Loading...
420 San Marcos - br18-004705 - REROOFe p NoKta, u CITY OF PERMIT APPLICATION11SANFORD BUILDING DIVISION r, issApplication No: C) Documented Construction Value: $ S a . 0 0 job Address: qr sr- I r C 0S Historic District: Yes No Parcel Ill: Type of Work: NewANI Addition Alte Description of Work: VL-< — Plan Review Contact Person: Phone: Fax: Residential ELCommercialEl Repair Demo Change of Use Move Email: Property Owner Information Name Ca_ vo Phone: ` (? 7S- Street: cQ 1 Mrs C c Resident of property?: City, State Zip:' Co tractor Information CC Name _c - Phone: c 2 Street: Ql 6 c `f Fax: City, State Zip: LOL, r-11— WA, t ;' ' - State License No.: 5?' Achitect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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. t 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: 6" Edition (2017) Florida Building Code NOTICE,: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that tnay 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 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 lCC 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 oCQwnerlAgent Date Signature of Contra,.tor A ent l Print Owner/Agents Name Prim Co(ractor gent's Name 7 crtiature of No iy-stat } "ture of No ry Statc ori m, p f N S E NJUIIJENSENP.P,,, State of Florida -Notary Public f State of Florida -Notary Publi Commission # GG 186518 G-- •c Commission # GG 186518 My commission Expires %*?c My Commission Expires a 2022 ruary L_5_._ZU22 Owner/Agent is ' ContractorlAgent is Produced ID Type of ID wv>~ `L c..Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: 191MINMOi.1M COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE, WATER: BUILDING: h G UNITED ROOFING U BOX 4704248 aKE MONROE FL, 32747-0248 07)982-0757 GUN ITEDR09EING GMAIL COM 10 A v Contractor's License # RnnF RFPI ACFMFNT 1VIlITl1AL Sales Rep k Contact # Insurance Comony information Company 4 Policy # Claim # Mortgage Company Information: Company Loan # kGREEMENT' Owner(s) Rhone: Address: Alt Phone: City: State: Zip code: Shingle Color: Email: Roof RCV amount: Drip Edge Color: COMPANY DOES NOT AGREE TO PAY FOR A FULL ROOF REPLACEMENT, THiS AGREEMENT SHALL BE VOIDABLE rfull Roof Replacement or Repairs Onlyd hereby assign and all insurance rights, benefits and proceeds under any UNITED ROOFING LLC. (A&G), the scope of which shall be limited to a Full Roof Replacement or Roof repair. I make consideration of A&Gs agreement to perform services, supply materials and otherwise; perform its obligations under ig full payment at the time of service, i also hereby direct my insurer(s) to release any and all information requested irney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this ayment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to A&G immediately upon receipt. luctibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the n JST BE PAID IN FULL, PLUS APPLICABLE SALES TAX (initial} ier/Mortgagor, grant authorization for Mortgage Co. to speak with A&G on matters including V status. to pay A&G based on the following pay schedule: (i) Deposit in the amount of $ due upon signing ice, Less the Deposit and any applicable depreciation retained by Owner's insurer(s), plus Upgrade Cost, due and payable I WV1N uclrts p.1,V1 Ill.., aria ,kuij 11- cnmixn lg-5,c —`' cars %.4— w `""r:"MY'"''M.. . .... r....w«..,....,, ra.,..t .... w.......m.......«....., .-- ompietion of work performed. in the event of a pending inspection, no more than 2% of Agreement Price may be withheld until O,ty Price $ TOTAL ce Upon insurer's approval and subject to the terms and conditions herein, A&G agrees to furnish all materials and provide the the full roof replacement or repair which shall take place following Owner's insurance company's approval, approximately within ing. ent: Owner acknowledges and agrees that, upon approval by insurance company for a full roof replacement or repair, A&G shall ent or repair upon receipt of funds from Owner's insurance company. elects to terminate the services of A&G, Owner may do so before midnight on the third business day after Agreement is eive a full refund of all deposits. Owner may also rescind Agreement before midnight on the third business day after the iotification from Insurer(s) that the claim for payment on roof contract has been denied, in whale. All written notices of reason, shall be postmarked or delivered to A&G's corporate office:565 