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HomeMy WebLinkAbout109 Lidsey WayY CITY OF SANFORD FEB 6, BUILDING & FIRE PREVENTION I PERMIT APPLICATION r, Application No: -,LID Documented Construction Value: $ 31 5 g D Job Address: f 0 L f /rjC `,y J TA rb% Historic District: Yes No Parcel ID: 5ll ' 0000_ O 3 /1qQ Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: 9 U- , 9 00 F Plan Review Contact Person: (1a ZJ0 -I Title: jy Jn YU/Sb Phone: Fax: Email: Property Owner Information Name Street: SO City, State Zip: Phone: Lz, b Resident of property? : I _ Contractor Information 1Name GL X I YY1 G 1 ri f e r m©da 1 Phone: jd 13 f $'-i Street: S; I (; P Yt%5 S T Y e e r Fax: i 2z - 04 Z v City, State Zip: Y 14:4 3 `Z $ Z State License No.: Gc C 1 3 Z 5Cl Z$ Name: Street: City, St, Zip: Bonding Company: Address: Arch itectlEngineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application V 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 vdrification 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 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, in 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 permit is issued. 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. Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application N I lillli IPldl Illli IIIII lilil Ilili illl NII THIS INSTRUMENT PREPARED BY: Name: MAXIMA INTERMODAL CORPORATION Address: 531 CYPRESS TREE COURT. ORLANDO FL 3282,9 NOTICE OF COMMENCEMENT State of Florida County of Seminole HARYANHE' 11ORK? SEN11,101 E COUPICY LERK 'IF C:T.RCIJI.T COURT & COIPTROLLER B1: emu_•_ f'3 yt _ (iF's CLERK'S g 20 j.SO107?I I ECOSI_11:.9 i_12/l.-112016 1ie59,06 AN 1-ZEC00ING FEE& $3.171,i710 RECORDED BY hdtavors Permit Number: Parcel ID Number: 33-19-30-511-0000-03A0 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT 3A LINDSEY ESTATES REPLAT PB 42 PG 18 i ADDRESS 10,9 L.INDSEY WAY. SANFORD FL 32773 GENERAL DESCRIPTION OF IMPROVEMENT: RE -ROOF _ OWNER INFORMATION: Name: ALICIA TIGREROS Address: 109 LINDSAY WAY Fee Simple Title Holder (if other than owner) Name: N/A Address: CONTRACTOR: Name: MAXIMA INTERMODAL CORPORATION Address: 531 CYPRESS TREE COURT, ORLANDO FL 32825 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: NIA Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. I Expiration Date of Notice of Commencement (The expiration date 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 O' COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.1 , FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. X 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. Under enalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are tru d to the t of my wiedge and belief. e Owrrer nature Ownees Printed Name Florida Statute 713.13(txg):' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead' . xkekc— State oft ` -6 County of The foregoing i strument was acknowledged before me this _ I day of ` V 2 t r^ by T 'yevQ Who is personally known to me Name of person making state t /' OR who has produced identificatiorimpe of Identification produced: -A-0 G® a 0 W 0 a zF o o U t _ v s - w LU 5 J 0 = J d a Z vOvUJLn i THOMAS L OINARDO ;Ul\(/LS ` --)t'u z Notary Public - State of Florida Notary Signature 'CommlieIOR Al FF SO®8f 7 My COMM. Expires Jul 13, 201,9 MAXIMA INTERMODAL CORPORATION 531 Cypress Tree Court Orlando, Florida 32825-4802 USA Phone P 1 (407) 823-8890 Fax #: 1 (407) 277-0424 E-mail: maximacorp@aol.com POWER OF ATTORNEY Date: hereby name and appoint C `C t-c 1l L an agent of 1v Xi Mir I n1Tl= i A A( t Q to be my lawful attorney -in -fact to act for me to Apply to the Division of Building Safety for a `N0;-Z- permit for work to be performed at a location described as: Section Subdivision Township Range Lot Block LICl/4 GIS01Zo5- r<a LUG l O jU ( Owneref Property) Property Street Address) And to sign my name and do all things necessary to this appointment. or Print) Contractor's License Number) SignaturegContractor) C }^, The foregoing instrument was acknowledged before me this ` day of y of20e b who is personally known tp ir e/who produced 4 GVZ d6k— /I / c, as identification and EDWIM J.RASINSKI ary Pu is ( int name) "Vy pVW - SWe o1 FWWa Notg Commisiion #F FF 223522 My Comm. Expires Apr 22, 2019 8F. Mn&ddvMd N"WNoMAssn. Notary Public (signature) MAXIMA Intermodal Corporation License; CGC1506720 and CCC1325928 531 Cypress Tree Court Orlando, FL 32825-4802 Phone #: (407) 823-8890 Fax #: (407) 277-0424 Cell: CUSTOMER: PHONE: ADDRESS: DATE: Email: We propose to supply all labor and materials equipment necessary to perform the following: ALL ROOFS: Remove old Roof to workable surface. 