HomeMy WebLinkAbout2000 Park Aver-
Permit # : OS
'
Job Address: 21(
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
0 Date: _
°F
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 other than X)
Parcel ti: 3 lu 1 'T 3 Q s ? 0 0 0 Q () Q 0'5 10 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: . I n /✓I P r A n r,, t tJ -/t.J
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Contractor
Contractor Name & Address: QA,, q" k C,� 2217" V�\
17 State License Number:
Phone & Fax: / ' Contact Person: Phone:
AJ
Bonding Company: ZA
Address:
Mortgage Lender:
Address:
Architect/Engineer: ,VIA Phone:
Address:
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 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT rN VOCRL. PAYING
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 governn►ental entities such as water management districts, state agencies, or federal agencies.
Acceptance o e it is verificatio at I i notify the owner of the property of the requiremen f Florida Lien Law, FS 713.
,152
v� 2 a -r �/
nature of Owner/Agent Date igna reof trac or/ gent Date
Print Owner/Agent's Name iffint, Contra r/Agent' Name
rn _ .. LL "- -a L -�o V
Signatu a of Notary -State of Florida Date
X00 Cynthia M Erard
My Commission DD123828
Owner/Agent is _ Pe o
khni 09, 2006
_ Produced [D .fit cJetoE�itr°l2°]< � � c�-.r
APPLICATION APPROVED BY
Special Conditions:
Bldg:(/CJf" (A,,h ID dV/IZonfng:
(Initial & Date)
(Initial & Date)
-09
/0/d7/oy
e Statf Florida labEBBIE BLANTON
MY COMMISSION # DD 18849
a EXPIRES: February 25, 200,7
3I0/l J/
Utilities:
(Initial & Date)
FD:
(Initial & Date)
r•
Locally Owned _ Licensed & It1SUrcd
P`Coo/I &�)pc`rtlted Serving Central Florida
P Since 1974
5 �"Ie State Lic.SJO)"ehis
,C®
V
CCC 013699 13100
"Insurance Claims Specialists" 7200 S. Orange Avenue
Orlando, FL 32809
(407) 251-5112 e (407) 322-1895 � 8 3D- 6q�5
CONTRACT Salesman PAv11) g^Tu;
PROPOSAL SUBMITTED TO PHONE DATE
�koeo Pry R K A vG
STREET INSU ANCEC
SANP-oRD ) FL 3X11
CITY, STATE AND ZIP CODE ADJ16 U ER CLAIM M
We hereby submit specifications and estimates for:
Lay over existing Install wind turbins
Tear off layers of shingles Install air vents
Each additional layer at $ X) /square Install feet of ridge -vent
New lb. felt as needed 1–Zee'' Installer driP edge/ Color VM I T F
✓ New year fiberglass shingles ✓ Clean up and haul off all roofing debris
Style and Color SE'S (or like kind) Roll ma -net roller over yard
/ Flat Roofing System / Modified / Roll Roofing V Protect landscaping
�L New Closed Valley __IL Wood damage (if needed) at extra cost per foot
Nails Only - No Staples `� Plywood $ 6 5 per sheet
Replace Vent Flashings as needed 1 x 8 or I x 10 - $P er foot
2" 3" 4" `� Homeowner authorizes job sign placement in yard
Special Instructions: � ` Q r11 � a o� 1,+u o r j -i ace
Speigle Roofing Co. is not responsible for any cracked or broken driveways. Verbal understanding PAYMENT TO BE MADE UPON COMPLETION:
and agreements with representative shall not be binding. All understanding and agreements must be _
set forth in writing on this contract. Purchaser agrees to remove breakables from outside walls of We also accept: ® A small tee
home during installation. of all work. P = will be applied
I. All contracts subject to approval of management. ❑ Total 5 q 7 3 I
2. Speigle Rooting Co. reserves the right to file for supplemental insurance
claims if insurance adjuster measurements are used and prove to be THIS CONTRACT IS CONTINGENT UPON IN -
incorrect. At no additional cost to the customer, Speigle Roofing Co. SURANCE APPROVING THE WORK STATED Deposit 5
reserves the right to file supplemental insurance claims due to material ABOVE. *Should there be a difference in price or /
