2114 Summerlin Ave 17-85; ROOFDocu
S4/,,r c /,,, Job Address: Ig
Parcel 11): J1-19-31-s'oly- /700-
Type of Work: New 11 Addition 11 Alteration El Repair
Description of Work:
Plan Review Contact Person:
Phone: Q C Fax:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ation No: 11 —2 f,
O!fnValue: $ V7L
Historic District: Yes R NoEl Residential
011"C"OtumercialD DemoE]
Change of UseEl MoveEl Title: Email: O
P -
Property Owner
Information
Name VJ 10,
000,L_ Phone: 11 Street: Zq_
l d.
E& & "ip/o Resident of property? el"ve) City, State Zip: jz _? /
Contractor Information Name Q
eaooil -rpaA_^_
R sj Street: G22 4 z
City, State Zip: Name:
Street: City, St,
Zip:
Bonding
Company: Address: Phone: .
V67- E-
25--
DO Z-Z Fax: State License No.:
tcc
os- -? I/ Architect/Engineer Information Phone:
Fax: E-mail:
Mortgage
Lender:
Address: WARNING
TO OWNER:
YOUR
FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 RECORDING YOUR NOTICE OF COMMENCEMENT. 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, beaters, tanks,
and air conditioners, etc. FBC 105.3 Shall
be inscribed with the date of application and the code in effect as of that date: 5`1 Edition (2014) Florida Building Code Revised: June 30, 2015
Permit Application
NOTICE: In addition to the requirements of this permit, there may be addition
I
al restrictions applicable to this property that may be
found in the public records of this county, and there may be additiotial 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 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 construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC 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: 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.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature ol'Notary-State of Florida Date
Owner/Agent is — Personally Known to Me or
Produced ID Type of ID
S)' 'urc of contractor/Agent Date
11—
J-D56 10I'
ll - ----- ---- r --
Print
tractkr/Agent I s Name Xt" (- 4-
tr7 Signature ol'
Notary-State of lorida Date ANNITTE SCOTT
140INY Public -
State of Florida MY Comm.
Expires jan 16, 2018 Commission # FF
071760 Produced ID _
Type BELOW IS
FOR OFFICE USE ONLY Permits Required:
Building[] Electrical[] Mechanical[] Plumbingn GasF] Roof e or
Construction Type:
Occupancy Use: Flood Zone: Total Sq
Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction:
Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler
Permit: Yes F] NOE] # of Heads Fire Alarm Permit: Yes n No APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: FIRE:
BUILDING: COMMENTS: Revised:
June
30, 2015 Permit Application
z
Permit No
Tax Parcel Number
NOTICE OF COMMENCEMENT
State of Florida County of Volusia
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
1. Description of Property: (Legal description of the Property, and street address it available.)
1-ERK CIRCUIT COURT & CONPTROLLER
CLERK'S 4W 201. r13?,5Eru
RECORDECs 12/2712016 02 4' 544' 3.1 l 1=11
iLm-0RD1NG L=E:;EE, $10,1:113
I;EC:ORDED BY k1cwfarF.e
77
2. General description of improvement-
3. Owner information or Lessee information if the Lessee contracted for the improvement:
a. Name and address
b. Interest in property
a'
2 ? c. Name an'"a addre s o fe simple titleholder (if other than owner) l
4. a. Contractor: Name and address
b. Contractor's phone number
5. Surety (if applicable, a copy of the payment bond is attached):
a. Name and address
b. Phone number
c. Amount of bond .00
6. a. Lender: Name and address
b. Lender's phone number
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
b. Phone numbers of designated persons: .
8. a. In addition to himself, Owner designates. _ — of
of the Lienor's Notice as provided in Section 713.13(t)(b), Florida Statutes
b. Phone number
receive a copy
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the 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
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMEN MENT.
CAROL A. QWENS
Signature of Owner or essee, or Owner's or Lessee's Authorized OfficerfDirectorlPartnerlManager (Section 713.13(t) (dp Notary Public State of Florida
My Comm. Expires Jan 12, 2018
ar ! Commission #t FF 082571SignatorysrTitielOfficarrunt
State of T" `e C.'g, County of 3: /m nl
The forgoing instrument was acknowledged before me this day of b W--- 20L(1— by t
attorney in fact)
Personally Known_,_._. "OR f
04.04,14 t° ,, E .. 1
T b LA , . <. .
Prink ipe or Stamp Name of Notary Public
Type pf lD Produced
L4 Y,
f
t
Volusia County Permit Center Fax # 386.822.5734
Lic# CCC1330574
4327 S Hwy 27 #137
Clermont, Florida 34711
Phone: (407) 575-0022
Email: oceanroofingllc@gmail.com
Web: Oceanroofs.com
Description
Shingle roof replacement.
Estimate #
Date
1. Pull required permit.
2. Remove existing roof down to wood deck. (An est. 1700 sq ft.)
3. Replace all rotted/broken wood. (No hidden fees.)
4. Install synthetic felt to the entire roof.
5. Install new drip edge, pipe boots,
and vents.
6. Install 30 year architectural shingles to the entire roof.
All labor guaranteed for 10 years.
All material guaranteed for 20 years.
Subtotal
Total
Joseph
2114 Surnmerlin Ave.
Sanford, Florida
503) 309-8595
000431
01/04/2017
Total
4,700.00
4,700.00
Page 1 of 2
50% due at signing. Remainder due in full upon completion.
Iffinal payment is not paid in full within 48 hours of a passed final inspection all warranties are
null & void.
This does not pertain to projects where no inspection is required.
Signed on: 01/04/2017
Joe Western Joseph
Page 2 of 2
ECEIVE r-1-
JAN 4 2011 City of Sanford
Roof Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
11 Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
El Copy of applicable contractor's license issued by the State of Florida (if the contractor is the
applicant).
11 A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant).
These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be
complete. The applicant is required to meet all City of Sanford, state, andfiederal code requirements.
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #:
7-17s-
I, aSg, klAe hereby acknowledge that I personally inspected
Roof deck nailing and/or econdary water barrier work
at 7-1 J ,. L Mrne , n Az. and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 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 making any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 7.06 F.S.
ature of Contractor Date
oc _=4 bi_S2__L r
Printed Narfie of Contractor License #
License Type: General Building Residential CYRoofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF !A - f -
Sworn to or affirmed) and subscribed before me this day of , 20' , by
L,21, who is Personally Known to me or has produced (type of
ide t` n) as identification. t ` " (SEAL)
Signature 6f Notary Public
State of Florida
Print/Type/Stamp Name QZPRY F", cATHyWALKER
r MY COMMISSION d FF 1506ofNotaryPublic * EXPIRES: November 6, 201S
Bonded Thru Budget Notary Servkes