HomeMy WebLinkAbout142 Circle Hill RdJ ob Address: I q"I (2 *a J I I R6
I Sun -6i 32-173 Historic District: Yes F1 No 21
Parcel ID: ()LA 0 - 30 - 5 1 -1 - OCOD - 0 -, 3-0 Residential FYI Commercial F1
Type of Work: New n Addition F] Alteration F] Repair El Demo El Change of Use El Move F1
Description of Work:
net) a)nurl a e
Plan Review Contact Person: N&C-cy-, Title: in Ln
Phone: o'l 2_U Fax: (09) q36 - (01 _b Email: (Y), X&n 60 QlLim b COO, C'O(h
2 33-1
Property Owner Information
Name bo(x 'eL Phone:
Street: PAI Q_,02Ag_ J,Jl RA Resident of property?
City,StateZip: S0,A'x6 'F _ 31-7-7
Contractor Information
Name Ao_-seoy\ Je, Phone: Noll) gso- Oal-v
Street: 19__Y o PGVVIVIAE lw 31 e_ 17 Fax: (LA01) q2,0- LOW
City,StateZip: Q(CuActg -3 2WOi State License No.: I 1- C)l q
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Arch itect/Engi neer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY 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 pen -nit 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 perfon-ned to meet standards of all laws regulating construction
in this jurisdiction. 1. understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters, 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: 5" Edition (2614) Florida Building Code
Revisc& June 30, 2015 Pennit 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 pen -nits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance -of permit is verification that I will notiry 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 exectited contract is required
inorder to calculate a plan review charge and will be considered the estimated construction value ofthe job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in eff6et 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 pennit'fecs 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/Agcnt Date Signatu;bf`C_ ctor/Agent Date
Print Owner/Agents Name
Signature of Notary -State of Florida Date
Owner/Agent, is Personally Known to Me or
Produced I-D Type of ID,
o e_bh K . _(x 6
Print Contractor/Agent's Name
Signature of otarv-State of Florida D te
KE" REECE0,
my COMMWK)k Is FFMI 20
ExptRES october 06. 2019
t467) 398 153
Contractor/Agent is X Personally Known to Me or
Produced I D Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: BuildingF] Electricaln MechanicaIF] PlurribingFl GasE] RoofFJ
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: YesFJ Non #of Heads Fire Alarm Permit: YesFJ No [I
APPROVALS: ZONING:
ENGINEERING:
UTILITIES:
am
WASTE WATER:
BUILDING:
Revised: June. 30,2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: Gulf Western Roofing & Sheet Metal, LLC
Address: 8350 Parldine Blvd Suite 7 mAt%'yAN1qE MORSEi, SEMINOLE COUNTY
Orlando, FL 32809 'MERK OF CIR.CUIT COURT & C--ONPTR.OLLLR
BIK 8774 F'9 807 (IP35)
CLERK'S t 201,6100662NOTICEOFCOMMENCEMENT 04:212,21 PH
RECORDING FEES
State of Florida kECORDED By' jeck-erwo
Permit Number: Parcel ID Number:Qci-ac-3o--5M-000c o.',at
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 thisNotice ofCommlencement.
DESCRIP JION OFP
I
ROPERTY: Legal description lofthe property and street address if available)
m6N(fov-
q
LIC-+ Xk ?b PGS 4 i 7 S-
GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
OWNER INFORMATION:
Name: it Do,-A
Address: ILta C(f-dt Wkk
Fee Simple Title Holder (if other than owner) Name:
Address: NIA
CONTRACTOR:
Name: Gulf Western Roofina & Sheet Metal. LI-C
Address: 8350 Parkline Blvd Suite 7, Orlan o, FL 32809
Persons within the State of Florlda'Designated by Owner upon whom notice or other documents may be served
as provided by Section 71 3.13(l)(b), Florida Statutes.
