HomeMy WebLinkAbout284 Live Oak Blvd (2)10/27/2016 11:45 4075401755 Edgar Quintin Roofing #6571 P.001/002
CITY OF SANFORD
BUILDING &. FIRE PREVENTION
PERMIT APPLICATION,
Application No: J (p- m59
Documented Construction Value: S
Job Address: 23,4 "' ` Oak 11(v d. Historic District: Yes No
Parcel ID: 11-10 -30 - Se' Od a o -o t8 a Residential [Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: (an Title: `Jfen'le
Phone:6aQg Fag: -%- Email:
Property Owner Information
Name ea"! Pbone: 22 -1Sz.
Street. _ a(4) Resident of property?:
City, State Zip:
Contractor Information
Name i olgdr » Inc - Phone' 4-0)-3S)--o.cl
Street: 13(4; W. Fax: yv' 1I'LO fess-'
City, State Zip: Q r- f c-, d 0i F -L 17_80 T- State License No.: C CC o S) s g l
ArchitectlEngineer Information
Name' Phone:
Street: Fag.
City, St, Zip: 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
COMMENCJKMENT_
Application is hereby made to obtain a permit to do the work and installations as indicated. I ecrtify 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, welts, pools,
furnaces, boilers, beaters, tanks, and air conditioners, etc. I I C 2_G C) U
MIC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Merida BnUdiug Code
Revised: June 30.2U15 Pamit Application
10/27/2016 08:46 4075401755 Edgar Quintin Roofing 96570 P.003/004
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 rccotds of this county, and there :may be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
j'.
ncc7tawe of permit is verification that 1 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 et%ct 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.
lP
Sigreture
R t Y, P
wnerlAeent's Name
Sigiature of Notary -Stats of Florida Date
Rgenis Werson er Flonaa
048703
Owner/ nown Me or
Produced ID Type of IU
Prim C66zadm/Agent's Name
Igr mhue of No $Aflorida /
D
I
TAMMY J STRANGE
MY COMMiSSEON # FF21.81,32
EXPAES May 25.203E
1: 0,:rz,.,4.53 F;orWNn:evvS5wkc.•cm:
f9
Contractor/Agent is L, -Personally Known to Me or
Produced Ili Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: building Electrical Mechanical Plurtlbirlg Gas Ll 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:
ENGINEERING:
COMMENTS:
UTILITIES- WASTE WA'V'ER:
FIRE: BUILDING:
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10/27/2016 08:47 4075401755 Edgar Quintin Roofing
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65$7jj0 P.}004/0041i$ THIS INSTRUMENT PREPARED BY:
Nemo:
Address: MARYANNE FORCE, SEi'INOLE COUNTYb^`n>nd " 3?no Z '-'ERK OF 0113% UIT COURT i?.-UNPTROLLER
SK 8743' 'r'9 616 (IPgs ,
NOTICE OF COMMENCEMENT CLERK'S Y 2131611132$
R"ECORDE" 10,'26i2016 11!53.,51 AN
State of Florida RECORDING ;EES $1.n.,no
i{E ORDED CY hd.'2'rQPE
County of Seminole
Permit Number. Parcel ID Number: o q$6
The undersigned hereby gives notice that improvement well be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
dg4 Liffe Qek Sjival. San -f .-CIFt_ 32,713
GENERAL DESCRIPTION OF IMPROVEMENT:
P,ArdtS:
OWNER INFORMATION:
Name: f t,"I $. Mace,rT at`
Address: -141 SI.411 Qol %+ F r4 4= 'kI a• PL y Fc- 3 Z) 4"1 - - -
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR: ,
Name: IFAQo' Q c r. i ., t S, L.
Address: 1341 W C L.,c (. a.
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)(b), Florida Statutes
Name:
Address:
In addition to himself, Owner Designates
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration data Is 1 year from data of recording unless a
different data 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, Lp
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A ONOTICEOFCOMMENCEMENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTcV
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY CIDCOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
Under penalties of perjury, I declare that i have read the foregoing a d that the its stp in it re true °Q-"D`
to the best of knowledge andel. -•N :,
I'I u 6AWName
rs Slga2.
