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410 Fairfield Dr 16-2380 (roof)
Rte' ` CITY OF SANFORD AUG 2BUILDING & FIRE PREVENTION PERMIT APPLICATION r B U_ Application No a Documented Construction Value: $ 7,057.00 Job Address: 410 Fairfield Drive Sanford FL 32771 Historic District: Yes No Parcel ID: 32-19-31-516-0000-1030 Residential © Commercial Type of Work: New Addition Alteration N Repair Demo Change of Use Move Description of Work: Re -roof 23 squares Atlas Pristine 30 year shingles @ 5/12 pitch. Product approval FL16305.1 Flan Review Contact Person: Jerika Vazquez 'Title: Office Mgr Phone: 904-570-9426 Pax: 904-713-2773 Email: SuperiorRoofingFL@gmail.com Property Owner Information Name Ivan & Melissa Pagan Phone: 321-277-2720 Street: 410 Fairfield Drive Resident of property? : City, State Zip: Sanford, FL 32771 Contractor Information Name Michael Beard Phone: 904-570-9426 Street: 3143 Waller Street Fax: 904-713-2773 City, State Zip: Jacksonville, FL 32254 State License No.: CCC1330262 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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 da' 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 Shad 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 Pennit Application 41 35 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. n 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 constructio and zoning. s2(A LP C -Signature of Owner/Age Date Signature of Co tract r/Agent Date m(avi Pnaar) Print Owner Agent's Name 1 011 -11 1 1 tv Signtore of Notary -State of Florida V I Da JERIKA A. VAZQUEZ NOTARY PUBLIC STATE OF FLORIDA Comm# FF044588 Expires 8/11/2017 Owner/Agent is Personally Known to Me or Produced ID T Type of ID F'L Print Contractor/Agent's Name 7 lal ) Le NOTARY PUBLIC STATE OF FLORIDA Comm# FF044588 Expires 8/19/ 017 Contractor/Agent is Personally Known to Me or Produced ID Type of ID Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Flood Zone: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes NoE]. # of Heads of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No APPROVALS: ZONING: - UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application I euperlor Roofing and Restoration 3143 Waller St Jacksonville FL 32254 Name: J- \JA\Y I AQ8" Address:410 LD D Billing Address: STQ Phone: 2p Superior Roofing a, Restoration'" '•i Specifications Color: Brand of Roofing: S Style of Roofing: URAL N06 FF , 11-M Ridge Material:'_.—__.. Valley: L-C--.L.W Vents:KCK Re -nail Deck Y N Plumbing 5 1i rt MINTED Drip Edge. . OR $R}J 6X Tear Off: e / No 014F # of Layers ater Barrier: / Pitch: Stories: ON Remove trash from roof, gutters & yard Protect landscaping where applicable Roll yard and driveway with magnetic roller Fi.irnish Permit 5 Year Workmanship Warranty CCC 1330262 CCC057647 CBCOS8236 Date: 7l-C___ City/State/Zip: City/Sate/Zi Email: CO Special Instructions AT RS S-IGIAATU9 . ARRAW Y Hidden Damages: IV 48 sheet- $50.00 per sheet 1x board- $5.00 per foot Included in contract: Paymen terms: I 50 %or$3-54 ]IJdeposit upon acceptance of proposal, Progress payments as noted: Balance due 24hrs of completion Of Work. (Penalties accessed if late) Contract Subtotal: Options: Contract Total: Down Payment: Balance: All material is guaranteed to be as specified. All work will be completed in professional and in accordance with standard practices. This proposal is subject to acceptance n 30 dcl is void thereafter at the option of Superior Roofing & Restoration Inc. Signature of Authorized Representative. Date: J JG Customer has 3 day escind contract in writing. Please call to notify salesperson Acceptance of Proposal: The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Any alteration and deviation from above involving extra cost will be executed only upon specific orders, with the exception of any hidden damage or other unknowns that must be corrected to complete work, which will become an extra charge over and above the base contract amount. Customer agrees to pay Superior Roofing & Restoration Inc., for all labor, materials, and services to be furnished by Superior Roofing & Restoration Inc., to Customer under terms of this contract. Payment will be made a utlined above. Signature: Signature: Date: ,21 Jt V( THIS INSTRUMENT PREPARED BY: Name: _Superior Roofing and Restoration Inc Address: 3143 Waller Street Jacksonville FL 32254 NOTICE OF COMMENCEMENT Permit Number. l (P ' g 0 0 Parcel ID Number. 32-19-31-516-0000-1030 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) Lot 103 Celery Lakes Phase 2 PB 65 Pgs 29 & 30 410 Fairfield Drive Sanford. FL32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Ivan and Melissa Pagan 410 Fairfield Drive Sanford, FL 32771 Interest in property: Residence Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: Mir:haPl RPard Phone Number: 904-570-9426 Address: -3143 Waller Street Jacksonville. FL 32254 5. SURETY (If applicable, a copy of the payment bond is attached): Name: 6. LENDER: 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, 8. In addition, Owner designates Phone Number 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. N PAC' -SAM• Owner signature or er essee, w Owner's or Lessee's (Print Name and Proms eSignatory's TiWOEice) Authorized IDireiictor/ParinerlManager) State of F IC iT_ County of Cli1 The foregoing Instrument was acknowledged before me this d- day of l In W , 20 by Who Is personalty known to me O OR Name ow making statement -{ who has produced identification 7 Ltypeofidentificatiopproduced: 1 Vi/ 4 JERIKA A. VAZOUEZ NOTARY PUBLIC r STATE OF FLORIDA DA it AComm# FF0445W Q VAb E>PbW 8/11/2017 1 wary signature MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2016088760 BK 8754 Pg 1400; (1 pg) E -RECORDED 08/24/2016 09:21:20 AM 10.00 City of Sanford Building & Fire Prevention Division Re -Roof Permit CardAW PERMIT NO.a390 gISSUEDATE: •a l-c. 007 j r n. _ CONTRACTOR: • JOB ADDRESS: I O F • TYPE OF WORK: 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 ROOF 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 Mitigation Affidavit will not suffice as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVED REJECTED 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 CITY OF SANFORD BUILDING SERVICE Re-RoofResidential Hurricane Mitigation Inspection Affidavit Permit #: I 10 — O , )n I, ma atA o hereby acknowledg= thnt i personally inspected Roof deck nailing and/or n Secondary water barrier work at. (O 0 M P) 16 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 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 8 .06 F.S. c, j l Sign ctorDale I frd CC,& 1 3D 00 U Printed Name of Contractor License 1# License Type: ij General Ell 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 for affirmed) and sfibscribed before mythis day ofo 20 by M C 1 By- , who is Personally Known me.t has ;__ Produced (type of id ti 'o as identification. SEAL) Si nature of Notary 1Fu 61iV JERIKA A. VAZQUEZ St F rid ] NOTARY PUBLIC r.G.— STATE OF FLORIDA Print/Type/Stamp Name Expire# 8/ 044588 Expires 8/11120111/201 7 of Notary Public