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HomeMy WebLinkAbout126 Alder Ct (2)I CITY OF SANFORD BUILDING & FIRE PREVENTION D PERMIT APPLICATION Application No: Documented Construction Value: $ '7 Y00 r Job Address: le) (o M�� C� Historic District: Yes ❑ No ❑ Parcel ID: It-aLQ - 30-5 2�--b000 - /"4 3> Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: �� TPS --,I- f ePl.", i4 5(25 Sk'n-J,e) Plan Review Contact Person: mo-, �� ��.9y Title: Phone: 7a7 -t437 -&"Y (S16 Fax: Email: Property Owner Information Name (Z-%kK n e-bo".l CS Phone: �1 67. 3a t * 7,11�'/ r Street: 0 (y Q-�_ City, State Zip: cS6,rt,.t r L PL 7Z:oa 7Z_*) Resident of property? : Contractor Information Name 91 'k' h�4_t J. Street: SV II City, State Zip: L)At,.'_% rG -1Ja Ft 0 Name: Street: City, St, Zip: Bonding Company: Address: Phone: Ta -7-637 W Fax: State License No.: e.C. 63 -7 y ArchitecVEngineer 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. 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: 5" Edition (2014) Florida Building Code Revised: June 30. 2015 Pennit Application N& 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 pen -nit 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 coning. Signature of Owuei/Agent Date Prim Owner/Agent's Namc Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced 1D Type of ID Signature of Contractor/Agent Date Print Contractor/Agent's Name /1—(I -I 6 Signature o n a Dale SESAK . MARYLOU MY COMMISSION #FF 146073 July 29. 201 t3 EXPIRES ~''?ern',• FlorldeNoto Service -COM aC or Agent is %C Personally Known to Me or Produced ID Type of LD 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 ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures. Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: lune 30.2015 Permit Application Premiere Restoration "Above all, it's a Premiere job!" WORK AUTHORIZATION / CONTRACT Insured Name: A)JN1Rd4* Address: G%. Q L. z U - Phone 4 Email: d&M r Q t o aa. 60/h Insurance Co: j'Y IyNIMAL. Claim 4: !4kZa90/-,%/ Adjuster: Phone #I Email DESCRIPTION OF PRELIMINARY SERVICES TO BE PROVIDED: Restore propertypre-loss conditions as per It proceeds and scone of loss. QAIp dt. �6/ZrBd �6�1lC1181F HOMEOWNER AUTHORIZATION 14 3�3�0&_ LESS1p>a�tlo� araP�C l �L oa,M;R. 1. This agreement for repairs/restoration is subject to insurance company approval and does not obligate Owner or Premiere Restoration Orlando, Inc- (hereinafter "PRO"), unless Owner's insurance company approves such repairs. By signing this agreement, the Owner authorizes PRO to work directly with the insurance company and its representatives handling the claim of loss to make sure the price of repairs offered by the insurance company is a market avitilable price on an agreeable scope of repairs for proper labor and materials. 2. There will be NO ADDITIONAL COST TO THE OWNER EXCEPT FOR THE TNSURANCE DEDUCTIBLE for the settled claim. Additional improvements and/or repairs necessary for the completion of the work not covered by the insurance company will be the Owner's responsibility. 3. 1 understand that 1 will be responsible to pay PRO for my deductible, plus any monies paid to me by the insurance company for the repairs of the settled claim. 1 also understand that I will be responsible to pay PRO -for any repairs or additional improvements made at my direction and/or that are not covered under my policy. 4. 1 authorize PRO to d cuss and work directly with the insurance company personnel handling my claim which occurred on Storm Name (i app rcable): 5. Upon approval of my insurance claim. I authorize PRO to proceed with all insurance prescribed repairs to my property for the price of the fill scope of insurance proceeds, including any supplemental insurance proceeds. ,591144a 00M" To GVTi/i10a1JrVC AP - J,�w oe awv� PRO Rep: O er's Signature Date F220 5611 Carder Rd., Orlando FL 32810 Tel. 407-292-9744 Fax 407-704-8967 Lic. N CBC -056687 www.restoreteam.com Page 1 of I THIS IN TRUMENT PR PARED BY: Name: tt L-�±4— h- QP4 Address: % y v e 1���.�3es FfL 15 NOTICE OF COMMENCEMENT Permit Number. Parcel ID Number: WARYANNE MORSEr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8805 Pe 1742 (1Pss) CLERK'S Y 2015118758 RECORDED 11/15/2115 12:43:55 PM RECORDING 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 orovided in this Notice of Commencement 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) (n Airier Ct 50nVe,,Cd. FL 59'117 -1�(D4 i 2.NERAL DESCRIPTION OF IMPROVEMENT: Kemd'r 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR E IMPROVEMENT: Name and address: �a-�hwVl "& 94. kI l++y1R+ DcU�l Interest in property: Fee Simple Title Holder (if other than owner listed above) 4. CONTRACTOR: Name: rt m hf Phone Number: j 1141)"12 5 r( -11 Address: .2 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount'of Bond: 6. LENDER: Address: Phone Number: 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 Lienors 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 gnettne of owner or Lesse& or els or lessee's Authorized Of oefOrector/PertnerRdanager) xD&6164�JhA�aI \/ga'C F, v t s (Print Name and Provide Signatory's Tide/(Mce) State of F1 b r �LP� County of <At kn�. ^If V -0 -- The foregoing instrument was acknowledged before me this i T • day of Oy Who Is personally known to me 0 OR Name of person making statement y Whb Iva -6 protlubbn by piwaba: F.M •�rl ryOlE C0�'r CHRISTINEUMALLEY ' MY COMMISSION # FF 087307 CO G '!Ci u'' Q� EXPIRES: January 29, 2018 No Bonded 7hru Notary Public Underwnlsts Lp M`Npwr i �OJ Premiere Roofing and "Above all, it's a Premiere iobl" POWER OF ATTORNEY To: 5c,.v4;c�- -Z\4;4- VqA— Date: l 1 14)1 If I hereby name and appoint Team K- 5 Brian Kirby: Tim O'Malley; Aaron Hallich; Frankie Jamarillo and Eric De Dios to be my lawful attorney in fact to act for me and apply for a Roofing permit to be performed at a location described as: Section Township Range Lot lVaBlock Subdivision V %kexYl Parcel ID: 'a -y - 3b - Sl a. —ppU 0 . N 6 0 Project Location *4 Owner's Name 'brkww MQ.vu3 Owner's Address 1 ,;I& �A-- ar 0* n FG 3� 73 And sign my name and do all thing necessary to this appointment. Signature of Contractor Michael A. Morgan CCC 7594; CBC056687 Acknowledge: Michael A. Morgan is personally known to me. Sworn and subscribed before me this 1l day of Nod , 20/ Notary Public, State of Florida J' 1 Q� My commission expires 5611 Carder Rd., Orlando, FL 32810 Tel. 407-578-6893 Fax 407-704-8967 F120 Lic. # CCC -057594 www.prcroofservices.com AMAFIYLOU SESAK MY COMMISSION #FF146073 I July 29. 2018 EXPIRES Flondiltwaryse-��exll 5611 Carder Rd., Orlando, FL 32810 Tel. 407-578-6893 Fax 407-704-8967 F120 Lic. # CCC -057594 www.prcroofservices.com PQ y I S, P10 n n 9 a 1Roy'nue I f 4 N(fsiIl, nje CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 16-34o I, i C hCAE' Xwk-) hereby acknowledge that I personally inspected 0 Roof deck nailing and/or 0 Secondary water barrier wt ) o-rk, at 12(o AHpv- CT ., atJara FL 321 I �-�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 c�l�l��ao�7 Signature of Contractor Date AchQel A or on r,r r 05 59 4 Printed Name of Contractor 1j License # License Type: 0 General 0 Building 0 Residential L-toofing Contractor 3 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF ©ZQp_� Li -f, Sworn to (or affirmed) and subscribed before me this / / *"' day of c,QIJJAI& , 20 by °���� G► Q, , who is N -Personally Known to me or has Produced (type of ide ' ication Pk as identification. (SEAL) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public SUSAN C TURNER MY COMMISSION # GG007357 EXPIRES June 29, 2020 407 398.0153 FWW4 ou n ,wm 3