160 Pinefield Dr - BR17-000201 - ReRooffiu
JobAddress: 160
C. CITY OF SANFORD
JAN 2 5 2017 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
r
ApplicationNo: —,9,--5
ii--
Documented Construction Value: $ -30-0-
0 eA D Isr Historic District: Yes 0 No D
PareelID: ResidentialEl CommercialEl
Type of Work: NewditionEl Alteration[] RepairEl Demo 11, Change % of Use 11 MoveE] Description
of Work: Plan
Review Contact Person: Title: Fax:
Entail: i, 'Ci= ckvIv, Phone: w.CL
Property
Owner Information f
0 Pho XAqVC,-3 ne. Le , NameRC-ACQLI-i' -Fc Street: V)
e -Ae' Resident of property,? L '32911
Cityate , StZip: 0fte - Contractor InformationNatne (
v -kPhone:
0 Cn Street: -'4 Fax: —
A6 -5 594 Cit N ioNL \
V"(1 State LicenseNo.: C CC State Zip: N' Arch itectlEngi neer
Information Name: w Phone:
Street: Fax: — City,
St, Zip:
E-mail: Bonding Company: Mortgage
Leader: Address: Addrees: -,- WARNING
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, pool$, furnaces, boilers, heaters,
tanks, and air conditioners, etc. FRC 1053 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 Pennit Applicatiori
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
T(-.)und in the public records of this county, and there may be additional permits required from other gpvcrnmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner ofthe property of the requirements of Florida Lien Law, FS 711
The City ol'Sanford requires payment of a plan review 9 e at the finte of permit submittal.. 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 1('C Valuation 'fable 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
be done in compliance with all applicable laws regulating c4
7,
nSignatu Dole 4,S gnau eof
L-4L
TwruTrtAgent's Print Contrai 0
A
1 101- Signature (
if Notary !Mate offl'(Wt OaFote ANNE BREZINA signature of 11
MY
COMMISSION #0000007 EXPIRES:
JUN 08,2020 Bonded
through 1st State Insurance is
accurate and that all work will r
ent [)are Name
Notary
Public State Of FWd& Amanda
Persaud M
C , !on FF 962732 YOMMISSexAires
03128/202,0 Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
l'ype of ID Produced ID ____ Type of It, BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building [] Electrical 0 Mechanical F] Plumbing[] Gas[] Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg:_-- in. Occupancy Load: -- # of Stories:--. New
Construction: Electric - # of Amps Plumbing - # of Fixtures - fire
Sprinkler Permit: Yes[-] No[] APPROVALS:
ZONING: l"
NGINEERING: COMMENTS:
ofHeads—,---
Fire Alarm Permit: Ye sE] NoE] 0118flaw
mm
WASTE
WATER: Re,
ised June,34), 2015 Pemiit Application
a 11111111111111111111111111111111111111!
ii CtJt
CLEW'S IF 20170C49754
T
iO:AU -OJU: ill Permit
Number: I .
ParcelIDNumber: : i F ot ; 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 if available) MMUMN
1
3.
OWNER INFORMATION OR LESSEE INFORONTRACTED THE IMPROVEMENT: kov, lip\.
CA Vo Name andaddress:_ ai,AKE Interest in
property: Fee Simple
Title Holder (if other than owner listed above) Name: Address: 4.
CONTRACTOR:
Name: Phonevu Address: ',.k
A ZA6Z 5. SURETY (
ifplicable, a cy f t hAeaymentbond isattached): Name: Address: '(If
appopoAmount
of Bond: 6LENDER: Name: Phone
Number: Address" 7.
Persons within the State of
Florida
Designated by Owner upon whom notice or other documents may be served as provided by Section 713,13(l)(a)7 Florida Statutes.
eVA,_LIZAji ' Phone Nymber: . ..... klck. _ _C 8.
