HomeMy WebLinkAbout357 Placid Lake DrAdA R < 4CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: i"Alp d
Documented Construction Value: $ sg&• 6 4
Job Address: 3 SI- P Lg c_t o L A K9 p Q Historic District: Yes No 0
Parcel ID: 2-20-30-520-0000-0290 Residential Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: ROOF REPAIR
Plan Review Contact Person: HUGO AGUILERA
Title: SUPERVISOR
Phone: 407 403 1596 Fax: Email:
Property Owner Information
Name' FRANCISCO HERNANDEZ Phone.'+'407;221 4992,—,=-., ,
Street: 357 PLACID LAKE DR Resident of property? YES
City, State Zip: SANFORD, FL 32773
t t ; e
Contractor
Name MAXIMA MAXIMA INTTERMODAL CORPORATION Phone: 407 823 8890
Street: 531 CYPRESS TREE COURT Fax: 407 277 0424
City, State Zip: ORLANDO FL 32825
Name: N/A
Street:
City, St, Zip:
Bonding Company: N I'A
Address:
State License No.:
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. l'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: 5th Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
J
1
AdA R < 4CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: i"Alp d
Documented Construction Value: $ sg&• 6 4
Job Address: 3 SI- P Lg c_t o L A K9 p Q Historic District: Yes No 0
Parcel ID: 2-20-30-520-0000-0290 Residential Commercial
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: ROOF REPAIR
Plan Review Contact Person: HUGO AGUILERA
Title: SUPERVISOR
Phone: 407 403 1596 Fax: Email:
Property Owner Information
Name' FRANCISCO HERNANDEZ Phone.'+'407;221 4992,—,=-., ,
Street: 357 PLACID LAKE DR Resident of property? YES
City, State Zip: SANFORD, FL 32773
t t ; e
Contractor
Name MAXIMA MAXIMA INTTERMODAL CORPORATION Phone: 407 823 8890
Street: 531 CYPRESS TREE COURT Fax: 407 277 0424
City, State Zip: ORLANDO FL 32825
Name: N/A
Street:
City, St, Zip:
Bonding Company: N I'A
Address:
State License No.:
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. l'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: 5th Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
J
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 requiredJfrom 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 fob 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. 0
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.
Z- /5-16
ignature of Owner/Agent Date
Tint Ovine g i'/a A1
401 70(to
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signa re, at AOt3fy Public State of FlorD
le Signature of Notary -State of Florida Date
IV
My Comm. Expires Aug 12, 2016
Commission # EE 213448
Bonded Through National Notary Assn.
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID"'dw ttGC-Wroduced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[]
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Revised. June 30, 2015
of Heads
UTILITIES:
FIRE:
Gas[] Roof 12
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Permit Application
MAXIMA INTERMODAL CORPORATION
Lic: CGC1506720 & CCC1325928
ADDRESS 531 Cypress Tree Court Orlando, FL 32825 PHONE: (407) 823-8890 FAX (407) 277-0424 CELL
3212392702
CUSTOMER: Francisco Hernandez PHONE: 407 221 4992
ADDRESS: 357 Placid lake Dr, Sanford FL 32773 DATE: 01/16th/2016
MAIL:
We propose to supply all labor and materials equipment necessary to perform the following job:
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 drip edge around the perimeter of the roof
7. Install ridge vent as needed
8. Clean up and completion of the job
SHINGLE ROOFS:
9. R&R 19.32 sort of 40 years Architectural Shingles
10. R&R 16.80 L.feet of dripe edge and 172 L.feet of flashing.
11. Install 10.34 squares of roofing felt 30 lbs 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 $5.844
Down payment received on 01/16th/2016 -($.1950.54)
Balance on 03/01th/2016 $ 3.893,46
WARRANTIES: By Manufacturer's: (40 years). On labor: (3) year from the date of work completion.
PS. A final release of lien will be provided upon payment in full. Any additional work not listed above will be an additional
cost.
By signing below, I hereby acknowledge my acceptance of the terms and conditions described above.
Cr l -wt( ) - I - 20 1
Customer Date Contractor Date
VA I lll!ll lllld bill ll111 lllll ll{11111{ 1111isaftaffie
THIS INSTRUMENT PREPARED BY: IAM'k iNNE NOR"Er SFNIHOLE i:.AUHT'rName: MAXIMA INTERMODAL CORPORATION
I-J',K OF C IR(:IBJ T (ji_R'I ?. C01IF'TROl_t_ERAddress: 531 CYPRESS TREE COUR, ORLANDO FL 32825 NI..i;
CLERK'S r 20161122-261
I;LC'OF'CEL Ii •'la?,;li1r ii.;•; it li: Pr1
NOTICE OF COMMENCEMENT
FF` `'f'`''.''`° FFE
Permit Number:
Parcel ID Number: 2-20-30-520-0000-0290
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)
LOT 29 PLACID WOODS PH 1 PB 51 PGS 23 THRU 29 ADDRESS 357 PLACID LAKE DR SANFORD FL 32773-
1s
I
2. GENERAL DESCRIPTION OF IMPROVEMENT:
REROOF : = Ws Uj
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:1r i : sty``'-- CJCP
Name and address: FRANCISCO HERNANDEZ, ADDRESS 357 PLACID LAKE DR ,` 113 -
Interest in property: OWNERInterest
Fee Simple Title Holder (if other than owner listed above) Name: N/A
Address: r 0
rr^—o4. CONTRACTOR: Name: MAXIMA INTERMODAL CORPORATION phone Number: 407 823 8890 ? „
Address: 531 CYPRESS TREE LOUR, ORLANDO FL 32825
5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A v
Address: Amount of Bond:
6. LENDER: Name: N/AuPhoneNumber: ~ o
Address: O a
v v yr m
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: N/A Phone Number:
Address:
8. In addition, Owner designates of
to receive a copy of the Lienors 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 Owner or Lease, or Owners or Lessee's (Print Name and Provide Signatory's Tit a/Office)
Authorized Olficer/Direec or/Pertner/Manager)
State of T 1 County of `I L (
y ,
The fore omg instrument was acknowledged before me this aj r 1
day of l nun! 1 ,
by r r,ISIenA0 4e— V -V)64' lig—z— Who is personally known to me OR
Name of person 'ng statement
i[ i (,, 2
who has produced identification !B'type of identification produced: 1 -- . i T `c 4 J
Lc)
DENISE RAMOS
c'-; Notary Public -State of Florida Notary Signature
My Comm. Expires May 16, 2016
Commission FF 158762
OaF-
Bonded through National Notary Assn. rr,rrrr.N•••
MAXIMA INTERMODAL CORPORATION
i
POWER OF ATTORNEY
Date: ZI ; f
I hereby name and appoint
531 Cypress Tree Court
Orlando, Florida 32825-4802
USA
Phone #: 1 (407) 823-8890
Fax #: 1 (407) 277-0424
E-mail: maximacorp@aol.com
A j -
an agent of
1` NY,k' MPS I ^1T`'A1/WFQ - to be my lawful attorney-in-fact to act for me to
Apply to the Division of Building Safety for a ` Zp0V_%iKk:_
permit for work to be performed at a location described as:
Section Township Range Lot Block
Subdivision QL. /) C / i7 L Ii k,gr
Owner of Property)
fft /9C/0 Chky P/ . 54iy,oit
Property Street Address)
And to sign my name and do all things necessary to this appointment.
or Nrint) Contractor's License Number)
Signature,¢f Contractor)
c ^_
The fofeg000ing instrument was acknowledged before me this day of aOC— of 20 t-5' by who is
personally known 91e/who produced /i / c, as identification and
EDWIN J RASINSKI
Notary Pu is ( int name) Notary Pablk 'e Florida
Commission * ff 223522
f Mist Comm. Expires Apr 22. 2019
an I dVoulpx NNin 1 Nxrlsry Assn.
Seal
Notary Public (signature)
I f
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: /6 ^ K B 0
I, i + 'SF!,AP-A hereby acknowledge that I personally inspected
KRoof deck nailing and/or k Secondary water barrier work
at J ' P1,-(y- 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
perform.ale 0 ! or her official duty shall constitute a misdemeanor of the second degree pursuant to
Signature of
lei VIF,;
Printed Name of Contractor
03 0%
Date
CCG-13z a ze)
License #
License Type: General Building Residential Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before inthis -v- day of H A-& c- , 20 , by
CII,012 S I r c , who is Personally Known to me or has 9,Produced (type of
id ition) L - as identification.
SEAL)
Si a ure of liotary Public
State of Florida ,.;;a: ROLANDO MARTINEZ
Notary Public -State of Florida
QcY : •_
My Comm. Expires Jun 17, 2018
Print/Type/Stamp Name a Commission M FF 128861
of Notary Public
E Bonded Through National Notary Assn.
3