1610 Palmetto Ave; 16-3430; RE-ROOFJob Address: I G t 0 F-4 A U -2- .
71 Historic District: Yes D No
Parcel,fl): 30 S0 S' - (91q 66 - oc/ 0 Residentialo CommercialEj
Type of Work: NewD Addition O Alteration 11 Repair 0 Demo 0 Change of Use 0: Move
Description of Work: Zl£Zoor+ IZF-of F_>c 03 L-n S K, L"R TwR4)
Plan Review Contact Person: L i^ C-o I RA i^ t^ Title: r_V E'_ t-7,
Phone: ??.t -qtG -q I I y Fax: Email: ICi -o_." co'2
sko. n S. a Property Owner Information
Name 41(:4kSrL I qAf, T-) 0 LAC Phone:
i
Street: Z& 75 S. 0 sl /i-L)t Resident of property?
City, State Zip: 0 rt 1 Q Pt 9 ZS-O
ontract Information
Name DqUm Cu ( b lz k Pbone:3 2-1 q(o(g -d i / L4
Street: (.2 3 2 L'-j -Zy l Fax:
city, State zip: &?-((4,,\A_0 State License No.: 13 2 -7 169
A,rchitectl,Engineer,".Ijlfon,nati-on
Name: Phone:
Street:
City, St, Tip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD, A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAVING TWICE FOR VNIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST HE
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.
Application is hereby made to obtain apermit 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,vells, pools,
furnaces, boilers, beaten, tanks, and aIr convfitioneriy etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE. In .addition to..the requirements of .this ;pertuit, :there ;may be additional restrictions applicable .to this :property that may be
found in the .public records of this county, and there may be additionalpermits 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, l~S 71.3. The
City of Sanford requires ;payment of a ;plan review fee at the time of permit submittal. A copy of the executed contract is required in
order to calculate a plan review charge and will be considered the estimated constmetion value of the job at the time of submittal. The
actual construction value will be figured based on thecurrent, WC Valuation Table in effect at the time the permit is issued; in accordance with
local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will
be applied to your permit fees when the permit is issued. OWNER'S
AFFIDAVIT: l 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. ig.naturc &.
r0%,nc,/Agge.1 Date Signature of n actor/agent Datc I Print
ONmer;
A + is Narne Prin1't gent's Namt lgp, 2 -
a e o ri Date Ssgnature of Notary -State i I rid. Date: CHRISTINE VALENTINE ;
s.., c%' CHRISTINE VALENTINE My COMMISSION #FF1 /0366 d°' EXPIRES
October 21, 2018 My cOMMISSION *FF1'70366 ton 39e-
0t53 FbridallotarvServiee cnm ''+td EXPIRES October 21, 2018 Owner/Agent
is ,X Personally Known to Me or ac or gent is i _Personally Known to Me or Produced ID
Type of ID Produced ID Type of ID BELOW IS
FOR. OFFICE USE ONLY Permits Required:
Building E] Electrical.[ Mechanical E] Plumbing[] Gas[ Roof,O Construction Type:
Total Sq
Ft of Bldg: Occupancy Use:
Min. Occupancy
Load: New Construction:
Electric - # of Nmps Fire Spriulder
Permit: Yes u No # of Head's APPROVALS: ZONING:
ENGINEERING.: COMMENTS:
UTILITIES:
FIRE:
Flood
Zone:
of Stories:
Plumbing - # of
Fixtures Fire Alarm,
Permit: Yes D No 11 WASTE WATER:
BUILDING: Revised`
June
30, 2015 Permit Application
Altamonte Springs, Ca&selberry, Lake Mary, Langwood9 Sanford,
Seminole Co.u.n.ty) Winter Springs
Date:
A hereby name and appoint: Lnc-1--li, 12, 0 11 s-1-
an agentof 1
S -
T K) C_ to
be my lawful' attoniey-in-,factto act for me to,apptyfar, receipt for, sign,for and doalf things necessary
to ,this.appointment for,(,che&.-onhone .Option: The specific
permit and application, for work located: at-- 1(v
0 Y-,,F- kA-c) Au?-, _Sin R,,A -)7 1 m-t
Ad&essli Expiration Date
for This,Lirmted Poll of Attorney: 0 Z - 2 ? - 2 0 1 -1 License Holder
Name: Dq.-Z2)l C. I I State
License Number: C L(' 13 Z I (, Signature :of
License.Holdpr: STATE OF
FLORIDA. COUNTY OF
S h-, "Fr,gj le The foregoing
instrument was acknowledigedbefore me this ;_7day of 200.//,-,by
Who is)II(persona'llyknown. to Me
of .a who has,, prodticed as identification, and,
who did (did not),, take an, oath. Signature Notary
Seal) -)
f -1 5 r V , Print -.0rtype
name I 161wifflqTINE
VALENTINE
MY COMMISSION #
FF1 70388 W EXPIRES
October2l,9018 407)1984153
08-.12)
Notary Pub
is -'State of Commission No.