1.. Re -nail roof deck with ring shank 2. Replace any rotten wood with standard sheathing @ $5.00 per lineal foot and $50 per sheet of Plywood 3. Install 30 LBS Felt attached with plastic simplex 4. Install new valley metal in all valleys and replace flashing as necessary. 5. Install new lead booths over soils stacks and replace all purpose vents 6. Install new eave drips around the perimeter of the roof 7. Install a cobra ridge vent as needed 8. Paint -all lead boots and vents to match 9. Clean up and completion of the job SHINGLE ROOFS: 10. Install approximately _0 squares of years Architectural Shingles 11. Install feet of continuous ridge vent or 7— () ft off -ridge vents. FLAT ROOFS: 8. Install approximately _0 squares of O roofing membrane in accordance with Manufacturer's Warranty. ADDENDUMS: This proposal includes up to (3) sheets of plywood for rotten wood replacement after that will be an extra charges of $50.00 per sheet. Cost for work described above is US$ 3, 3 0 d Payments due: 50% on arrival of materials and 50% upon final inspection approval. In addition to the Manufacturer's Warranty, MAXIMA Intermodal Corporation hereby warrants the workmanship to be free of defects for a period of Three (3) year from the date of completion. A final release of lien will be provided upon payment in full. Any additional work not listed above will be an additional cost. MAXIMA Intermodal Corporation is not responsible for any resulting damage to plumbing or electrical lines on the underside of the roof deck. (Prices may change after 30 days of date above). B i g below, I hereby acknowledge my acceptance of the terms and conditions described above. r02. -z- IA. ---------------------------------- Customer Date Contractor Date 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 EffROVEMENTS 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. D4 Q - o -30- Signature of Owner/Ag Date Print Owner/Agent's Name vw,i k, 1131 It (— of Notes$ oftwo Date b Notary PuWk - State of Florida n Commbalon # FF OMft rr My Comm. Ezplrs du113' 20t9 Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Si of untractor/Agent Date Print tor/Agent's e Signature of Notary -State of Florida Date Contractor/Agent is 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 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the le or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. CV Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roofpermit application and may not be complete. The applicant is required to meet all City of Sanford, state, andfederal code requirements. CITY OF SANFORD BUILDING SLRVICLS Residential Re -Roof Hurricane Mitigation Inspection Affidavit F2rmit #. /6 — `7 Q1'11 I, hereby acknowledge that I personally inspected Roof deckmailing and/or Secondary water barrier wort --- at /0 — (, t d:5f, 7 CA-) Gt 5c h YJ /and have determined that the work 6b Site Address) was done accordingto 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 perf ? rm4cq o his or her official duty shall constitute a misdemeanor of the second degree pursuant to Sectio ll Sigyature o ontractor Date GollCCCt 132Zqz2- FiInted Name of Contractor License # License Type: General Building Residential XRoofingContractor or any individual certified in accordance with F.S. 468 to makff such an inspection. STATE OFFLORIDA COUNTY OF' V (_R & e (- j Slr . to or firmed) and subscribed before me this _ day of f i' ° , 20 / , by e l' C l/ ( ho is Feersonally;I nown to me or has .j=F?bduced (type of identCWIfs identification. SEAL) Signature of Notary Rblic State of Mrida Fr-int/ Type/Stamp Name of Notary Fftblic WILUAM R PECK NOWY PWft - 8tr o,0t FWW& CWw1nft I FF 918189 My Comm. Expires Sep 18, 2011