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HomeMy WebLinkAbout800 S Magnolia AveCITY OF SANFORD IILDIRG & FIRE PREVENTION PERMIT APPLICATION. EC Application No:.,. M71 H X LI&--9 V Documented Construction Value: $ (DSS"2. Job Address: a-o s ; , -rA,,,rr-O tz, z n I Historic District: Yes No Parcel ID: o m' f j -34 S (,- - / b d ?, a 1 Residential Com : t Type of Work: New Addition Al((teration Description of Work: __. R O v i - Plan Review Contact Person: Phone Fax: m%,A - a Repair Demo Change of Use Move N Email: Title: Property Owner Information Name q r ,,, y,a -y Phone: 3Street: ROn -<AAA ,a,, A A— Resident of property? : s, 3 City, State Zip: 5 *-,-- Contractor Information Name2ua,,%n5Phone:%` Street: Fax: 3J 4%- b q T City, State Zip: rA4-1 L it F L '3 State License No.: ded 6 Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information 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. 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federatl 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. 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 willbedoneincompliancewithallapplicablelawsregulatingconstructionandzoning. S-6 Signature of Owner/Agent Date A -So Print Owner/Agent's Nar1fLN Signature 398-0153 MY COMMISSION #FF039243 E=XPIRES ,July 24, 2011 Owner/Agent is Personally Known to Me or Produced ID / Type of ID 2)K, Vj,,l L "r)n Signature of )'n1trWor/Agent /Date 4 Print Contr for/Agen t'snNaame DAVID T MURA - MY COMMISSION FF039243 FOF it P EXPIRES July 2l 2017 407) 39$=0153 =`"FlondallotaryService esenr ------ - Contractor/Agent is Personally Known to Me orProducedIDTypeofID BEI,®'VV IS FOIZ OFFICE USE ONLY Permits Required: Building Electrical Mechanical 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 ill 1i fff off fiff i if f ii f fIglibINSTRUMENTPREPAREDBY: f " Name: L4 JLAn IS Wo;>F;OC Address. a t, S (o+f NOTICE OF COMMENCEMENT Permit Number: i1r;1:•i'it;hN_: i`iC.)E:':;1 s 3l:klai'di::11...r: (:::iltli'IT,,r: 3 I.J. 11i l :i.1:. Si 8 -, 9 pi"'•:; }.1• i z iJ13 Parcel ID Number: / 9 - _-3 C. - c - /% 6 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement. OF PROPERTY: (Legal description of the property and street address if available) 1`LG.. {,. ) r, r"1''1 r, , n J.'. "1 I ,e. C ... • _ 1 i"•, o -ti-A-.... 2. GENERAL DESCRIPTION OF Ij)APROVF-MENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address:_At..-'1d iA aitay :1 , 4ta y a> sa c s'zttInterestinproperty: Fee Simple Title Holder (if other than owner listed above) Name: Address: A 4. CONTRACTOR: Name: c of , ram_ (''n` r Phone Num e/r 'g - '-:-5 AAddress: j U .t, JCi'x... t e Cf fk (gin 7 5 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section713.13(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 D CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AN JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Signature of Owner or Lessee, or O vnes or Lessee's ( Print Name and Provide Signatory s Tille/Office) Authorized Officer/Director/Partner/Manager) anager) 14Sttoof %t.L l- County of--rdrr The foregoing instrument was acknowledged before me this (.1 day of... [ A s , C ,ten 20 1 L by f e Who is personally known to me ORNameof, erson making statement who has produced identification type of identification produced: - L`' DAVID T MURA MY COMMISSION #FF039243 jeoho? EXPIRES July 24. 2017 fl07) 398-0153 FloridallotarySeivice.com RTIFIEDCOrY- MARYANNEMORSE Agra"ry.S ati(resfg tER' CF'r t IRCU'i RTAN9 a jco"M tRt; 1ER, 5 5Ett,INO COU OR %' ^ }: fti Cf%lf t oY CURK SCPA Parcel View: 25-19-30-5AG-1003-OOIA http://parceldetaii.scpafl. org/ParcelDetailInfo.aspx?PID=2519305AG... datum, CH sew oaxarv, rtgrtnn Parcel Information Legal Description E 72 FT OF LOT 1 BLK 10 TR 3 I TOWN OF SANFORD PB 1 PG 59 Property Record Card Parcel: 25-19-30-5AG-1003-001 A Owner: HARDIN ALBERT W & MARGARET L Property Address: 800 MAGNOLIA AVE SANFORD, FL 32771 SeminoleCountyGlS Value Summary 2016 Working Values 2015 Certified Values Valuation Method CosttMarket Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $72,747 68,040 Depreciated EXFT Value $600 600 Land Value (Market) $10,800 10,800 Land Value Ag Just/MarketValue" $84,147 79,440 Portability Adj Save Our Homes Adj $33,659 29,303 Amendment 1 Adj P&G Adj $0 0 Assessed Value $50,488 50 137 Tax Amount without SOH: $795.00 2015 Tax Bill Amount $510.00 Tax Estimator Save Our Homes Savings: $285.