FtOdda Statute 713.13(1)(8): " The owW must sign the notice of oammencemeni and no one else may be permitted to sign in his Or her Ste811' a
WNG
J
Q
Stats of
0 r y County of L A t
zz
The foregoing Instrument was acitnowtedged before me thir0 day dG a 4 20 < p1
by pa u, MC3C:2Vn ba t~ Who Is personally known to me lid
Name of person maklttg statement V
OR who has produced Identification type of Identification produced: u
0
Y
Ndb" PlIN10 5t8ts of AMA %
W C.3ione
Deems - Nt0i r nature
W
N
10/27/2016 11:45 4075401755 Edgar Quintin Roofing #6571 P.002/002
AKIT:
iti y,'i L.,j.5
M6 **MMM
Raw. l,c'r,
a FAX vir.
Tear off e Mg fedlo HV MM cftn mftlJie suffac6 and disom proMrfy,
2 Re se air dgsiOr TO& rOMed wood, Woodwork *iii beon time• and iaateft basis at a
Me of SUM M -MW plut t" of rrate4als.
Dry is the rodv.wM lb. Fit at low gope areas -
4 cm. Fty of sft4Wpaw et slope areas.
lxrsta v int ibg aIg° vim. Ece'''ater or x'26 g8f:
3 xr3 r rm`verft vver#r1Wme ark of bat,trooms. Meiarafi MOMYS
aft venbiaftan system color:
f 9 Insw rhe Gftmw lkl meow Skmto Muff at totiir,.Jupe antis as per purees
Spe . dflea#6m. am a %V ceft.
10 WtO , , yr. Fvi •itsistM fladrglassfasphatt as per rnanufecturees specibca€lons
Qr.iY q:fyManufa twe
IT C : up a ; +Aw rtgro t *om " . RoH yard with magnetic nail bar.
FAt21f' r° , it Val be•dea al debris. '
t'S Prows a ,S yew UAw war r''and
o , vmiabdirees waffanty @n sfflri*.
yr..amoaflotWmes rtty tin rood red ftmen roa 3
1 :Rem +beak # rfsc.easary at art additional cost of f*r hurricane rrftfigadon.
15. -
a ?'"f s # mor,:maty ift kwrmm aid puM for ftjob.
b i, rtP Cr ?a r:aasfrss• gat' ire oon t.
BP200I03 CITY OF SANFORD 11/02/16
Application Inquiry - Fees 09:46:46
Application number: 16 00002899
Property . . . . : 284 LIVE OAK BLVD
Fee
Class/Type/Description Trans amt
A AF 01-APPLCTN FEE -BUILDING 25.00
A BR 01 -BLDG PLAN REVIEW 18.00
P PF PERMIT FEES 82.00
A ZA 01 -BLDG DCA SURCHARGE 2.00
A ZB 01 -BLDG DBPR SURCHARGE 2.00
Amt due
00
00
00
00
00
Credit fees due: .00
Revenue fees due: .00
Total due: .00
Press Enter to continue.
F3=Exit Fll=Change view F12=Cancel F10=Amt billed
Struct Permit Insp
000000 ROOF00
Bottom
PERMIT NO.
CONTRACTOR: Ee
JOB ADDRESS:
TYPE OF WORK
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
ISSUE DATE: I k .1 . 1 W
OLCM
U__1 LIVE RIV
Re'R F156NO-ks
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 I5 REQUIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Miti ation Affidavit will not suffice as an alternative to receiving dry -in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPEC77ONTYPE 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
I
i
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
1,d /,( ,(,(, hereby acknowledge that I personally inspected
i-loof deck nailing and/or secondary}} water barrier work
at AH L\,4 e 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.
AN 1111 1I1
Signature o Contractor Date
Printe, ame of Contractor License #
License Type: General Building Residential [,Zofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF N Lj
Sworn to ( affirmed) and subscribed before met 1s ' day of1)p{i 60- , 20 1(, by
who is V41Personally Known to me or has Produced (type of
iden ' ication) as identification.
M (SEAL)
Signature of o ry Public
State of Florida
gy,, (;3+ "N5 e` ;. TAMPAY J STRANGE
Print/Type'/Stamp Name ' MY COMMISSION # FF218132
of Notary Public EXPIRES May 25, 2019
i1 r F 39".53 ftorW&Naa,ySeMM.corr