M ,y
Commission ENPires-
C
0
ity: of- Sanf6rd
1.1m, r
Froduct Appr oval. Specifi ca Forms,
Permit #
Project Location Address 1610 ?g 1,-vz+ +a A U E - Sq r,40 i28
1)
P 1 .3 2 -1 -7 1
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information, andd,product approval: number(se),on, the building,components listed below if they, are. to; be;.
utilized on the construction, project for which you are applying for a building permit. Werecommend that you
contact your local product suppfiershoLdd,you inot know the, product- approval number -for any of, the apoli,
c.abl,e:'Iisted.products- "Be aware that windows, ,5ky'rigbts, and exterior doors must be testedin accordance
with. the'Florid &Boil ding, Code, Section 1.7114.5. More- information about Statewide: Product, Approvair
can be obtained at www.floridab6ildin-g.org. The
foil n ' Q* ainfoirrnation--mustbe:,av-aflable,onthe i6bisite for 4nspections: 1. This,
entire productapprovalform 2- A
cony ofthe manufacturer's. instaltation; de . and, re en -. ts,,f -oduct quir , ien oreackPrCategoryI'Subcategory
Manufacturer Product Description Florida Approval #
include
decimal, 1.
Exterior Doom
Swinging Sliding Sectional
Roll,
UP
Automatic
Other 2.
Windows
Single
Hung Horizontal,
slider Casement
Double, Hung,
Fixed
Awning Pass
Through
Projected
Muffions, Wind
Breaker
Dual :
Action Other
June 2014
Category / Subcategory Manufacturer Product
escriptiora
Florida Approval #
inciudin decima
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wat'l't_oover
Glass block
Membrane
Greenhousee°
E.P.S Composite
Panels
Other
4. Roofing`Products:
Asphalt Shingles a
Underla menu I , I s 4-A ss s E 1 "S ? 1P1 1(, 01
Room "Fasteners
Nonstructural
Metal Roofin .
Wood Shakes and:
Shingles
Roofing tiles
Roofing
nsutation
Waterproofing
Built up roofing
System,
Modified Bitumen
Single Ply Roof'
System, s
Roofin • stage
Cements/`
Adhesives
Coating
Liquid Applied`
Roofing, S s ms
Roof Tile
adhesive
Spray Applied.
Polyurethane
Roofing_
E.P.S. 'Roof
Panels
Roof, Vents
Other
tune 20-14 2'
Category / Subcategory I Manufacturer Product
Description
Florida, Approval
jihclude decimal
5. Shutters -
Accordion
Bahama
Colonial
Rol# up
Equipment,
Other
6.Skyrights
Skylights,
Other
7. Structural
Com nenfis
Wood Connectors I
Anchors
Truss Plates
En ineered 'Lumber
Raifin
Coolers/Freezers
Concrete Admixtures
Precast .Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant`s "Signature
Applicant's Marne err rz
Please Print)
June 201:4 3
1111111 H111 1111111111111 1111111111111 THISINSTRUMENTPREPAREDBY: Name:
t. t —Pt- I — Address:
L c 2 NOTICE
OF COMMENCEMENT State
of Florida County
of Seminole Permit
Number: Parcel ID Number: CIi1R.
