HomeMy WebLinkAbout171 Colfside Cir (2). 1
CITY OF SANFORD
BUILDING & FIRE PREVENTION
` PERMIT APPLICATION
D
' Application No:
VID ou
Documented Construction Value: $ (70
Job Address: t e
ASC,\C G-32�� Historic District: Yes ❑ No
Parcel ID: (A — go — 30' 5 13 - 000 o' Q7 Residential 19 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair 14 Demo ❑ Change of Use ❑ Move ❑
Description of Work: "Re R00 0 ff CO M P 1e ke ky -�o vine dec k
ANb Recloy-P_Ifs u4h OG wgA%1oyl _)OV IZ.
Plan Review Contact Person:
Phone: Fax:
Email:
Property Owner Information
Name
Street: I -i -I &Cst P
City, State Zip: SA r� o FL av
Title:
Phone: (-a57) ?_ lQ - AA'r r7)
Resident of property? :
Contractor Information
Name '-RhVin ie- �e5�0� pl�'IOYI
Street: io33e8 HO)oL e- w%c h
City, State Zip: o RUA N b o. -FL 3a85a
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: 409 a30 ti 9 � a
Fax:
State License No.: �,c 1-6aa J"I 71
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: 5i° 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.
Signature f er/ a Date #Siare of Contractor/Agent Date
To V)0 ah4ln�
Print /Age is Name
CX_ Atxato - i
Sign ture of Notary -State of Florida Date
y Maria Daniela Hubner deAbreu
r v NOTARY PUBLIC
-+STATE OF FLORIDA
Comm# FF237733
6 iry
Owner/ t� �t9t Is Exprre�e s na Known to Me or
Produced ID �— Type of ID R D L -
Print Cont{actdr/Asent's Name
XLUJJA 4 i - ►-o -1,6
of Notary -State of Florida Date
. gy Maria Daniela Hubner deAbreu
NOTARY PUBLIC
— STATE OF FLORIDA
Com"
Contractor x rt isExd4JSflAAy Known to Me or
Produced ID Type of I D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type:
Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
AGREEMENT
407-27- RHYNE
888-99- RHYNE
7 4 9 G 3
.,Ak REP: 11-hV1P12
T�
RESTORATION
FL LICit CCC1329471 PHONE:
OWNER'Br
,_ ^
el 00 PA.1 - �C J
DATE' I
EMAIL ADDRESS
AFI• Lo VY�
STREET I
1Z7
1
CELL PHONE / ��� ( _
`
WORK PHONE
cm s�
STATE G
HOME PHONE
nv I �`10`•� 131
0 CLEAN ALL GUTTER DEBRIS
We hereby submit scope of work for:
O' HAUL OFF CONSTRUCTION DEBRIS
C'
1
Tear Off A1\ yvw:Pa tA15 40 )ot:)?&i_,j I// ROLL MAGNETS THROUGH YARD
c
# of Squares Off W LIEN WAIVERS PROVIDED UPON FINAL PAYMENT
o
Recover roof with JOIA 1 0 MISC SPECS
u
If of Squares On 31.X
o
Shingle/ Color 1^ A,ocr
o
Protect Propert as Needed Daily
•
A-
Decking Type LoG}
o
Underlayment O Terms: The undersigned (Customer) herby agrees to the proposed
i
Metal Edge Color r V%CiL f e scope of work and the contract price. The company agrees to
o
Valley Type Tr e —L. a kE F S e-1cl furnish all materials, labor and necessary permits upon receiving
o
Hip and Ridge ILP r�I Ar,• 1�. th461/6e deposit which is equal to 4of the contract price and the
.mgirlr.
--�--�� balance due upon completion of roof. Insurance Claims: Rhyne
o
Nails "4 iylCln C ) er -&9AI J^YMIrA Restoration to be on all Insurance checks.
o
Pipe Flashings IRej2jxa re__j �,5�
O
Ventilation D__* D1 P LP .npl„J Roof Replacement L JL►P s,..,_
0
Seal around all vents, flashings and pipes Roof Repair s
o
Furnish all materials, labor and necessary permits Total $ Q, 60Q
0
Delivery Instructions LZOoE� 1 rnA
0
2 Year Roofing Workmanship Warranty Accepted by Owner By:
Date:
1) FLORIDA CONSTRUCTION LIEN. ACCORDING TO FLORIDA's CONSTRUCTION
LIEN LAW (SECTION 713.001-71337, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID -4N-FULL
HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONTRACTOR LIEN. IF YOUR CONTRACTOR OR
A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY
REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED THE 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, TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS
REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A -NOTICE TO OWNER. -
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY.
2) FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND. PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY
FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORDA LAW BY A
LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING
BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: CILB, 1940 NORTH MONROE ST., Mat, TALLAHASSEE, FL 32399.
3) ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER $SB, FLORIDA STATUTES.
