HomeMy WebLinkAbout2404 Adams Ct (2)Job Address:
Parcel ID: - -5l —
SEP 26 2016 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: e - 9,4919
Documented Construction Value:
Historic District: Yes
Nory
Residential 0 Commercial
Type of `York: New Addition Alteration r" Repair Demo Change of Use Move
Plan Review Contact Person: W,j <« /k; I(eer Title:
Phone: Fax: ,ja'— ' //Q Fax: Email:i l a,. t; [ cg yl 7(dT% --f61 r
Property Owner Information
1 ,
Name \ 1( `
J1r
Phone: of ka - Fj i?)
Street: ( a)3 C4:: • Resident of property? : \11f '
City, State Zip: ` A !4Lc6j L cf&Ha I
Contractor Information
lName M Phone:
Street: Fax: 5a
City, State Zip: State License No.: CCC, I ssqQ3
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMNIENCEMENT 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, p
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: 5`s Edition (2014) Florida Building Code
Revised: June 30, 20t5 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 constnuction 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/AgentPersonally Known to Me or
Produced ID Type of ID
1
Signature of Contractor/Agent Date
Pri t Contractor/Agent's Name
i atu o
M1tt-
S p DSAY DUCKHAM
Commission # FF 172210
My Commission Expires
October 28, 201$ Illll
Contractor/Agent is X 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
of Heads Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING: '-- 10-+((
Revised: June 30, 2015 Permit Application
9/21/2016 SCPA Parcel View. 31-19-31-524-0400-0140
Property Record Card
rev, 09
Paresi: 3'-19-31-524-0400-0140Owner: HANSENANiTAJ
cxx r sz
Property Address: 2404 ADAMS CT SAN FORD, FL 32771
Limited Power of Attorney
Date t",
I hereby name and appoint William Millender of Villages Roofing and Construction, Inc. to be
my lawful attorney in fact to act for me and apply for and sign all doc mentation needed in order
to obtain a reroof permit for the following
To sign for any and all documents until further notice.
Joseph E. Rayl, Contractor License #CCC1329936
Acknowledged:
Sworn to and subscribed be ore me this day of , 20 icy.
By Joseph E. RUI who is personally known to me or _ produced
id ntification.
LINDSAY DUCKHAM
0 >U Y
4A"'S Commission 4 FF 172210
My Commission expires
N ryPublic, ate of Florida :;:oFF° October 28, 2018
My Commission expires:
1
Product Approval Specification Fora
Permit #
Project Location Address
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 Florida Approval #
Description (include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll Up
Automatic
Other
2. Windows
Single Hun
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
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 Florida Approval #
Description (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
Please Print)
Rine 2014 3
V i q •• ...., '7 5`•<r• Inc. F7 2` . ^" 2 tt .; ' .ry .
t: }
s i '• y 3i and .. se
1410 Emerson Street, Leesburg, FL 34748
Phone: 352-314-3625 e'Toll Free:'855-314-3625 e Fax: 352-240-3439
State Roofing License: CCC1329936 o Villages Construction General Contractor's License: CGC037504
www.villagesroofing.com
SALES CONTRACT
Villages RooiXig & CorL truction,. nc. agrees to furnis4 all materials and labor necessary to do theemodernization work at the following address:
Name, Phone / –1 •,e' :f Phone (w)
Address r) 41Date_(
City — State Zip
In accordance with specifications given below:
REROOF
A. SHINGLE ROOF
1. REMOVE OLD ROOF TO WORKABLE SURFACE.
2. RENAIL ROOF DECK WITH NG SHANK NAILS.
3. REPLACE ANY ROTI W WI H STAN SHEAT IN $7.00 PER FOOT AND $90.00 PER SHEET OF PLYWOOD, IF ANY. (Initial)
4. INSTALL -UNDERLAYMENT OVER ENTIRE ROOF.
5. INSTALL FHA/VA EAVES DRIP. COLOR .
6. INSTALL NEW VALLEY METAL AND FLASHINGS ASVY• '
Aj aK 1'" '' ` fir•' --tet_.
7. INSTALL N BOOTS OVER VENT PIPES AND RESEALESEAL VENTS
8. INSTALL YEAR F COLOR
9. INSTALL T OF RIDGE VENT AT $6.00 PER FOOT COLOR
10, CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN.
11. CONTRACTOR WILL COORDINATE REMOVAL AND REINSTALLATION OF ROOF RELATED PERIPHERALS SUCH AS (BUT NOT LIMITED TO) SOLAR UNITS, SKYLIGHTS, TV. DISH
AND AIR CONDITIONERS, ETC. REMOVE AND REINSTALL EXISTING SOFFIT AND FACIA ® $4.25 PER FOOT IN ADDITION TO CONTFACT PRICE, IF REQUIRED. THE COST FOR
SUCH WOR LL BE IN ADDITION TO CONTRACT PRICE AND HEREIN APPROVED BY HOM WN jR.
Contract Price $ ____tom t_
1. Contract Documents. This contract consists of this document, extra work/wood authorkations, if any, and if payments
hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract
documents shall be recognized by either party. The entire understanding and agreement of the parties is contained in the
contract documents.
2. It is understood and agreed that this contract shall not become binding upon Villages Roo tru , Inc. until it is duly
approved, accepted, signed and wi ssed b an fficer or officers of the Seller. /
3. Work on the job described in the - ra d is will commence on approximately and be
completed on approximately The recited dates are approximations and are subject to scheduling
difficulties of Seller, labor and/ al o gas, acts of God and other events not foreseen by Seller. Seller reserves
the right to employ any sub -contractor for the ompletion of the work described in the contract documents.
