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Home My WebLink About162 Bob Thomas CirA6 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION OC1 ` s Application No: Documented Construction Value: $, L Job Address: 162 Bob Thomas-Cir., Sanford, FL 32771 Historic District: Ycs No Parcel ID: 35-19-30-515-0000-0870 Residential x Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Re -Roof Plan Review Contact Person: Title: Phone: Fax: Email: LV N 1J CJO TDa "tra C f1 >vq 70 Property Owner Information Name Vivian D. McNeal, Phone: 407-321-6520 Street: 162 Bob Thomas Circle Resident of property? : Yes City, State Zip: Sanford, FL 32771 Contractor Information Name JTO Contracting, LLC Phone: 407-732-7500 Street: 106 Commerce Street, Suite 103 Fax: City,, State Zip: Lake Mary, FL 32746 State License No.: CCC1330825 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Z,ip E-mail: Bonding Company: Mortgage Lender Address: 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: 5m Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application ^T bJU 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 pennits 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 thetimeof 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 lawsregulating construction and zoning:. Signature of Owner/Agent Date Print Owner/ Agent's Name Signature of Notary -State of Florida Date D Signature of C n ctor/Agent Date Name L. M. GIESENHAGEN MY COMMISSION M FF244146 EXPMES:Ju= 24, 2019` Date Owner/ Agent is .Personally Known to Me or Contractor/Agent is i Personally Known to Me or Produced ID Type of lD Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required:; Building Electrical Mechanical Q 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 406 Commerce Street, Suite 103 4 Lake Mary, FL 32746 Office 407-732-7500 FL Roofing License CCC1 330825 - FL Builders License, CBC060138 EIN 46-5492888 - www.jtocontracfing.com BUILD/CON TI RACT CONFIRMATION Homeowner 4,/ Street & 2 -I-Qhezl-,ecte City FL Zip 3-a7?1 Email CERTAINTEED ISHf NGLES and RIDGE COLORS 1 ri'4 L, Original Agreement/Contract Date /20 AO/ Home LY01) 132/ - 6 5A0 Cell Work Mar Burnt Sienna OlDriftwood C] Landmark Pro, Hi-Def E]Charcdal Black ElGeorgetown Gray DOther 03TAA:: > MCobblestone Gray E]Heather Blend MColonial Slate E]Moir6 Black DRIP EDGE 2.5" QWhite UNDERLAYMENT ynthebc Re It, 3 0 171 GOOSE NECKS E] Dryer Color_ Mckjave Tan OPewter nResawn Shake 17ISilver Birch E] Sunrise Cedar OWeathered Wood El— OTan 013rowh Wack 0— NZVENTILATION Vent VALLEY PLUMBING STACKS SKYLIGHTS idg, 01ce & Water Shield 01-:WLead Qty— E]2x2 Qty- OOff-ridge Vent ElMetal 26 Gauge Lead Qty I2x4 Qty- 4' 6'8' Black I Brown FIClosed or [30pen t93"Lead 04x4 Qty SATELLITE SOLAR PANELS GI! S VTERROLL ROOFING Remove and Reset EIRemove and Reset CIRemove and Reset E113ase DRemove Only 0Remove only ElRemove Only FlCap Replace " New" FlRe place "New" r"I R0170of Specifications: Remove existing Shingles, Felt, and Vents. 'Inspect Sheathing and replace up to 2 sheets. Re -nail Sheaor thingaspercode. Install ice and Water Shield and/or Valley Metal in Valleys, Underlayment, Drip Edge, Lead Boot Jacks, Goose Necks, RidgeVents, and CertaihTeed Landmark Architectural Shingles. Furnish all permits and clean up upon completion including removalofroofingdebrisfromroof, gutters, and planter beds, and magnetic sweep of planter beds, walkways, and driveway. OtherSpecifications: Breakdown: Total charge for the above -listed work $—, Check # Deductible amount due Payment due $ Balance due upon roof completion Depreciation amount due Check #_ Check # Check # ll Check #, JTO Contracting, LLC has the right to supplement the insurance company for any and all