Merry Brooke Circle, Sanford FL, 32746. IS: The Three (3) day right of cancellation DOES NOT APPLY to contracts for emergency home repairs as time is of the essence. derstand all statements, terms and conditions of the "Roof Replacement or Repair Agreement" and agree that all details are r. '1 further understand that this aereement constitutes the entire agreement between the Dartles and that anv further chances i Dr alterations to this contract must be made In writing and agreed upon by both parties. Each party represents and warrants to the other that it has the full power of authority to enter into the agreement and that it is binding and enforceable in accordance with its terms. Authorized A&G Representative Date Owner Date lerms:1, Owner, hereby agree to retain A&G for a full roof replacement on the terms and conditions statedherein, pe of Loss Report generated by my insurer and authorize and grant full acdess to the property for the purpose of k. Supplemental Claims: A&G reserve the right to file a supplemental claim with Owner's insurance in the event damage is discovered after. c Grant Maioyy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018137996 Book:9261 Page:1957; (1 PAGES) RCD: 12/7/2018 12:10:12 PM NV 11k;t Ur %;VIV11V1r-NVCIV1r-N I State of Florida County of Seminole Permit Number: Parcel ID Number: An..-A,I' A-51 (% d.;),qo 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. OF PROPERTY: (Legal description of the property and street address if available) GENERAL DESCRIPTION OF IMPROVEMENT: rHiS 1f4S *K NyiEivi' PREPARED BYt NAME OWNER INFORMATION: Address: © Z-- t -147 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: 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: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration data is 1 year from date of recording unless a different date Is specified) WARNMQ 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 COMMENCEMENT. Under penalties of perjury, 1 declare that I have read the foregoing and that the facts stated In it are true to the best Of my knowledge and belief. _ /f—< 7/ 2 ff 4-- '0wrVers Signature Owner's Printed Name Florida Statute 713.13(1)(9): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' JULIA P JENSEN State of Flvrida Notary Puoiic Commission a GG 186518 State Of County of S,F3 }$ ',;ham„ ,o` My Commission Expires February 15, 2022 The foregoing Instrument was acknowledged before me this r7 day of by Ili Who is personally known to me Name of person making statemyfit OR who has produced identification U type of identification produced: rk- LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date:_ a- I hereby name and appoint: an agent of: 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): 0 The specific permit and application for work located at: M c; Street Address) Expiration Date for This Limited Power of Attorney: 1C2 0 License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF to 4tikoLc The foregoing instrument was acknowledged before me this, 200_F_, by 6 Wy 't 1jVt'!S Itto me or o who has produced identification and who did (did not) take an oath. F-\ Sikpffture 7 day who is V"personally known Notary Seat) int or type name JULIA P JENSEN State of Florida -Notary Public, Commission # GG 186518 1, otary Public - State of I My Commission Expires (',)rnrnissionNo. February 15, 2022 y Commission Expires: zIls) 2,,z 1 Rev. 08.12) as SXNTORD Y OF Building &Fire Prevention Division RESIDENTL4L RE -ROOF POLICY & PROCEDURES f~IRE DEPARTMENT PERMITTING REQUIREMENTS - NO PLAN REVIEW REQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE. PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: l CITY OF Ski4FORD FIRE DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: - I )'o * S6UV hc- jEc- Q _S STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE p MOBILE HOME p APARTMENT/CONDOMINIUM RE - ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): K * PLEASE NOTE: ONLY 100 SQUARE FEET O NE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: DOFF -RIDGE Q RIDGE QSOFFIT QPOWERED VENT OTURBINES SKYLIGHTS: Q YES 6 10 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 D2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL INGLE FL# 0 (0 Q METAL FL# O MODIFIED BITUMEN FL# TORCH DOWN FL# INSULATED FL# O TILE FL# Q OTHER: FL# ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN FL# p TORCH DOWN FL# QINSULATED FL# Q TILE FL# Q OTHER: FL#