and labor price increases due to storm environment. �O / Q
3. If applicable. 20% overhead & profit will be billed separately. scope of work contractor will negotiate the same. Do Date
4. Homeowner authorizes Speigle Roofing Co. to make adjustments and settle not start work until approved by insurance com-
their insurance claims. pany. Homeowner responsible for deductible. Balance 3 p 1 -131
BUYER'S RIGHT TO CANCEL
BUYER MAY CANCEL THIS CONTRACT BY DELIVERING WRITTEN NOTICE TO THE SELLER AT ANY TIME Signatu
PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. BUYER
MAY USE THIS CONTRACT AS THAT NOTICE BY WRITING "I HEREBY CANCEL" AT THE BOTTOM AND
ADDING BUYER'S NAME AND ADDRESS. THE NOTICE MUST BE DELIVERED TO THE SELLER AT THE
ADDRESS SHOWN ABOVE. AFTER 3RD DAY, THERE WILL BE A 15% CANCELLATION FEE. Signal /r—
OUR
GUARANTEE:
Upon completion of its work, Speigle Roofing Co. guarantees work performed in this contract for a period of two years against defects in material and workmanship.
This guarantee does not extend to damage from any other cause including, but not limited to damage from other trades, extreme wind or ice, lightning, hailstorm or
other unusual occurrences. This guarantee does not extend to the repair of any intenor feature of a structure. THERE ARE NO OTHER WARRANTIES. EITHER
EXPRESSED OR IMPLIED BYSPEIGLE ROOFING CO.
PAYMENT TERNIS: Upon presentation of invoice, the job payment in full is immediately due. Interest at a rate of 1.5`%r per month shall accrue beginning ten days
thereafter. Should Speigle Roofing Co. utilize the services of an attorney to collect amounts due under this agreement, it shall also recover all costs of filing and releasing
liens, court costs, and its reasonable attorney's fees incurred in collection efforts. 11 payment is riot made warranty is void.
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CC C1-3��9
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.par Cynthia M Erard
My Commission DD123828
�sa�d� Expires June 09, 2005
CC
Permit No. Tax Folio No. -:V ir7 l q'3 -OS --30 01000 DOS O
Notice Of Commencement
STATE Of � �C./
CUIINfY C)
'rim. UNDERSIGNED 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. -
1. Description of propcxty: (legal description of property, and street address if possible),_
� �; I i�ol �, iu a sal I� rill ii �u �I Ilrt is aii al iil,l �I II Ilt� a'u i i���
2. General description of improvement:
3. Owner Information:
a. / Name and Address:
(J,q/rl ES / • OGzJ e/V
ao 0 o
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner):
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05495 PG 0987
CLERK'S # 2004165874
RECORDED 10/27/2004 08:12:08 AM
RECORDING FEES 10.00
RECORDED BY t holden
if IED ODM
WIARYANNE MORSE
Q.IBCt1t OF CIRCUIT OWRT
001 NSIB
. �
A. --iram G^.erne anti addr�,$) CT 2 7 200
S. Surety
a. Address
b. Amount of boned S
6. Lender: (Name and Address)
7. Persons within the State of Floridalldeuugnated by Owner upon whom notices or other documents may be served as provided by
section 713.3 (1) (a) 7., Florida Statutes: (name and address)
8. In addition to himself, Owner designates ;he following persons (s) to receive a copy of the Lienor's Notice as provided in Section
713.13 (1) (b). Florida Statutos3( name and address)
9. Expiration date of notice of commencement (the expiration date is I year from thte of recording unless a different date is
spmifie d)
Swom to and subscribed before me this
(jayofoC"{f)bC✓_ ,2004
(Sigbature of Notary Public)
�: �dSSIONF O 5�-
1, 2oo> °�•
-z % #DD 189236 ; a
:9 •'�a a� �:•oQ.� THIS fSTRUMENT PREPARED BY.:
0� 1�in ii,�a' NAME
ADDR.\�Ct