HomeMy WebLinkAbout501 E 29 StApplication No:
RECEIVED
NOV 2 8 2011
BY:
1 a-113
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $, .SOO, Od
Job Address: ,`SSBI %', o?- '7T y- Historic District: Yes ❑ NOP
Parcel ID: Zoning:
Description of Work: 2nvv
Plan Review Contact Person: R -'r 1,► ny Title: Cn,rt_l rOL10 r-
Phone:go7 q kk S a la Fax: E-mail:
Property Owner Information
Name _�' �1 L�rQ✓�y► Phone: '(1417.3.2 a 7/
Street: `�j C 11A.- Resident of property?
City, State Zip: ScLkA o T:)> A2 7'7.3
Contractor Information
Name 1. ) (Z.-rZiLd M.DPhone: y67 N!j 4 SS79
Street: / 0.6 6 S la v rift n Io m. L V1 Fax: 4 1j:7 .3
City, State Zip: lir-Vue V Ll,, 'S a7 3 a State License No.: C 66 ;L,3
ArchitecVEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
00.PSR ! INFORMATION
Building Permit '8108 33 a nolaalmmoJ
11py0tA1 G9u:'08 'Y '';;,'••
Square Footage: .nzz" �enodst
n Type:
No. of Dwelling Units:
Electrical O
New Service - No. of AMPS:
Flood Zone:
Mechanical ❑ (Duct layout required for new systems)
.3�
Plumbing E3
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
AJ 0 te-►r ► z, )e
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 SITE 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 Cityof 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.
I--- ode. P. `m /0^rg_/ t _ �///
Signature of Owner/Agent Date Signature of Contractor/Agent Ddte 41
Eo t
Print Owner/Agent
Signature
Q
(06
�Y ►& Notary Public State of Florida
J Georgoud,ou
,y G ,P• My Commission OD814060
'Oa �d� Expues 08112/2012
Owner/Agent is . Personally Known to Me or
Produced DID -- - Type of ID 14 %Vt;& LA c. �^S-t
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
61133
Print Contractor/Agent's Name
Signature of notary -State of Florida Date
o;� ��� DEBBIE elAN70N
c a Notary Public - Stateof Florida
• •? My Comm. Expires Feb 25, 2015
Produced D:) Type of ID
WASTE WATER:
I: 11 � 1► epi
oMeor
I GAT. I I 25 YEAR I 30 YEAR I 40 YEAR I Color I
OWENS CORNING 0 1D R and G, Inc. hereby proposes to furnish all material and labor, to complete
CERTAINTEED,W)&�k 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
.4 price increases.
I MAGNET SWEEP YARD D( I
0 NAILS PER SHINGLE
FELT 15 30 f"''�`'"—
HAUL AWAY TRASH rx
RENAIL LOOSE DECKING
I REROOFING A HOT TAR R00
TH LD ROOF IS ST U THE
DECK, OMEO AGREES TO
PAY D R A ,INC - FOR ANY
ADDITIO LABO INC"
REMOVING
OLD OFING�
WorkZ sh' 2 YR
Eve Drip 1 1/249 1/2"
❑ Valley Metal
❑ Ridge Vent
❑ Kitchen Vent
❑ Bathroom Vent
5 YR. WR.
,LLead Stacks 4" 3 2"
13 Roof Vents opeplQA#-L
❑ Gravel Stop
❑ 2 x 4 Skylight
❑ 2 x 2 Skylight
Rotten Wood
1/2" CDX Plywood - $3_ p�q. ft. Boards $7.5` 0 per running ft.
All rotten wood is extra at price quoted above.
HOT TAR ROOFS
❑ 75# Fiberglass Base Felt
❑ 43# Base Felt
❑ Ply IV Fiberglass Felt
❑ Rock
❑ 10 yr Workmanship
BITEC SINGLE PLY ROOFS
❑ 75# Fiberglass Base Felt
❑ Smooth Surface
❑ Granulated Surface
❑ 5 yr Workmanship
When necessary the roof deck will be renailed with 8 D ring shank nails to bring it up to the new Florida Building Code.
PAYMENT DUE ON COMPLETION
.
