HomeMy WebLinkAbout150 Clear Lake Cir9
CITY OF SANFORD
i•k" BUILDING & FIRE PREVENTION
AUG 3 2 1 PERMIT APPLICATION
B : Application No: / %— -
Documented Construction Value: $ 50 -Z)
Job Address: i S®
Parcel ID: (D c
Type of Work: New Addition Alteration
Description of Work:
Plan Review Contact Person: : r--
Phone: Q e)-? 944 ) (a Fax:
2 Historic District: Yes No
C)( - Co Residential ommercial
Repair Demo Change of Use Move
Title: PR
Email:
Property Owner Information
Name e _ A 0 <%
Street: ]nb C km ,- I , 'k G
Phone:
Resident of property?
City, State Zip:
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.: .
6( 12
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 information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
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
Archway CONTRACT
Contract Date.% - -/&
Certified General Contractor-CGC1504809 480 Lake' Bennett Ct, Suite B Phone: 407-636-8851
Certified Roofing Contractor-CCC1326774 Longwood, Florida 32750 Fax: 888-340-6538
Email: info@arcwinc.com
Client Name: C L
Client Address:
Phone:% Email:
Insurance Co.: Phone:
Adjuster's Name: Phone: Email:
Claim No.: Policy #:
Scope of Work:
1,.Remove existing roof to decking. Renail deck to meet uplift code
2 Install dry in with -. underlayment
3. Install new lead flashing on all plumbing projections
4 Install new galvanized valley metal or Peel & Stick mem rave per code
5. Install new drip edge(color to be selected by owner)
6. Install new n up shingles (color to be selected by owner)
7. Removal,and insta lation of any solar:panels is the owner's responsibility.
8. we can remove the satellite dish, but the owner is responsible for re -installation or adjustment
9. Any unforeseen condition, like rotted wood and deck replacement cost is extra.
10. Workmanship guaranteed forS year(s) and manufacturers warranty iss6l years.
NAA j FINAL CONTRACT PRICE: $ ,
This agreement is subject to the insurance company approval and does not obligate the owner or
Archway International, Inc. in any way unless it is accepted by the insurance company and accepted by
Archway International, Inc. By signing this agreement owner authorize Archway International,
Inc. to negotiate at a price agreeable to the insurance company and Archway International, Inc. for roof
replacement at no additional cost to owner except for the insurance deductible. The final price agreed
on between the insurance company and Archway International, Inc. shall become the final contract price
and Archway International, Inc. will receive all the proceeds for the work completed by
Archway International, -Inc _
THREE DAY RIGHT OF RESCISSION
THIS WRITTEN AGREEMENT HEREBY SERVE AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT
ANY TIME PRIOR TO MIDNIGHT OF THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT
CLIENT'S SIGNATURE/ APPROVAL PRINT
r
AA AR A k '%-0-
CONTRACTOR'S SIGNATURE/ APPROVAL PRINT
CHAPTER 558 STATUTORY NOTICE: FLORIDA LAW CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT
FOR DEFECTIVE CONSTRUCTION AGAINST -A CONTRACTOR., SUBCONTRACTOR, SUPPLIER, OR DESIGN PROFESSIONAL FOR. AN ALLEGED
CONSTRUCTION DEFECT IN YOUR BUILDING SIXTY DAYS BEFORE YOU FILE YOUR. LAWSUIT, YOU MUST DELIVER TO THE CONTRACTOR,
SUBCONTRACTOR, SUPPLIER, OR DESIGN PROFESSIONALAWRITTEN NOTICE OFANYCONSI'RUCTION CONDITIONS YOU ALLE.GEARE DEFECTIVE AND
PROVIDE YOUR. CONTRACTOR. AND ANY SUBCONTRACTORS, SUPPLIERS, OR DESIGN PROFESSIONALS THE OPPORTUNITY TO INSPECT THE ALLEGED
CONSTRUCTION DEFECT'S AND MAKE AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED
TO ACCEPT ANY OFFER MADE BY THE CONTRACTOR ORANY SUBCONTRACTORS, SUPPLIERS. OR DESIGN PROFESSIONALS. THERE ARE
STRICT DEADLINES AND PROCEDURES UNDER FLORIDA LAW. CONTRACT
TERMS AND CONDITIONS The
following provisions form part of the contract between the parties hereto. Archway International; Inc. will be referred to Archway"
GUARANTEE:
For new roofsold and installed by Archway, the Customer will receive the manufacturer's warranty offered for the shingles and a five years labor warranty by
Archway. The extent of this guarantee shall not exceed the contract amount paid to Archway and shalt not extend to consequential damages. CLAIMS:
All claims for nonfulfillment of the contract shall be made within 30 days from completion of the work. Archway reserves the right to correct any condition For
which it is responsible including damage to other property. In the event others repair or attempt to repair any problem with the work done by Archway, unless authorized
by Archway in writing, all guarantees and warranties associated with this project shall be void and of no other further Force and effect. Archway shall not be liable
for any cost of work or repairs to its work douche others unless previously authorized by Archway in writing. PAYMENT:
Owner has represented to Archway that it has the funds available to make payment and has further agreed to supply financial records satisfactory to Archway,
prior to commencement of construction. If Archway in its sole discretion is not satisfied with Owner's current or future ability to pay it may terminate this contract.