4) BUYERS RIGHT TO CANCEL This Is a home solicitation sale, and if you do not want 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
services and must be delivered or postmarked before midnight on 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. By signing this Agreement you agree that you have also been
provided notice of this right to cancel orally in addition to the writing contained herein.
11ARYANNE MORSEr SENINOLE COUNTY
NOTICE OF COMMENCEMENT CLERK OF CIRCUIT COURT i'.t CONPTROLLER
BY, 8802 Ps 1110 (lPgs )
STATEOF F ,el n,dp CLERK'S 4 2016116792
COUNTYOF_SCP Ml hole— RECORDED 11/08/2016 02:00:55 PM
RECORDING FEES $10.00
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, anAfae&orWnc9QheMi*FeR 713, Florida Statutes,
the following information is provided in this Notice of Commencement.
1. Description of property: (legal description of property, and street address if available)
64 LAO d„�, PIS , 96c-,3 PEE 7&9 C o if .�t� ct I SA^L A
2. General description of improvement:
3. Owner information: . UNI _ I [''i .V-A��.iyl�- i:1'w
a. Name and address: (),",V 20,/ . t'' -t /.,� i r c„ A.
b. Phone number.
c. NWe and address of fee simple titleholder (if other than owner):
4. Contractor.
a. Name and address:
b. Phone number.
5. Surety:
a. Name and address:
b. Amount of bond $
6. Lender:
a. Name and address:
b. Phone number.
c. Phone number.
7. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,
Florida Statutes:
a. Name and address:
b. Phone number.
8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes:
a. Name and address:
b. Phone number.
9. Expiration date of notice of commencement (the expiration date is one (1) year from the 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 RECWING YA)UR NOTICE OF COMMENCEMENT.
or owner's Authorized Officer/Director/Partner/Manager
Signatory's
6 The regoing instrument was acknowledged before me this g da of hOU&4u l . o20J6 by
6'Z!� (name of person) as �J (type of authority, ...e.g.
officer, trustee, attey in fact) for (name of party on behalf of whom instrument was executed). —
Maria Daniela Hubner deAbreu Signature o otary Public —State of Florida
rOt1�r NOTARY PUBLIC Print, type, br stamp commissioned name of Notary Public
STATE OF FLORIDA v
Comn►tt FF237733 Personally Known OR Produced Identification
•44CE 19�� Expires 6/4/2019 Type of identification produced FfiL
Verification pursuant to Section 92.525, Florida Statutes
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.
iot 1W ,ottr
owl
A YE MORSE ?� Rr srr�
CLERK O HE CI COlAtt AND %N :: rk_)a 'ts SDazure of natural person sigoing
above
SEMINO"U�LO D / 'hIQFC'U14 ;f�� q
8Y DED L RK�� LO i6
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City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address X 4 4 �J(1 S t OF, Gt Y-(—
As
'L
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuildina.org.
The following information must be available on the jobsite for inspections:
I. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Ow
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
includin decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles'
Undeda ments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shin les
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product Florida Approval #
Description include decimal
5. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
(Please Print)
June 2014
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: Ill 1 � I ( 6
1 hereby name and appoint:
an agent of.KhUn e Res-�o2A+loYl
I (Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
x01 G, F51ne C I1?C - 5Anf0f2,0 jL 329113
(Street Address)
Expiration Date for This Limited Power of Attorney: I I I 13 1 1 q
License Holder Name: -ro ISD gh n e—
State License Number
Signature of License F
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 1j_daof�,
2041 0 , by � V who isVppersonally known
to me or o who has produce as
identification and who did (did not) tqke n oath.
�o�w1ty'�fr Maria Daniela Hubner deAbreu
v NOTARY PUBLIC
c STATE OF FLORIDAm
(NOty ) Com# FF237733
Expires 6/4/2019
(Rev. 08.12)
41,*7 IaQ-fg jr= /,A- ti E7P 6C�jZ)
Print or type name
Notary Public - State of
Commission No. `I`1
My Commission Expires: (o- �i►1A1�1
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 16 " 30/' 0
L hereby acknowledge that I personally inspected
'Roof deck nailing and/or 1 Secondary water barrier work
at -11` GiC l •(75 w L C I KC 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 8 06 F.S
.�'
'S191ratdre, of Contractor Date
Popo Y�►�y l'1� CCL 13A <5'1 9 l
Printed Name of Contractor License #
License Type: 0 General 0 Building C Residential X(Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATF OF FLORIDA COUNTY OF �,,I, kwk
Sworn tg (o armed) and subscribed before e t s t'iv day of i7�1?At �iy► , 20 , by
who is Versonally Known to me or has n Produced (type of
idiend ica n as identification.
It
U (SEAL)
SienaNfe of otary Public
I'llk" l99vil iWE- �� /k
Pjl�.rintJType/Stamp Name
of Notary Public
IV/ AGS-?
at�t pMaria Daniela Hubner deAbreu
NOTARY PUBLIC
STATE OF FLORIDA
'si a Co -m# FF237733
NCE Expires 6/4/2019
3