107 Maplewood DrJ
Application No:
I
JUN 5 2012
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 12—,
:;z
Job Address: / 07 1*'7trD1(fcjo(j0 Dr- Historic District: YesEl No 0
Parcel ioD: 66 o o -o o Ll 0 Zoning:
Description of Work: (2-c -(eo 0 f- -5h 1-N �j I C -S
Plan Review Contact Person: Title: Pre
Phone: 7-40-�-q4�-3-Rqg- Fax: q07-3-9-6-1-70 E-mail: M 0(e 061it"/es, -s rooCnw c , ecl P�7
a-.1
/ Ck) -
Property Owner Information
o
Name eo�>(fm av-(, I eh r I f- 47VC- Phone: ;?q
Street: / o -? n
'+ 12),C Wr)c) n- 0 r- Resident of property? �C-S
City,StateZip: 56wCov--o R
Contractor Information
Name 154�11/�L4S 900PIINGilvc Phone: qQ7je/,?-3SL19
L/ LIf
Street: 2 q 21 C- vb�a (20 Fax: '(07-A?(.,-/70/
City,StateZip: &opktq- El 32-703 State License No.: (f CC / -3 2, PO 90
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit [3
Square Footage:
Arch itectiEngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
No. of Dwelling Units: Flood Zone:
Electrical 0
New Service - No. of AMPS:
Mechanical 0 (Duct layout required for new system.$)
I -
Plumbing IJ
No. of Stories:
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm C3 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, 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 COMAMNCEMIENT MAY
RESULT IN YOUR PAYING TWICE FOR IWROVEMIENTS TO YOUR PROPERTY. A NOTICE
OF COMINMNCEMEENT 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 COMINMNCEMEENT.
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
vermit i& released.
Owner/Agent is
Produced ID
Personally Known to Me or
Typ�16TID '
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
1-w-
Signature of Contractor/Agent Date
/ 1/(6 �11 ell f (: S ��" "
Print Contractor/Agent's Name __1/
ok� 1�� V^3�� 46/_/?_
Signature of Notary -State of Florida ' (6ate
O'Yw Notary Public State of Florida
Thomas Vern Longroy
My Commission DD947900
4� Explres 1212012013
Contiiietor/Agentis /-%- Perspnglly Known to Me or
Produced 11D Type of ID
UTILITIES: WASTE WATER:
BUILDING:
THIS INM=F.Pi�15D
Name: I /� 0 0 �- 0,-,4 ON r Xi VARVOW KOF&I MEW OF CIRWIT MW
Address: 72 �4 -7 SMINME cam
09 07784 P9 OM; Upq)
NOTICE OF COMMENCEMENT CLE RK " S 9 L2,co I a -co r.,5 3.3 7
RMM 06/0-5/2012 HASM-26 9H
State of Florida WMNING FES 10.00
County of Seminole WOM BY T Sisith
Permit Number: Parcel ID Number: '� � - / I - 35- - ci f--� 00- C' vo
The 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.
DESCRIPTION OF PROPERTY: Lega description of the property and street address if available)
Or- � I jNv-v-,-- <r-t ,'- L01 44 Rlk R
GENERAL DESCRIPTION OF IMPROVEMENT-
12 oF
OWNER INFORMATION -
Name: poser-;, r' L n-Fo f If to?,
Address: (0? 11111pleL.060r) 19if 6 E
j,jr&jCoro Ef COU
Fee Simple Title Holder (if other than owner) Name: law
AAA-- ",24% FLORIO
�A)-'L len�s cooeil'( INC-
Name: 3
Address: 2,L-1 -71 1F (2L) Qko, T1 37-;7C)3
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(i)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(l)(b), Florida Statutes.
of
To receive a copy of the Lienoes Notice as Provided In
Expiration Date of Notice of Commencement (The expiration date Is I year from date of recoiding unless a
different date Is specified) '7—Z -/2-
WARNING TO OWNER: ANY PAYMENTS 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 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Und r Iti of pedury, I declare that I have read the nd that the facts stated In it are true
to :e a es f7o 1 ng, a
i t of my knowledge an belipf.