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Taxes Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 50,488 25,488 25,000 County Bonds 50,488 25,488 25,000 City Sanford 50,488 25,488 25,000 Schools 50,488 25,000 25,488 i SJWM(Saint Johns Water Management) 50,488 25,488 1 25,000 1 of 2 9/8/2016 4:59 PM SCPA Parcel View: 25-19-30-5AG-1003-OOIA http://parceldetail. scpafl. org/ParcelDetaillnfo.aspx?PID=2519305AG... li UTILITY 112.00iFINISHED UPPER STORY 830.00 FINISHED OPEN PORCH 295.00 FINISHED 2of2 9/8/2016 4:59 PM s,) I,a J r« BUS Bonne Log in user Rogistratron tbt 70 pits Busines. Su Urnil Surdta rqe Slats & Fa Cts Publications FBC Sta rf dCIS Site Mitp Links' ;c arch Profession I dd. R Product A pproval t ... P4 a. USER: Public User P rudud A))rnyal F-0enu > 'ron_g fPr r@un%Scorch > 1 L. _.__ r,ann i.i<[ > Applkatlon Detall FL # FL10674-R10 Application Type Code Version Revision Application Status 2014 Approved Comments Archived Product Manufacturer Address/Phone/Email Owens Coming One Owens Coming Parkway Toledo, OH 436.59 740) 404-7829 greg.keeler@owenscoming.com Authorized Signature Greg Keeler greg.keeler@owenscornirig.com Technical Representative Address/PhonAddress/Phone/EmailMel Sancrant 1 Owens Coming PKWY Toledo, 0I-1 43659 419) 376-8360 mel. sancrant@owenscomig. corn Quality Assurance Representative Address/Phone/Email Category Subcategory Roofing Asphalt Shingles Compliance Method Fvaluation Report from a Florida Registered Architect or a Licensed FloridaProfessionalEngineer Cvtirvo Uvn rtepUrt - Harncopy Received Florida Engineer or Architect Name who developed theEvaluationReport Robert J.M. Nierrinen Florida License Qualify Assurance Entity PE- 59166 Quality Assurance Contract Expiration Date Validated By 08 /20/0/2017 John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL10674 R10 COI _LO15 O1 COI Niernnen D<If Referenced Standard and Year (of Standard) 5Aan _a ASTM D3161 Year ASTM D3462 2009 ASTM D7.158 2009 2008 Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D 9 starsis &Facts Publications F C u uu iu ,yW.,isyylYl Yat „. w If- BCIS Homo Log In Usnr Regir.trattion not To '-' f:,:,.. _ Lau sines. -- Plcs SUUmil Svrrhare Staff Ocls Sitc Map Links Seardi Profess6na gx 1Product Approval F USER: Public rJser l PrOtluCf A )royal Menu > Pro cl tic( nr .1RLrat_n Sc„ord_ > t y_L p_inn I_iat > A PPllcatlon Detail FL N Application Type FL10674-R10 Code Version Revision Application Status 2014 Approved Comments Archived Product Manufacturer Address/Phone/Email Owens Corning One Owens Coming Parkway Toledo, OH 436S9 740) 404-7829 greg. keeler@owensc oming. c om Authorized Signature Greg Keeler greg. keeler@owenscorning.corn Technical Representative Address/Phone/F.rnail Mel Sancrant 1 Owens Coming PKwy Toledo, OH -13659 419) 376-8360 mel. sa nc rant @owenscomig, c om Quality Assurance Representative Address/Phone/Email Category Subcategory Roofing Asphalt Shingles Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed FloridaProfessionalEngineer Q—waclan Report - tiaroCOpy Received Florida Engineer or Architect Name who developed theEvaluationReport Robert J.M. Niemnen Florida License Qualify Assurance Entity PE-59166 Quality Assurance Contract Expiration Date UL LLC Validated By 08/20/2017 John W. Knezevich, PE Validation Checklist - Hardcopy Received Certificate of Independence PL10674 Rio COl 2015 O1 COl Nieminen,f Referenced Standard and Year (of Standard) tandCa_W ASTM D3161 Year ASTM D3462 2009 ASTM D7158 2009 Equivalence of Product Standards zoos Certified By Sections from the Code Product Approval Method Method 1 Option D 8/3/2016 Florida Building Code Online R" art r tyay' tj q' a f • a _. s x 1 wrx c "; A. # 9i,,• x, F II c r a r H n !