140 Magnolia Pk Trl - BR17-000222 - ReRoofHistoric District- Yes NoMIAJobAddress: 2t22_/Z__4_
Parcell Ili. ' ' _Residential ES commercial
Type ttWork: New D Addition ter do cila ir Demo[] Chit t c tt move
Work -
Plan Review Contact Person:
Phone: ------Fax:-
Property Owner Information
Name iitottc
i. w~icy ofproperty? Street:,
city, StateZip:
Contractor r Information
NameiNKK iitatttc:
StreeV-3-f Fax:
City, State Zip: state .iccttsc .
Architect/Engineer Information
Street.
Bonding Company: Mortgage ender:
Address: Address:
WARNING TO OWNEW I^,II.: YOUR FAILURE TO RECORD RDANOTICE OF COMMENCEMENT 1 t LILT IN YOUR PAYING
BG `T'wIC E FOR IMPROVEMENTS VEMI° NT TO YOUR IaTtC3PER A No rIC E Ctla t tlMM NC EMC.°s I MUST HE RECORDED
AND ICI "I'El) ON TIII JOB srrE ItEI{`OR THE FIRST INSPECTION, IF YOU INTEND O OBTAIN FINANCING,
C ON SU'LTWITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Alaph
aatirats is hereb\ made to obtain ba lra:s"mit to do the aararrlr aaaad histaallaaticraara as trrtlsc.:aatt l i certste Eli«at no work or 'srtst aH atlrvrr faits commenced
edprior to'the issuance ( as l,, rttrit and that tall svorC tail€ luau performed edto meet tstandards cat all laa%es noguhifing construction ira
thisjurisdiction. ticaat. Iunderstand that at separate permit must tr secured liar electrical work, plumbing, sl its, o llsInrrrn , furnaces, boilers, heaters,
tanks, and air conditioners, etc. VQtC' tl k3
Shall l* inscribed with tht theta of attalalocatti+art and the code in effect as ofthat date-5 Edition I aII D Florida Building Code ilk a"9
B ,
12
NO'Ll,"E,: In addition to the requirements of this pernnt, there may be additional restrictions appkable to this propeny that may bctbundinthepublicrecordsofthiscouray. and there InaN be additional rentuts required trom other go-,ernmental entities such as water
management districts, state agencies. or f'edcral of=ies.
Acceptance ofpermit is ve6fication that I will notify the owncr of"the property ofthe requirements ot'Florida Lien Law, FS 713, rile ("
it-, (if Sanford requires payment ol'a plan review fee at the time of'permit submittaL /k cs,p), of the executed contract is required inordertocalculateaplanrevies, charge and wili be considered the esth"ated construction value of the job at the time of'submittal, Tablenieffsotatthetimethepermitisissued. in TheactualconstructionvaluekviHbefiguredbasedonthecurrentICCValuationaccordancewithlocalordinance, Should calculated charges figured off the executed contract excecd the actual construction value, credit
will be applied to your permit J`ees .%,hen the permit is isSlled OWNER',
FFIDAVIT: I certify, that all of the foregoing information is accurate and that all work will be
done in compliance with all ap plicablelaws regulating construction and zonLl g. s,
sionst Ur C( tble L
Lu; , xi4 (e, Date gn.,Z) c, ezelU . xf'Ow mAgenl Nina
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00107*020 Owner/Agent
i,S"'I .... ... Personally Knovvn ' to Me or Produced If) .
I.-"J _—."rype of ID j, 1 --
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ontratc.
t ar'Ag ttt t Personally Knovvn to Me or Produced 1
ype of ID BELOW IS
FOR OFFICE _CIS EONLY Permits Required:
fluilding[] [,AectricalE] Mechanical[] PlumbingEl GasE] Roof 1:1 Construction Oestatese:
Flood Zone: --,— Total Sq Ft
of Bldg:,____—..--- Min. Occupancy Load: # of Stories: ----.------ New Construction: Electric - #
of Plumbing - # of Fixtures_ ---- Fire Sprinkler Permit:
Yes[] NoE] Fire Alarin Permit: Yes 11 NoD APPROVALS: ZONING: u,
rILITIES: WASTE WATER: ENGINEERING: 1"IRE:
COMMENTS:
1111111111111111111111111111111111111111
GRANT MALOYY SEMINOLE COUNTY
CLEW OF CIRCUIT COURT & COMPTROLLER
OK 8848 Pg 240 (lPgs)
THIS INSTRUMENT PREPARED BY: CLERK'S 4 2017007558
Name. G Monfoo RECORDED 01/23/2017 09'.32:44 AM
Addr s a C3ridndo L RECOPWING FEES $10.00
RECORDED BY fidevore
Permit Number:
Parcel to Number 1 B-_20-31-507-0-000—
with Chapter 713, Florida Statutes, theTheundersignedherebygivesnoticethatImprovementwillbemadetocertainrealproperty, and in accordance
following Information is provided in this Notice of Commencement.
