPECIFICATIONS
MANUFACTURER OF SHINGLE k
I STYLE OF SHINGLE
COLOR OF SHINGLE
3-VALLEY
I &A-,\g J. wtr ID
3'VFNTS STYLE
3—TEAR OFF A
II
YES LAYER (S)
PITCH 6 1 t - 2 STORY
j-MRMIT FURNISHED REPLACE ALL BOOT JACKS
3Q POUTED FELT ICE & WATER SHIELD
3-REMOVE ROOF TRASH FROM ROOF, GUTTERS & YARD
9-PROTECT LANDSCAPE WHERE NEEDED
TROLL YARD WITH MAGNET ROLLER
i-MP EDGE KEEP / REPLACE - COLOR
PREFERRED
ONTUCTOR
APPROVAL OF PAYMENT YE / NO 1 w
SPECIAL INSTRUCTIONS
a a
orate "elky `
PAYMENT SCHEDULE
FIRST PAYMENT 50% l
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:
tg General Contractors Inc. is considered to be a certified roofing contractor CCC 1328779 and General Contractor CGC 061644- THIS CONTRACT DOES NOT OBLIGATE
iE PROPERTY OWNER OR "Tag General Contractors" IN ANY WAY UNLESS IT IS APPROVED BY THE PROPERTY OWNERS INSURANCE COMPANY and or
OMEOWNER AND ACCEPTED BY "Tag General Contractors." BY SIGNING THIS AGREEMENT THE PROPERTY OWNER AUTHORIZES "TAG" TO PURSUE. THE
tOPFRTY OWNERS BEST INTEREST FOR PROPERTY REPLACEMENT OR REPAIR AT A "PRICE AGREEABLE" TO THE PROPERTY OWNERS INSURANCE
OMPANY AND "TAG" WITH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURAi:CE DEDUCTIBLE. WHEN "PRICE AGREEABLE"
AS BEEN DETERMINED IT SHALL BECOME THE FINAL CONTRACT AMOUNT AND THE PROPERTY OWNER AUTHORIZES "TAG" TO OBTAIN LABOR AND
ATERIAL IN ACCORDANCE WITH THE "PRICE AGREEABLE" AND SPECIFICATIONS SET OUT HERIN AND ON THE REVERSE SIDE HEREOF TO
XOMPLISH THE REPLACEMENTOR REPAIR. THEREFORE "TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN MORDANCE
WITH THIS AGREEMENT. ALL PRICES ARE SUBJECT TO CHARGE. YOU, THE BUYER, MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR MIDNIGHT
OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. TAG GENERAL CONTRACTORS INC.DISCLAIMSALL WARRANTIES, XPRESSED
OR IMPLIED IVARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON VE
REVERSE SIDE OF THISA GREEMENT. IF FOR ANY REASON THIS ROOF IS NOT COVERED BYINSURANCE AND TIIE JIOdfEOWNER IVOULO LACE US 9
PROCEED WITH THE WORK IT WOULD BE THE RESPONSIBILITY OF THE HO.vEOWNER TO PA YIN FULL FOR THE ROOF. ON
BELOWIF BKU WOULD STILL LIKE US TO PROCEED WITH TIIE WORK AND YOU WILL PAY FOR Igo% OF THE WORK QUOTED. UNDERSTAND
ROOF IS NOT COVERED BY INSURANCE AA'D I AGREE TO PAYIN FULL FOR ROOF: CUSTOMER
HAS READ AND AGREES TO ALL TERMS AND CONDITIONSION THE WK OF THIS AGREEMENT. CCEPTED BY
HOMEOWNER(S) ON: DATE S. /off./ BY X CO-OWNER:
DATE / / BY X _ TAG RFPRESENTATTVE:
DATE S I. •/S BY ivaump'N
I; UU• CLAIM NO. ADJ DATE/TIME
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ISSUE DATE: 0 '. B • '/
CONTRACTOR: 77--4a
JOB ADDRESS: S ol
TYPE OF WORK:
Old he / /
Post this Permit in a conspicuous place outside
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
PROTECT FROM WEATHER
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 Affidavit will not su ffice as an alternative t0 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 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 . . . . . 15-00002254 Date 7/07/15
Property Address . . . . . . 152 ROCKHILL DR
Parcel Number . . . . . . . . 33.19.30.516-0000-1140
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 904474
Permit pin number 904474
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 #•
1, hereby acknowledge that I personally inspected r
oof deck nailing and/or Secondary water barrier work
c
atC`nn'1 ej and have determined that the work
Job Site Address) V ' - '
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 $0.06 F.S. n ZI
rOT1
Printed Name of
Date
132'9 7-7 9
License #
License Type: (9/6eneral Building Residential ZKRoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF 1____
1
Sgorn, or affirme ) and subscribed before me t ' day of , 20 /, by
ki , who is ersonally Known to a or has Produced (type of
ide onti— ) as identification.
SEAL)
Signature of N tary Public
State of Florida
i2tzvi/YL I/Crh .S
Print/Type/Stamp Name
of Notary Public