additional damages or missed items pplements areapproved, Homeowner agrees to Pay that money to JTO Contracting, LLC. Hom eowner(s) MIN This CONTRACT is part and parcel with the existing Agreement/Contract. The work listed above is to be performed under the same conditions asspecifiedintheoriginalAgreement/Contract -unless otherwise specified. JTO Contracting, LLC is not responsible for damage to concrete, brick/paver, or other surfaces including but not limited to curbs, sidewalks, driveways, etc.,,Homeowner acknowledges the expla j n of I Florida SupplierLienRightsletter (see back of Contract). Homeow r(s) In itials ACCEPTED BY HOMEOWNER(S) ON: Date /6 By: ACCEPTED BY HOMEOWNER(S) ON: Date By: We hereby agree to furnish labor and materials, complete in accordance with the above s epifiqati above -stated price. JTO AUTHORIZED REPRESENTATIVE: Date By: r2w THIS INSTRUMENT PREPARED BY: Name: JTO CONTRACTING, LLC Address: 106 COMMERCE STREET, #103 LAKE MARY, FL 32746 8 I i##i#i ii#ii•##i#i i#Ii# i ii# i#ii# I#il i#ii I7r hfAll' Seminole County NE IIORSEr SEI'I MOLE CONITY CLERK OF C 1R'CU1T COURT & GOC'IPTROLL:ER BK 8789 Ps 292 (1Pgs) CLERK'S 2016108999 RECORDED 10/20/2016 12,551:08 P11 RECORDl:K FEES $10.00 RECORDED BY ,ieckenro Permit Number: Parcel ID Number: The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter713, 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 applicable) LVT IbZ £jIz., GNA )-- ?-2-771 2. GENERAL DESCRIPTION OF IMPROVEMENT: RESIDENTIAL REROOF 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: M r t I V Vu.it> Z-2-77 ( Interest in property: b1Vi l_ea>_ Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: JTO CONTRACTING LLC Phone Number. 407-732-7500 Address: 106 COMMERCE STREET #103 LAKE MARY FL 32746 5. SURETY (if applicable, a copy of the payment bond is attached): Name: Address: 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. 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. Under pen' es of perjury, I Clare t I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. ( VNIAHL Signature of Owner or Lessee or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)<9: w°a Authorized Officer/Director/Partner/Manager) x +' e State of FLORIDA County of '&UMWb ' • 3 t i The foregoing instrument was acknowledged before me this day of ;F.8_ 20 by VAS Uw1 CA! Who is personally known to me 171 OR f Name of person making statement i w twhohasproducedidentificationM4peofidentificationproduced: MANLEY J. HOOD MY COMMISSION # FF244297101iLEXPMM: June 24, 2019 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: t I hereby name and appoint: % "6-1)as. an agent of: -JTD &N4T C l i U—C — Name 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): G The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 1 -M-,W S `i License Holder Name: State License Number: Signature of License H STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of C xzeA P- 20Xi'p, by JA,lL i Jcrf AA } jam who is V<rsonally known to me or who has produc identification and who did Notary Seal) L67-61Z4 2U C tME3 Print or type name LETICIA M GATES Notary Public - State of r- Notary Public ; State of Florida Commission No. FF 6- fY'o % 6 4:: My Comm Expires Sep 22, 2017 ti Commission # FF 056406 My Commission Expires:0 Rev. 08.12) The Department of Management Services' Office of Supplier Diversity "serves those who serve Florida." ofliCe Of Spl101 The Office of Supplier Diversity provides resources designed to improve business and economic opportunities for Florida's ry U(3Ulf l=6111. woman-, veteran- and minority -owned businesses. Learn more about becoming a certified business enterprise at dms. myfiorida.cont1osd'orcall 850-487-0915. To find out about