Name: NIA
In addition to himself, Owner Designates —of
To receive a copy,of the Lienor's Notice as Provided in
Section 713.13(l)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date'is I year frorn 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 IMPROVEMENTS TO YOUR PROPERTY. A W
NOTICE OF COMMENCEMENT MUST BE
I
RECORDED AND POSTED'ON THE JOB SITE BEFORE THE FIRST
YOUINSPECTION. IF INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Und that I have read the foregoing and that the fac;ts stated in it are trueor G
to,the
Owners Signature I Owners Printed Name
to713.1 (l Xq):"Tho owner must sign the, notice of commencement and no one else may be permitted sign in his or her stead.* 43 0
0
Step of Countv of
The foregoing Instrument before me this-day ofwasacknowledged .20
by fN7r-(---z1j.t IL. Af Who is personally known to me
Name of person makingstatern t
I i, - L' t - - U,
OR who has produced identification 9pe of identification produced: , -,s
RObNEYPORR
Notary, SignatureMYCOMMISSION #FF080161
EXPIRES December 30, 2017
07) 398-0153 FloridallotaryService.com
Lu"
L
THIS INSTRUMENT PREPARED BY:.
Name." Gulf Western Roofii'A Sheet Metal, LLC
Addrots 118350 Parklin6 Blvd SuiW7
Orlando; FL 32809
NOTICE OF COMMENCEMENT
Ll COUNTY
QNPTROILLER:
21 PM
State of Florida RECOWED BY jevck'lnro
Permit Number: Parcel ID'Number: ;(D -- 30 - 5k-A -00'00- 0-_-0
The undersigned hereby -gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713i Florida Statutes, thefollowing information is provided in this' Notice,of Commencement.
bESCRIOTION OF PROPERTY: Legal description of the property and street address if available)
mtN'6 mi Z
I LA -), P'n , C- k -
GENERAL DESCRIPTION -OF IMPROVEMENT:
Re -roof
OWNER, INFORMATION:
Address: I Lt D C_ —d
Fee Simple Title Holder (if other than owner) Name:
Address: N/A
CONTRACTORt
Name: Gulf Western Roofing & Sheet Metal, LLC
Address: 8350 Parkline Blvd Suite 7. Orlando FL 32809
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 7113.13(i)(b), Florida Statutes.
Name: N/A
In addition to himself, Owner Designates — ----- of
To receive a copy of,thp Lionlor's Notice as Provided in
Section 713.13(l)(b), Florida'Statutes.
Expiratio ' n Date of Notice of Commencement (The expiration date is I year from date of recording unless a
different date Is specified)
NOTICE OF COMMENCEMENT, MUST BE, RECORDED AND POSTED ',ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF Y OUJNTEND TO,OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OFCOMMLNCEMENT.
Under penalties: e rrjj I d clare that i have read the foregoing and that the facts stated in it areAruePu
Z,
to ftb Zrs f kno l2d;e nnd belief.' e f w
5
Owners Signature' I Oiwnaes Pdnted.Name C4-, ::k
F 713.13(l Xg):'TheoWner must sign.the notice'of commeneernont and noone else may 4e permitted to sign in his or her stead." ridato 8, to (Jyg), 0 ±J, LU,6
U,
Stat6of Countv of
the foregoing Instrument was acknow,e dged
I
before,me ibis 65 ---day(
ja P, Who is. personally Itnown to me Q
Name of person making state t
OR who has produced identification 9pe of Identification produced: -rc
RODINEY POFIR
MY COMMISSION #FF080161 Notary Signature
EXPIRES Decernber'30, 2017
4W) 398-01'63 FloridallotarySeniiiae.com
color Selection 'heet
Homeowner Name:
Adke-44 ress:
Color Selection: L-
ivianuh)cturer:
Dr'IpE-dge:-
rri k-, -e c -Mptionsof
i authorize G- ul-Ir Western Roofing to use the photographs of the exterior of
n-Pq house takern in the re -roofing process for rnarketing purposes.