Final payment is due on the completion of the job and is a condition precedent to any warranty or guarantee obligation ofArchway. Any release, lien waiver or warranty
issued pursuant to this project is delivered in escrow subject to payment and may be cancelled for nonpayment. Archway right to payment is not contingent upon
the acceptance of work done by others and over which Archway has no control. The prevailing party in any litigation, arbitration or mediation relating to this agreement
shall be entitled to recover its reasonable attorneys' fees from the other party for all matters, including, but not limited to appeals. Orange County, Florida, shall
be proper venue for any litigation involving this agreement. Interest shall be due on all amounts not paid within 30 days of the date due at eighteen percent per anmun. Owner
agrees to execute any documents necessary for the contractor to recover payment for all rebates or credits available associated with this project. UNFORESEEN
CONDITIONS: In the event that unforeseen conditions arise that could not be determined by visual inspection, such additional work shall be performed on
a time and material basis over the price stated in this contract. Examples of conditions which will be considered an unforeseen condition giving rise to an increase in the
cost of the job would be the discovery of additional roofs during tear -off, or that the original roof was solidly mopped to the deck; deck conditions requiring repair, or any
other condition that Archway should not reasonably have anticipated and included in the price provided for in the contract. PRE -
CONSTRUCTION INSPECTIONiLEAKS: 'Roofs ready for replacement are generally leaky and holding water which may, through no Fault ofArchway, leak into
the building during the course of the re -roofing process. Archway shall use best roofing practices to minimize the risk of leaks but owner agrees not to hold it liable for
leaks not directly caused as a result of negligent practices_ Additionally, interior damage generally pre-exists commencement of the re -roofing project. Owner agrees to
provide access to all interior areas and top floor units in order for the parties to document pre-existing damage. The risk is upon Owner, who agrees to indemnify and hold
Archway harmless, against any claim by Owner or any other party seeking to hold Arcbway liable for damages where Archvay was not provided access during its pre - construction
inspections to the areas in question. Owner also shall have the responsibility to notify its residents of the steps that must be taken to protectthcir property, which will,
be contained in the Start -Up letter provided by Archway. Owner shall also provide the staging area and cooperate to inform and assist in preventing residents or others from
entering that area or any area under construction. PRICES
QUOTED ARE FOR GALVANIZED ANIZE:D flashing, eves drip and gravel stop unless otherwise specified.
SIGNS
AND LIGHTING: Unless otherwise specified in this contract, Archway shall not be liable for damage to signs and lighting about the premises. Any expenses necessary
to remove or install signs and lighting shall be paid by Owner. RISK
OF DAMAGE: It can be expected that the work will cause vibration, which could cause damage to the building or its contents. The Owner is in the best position To
secure said property or, in the case of tenants, to advise them of the need to do so. Archway does not assume any risk and shall not be held liable for damage to stained, cracked
or damaged ceilings or ceiling components, cracked or damaged plaster, insulation, acoustical the or personal property or fixtures within or about the building(s), cracks
in driveways, curbs and sidewalks or soffit repair or replacement. Additionally.. Archway shall not be liable for damage to parked vehicles or property located in or about
the staging area assigned for its use, or for any damage or injury for respiratory problems which may result from the odors associated with its work. The Owner shall
advise its tenants and employees of these risks and concerns and take such action as it deems reasonable. DELAYS:
Archway shall not be liable in any respect for any delays caused by strikes, labor disputes, court injunctions, and actions by the Owner or by third parties, Acts of
God, or other conditions outside of its control. In the event Archway must remobilize as a result of any action for which the Owner is responsible, or due to weather or
other conditions not the responsibility ofArchway, Archway shall be entitled to an increase of the contract price attributed thereto. BREACH:
In the event Owner terminates or breaches this contract, or if a condition attributable to Owner or Owner's property arises that prevents Archway from fulfilling
