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Home My WebLink About105 Bristol Cir5LP 1 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1&21 CV6_1k Documented Construction Value: $ 103780 Job Address: 105 Bristol Circle Sanford FL 32773 Historic District: Yes No 0 Parcel ID: 07-20-31-506-0000-1430 Residential ® Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: clean deck, re -nail, synthetic underlayment and asphalt shingle Plan Review Contact Person: Randy Miller Phone:386-265-1955 Fax:904-713-2784 Title: Production Mgr Email: randy@carlsoncgc.com Property Owner Information Name Cristian Guzman Phone: 321-331-9235 Street: 4400 S Mellonville Ave Resident of property? : yes City, State Zip: Sanford FL 32773 Contractor Information Name Carlson Enterprises LLC 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: 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. 1 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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%regoing 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, IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE J,OB SITE BEFORE THE FIRST INSPECTION: IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMiVIENCEMENT. NOTICE: In addition to the requirements of:'this permit; there may 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 watermanagement 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 payinent 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. Signature of 0«verlAgent Date: Print" OwneraAgent's Name Signature of Notary -State, of Florida Date Owner/ Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: 9 Wit, SiOature of Contracton",agent 'Date Adolph Carlson Print ContractoirA 'Name r a rJ I tD Signature of Notary -State of -Florida Date otxr •' ue% RANDY S. MILLER MY COMMISSION It FF 950189 EXPIRES! February t9, mo Nf"tr4nfPt9r i19od49tht+a8y gotNolaryServices Contractor/ Agent is X Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Shatt. 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 CUSTOMER AGREEMENT' J) S 5` CA.RLSON ENTERPRISESLLC GENERAL CONTRACTOR ORLAT DO OFFICE S. Kirkman Road, Ste;310 Orlando, FL 32819E 6199 Email: oriando@carlsoncge.com CGC 15147-55 ROOF;SPECIFICATIONS ( I OTHER PROPERTY CONDITIONS o Remove all layers, of roof material to deck. Re -nail existing deck to meetcurrent code. Install painted metal drip edge (Color). Install boots to pipes 3-n-:1 Lead Vents new taint Apply ASTM D226,.15# UL:felt paper to wood deck Apply MetaVShingle/Tile/Shake/Flat roof system Style of roof to be installed: Ar C)i Brand: Color:OQser+T-fir\ Pitch: Install ridge or off ridge vents QtySize:. We offer to fumish materials and labor in accordance within the abc C Existing Driveway Damage YES: NO: _ Skylights: Interior Damage: Siding. Damage:: Emergency Repairs 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 TOIALZXL M_,,,,FNTTMMARY Insurance Proceeds +.Deductible: Change Orders / „Upgrades: TOTAL COSTS: Ins. Proceeds + Deductible.+Change Order Aa CEPTANCEOF OFFER: B title and interest in arl and er hereby agrees to'engage; Carlson Enferp ,ses, LLC for the above services. Customer furthc y ; g g greement, Custom a es to, assignall of Customers' night,y all benefits received from Customer's insurance company to CARLSON ENTERPRISES, LLC Customer further agrees to pay. all, monies received from Customer',s insurance company to CARLSON ENTERPRISES, L;LC as payment, for'materials, services contractoroverheadandprofitand/or cost" -increase and hereby grants. the right and :authority to CARLSON ENTERPRISES, LLC to do the following: (a) s coordinate with Customer's insurance company for the restoration:of damages for insurance proceeds. CARLSON ENTERPRISES, LLC reserves the right.tc modifythecontractpriceinordertoenableCustomertoreceivetheworkcoveredunderthepolicyatnoadditionalcosttoCustomer, except for the deductible, however, any such modification is in the sole and absolute, discretion of CARLSON ENTERPRISES, LLC (b) to permit'CARLSOr ENTERPRISES, LLC to supplement Customers insurance company claim regarding'items not included in the Insurance Company's estimate or according fo worl rendered and/or market price changes; and (c) to impose additional charges of $35.00 per sheet of O.S.B. and, $65.00 per sheet of plywood decking replacemen as needed; when, discovered upon tear -off of existing roofing material. Customer acknowledges that some'Insurance Policies. exclude items such as non recoverable, depreciation;. decking, re -nailing and engineering fees,, and Customer hereby agrees to pay for all work performed and other items excluded b, Customer' s Insurance policy. TI-IIS CONTRACT IS VOIDABLE BY CUSTOMER OR CARLSON ENTERPRISES, LLC IN THE EVENT