•, 4 t I i sum c"rt s : BCIS Home Log In user Registration I Hot Topics Submit Surcharge Stats & Facts Publications I FBC Staff I BCIS Site Map I Links ! Search t'F''o ida R product Approval a,, USER: Public User Product Ap2rov_al Nlenu > Product. or AnL cation Search > AgplicatiQ List > Application Detail VNIN rh FL # FL9777-R7 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Florida Engineer or Architect Name who developed the Evaluation Report Florida License Quality Assurance Entity Quality Assurance Contract Expiration Date Validated By Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code Owens Coming One Owens Coming Parkway Toledo, OH 43659 740) 404-7829 greg.keeler@owenscoming.com Greg Keeler greg.keeler@owenscoming.com Roofing Underlayments Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Zachary R. Priest PE-74021 UL LLC 12/31/2020 Locke Bowden r Validation Checklist - Hardcopy Received FL9777 R7 COI OCR14002.4A FBC 2014 Evaluation ReoortWealherlock Non= HVHZ - final.odf Standard ASTM D 1970 ASTM G 155 rAS 103 UL 1897 Year 2009 2005 1995 2004 Product Approval Method Method 1 Option D https://wwtv.fl oridabui lding .org/pr/pr_ppp_dtl.aspx?param=:wGEVXQwtDq tg kcM Gbl cW71%2fZr7g duq \,KdKYuFvzTOfA%3d 1/3 8/3/201C. Florida Building Code Online Date Submitted 04/19/2016 Date Validated 04/20/2016 Date Pending FBC Approval 04/21/2016 Date Approved 06/08/2016 of FL # I Model, Number or Name Description 9777.1 Weathercock G Weatherproofing Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: No j FL97'77 R7 II.00R14002.4A FBC 2014 cvaluet,i(n. R:eoorl;, Approved for use outside HVHZ: Yes Weatherlock Non-HVHZ - final.odf Impact Resistant: N/A I Verified By: Zachary R. Priest 74021 Design Pressure: N/A I Created by Independent Third Party: Yes Other: See evaluation report for limits of use. I Evaluation Reports FL9727 R7 AE OCR14002..1A FBC: 2014 Evaluziti(_NePoa I-- Weatherlock_ Non-HVHZ_ - final.Ddf Created by Independent Third Party: Yes 19777.2 I Weatherlock MAT Waterproofing Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: No FL9771400 7R7HOCR_4A FBC 2014 Evaluation Reoon; Approved for use outside HI/HZ: Yes Weatherlock Non-HVHZ - final.odf Impact Resistant: N/A Verified By: Zachary R. Priest 74021 j Design Pressure: N/A Created by Independent Third Party: Yes Other: See evaluation report for limits of use. Evaluation Reports FL9777 R7 AE OCR14002AA FBC 2014 Evaluation P, ))gq I Weatherlock fJon HVHZ = final.od[ I Created by Independent Third Party: Yes 9777. 3WeatherLock Metal Weatherproofing Underlayment Limits of Use Installation Instructions Approved for use in HVHZ: No FL9777 R7 II,OCR1400;'.4A FBC 2014_Evaluat,i;ln_I,lewrC Weatherlock Non-HVHZ —fir.] pdf ApprovedforuseoutsideHVHZ: Yes Impact Resistant: N/A Verified By: Zachary R. Priest PE-74021 Design Pressure: N/A Created by Independent Third Party: Yes Other: See evaluation report for limits of use. Evaluation Reports FL9IJ7R7 r1E: OCR140U2,4A FBC 2014 E alu tior7_Re oil: Weatherlock Non-HVHZ - final. df Created by Independent Third Party: Yes 9777. 4 WeatherLock Metal Weatherproofing Underlayment j Limits of Use Installation Instructions Approved for use in HVHZ: Yes FL9777 R7 lI OCR14002.4B FBC 2014 Evaluation-RepOit. Approved for use outside HVHZ: No Weatherlock Metal HVHZ—final. df Impact Resistant: N/A Verified By: Zachary R. Priest PE-74021 Design Pressure: N/A Created by Independent Third Party: Yes Other: See evaluation report for limits of use. Evaluation Reports FL9777 R7 AE OCR14002.4B FBC 2014 Evaluation Ret Weatherlock Metal HVHZ.