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HomeMy WebLinkAbout303 Plum Tree CtCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: sDocumented Construction Value: $ ,. U Job Address: 3 c) 3 u. -v11` A - Historic District: Yes No Parcel ID: l(72 D J/ — n© ADD — I ZU Zoning: Description of Work: Ce-- (b a' 4 fg SQkQ-1 } s h- k1Q le S Plan Review Contact Person:„ 1(+a.,. V.LV_cc Title: ere—s . Phone: % `a' ! 2— Fax:yo %' 7L 7 —/-7 1 & E-mail: , D AXS QL J4 rio Ave- . C'cs-- 1 Property Owner Information / Name, n h , r o T'LS 4-t—c Phone: C%31 Street: 3b,3 I Resident of property? City, State Zip: 3 2i Contractor Information Name `JOJ, ( Phone: Z U /' 74 7— 6.R/ 1 Z Street: D% T L - Fax: _ d 7//67 — 7! 4 City, State Zip: State License No.: Arch tect/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) No. of Stories: 1; r .fir Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm . No. of heads: 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 app ' ermit fees when the permit is released. Sig ature wn I D_ to-YN LORRAINE GAETA Notary PobliC - State of Florida My Comm. Expires Jan 25, 2015 Commission # EE 58561 Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: 1 eT'* tf i COMMENTS: Rev 11.08 UTILITIES: FIRE: Date s Name r i of Florida D toL.ORRAINE GAE L Notary Public - State of Florida My Comm. Expires Jan 25. 2015 Commission # EE 58561 2-' Contractor/Agent is . Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Permit No. Tax Folio No./0-20 —.36— 0/ ZO NOTICE OF COMMENCEMENT State of Florida County of Seminole 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 Ii.c _ , i NARYANNE MORSE, CLEF OF CIRCUIT COURT SENINOLE COUNTY BK 8785E Pg 1883; (Ipg) CLERK'S 0 2012108074 RECORDED 89/11/2812 SW081 PN RECORDING FEES 18.00 RECORDED BY 3 Eckenroth(all) of ppe pro erty, and street address if availableArNP>, sq 3n3 P 2. General description of improvement: t3kf V+,r ohnX-+- -Z l-v AJ I eA 3. Owner information: Name:. o h o res +e -r_ Address: 3b 3 I? I LA yyi n A 1 06 u- 't- 5 til b, Interest in property: Eta S i v,v. 1 e_ c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: of Phone number: D - ( c. Address: Ll f J Za,7 f7 I 5. Surety Name Address: b. Amount of bond: $ 6. Lender: Name: Address: b. Lender's phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes. b. Phone number of person or entity designated by owner:. 9. Expiration date of notice of commencement (the expiration date is 1 year from the 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 O AN ATTqRNEY BEF RE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO E ME>T Signa Own or nes zed Officer/Director/Partner/Nlanager Signatory's Title/Office T e fo g instrument was acknowledged before me this day of , (year) , by (name of person) as (type of authority, ... e.g. officer, trustee, atto ey in fact) for (name of party on behalf of whom instrument was executed) . a a i,,,, ' . SEAL)„, Y P-,;> e.= LORRAINE GAFF Slgnacure ofNotary Public '_N Notary Public ., IEZae of r f Personally Known OR Produced Identification Y T e' th8flhdbi .s ,,: m scion Verification pursuant to Section 92.525, Florida Statutes: Under penalties Clare that P iave r ad 4b Wt6g,i and thei the fac state it are true to wledge and bebestofmyk, elief. XI Si , £Natural., ers ' 'i ” Abo ' RTIFiED COPY Re ate 3/2008 - IMARYANNE MORSE CLERK OF CIRCUIT COURT t: a SEMINOLE COUNTY. FLORIDA 9F N , i 0omug 1)Ect1TY cLFRK SEP 1 1 2012 7?3 i. JT1- mm, mac S ROOFING JT1 Roofing Contract Address: 406 Hermitage Drive Altamonte Springs, FL 32701 Phone/Email: (407) 767-6912/ljones@jtiroofing.com State -Certified Roofing Contractor - CCC1325756 State -Certified General Contractor — CGC036067 Jan Tukker, Contractor Insurance Co. Adjuster: Claim #: _ Phone: Customer Name: /V O Y°d 5'L:9: 11 Address: 3p- 7 ly Lpl 'Ig e " 1 va imay-- c_"f City/State/ZIP: r,) i ,f Home Phone: Cell: '9 j --, Work Phone: SPE CIFICATIONS/PRICE BREAKDOWN ITEM TYPE QTY AMOUNT TOTAL Tear-offshingle 1 Replace Shingle - Date: Replace Felt I urricane Retrofit " Steep 2"d Story Charge Date: $ Valley Material Drip Edge Vents/Goose Neck— Flat Roof Interior/Exterior Skylights Solar Panels Detach/Replace Remove Trash from Roof, Gutte and rd Roll Yard with Magnetic Roll Protect Landscaping Where Applicable Delivery/Special Instructions: 2451 ITEM TYPE QTY AMOUNT TOTAL Ridge Vent Off -Ridge Vents Decking r Lead Boots Debris Removal 4 Insiiratice Co. Initial/Estimat DateD / $ Q OD Amount iii A Insurance Co. Agreed Date: Amount Upgrades Insurance Supplement TOTAL. Date: $ Shingles —Type: i 4," Color - 7 O PAYMENT SCHEDULE V _ % OWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNEST DEPOSIT: 11$500.00 $1000.00 $ DOWNPAYMENT $ FINAL PAYMENT $ JAN TUKKER, PRESIDENT TERMS: THIS AGREEMENT 1S "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING OVERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY. ACCEPTANCE OF AGREEMENT The above prices, specifications and conditions of this agreement are satisfactory and are hereby accepted. I/We have read and understand the terms and conditions located on the back of this document/agreement. JTI Roofing is authorized to do the work as specified and in accordance with the terms, conditions and stipulations of this agreement. Homeowner hereby authorizes Insurance Company and/or Mortgage Company to make payment for completed repairs directly to Contractor and mail insurance proceeds to Contractor. Homeowner hereby assigns to Contractor their rights to any insurance proceeds from Insurance Company for goods and services as described in the specifications. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HFA BY SE VES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY TIME PRIOR TO MIDNIGHT OF/TfIE T USINEXDAY AFTER THE DATE OF THIS AGREEMENT. Homeowner Appr 61: -= Date:,( G Contractor Approval:. Q' r I t.t c x-) Zr1 Sk' Date: City ®f Sanford BUILDING DIVISION RE: Permit # Inspection affidavit licensed as a(n) Contractor* /Engineer/Architect, please print name and circle Lic. Type) FS 468 Building Inspector* License #;C16161 31,`j 9 S70 On or about I did personally inspect the roo Date & time) deck nailing and/or secondary water barrier work at,30 3 circle one) II ( Job Site Address) Based upon that examination I ha`v'e d-emed the installation was done according to the Hurricane Mitigation Retrofit Ma al (Based on 553.844 F.S.) Signature STATE 0I,7LORIDA COUNTY OF Sworn to and subscribed before me this _—day of _ .2012 - By 2012 - By J of Public, t too F o"da 13 V P, . LORRAINE CA Notary puLo" blic Statc of Florida ,( o,: My COMM. Expires Jan 25. 2015 (Print, type or stamp name) Commission # rF 58561 Commission No.: Personally known ror Produced Identification Type of identification. produced. General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make.such an inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the deck for each inspection.