the contract, Archway shalt be entitled to be paid that percentage of the contract price as the percentage of work performed; plus for work not performed, all expenses
incurred in preparing to perform same, mobilization expenses and profit which would have been realized had the work been completed. If the contract is canceled
as a result of strike, labor dispute or conditions not the fault of or attributable to either party hereto, Archway shall be entitled to recover frorn Owner that percentage
of the contract price as the percentage of work performed; plus for work not performed, all expenses incurred in preparing to perform same, mobilization expenses
or other expenses incurred related to the project but not profit for work not performed. NO
ORAL, PROMISES: There are no promises, representations or understandings outside of this instrument which instrument represents the complete agreement Between
the parties. No modification of this contract shall be valid unless in writing, signed by the party against whom the change is asserted. Any notification required by
this contract shall be made in writing. LIMITATION
OF LIABILITY: (a) materials supplied or installed by others; (b) exposure to damaging substances such as oil, solvents etc.; (c) failure of the substrate,
surface or materials under the roof; (d) improper drainage; let lack of recommended maintenance; (t) damage resulting from water entry from any portion ofthe building
structure which is not a part of the roofing system, or (g) any claim related in any way to damage or injuries front mold, spores, fungus, any organic pathogen or exposure
to toxic or noxious substances fumes or vapors. Archway shall have no obligation under this Contract until all bills for installation, service, and materials have been
paid for in full.
I"
TRIS INSTRUMENT PREPARED BY:.
Name; !`rE<. _'' ZG( ''``
r.
Address: _
t:: r: Ia
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tE %'-0 F. 1i1.-D ) ii.r_, 1J5' ;?i5: 'i ?f1
Permit Number:
Parcel ID Number: `"'
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C Cr-?(-.t .1
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)
f T f ! i,c_) ' {' fa _
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Full roof replacement
3. OWNER INFORMATION OR LESSEE INFORM
Name and address:
Interest in property:
IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Archway International Inc Phone Number:
Address: 480 Lake Bennett Ct Longwood fl 32750
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Name: n/a
Address:
Phone Number:
Amount of Bond:
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.
Phone Number:
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. go
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Signaturwot Owner or Lessee, or Owne?s or Lessee's (Print Name and Provide Signatory's Title/Offices
Authorized Officer/Director/Partner/Manager) XV
State of County of ,>z._ sr % !`7 rh ca
The foregoing instrument was acknowledged before me this -7t ' day of
by ) f-%1i7G /?L . `I t /i I _ Who is personally known to me OR o Z
Name of person making statement Qti
who has produced identification type of identification produced: I i` ' _ z
J COUCWCOMMISSIONMYROBERT
FF 984753':
April 21, E otary Signature tv —j
EXPIRES 2020
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56WINOLE- COUNTY MULTI%URISDICTIONAL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
r (1Date:-
1
I hereby name and appoint:
an agent of:
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):
Ea AII permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License He
STATE OF FLOR I
COUNTY OF T C ,
The foregoing instrument was acknowledged before me this f_day of
20 b `MI , who is Ea personally"kn-own la-rrre or
as identification
who has produced` r.. i 3 l I t ' (« c._ `f /' '
and who did (did not) take an oath.
Signatu € of., otary
KERDALL STORY
Commission # FF 908939
e Expires August 12, 20 -9c
qon0ud'ilvu Ti<Y • .:u vxaEb3: %015
Print or type Notary namJ
Notary Public - State of
Commission No.
My Commission Expires: 0' 1 t .41
CITE' OF SANFORD BUILDING SERVICES
Residential Re -hoof
Hurricane Mitigation Inspection Affidavit
Permit #: U'
I, ' hereby acknowledge that I personally inspected
oof deck nailing and/orr _ 4&ewater barrier work at < a
O'lea / ( 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 performance of
his or her official duty shall constitute a misdemeanor of the second degree pursuant to Sectio 837.
06 F.S. Signature o
Contractor Date f 1%,
x 0at? e4 0(le l. Ce ) ? Cf Printed Name
of Contractor 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 su? bsc ibed before me this _ , 7Q day of , 20 , by who is
Personally Known to me or h Produced (type of ide4t Ration)
as identification. nature o"
o to of
Florida Print/Type/
Stamp Name of Notary
Public ROOERT J
COUCH-.. 41 My
COMMISSM 0 FF994753 t,,` EXPIRES
April 21, 2020 407) a9e,
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