L,/YOS no
8350 Parkline Blvd. Suite 7 Orlaindo, FL32809 1 (407) 930-6726 1 %,vw,,,i.gulfivest,arnrc)ofing-com
6350 ParMhlf' FWd , Suitt, 7
Driand1b, FL 32809PROPOSALPhone 407-930.6726
F_: 40.93M73L
Pric—Ing:
i igfe Roof Systern S 8,735MGERTAINTEEDUANDMARKLimitedLifetimeArchiiIGILJralAsphaRSh -
Draw Schedule:
10109, due upon OnIiJ!ion,
The 8uifding Code requirement fotlbv^:'
Vhf"r I a rool, is rep Iace d on I bui 10 ing Th Cit i n a vv nd.bome debris rejo I I as Cie "I in ed in
of the F orfda Building Code, Building and 0',V' has an ij-jsured, valife Of $3WOUD Or rnore, if
the bdifdlng is Llni(ISU'i'Cd Ol' for doc tirr h Sic-titation of insured vaiue ic no' P rf, s C- - a jL1
rem laxation of 300,000 Orfalua4jOnforthest, lor of ad valo,
I,Vall by S&G inonsS11,111
ateo retcafits, o,' ine roor-jo-,V,:J --,,jjnecfion sl-84 not be reqUired DPDYU,Id ;1 15 -i fcenl increasc
in ll-e osj Of the --miring. I - I -
ed in jpctioi, 20 1,3 Wouldcon1pleterc-trGiiits 0; 311 th a conneclions as PlesoribI -
ha
S Percent of Via (,Cist ol ltv- l'el- oofing pra eC, Lhe Pri j in scotj,jinf 201.3.5 sh 11 be,
i,-- io lit the oi, !o lh'- I
Disclaimers:
od for 30 days. Ott,
Sf-r ations in the C(-mjstrjjCtiOrjg j%tjat(-,,nals Market-, this, proposal is gooildarytofluctuz, ated materialsjrjibsc.ornmencing after that point may require a price ac ustrnent for the- cost of iob rel
Wof -e to be expected, Notify US ill writing i' C tJ'Ie- a'
s i c e s not indicatfA, are retjLlireC4,
GWRSINI will take all necessar j and -,ippropriate precautions to avoid darnage tO the driveway and
surret.trlding proprerv, but will not be held responsible shculd any damage occur.
Sincerely,
Signature Date
By signinq is proposal, 1 ac-ept and unders-Aand the
nandacknofriereadinaa, Temis set forth qjuNn a
Signing the back of Ihis d)runlPrlt
Ro i Porr
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ISSUE DATE: /0. 0 V, /(00
CONTRACTOR: t.4 t& I
JOB ADDRESS: 141
TYPE OF WORK:
0
Ir C' I e.
r ^
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 Mit gqtion Affidavit will not sufice as an alternative to receiving a dry -in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECYOR
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
TO SCHEDULE AN INSPECTION:
Dial 855.541.2112
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 pin for assistance.
AUTOMATED INSPECTION SYSTEM CODES
ROOF
Roof Dry In 116
Mitigation Affadavit 129
Final Roof Ill
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.SG2.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 16-00002640 Date 10/04/16
Property Address . . . . . . 142 CIRCLE HILL RD
Parcel Number . . . . . . . . 04.20.30.514-0000-0220
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 956284
Permit pin number 956284
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
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: A6- 2 64 0
c) se-ob X , L tvy) hereby acknowledge that I personally inspected
I
1"Roof deck nailing and/or 11 Secondary water barrier work
at H 2- (1"(J e- 14,11 11(3c,_6 , SM F 2) 2-7 -7 3 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
Sectio
Sign6fure Y Contractor Date
K &,A,, 0 K CCC 11:3C)'314 8
Printed Name of Contractor License #
License Type: 11 General Ll Building 0 Residential X Roofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before me this t- dayof 0rjp1oe_v-_,20 kb 9by
who is 5-"'P-ersonally Known to me or has 0 Produced (type of
ident*fi ti as identification.
SEAL)
Signature of Notary Public
KEffH REECEStateoforia
MY COMWWON # FF925120tece_ EXMES 0CWbW 06. Zh9
Print/Type/Stamp Name 53 FbrWa14ouwy5e.-##A*x=
of Notary Public
3