HomeMy WebLinkAbout2845 Central DrFEB 8 2016
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
09
Ca q 1 S
Job Address: 29H55 f ra i Or. Sa6od EL Historic District: Yes No
Parcel ID: ,M 20" 3I " 505 - 0000- 0150 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: fl,O_ rQ
Plan Review Con tact Person: I V IU
Phonekq 0-7) Z`( I- 9 G G Z Fax:
erty Owner Information
Resident of property? :
City, State Zip: t , Clyw, fL 3Z-71
11 ' I j p
Contractor Information ( /
q
2 Name I' 1 a W W h I"l Phone: (L40-7) Z`"I - 2q 10
i0m Street: ILI50 Kac) ffr Am k I2`-1 Fax: NO -7) 321 " IM 1
City, State Zip: Earl fad , LL 3Z-711, State License No.: CC(, ) S ( )
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer 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" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 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 inform s a to and that all work will
be done in compliance with all applicable laws regulating constru ti an o ing.
U -6
Signature of Owner/Agent Date Sim(atuo of Contractor/Agent ` Date
C- v t:
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All star homes ESTIMATE
501 Doverton Lane Debary
Florida 32713
Joel white Invoice # 0000611
2854 central drive sanford
Invoice Date 09/15/2015
Due Date 09/15/2015
Item Description Unit Price Quantity Amount
Service Remove and replace old shingle with new 30 dimensional 225.00 31.00 6,975.00
shingle
Service Pull all permits and pass all Inspection per Florida building
codes
Service Plywood replacement is per sheet 50.00 0.00 0.00
Service Wood replacement as in 1x and 2x is by the liner foot 4.00 0.00 0.00
NOTES: This is a turnkey job at $225 per square which includes dumpster, permit, materials and labor.
We give a two year workmanship warranty plus a manufacturing warranty which is labor and materials up
to a certain year then is prorated from there
Subtotal 6,975.00
Total 6,975.00
Amount Paid 0.00
Balance Due $6,975.00
h4://www.aynax.com/gi3f-3uyO-2067.view 2/8/2016
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1A 'I
I hereby name and appoint: N0 C manleu
an agent of. 4 Uk r HoMe.l d
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):
for
Street Address)
Expiration Date for This Limited Power of Attorney:
ARRNLicenseHolderName: whk
W-1
State License Number: CCC 13 oul 3 3
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF I h It,
The foregoing instrument was acknoj''ledged before me this _Lday of LIO
2CR I (o ,by MQ4hbA Wh I t, who is`personally kenwn
to me or o who has produced as
identification and who did (did not) take an oath.
W nA
Signature
Notary Seal)
NICOLE NOBLE
MY COMMISSION # FF 92423D
EXPIRES: October 5, 2019
oW BwdWThruMid NohryStri t
Rev. 08.12)
NICOV
Print or type name
Notary Public -State of Y (d Q
Commission No. FE9 23o
My Commission Expires:C)C'• 1 2_0(cj
THIS INSTR ENT PREPAf11T BY:
Name:
Address: a
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number:'
II I it 11111 fill 1111
MARYANNE MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT h COMPTROLLER
BY, 5629 Ps 507 QP9s)
CLERK'S A 2016013445
RECORDED 02/08/2016X16 11.1:31.59 All
RECORDING FEES $10.00
RECORDED BY 1ldevore
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. DE,SOBIPTION QF PZOPFFRTY: (Legal description of the property
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER I—N+F OR—MATION OR LESS\E IFRMATIvON` IF THE LEE i'N f RACTE
1D,
FOR TFkE
Name and address: Ufa x )v. 1L'L'
1• ,
r—
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: aPhone Number: T 7
OZC
Address: lLk L'
5. SURETY (If applicable, a copy of the pay me t bond is attached): Name:
Address: Amount of Bond:
6. LENDER:
Address:
Phone Number:
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)(a)7., Florida Statutes.
8. In addition, Owner designates
Phone Number:
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.
w4apllz,7
c "A-9--
Signature of Owner or Lessee, or Owners or Lessee's (Print Name and Provide Signatory's Tille/Office)
Authorized Officer/Director/Partner/Manager)
State Of 1:f. Vl f 4a- County of v fti,U k _ /
V
The foregoing instrument
Iwas
acknowle ged-before me this day of L/9 , 2016
by m
Name of pbrson making sla ement
who has produced identification type of identification produced:
WhoIs F"Fioaltonoe OR
M
HEILA B 0 M A N a
Commission # FF 18710?.
Expires January 4,
NotarySIgQeTH!
Qj'e ' wranc2019Bo:dedThruTroy Fain lnefM•184.1019 AVEIM
CLERK OF E CIRCUICOMPTRt.L11RSEMIN06-COUNNrtltli\,
by
DEPUTY CLERK
M
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
ma n 1 l .V_ hereby acknowledge that I personally inspected
Roof deck nailing and/or Secondary water barrier work
at ZR46 (,-f'ryty1 I 710y. x ,1 I JT(; id ,-FL, ,3.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 m t ents herein are true and accurate to the best of my belief and that I- fully
understand th any false statements in writing with the intent to mislead a public servant in the
performanc her official duty shall constitute a misdemeanor of the second degree pursuant to
Section /–
bf
Printed Name ldf Contractor
3 _ (0 -\(00
Date
LCC 1? 330-133
License #
License Type: General Building Residential Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
C';.yY , I nC je
Sworn to (or affirmed) and subscribed before me this 1' j thday of 'i (, b`(, , 1 , 20(j by
1,J\'0(. !L_kCQ`()W_! , who is Personally Known to me or has U Produced (type of
identificati {n) — I
as identification.
SEAL)
Signature of Notary Public . ,., CMAC MM
State of Florid ` ` MY COMMISSION# FF 1149M
Cara Albrecht ua: p EXPIRES: Apt4 2,. 20,8
lf`, Q r 8or4W nm, Notary Pub(z Undem t m
Prue/Stamp Name
of Notary Public
Cm AIMECHII
MY COMMISSION 0 Fr 50 r
EXPIRES: April 2?.: ^ I8
Btadld Tlw Nolary + ."