State of Florida tools supporting statewide centralized procurement activities which have streamlined y' ' interactions between vendors and state government entities, please contact or visit the Department of Management Services' J= "* MyFloridaMarketPlace at: hops.Ilvendor.mvfloridamarke(place.com 7—GXT _._._._. REFor the protection of our professional license holders, this license contains hidden security features to prevent counterfeiting. Unauthorized reproduction is strictly prohibited and will be prosecuted to the fullest extent of the law) The Department of Business and Professional Regulation (DBPR), issues licenses for many licensed businesses and practitioners in the State of Florida. DBPR is changing the way you interact with state government. Many of DBPR's services are available online at www.MyFloridaLicense.com. We encourage you to utilize these services to make address changes, licensing changes or to renew your license. Name changes require legal documentation verifying the name change, which must be mailed to the DBPR. An original, a certified copy or a duplicate copy of an original or certified copy of a document that shows the legal name change will be accepted, unless the DBPR has a question about the authenticity of the document. If applicable, the DBPR will send a renewal notice to your last known address or email address of record. If you have not received your renewal notice, please call our Customer Contact Center at 850.487.1395 or online at www.MyFloridaLicense.com/contactus. Please refer to your profession's governing statutes and Administrative codes for further information regarding renewals. These may be accessed from our website. SanfordCityof Building d . Prevention Product Approval Specification Form Permit # Project Location Address 162— '$t i4iyl,st_A Lop V-L 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.org. 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 t Subcategory Manufacturer Product Description Florida Approval # including 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 Underla merits 1 A? — 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 u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates En ineered 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 MANf1 , Please Print) June 2014 City of Sanford Building and Fire Prevention Permit # Project Location Address i 62— 'ice ` rr A j t4p, r FL 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 obtainedat.floridabuildi'n .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 Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # including 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 Underla ments t j 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 u 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 MANU-:V , Please Print) June 2014 qO 7- 6 P.O. Masimo,Constfluction, It. pdtj Atrt,t pin _ 11D aho aa r t ral L CLc` Add; - 1 `s AC-CM11TANCEZZ OFACR a 1 MNT FA aflo dean 4101 o' WIN Itm, r mtt r. r ta 9 f tir a e Ott#+a r9a s tt rr s,d a by Wit+ ' tit a b, _ "113 t1ill fAa a7 t y T i P at Yt ti¢w1 a t3€ r . J C; T f iFt t t IC Ls 9 ttt3 `mr:T tAOQ Z!34 4 FDtri JIM try r f3ss* cWOI srry tnd" S,t a In t cstu y r4n ticrr ; 6'r " #d pay'un.—Il;r Itto thud wOr JoWv6 01; lmowultm, jitauvods wlm A,44opl, io'by 6.'Sa Y'4 9;9 Stg` th(84E *' FtG' iM r t" 4 Yr.-U -SA4EaMP+# i C yam. orrum f:^pv Vt.` (' :c?•' p 1315'V..Pine iva Srrem Altamonte Sprtngi, VL 32744-2006 407) 682-1 THE UTINDERS GNMOWNER HERil Y -AIPL Y THE ERSif Bta?