=final.od Created by Independent Third Party: Yes r9777. 5 j WeatherLock Specialty Tile & Metal Weatherproofing Underlayment 1 Limits of Use Approved for use in HVHZ: No Installation Instructions FL9777 R7 II OCR14002 4A FBC 2014 Evaluation Repgjrt. Approved for use outside HVHZ: Yes WeatherlockNon-HVHZ - final.Ddf j Impact Resistant: N/A Verified By: Zachary R. Priest 74021 j Design Pressure: +0/ 105 Created by Independent Third Party: Yes Other: See evaluation report for limits of use. Evaluation Reports FL977 R OCRi 002_4A D:CC 2014 Evaluat,ion,Re ert, Weatherlock Non-HVHZ___ fjnal.odf Created by Independent Third Party: Yes Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-11324 The State of Florida is an AA/EEO employer. 5:opyrioht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: mound S[a-L t Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which ran be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click hag. Product Approval Accepts: eChzc_ t. E https: llvw..floridabuilding.org/pr/pr_app_dtl.asp:C?param=wGEVXQwtDgtgkcMGblcW71`/`2fZr7gduq\h<dKYuFvzTOfAp/o3d 2/3 POWER OF ATTORNEY Date: q 11 LI 1 re (a , do hereby authorize to, l i. uc, w (C.t2-f— pull the permit for. b S . IMUG'ti'C)k . I?h Type of Permit Job Address Signature 2. y DAVID T MUR ANotarySignature j'or MY COMMISSION FOF°•"••;' FF039243 EXPIRES Jul Y 24 2017 407)"398 0•P53'^= FfnrdallotaiySe7vicecom" Personally known to me or driver's license # State of Florida, County of S 6A-y% I neok1r-- on day of 1 SUna ,20L(,,. EEEEEFP:; CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue. Sanford, Florida 32771 407. 688.51.45 www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: Albert Hardin for 800 Magnolia Avenue Sanford, FL 32771 DATE ISSUED: September 7, 2016 DATE EXPIRES: March 7, 2016 B: P#16-2477 Approved to re -roof with architectural shingles in color " Estate Gray". All pitched surfaces, including porches must match. Small shed roof on west elevation is metal and is not included in the scope of work. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please, be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? 9 YES NO Building Department Representative 187 APPLICATION # 16,W77 FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form:and submit,all required attachments. Incomplete appIicatib:ns will not be reviewed. If you have questions about application requirements contact the Historic 'Preservation Officer at 407.688.6145 to ensure your application is complete. General information Downtown Commercial Historic District Residential Historic District Is this a. retroactive.request? Yes NO Is this application filed in response to a Notice of'Violation from the Code Enforcement Department? Yes ' No0 Proposed improvements will affect the following elevations: North South East West El Property Address: S Property owner Information Print Name: .J ati;;nr Mailing Address: Phone: Email::.•,At,i,,,:t'N Signature: Applicant/Agent Information Print Name: Mailing Address: Q. , , 3„ 2 2 S A, ; f , t V— 3 Z--7 Phone:uo1-3-L-logo Email: A i1A Dw Mp;a—.,; Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT 'THE BUILDING DEPARTMENT TO DETERMINE IF A, BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: Date: ` -- n t Would you like to.receive emails regarding,Historic PreservationandCommunity Planning within, your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For 'large.projects °an itemized `list is required. Use the reverse side if necessary. iZ f Q A t>JL SH 114 C L- (lnn l" HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 407.688.5145 • www:sanfordfl.gov/HP N CONTRACTALAN's R00FING,mc. Commercial Residential 110 Candace Drive Suite 104 "Home of the FREE Roof Inspection" Maitland, FL 32751 www.alansroofinginc.com LICENSE NO. CCCOIII12 Please Print Phone: (407) 774-2158 Toll Free: (800) 309-5667 