1V JIV L /2',0
0-wner Owls PrInhid Nwfie
Florida Statute 713.13(l T :1'U-rL ar must sign the notice of commencement and no on spatmiRGdtOglghlnhlbt)therstagd.1
State of )—��'4�,44_County of � 5 .
The foregoing Instrument was acknowledged before me this dayof - --------------- - - 120
by_ oeol7a nt4�� Z, A F6 Who Is personally known to me Pq
Name of person making statement
OR who has produced Identification El type of Identification produced:
'p,opy, Notary Public State of Florida 4411-1_ A,,
49 li, c'�7'/A
Thomas Vern Longroy
MY Commission DD9479GO Notary Signature
F.,%PW*b 12/20/2013
STANLE ROOFING A
"'For AH Your Roofing Needs,"
Copper & Metal Specialist
License #CCC1328092
Fully Insured
Construction Proeosal - Contract
I r- il
L2 05k" Ma, Date:
6�6 'L
th I
Stanley's Roofing, Inc. is pleased to s ply you wi a �iote forfliq following scope of work
located at j 0 4 Aq 4-1) tJ-,' L,0"eJ i,—e- t
Pull necessary permit.
Tear off and remove asphalt shingles.
Re -nail roof decking according to new building code.
Supply and install new -ro lb. felt underlayment.
Supply and install new 26 gauge, 2 V2" drip edge.
Supply and install new vent and pipe fl
ashin
�--X! 6
Supply and install new 36 vear qy-ed, ��-e
.��4 � 4-,JJ 0J S -C1 e A�A,: e P11PI AJ 5�i� A,
Clean up all associated debris and run magnetic rake.
Supply a 5 year labor wan-anty.
Total $
111U A I t U-1- 5'
Any extra wood work will be above contract at a rate of $35.00 per hour plus material.
Due to material price increases, this quote is good for a period of 30 days.
Payment schedule: 50% due upon acceptance of proposal.
Balance due upon completion.
All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to
standard practices. Any alteration or deviation from the above specifications involving extra costs will be executed
upon customer's and contractor's agreement and will become an extra charge over and above the estimate and will
become a part of this contract. All agreements are contingent upon strikes, accidents, or delays beyond our control.
Outstanding invoices over thirty (30) days will be subject to an additional charge of 1 V2 % per month and the owner
agrees to pay contractor's attorney fees and costs of collection if payment is not made in the manner outlined above.
Thank you for the opportunity to quote this work for you. ff you have any questions, please feel
free to contact me anytime.
Thomas Longroy - Sales/Estimator - 407.448.9035
The above prices, specifications and conditions are hereby accepted. You are authorized to
perform the work as specilo above.
Accepted: Signature:
.d, & Date:
r 2��Zu�
2,471 East V N Road - Apopka, Florida 32703
1
Cell: 407.948.3348 - Office: 407.884.493 - Fax: 407.886.1701 - E-�rnail: stanleymike@embarqmaii.com
City of Sanford
BUILDING DIVISION
RE: Permit #
Inspection Affidavit
I 1471'C'4n-e-11 /��Sf7174" licensed as a(n n;tra n in�er/�tchi*tect,
ctor> g
XG :
(please print name and circle Lic. Type) FS 68 Building sp or
License #; C C'C 2-0 `�11 ?
On or about I did personally inspect the roo
f
(Date & time)
eck nailinz andlor seconda?y water barrier ork at /07 fv%okc"�0'0 Pr
(circle one) (Job Site kddress)
,5;J-N ifcJro 3 ? ? 2 /
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me this 2*da of Z .200tZ
y
By 124
Notary Public, State of Florida
6
Notary Public State of FkwWa
Thoms Vem Longroy (Print, type or stamp name)
MY Commission DD947900'
Expires 12=12013 11
Commission No.: bb
Personally'known or
Produced Identification
Type of identification produced.
* General, Building, Residential, or Roofing Contractor or any individual cerfified under 468 F.S. to make such an
inspecdon. Include photographs of each plane of the roof with the perrriit ft or address N clearly shown marked on the
deck for each inspection.
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