In addition, Owner designatesof - to
receive a copy of the Lienor'
s Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: FaxalfiliiiT Si(no, S! not can or
assee,
or Ownel's or Lessee's (Print Name and Provide Signatory's Title/Office) Autho6zed Officer/Director/Partner/Manager) State of
riorido, County of SM) r)
Q) The foregoing instrument was acknowledged before me
this day of 20 W who has produced identification 0 type
of
identification produced: 77777777 Notary iature
ST 36H N'S
4 Services LLC $T JOHN'SIRoofingServices LL(-
559 Fieldstrearn Blvd - Orlando FL 32825 Licensed and InsureQ
Phone: 407 496 7861 - 407 256 8667 - Fax: 407 277 5594 CCC 1330765
ESTIMATE
Address: Jk0_&hVNe_r_
Job location: It-,,-N
1. Remove existing Roof fShingle 0 Tile 0 Rock 0 Metal 0 Roll
Additional layers
2. Replace damaged decking (plywood) or where needed
3. Replace damaged Flashing (!' Fascias C r Rafters 0
4. Install new underlayment # 30Lb Tr Peel stick 0
5. Pecleck fastening will meet or exceed local building code requirements (6"O.C)
6. Install news singles in accordance with the manufacturer's specifications
20 years 3TAP 0 Color
30 years Architectural/ Dimentional Color
Other- Color
7 New Eaves Drip Size- ,/Z. White (K Brown Gray Black 0 Beige 0 Other 0
New 26 Ga, Galvanized Valley MetalFtNew Galvanized L Flashing Ft Save
existing Eaves Drip 0 Turbine vents D Lead
plumbing Boots 4" 3" 1 Y2" Galvanized
kitchen vents 4"-10" Color Aoo—r __-Optional Add OffRideVents4" _7j-
CenterRidgeVents — Color Nail
Over Ridge Vents_ ______Ft Skylight
2x2 -_ 2x4 --- solar tubs Other
8.
Modified Bitumen singles ply flatroof system - Torch Down or peel stick base sheet and capsheet to be installed
E sine the manufactures specifications secured to deck and granulated. Color
9.
Remove all roofing debris from premises. Drag ground with nail magnet, 10.
Workmanship warranted against leaks for five (5) years from date of completion applicable Manufacturer'
s warranty Applies to materials. We
propose herby to furnish Material and labor, complete en accordance with the above specifications for the
sum of:. I I /)/) -_ Dollars, All
materials are warranted to be as specified. All work is to be completed in a wormanlike manner according
to standard practices. Acceptance
of proposal. The above prices. Specificatins and conditions are satisfactory and hereby accepted.
You are authorized to do the work as specified. Payment will be made upon completion of Project.
Past due accounts will accrue an interest charge of 1.5% per month. Until balance is paid in full. This proposal
shall be attached to all contract nd / or purchase order. Price is valid for 30 days from the date of
proposal, 71 Date
of Accel5tance r
ZC-1Owner
Or outhorized Agent W1
CITY OF SANFORD BUILDING SERVICE
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
permit _61
hereby acknowledge that I personally inspected
El Roof deck nailing and/or Ej Seco ry water barrier work
at k Go and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 RS.)
I certity that my statements herein are toand accurate to the best of my belief and that I fully
understand that making any false state me is i writing with the intent to mislead a public servant in the
performance of his or he7o7jal duty s 11 c nstitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S. —
0 ()
V-
Printed Nat of Contractor
Date
ct-5—
License #
License Type: !J General E-1 Building [,-'I Residential 0 Roofing Contractor
I or any individual certified in accordance with F.S. 468 to make such an inspection,
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before me this Zl_ day of )n_, 20 by
who is ally Known to me or has 11 Produced (type of
identiri atio as identification.
SEAL)
Signature f Notary Public
State of lorida d*je ouesed-
NOTARY PUBLI(
STATE OF (:, rint/Type/Stamp Name
FLMU,,, 440
Convn# of
Notary Public FF%
6 Expires
3/1/2020 I