HomeMy WebLinkAbout422 W 14 StI
CITY OF SANFORDJAN161016BUILDING & FIRE PREVENTION
I3Y: PERMIT APPLICATION
Application No:
Documented Construction Value: $ 7, 722.00
Job Address: 422 W. 14th St Historic District: Yes No [
Parcel ID: 36-19-30-300-0010-0000 Residential F1 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Re -roof 34 squares shingles
Plan Review Contact Person: David C. Lundberg Title: Owner
Phone: 407-672-0001 Fax: 407-647-9332 Email:lundbergroofing@aol.com
Property Owner Information
Name City of Sanford Phone: 407-562-2815
Street: PO Box 1788
City, State Zip:
Sanford, FL 32772
Name David C. Lundbe
Resident of property?
Contractor Information
Street: 1709 Howell Branch Road
City, State Zip• Winter Park, FL 32789
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 407-672-0001
Fax: 407-647-9332
State License No.: CCC 1 325941
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOV14
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST OF,
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
1
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 wtiter
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 cpKtify that all of the foregoing information is accurate and that all work will
be done in cSnpliance,)k it all applicable laws regulating construction and zoning.
z4.
Signature of Owner/Agent Date
Print Owner/Agent's Name
C- 6P /
igna Date
MY COMMISSION #
FF 178
EXPIRES: February 25, 2019Onderen
do otarypubrw
a; 4F1nd< Bonded mN N
Owner/Agent is Personally .Known to Me or
Produced ID Type of ID
1 "'J,
Signature of ContractorrAgent Date
Z vz y
Print Contractor/Agent's Name
Sig
R'
I-d to
Notte of
FbridaCaerMyF079833orExp7
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
APPROVALS: "ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30. 2015 Permit Application
LIMITED POWNEX
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Date: 1/26/16
I hereby name and appoint: Liza Denton
an agent of: David C. Lundberg Building & Roofing Contractor
Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all thingsnecessarytothisappointmentfor (check only one option):
All permits and applications submitted by this contractor.
rF The specific permit and application for work located at:
422 W. 14th St., Sanford, FL 32771
Street Address)
Expiration Date For This Limited Power Of Attorney: 12/31/16
License Holder Name
State License Number:
Signature of License Ht
STATE OF FLORIDA
COUNTY OF Orange
David C. Lundber
OrO1 '.)')cnne
The foregoing instrument was acknowledged before me this 26 day of January
201 6 ; by David C. Lundberg who is personally known to me/
or who has produced
as identification and who did/did not take an oath.
U&
Signature
Notary Seal)
Print or Type Name
Notary Public— State of Florida
oppr
Pio
Commission Number rr-055l V
Notary Public State of Florida -
Wendy R Benson
C o My Commission FF 035664 My Commission Expires: 7 ///'
OFr<o Expires 07/14/2017
IMAM
DATE: 01/21/16 PURCHASE ORDER
PO NUMBER 034727
CITY OF SANFORD
P.O. BOX 1788
PURCHASING OFFICE: 407.688.5030 (300 NORTH PARK AVENUE) SUBMIT INVOICES TO: ACCOUNTS PAYABLE
ACCOUNTS PAYABLE: 407.688.5020 SANFORD, FLORIDA 32772 FINANCE DEPT.
FACSIMILE: 407.688.5021 FLORIDA TAX EXEMPT NO.: 858012621681 C•8
P.O. BOX 1788
SANFORD.FL32772
VENDOR NO.: 11956
TO: SHIP TO:
DAVID C LUNDBERG CITY OF SANFORD
DBA: DAVID LUNDBERG BLDG 412 W. 14TH STREET
CONTRACTOR SANFORD, FL 32771
1709 HOWELL BRANCH RD
WINTER PARK, FL 32789
DELIVER BY TERMS F.O.B. DESTINATION BID OR QUOTATION NO. REQUISITION NO.
UNLESS OTHERWISE INDICATED
09/20/16 NET/30 65128
ACCOUNT NO.: 451-4540-536.46-00 PROJECT NO.:
NO DEVIATION FROM THIS PURCHASE ORDER WILL BE ALLOWED UNLESS AUTHORIZED BY THE PURCHASING MANAGER - CITY OF SANFORD
ITEM NO. DESCRIPTION QUANTITY
UNIT OF
ISSUE UNIT COST EXTENDED COST
1 REPLACE ROOF AT UTILITY BUILDING 7722.00 NA 1.00 7722.00
2 PLIES 15 LBS FELT
25 YEAR 3TAB
FIVE YEAR GUARANTEE ON WORKMANSHIP
AND LABOR
LIMITED LIFETIME WARRANTY
ARCHITECTURAL SHINGLES
JOB AT :422 W. 14TH STREET
CONTACT CEDRIC COLEMAN
OFF:407.562.2815
SUB TOTAL 7722.00
TOTILL 7722.00
APPROVED BY v APPROVED BY: 4P AGA NT CITY MANAGER
ALL PACKAGES AND INVOICES ASSOCIATED WITH THIS P.O. MUST BEAR THIS PURCHASE ORDER NUMBER. THE VENDOR IS RESPONSIBLE TO CAREFULLY
READ AND COMPLY WITH ALL OF THE STANDARD TERMS AND CONDITIONS PROVIDED ON THE REVERSE SIDE OF THIS PURCHASE ORDER
AND AT HTTP://WWW.SANFORDFL.GOVIDEPARTMENTSIPURCHASErrERMS.HTML
COPIES TO: VENDOR ORIGINATING DEPARTMENT PURCHASING
ERG BUILDING & ROOFING
1709 Howell Branch Road
WINTER PARK, FLORIDA 32789
407) 672-0001 • (407) 647-9332 Fax
CBC017995 CCC1325941
lundbergroofing@aol.com
lundbergroofing.com
PROPOSAL SUBMITTED TO- PHONE
STREE
W:
I
We now accept
Visa/Mastercard/D iscover/Am Ex.
Please call for details
DATEi
rytLUk% 5R O JOB NAME/ADDRE
CITY, STATE AND ZIP CODE
AFTER A VISUAL INSPECTION OF THE JOB SITE, WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
Shingle Roofing Options: 4
Remove existing roof and haul awayall debris
Dry in with p)ie5 t
I
ffi
Install new lead pipe flashing with squirrel guards
and kitchen vents
New eave drip metal
Install new galvanized steel valley metal
Install algae resistant shingles j 1_
Type of shingle a`S A=eCtK 3 %
Clean yard thoroughly and sweep magnetically for
loose nails
1V (;—) YEAR GUARANTEE ON
WORKMANSHIP AND LABOR ''' W
Carpentry work is additional per man
hour, plus materials
Furnish and install new skylights
Size: Type:
Furnish and install ridgevent
off ridgevents at $ additional cost
If applicable, customer responsible for removal of
solar panels & satellite dishes
Single Ply Roofing
Remove existing roof and haul away all debris
Dry in with 43 Ib. asphalt coated felt
Apply a single ply rubber roofing system
Install new 2 Ib. lead boot flashings
Install galvanized eave drip metal
YEAR GUARANTEE ON
WORKMANSHIP AND LABOR
NOTE: Price includes re -nailing roof deck and installing
secondary moisture barrier as required by Florida Code.
to furnish terial nd labor - complete in `acccjorrdance with above specification, for the sum of:
U W 1 wl t cS dollars ($ l L
Payment to be made as follows: v
Half down upon delivery of materials, balance in full upon completion. Price includes all taxes, delivery charges, permits and
dump fees.
We cannot be held liable for damaged driveways since access to and from the structure is essential for
re -roofing; direct, incidental, coincidental, interior or exterior water damage, property damage or person-
al injury related to the repairing or re -roofing of the structure while job is in progress or after completion.
Owner to carry fire, tornado, and any other necessary insurance. In the event of default on the part of
customer resulting in litigation successful to David Lundberg Building & Roofing Contractor the customer
Will pay the cost of litigation plus attorneys fees. Payments not rendered in accordance with contract
agreement shall be subject to a finance charge of 18%.
Acceptance of Proposal - The above pries, specifications and
conditions are satisfactory and are hereby accepted. You are authorized to do the work
as specified. Paymeam-
T-A
out[. d above.
Date of Acceptance: / 6
Signatu
Note: This proposal may be withdrawn
by us if not accepted within 10 days.
Signature
Signature
DAVID LU
0
T— 2010
2011
MEMBER
CENTRAL FLORIDA
2012
2013
ERG BUILDING & ROOFING
1709 Howell Branch Road
WINTER PARK, FLORIDA 32789
407) 672-0001 • (407) 647-9332 Fax
CBC017995 CCC1325941
lundbergroofing@aol.com
lundbergroofing.com
PROPOSAL SUBMITTED TO- PHONE
STREE
W:
I
We now accept
Visa/Mastercard/D iscover/Am Ex.