-Tex JU iv to rent, l tirimic tend 2taazaatte the mil PromtY situated itr th:.:. itscs of —dill ZA P(s) - _.LL Co- U11(las or Property Address ciattx bes"iitino ` of Florida. year- and automatically renewed after tht"Cap ri'ota datc of each teml WPQn: the fbfloiwing TERMS AND ON 11TI NS Con:Waet try be ca ntet.ted c%ith 60 days' noticepmvided ail f s arc pald.'to Presidenria, bra St aath, LLC. -"is ce cellation tartl?'aptalics 10 tart lS t h P'regidczill; i' a r,`p-Souill.,L w current e I ve i rnaj! r t 1"4es BROKERS 0BUGATIONS The Owncelgmhls t6lb Broker fate follo*ing dtatieo, ilpth0n, 1y nntl po'vv . t:I1 matrageineat an€l coon 01 a.f said property %'viih etttiacartt to called, all rentsand othee r on and securities fmm tennnts in the 'PropertY attd.is-Sttc recdios the bf ra are sttate new le;rses anrt:ate a.l car dslin rases, lit ccordartce avitlt the rant silt dale at=.tl. terms tip aptxmmed by the Owner ay.J the Brea ajoially. Broker si ll bttu le all tcwr ovi rs; uMs and ne ttiralions that may ar°t . C, To'have rg:; naacl to and to par bills and c liar e one to f wfler. , lie C7=ilia tap rrcttiatl:stiail iir t c.+itaittctl 'ut e prc trtttcats ,ncl; airs tla d cxcecci.t.€ i Cast (except emer'i rtty t gascs. ,At ahiv.tet xu iass+ d. tl s'agre t t i'e "i ta srtse the t lili tti rt ol"at y tttt f e terwd ittt .its+ t ti_ a alttk r n °tfte:tJ'net' ehaI . au zrner en rcpaav is tea ry« turd r s tuptidos its° tch tYould either redder fht pl rises taiatt'it isle eta tlic t ... t .r. faradr such circta,mstandc. as, replirso -'t necesmry to. j7Tt4 35 adtrrl t trt thC-P e t , 8T&kvr is 4imb prized to take what -i-eacilon an awng:r of rea lma le'prud ce and tt%cem wool .be expm,fed tct..undtMke for tho- proTectilon of1his pert}$"atir3 er t9i fts ttlli i t taffi lei ' e l irbli tii n tn.atae ittraariL ,ith ri,gard to skit, emergent y .r ptairs, . Brokcr is uthtts zed ttvt tr end Mot r unis pft`a one ds tsnay 1* rNuired, and may'reinibursseit=lf fur.siaid repair taut.c t rtiit:s cqkl"cctcd in -the eventOWner dcKs nrrt reia'rtbis'rsc emk fca satrat m i#tin th y t dais lrctrrt a citatc t f;eit places saidno ltro'tlt F e. The Rroker hemby a cepts`t Ag,ett c and agrees to perform fitlt f liy grad ciil:l tl t= clue t~s O a fval, peak ;r a ypa c tm `t"l e ri lter ttt 0 ap t. ?;antes a tc piz wtacnt eir:ntal bps tlzea tenttrtt but cvtll l:e c eFfort t ticct.sart?e: Brokoe shall maint tin acmrate mcor'ds4 all r toaaies receivid .attd &; burscd, in mint L lion Witl3 the malltlgementOfthe Prop yr. Sol ch r'ecordk shall he opened for ataspecti0A 4y:0wwr at ail t'ca alale i rolls Orokers `' l rctt,,rA*et.i,ttitiized,,,qtzr,,e3,btr4,iof'Iteeipis, expetise ch, arges awl aec? ttl and tr} rem ct to O ner recap 1 disbur, iam rrta taaatl ae tua3s f'dr ruturc €ac ss let the; event disbum rnc ts shill exccecl .eiptsa iter s}37 pr raiptl: r;l:t abttr the $sdkm' upon ream& owner, • littt'res a lsibilit f6r,thie payment taC e y .. and cahlipatidn i neurre+d in mmection -v.+ rule Ific eftV_ise of set forth I rein0. OWNEWS-69"GATION g fve,_S: I I I 64-v [he , fi, k t i - - 6nAL 4, . OMP ro, Q"IS' expetpes, atturneviimi,i L Hip v -c 1401 jw lc.q5_,fr0m,any*,d 40, or CIO iins kwr&uita*A& lilclu&:but not- I haited to'thmse arLimp,011t of ally 1nj4Urk,i,"..r(k-jth40 11 y ",t)n or pcilsiftg Or dnrli,a ue oily propcoyvrarry k M4 wJ131 ear and -to b0oft9ing. 1VCIUdinp__0q-otr. in any u- oil hk cir itheroftpiMsbryflicWooerfir4,1* perfclrm ij* 6rievcereisc of upy ofilic duitcs, POWerS (w Utxlt qlr S 1, urcin 'Oct *% y alvj,eln place-listlrance a , k Perlis T fire. Wifitnino, wind,140, kiko,, 0ON16-Ao rt, sm on 111c comeltm 2 - All kL15k," protoction.'on the buildimg and rV111111 Income. 0000 i, lnslirwlt for 44tTil4yfor .emlnalirijtirs, al:vd,proper v daTnAge in (11CM U011111bf S300. - . 