HomeMy WebLinkAbout2848 Empire PlJob Address:
CITY OF SANFORD
i 7 °r• BUILDING & FIRE PREVENTION
PERMIT APPLICATION
SEP 15 2010
I Application No:
Documented Construction Value: $
Parcel ID: Cg ` D Si
f -,
5-0 S— ('/) J') 0() --09
Historic District: Yes No
Residentialt Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: r-4nC SCo dC6 Title: f (Z:
Phone: Fax: Email:
Property Owner Information
Name _ p
Street: _ Y0 >,lr P
City, State Zip: Po rc
Phone:
Resident of property? :
Ate
Contractor Inform%
ationNameMct_ aC/ I'1 E f 70-,1 c1/2C i) Phone: qO
Street: c o"
Z C`- s` u 2 Fax:
City, State Zip: State License No.:(7
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: 5t° Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: ;[n 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
C::j a If C_6
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
of Notary -State of ]' • ate
pEg61E BLANTON
Y F':
t=
MY COMMISSION #
FF 178641
EXPIRES•. February 25, 201
BondedThNWtaryPublic_
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: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
Archway
linterna-tional: Inc,
CONTRACT
Contract Date: 9 -a -1/0
Certified General Contractor-CGC1504809CertifiedGeneralContractor-CGC1504809 480 Lake Bennett Ct, Suite B Phone: 407-636-8851
Certified Roofine Contractor-CCC1326774CertifiedRoofinContractor-CCC1326774 Longwood, Florida 32750 Fax: 888-340-6538
Email: info@arcwinc.com
Client Name: L .
Client Address: q dQ' i i (-
Phone: Email: .
Insurance Co.: Phone:
Adjuster's Name: Phone: Email:
Claim No.: TPolicy #:
Scope of Work:
1. Remove existing roof to decking. Renail deck to meet uplift code
2 Install dry in with erIayment
3. Install new lead flashing on all plumbing projections
4. Install new galvanized valley metal or Peel & Stick membrane per code
5. Install new drip edge(color to be selected by owner)
6. Install new I ` e) </ e shingles (color to be selected by owner)
7. Removal and installation ofi any solar panels is the owner's responsibility.
8. awe 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.for year(s) and manufacturers warranty is years
f ( FINAL CONTRACT PRICE: $ 2,
This agreement is subject to, the insurance company approval and does not obligate the owner or
Archway International; Inc. in any unless it is accepted by the insurance company and accepted by
Archway International, lnc: 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
1111.... ......... __ _ ._..._...... ........... .-._......----.......... ---- ----- _
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
CLIE'NT'S SIGNATURE/ APPR VAL PRINT DATE
CON RA-c-f6R"SSIGNATURE/ APPROVAL PRINT DATE
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 PROFESSIONAL. AWRIT TEN NOTICE OFANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE
AND PROVIDE YOUR CONTRACTOR AND ANY SUBCONTRACTORS. SUPPLIERS. OR DESIGN PROFESSIONALS THE OPPORTUNITY TO INSPECTTHE
ALLEGED CONSTRUCTION DEFECTS AND MAKE AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT
OBLIGATEDTO ACCEPT ANYOFFER MADE BY THE CONTRACTOR ORANY SUBCONTRACTORS, SUPPLIERS, OR DESIGN PROFESSIONALS. TITERE
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 roof sold and installed by Archway, the Customer will receivethe 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 shall 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 clone 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 done by 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 annum.
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 ol'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 INSPECTION/LEAKS: 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 Archway liable for damages where Archway 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 betaken to protect their 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 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 expectedthat 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 tile 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 front
fulfilling the contract, Archway shall be entitled to be paid that percentage of the contract price as the percentage of work performed; plus for work not performed, all
expenses incorrect 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 from 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: These 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; (e) lack of recommended maintenance; (f) damage resulting from water entry from any portion of the
building structure which is not a part of the roofing system, or (g) any claim related in any way to damage or injuries from 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.
Florida Building Code Online
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Code Version 2014 FL# ALL
Application Type ALL
IM
CertainTeed Corporation- Roofing
Category Roofing Subcategory Asphalt Shingles
Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL
Product Model, Number or Name ALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
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Code Version 2014 FL# ALL
Application Type ALL Product Manufacturer CertainTeed Corporation- Roofing
Category Roofing Subcategory Asphalt Shingles
Application Status ALL Compliance Method ALL
Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL
Product Model, Number or Name ALL Product Description ALL
Approved for use in HVHZ ALL Approved for use outside HVHZ ALL
Impact Resistant ALL Design Pressure ALL
Other ALL
Caarrh Ra nit _ Annl:r F:n..
FL# Type Manufacturer Validated By Status
FL5444-R9 Revision CertainTeed Corporation -Roofing John W. Knezevi ch, PE Approved
History Category: Roofing 954) 772-6224
Subcategory: Asphalt Shingles
Contact :: 2601 Blair Stone Road. Tallahassee FL 32399 Phone: 850-487-1824
The State of Florida is an AA/EEO employer. Coovrioht 2007-2013 State of Florida :: Privacy Statement :: Accessibility Statement :: Refund Statement
Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send
electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to
Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if
they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to
supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under
Chapter 455, F.S., please click here .
Product Approval Accepts:
Credit Card
Sate
http.,//www.floridabuilding.org/pr/pr_app_lst.aspx 7/19/2016
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of:
Name
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):
rmits and applications submitted by this contractor.
The specific permit and application for work located at:
Street Address)
Expiration Date For This Limited Power Of Attorney:)
License Holder Name:a'l k
State License Number:
Signature of License H,
STATE OF FLORIDA
COUNTY OF 9,172;'f2&'%
The foregoing instrument was acknowledged before me this/0 /day of Q / ,
20 )(U, by V / t who .s,_pfersonallyknowntoe/
or who has produced
as identification and who did/did not take an o th.
i ature
Notary Seal)
r'
q
Print or Type Name
Notary Public — State of
Commission Number
My Commission Expires:
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