HomeMy WebLinkAbout206 Dogwood Dr (4)REC77U1
CITY OF SANFORD
NOG,8� FIRE PREVENTIN
PERMIT APPLICATION
BY:•
Application No: I Documented Construction Value:
Job Address:- 70G d pacod gc� P- Historic District: Yes ❑ No LY
Parcel ID: a - - 5 E - 0 - v5 J Zoning:
Description of Work:
Plan Review Contact Person: 6d('n.Son ?ene=z Title:
Phone:- �07- S35- DQ>S _Fax: E-mail:
Property Owner Information
Name RIW ),n /Vi I eL In /,' SSc, Phone:
Street: 206 'Do, cP l„ Q Resident of property?
City, State Zip: �4nA FL- 3 Z77(
Name
Street: d
City, State Zip: S
Name:
Contractor Information
Phone:
Fax:
(� State License No.:
Architect/Engineer Information
Phone:
Street: Fax:
City, St, Zip:
E-mail:
Bonding Company: IMortgage Lender:
Address: Address:
Building Permit O
iquare Footage:
,S S 61,
PERMIT INFORMATION
Construction Type: �- No. of Stories: I —
,To. of Dwelling Units: -Z Flood Zone:
;lectrical O
iew Service - No. of AMPS:
Zechanical O (Duct layout required for new systems)
13R.oc*
Plumbing O
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm O No. of heads:
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, beaters, 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 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 $ITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT 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.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
Sign ture of Contractor/ Date
e4o( 6a
(]
Print ontractor/Agent's
Signature or Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
UTEUTTES: WASTEWATER:
FIRE: BLM DING:
NOV-07-2011 11:12
11/02/2011 11:12
CORPORATE OFFICE
4076291656
RLHA-ff-�
CONSMUCTION COMA1�lY
$eliable Luxurywebitadons
Date: 10131111
SKC
Ct')Ct2.g68MOG0513297MCC132871S
P.O. Box 625
Sanford, FL 32772.0625
,MMGS@RL"Manaeemcnt corn_.
Phone 407.330.7104
Pax 407-3285055
407 328 8055 P.01/01
PAGE 01/01
Trade Contractor
Purchase Order &
Notice to Proceed
Page 01 of 01
Trade Contractor: Jared Conte
Company Name: Reap Phmnm.LLC.
Job Number. 400-041942.142
WOM2
Property Owner: Nigel & Meliess Martinez
Property Address: 205 Dogwood Dr.
Work Phone: 407-453.2vZ,22
Cell Ph,
C' : Sanford FL 32771
Ernail: Jam!t& plo�reo a.aom
Fax Phone:
Ci /Coup Permit #:
Contractor. RLL Construction
Contact Person: RT HILLERY
Address: P.O. Box 0625, Sanford, FL 327724625
F_mall Address: my-ge0rihmanaoernent Com
Phone Number: 407330-7104
Project Name: Rgolr for No 9 Melissa Mardnez Work Order a: 42
Project Location: 206 Dogwood Dr.
Sanford, FL 32771
Quote Duo date: 8128/11
Project Manager(s): Randy Nbwn/Mlehelle Cahill
Scope: _ Please see Schedule A with inspection report and work order #42.
Ac�obnce of Agreement
After review of the above referenced property and scope of work your company $hlall furnish all Labor &
Ma erlals for a lump sum of7$ ,900,00 for stated work outlined in the attached Quote Work Order#: RFQ.�42
Date 9/�28M 1,. All work will be in accordance with state and local codes and will be quality workmanship.
Payment Schedule: 1 st payment$5,530,0-0-2nd payment $2.370, 3rd payment N/A .00
(1111 payment M after all work Is done. 2nd payment 30' • after rinel InspecUen pa*ml
Work shall start on: Oct 31,011 and shall be completed on or prior to: Dec. 5.2011;
tN of wort 4 not oomdM9t1 Mid pe�sa0 tlipeCllen M a0."ken ev ooe e0npkaafl Bata Thos C WOMW areas b pay a pen ky u0 to 5250.00 M 0M.)
The stated prices, specifications and conditions are satisfactory and are hereby accepted,
Signature:—
A al Date: D 2-0
11
Tra a a vContractor Owner/Agent
1 authorize thee company to do the work as specified above.
Signature: Date:
RLH Authorize Agent
Total P.01
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood,
Seminole County, Winter Springs
Date: la- -? /— //
I hereby name and appoint: ZtLZ�Qy- 42-a )!!qcp
an agent of:
(Name of CompSny)
0 71011
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):
O All permits and applications submitted by this contractor.