9,
I Accept This Contract •,, ��.c Date % / /
Contractor shall pay all valid bills and charges for material and labor arising out of the contract and will hold Owner of the property free
and harmless against all liens and claims of lien for labor and material filed against the property.
The Contractor shall not be responsible for damage to existing walks, curbs, driveways, structures, cesspools, septic tanks, sewer
lines, water or gas lines, arches, shrubs, lawn, trees, clotheslines, telephone and electric lines, overhead plumbing, etc., by the
Contractor or 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
Lic. # RC 0023146
D R and G, INC.
1260 Saratoga Ln. �S
Geneva, Florida 32732
NAME Edith McCann JOB NAME
STREET 501 E 29th St
STREET
CITY Sanford 32771 CITY
PHONE 322 7913 PHONE
D R and G, INC/;�
Phone 407-841-5831
407-529 -1716
407-327-5636
407-322 - 8221
Fax 407-349-1398
DATE 10/14 /11
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,
4
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
ITIS RECOMMENDED THAT WHENEVER ASPECIFIC PROBLEM
ARISES, YOU CONSULT AN ATTORNEY.
Customer Initials fc
Page 1 of 2
Date
fVei, l&�-.z<—,
Permit No.' p tit o 0
Tax Folio No.-/)/,-;;,-rt6-
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The wrdersigned 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.
11114101N11111110110H111son@111111110
IiANW4E N W -i CLERK W CIRCUIT MURT
SENIMXE CMMY
BK 07670 Pg 05651 f1pg)
CLERK'S 11 201 1 1271 97
RETARDED 11128/2011 0810808 WI
RECORDING FEES 10.00
RECEDED BY T Smith
1. Description of property: (legal description of the,property, and street address if available) 0 /--'• 29TK 5t SGs„[��N�j
2. General description of improvement:
3. Owner information: Name: a,
Address: 5-DC 2 q—__,c
b. Interest in property: tbtr+ W -ax
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
,,A. Contractor Name: b R + C , as r . Phone number: yJt37 3 7 9
c. Address
5. Surety
Address
b. Amour
rX UK" '" UNTl, `—_
�A
—6. Lender: Name: ~ o. U
Address: S
b. Lender's phone number: BY !a un CL
K
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served TON
provided by Section 713.13(1)(a)7., Florida Statutes: Name: w�
Address:
S.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.130)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TI-fE 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 HviPROVEMENI S
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POS'T'ED 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
tr% dAA—, ` jr-, `m C— L:d= I�Y� Ch1 Vn --e Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signato
ry's Title/Office
The forego instrument was acknowledged before me this 7 day of ALLi (yam) i by (name of person) as (type of
authority ... •g. officer, trustee, attorney in fact) for (name of party on b arnvastr�men ) .
Notary Public State of Florida
^, J Georgoud-ou
(SEAL) V My Commission DD814060
I a FdP Expues 08/12/2012
$1bI twc of Notary Public
Personally Known OR Produced Identification Type of Identification Produced 1 0G' -,r :±--
Vetilication pursuant to Section 92.525. Florida Statutes: Under enalties of perjury, I declare that I have read the foregoing and that
the facts stated in it are truueyt7oqthe bestf.
► of my knowledge and'belietU QTc
Siguature of Natural Person Signing Above E1i� tN''rx .-7-:"
Rev. date 3/2008 UAME �
c
• �ppR. /� �/lam ;
City of Sanford
BUILDING DIVISION
RE: Permit # J2 - ,3 73
Inspection Affidavit
I AlLd�=zQ�&aee, ,S ,licensed as a(n) Contractor* /Engineer/Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; W (f 00.2 --?,! JZ b
On or about
tl
I did personally inspect the roo
deck nailing and/or secondary water barrier ork at
(circle one) (Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
/l r A "-7 ,, , r -
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this day of
By pM S
Personally known K or
Produced Identification
Type of identification produced.
Notary Public, ate of Florida
(Print, t r stamp name)
TRICIA B. FRAZER
Commission No. =�`y"r"* E 057966
= Expires February 27, 2015
,, ame�an+�r�orF.uem,�e.eooaae�o+o
* 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.