HomeMy WebLinkAbout213 S Somerset CtApplication No: "
Job Address. 213 S Somerset Ct
07-20-31-506-0000-0860
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 9500
Historic District: Yes Vo
Parcel ID: Zoning:
Description of Work: Re -roof, clean deck, re -nail, synthetic underlayment and shingle
Plan Review Contact Person: Randy Miller Title: Production Mgr
Phone: 386-265-1955 Fax: 904-713-2784 E-mail: randy@carlsoncgc.com
Property Owner Information
Name Adriana Perez
Street: 213 S Somerset Ct
City, State Zip: Sanford FL 32773
Name Carlson Enterprises LLC
Phone: 407-264-1568
Resident of property? : yes
Contractor Information
Phone: 386-265-1955
Street: 631 Beville Rd Fax: 904-713-2784
City, State 'Zip: South Daytona FL 32119 State License No.: CCC1329376
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit a
Square Footage: Construction Type: No. of Stories: 1
No. of Dwelling Units: 1 Flood Zone:
Electrical
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
Shall be inscribed vvith the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes.
RL'V 07.14
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 pen -nit 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: 1 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 NIAY
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 pen -nit, 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 Aalculatcd charges exceed the documented
construction value when the executed contract is submitted, cred' ' ill be applied to your pen -nit fees when the
permit is released. --
Signature of Ot%ner Agent Date Agent
A
Adolph Carlson
Print 0%%mei Agent's Name Print ConuaotoF.,lgent's N.
Signature of Notary -State of Florida Date Signature of otat -State of Florida / B Y Date
RANDY S. MILLER
W COMMISSION i FF 960189
EXPIRES: February 13, 2020
4..de Boded TAru Mp t Nmuy Sa Ica
Owner;Agcnt is Personally Known to Me or Contractor/Agent is X
Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
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
C;USTUMER AGR)EJ&N1JtSN't' / q..viN i KAk. i rnvrvnti .
CARLSON ENTERPRISES, LLC ROOFING & RESTORATION
DAYTONA OFFICE
631 Beville Road
20140244SouthDaytona, FL 32119
Phone: (386) 265-1955 Email• daytona@carlsoncgc.com
CGC 1514755 / CCC 1329376
Customer Name: i lArtwNa Ayw--t. Date:
Job Address: Q'? 5. rr e r5e1 Ch, CA% Cell Phone: +0-1 D (- R/ -
City / State: -)n1nPznrA t FL. Zip: 32-113 Home Phone:
ROOF SPECIFICATIONS
Remove all layers of roof material to deck.
Re -nail existing deck to meet current code.
Install painted metal drip edge (Color)
Install boots to pipes 3-n-I Lead
Vents new paint
Apply ASTM D226, 15# UL felt paper to wood deck
Apply Metal/Shingle/Tile/Shake/Flat roof system
Style of roof to be installed:
Brand: Color: Pitch:
Install ridge or off ridge vents Qty: Sizc:
We offer to furnish materials and labor in accordance within the above
OTHER PROPERTY CONDITIONS
Existing Driveway Damage YES: NO:
Skylights:
Interior Damage:
Siding Damage:
Emergency Repair: YES: NO:
Work Includes:
Remove trash from roof, gutters and yard
Protect landscaping where applicable
Roll yard with magnetic roller
Furnish permit
2 Year Workmanship Warranty
Lien Waiver
for the sum of $
TOTAI. INVESTMENT SLIMMARV
Insurance Proceeds + Deductible:
Change Orders / Upgrades:
TOTAL COSTS: Ins. Proceeds + Deductible + Change Order
Upgrades:
ACCEPTANCE OF OFFER By signing this agreement, Customer hereby agrees to engage Carlson Enterprises, LLC for the above services. Customer fiat
agrees to assign all of Customers' right, title and interest in any and all benefits received from Customer's insurance company to CARLSON ENTERPRISES, Ll
