HomeMy WebLinkAbout104 Brentwood DrPermit # : v C
CITY OF SANFORD PERMIT APPLICATION
/ I '7 � /� ( / [-Date:
Job Address: / 0 6 /t Pn�lCIiG�O Dt — ..l 1� ek.,
Description of Work: eQE —12vor - .%P.-71tL OFF xoag A*:'
Historic District: Zoning: Value of Work: $
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for ostte.r et.Rn X)
Parcel #: 3q -17-30-5 l d O O/' /L 0/ /' aO6O (Attach Proof of Ownership & Legal Description)
Owners Name & Address: �� L t22 A /.r'/i L L //9//?� 1 o L/ A % e,-l%C/e+c1
/
Contractor Name & Address:
.,I,//Y // ^-
Phone &
Bonding Company:
Address`.
Mortgage Lender:
Address:
Architect/Engineer.
Address:
Phone:
(r - :27 ✓State License Number:
3 dO Contact Person: YziL/✓ r'/��f,ttt Phone:
Phone:
Fax:
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 k) il,r.
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 sepal ate
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 rc};uLsing
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR I'/.PING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. 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 feoeral agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirem is of Florida ten Law, 7,13.
X
Signature of Owner/Agent Date Signature of Con or/Agent er,
Date
_s-e%-fil q u//,
caner/Agent's Name (�2ontractor/Agent's Name
Signature of Notary -State of tlorida Date Signature of Notary -State of Florida Date
YF Rebecca R. Doud Reaca R. Doud
wi?
Ission #DD201672 YP
Owner7A� tis@grcoAVp @*HWMe or Contra¢tdit gan �s'�P,' W ttr' Zle or
_ Vroduu�,FD Branded That _ P# uce "� r 09 2007
SF v�°.'
Atlantic Bonding Co., Ina:oe,OBonded Thru
` Atlantic Bonding Co., Inc.
APPLICATION APPROVED BY: Bide: 1 �%tlr Utilities: FD:
(Initial & Date) (Initial & Date) (initial & Date) (initial & Date)
Special Conditions:
001
0`[_.0?
P 4 c:r�j
ER EST SE EZ Sig- OC)ob
Roofing / Builder COLOO
"Our Name Stands For Quality"
Office: (386) 774-4950 - Fax: (386) 775-3338
1060 E. INDUSTRIAL DR. - Suite -K
ORANGE CITY, FLORIDA 32763
FULLY LICENSED & INSURED
STATE CERTIFIED XC C056801 - CB CO21066
www. sonezroofing.com
PROPOSAL SUBMITTED TO: DATE:
NAME: �e- �M /`� 1 l /i /`1 "-h ,f
STREET:
CITY: �i� -14-
PHONE: l� ` �) S_ 6?
X COLORS: Shingles e lir (,4-0 Drip Edge_L./'-
7
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
RubberVents
's
1. Tear off existing root Haul all debris offsite, Clean job site thoroughly, and Magnet ground for nails.
2. Replace all fully rotted wood decking and tress -ends. Excessive fascia and aluminum work will be extra.
3. Install UX. 15# felt paper dry -in. (Meets Dade County Code - Better then 30# for Re -roofs.)
4. Install all new painted aluminum drip edge. Cement in all eves and rakes with quality roof cement.
5. Install valley metal/lining in all valleys - Cement in shingles over meWAining. -California Cut Valley.
6. Install new lead boots and goose necks on all existing vents and pipes. Paint to match other venting.
7. Replace ( )lexan skylight(s). -f ---)Flash Chimney. (-- )Cricket Chimney.
8. Install new Architect shingles - AR(algae/fungi resistant) - 30 dear manufactures warranty.
9. Nail all shingles with 1 r/4" roofing nails. '
10. Install (---) lengths of ridge vent. Install (S) off -ridge vents.
11. Flat Deck: Install 43# base sheet dry -in, and Single -Ply Modified -Roll -Rubber -Roof -Membrane w/ SBS
cold process adhesive -12 Year manufactures warranty.
12. All materials used and work installed is properly applied in accordance with current Manufactures, State,
and County Codes and Specifications.
ALL MONEY IS DUE UPON COMPLETION OF WORK:
Please make check payable to: ERN EST SENEZ
Total Cost of all Work: S LJ U SId
(all taxes and fees are included) / ,
Please remove vehicles from driveway before 7:00a m. the day of job, and remove any items on walls and furniture and
check that all fixt;u+es are secure, that may fall or bounce off due to banging vibrations while roofing, we are not responsible. If not
written on this proposal, Owner is responsible for, removal of anything around the house that is breakable (i.e,: ornaments, bird baths,
hanging plants, etc.) and anything attached to the roof/decking inside the attic and outside prior to job start & re -installation or
adjustments after job completion (.e.: solar, satellites, air conditioning components, alarms, pipes, etc.), reasonable damages to
surroundings due to extreme weights of delivery trucks (.e.: driveways, sidewalks, landscape, etc.), and re -installation of anything that
must be removed to properly repair any rotted wood areas (i.e.: fascia, soffit, siding, etc.).
