1218 Park Ave; 18-3562; ROOF COATINGAVG 21 2018 CITY OF SANFORD
M. BUILDING & FIRE PREVENTION
r., PERMIT APPLICATION
Application No:
Documented Construction Value: $
4800 4WffiIq
Job Address: 121.8 PARK AVE SANFORD, FL 32771 Historic District: Yes No
Parcel ID: 25-19-30-5AG-1404-0040 Commercialpq
Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move
Description of Work: Roof Coating
Complete coating of roof with Uniflex coating NOA No.: 15-0825.02 Product approval is attached
Plan Review Contact Person: Rebecca Smith Title: Owner
Phone: 321-363-3871 Fax: Emai1: info@xlr8roofing.com
Property Owner Information
Name Jean Pierre Phone: 407-267-3009
Street: 229 BURNSI D PL Resident of property?: NO
City, State Zip:
OVIEDO, F.L 32765
Contractor Information
Name XLR8 Roofing Phone: 321-363-3871
Street: 485 Specialty Pt Fax:
City, State Zip: Sanford, FL 32771 State License No.: CCC 1331278
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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, heaters, 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: Sib Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 pen -nit is verification that I will notify the owner of the property of the requirement-, 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 of0%yncr/Agent Date Signature ofCoritmctoT/Agcnt Dat
1--
cef V e4 JL'9 - 1 tc--.. qK11 7 /1
Print owner/Agents Name Print Contractor/Agent's Name J
Signature of Notary -State of Florida Date
MY COMMISSION P FF 969994
EXPIRES: March 10, 2020
ided Thira Notary Public Underwriters
Owner/Agent is '— Personally Known to ,Me or Contractor/Agent is '*'- Personally Known to Me or
Produced ID type of ID Produced ID _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required:: BuildingE] ElectricalE] Mechanical F] Plumbingn GasFJ Roof[]
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 n Non #of Heads Fire Alarm Permit: Yes r] NoF]
APPROVALS 7-ONING: UTILITIES: WASTE WATER.: Q;e 4
ENGINEERING: FIRE:
7
V .
yr CD--COMMV EN t' '—?
BUILDING:
Revised: June 30, 2015 Permit Application
Grant Maloyy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
Inst#201'5093327 Book:9190 Page:"1407; (1 PAGES) RCD: 8/1512018 11:42:36 AM
REC FEE $10.00
Permit No
TaxxPPared: Number
p• 7 ` i (I — 9 v ~ 144 r
NOTICE OF COMMENCEMENT
State of Florida 0040
The UNDERSIGNED hereby gives noteethat Improvement will be made to certain real
property, and In accordance with Chapter 713, Florida Statutes, the following In(omnation
Is provided In this Notice of Commencement
1. Description of Property. (Legal description of the property, and street address if applicable.),
I-e -A +Own O-Q- Sin-4e)Vj0A 6 1 YO& 1p d
2. General description of Improvement
RE -ROOF
3. Owner information (or Lesseelnformationif the Lessee contracted for theimprovementr
a Name: C'.,FPTAW --zom) Qti t11r1P Q
Address al & P t AkA -- S1ah t9rt-11. 3a'A
b. Interest, In property: t l}yr,c Vie^
c, Name and address of fee simple titleholder (if other than owner):
4. Contractor Information:
a. Name: XLRB Roofing
Address: 485 Specialty Pohtf Sanford, FL 32771
b, Contmelor's phone number: 321-363-3871
6. Surety (if applicable, a copy of the payment bond Is attached):
a. Name:
Address:
1 }o
b. Phone number i'T
c. Amount of bond: 3 .00
B. Lender information:
a. Name:
Address:
b. Lender's phone number.
Persons withintheState of Florida designated by Omer upon whom notices or other documents may be served
as provided by Section 713.13(1)(a)7., Florida Statutes: FOR
CLERK'S OFFICE USE ONLY a.
