HomeMy WebLinkAbout101 Sterling Pine St1 DEC 19 2016
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: j 0 — 3 35O
Documented Construction Value: S g, 3�S'O, (DO
Job Address: /DI ,tib Q: Vt_L Historic District: Yes ❑ No
Parcel ID: /p-D2p-3t7-5'/ 1-DU�0—n 5�a20 Residential r� Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair M Demo ❑ Change of Use❑ Move ❑
Description of Work: 10_-= 4 ,Z 5 S S2. _7 t) \t r L,'. � l�
Plan Review Contact Person: RZa AA n -r rkS Title: Covc�r® B�
Phone:'yd7 Fax:
Email: ffwt: v 9a5tl rv. 6jf(s nt.-rk .36>
Property Owner Information
Name G�QerN or, &, An R\.L 550 Phone: 407 6 S' 8 J1.6 17
Street: %01 5t>- c<<�to P:vt_� 5T_ Resident of property?
City, State Zip: 512 •a • ni[ 8,27-72
Contractor Information
Name h (ZN ,Ltd . Phone: IV07 3'E Q S .S7 9
Street: Fax: t10-7
City, State Zip:Gl -r--V4 r—v 0- < < oZ7 12 State License No.: CCC_ /IS ay 166
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: 5" 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 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.
••-- -
'� S�g�`nat`ure�61`16 lei r� /"A' gn'vus�v.n.,v=...•..w�r D «-•
•s Name
Date
•"�
YANE7 GON A Z LEZ
,�;ra� �•�6,
?r°• .`�= Notary Public • State of Florida
'' • Commission # FF 192773
•7•FO� rid,?. My Comm. Expires Jan 26. 2019
,''•.11111••"` nnnAeA lFr�..�l ._.!__ .
--... to Me or
Produced ID Type of ID fv- O L-
p.-av� -.IV 13.8 cf�so
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced 1D Type of ID
BELOW IS FOR 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
Lic. # CCC 1330106
D R and G, INC.
1260 Saratoga Ln.
Geneva, Florida 32732
Phone 407-841-5831
407-322 - 8221
Fax 407-349-1398
NAME iOY� h Q S 5g JOB NAME _
STREET
STREET
CITY ?C!n/� r/► CITY
PHONE �,ul/ //, G/ `7 PHONE
D R and G. INC _ /� . ��4� DATE
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW
(SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO
WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND
ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR
CLAIM FOR PAYMENT AGAINST YOUR PROPERTY THIS CLAIM
IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR
OR SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS
SUB -SUB CONTRACTORS, OR MATERIAL SUPPLIERS OR
NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS)
THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR
PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR
CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN
ON YOUR PROPERTY THIS MEANS IF A LIEN IS FILED YOUR
PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR
LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR
CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO
PAY. FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND
IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM
ARISES YOU CONSULT AN ATTORNEY.
Customer Initial Aq
Initials
Paae 1 of 2
Date m
When necessary the roof deck will be renailed with 8 D ring shank nails to bring it up to the neer Florida Building Code.
-Z,
�lf_�IC�C�N —AV
—
PAYMENT DUE ON COMP
I Accept This Contract
M
q 3 y d.
Date —1( A2
Contractor shall pay all valid bills and charges for material and labor arising out of the contract and will hold Owner or ;he property free
and harmless against all liens and claims of lien for tabor and material filed against the property.
The Contractor shall not be responsible for damage to existing walks, curbs, driveways, structures, cesspools, septic tanks, seevwr
Imes, water or gas lines, arches, shrubs, lawn, trees, clotheslines, telephone and electric lines, overhead plumbing, etc , by the
Contractor of supplier incurred in the performance of work or in the delivery of materials for the job. Owner hereby warrants and
represents that he shall be solely responsible for the conditions of the building site over which the Contractor has no control and
subsequently results in damage to the building or injury to persons or property.
Unless otherwise noted in this agreement, the price quoted does not include removing or replacing fascia, trim, sheathing, rafters,
structural members, siding, masonry, vents, caulking, or flashing of any type. If during the course of work, it should become apparent
that any Such portion of the structure should be repaired or replaced, Owner may authorize Contractor to do such additional work, and
charge Owner for the additional labor and materials required plus a reasonable profit.
Where colors are to be matched, Contractor shall make every reasonable effort to do so using standard colors and materials, but does
not guarantee a perfect match.
Any controversy or claim arising out of or relating to this contract shall be settled by arbitration in accordance with the Rules of the
American Arbitration Association and judgment upon the award rendered by the Arbitrator(s) may be entered in any Court having
jurisdiction. Should either party hereto bring suit in Court to enforce the terms of this agreement, any judgment awarded shall include
court cost and reasonable attorney's fees to the prevailing party plus interest at the legal rate.
Page 2 of 2
G.A.F..
25 YEAR
30 YEAR
40 YEAR
Color
TAMKO
tl
OWENS CORNING
D R and G, Inc. hereby proposes to furnish all material and labor, to complete
all work in a professional manner. This price includes removing one layer of
roofing only, unless otherwise stated. This contract may be subject to material
CERTAINTEED
price increases.
Workmanship 2 YR 5 YR. ZI YR.
E E e Drip 2.5" 3" L7 ead Stacks 4" 3" 2" 1 1/2"
b?ariley Metal [Roof Vents 3
❑ Ridge Vent ❑ Gravel Stop
❑ Itchen Vent ❑ 2 x 4 Skylight
MAGNET SWEEP YARD
6 NAILS PER SHINGLE
PALISADE DRYIN
HAUL AWAY TRASH
(Bathroom Vent Z ❑ 2 x 2 Skylight
Rotten Wood
RENAIL LOOSE DECKING
1/2" COX Plywood - $4 per sq. ft. Boards $9.50 per running ft.
All rotten wood is extra at price quoted above
IN REROOFING A HOT TAR ROOF, IF
THE OLD ROOF IS STUCK TO THE
HOT TAR ROOFS BITEC SINGLE PLY ROOFS
DECK, THE HOMEOWNER AGREES TO
PAY D R AND G, INC - FOR ANY
ADDITIONAL LABOR FOR REMOVING
OLD ROOFING.
❑ 75# Fiberglass Base Felt ❑ 75# Fiberglass Base Felt
❑ 43# Base Felt
ply g IV Fiberglass Felt ❑ Smooth Surface
❑ 8 Rock Granulated Surface ❑ 5 yr Workmanship
� 0 yr Workmanship
When necessary the roof deck will be renailed with 8 D ring shank nails to bring it up to the neer Florida Building Code.
-Z,
�lf_�IC�C�N —AV
—
PAYMENT DUE ON COMP
I Accept This Contract
M
q 3 y d.
Date —1( A2
Contractor shall pay all valid bills and charges for material and labor arising out of the contract and will hold Owner or ;he property free
and harmless against all liens and claims of lien for tabor and material filed against the property.
The Contractor shall not be responsible for damage to existing walks, curbs, driveways, structures, cesspools, septic tanks, seevwr
Imes, water or gas lines, arches, shrubs, lawn, trees, clotheslines, telephone and electric lines, overhead plumbing, etc , by the
Contractor of supplier incurred in the performance of work or in the delivery of materials for the job. Owner hereby warrants and
represents that he shall be solely responsible for the conditions of the building site over which the Contractor has no control and
subsequently results in damage to the building or injury to persons or property.
Unless otherwise noted in this agreement, the price quoted does not include removing or replacing fascia, trim, sheathing, rafters,
structural members, siding, masonry, vents, caulking, or flashing of any type. If during the course of work, it should become apparent
that any Such portion of the structure should be repaired or replaced, Owner may authorize Contractor to do such additional work, and
charge Owner for the additional labor and materials required plus a reasonable profit.
Where colors are to be matched, Contractor shall make every reasonable effort to do so using standard colors and materials, but does
not guarantee a perfect match.
Any controversy or claim arising out of or relating to this contract shall be settled by arbitration in accordance with the Rules of the
American Arbitration Association and judgment upon the award rendered by the Arbitrator(s) may be entered in any Court having
jurisdiction. Should either party hereto bring suit in Court to enforce the terms of this agreement, any judgment awarded shall include
court cost and reasonable attorney's fees to the prevailing party plus interest at the legal rate.
Page 2 of 2
N v 1Q -r-"> e -
THIS INSTRUMENT PREPARED BY:
Name: i -S--
Address:
Address: r.7 <
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number:,a-.2b 176 -Aq w
MARYANNE MORSE, SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BI. 3#
825 P9 1507 (1P3s)
CLERK'S r 2016130191
RECORDED 12/15/2016 Pih
RECIIIN'DING FEES $10.00
RECORDED BY hdevore
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)
2. GENERAL DESCRIP ON OF IMPROVEMENT:
M- rot
3. OWNER INFORMATION OR LESSEE INFORMATIONIF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: pe) �) C.N 11.1 6-C PQMt to Bt t! SS ()
Interest in property
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: R •'a. --r c— Phone Number. ya Z .3 1? S--57 H
Address: /G 5�c�'%co�_ ta>✓Vtp_LsC�� 13�i 7.zd1
QV 5. SURETY (if applicable, a copy of the payment bond is attached): Name:
—G 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) `•s.�- errr-3-31-!'7
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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and
belief--�4 /az diz.
(Signature of Owner or Lessee, or Owner's or Less
Authorized pGcer/OhectodParinertMenager)
&;6pp-tiso
(Print Name and Provide Signatory's In price)
State of County of
The foregoing instrument was acknowledged before me this day of �eei'H W ` , 2016_
by
Who is personally known to me O OR
- Name of person rraking statement .Q-d
O�oras- Uwho has produced identification�,type of Identification produced:
n
DE'
..........YANET
itu.
rr°. �.`�';
. . `
G03NZALEZ
Notary Public - State of Florida
Commission # FF 192773
M Comm. Expires Jan 26. 2019
Bonded through National Notary Assn.
DE'
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 14 —135- ?
I> hereby acknowledge that T personally inspected
-I Roof deck nailing and/or.Secondary water barrier work
at 161 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
Sectio -P 837.06 S. 7
• V
Z, 6i �7 � 1pz�9
Signature of Contractor Ote
Q , cj,&=,Z� M. In \- , S Cc -r— /3 A 0 f O /,
Printed Name of Contractor License #
License Type: 0 General 0 Building 0 Residential XRoofing Contractor
0 or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before met is day of SQ n R04A , 201, by
who is ersonally Known to me or has 0 roduced (type of
identification) as identification.
(SEAL)
S' ature of Notary Public
St f orid
Print/Type/Stamp Name
of Notary Public
3
140, ,��°4�;
CAROLE PROODIAN
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A•!'� COtv"'IISSION XFF169830
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(407)398.0153
EXPIRES October 20, 2016
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