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Home My WebLink About165 Pine Isle DrJob Address: 1195 Pint.JsIr Historic District: Yes M No Parcel ID: t -'10 Residential RCo mercial M Type of Work: New i _! Addition: El Alteration YRepair F] Demo 1:I Change of Use El Move 0 Description of Work: Re -roclP minGzt i k Plat Review Contact Person::.iD &n'r)Vf LL.. —Title: ! r1 Phone-: f - Fax: 11 Email: Property Dwyer Information lame w lMLr Phone:; V SL17. U00 I Street: LI P [Iit fit, ? Resident of property?: 4 t'_3a_.__._ Cite. State Zip:. . ,E L 3 1-7-7 Street: 91U0 j3 -`J `tit _ &V ° Fay: i 2Q ' -i i 1 Cite, State Zip: ! i I State License Via.: i Architect/Engineer Information Name: Phone: Street: Fax: Cite, St, Zip; E-mail: Address: ' 12 S 5 Address: j E V4 d JL t L"'i k 2-D i WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF CO'MMENCE:YIE.NT MAY RESULT IN YOUR PAYING Tf; J4'IC:E FOR IaY[Pi 01VEMENTS 'i`O 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 apermit to do the work and installations as indicated. I certife 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 laves regulating construction in this jurisdiction. i understand that a separate permit must be secured for .electrical work., plumbing, signs, veils, pools, furnaces, boilers, heaters, tan to, and air conditioners, etc. FBC 1053 Shall be inscribed with the date of application and the cattle in effect as of that date:: 511 Edition {2014} Florida Building Code. Re%'i se;d: June 30, J 5 Permit : pphcatmn ,Ijo 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 Print Owner/Agent's Name Date 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 M O'M4lley Print Contractor/Agent's Name v MARYLOU SESAK MY COMMISSION #FF146073 Fo? EXPIRES July 29, 2018 407) 398-0153 Florida Notary Service.com Contractor/Agent isA 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 # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures. Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application THIS I TRUMENT PREPA D BY: Name: +IOr) Address. Id_e Klva$s pl 3 I SEWNOLE COUNTY State ofFlorida FLDRIDA'S',LAT" RAL CHOICE NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID) 1Q' Z0.3Q • r,11I. MQ • i'24 0 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. OF PROPERTY (Legal description of the property and street address if available) LD 12 U GENERAL DESCRIPTION OF IMPROVEMENT r) OWNER INFORMATION Name and address:N I1ilQM Li M r (a, l t\.\ SIG j) S am of d t f L 3 217 CONTRACTOR Name and address: 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)(b), Florida Statutes. Name and address: In addition to himself, Owner Designates of To receive a copy of the Lien ors Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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. AL/ FLOF OA ` - — Vil1iV.100111,l1'h @ t el me-r 1lCOUNTY SEMINOLE ERS SIGNATURE OWNERS PRINTED NAME NOTE: Per Florida Statute 713.13(1) (9), owner must sign....., and no one else may be permitted to sign in his or her stead." The foregoing instrument was acknowledged before me this 1 day of A A LIS + by Jy ( l G{ NA C M L-r Who Is personally known to me Name of person making statement OR w as rolduced identification type of identifitation produced VERIFICATION PURSUANTi SECTION 92.525, FLORIDA STATUTES. UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARC/ TO ST OF MY KNOWLIEDGEJAND SIGNATURE OF NATURAL PeRgON SIGNING ABOVE i I N6tary Signature MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2016088657 BK 8754 Pq 0926'. (1pq) E-RECORDED 08/24/2016 08:17:05 AM Authorization Letter / Power of Attorney Owner / Jobsite: 0.N. E(r,l,- ld PlAt -4-0e 61' an il F/ 3a7-i3 To Whom It May Concern, I Michael Kost, hereby authorize the following persons to act as agents on behalf of myself and Southern Pro Restoration LLC to pull and sign for the above referenced Building Permit which was submitted under my Florida State Contractor License number CCC1329584. This authorization is valid one year from date of signature. Authorized Persons: Brian Kirby John Christianson Erick DeDios Martin Sterling Aaron Hallich Joseph Orozco Tim O'Malley Elianora Morejon Frank Jaramillo Christine O'Malley Regards, Kost - Qualifier STATE OF FLORIDA COUNTY OF La^ The for, loing instrument of K'-5to 4 o ( 6 114, 1A lffary tthe Pu(b AmvejcF-INIAJ' Printed Name was acknowledged before me this .2l day by Michael Kost, who is personally known to me. SEAL) Amber FkrJw r NOTARY PUBLIC STATE OF FLORIDA Comm# FF970934 E 18 e Expires 7/11/2020 Product Approval Specification Form Permit # Project Location Address is le 1 t As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer, Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles G A r ertcc Nerves% A,,. /ey 01a Y. 1 Underla ments 1 S)16 Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer, Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature` --:= Applicant's Name Please Print) June 2014 City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. r//A, Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). M/ A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. q vpp- Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Nj- Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roofpermit application and may not he complete. The applicant is required to meet all City of Sanford, state, andfederal code requirements. 