4. Villages Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required
materials such as fire retardant..Plywood, tongue and groove board, etc. will be billed on a time and material basis. All other
changes required by New Jurisdictional Code Enforcement Laws may result in additional charges.
5. Interest at the rate of eighteen (18%) peg cent per annum will be charged on all balances not paid.as per the terms specified
above. Reasonable attorney's fees will be charged to the Purchaser if it is necessary to place this contract in the hands of an
attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay.
6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought
thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida.
7. BUYERS RIGHT TO CANCEL (SOLICITED SALES ONLY) If you do not want the goods or services, you may cancel
this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must Indicate that you
do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you
sign this agreement.
8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be
performed.
9. It is understood and agreed that the buyer hold harmless, Villages Roofing & Construction, Inc., for any damages that may
occur to the buyer's driveway(s) during delivery of materials and/or removal of the work related debris that may be required
to perform this home improvement contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and
typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sales contract.
10. Contractor will coordinate removal and reinstallation of roof related peripherals such as (but not limited to) solar units, skylights,
T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner.
11. Villages Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, water lines, refrigerant lines
or other mechanical components that have been improperly installed near roof decking and may be damaged while performing
installation of roofing materials. Villages Roofing & Construction, Inc. shall not be responsible for any additional costs due to
roof decking that may have old materials adhered in such a way that requires redecking of structure.
12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed
under contract, where the loss results from specified violations of Florida law by a state -licensed contractor. For
information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the
following telephone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904)
727-6530.
13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal
action for an alleged construction defect in your home. Sixty days before you bring any legal action, you must
deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects
and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept
any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to
protect your interests.
Permit $_____
200_00_
Total $ ___1 66 C—Z,–
1/3 Deposit $ _A2< ---------
Subtotal $ --- t _6
BALANCE DUE $
Plus Total from Item No. 3 above)
UPON COMPLETION
Villages Roofing & Construction, Inc. is not affiliated with, or sponsored by, Holding Company of The Villages, Inc or its affiliated entities.
E uted in tripli te, ne copy of wV14was delivered to, and receipt is hereby acknowledged by Buyer, this
e day of , 20
141 7
Approved and -Plc ted:
NOTICE TO OWNER
a. Do not sign this home improvement contract in blank.
b. You are entitled to a copy of the contract at the time you sign. Keep it to protect your rights.
Seal) (X) (Seal)
Dealer -Seller) Purchaser Sign Here)
BY (X)
Title)
ALESMAN
Seal)
Purchaser Sign Here)
FORD PRESS, INC. 352-787-4650 A
n ' J
THIS INSTRUMENT PREPARED BY:
Name: Villages Roofing and Construction, Inc.
Address: 1410 Emerson Street, Leesburg, FL 34748
NOTICE OF COIUIII IENCEMENT
Permit Number. 1 — a " I -%
Parcel to Number. 31 19 31 524 0400 0140
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)
S 3/4 of Lot 14 + All lot 15 Blk 4 Wynnewood PB 4 PG 92 2404 Adams Ct., Sanford FL 32771
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Residential Reroof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Anita J Hansen 2404 Adams Ct., Sanford, FL 32771
Interest in property: VWner
Fee Simple Title Holder (if other than owner listed above)
Add—. NA
4. CONTRACTOR: Name: Villages Roofing and Construction, Inc. Phone Number. 352-314-3625
Address: 1410 Emerson Street, Leesburg, FL 34748
S. SURETY (If applicable, a copy of the payment bond is attached). Name: NA
Address: NA Amount of Bond: NA
8. LENDER: Name: NA Phone Number. NA
Address: NA
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: NA Phone Number. NA
Address: NA
a. In addition, Owner designates NA of NA
to receive a copy of the Uenoes Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. NA
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) One Year
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 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.
itn dOxnera lcaaae,a aortsaree'e (Pent Name M&PrOA0 960M )
Au nze0 Offiar/GmcbrlPutrterryWeger) .{/
G ,,,, G
State of G),Xj County of
G
The foregoing Instrument was acknowledgad before me this O day of` . 20
f f A/L ffit% tamby .Who is personally known to ma OR
wtro d Dcracn makvq atntertiou
who has produced identification type of identification produced:
r
LINDA GAIL BLACK WELDER Naar care
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Notary Public -State of Florida
Commission N FF 967018
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VILLAGES ROOFING AND CONSTRUCTION, INC.
PURCHASE ORDER FORM
Name: „; ' n.: Home Phone: k n(A
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Address: A, a,,5 c'T• 64 oc-k' %
Roof Pitch: c' j f - /' Cell Phone:'
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TOTAL SQS FIELD SQS
TYPE: COLOR:
CAP (L/F)
M
STARTERS
TEAR OFF (MAIN) Iq bi (".,-%A- LAYERS:+ °!r TEAR OFF (FLAT) d' 04,
ci 1 PLY (SQUARES) # ROLLS
RIDGE VENT (PCS) COLOR
1 ''/z" BOOT 2" BOOT 2) 3" BOOT
GRV LARGE GRV SMALL
VALLEY METAL (ROLLS) - EAVE DRIP (PIECES) COLOR (-0x--\v v
MISCELLANEOUS: ' p0 0"
V RA C. -Vo w c r- VA yN . - mo,
4 A- -
ROOFERS PAYROLL
DATE
MOWA
SQUARES WOOD EXTRA
030
fwcj*
SPLITS FOR CREW MEMBERS
NAME SUBTOTAL TOTAL
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