CUSTOMER'S INSURANCE CLAIM FOR DAMAGES IS, NOT APPROVED BY` CUSTOMER'S .INSURANCE COMPANY. I, Customer; a principle, hereby appoint "Carlson Enterprises, LLC as my agent with full authority to obtain the proceeds of my insurance cWmherein referenced, to authorize and direct my insurance company and/or the mortgage company named below to make Any checks payable jointly with CARLSON ENTERPRISES, LLC of directly thereto, to supplement my -claim as my agent deems necessary; and to perform all other acts;re reasonably necessary and proper to carry into effect the Authority herein conferred. I, Customer, also hereby assign all. my rights, both those current" and arising in :future, in any and all benefits arising from the insuranceclaimhereinreferencedtoCARLSONENTERPRISES, LLC, in consideration of the work performed by CARLSON ENTERPRISES, LLC. 5.9.15 Accepted by Property Owner ("Customer"-): Date: if Z By; 1A (A ,a g Sales Representative: Date; i Z / I / 201E By: hiQ bun, n0 Accepted by CARLSON ENTERPRISES, LLC; Date: / / By ALL PAYMENTS SHALL BE MADE DIRECTLY TO CARLSON ENTERPRISES LLC — NOT THE SALESMAN Insurance Co.:. C''('\! Claim#: C E!`(ji1:2`i q(1 Mortgage Co.:at'Acct It. Phone: lzd I Permit No Tax Parcel Number 07-20-31-506-0000-1430 NOTICE OF COMMENCEMENT -jk 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 information is provided in this Notice of Commencement 1. Description of Property: (Legal description of the property, and street address if available.) 105 BRISTOL CIR SANFORD, FL 32773 LOT 143 BRYNHAVEN 1AT REPLAT PB 39 PGS 20 & 21 2. General description of improvement: Re -Roof 3. Owner information or Lessee information if the Lessee contracted for the improvement: a. Name and address CABRERA CRISTIAN G G 4400 S MELLONVILLE AVE SANFORD, FL 32773 b. Interest in property Owner 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. Surety (if applicable, a copy of the payment bond is attached): a. Name and address NIA b. Phone number c. Amount of bond $ .00 6. a. Lender: Name and address N/A b. Lender's phone number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address N/A b. Phone numbers of designated persons: 8. a. In addition to himself, Owner designates N/A 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 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 Y)UR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDIN YOU14 NOTICE OF COMMENCEMENT. n F _ Signature of Owner or lessee, or Owner's or Signato 's Tltlpjofce, State ofr unl The forgo'rig instrume r'w8 ow Type authority ...e.g tflc fl ee a of 1 Y) Signafire of Notary P#11c. §taPqFPrlda OfficerlDirector/PartnerlManager (Section 713.13[1] IQ 1 K W0 wCrCr QO WF d z z D Oau G u I cG z a U IcW 7 1 O J OHO ZCGFtCC Ou1 W G Ym cgs of f e me IT day of` 2- by r, inI Type or5tam a of NotaryPublic o uc ° orjpefdfy ed / L; 5. oN,FCq cJ 7S70JVolusla County Permit Center Fax It 386-822-5734 2J8 'fy,F Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 09-09-16 I hereby name and appoint: John Lott an agent of: Carlson Enterprises Name ofCompany) 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: 105 Bristol Circle Street Address) Expiration Date for This Limited Power of Attorney: 11/16/16 License Holder Name: Adolph Carlson State License Number: CCC1329376 Signature of License Holder: STATE OF FLO,DA COUNTY — ) QNTe— The foregoing instrument was acknowledged before me this Rday of S;Aer, 204,_, by (/- AA p1- CcAs arl who iei!Uersonally known to me or who has produced identification and who did (did not) take an oath. ignature Notary Seal)Ct Print or type dame RANDY s. MILLER MY COMMISSION # FF 950189 Notary Public -State ofEXPIRES: February 13, 2020 11 ' 8ondadShtu6udgetNotary Services Commission NO. I r sZi 8 a" O My Commission Expires: Rev. 3/27/07) as CITE' OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I lD — J g I Adolph Carlson hereby acknowledge that I personally inspected Roof deck nailing and/ooccondary water barrier work at 105 Bristol Circle and have detennined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) t 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 performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. A_7 7 Signature of Contractor Adolph Carlson Printed Name of Contractor g1,51 ((O Date CCC1329376 License # License Type: -1 General Building Residential Goofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Swo n to (or affirmed)med) and subscribed before me this --day of , 20, by a cr sa r , who is '_" ersonally Known to me o has Produced (type of identi as identification. EAL) 1gnature of Notary Public Stat of Florida RANDY S. MILLER MY COMMISSION # FF 950189 EXPIRES: February 13, 2020 Print/Type/tamp Name '+P 90ndedThru8udgetN0WySer*es of Notary Public 3