HomeMy WebLinkAbout2400 Holly AvePermit #: Z_ a % /
Job Address:
Description of Work: fe — ov
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
v
Value of Work: $ '3 1, q
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 ofl',eir t:.an X)
Parcel #: J (— 1%— (Attach
Attach Proof of Ownership & Legal Description)
Owners Name & Address: yes-gP/✓
FCi
Contractor Name & Address:
1117` &" iz&
Phone & ax) 3 C`
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
State License
/Number:
Contact Person: 4`iL�✓r1h/Ati�� 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 prioi fio 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 l wr!.p,ul;aing
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 1N YOUit lvA.YING
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 federal agencies.
Acceptance of p rmit is verification t'Ihatt, I//will-notify the owner of the property of the requirements of Florida Lien La , FS 713
xSignature of Owner/Agent Date Signature of ractor/Agent Date
�21fi n_ kn Qe e eZ m1L //�✓�` ► Pr 4n�0""s
Name
ignature 1 p��3J
Sof Notary -State of Florida Date Signature of Notary -State of Florida Date
aP� Rebecca R. Doud
o�w a�= OD 01672 Re b c R.
Qrslory �Crylgn to Me or Cwt c�Q g tis er �,,�,�n to Me or
TWAp fvv ?Vaud
Ib7Z
v'•... '¢
one•:Q 2007
,�. Expires: pr >
Atlantic Bonding Co., Inc. 9'FOFF��e; Bonded Thru
APPLICATION APPROVED BY: Bldg: �ai� � ""'� UtiTTJL ?tic Bonding Co., Ina, FD:
(I itial & Date) (Initial & Date) (initial & Date) (Initial & Date)
Special Conditions:
ERNES°T SE EZ 5a4 --Ilio
Roofing / Builder
"Our Name Stands For Quality" d� l
Office: (386) 774-4950 • Fax: (386) 775-3338
1060 E. INDUSTRIAL DR. • Suite -K
ORANGE CITY, FLORIDA 32763
FULLY LICENSED & INSURED
STATE CERTIFI D
PROPOSAL SUBMITTED TO: DATE:
NAME:
STREET:
CITY:
J
PHONE:
E #CC C056801 • CB CO21066 /
www. senezroofing.com COLORS: Shingles �i'D Erv�l,s��s vr���`Dfi Edge Wr'
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: Rubber Vents
1. Tear off existing roof; Haul all debris off site, Clean job site thoroughly, and Magnet ground for nails.
I . Replacc aft Adly rooted wood died :and truss -ends. Excessive fascia and alunuuurn work- will be extra -
3. insUdI tT 1.. 15t# felt paper dry -in. (Meets Dade County Cod. - Better then 30" for Re -roofs.)
4. iiistall all now painted aluntinum drip edge. Ce:rrient in all eves and rakes with gn3lity roof c t inent.
5. lust -all Valley riae.tal/lining in all valleys - Cernent in sliingles over metaYlining.-Caliibrcria Cut Valley.
5. Install new lead boot-- and goose neci h on all a -.listing vents mid pipes. Taint to match other venting.
1. Replace (__)1exan skylight(s). (---)Flash Chirnnay.+ )Cricket Chirnney.,
S. Install new Architect shindes - AR(algao/f ngi resistant) - 30 ear mnuulactures,wvarranty.
9. Bail all shingles 'with 1 '/u" roofing nails.
10. Install (—I lengths ofridge vent. Install (3) off -ridge vents. j
I i. Flat Deck: Install 43## bawl 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 ETON COMPLETION OF WORK
Please make check payable to: ERNEST SENE.Z
Total Cost of all 'Work: $
(-all taxes and fees are included)
Pleaae remove vehicles from driveway before 7:00am. the day of job, and remove any items on walls and'furrniture and
check that all fylums aiv secure, that may fall or bounce off due to banging vibrations while rc z>futg, we are not responsible. If riot
written on this proposal, owner is responsible for; removal of anything around the house that is breakable (i.e.: ornaments, bird baths,
h riging plants, eL:.) and anything attached to the r-oof/decking inside the :attic and outside prior u, jab stwT & re -installation or
adjuatrnents alae- job completion (i. e,: solar, satellites, air conditioning components, alarms, pipes, etc.), reasonable' damages to
sums , adings due to extrern, weights of delivery trucks (i.e.: driveways, sidewalks, landscape, etc.), and re -iris tallat I ion of arything that
rnust be removed to properly repair any rotted wood areas (i.e.: fascia, soffit, siding, etc.).