Name: Address: +
y b.
Phone numbers of designated persons: B.
In addition to himself, Owner designates, A a.
Name: of ( v
l A to receive a copy of
the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. b.
Phone number t f y 0.
Expiration date of Notice of Commencement (the e0atbn date Is 1 year from the date of recording Mess a differant date Isspecb* 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 `INANCING, CONSULT WI J YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR
NOTICE OF COMMENCEMEN / in
Be *O= MY COMMISSION # t3Cit}a8 Stgnalary'
s Title/OfSoe TNWEXPIRES June 28,210120 State
of t—Lod.. r^ . Countyof Se.A t % ''V o t.. 't-- The
forgoing instrument was acknowledged before me this 3 day of ib+ V t1 s 20 6 by T)
pe of authority ..:e.g. officer. trustee, sttomeydn4ad) R'
Signature
oof Notary Public— State of Florida Print, Type or St6mp Name of Notary Public Personally
Known _M,___ OR
K Produced ID Type of ID Produced l U rid + 7 7 — -:U 4! d
CONSTRUCTIO .
General Contractor / Roofing Contractor
Servicing Seminole, Orange, Volusia, Flagler &
arevard counties
RETAIL ROOFING CONTRACT
xpti
XLR8 Roofing & Construction, LLC
485 Specialty Pt,
Sanford,FL32771
321.363.3871
x1r8roofing.com
FL Lic. No. CCC1331278 / CRC1331831
info@xlr8roofing.com
THIS LIST OF SPECIFICATIONS MAY BE CONTINUED ON SUBSEQUENT PAGES (SEE PAGE NUMBER BELOW)
c. Payment: Contractor proposes to perform the above work, (subject to any additions and/or deductions pursuant to authorized change orders), for the
Total Sum of $r Down Payment (if any) $
PAYMENT DUE WHEN AMOUNT PAYMENTS TO BE MADE IN INSTALLMENTS AS FOLLOWS:
1• Contract is signeedbefore work is started
2• Work is completed
3.
4.
d. Commencement and Completion of Work: Substantial commencement of work shall mean either the physical delivery of materials onto the premises
or the performance of any labor and shall be subject to any permissible delays as per provision (5) on the reverse side.
Approximate Start Date: 3-5 weeks from acceptance CJ` a z , ; yA + F+ RCS
Ste\ ,s
e. Acceptance: This contract is approved and accepted. I (we) understand there are no oral agreements or understandings between the parties of this
agreement. The written terms, provisions, plans (if any) and specifications in this contract is the entire agreement between the Parties. Changes in this
agreement shall be done by written change order only and with the express approval of both parties. Changes may incur additional charges.
Additional Provisions Of This Contract Are On The Reverse Side And May Be Continued On Subsequent Pages (see page number below). Read
Arbitration of Disputes" provision on page two (2), provision 13 and the NOTICE following this provision. If you agree to arbitration, initial on the line
below the NOTIC here indicated. Also, initial in the same place on EACH COPY of this contract.
t....__ _{__._._____ t' Ad You, the Buyer, may cancel this transaction at any time prior
pproved and accepted (owner) te to midnight of the third business day after the date of this
transaction. See the attached Notice of Cancellation form for
an explanation of this right.
approved and accepted (owner)
IO
approved (contractor) date
NOTE: This contract may be withdrawn after 30 days from
If not approved and signed by BOTH parties.