Fax: (321) 207-0437 AME 4%VZ •3zz-to2o 3-c-tg DATEJPHONE ADDRESS dB CITY ZIP SALESMAN CONTACT PHONE q —S A 3 M.HOME HOUSE OTHER COMMERCIAL JOB # r ' BRAND AND DESCRIPTION OOFPRODUCT COLOR ' e, PITCH ' ii i u f 1. LL A CITY OR COUNTY PERMIT SQ. RENAIL WOOD Ey 2. TEAR OFF: SQ. OF OLD SHINGLES SQ. OF FLAT ROOF SQ. OF OLD TILE 3. DRY IN: REINFORCED FIBERGLASS UNDERLAYMENT 1 LAYER 2 LAYERS PEEL & SEAL 4. INSTALL: GALV. VALLEY METAL LF SELF ADHERING VALLEY LINER LF METAL OVER RIDGE LF 5. INSTALL: ALUM. DRIP EDGE LF __- El_ DRIP EDGE LF PAN FLASHING LF _ L. FLASHING LF COLOR 6. INSTALL REPLACE: LF OF R.V. PLUGS COLOR FT. VENT SURE Rr 7. REPLACE: 1 1/2 IN. 2 IN. 3 D BOOTS 4 IN. GRV'S 10 IN GRV'S ELEC. RISER 8. STARTER ROLL STARTER TRIPS CIRCLE ONE 9. LAY SQUARE 0 --4AEW FIBERGLASS SHINGLES CAP 3 -- TAB / PERF I HIP & RIDGE 10. INSTALL: SM. DEAD VALLEY LG. DEAD VALLEY MODIFIED LIBERTY 11. INSTALL: TPO LAYER OF INSULATION TBAR / SEAM TAPE 12. INSTALL/REPLACE: 2 X 2 2 X 4 4 X 4 SKYLIGHTS ACRYLIC SFA FIXED GLASS DOMES CM CLASSIC 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS 14. ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TO 15. CONDUCT ANY OR ALL INSPECTIONS THAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW 16. SPECIAL INSTRUCTIONS I Imoou'A G LA 119f O d a C woo cf 'Fr L d n TOTAL CONTRACT AMOUNT Price is good for 30 days DEPOSIT Q vc7 ACCESS: Customer agrees to allow access to the property and realizes that heavy equipment is being used. Contractor shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems and any thereof, deliveries. BALANCE DUE UPONotherstructuresasaresultofrooftoporjob _ lDAMAGEETC.: Customer shall be responsible for removal, reinstallation and recelibration of satellite dishes. Should customer become aware COMPLETION S d. of damage to property by Contractor, his agents, or employees during the course of installation of the roof, said damage shall be brought to the attention of the Contractor prior to the time of payment for the roof in question. If Customer fails to notify Contractor of said damage, within 5 working days of occurrence, then shall waive all rights against Contractor concerning said damage. Alan's Roofing is not responsible for roofing nails penetrating A/C lines in the attic. Customer agrees to secure and protect their assets including shelves, ceiling fans, tools and other valuables to avoid damage from vibration, breakage and/or detachment of parts, etc. DELAYS, ETC.: Hereby acknowledges that Contractor may be subject to delays occasioned by inclement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the Contractor and hereby accepts delays occasioned by one or all of these circumstances in the installation of the roof. PAYMENT OF CONTRACT: Customer hereby agrees that all amounts due for this work shall be paid upon completetion of installation. Any amounts unpaid will bear interest at a rate of 1 1/2 % per month. Contractor shall be entitled to all costs of collection including attorneys' fees. RIGHT TO CANCEL: If this is a Home Solicitation Sale, and 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 service and must be delivered or postmarked before midnight of the third business day after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash down payment. IF THIS IS NOT A HOME SOLICITATION CONTRACT: Once it is signed, you are bound to it by the laws of the State of Florida. If in the event you breach or attempt to cancel this contract, the Contractor shall be entitled to all lost profits from the contract. ACCEPTANCE PROPOSAL: The above prices, specifications and conditionsare satisfactory and hereby accepted. All contracts are subject to Alan's Roofing, Inc. management approval. Customer agrees to allow Alan's Roofing, Inc. to use photos, letters of recommendation, satisfactions forms, etc. to be used for advertising purposes. In case any one or more of the provisions