2 HOMEOWNERS CHOICE CONSTRUCTION EIN# 81.1725414 LIC# CGC1513427 Date (a Insu Tel# `' - - of Job INSTALLATION AGREEMENT Phone: (877) 652-3555 www.homeownerschoiceconstruction.com Exterior Work: ROOF WOW Shingle Type: _GAF Royal Sove rgeig`n, 25 Year 3-Tab Shingle GAF Timberline ^tFD'tifetime Dimensional Shingle Flat Roof: YES or -NO b Shingle Color :4 V(/ 7 LDrip Edge Color: ` C " v Ridge Vent:_Metal Cobra _Off -Ridge 4' Color: Underlayment:ynthetic _301b Felt _151b Felt _Peel & Stick NOTE: Roof pitch can affect what underlayment is allowed per building code, Dish: DISPOSE or KEEP NOTE: If you choose to keep the dish, please contact your satellite provider upon completion to reinstall it (HCC does not reinstall dishes). HOA Approval: Homeowner confirms he/she has personally er led the type, style, and color of the shingles selected and homeowner accepts full responsibility for obtaining any necessary HOA approval(s). Initial: N De reciation/L&O: Upgrades*: Tota14494PaymentDetails: Insurance 1" Check: Deductible':_ P Pg .. Installation Payment: Homeowner agrees to release the 1" Check, Deductible, and Upgrades amounts listed above totaling to Homeowners Choice Construction at completion of the roof. Homeowner agrees not to withhold said payments over minor construction defects/disputes and/or status of the county's final inspection. NOTE: Payments above marked with an asterisk (*) denote payments that are the homeowner's responsibility (not the insurance company), Expiration: Bank Endorsement Missed Items and/or Supplements/Hidden Damages: I agree to allow Homeowners Choice Construction to request supplemental funds from my insurance company for mistakes, items missed, documented price increases, overhead & profit, underlying damage, etc. that may not be reflected on my Insurance Settlement Statement. I agree to release all supplemental funds (if any) to Homeowners Choice Construction. This will not affect the amount I will have to pay out -of o et. Exclusion: Most insurance companies will not cover rotten wood unless directly damaged by the storm (please see line 3 on back page). Initial: Solar Panels: YES or NO If Yes, check ONE below: I/We will handle the solar panel portion of this project. I/We will have the panels removed prior to the roof installation date. The allowance from the insurance company is to be returned to me when all work in this agreement is complete and Homeowners Choice Construction has been paid in full. I/We wish for Homeowners Choice Construction to remove and dispose of the panels and I/We will ensure the plumbing is Inactive rl r to Install. ANY I TI S F HI CT MUST B t PPR 9 VED BY ALL PART ES A D USM; M WRITING OUGH A CHfTGE ORDER FORM 4 Homeow rs Choice Construction Signature to Customer Signature Dat L151b INSTALLATION AGREEMENT HOMEOWNERS, .' CHOLCE CON57RUC7tON EIN# 81-1725414 Phone: (877) 652-3555 LIC# CGC1513427 www.homeownerschoiceconstruction.com Date: -1- Insured Name: r, It IA fi— )" rK/ v Tel# 4ft-','5b2W01 Job Scope of Work: As per our original agreement, all approved work in this claim will be completed by Homeowners Choice Construction ("HCC"). HCC will furnish all necessary permits, labor, and materials based on the work in this claim. Homeov per oil ill erform all work in accordance with current Florida Building Code regulations. Your insurance company has approved your claim for a *total of $_— .'Total is the amount due prior to all supplements and/or overhead & profit. Request to Release all Remaining Funds: I/We, the insured and owner of the above referenced property, request that my insurance company accept this contract as our commitment to repair my/our home. Please release all remaining funds (e.g. recoverable depreciation, law & ordinance payments, etc.). According to my/our initial repair estimate, the total amount of said funds currently being withheld (excluding any future necessary supplements) is $ __ 7 Terms and Conditions: 1. HCC will have the roofing materials delivered to your home and will place a dumpster on a hard surface only, in close proximity to the home, to dispose of the existing roof. Please allow 72 hours after install completion for the dumpster to be removed. If you need access to your vehicle and/or garage you may want to park in the street the night before your installation date and during the process to avoid being "blocked in", 2. All material is guaranteed as specified, All work will be completed in a workman -like manner and will meet or exceed industry standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents, weather or delays beyond our control. HCC has the right to order excess material. All excess and leftover material will be property of HCC. 3. HCC will remove the existing roof system and inspect the wood decking for possible defects. HCC is required by Florida Building Code to replace any rotten wood underneath, we will include the replacement of two 4'X8' sheets of decking. Sagging/Stained wood is not considered rotten and will not be automatically replaced without your written consent. Replacement sheets of 5/8" CDX plywood will be billed at $50.00 per sheet, replacement sheets of OSB at $45 per sheet, 1x6 pine fascia board at $3.00 per lineal foot (unpainted), 2x4 Truss scabbing at $3 per lineal foot, 2x4 and 2x6 Fascia at $4 per lineal foot, and Soffit at $5 per lineal foot. Costs associated with the replacement of other uncommon wood types will vary. 4. HCC is not responsible for any damage below the roof due to leaks by excessive winds of 60mph, ice dams, or hail. We will not be held responsible for any gas, water, A/C and electrical lines under the roof decking that are installed too close to roof decking or not to current code. We will assume that the roofing system can be removed and a new roofing system can be installed without any complications or damage to such systems. We will not be responsible for rotten siding, soffit or fascia. We may need to install new flashing on walls, chimneys, etc. in order to provide a leak -free installation. Siding o that is rotten or in poor condition may be damaged while installing new flashing. HCC will not be held responsible.for any damages caused to the exterior r interior of the home due to a leak caused by workmanship if we are not notified of the leak in a timely manner. It Is the sole responsibility of the customer to notify HCC within 48 hours. 5. Th ayment shall not be held up while waiting for the city or county to inspect the work completed. HCC agrees to meet or exceed all city or county inspection requirements. In the rare event of an inspection requiring correction, HCC will complete any/all corrections as soon as possible. 6. HCC and the customer acknowledge that this Repair Contract is issued within the parameters of the customer's wishes in accordance with the Insurance summary but is not bound by the insurance summary provided by the customer's insurance company. Customer agrees to pay HCC for the total cost of job listed in this agreement including any supplemental funds and overhead & profit released from the insurance company. All work not in accordance with the insurance summary will be considered an upgrade and will incur an additional charge above the insurance total cost of repairs unless otherwise mentioned in this contract. 7. If it is determined that additional work is needed, we will notify you prior to completing the additional work. 8. Upon completion and final payment, warranty documents and/or lien releases will be provided. Any/All warranties remain invalid until HCC is paid in full including any/all supplemental funds and overhead & profit). 9. Nonpayment: HCC may charge a $35 administrative fee for any returned/bounced checks, denied credit card charges, or other payments. We may also charge the customer the cost of lien or other expenses associated with collecting amounts owed under this agreement. HCC will act in accordance with Florida' s Construction Uen Law (Sections 713,001-13.37, Florida Statutes), stating those who work on your property or provide materials and services and are not paid in full have a right to enforce their claim for payment against your property. I understand that if HCC prevails in any action or other proceeding related to a breach of this agreement or in any way related to services provided hereunder, it shall be entitled to recover its reasonable attorneys fees and lien fees attributable to such action or proceeding as well as any collection actions taken prior to such action or proceeding. 10. As the customer, I reAlethe right to cancel this agreement up to three (3) business days after the date of this agreement. i also understand that I will total cost of job including W( and/ or overhead & profit funds if I cei this agreement any reason outsid of 7 f. . I f Choice Construction Signature Date Customer Signature ate CITY OF SANFORb BUILLDING SERVICES Residential Re -Roof Hurricane Litigation Inspection Affidavit Permit #: 1 — oal+p D k a.S+ hereby acknowledge that I personally inspected Roof deck nailing and/or) (-Secondary water barrier work at 1 U il6 e i n f. i Si L Dr 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 ma any Ise statements in writing with the intent to mislead a public servant in the performance of . or her ocial duty shall constitute a misdemeanor of the second degree pursuant to Section 837.0 S. la gel Signature f C acto Date UV,b af-1 CC C.132-95 Printed Name of Contractor License 9 License Type: 0 General 0I Building Residential Roofing Contractor u or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF 6b r D lA Sworn to (or affirmed) and subscribed before me thisLF,16 oay of nz __ _ , 20 tb , by 16 OL- ( W-0 Sy , who is CA'ersonally Known to me oYhas 0 Produced (type of iC 'On) as identification.{ SEAL,) Sig Lure of Notary"Public State of Florida ao AM WEAVER MY COMMISSION : FF 173892 oveaEXPIRES: Nmber 4, 2018 Print/Type/Stamp Name Baled-1InWtmPubrcUrderwrters of Notary Public 3