Page ONE of 2 Total Pages
ADDITIONAL PROVISIONS- Unless otherwise specified herein, the following additional pro%sions are expressly incorporated into this contract:
1. contract, Plans, Specifications, Permits and Fees. The work described in for and Contractor .hall reimburse Owner for this amount at such time t at
this contract shall be done according to the plans and the plan specifica- Owner becomes current with Contractor for all past due payments. Owner
tions (if any except in the case of conflict when the provisions of this is responsible to verify the true amounts owed by Contractor to these same
contract shall have control over both the plans and the plan specifications. "suppliers', prior to making payment on behalf of ontractor. Owner stall
All required building permits will be paid for by cwner and obtained by not be entitled., under any circumstances, to collectas reimbursement from
Contractor. All other charges, taxes, assessments. fees etc., of any kind Contractor arrr amount greater than that exact amount actually and truly
whatsoever, required by any government body, telephone or utility compa- owed by Contractor to these same "suppliers", for -work done or materials
ny or the like shall be paid for by Owner. supplied on Cwner's job.
2.Installation. Contractor has the right to subcontract any part of, or all of, 11. Collection. Owner agrees to pay all collection fees and charges including
the work herein but not limited to all legal and attorney fees that result should Owner
3.Change Orders. Should Owner, construction lender, or any government default in paymentof this contract. Overdue accounts are subject to inter -
body or inspector require any modification to the work covered under this est charged at rate of 18% per annum or at the highest rate allowec by
contract, any cost incurred by Contractor shall be added to the contract law.
price as extra work and Owner agrees to pay Contractor his normal selling 12. Legal Fees. In the event litigation or arbitration arises out of this con -
price for such extra work. All extra work as well as any other modifications tract, prevailirg party(ies) are entitled to all legal, arbitration, and attorney
tothe original contract shall be specified and.approwed by both parties in a fees. The tour* or arbitrator shall not be bound to <ward fees based on any,
written change order. All change orders shall become a part of this contract set, fee sched le but shall if it so chooses, award -he true amount or all
and shall be incorporated herein. costs, expenses and attorney fees paid or incurred.
4.Owner's Responsibility: Insurance etc. Owner is responsible for the fol-
lowing: (1) to see that all necessary water, elec-rical power, access topremises, and toilet facilities are provided on the premises. (2) to provide astorageareaonthepremisesforequipmentandraterials. (3) to relocate
and protect any item that prevents Contractor from having free access totheworkareassuchasbutnotlimitedtoTVorradioantennas, vehicles,
tools or garden equipment. In the event that Owner fails to relocate such
Items, Contractor may relocate these items as required but in no way is
Contractor responsible for damage to these items during their relocation
and during the performance of the work. (4) to obtain permission from the
owner(s) of adjacent property(ies) that Contractor oust use to gain accesstotheworkareas. Owner agrees to be responsible. and to hold Contractorharmlessandacceptanyrisksresultingfromtheuseofadjacent
property(ies) by Contractor. (5) to correct any existing defects which arerecognizedduringthecourseofthework. Contractor shall have no liability
for correcting any existing defects such as, but not limited to, dry rot, structural defects, or code violations. (6) to maintain property insurance
with Fire, Course of Construction, all Physical Loss with Vandalism and
Malicious Mischief clauses attached, in a sum at least equal to the contract'
price, prior to and during performance of this contract. If the project isdestroyedordamagedbyanaccident, disaster or calamity, or by theft or
vandalism, any work or materials supplied by Contractor in reroofing or
restoring the project shall be paid for by Owner as extra work.
S.Delay. Contractor shall not be held responsible for any damage occa-
sioned by delays resulting from: work done by Owner's subcontractors, extra work, acts of owner or owner's agent including failure of owner to
make timely pprogress payments or payments for extra work, shortages ofmaterialand/or labor, bad weather, fire, strike, war, governmental regula-
tions, or any other contingencies unforeseen by Contractor or beyond
Contractor's reasonable control.
6.Surplus Materials and Salvage. Any surplus materials left over after thiscontracthasbeencompletedarethepropertyofContractorandwillbe
removed by same. No credit is due Owner on returns for any surplus' materials because this contract is based upon a complete job. All salvage
resulting from work under this contractis the prooerrty of Contractor.