0 4_ AAY1141, 4 l, crbwlltd,"slljallbck ilIe Owner. lite N14ljc&#iplinmetheOrclktr 1Tpt of concert 10,ihe owncr< The Brokcr is hgrel7y directed it) zetme and fw) for Illfollk,)Nvijig from the Chvner*& No& t canertts_ to pay a rcol-er a Jte ter kc,,q ibr str0t:04 rcodcu-d w dle raws 110tinuf1tr Awt roxih., Owmil mcog cs Oro, k" w, p,pit iii amy at tatcut crag rai rive it, 11Wgrope 'y or Art tb&, n any peOr %y-h wj it'c t7rast:r:tii7aaat cl ;hall Wicd doring the tcm hereof 4 c -kss;tc l3ro r Such compensati is c m d p , b ker in arcs ixiarlc, with tl c al" herainafter sm fbrth, on I dil I Ilya Ic q" (Igitiand aqd timy, be, dhilicW4 bdie" wx (Tenzer rzi%zipt, *1 f"4grCeillellt j5 c4jicelcd due wsaie oimimtor bamt ciwriaci ovj,cr"Wl, juxw IMONT14 MANAGENII. C.NM )V% 0 LEI'ONS'U.PTOA MAX]iMVIAlOFSg-r,.!Jt)lk COle6jores to i m ell We Relill, rorli!ited Setunity DePo5its ap pt ied to" rent (trot for 6maggcs) Fbril,oited, Purcigise ., pt jioq,5] ATTORNE'V,'S — LEWSC, ()RAFTING: Ih thcsrlatc offilorida to Broher is mot ipfievved to by liaw Jo &ufl zz Witse, the'rt fore. them 4V111 be an admirti tr atiy°e kT of $50.00 fair preoLlratiOn of the tesse. 'The charges 'to 4:4-wer, the.wattornev's few Inc! atttruanistr tive dva.rg -011 be cope1ited f*vm ir-A m 'tcceivvd if Ut-oker the r oniet 11% OF ONE,, NIONT14S RkNT V 1;'KTI S I NG 8,4 TAYS ALL ADIVEIRTISING,COSTS. UKER,_ F-rX)TIIATING FEE TIVE, AND N, T MON HSCZLECIAONMCTP - 'RIA, j (()XLY TWM-PER.OVI"UNDS- S100TEKMO, TFLANSOFyes, pleme pro Vidv,wopy of voided -fleck FE RRE D) CS 0 CTAINS' QuuiteChargo14AR(1413S OR _ KERA ,$' ' 1 1, TiceBrokernettthisv-&cIqAVt- emploNqncillt aitJ a°;Mcs to uk jue'dili—ence T'P I djvrexerciseofthc d, wits.-awhork), and powers qmrcwvd tollihini trod Lr'T110-rjCMs hereof. TH5 tonlract WY also be Lanceted fiat claose, on sale of said Property In tat ndtmnatluij or,itle, ban krupto y or insplveqcy of elther POY, W ERSAMJ&S:,L- LNIA iLADDRE S S N j:- Me$ --o -7 _? A Best phonenumberto reach yoll m fill t.i , - 4, 4-t- Tt Courjvw mAP r-i- 72 74 F; vai, 4 qqlAt -YN UN111GA- IA T) ft 11 N1 City of Sanford Roof Permit Application Checklist All permit application packages must be, complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: Building Permit. Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. I Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). A site specific notarized power of attorney shall be required from the licensed contractor if fie/she appoints an employee of his/her company to sign the permit application as the contractor. C Certificate of .insurance indicating worker's compensation insurance coverage and naming. the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. PERMIT NO. CONTRACTOR: JOB ADDRESS: I City of Sanford Building & Fire Prevention Division Re -Roof Permit Card ISSUE DATE: LLC Bob 7%-o rv)cis -if` r . TYPE OF WORK: e roc* k5h, a gleS 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 REQUIRED * * * 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 Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: I V ZE4 j I, 1A•lu.fcy 5 1, hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at 14p4 tm Topr. CjP , , YL 32 71 and have determined that the work Job Site Address) T 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. Signature bVContractor i+ At1LX_:1(- EF'F t6t Printed N me of Contractor l0e, I& Date C64, )b License # License Type: General Building Residential IiXoofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF SEW 1 Sworn to (or affirmed) and subscribed before me this .2t 5— day of [x'T7_, 20 16 , by NiA Nt„y }, , who is WPersonally Known to me or has Produced (type of ide i ' at' ) as identification. SEAL) Signature otary Public State of Flo ida Print/Type/Stamp Name of Notary Public LjoijN_ LMX GIESENHAGN YCOMMISSION # F44146 u.Jwam24, 2019 Wvww