YAHHE MOR"E r "EIM-101E COUNTY I...
ERK 01= CIRWIT COLJRI' r. (OPIE,TROLLER Btt, .,;,;•;
723 CLEWS,
4 2016134694 FEES
RECORM"
D BY hdra=VWo , 36-
19-30-508-OA00-0010 The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Staatutes',, the following information is provided in this Notice of Commencement. DES
IPdalmeItORHVeR J nT all8 f Lp / / e property and street address if available) All
bouth ot Roadwest ot Flalmetto Ave BLK A Markhams Flark Hroperty We
rood I o alp remova ooFroor'application down to plywood, renailing of deck and OWNER
INFORMATION: Name:
Higher Trust Inv LLC ( Steven A. Soto) Address:
2875 S. Orange Ave #500 2600 Orlando, FL 32806 Fee
Simple Title Holder (if other than owner) CONTRACTOR:
Name:
Crew Pro's Inc Address:
6617 John Alden FL 32818 Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(b), Florida Statutes. Name:
In
addition to himself, Owner Designates Section
713.13(1)(b), Florida Statutes. of
To
receive a copy of the Lienor's Notice as Provided in Expiration
Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different
date is specified) 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 I, 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 Gm) INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY 7-.
4, BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to
the best of my know dge and belief. Steven
A. Soto U f w Owrf6rs
Signature Owner's Printed Name Florida
Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State
of A4d (- d 0 County of The
foregoing `instrument was acknowledged before me this o" day of by
rG1 1:`f
SGd
O Who is personally known to me Name
of person making statement OR
who has produced identification type of identification produced: CHFIISTINE
VALENTINE MY
COMMISSION #FF170366 EXPIRES
October 21, 2018 407)
395-0153 FloridallotaryService.com Notary
Signature
Pennit #:
Residential Re -Roof
Hurnkane Mitiga-tioit'llo-spect-ice A-,ffidavli.tz
C. 16 fLp— 44, hereby acknowledge that I personally inspected,
EA, oof deck nailing and/or C!Secondary water barrier work
at j fp l 6 CA I rvx e r-i ?Z7'11 and have determined, that, the work
fob Site Address)
was done according to the -Hurricane Mitigation Retro-fit Manual- 1(basedon 553-844 F.S.).
I -certify that my 'statements herein are true and accurate to the best of my belief and that I fully
understand that ma -king any f4lse statements in writing With the intent to mislead, a publirc -servant in the
performance of his or her offliciAt, duty shall consfitute ar misdemeanor of the second, ftree- pursuant. to,
Section 837.06 F.S.
Signature of Ontractor Date
c'
Printed "Warne.of Contractor License #
License Type: El General r__ Building 0 Residential F-1 Roofing Contractor
1-1 or any individual certified in accordance -with F.S. 468 to make such art % inspection.
STATE OF FLORIDA COUNTY OF
Sworn, to,(or affirmed) and-subscriffied,"befdre me this day of 24by Dc%
tjg, 1 C 1 4 who is IXPersonally'Known to me or has F1 Produced (type of id
11tiffil on.) asidentification. SEAL)
Signature
of Notary Public St
teofVoridijj A
TN ACHRISTtk5,VALENTINE r -5 7 yle- Printffvve/
Stamp `NameMy c _,,+§SJON #,FFI;70)366 r
21 . 201t8 ofNotaryPublicofEXPIRESOctober21,.2 07)
396-0153 c
0
F'_ e 3