WE HEREBY PROPOSE TO FURNISH LABOR AND MATERIALS - COMPLETEJN qC ORDANCE WITH THE ABOVE SPECIFICATIONS, FOR THE
SUM OF i' %' —.r DOLLARS ($ _}. % �� c 4 1 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: /-'�" 11� / - L� t 1
NOTE: THIS PROPOSAL MAY BE WI
ACCEPTANCE OF PROPOSAL
AWN BY US IF NOT ACCEPTED WITHIN THIRTY (30) DAYS
THEABOVE PRICES, SPECIFICATIONS ANDCONDITIONS ARE SATISFACTORY ANDARE HEREBY ACCEPTED, YOUAAE AUTHORIZEDTO DO
THE WORK AS SPECIFIED. PAYMENTS WILL BE MADE AS OUTLINED ABOVE.
ACCEPTED: SIGNATURE (,�✓t..G: �c Vit. �,.�, '�%! C� vtl },,x� !t�,f(
DATE SIGNATURE
�t z v
I��2NCs I -�N�C G r
UN1 7-14
// �7 $ENUNOI.E CO
U1I'TY
�L ` 32 7,x,3 FLQK�a.S--'ft-1ISAL CHOICE
NOTICE OF COMM1ENCEr
State of Florida
Tex Folio No.
Permit No.
The undersigned hereby gives notice that improvement wiU be made to certain
713, Florida Statutes, the foiling information is provided in this Notice of Com
DESCRU MON OF PROPERTY (Lela description ofthe property
V,IA,> 14a L I q '�V�
GENERA-• DESCIU PTION OF IMP
OWNERINFORMATION ,
Name anti address S�P � ✓n � �l/� � / �irtS
_5 AvrQ IF L
Interest in property (Fee Simple, Partnership, etc•)
NAME AND ADDRESS OF FEE SIMPLE TITLE
CONTRACTOR
ame and address l��N�/ f Q�e �� •� F�%__�-
SURETY (Bonding Company)
Name and address
Amount of Bond
LENDER
Name and ad
persons within the State of Florida designated by Owner upon whom notice or
by Section 713.13(lxa)7., Florida Statutes:
Name and address
In addition to himself, Owner designates
provided in Section 713(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
(The expiration date is l year from date of recording unless a different date is sJ
Signature f OVA
Sw and sub fore me th' _C PAY of Z
�( (1 f'Q My Commission Facpirrs:
Notary Public
The fo oujinstr� was ac1mowlcdged before utathis�dayo
r1'LA L'a ► 6 G' YYL C (name of person aclmowl
me or who has produced (tYl
and who didldid not take an oath.
r
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05495 RG 0256
CLERKIS # 2004165633
RECORDED 10/26/2004 11r14i% AN
RECORDING FEES 10.00
RECORDED BY t holden
County of Seminole
l property, and in accordance with Chapter
icemeat. r�.n. .
i street address) WIARYANNF MORSE i
CIRCUIT C
M O OUR;
Raft
,_016;
2
(IF O- nMR THAN OWNER)
docmn= pray be served as provided
Of
receive a copy of the Lienors Notice as
>ecified.)
R. D®ltd
Commiss c," ' D201672
fres: AP' 2007
9 0;
e' Bonded Th-
�-t.Bonding Co., inc.
020 by
dged), who is personally 'mown to
of eatification) as in -
lb
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ��1 j �.✓ �z /� o���� License #:
Q.C, , re"
Project Information
Owner: SPL'ev.f zvs 1 L <A -,W.1' Permit #: B J_ Z�
name
9'-1 ®O &014 ti All- Subdivision:
address
Lot #:
phone
I, FA't e'- iT. ���� Z. , 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:
STATE OF FLORID
COUNTY OF
This instrument was acknowledged before me this day of c/ , 20 6,� the
above referenced individual, 157n n --s 1, Sf_,n P L. , who acknowledged that he/she is a
duly licensed contractor withS RUv n �andsu o acknowledged that
he/she was authorized to execute this document. is either personal, wn to me or
produced n > kation.
WITNESS my hand and seal thi& (49 day of
Notary Public
DEBBIE BLANTON
MY COMMISSION # DD 188491
a EXPIRES: February 25, 2007
1 -800 -3 -NOTARY FL Notary Discount Assoc. Co.