WE HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS -COMPLETE IN ACCORDANCE WITH THEABOVE SPECIFICATIONS, FORTHE
SUM OF ' -%~" DOLLARS ($-2,-9 6 S WITH PAYMENTS TO BE MADE AS
FOLLOWS.
Any alterations or deviations from above specifications will become on extra charge over and above estimate. Owner to carry
fire, Tornado and other necessary insurance. Owner to pay legal fees for collection of any work not paid for within 30 day from
completion. All labor is guaranteed two years,roof material.carries standard manufactures warranty.
AUTHORIZEDSIGNATURE: %- 0 L%
NOTE: THIS PROPOSAL MAYBE' WITHDRAWN BY US IF NOT ACCEPTED WITHIN THIRTY (30) DAYS.
ACCEPTANCE OF PROPOSAL
THE ABOVE PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED, YOU ARE AUTHORIZEDTO DO
THE WORK AS SPECIFIED. PAYMENTS WILL BE MADE AS OUTLINED ABOVE. '
ACCEPTED: q SIGNATURE 1 ✓� %% . I �)� G + t -_ -'
DATE
SIGNATURE
/0 e, To -)as //iiia"t ,
UNi1 4'
-70
S PNS Z
SEMI p c0 TTY
FLOIt.Ov.'S +w7 LiP.^L C}{01GE
NOTICE OF COMME1d
State of Florida
Tax Folio No. I
Permit No.
The undersigned hereby gives notice that improvement will be made to certain
713, Florida Statutes, the foiling information is provided in this Notice of Com
DESCRIIMON OF PROPERTY (Legs! description ofthe property
GENERA-• DESCRIP'T'ION OF IMPROV
OWNER 1NFORM,ATION ,
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE
CONTRACTOR
Name and address F
SURETY (Bonding Company)
Name and address
.�Q,.•'e z �o �� f
r
AW
SE{MINOLE COUNTY
BK 05495 PG 0255
CLERK'S # 2004165632
RECORDED 14/26/2404 11:14006 AN
RECORDING FEES 10.00
RECORDED BY t holden
County of Seminole
I property, and in accordaace with Chapter
icemew. CEETIFIED MPY
I street address)
ire tri
HOLDER (IF OTBER TW OWNER) --
n z �
WNER)_.nz/,:� TIT„1�
- - r I-:�,�,:..•yr-yT.',��>,:.^....:xr.nrar^.sa-rrrr+r. rr:.svn
Persons within the State of Florida designated by Owner upon whom notice or Ither documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes: f
i,
jr �iii3G ii114. �WY�Gdd _.
In addition to himself OwW desizaates
to
provided is Section 713(l)(b), Florida Statutes.
Expiration Date of Notice of Commeacemcut
(The expiration date is 1 year from date of recording unless a different date is sl
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Signatwoo o�ffOva
tziZ7bs
crib fore me is juy afzl: � 21
My Commission Expirrs:
Nouq Public
The foregoing insuumeat acimowledged before me this day a
,A yna �+ G l Ct,rn S (name of perwa aclmowh
me or who has produced (rfi
and who didldid not take an oath.
Of
a copy of the Lienors Notice as
11111/j 3R11%bma , Dk{! d
Expires' Apr 99, 200%
s” t iso'-- �aMed Thm
�Y , .t
20 by
of identification) as inenacation
AFFIDAVIT
�R•EGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: fi�/✓,°J / ��od by j License #: CCILI
3176 3
Project Information
Owner: �c? L iisZZ,� G/ I L 1, 4,- ,-r
name A
address
phone
Permit #: QJ —•.-/ 1
Subdivision:
Lot #:
I, t,* / �r f , affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor
L.4_efe�
gnature
Z_—
printed name
STATE OF FLOR A
COUNTY OF
This instrument was acknowledged before me this day of �G , 2�y the
above referenced individual, P_ r n • S -e t , who acknowledged that he/she is a
duly licensed contractor with r v r o ac' owledged that
he/she was authorized to execute this document. He/she is ei to me or
produced
POM
WITNESS my hand and seal this _ day of V L f .20/
Notary Public
DEBBIE BLANTON
MY CO'1Z;.:1 _!SiON # DD 188491
En, a..._S. ,-ebruary25, 2007
1-800-3-NOTF„iv FL Nc`ary Discount Assoc. Co.