Customer further agrees to pay all monies received from Customer's insurance company to CARLSON ENTERPRISES, LLC as payment for materials, servic
contractor overhead and profit and/or cost increase and hereby grants the right and authority to CARLSON ENTERPRISES, LLC to do the following: (a)
coordinate with Customer's insurance company for the restoration of damages for insurance proceeds. CARLSON ENTERPRISES, LLC reserves the right
modify the contract price in order to enable Customer to receive the work covered under the policy at no additional cost to Customer, except for i
deductible, however, any such modification is in the sole and absolute discretion of CARLSON ENTERPRISES, LLC; (b) to permit CARLS(
ENTERPRISES. LLC to supplement Customees insurance company claim regarding items not included in the Insurance Company/s estimate or according to w( rendered and/or market price changes; and (c) to impose additional charges of $30.00 per shed of O.S.B. and $60.00 per sheet of plywood decking replacem, as needed, when discovered upon tear -off of existing roofing material. Customer acknowledges that some Insurance Policies exclude items such as nc
recoverable depreciation, decking, mnailing and engineering fees, and Customer hereby agrees to pay for all work performed and other item excluded
Customer's Insurance policy. THIS CONTRACT IS VOIDABLE BY CUSTOMER OR CARLSON ENTERPRISES, LLC IN THE EVE?
CUSTOMER'S INSURANCE CLAIM FOR DAMAGES IS NOT APPROVED BY CUSTOMER'S INSURANCE COMPANY. 1, Customer, herebassignmyrightsinallbenefitsarisingfromtheaboveclaimtoCARLSONENTERPRISES, LLC, and hereby authorize and direct the insurance compsand/or the mortgage company named below to make any checks payable jointly to CARLSON ENTERPRISES, LLC and me.
Accepted by Property Owner ("Customer"): Date: I 13 By, t CC'reZ
Sales Representative. Date: / / 2 / ail). By: _cl3a y,/i M24 16,21
Accepted by CARISON ENTERPRISES, LLC: Date: / / By,.
ALL PAYMENTS SHALL BE MADE DIRECTLY TO CARLSON ENTERPRISES, LLC— NOT THE SALESMAN
Insurance Co.: hair ri CMUN 5M tiiNtrn Claim #: 11. 3 1 1 S A 14
Mortgage Co.: Ei An ILA i;an=m Acct p Phone
r
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter- Springs
Date: 03-04-16
I hereby name and appoint: John Lott
an agent of'. Carlson Enterprises
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):
All permits and applications submitted by this contractor.
X The specific permit and application for work located at:
213 S Somerset Ct
Street Address)
Expiration Date for This Limited Power of Attorney: 11/16/16
License Holder Name: Adolph Carlson
State License
Signature of i
STATE OF F
COUNTY OF
The foregoing it)ment ,.vas a owledged before me this Ma-- day of - ,
20 1_, by 4 cla ` `St n who is,,Wfcrsonally known
to me or o who has produced
identification and who did (did not) take an oath.
ignature
Notary Seal) Aq 6 A
Print or type fiame
RANDY S. MLLER
MY COMMISSION i FF Z0189
EXPIRES: Febnury 13, 2020
F
a a Oond10TANEWydttotLYbenka
Rev. 3127'07)
Notary Public - State of 7 L
Commission No. f SO l
My Commission Expires: -?h b
as
J( 3 VtIlLl:t-
5: zjA : Pc.3:
Permit No
Tax Parcel Number
NOTICE OF COMMENCEMENT
State of Florida
The UNDERSIGNED hereby gives notice that Improvement will be made to certain real
property, and In accordance with Chapter 713, Florida Statutes, the following informationisprovidedinthisNoticeofCommencement
t. Description of Property: (legal dn"ron of the pra". and semuddress x aealtaW
21 5 S C,,r,rrSt +
i i
2. General description of improvement:
i i lli ilf lil i !!!i! ilii III! III !i!
it:RYANW' HOP,,' Er ciF.al.irlul_t: COIJIN TY LEN!:.
fIF' CIRCL)):T CGL?F:1 E;;.
anti., F`e 156ij CLERK
T 20160232090. i ".