i. DESCRIPTION OF PROPERTY: (Legal description ofthe property and street address if available)
140 Ma nolia Park Trail
LOT MAG 10QLIA PARK IPB 63 PGS 54 - 59
2, GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Ro stout 140 Ma nolia Park Trai Sanford FL 32773
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR:Name: Killarne GDntraCtOrS 1nCPhone Number
Address: 355 Mashie Ln., Orlando FL 32804
5. SURETY (if applicable, a copy of the payment bond Is attached): Name. N/A
Amount of Bond:
Address,
6. LENDER. Name: N/A Phone Number
I Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
Name:
Address:
M
to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(b). Florida Statutes. Phone number:
S. Expiration Date of Notice of Commencement (The
I
expiration is I year from date of recording unless a different date Is specified•
MIGNON= W99012=6
Print Nameand Provide sIignatOns Tille/OffiCe)
Signature of vnerorLessee,0 0wmerlscrLessee'$
d " 0 r'cire" ;PAuthoroeotficerjoirector/Partner/MarmQ00
P
State of County ®f a 20A
The foregoing Instrument was acknowledged before me this day of
known to
by
Who is personally known to me 0
Nam person making statement
who has produced identification 0 type of Identification produced:
I
I 11111111111111111111111111111111 fill fill
GRANT MALOYP 5EM114OLE couNTYCLERKCIRCUITCOURT & COMPTROLLER
THIS INSTRUMENT PREPARED BY: BK 8848 Pq 239 (lPss)
Name: G A Monica, CLERK'S 4 2017007557
RECORDED 01/23/2017 09,32:44 ANAddress. 355 Mashie Ln,,OIando FL RECON'DING FEES $10.00
RECORDED BY hdevore
NOTICE OF C OMMENCEMENT
Permit Number. k 0
Parcel ID Number:. 33-19--30-513-0000-1060
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)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Killarney ContraCtorS InC.. Phone Number:
Address: 355 Mashie Ln., Orlando FL
S. SURETY (If applicable, a copy of the payment bond Is attached): Name, N/A
Address: — Amount of Bond:
6. LENDER: Name: N/A 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(1)(a)7., Florida Statutes.
Name: — Phone Number:
Address,
S. In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is I year from date of recording unless a different date is specified)
WARNING TO OWNER., ANY PAYMENTS MADE yr. THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT AREEDff,4PROPER PAYMENTS UNDER •CHAPTER 713, PART 1, SECTION 71313, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
rPMNjde and Provide Signatory/s Tit! Cal
signers e or 6 e s or Lessee's
u 'zed OM re oripartnertmanaaed
State Of _11atAJC--County of _OSLJC
The foregoing instrument was acknowledged before me this ?S_ day o = 20-a
M EMU
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City of Sanford
Building and Fire Prevention
RESIDENTIAL RF-RoOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
I , _Z' -Z'7
Rmrr -2 LPjADDRESS: C
ASA(
N)GENERAI,,Bt,fll,,I)IN(,,,RESlt)l,:.N'FIAI,,OR Rool,'
INC,CON,rRACI'OR, ENGINI,',f',"R,ARCfll'I'E(,T,6 /HAPTER468 BuILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE AND TFIAT" ALL, ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE
REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WIT11 THEIR PRODUCT` APPROVALS AND ALL, APPLK ' 'ABLE CODE REQUIREMENTS--
S - SPF1'CIFICAIT,Y FLORIDA BUILDING CODE, Exis'LING BUILDING. IN ADDITION I CERTIFY' THE INSTALlATION MEETS ALI, REQUIREMENTS
FOR SECONDARY WATER BARRIER AND NAILING OF THE, ROOF DECK, IN ACCORDANCE WITFITHE IIIJRRICANE RETROFIT MANUAL
REQUIREMENTS (BASED ON F,S, CHAPTER 551844). LII-
Z—
CENSE #: 6AfL ? C 176
C_T-' COMPANY / CONTRACTOR: CONTRACTORSIGNATURE: DATE:
MUSTBE SIGNED By
LICENSE ER OR OWNER/BUILDER) A FINAL ROOFINSELCTION IS
RFQUIRFIY Tills SIGNED AND NOTARIZED
AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIGITAL PHOTOGRAPHS
OFEACH PLANE OF THE ROOF SHOWING IN DETAIL ALI, COMPONENTS (DECKING, UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT)
WITH THE PERRY IT OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH INSPECTION. THE PHOTOGRAPHS
MUST INCLUDE A RITLER OR MEASURING DEVICE TO CONFIRM ALI, NAIL SPACING AND OVERLAPS, INCLUDING DRIP EDGE AND
VALLEY FLASHING. PLEASE REFER TOTHE RE -ROOF POLICY LAND INSPECTION PROCEDURE. PAPERWORK FOR FURTHER EXPLANATION OF ALL
REQUIREMENTS. FAILURE TO FOLLOW ALL REQUIREMENTS WILL
RESULT IN A FAILED INSPECTION, A REANSPECTION FE E AS WELL AS REQUIRING A DESIGN PROFESSIONAL (
ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL INSPECTION, TIIE INSTALLATION OF ALI, ROOFING
COMPONENTS. STATE OF FLORIDA COUNTY OF Sworn
to and Subscribed before me
this day of 20 by: 0 Dt. 'Knnw Who is 0
Personallyontomeor0Produced (type of mflnuffEm Nignat e orwary rumic State
o-%
fF rida
Permit #:
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
z hereby acknowledge that I personally inspected
Roof deck nailing and/or X-Secondary waiter barrier work
and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual, (based on 553.844 FS,) I
certitv that my statentents herein are true and accurate to the best of my belief and that I fullv understandthatmakinganyfalsestatementsinwritingwiththeintenttomisleadaspublicservantintheperformance
of his or her official dutv shall constitute as misdemeanor of the second degree pursuant to Section
837.0 F.S .. .... 7
at,
Signatureoff ",itractor 4,
iVe6,z-, o_
fC_ To- r —itr, -ac-to-r- 1-,icense # Z(
r 1,
icenseType'. GeneraN11l Building Residentialooling7ontractoorany
individual certified in accordance with F.S. 468 to make such an inspection. STATE OF'
FLORIDA COUNTY OF easeda carte
carascetsubscribedbeforemethis (lay of 20 Ll_, by Produced (type
of LKJ*hoisPersonallyKnowntoineorhasasidentification.
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