Please call for details
DATEi
rytLUk% 5R O JOB NAME/ADDRE
CITY, STATE AND ZIP CODE
AFTER A VISUAL INSPECTION OF THE JOB SITE, WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
Shingle Roofing Options: 4
Remove existing roof and haul awayall debris
Dry in with p)ie5 t
I
ffi
Install new lead pipe flashing with squirrel guards
and kitchen vents
New eave drip metal
Install new galvanized steel valley metal
Install algae resistant shingles j 1_
Type of shingle a`S A=eCtK 3 %
Clean yard thoroughly and sweep magnetically for
loose nails
1V (;—) YEAR GUARANTEE ON
WORKMANSHIP AND LABOR ''' W
Carpentry work is additional per man
hour, plus materials
Furnish and install new skylights
Size: Type:
Furnish and install ridgevent
off ridgevents at $ additional cost
If applicable, customer responsible for removal of
solar panels & satellite dishes
Single Ply Roofing
Remove existing roof and haul away all debris
Dry in with 43 Ib. asphalt coated felt
Apply a single ply rubber roofing system
Install new 2 Ib. lead boot flashings
Install galvanized eave drip metal
YEAR GUARANTEE ON
WORKMANSHIP AND LABOR
NOTE: Price includes re -nailing roof deck and installing
secondary moisture barrier as required by Florida Code.
to furnish terial nd labor - complete in `acccjorrdance with above specification, for the sum of:
U W 1 wl t cS dollars ($ l L
Payment to be made as follows: v
Half down upon delivery of materials, balance in full upon completion. Price includes all taxes, delivery charges, permits and
dump fees.
We cannot be held liable for damaged driveways since access to and from the structure is essential for
re -roofing; direct, incidental, coincidental, interior or exterior water damage, property damage or person-
al injury related to the repairing or re -roofing of the structure while job is in progress or after completion.
Owner to carry fire, tornado, and any other necessary insurance. In the event of default on the part of
customer resulting in litigation successful to David Lundberg Building & Roofing Contractor the customer
Will pay the cost of litigation plus attorneys fees. Payments not rendered in accordance with contract
agreement shall be subject to a finance charge of 18%.
Acceptance of Proposal - The above pries, specifications and
conditions are satisfactory and are hereby accepted. You are authorized to do the work
as specified. Paymeam-
T-A
out[. d above.
Date of Acceptance: / 6
Signatu
Note: This proposal may be withdrawn
by us if not accepted within 10 days.
Signature
Signature
THIS INSTRUMENT PREPARED BY: MARYANNE L10RSEr SEMINOLE COUN*rY
Name: Liza Denton CLERK OF C:IRCLIIT• COURT & COhlf'TROLLER
Address: 1709 Howell Branch Road BL( 8621 F's 1802 (1F'ss)
Winter Park, FL 32789 CLERK'S Y 2016008719
RECORDED 01/26/2016 11:30:49 All
RECORDING FEES $7.0.00
NOTICE OF COMMENCEMENT RECORDED BY hdevare
Permit Number:
Parcel ID Number: 36-19-30-300-0010-0000
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: (Legal description of the property and street address if available)
Sec 36 TWP 19S /rge 30E Beg 10 CH S of NW Cor of NE 1/4 Run E 670 Ft N to RY Nwly to Pt N of Beg S to Beg
422 W. 14th Street Sanford FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: City Of Sanford PO Box 1788 Sanford, FL 32772
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: David Lundberg Building & Roofing Contractor Phone Number: 407-672-0001
Address: 1709 Howell Branch Road, Winter Park, FL 32789
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
6. LENDER: Name: Phone Number:
Address:
7. 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.
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:
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.
signature of w r Lessee, or 0 er's or Lessee's (Print Name and Provide Signatory's Tide/Office)
Authorized Officer/Director/Pariner/Manager)
State of C.17 County of
y,, -
1 ,%
The foregoing instrument was knowle dged before me this
by
Name of person malting statement
who has produced identification type of identification produce,:L,—
day of _, 2V 10
Who is p onally known to OR
DEBBIE BLWON
MY COMMISSION 8 FF 178ti48
i!" " EXP:
ru
S: February 25, 2019
Bonded Notary public Underwriters pry Si
Sii
PARYANNE MORSE v;
i•:6-3
JAN R
CLEOF-THEP I RT AND y;
d H N 2 6 20i, CONSEMY, FLORID
r
Ittiii
By DEPUTY CLERK N