CORVIi!G FEE ,•].ii,ii i pY
i,.dcvclr-_ Re -
Roof 3.
Owner information or Lessee information if the Lessee contracted for the improvement: a.
Name and address J b.
Interest In property f '
4 1 t ' I SC' c^ CA )' c.
Name and address of fee simple titleholder (if other than owner) 4.
a. Contractor: Name and address Carlson
Enterprises 631
Beville Rd South Daytona FL 32119 b.
Contractor's phone number 386-265.1955 5.
Surely Of applicable• a copy of the payment bond Is attached): a.
Name and address b.
Phone number c.
Amount of bond 00 6.
a. Lender: Name and address b.
Lender's phone number 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be servedasprovidedbySection713.13(1)(a)7., Florida Statutes: a.
Name and address b.
Phone numbers of designated persons: 9.
a. In addition to himself, Owner designates of of
the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes b.
Phone number receive
a copy 9.
Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date isspecified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMAIENCEMENT ARE CONSIDERED 2APROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR CAPROVENIENTSTOYOURPROPERTY. A NOTICE OF COhVAENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN A RNEY BEFORE COMMENCING WORK OR RECORDING YOURNOTKOCOMMENICEMENT, 1 / 2
or
Lessee, or Owner's or Lessee's Authorlied Section 711.1311) IQ Signatory'
s Title/OfficeStile
of I/rl (' 6i . County of _ <e?n, La>210 The
forgoing Instrument ways acknowledged before me this - l 11 A
day
of <l 20)11 by d/1 ter.
v
RTfxora!7ie g omnr, nnu uomey In Face q• ,
A ANNA 0 q
s .lure or 47utwlic- sut.
or rI ,da f
a
h 9f8r% public, Sfale 0N/, RiniTypewstampNamea1K 10 Noury Publle nllsslonp FF 938245Brallyn OR " PraducaIbN Type of IO Produced Ovires Nov. 22, 2019 CERTfREflCOPY— MAP.YANNEMCRSE JF-151.'c<':r%,• CLERIC Jr
Cl C T COURT AND COMFOAC41.U.
4 DEPUTY CLERK
City of Sanford
Building & Fire Prevention Division
PERMIT NO. Ap a. O I 9 ISSUE DATE:
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
Re -Roof Permit Card
73, q? qr / (4p
Te.-S
S So m trs e.-1- Gig
Post this Permit in a conspicuous place outside PROTECT FROM WEATHER
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 inspection
A ROOF DR Y-IN INSPECTION IS REQUIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation Affidavit will not suffice as an alternative to 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 I I I
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 . . . . . 16-00000899 Date 3/23/16
Property Address . . . . . . 213 S SOMERSET CT
Parcel Number . . . . . . . . 07.20.31.506-0000-0860
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 933176
Permit pin number 933176
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 #: 16-899
1 Adolph Carlson hereby acknowledge that I personally inspected
Roof deck nailing and/ooccondary water barrier work
at 213 S Somerset Ct 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 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
performae of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 817106 F.S.
Adolph Carlson
Printed Name of Contractor
zf
Date
CCC1329376
License #
License Type: = General - Building = Residential oofing Contractor
or any individual certified in accordance with F.S.468 to make such an inspection.
STATE OF FLORIDA COUNTY OF //JJ i ( ' Sworn o or affirmedand subscribed before a this day of f,fl I , 20 O , by CP
0c.- S , who isersonally Known to me or has Produced (type of identificati
as identification. SEAL)
S'
nature of N tary Public ,ter u RMYS.MUIR State
of rida ( MY COMMISSION # FF %0189 pl
j I (ar * * EXPIRES: February 13, 2020 Print/Type/
Sta Name °'M.foe rn"9udpttNonrySerrka of Notary
Public