M/ The specific permit and applicatiop for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney: Z0/!
if
License Holder Name: lJL,��� 62f4p_
State License Number:
Signature of License H
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day o .,- ,
200 f/, by ro-fett who is 66personally known
to me or o who has produced
identification and who did (did not) take an oath.
Signature
Lary
p C(� 1 Y K 4 i ►n'1
MY COMMISSION#EE046B53 Print or type name
z EXPIRES: December 8, 2014
Q . Bonded TIVU Notary RM UWvm t=
(Rev. 3/27/07)
Notary Public - State of o 17A
Commission No. F�- GMDFSS3
My Commission Expires: 121 toluu_l
as
THIS INSTRUMENT PREPARED BY:
Name: Celia Bernardi itIRWOM WME9 Ell EX fF CIRWIT MW
Address: P. O. (3ox 0 6 2 5
Sart or , L 32772 EMI)tU CONN
State of Florida 9K 47%✓17 Dig IM; lips)
CLERK' S 8 a01 t 1 W5333
s 01
NOTICE OF COMMENCEM�I� F11/M 10 10:J9:
.E£S 30.. 00
REpiRlii-.) BY J Ectiew-otbiall)
Permit Number parcel ID Number (PiD) 33-19-30-5EM-OE00-0050
The undersijned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the follovAng information is provided In this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and sheet address if available)
LEG LOT 5 BLK E IDYLLWILOE OF LOCH ARBOR SEC 6 PB 21 PG 40
GENERAL DESCRIPTION OF IMPROVEMENT lnterior/Exterior Remodeling, Mechanical,' Electrical,
Plumbing, Re -roof
OWNER INFORMATION
Name and address: Nigel & Melissa Martinez
206 Dogwood Dr., Sanford, FL 32771
Name and address of Fee Simple TIUe Holder (ii other than owner) :
CONTRACTOR
Gv Name and address: RLH Construction
IV P. O. Box 0625, Sanford, FL 32772
Persons within the Stats of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b)� Florida Statutes.
Name and address:
In addition to himsetl, Ower Designates of
To receive a copy of the Lierers Notice as Provided in
Section 713.13(1ub► Florida Statutes.
Expiration Date of Notice of Commencement:
The expiration date is 1 year from date of recording unless a different data Is spetifled.
WARNING TO OWNER: ANY PAYMEiITS 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 IMPROVMENTS 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.
STAT Or .•-- t+� / COUNTY OF'5efrl I nt:Jl L.
4 !GNAT E .1 OWNEFMPRINTEDINAME
`(NOTE: Per Ficride Statute 713.13(1) (9b owner must sign_ and no one else may he
peermiftet-rd to�sign
Inhis
�or her sLead."
The foregoing tristrument was acknowledged
' befo)` r a re me this day of
1
by, 1 l� t � t� (-- t 11 I tbefs . Who is personally known to me ❑
Name or person mounq statement ,, ^^ e
OR who has produced identrflcationlPtype of identification producedffllY� n1uo
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDE PEN�LTfEs OF PE:RJ DECLARE THAI i HAVE Rw THE FOREGOING AND THAT THE FACTS STATED IN R
Aire�UE T 3T QF.
SEJN WL �GE SE EF., r CED CO
SIGNATURE OF NATURAL PERSCTN SIGNING ABOV Oy
00
1mou OWN" f. FORMA
It ;'may; �r�. ..... a...,,,.• �+... �t%,.r. ... a� - - - - --- f
i
t+
City of Sanford
BUILDING DIVISION
1
`1.
RE: Permit # 1�-2541 ; t,.
.rte
Inspection Affidavit
I . 1t0—A C M'1 ,licensed as a( ontract * /Engineer/Architect,
(please print name and
circle Lic. Type) S 468 Building Inspector* �•
License #; t32,10 30
On or about tk l Il( 430 Q.1m , I did personally inspect the roo
�— (Date & time)
eck naiLing and/or secondary water barrier work at 2 V 'Nieviotij
crrc (Job Site Addr s)
Based upon that examination I have determined the installation was done according to the
Hur#irane Mitigation Retrofit Manual (Based on 553.844 F.S.)
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this _Lday of h► tmwL v 20,14
g" +,ROBERTDJOHARVE
.{s• MY COWI% M A EE 046853
EXPIRES: December 6, 2014
9w4ed Twu Hdry Pub k Imeenr Wl
Personally known v1 or
Produced Identification
Type of identification produced.
Notary Public, State of Florida
.Q� ►M �_
(Print, type or stamp name)
Commission No.: 2_�_ GLku �s 3
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.