contained herein shall be invalid, illegal or unenforceable in any respect,the validity, legality and enforceability of the remaining provisions and other application thereof shall not in any way be affected or imparted. SALESMAN SIGNATURE lam/ v 4 - (t CUSTOMERSIGNATURE - J DATEay MANAGEMENTAPPROVAL Construction Industries Recovery Fund: Payment may be available from the construction industries recovery fund 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 CILB at the following telephone number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 16-01 0 CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THISDOCUMENTMUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Albert Hardin September 7, 2016 for 800 Magnolia Avenue DATE EXPIRES: Sanford, FL 32771 March 7, 2016 BP# 16-2477 Approved to re -roof with architectural shingles in color "Estate Gray". All pitched surfaces, including; porches must match. Small shed roof on west elevation is metal and is not included in the scope of work. Christine Dalton, AICP Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. BYES ISABUILDINGPERMITREQUIREDFORTHEACTIVITYLISTEDABOVE? NO Building Department Representative APPLICATION # 16,W77 FOR A CERTIFICATE OF APPROPRIATENESS Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. General Information Downtown Commercial Historic District[] Residential Historic District Is this a retroactive request? Yes[] NqJ J' Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes No® Proposed improvements will affect the following elevations: North South East West Property Address: 5?'Da S , AAN i.WQSS NA ;B.J. Property Owner Information Print Name: AL:i,n , ,,j : +A,•, Mailing Address: _Q.o . 'Roy- ? , Phone: '- t3-) -3Lt- tolo Email: _p>.Nu A"tiN r Signature: Applicant/ Agent Information Print Name: Aav_T .r . iApw>.j Mailing Address: ?. 0, 1442 ; R S PN fd t r 3 z-7-7 . Phone: yoi- szL-toao Email: A&f'LrJV__T.,k; Signature:__r,_; BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: Date: `i - n —, Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. iZf; iLAC1r11 5 t4114-C /factGk't C l 1 bf * to i HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP Sf -A-AA/OLL= G /N/ ) . 101=1111101 BUILDIAAG DIVISION PERMIT. DATE: /®_ JOB ADDRESS: LOT / SUBDIVISION: COMPANY: licensed as a Contractor, license number Please Print name q C12 , did personally inspect the roof deck nailing and/orLicensenumber secondary water barrier on or about, Based upon that examination I have determined the installation was_ done in accordance with the current Florida Building Code — Existing, Section 6 Contractor Signature d Date STATE OF FLORIDA COUNTY OF Swor to and subscribed before me this V _day of Ocei" 2019 by. Who is 9-15ersonally known or ProdIdentification. T ProducedTypeofidentification: Notary Public, a of F Signature of riotary) - 2``R P 8:, DAVID T MURA Commission No.: MY COMMISSION #FF039243 o?c EXPIRES July 24. 2017 i.10i i 398 0153 FloridaNJ, S ce.com 1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665_7486 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: / 6 -2& w I, 4101A, f t.1 0 hereby acknowledge that I personally inspected C+oof deck nailing and/or N !' econdary water barrier work at q00 Ma o. Ai/i /,'4 Avl S ' / r/ 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 831-06 F.S. i «!jVfW Signature of Contractor Date a,t, )!: ,_ ld c4 ILM6 ft Printed Name of Contractor License # License Type: General Building Residential 1 400fing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Se,,," Swo n to r ffirmed) and subscribed before me this J$_ day of QQP , 20 , by who is [I40"ersonally Known to me or has Produced (type of identification L : as identification. SEAL) a ure of Notary P ' lic State of Florida Print/Type/Stamp Name of Notary Public DAVID T MURA My COMMISSION #FF039243 EXPIRES Jlrly Floridallolaryscrvice.com 2.3. 2017 µ07) 398-0153