HomeMy WebLinkAbout135 Scott AveCITY OF SANFORD PERAUT APPLICATION
Permit No.: Z - 3
Job Address: 4-
Date: 7 % C>.-;L-
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work:.8 pa
Additional Information for Electrical & Plumbing Permits
Electrical: _Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type:Residential _Commercial _ Industrial
Type of Construction:Flood Zone:
Parcel No.:
Owner/Address/Phone:
fol
Contractor/
U •-t-,1ow"t C M -?4It -1 jr
Contact Person: x. W% ffd',
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
7
Total Sq Ftg: -ICK Value of Work: $ 23 YO, a
Number of Stories: Number of Dwelling Units: /—
Attach Proof of Ownership & Legal Description)
State License Number: CC,
Fax Number:
Phone No.:
Fax No.:
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.
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. WARNING TO OWNER: YOUR FAILURF Tn,R,F; A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE,r0R%Tdx= : - ` Y.sIF YOU
TNTEND TO OBTAIN FINANCING, CON-jr•LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING -YOUR
NOTICE OF COMMENCEMENT.
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.
I,— kw 0 --
Signature of Owner/Agent Date §igpkure of or/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: 1 '
I
VV\ I 1,\ (- /-oa-
Print Contractor/Agent's Name
Sy afore of Notary -State of rida Date
JO ANN M. JOHNSON
MY COMMISSION # CC 9218M
EXPIRES: March 23, 21X4
GJnjeu TGr6 6udgm Notay Services
Contractor/Agent is Per s nally Known to Me or
produced ID C . r A tf {c0
Date: ` —I
Special Conditions:
POWER OF ATTORNEY
Date:
I hereby name and appoint `
of Q,. ioovke LIV [ . to be my lawful attorney
in fact to act for me and apply to the C0
Building Department for atop permit
for work to be performed at a location described as:
Section Township Range
Subdivision
Lot Block
3 5 S c aft \)t'• S ct4ov-oli Address
of Job) uic.-
I"K,JN /1// Sit. L _.,_S.___ Owner
of Property and Address)? J and
to sign my name and do all things necessary to this appointment Type
or Print of Certified Contractor and Contractor's License Number of
Certified Contractor J
The
foregoing instrument was acknowledged before me this day of 20 by
who
is personally. known.to me/who produced. as
identification and who did not take oath. State
of Florida County
of Notary
Public, Oran a Cbaty, Florida C CkAr:EJ. HERNANDEZ my
COMMISSION # CC 742228 eal'
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ry Scrvica & Bonding Co C:\
W'NNI\Pmfi1c:VPue\PersoaalUUw CoordinatiouWazter FormlTower of Attorney.doc Pazc1of1I2/
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CQ3R (l%a, cqui 2, 9ncl.
State CerOcd RoOn9 Contractor License No. CC C057581
14824 White Magnolia Ct Orlando, Fl. 32824
Tel. (407) 657-0098, Fax: (407) 816-2094
Name:
Address:
Home No:
Jobsite:
Proposal Contract
Work No: 7 S((o -`a91od
Date: -3 - aI -off,
Fax No: /Y(o -YWO
1 Tear off existing roof to a smooth, clean workable surface and dispose properly.
2 Replace any deteriorated roof related wood. Woodwork will be done on time and material basis at a
rate of $25.00 per hour plus cost of materials.
Dry in the roof with lb. Felt at low slope areas.
4 Install one ply of shingle underlay at slope areas.
5 Install in face drip edge at eaves and rakes. %xAJ-W-
6 Install new lead flashing at plumbing vents.
7 Install new exhaust vents over kitchen and or bathrooms.
8 Install ' - 'o attic ventilation system Color: Wi 4
9 Install white granular su aced Modified Bitumen roofing at low slope areas as per manufacturer's
specifications and building code.
10 Install 'Ro yr. Fungus resistant fiberglasstasphalt as per manufacturer's specificati ns
Style: 3 - Ta` Color: Manufacturer. O G
1 Clean up and remove roofing trash from premis
a,N
s. Roll yqtd with magnetic nail bar.
12 If gutter exist, it will be cleaned from all debris.
13 Provide a 3 year Labor warranty (see back for Sample Warranty) and
0 yr. manufacturer's warranty on shingle.
yr. manufacturer's warranty on modified bitumen roofing.
14
Edgar Quintin Inc. will be responsible for furnishing labor, materials, insurance and permit for the job.
Price $ '23/v . b o Contract price due in full upon completion of work included herein.
Payment due upon date of completion. Any wood to be replaced will be done as an extra on a time and material basis. Not responsible
for any cracks in ceilings. This price is based on our trucks being able to back up to building; however, we are not responsible for any
cracks in driveway. If you do not wish us to use driveway, we will have jp charge @xtra.
A Finance charge of 2% per month (24% per annum) will be added to unpaid accounts 30 days from date of this invoice. In the event
the Contractor employs an attorney to enforce any part of this agreement, the Owner shall be liable for Contractor's attorney's fees and
court cost.
This proposal is subject to and conditioned upon the terms of the sample guarantee shown and incorporated herein by reference.
This proposal is subject to acceptance within 15 days. Prices are subject to change if material, because of delays not attributed to us,
cannot be delivered within 90 days of acceptance. We do not accept or undertake any liability hereirrfor delays orinability to perform
due to fire, strikes, Acts of God, of the elements, or of the public authorities, nor do we accept or undertake.any liability for damage or
loss of materials or work performed due to the acts or omissions of third parties or the above mentioned causes, and through no fault
on the part of Edgar Quintin Inc. This contract is valid when signed and accepted by Edgar Quintin Inc. ,
Accepted By: By:
Authorized Agent / Date r_- rE gar Quintin, Inc.
ogsG
A Company built in Honesty, Reliability and Good Services
04/01/2002 12:00 4073278318
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