HomeMy WebLinkAbout410 Sun Vista CtFC 7
NOV 7 2U1 CITY OF SANFORD
k BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ ® •
0o
Job Address: O H V t`six, Cw'A Historic District: Yes No lJ
Parcel ID: 10 —16 - 36 ' 0 - 0006 - O 130 Residential [Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: ((++ ec. ,3tC 'X S'c S . roo 6,1Z ; /1.Sf C' 1 1 -r,nt `
5k; r Nl t_ roof
Plan Review Contact Person: c(cK \1 r S¢r S Title:
Phone: +-7 - 3 ` o - Z31 G Fax: Email:
Property Owner Information
Name /-I & C'n T 1'=S< <1S
Street: d 15 e rfi
City, State Zip: (or 3z7 7 3
Phone: 3 z t, 35 Z- Z ZZ$
Resident of property? :ye5
Contractor Information
Name )c,(M\\Gget,- Phone: " 07 -6 9 Z ' Noo q
Street: 59 6 /y S(?, y 314 Fax:
City, State Zip: -A1 on 5 rr"/\ ti s . )q- 3 7/`7r State License No.: 3 Z 6 3 (o
T
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 1 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of chis 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 compliance with all applicable laws regulating construction and zoning.
Si a ureer/Agent Date Siotore of Cj ract gent Date
rr
Print Owner/Agent's Name
147—) v -/j- -/(,
Signature of Notary -Stat of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Agent's Name t
te of Flori(hNNETTE SCOTUate
Notary Public - State 0t FloJAssn. My Comm. Expires Jan 16.
Commission tf FF 07176I .0$ 9onded Tlxeu9hWonal Notary
Contractor/Agent is Personally Known o Me or
Produced 1D Type of ID -F
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:
Revised: June 30, 2015 Pennit Application
r -
THIS INSTRL.LMENT QREPAREID BY:
Name: S"" esu S
Address: &
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: ) 0 - zc " 36 - 51 O - 000o - o 1 36
MARYAN14E MORSE SE11INOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BY, 5794 F5 521 (IPss)
CLERK'S T 2016112042
RECORDED 10/27/21-116 02:114:50 F-11
RECORDING FEES $10.00
RECORDED BY ,ieckenre
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. DESCRIP ION OF PROPERTY: (Legal description of the property an street address if available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
1Pe.,- n -F ~s+,,^. -50,,u- Co"- Z "nsk11 nt S • r af".
3. OWNER INFORMATION 0LESSEE I—O^RMATI N IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT- _
Name and address: l - V 'c%n 1 A jCS.,S-S q) 5"n V`• S'--. 60 fj- 2tnr
ice/ 3Z-773
Interest in property: 0W') Zr
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: " e! ``p f •"
Address: 5A0 /,o L43L) law-,„
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER: N
Address:
t- Phone Number: 9o7-&Y,!'Yoo
Fl. .3z7,1y
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.
8. In addition, Owner designates
Phone Number:
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.
n oa+tt
er or Lessee, or Owner's or Lessee's (Print Name and ProvirM Signatory's Title/Office)
WAuthonzedOfficer/Director/Partner/Manager)
State of / /Z ( > County of . 'h% I A4) le -
The foregoing instrument was acknowledged before me this
by '/fd A /Z y,l (4e)471
Name of person making star ment
who has produced identification
SEAL
type of identification produced:
Is'sioti ;OG%
z FF IYZ fiS
pXPI 201 ' m
Z:.µeY13ycoe
4q°aroe cr;
ic(' S'a`e %
day of VG20 i i
N
Who is personally known to me OR 0 a
z q
Notary
jLL
0
Oe a 2
LuO .
V V w ao
D.T. Driggers Roofing, Inc.
L .i t` , Licensed • Bonded • Insured
540 N. SR 434
Altamonte Springs, FL 32714
407-682-4009
Fax: 352-315-1973
Owners: Darrell T: Driggers - Dwayne Driggers
License 9 CCC1326W License # CCC132M66
PROPOSAL - CONTRACT
PROPOSAL SUBMITTED TO p E:-
7_
A k^- /esr S
STREET , PRICE:
includes Sales Tax and Cost of Permits)
CITY, STATE AND ZIP CODE
5 L TERMS: Upon completion of said work
We propose to furnish and install a new roof on the above location as follows:
A. We agree to remove from above location the present shingle roof and to haul same away.
Clean up all roofing debris and run magnets for loose nails.
B. We will apply 3A(nL% Pl,r(l+6 Je-'l lee
C. We agree to then furnish and install C;oA-m.4zl L,,[ w,,, c' w, n J., ft vvt PIV61i
fiberglass shingles on said roof, and to install shingles by nailing them with galvanized
roofing nails. G;r<4 fPeS1.n jle, /_3e-7/$APAIAwkk S\n•AS S
J tR I RA+tS FERPc43 LE A l VV P pyo
D. We agree to furnish and install all new valleys, same to be standard gauge galvanized metal.
We agree to install all new eve drip, same to be standard gauge painted galvanized metal,
replace all lead boots on plumbing boots on plumbing stacks, kitchen vents, dryer vents.
Any wood to be replaced will be done at a cost of
oo
Nei
06
1
SPECIAL INSTRUCTIONS:
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s re P4 C."-4-ek f N N 610 e . c t - -, :: ( T -gide-, - r, I
n(; -V iS trMrrle C-"4 , A(P, C icorV,-,.r C V- 1rt r, ')PS ntj J.
ACCEPTANCE OF PROPOSAL - The above prices.
specifications and conditions are satisfactory and are i
hereby accepted. You are authorized to do rk as specified.
CGr r L ri
Payment will be made as outlingdxabovv/
Signature
Date of Acceptance
D -
Signature -
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16— — 2177/
I, retl D t hereby acknowledge that I personally inspected
6-6of deck nailing and/or C econdary water barrier work
at wo tS 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,
re of Date
Printed Name of Contrac r License #
General !' Building i Residential '_ 1 Roofing ContractorLicenseType:
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OV__ 17C
Sp-prn to o.!j0€t1ed) and subscribed before me thisday of 20 Qby
Wis E Pei sonally Known to a or has Produced (type of
i ti as identification.
EAL)
ature of Notary PublicSHERRY A COLLINSra .,'
r; Notary Public -State of Florida
Commkston #FF 989101
My Comm. Expires May 4, 2020
Print/ ype/Stamp Name '•, Bor&dWo pNauonal*WyAssn.
of Notary Public