HomeMy WebLinkAbout2100 S Naple AveAUGKi
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A qy-Applica
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Documented ConstructioT
Job Address: aim .Lwc_ A-Qle . , pyj Parcel
ID: a o - i C - 30 _1590 _Ma j GCS Type
of Work: New Addition Alteration a Repair Den CITY
OF SANFORD BUILDING &
FIRE PREVENTION PERMIT
APPLICATION Al
tion
No: (' J-3 Value: $
1
Historic District: Yes No Residential
Commercial o
ElChange of Use Move El Plan
Review Contact Person: Title: Phone:
Fax: Email: Property
Owner Information Name
I'll n Phone: I - q(y 0 - '9 E4 StreetjjCc)
5• ` ft& Resident of property?: City,
State Zip: n Contractor
Information Name
1 f j _ Street:
l41 o rryt-r-r'n -t . City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
State
License No.: Cr (I Ia-19q,q 0 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: 511' 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 constriction value of the job at the time of submittal.
The actual constriction 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 constriction 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 accura at all work will
be done in compliance with all applicable laws regulating construction and ing.
Signature of Owner/Agent Date afore of Contractor/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
162, hTDq
rint Cont actor/Agent's ame
Ia u
S manure of No State of Florida Date
FIF4 L.IN67 A_yUt/C KHP,11/1—
Commission q FF 1722eloMyCommissionExire
c ober 28, 2018
r t t —` i - 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
Villales in9 construction, Inc.
1410 Emerson Street, Leesburg, FL 34748
Phone: 352-314-3625 • Toll Free: 855-314-3625 • Fax: 352-365-6458
License# CGC037504 • License# CCC1329936
www.villagbsrooffng.COM
SALES CONTRACT
Villages Roofing & Construction, Inc. agrees to furnish all materials and labor necessary to do the modernization work at the following address:
Owner. Mr. & Mrs. Last Name _ bate 2-di'd'
Address C- /k City State_ Zip
Address (Out of Fl.) City StateZip Email
Phoned 7ffY
bme
S%D
c sr-Q f of t mac' "eel, 1. Contract
Documents. This contract consist of this document extra work/vrood author zations, 0 arty, and ff payments hereunder are to be financed, all finandng documents. No promises other than those
specifically set forth in the contract documents shall be reccg%¢ad by ei her pa ty. The entire understanding and agreement of the parties is cxntain in the contract document. 2. it
is urderstood and agreed that this contact shall not become binding upon Villages Roofing & Construction, Inc. until it is duly approved, accepted, signed and witnessed by an officer or officers of
the Seller. 3. Work
on the job described in the contract document will commence on approximately 4-1 F and be completed on approximately __ . The recited dates are approximations and
are subject to scheduling difficulties of Seller, labor and/or material shortages, ads of God and other events not foreseen by Seller. Sellerreserves the right to employ any sub -
contractor for the completion'of the work described in the contract documents. 4. Villages
Roofing & Construction, Inc, reserves the right to substitute matedds of equal or greater value and kind. Any required materials such as fire retardant plywood, tongue and groove board. etc. will
be billed on a time and material basis. All other changes required by New Jurisdicbonal'Code Enforcement Laws may result in additional charges. 5. Interest
at the rate of eighteen (18%) per cam per annum will be charged on all balances not paid as per the temps specified above. Reasonable attorneys fees will be charged to the Purchaser if it
is necessary to place this contract in the hands of an attorney for collection, and this charge becomes apart of a contract and obligation of the Purchase to pay. 6. Parties
agree that this agreement shaft be construed according to the laws of the State of Florida and any action brought thereat may be brought in the State of Florida. Venue is hereby agreed to be
in Lake Court Florida. 7. BUYERS
RIGHT TO CANCEL E($pLlCEfED SALESONLY) If you do not want the goods or services, you may cancel this agreement by p ov ng written notice to the seller in person, by telegram, or bymad. This notice must Indkate that you do not warn the goods a services and must be delivered or postmarked before midn ght of the thed business day after you sign this agreement 8. Both
worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be performed.
9. ff
is understood and agreed that the buyer hold harmless, Villages Roofing & Construction, Inc., for any damages that Contract Price $ ---------------- may occur
to the buyers driveway(s) during delivery of materials and/or removal of the work related debris that may be required to
perform this home improvement contract. Fudhemnore, the buyer herein gives permission for ttyyppical delivery vehicles and
typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sares contract. 10. Contractor
will coordinate removal and reinstallation of roof related peripherals such as (but not limited to) solar units, Permit $----- --------- skylights, T.
V. dishes and air conciltioners, etc. The cost for such work WE be in addition to contract price and approved by homeowner. 11.
Villages
Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines or
other mechanical components that have been impproperly installed near roof decking and may be damaged Total $ __ while performing
installation of nwfirg materials. Villages Hoofing & Construction, Inc. shall not be responsible for any addit" costs
due to roof decking that may have old materials adhered in such a way that requires rededdng of structure. 12.