7.Cleanup & Advertising. Upon completion, and after removing all debrisandsurplusmaterials, wherever possible, Contractor will leave premises in
a neat, broom clean condition. Any debris consists^g of dust, dirt, asphalt,,
or small bits of materials that settle into attics, ga-age areas, or any other
area being worked over with open beam ceilings or no attic, is unavoidable
and Contractor shall not responsible for this cleanup. Contractor recom-
mends that Owner lay out drop cloths to protect such areas wherever
owner discovers debris infiltration. Owner hereby grants to Contractor the
right to display signs and advertise at the job site for the period of time - starting at the date of signing of this contract and mintinuing uninterrupteduntilfourteen (14) days past the date the job is completed and payment infullhasbeenmade. Owner grants Contractor the right to take "before" and
after" photos and to publish the project street acdress on a "references"
list which may be given to prospective customers.
8.Concealed Damage & Dry Rot. Contractor will inform Owner of any dry
rot or other sub -roof deterioration which is concealed and Is discovered
during the course of the work. Contractor is not responsible to repair anysuchdiscovereddeteriorationandanworkdonebyContractortoremedy
such discovered deterioration will only be done as extra work in a written
change order.
9.Termites, Pests & Hazardous Substances. Owner understands that Con-
tractor is not qualified or licensed as an inspector or abatement contractor
for Hazardous Materials (as defined by the government), or for Pests (in-
cluding Termites). Should any such hazardous substances or Pest be sus
petted to be present on the premises, it is the Owners' responsibility to
arrange and pay for inspection and abatement. Comractor cannot certify or,
warrant your building as being free of hazardous substances or pests. 10. Right to Stop Work and to Withhold Payment on Labor and Materials..
If any payment is not made to Contractor as per this contract, Contractor. shall have the right to stop work and keep the job idle until all past due: progress payments are received. Contractor is further excused by Ownerfrompayinganymaterial, equipment and/or labor suppliers or any subcon-
tractors (hereinafter collectively called "suppliers`}. during the period that
Owner is inarrears in making payments to Contractor for bills received
during that same period. If these same "suppliers" make demand upon. Owner for payment, Owner may make such payment on behalf of Contrac-
13. Arbitration of Disputes. Any controversy or claim arising out of
or relating t>} this proposal/contract, or the breach thereof, shall
be settled bu arbitration in accordance with -the applicable Con-
struction Industry Arbitration Rules of the American Arbitration
Association which are in effect at the time the demand forarbixa-
tion is filed. A judgment upon the award rendered by the
arbitrator(s) may be entered in any court having jurisdiction there-
of. Any arbitration award shall be subject to correction analor
vacation for the reasons stated in -the law. The arbitrator snail
award reasonable attorneys fees and expenses to the prevaliing
party. After being given due notice, should any party fail to appear
at or participate in the arbitration proceedings, the arbitrator snail
make an award based upon the evidence presented by the
party(ies) verso do (does) appear and participate. Notwithstanding
Contractor'srightto arbitrate, Contractor does not waive any of its
lien rights. Ventre for arbitration hearings shall be the project
county unless otherwise agreed to by the parties.
NOTICE: By initialing in the space below you are agreeing to have
any dispute arising out of the matters included in the "arbitration
of disputes" provision decided by neutral arbitration as provided
by law and you are giving up any rights you might possess to have
the dispute litigated in a court or jury trial. By initialing in the space
below you are giving up your judicial rights to discovery and ap-
peal, unless those rights are specifically, included in the "arbitra-
tion of disputes' provision. If you refuse to submit to arbitration
after agreeing to this provision, you may be compelled to arbitrate
under the authority of the applicable laws. Your agreement to this
arbitration provision is voluntary.
We have read and understand the foregoing and agree to submit
disputes arising out of the matters included in the "arbitration of
disputes" provision to n t arbitration.
I Agree to Arbitration
I itials of Owner) (initials of Owner)
FLORIDA HOMEOWNER'S CONSTRUCTION RECOVERY FUND
PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNER'S
CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT
PERFORMED UNDER CONTRACT, WHERE TH=_1OSS RESULTS FROM
SPECIFIED VIOLATIONS OF FLORIDA LAW BYA LICENSED CONTRAC"OR.
FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A
CLAIM, CON -ACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING
BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS:
PHONE: (850) 487-1395
01 NSTRUCTION INDUSTRY LICENSING BOARD
CONSTRUCTION INDUSTRY RECOVERY FUND
2601 BLAIR STONE ROAD
TALLAHASSEE, FLORIDA 323909-0783
ANY CLAIMS FOR CONSTRUCTION DEFRTS ARE SUBJECT TO
THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA
STATUTES.'
Page TWO of 2_Total ?ages
A
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date- 8 1 q 118
I hereby name and appoint: Paula Rodriguez / Whitney Brown
an agent of. XLR8 Roofing & Construction LLC
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
EX The specific permit and application for work located at:
1218 PARK AVE SANFORD, FL 32771
Street Address)
Expiration Date for This Limited. Power of Attorney:
License Holder Name: David Hambley
State License Number:
CCC1331278
Signature of .License .Ilolder:,,I e;t- .
STATE OF FLORIDA
COUNTY OF 5LL1 LE
The foregoing instrument was acknowledged before me this L-tftlay of Ut i ,
200B , by [)AV/D AtABI who is m-personally known
to me or o who has produced __as
identification and who did (did not) take an oath.
Notary Seal)
varro'E
R1Y CChIMl5SiCN # 10, 20
99A
EXP1REg. ;larchpublic Undero'' Wood lhru Nata Y __
Rev. 08.12)
Kk-- —
Signature
gee 5ryA_
Print or type name
Notary Public - State of
Commission No. Fes
My Commission Expires: '13 l02-0
Iworklm,
o4aPgPOttL,'plY OFc
FLORIDA
APPLICATION #
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not be
reviewed. If you have questions about application requirements contact the Historic Preservation Officer at
407.688.5145 to ensure ,your application is complete.
General Information
Downtown Commercial Historic District Residential Historic District[] Is this a retroactive request? YesO No[]
Is this application filed in response to a Notice of Violation from the Code Enforcement Department? Yes[] No0
Proposed improvements will affect the following elevations: North ® South 0 East 19 West X
Property Address: 1218 S. Park Avenue Sanford FI 32771
Property Owner Information
Print Name: Jean Pierre
Mailing Address: 229 BURNSED PL OVIEDO, FL 32765
407-267-3009 tPhone: Email: Signature
Applicant/Agent Information
Print Name: Rebbeca Smith
Mailing Address: 400 Specialty Pt Sanford, FI 32771
Phone: 321-.363-3871 Email: Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIREDIFOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDINGPERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT
IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW,
YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE
AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. I HEREBY UNDERSTAND AND AGREE
TO THE ABOVE STATE NTS AND WILL PAY ALL CITY FEES RELATED TO THIS APPLICATION
ASRiEgUIRED BY Cl Y'S ADOPTED FEE RESOLUTION. I
Signature:
Date: Would
you like to receive_emails regarding Historic Preservation and Community Planning within your community? Description
of proposed work Completelydescribetheentirescopeof work, including changes in material and color, and methods that wIf 'be used to accomplish
the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. Complete
coating of roof with Uniflez coating NOA No.: 15-0825.02 HISTORIC
PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • wwwsanfordfl,gov/HP
APPLICATION #
FOR A CERTIFICATE OF APPROPRIATENESS
Supplemental Information - Please use the space below to provide additional, details regarding proposed work.
Description of proposed work (continued from previous page):
ONLY WORK SPECIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES
TO THE BUILDING NOT LISTED ABOVE ARE NOT PERMITTED AND REQUIRE AN
ADDITIONAL CERTIFICATE OF APPROPRIATENESS.
Site Details
Please use the space below to illustrate site details.
HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP