HomeMy WebLinkAbout1001 Laurel Avei CITY OF SANFORD
OCT BUILDING & FIRE PREVENTION
PERMIT APPLICATION
t JI
Application No:7 14
Documented Construction Value: $ y 4 q 1 -
Job Address: 1001 LAUREL AVE SANFORD, FL 32771 Historic District: Yes No E
Parcel ID: 25-19-30-5AG-1207-0060 Residential [f' Commercial
Type of Work: New Addition Alteration Repair ZDemoEl Change of Use Move
Description of Work: Re -roof asphalt shingles House and detached garage
Plan Review Contact Person: Teresa Chamberlain Title: Operations Manager
Phone:407-389-9011 Fax: 407-512-0434 Email:teresa@bisonroofingandsolar.com
Property Owner Information
Name Paul Williams`
Street: 1001 Laurel Ave
City, State Zip: Sanford, FL 32771
Name Adam Coughlin
Street: 541 N. Palmetto Ave Ste 102
City, State Zip: Sanford FL 32771
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: (407) 716-2332
Resident of property? : yes
Contractor Information
Phone: 407-545-7226
Fax: 407-512-0434
State License No.: CCC1330350
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 1053 Shall 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 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 comp ' ce "th all applicable laws regulating construction and zoning.
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Signature of Own /Agent Date Signature of Contractor/Agent bate
Y C_vk 1 ko Ad &,n 4 a -)I ,
Print Owner/Agent's N e Print Contractor/Agent's Name
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Signature of Notary -State of Florida Date Signatu otary-State of Florida Date
NICHOLAS LINDEMANN
MY COMMI SI * FF9159 4
Owner/ i k l 'B4r s11 or
Produced n 6,M53 T
NICHOLAS LINDEMANN
a
MY COMMISSION 0 FF915924
EXPIRES Seplember 07, 2019
4072.a0t53 F10nd3N 8wma.aew
Contract nown 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
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: /11 a 7 / (v
I hereby name and appoint:PSa (`C 1 r CCt n
an agent of:
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):
19- The specific permit and application for work located at:
DD l 11re Sam, -6 r-W F/ 5Z77 1
Street Address)
Expiration Date for This Limited Power of Attorney: l off'` -7 Z/ 7
License Holder Name: Anil
State License Number: CCC /3 3D 3,SD
Signature of License Holder:
STATE OF FLORIDA,
COUNTY OF
The foregoing instrument was acknowledged before me this a7 day of p ,
20614, , by A "n 6X14_ who is $,personally known
to me or who has produced as
identification and who did (did not) take an oath.
11AV
CCNPIICa
HOLAS LINDEMANN
t M"1"LUMMISSION it FF915924
fa;t EXPIRES September07.2019
40) 9BOISA Rti IWrN
Rev. 08.12)
Signature
t d_1 IGLj L/I /2'_
Print or type name
Notary Public -State of -/oar
Commission No.
My Commission Expires: -7
THIS INST esa EVjTMPPEPaIRED BY:
Name:
Address: 541 N Palmefto ave suite 102
Sanford FL32771 NOTICE
OF COMMENCEMENT Permit
Number: Parcel
ID Number: 25-19-30-5AG-1207-0060 t (
i il'V"1'ii'1E 1`10R'3E, SIENINOLE C-'OIJ aT C:
I._liRK. l:)E_ C)*RC:U11' COURT & CC PIPTROLLEF,'. t3
L.
LEM"S Y 2016112072 REC.'
ORDEL) 10i27i2016' 1i2`i-.110 1'111 Ef0ii,,
D1i1G FEES T:•1il,ilil REC014,
E , B's' -idevore 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) LOTS
6 + 7 + N 1/2 OF ALLEY ADJ ON S BLK 12 TR 7 TOWN OF SANFORD PB 1 PG 57 2
G eE0o1',
E"
CR't
shingles PROVEMENT: 3.
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name
and address: WILLIAMS PAUL D Interest
in property: Owner Fee
Simple Title Holder (if other than owner listed above) Address:
4.
CONTRACTOR: Name: Adam Coughlin Phone Number: 407-545-7226 Address:
541 N Palmetto Ave Suite 102 Sanford FI 32771 5.
SURETY (If applicable, a copy of the payment bond is attached): Address:
Amount of Bond: 6.
LENDER: N Address:
Phone
Number: 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. Name:
Phone Number: Address:
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. ao
lowf
Owner see, or Owners or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized
Officer/Director/Partner/Manager) State
of FL County of Seminole / The
foregoing instrument was acknowledged before me this . day of l/ c by
Paul
Williams Who is personally known to me 10 OR Name
of person making statement who
has produced identification type of identification produced: NICHOLAS
LINDEMANN MY
COMMISSION M FF915924 d "
EXPIRES September 07, 2010 noz
a .olsa PloraaH s«v,a.m« . o _
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address 1001 Saar - a % 3-, 77 /
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.or.
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 c La A `,.t a f- L ,'f'y-
Underla ments u 2_ F1 / 52.>G - 12-2-
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 _'1,= R
Please Print)
June 2014
Jy
S R26 MATERIAL SPECIFICATIONS CONTRACT FL License No. CCC1330350
Protecting Your Greatest investment
Customer: Psi iI Williams Cell N407) 915-6656
Address: 1001 S Laurel Ave Home Ph:
City/St/Zip:Sanford FL 32771 Email: infoQ_drinkatwestend.com
ROOFING
Brand/Style of ShingleCertainTeed landmark
Color of Shingle:Colonial slat
Tear off: X]Yes No # of Layers:
Replace:
l Felt 15 lb
I Pipe Collars: type/gty:All
Vents: type/qty/color:
Chimney Flash: size:
DI Other: Drip edge
Other:
Other:
Special Instructions:
Satellite Dish: remove, reset & align/callibrate
Other:
Other:
Wood Replacement, if incurred, additional $ per sheet/If
SIDING
Brand/Style:
Size: Style: _ Color:
Replace Front Elevation: yes
Replace Right Elevation: yes
Moisture Barrier: yes no
Notes:
REPAIR ONLY:
no Replace Rear Elevation: yes no
no Replace Left Elevation: yes no
Foamboard: yes no
Fascia Wrap: color size
Front LF rakes eaves Rear LF
Right LF rakes eaves Left LF
Window Wraps: ea color
Door Wraps: ea color
Garage Wraps: ea color
GUTTERS/DOWNS
smooth PVC
rakes eaves
rakes eaves
PRE-EXISTNG DAMAGE
Leaks/Interior Damage: yes
Other:
no Driveway damage: yes no
ADDITIONAL WORK/INSTRUCTIONS:
Nonce and aaraae
MATERIAL DELIVERY INSTRUCTIONS:
PROCEEDS BREAKDOWN
Insurance Co:
Claim #:
Total Claim Amount:
Total Upgrades:
Work not Doing:
Contract Total: $$0499
Contract total will change if decking needs to be replaced and/or if your
insurance company pays a supplemental amount due to any inaccuracy
regarding the scope or funds allotted for work Bison is completing. Bison
Roofing will not increase the contract total due to supplements unless the
supplements are approved by your insurance company.
I agree to pay Bison Roofing any additional charges for decking
replacement and any supplements that are approved by my
insurance company. Initials:
smooth PVC PAYMENT SCHEDULE
smooth PVC
smooth PVC Deductible:
Gutters: 5" 6" LF Whole House
Downs: 2"x 3- 3"x 4-R LF Whole House
Gutter Color: Downs Color:
Gutter Guard: GG Color:
UPGRADES
Type Qty Price Per Total
Type Qty Price Per Total
Type Qty Price Per Total
Type Qty Price Per Total
date due amount
First Pmnt: Upon completion 8,499
date due amount
2nd Pmnt:
date due
Upgrade:
date due
amount
amount
Workmanship Warranty: 2 year workmanship warranty on full
replacement contracts only. Warranty is not effective until total
contract amount (including supplements) is paid in full.
Customer Signature.\ 10/10/201
date
Field Supervisor: 10/10/201
date
Mgmt Approval:
date
UPGRADE TOTAL: $ *Contract is subject to final approval from authroized management
THIS CONTRACT CONSISTS OF THIS PAGE AND THE REVERSE SIDE OF THIS PAGE AND SHALL BE CONSIDERED THE ENTIRE CONTRACT BY BOTH PARTIES
This agreement ("Agreement") between Bison Roofing, LLC (the "Contractor") and client(s) named on the reverse side (the "Customers(s)") is
composed of this page and the reversed side of this page. This Agreement is subject to the following terms and conditions:
1. Payment Schedule: Upon delivery of applicable materials, either (A) fifty percent (50%) of the total amount becomes due or (B) the
first insurance draft is such amount is approved by the Contractor. The remaining balance is due upon completion of the work. For
work triggering insurance coverage, the deductible is due upon insurance provider approval. All payments must be made to the
Contractor.
2. All direct costs, overhead, and profit paid to the Customer by the insurance carrier are included in the agreed amount with insurance
carrier and are due to the Contractor in accordance with the payment schedule set forth herein. To the extent necessary, the Customer
assigns all rights and interest to insurance payments to Contractor for the work performed.
3. The Contractor shall have no responsibility for damage from wind, rain, fire, hurricanes, tornadoes, windstorms, or the natural perils
or acts of God.
4. During the duration of the work, Customer is responsible for any and all interior damage so long as the Contractor has taken the
appropriate action to protect the roof and/ or siding during the repairs.
5. The quotation on the face hereof does not include expenses or charges for bond or insurance premium or costs beyond normal
insurance coverage. Any such additional expenses, premiums, or cost shall be added to the total agreement amount.
6. Replacement of deteriorated decking, fascia boards, roofing jacks, ventilators, flashing or other materials are not included unless
approved by insurance carrier, and will be charged as an extra cost on a time and materials basis.
7. The Contractor shall not be liable for failure to perform under this Agreement due to labor controversies, fires, weather, inability to
obtain materials from usual sources, or any other circumstance beyond the control of the Contractor.
8. The Contractor reserves the right to revoke this proposal 90 days from the date it is accepted. After 90 days, Contractor reserves the
right to revise its price accordance with its cost in effect at such time.
9. If roofing and sheet metal work is involved, it is understood and agreed that the Contractor's standard roofing guarantee, a copy of
which is available upon request, applies and that all terms and provisions therein shall govern in addition to this Agreement.
10. 90# roll roofing is not a warrantable product, and will not be warranted against leaks by the Contractor. However, if specified in
writing and signed by both parties, the Contractor will service the installation for period of one year.
11. The warranty for work does not cover ice dams (thawing and refreezing of ice, water, or snow) or any other damage on or below the,
roof line due to leaks by excessive snow, excessive wind, wind -driven rain, ice, or hail during the period of warranty. The warranty is
non -transferable.
12. The Contractor is not responsible for pre-existing deficiencies that manifest themselves during the work, including but not limited to
nail pops, plumbing vent pipes, wood rot, and decking deflection. If a construction problem is pointed out prior to construction and
Contractor is notified in writing. Contractor will, within its means and capabilities, try to assist Customer on a time and materials
basis.
13. The Contractor is not responsible for de minimums damage in the ordinary course of construction, including but not limited to slight
scratching or denting of gutters, downspouts, existing siding and windows, oil droplets in driveways, hairline fractures in concrete or
blacktop drives and walks, or damage to plants or shrubbery. If excessive damage is caused by Contractor, Contractor will repair or
replace damaged area only at Contractor's expense. If there are any solar panels on the roof, the Contractor is not responsible for
damage during the repairs. Customer agrees to have a solar panel contractor take the appropriate action to protect them if necessary.
14. Any supplement approved by the Contractor's insurance carrier for additional work or cost increase shall become part of this
Agreement. Any upgrade(s) or additional work requested by the Contractor that is not approved by Customer's insurance carrier
Customers (brand, style, color, etc.) after said materials have been delivered or is in route to the Customer will result in a 20%
restocking fee based on the replacement cost of said materials.
15. If the Customer fails to perform its obligations under or breach or terminate this Agreement without the express prior written consent
of the Contractor, the Customer shall be liable for all actual and consequential damages. Any default under this Agreement is subject
to interest at the rate 18% per annum or the highest rate allowable by the law. Liquated damages for wrongful termination are 25% of
the agreed -upon fee, which is an addition to all other damages, and this is not a penalty.
16. Waiver of Jury Trial: in any civil action filed in a court of law or equity for any claim or cause of action arising under or related to
this Agreement, both parties agree to waive the right to a trial by jury.
17. Limitation of liability: the Contractor's liability for any claims arising under or related to this Agreement cannot exceed the agreed -
upon price for the work in this Agreement, except the extent those darnages are proven to be solely due to the gross negligence of the
Contractor.
18. If Contractor is the prevailing party, it is entitled to recover its Attorneys' fees and costs.
19. This Agreement or warranty shall not be assigned by the Customers except with the written consent of the Contractor.
20. This Agreement contains the entire understanding of the patties with regard to the subject matter contained herein and any
representation, statements, or other communications not written on this Agreement do not survive the execution of the Agreement.
This Agreement shall not be amended, modified, or supplemented except in writing between parties.
21. If any provisions of this Agreement should be held to be invalid, illegal or unenforceable, the validity and enforceability of the
remaining provisions shall not be affected thereby.
22. You, the buyer, may cancel this transaction at any time prior to midnight the third business day after the date of this transaction.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16-2894
I, Adam Coughlin hereby acknowledge that I personally inspected
R Roof deck nailing and/or 0 Secondary water barrier work
at 1001 S Laurel Ave Sanford, FL 32771 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 837.06,F.S.
1 /10/16
Signa ure of Contractor Date
Adam Coughlin
Printed Name of Contractor
CCC1330350
License #
License Type: General Building Residential 0 Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF seminole
Sworn to (or affirmed) and subscribed before me this 10 day of January , 20 17 , by
who is Z Personally Known to me or has Produced (type of
identi <cation) as identification.
SEAL)
Sig a of Notary Public [
4011
NICHOLAS LINDEMANNStateofFlorida':
MY COMMISSION # FF913934
Nicholas Lindemann EXPIRES September 07.2019
Print/Type/Stamp Name 3980153 FiodaaN swr ,c..aom
of Notary Public
3