Construction
Industries Recovery Fund payment may be available from the CIRF I you lose money on a project 113 Deposit $ ---------------- performed under
contract, where the loss results from specified. violations of Florida law by a state -licensed contractor.Fa information
about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the following
telephone number and address: 79W Arlington Expressway, Suite 300, Jacksonville, fL 32211-7467 or cad sow) 727-
6530. Subtotal 13. Chapter
558, Flonda Statutes contains important requirements you must follow before you may bring any legal action for
an alleged construction defect in your home. Sixty days before you bring any legal action, you must deliver to
the other party to this contract a written notice referring to chapter 558 of any alleged construction BALANCE DUE defects andtoconsidermakinganoffertorepairoreyfortheallegedconstructiondefect. You are not obligated to
accept any offer which may be made. There are strict deadlines under this Florida law which must UPON COMPLETION $ be met
and followed to protect your interests. Executed in
triplicate, one copy of which w s delivered to, and receipt is hereby acknowledged by E14 this day
of , 2C Approved and Accepted: NOTICE TO
OWNER a. Do
not sign this home improvement contract in blank. b. You
are entitled to a copy of the contract at the time you sign. Keep it to protectour r' s. Seal) ( (Seal)
Dealer -Seller) (
Purchaser Sign Here). BY _ W (
Seal) itle) (Purchaser
Sign Here) SALESMAN FORD
PRESS,
INC. 352-787-4650
After recording, return to:
Altagas Rootirg anc Conatrucllon. Irc
1410 Eme-soi St.
Leesburg. FL 34743
Permit No.:
Tax Folio No.:
Notice of Commencement
State of Florida
The undersigned hereby gives notice that improvement will be made to certain real propery, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. Description of the Property: (tagQat ddescriptio of me property and streetaddressB aavef!abl ; Legal
description: Lot - N l 1 01 I\ Las} ( 6 J j Street
Address: 10'>I n F ?
J I? 1 2.
General Descriptor of Improvement Remol
3.
Owner's Information or Lessee information if the :essee contracted for the improvement: Name:
a di.'f- Address: /
c _S m' L" r I Interost
in Properly: _ _ _-okc"X 4" Name &
Address of fee simple titleholder (Adifferent than owyncr): 4.
Contractor Information Name:
villages Roofing and Cenetrl OOP.. Ire. Address:
1410 Gmeraon SL L—b—g. FL 34743 Phone
No.: 352-314-3625 5.
Surety (if appacabio, a copy of the payment bond must bo attached): Name:
I I I Dk_7Phone No.: Address:—
T Amount of Bond: $ 8.
Lender Information: Name:
A 1 1 11. Phone No.: Address:
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: Name:
n ! L% Phone No.: Address:
8.
In addition to himself or herself, Owner designates O` to
receive a copy of the following Lieror's Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.: 9.
Expiration date of notice of commencement (tile expiration date wilt be i yearkm the, date of aco.rding unlessa diP,erenf dateIs specirtteo). 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 TWI E,FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRS INSPE TON. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK O BECBRBINr; YOUR TICE OOMMENCEMENT. Signemre of
Owner or Lessee, or O•.vner's or Lesaee's Aubtort'zel07kedDrree(or,Tartne vManaaer Sgnatory''s
T'y:rJ ffce The foregoing
instrument ` ,asacknowledge before me this day of 014 A 20& by, J It if /e gt7 as for (DIAJ/1Q111-
who Type esumoriry (t
e_ office,; adorney b? fact) rn t e- C
Nae ofparly r:
n behalf om of whinstnueant wasexecutedis personally knov;n
or produced LAC_ J T J(,S.AA., J ] e astype of identification. I 1 h{{(Qcrlry1
H1sscRCena mpe 4ryA(
i!
f Y2a'
Vet f 1"( W! W, r fPl s:lULr2i,
20ii Nodes of Commencement - OF29 (
Updatez 05112M 13) Signawra o(ctary PubCc -
Mato of Fonda iptiiAype & stank) eommWio ed name of Notary Public) MARYANNE MORSE, CLERK OF
CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2016087726 BK
8752 Pg 1775; (1pg) E-RECORDED 08/22/2016 11:53:46 AM 10.00
PERMIT NO. A0. d
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
bISSLJE o„,E.. 01ro d 3. ib
e.S oo'i'nq
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 R OOF DR Y-IN INSPECTION IS REQ UIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Miti atgionAffidavitwillnotsufficeasanalternativetoreceivingadry -in inspection.
ROOF
INSPECTION TYPI APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVLD REJECTLD 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 III
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 . . . 16-00002368 Date 8/23/16
Property Address . . . . 2100 MAPLE AVE
Parcel Number . . . . . . 36.19.30.520-0000-1990
Application description . ROOFING APPLICATION
Subdivision Name . . . . PINEHURST
Property Zoning . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 951525
Permit pin number 951525
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 _I--