703 E 29 St - BR17-002818 - ROOFC I V CITY OF ANFf RD
Pft
SE 2 7 BUILDING & FIRE PREVENTION
PERW APPLICATION
B . Applicatiou No M—olft
Docurmnted Conslinetaoa Value: It 24 7-
Job — ', . ll'tst+ric 1)isttet. Yes 112t
Part5el 11), Reyidetatial Co ercial
T Iw of Work: New D, Addition Altemtion El Repair nerpo Change of Use E 14fo}e
Description of Work: -aS A n3rs*
Plan "ew Contract Peon: 't'itde: r jr
1'hotx+
f rt!L 'a:' AM EFrtail }'!
Prop" rimer llarmation I - c{r'
Name d t 1'hooLe: L+ ram-! 3 -
Street Resident or prop"?.,: s: {
City, State Zip:
Contractor Information
Name
f' 4ttrcei t:trsc r
City, Sla:le Zip: _7'1 r '' State f_; + ( ecense _Vo.
ArchitectlEnginetr ,Information
Name;
Street:
City, St, 7*
Bonding Company_
Address:
phone,
Fax.,
E-gal .'
Mortgage Under.
Addren;
WARNING TO OWNER., YOTlt ]'AILURE TO KIXORD A NOFECE OF C()rVE 4ENCF.A' Wf MAY RFSUT, ]IN `i OTjttN'C' PAY T VIC'E FYIa IMPROVKVI ;1 TO MIR PROPERTY, A YOTIC iy OF COASArENC 3MENT too J T BERECORDEDANDPOSTEDONTHEJ018SUMBE, F`ORF' T'Itl i M43T 1N,,31 ECTION. Ilk YOU INT'ENI) ` OBTAINKNANCNI . (X)x .JLT WITH Y01rK LENDER kilt. A1 ATrORCNEY BEFORE RECORDING YOUR h . ;C E OF
Application is hereby 3nadc 10 obtain 7 permit'to d> Ikv work and iItUal lalioos as indi¢awd, I certify Ono no work or ini 41 Ratiorr has
wmmclxcd pirim lo, the: imimnce ofa perunit alnd tikn all UVA will ',be. pciforined to rrlece standsu 4s of al:l Iws uN;ltitla M1kS tcl iorL
in t1ki- jurisdictEon. 'I understand tbo4 a wpamte permit mast be senqed for elect k-al work, pbunbing. signs, trlz, pools. Furnaces, bc&4s. heaters; tanks. and air amWitiuw". etc.
I1,13C JG5 4 --S3mn be iawdbcd with toe dale nra pficaUca wW gluecode to etrea n%of diet date::'FdWon (2014) r4widn MUD crAlic
k&AS;L-1 JU 30.2h I i I'tsfli liU 7liG:ik127
NUTrCF': @n atidition to The r uit"ien45 oftihis perrnij, there nlay be additional reitriclions applicable to this pmptn y that may hr6uundintheliniblicrecordsof'this county, and the=. cagybe bdditioval perm iN mquired from nt.leYr gov rnmenla l entitbe • simh as waterinmeritdistrii`ts, Muir agencies, Qrfederal jtdw,
Ac:ceptatee caf ft&Mi6 is vcrifictyitin that I will notify the owner a,fthe propemy orlhe requ.iveni mis of Florida I ien Law FS ?l 3.
The City of Saatfrxl requiaes plymml ofs plan revivty tee: s+t [he time of permit srrbmittal..A cagy ofthe execuipA ion. act is tGguir;d
in cxtder t« clt udate a plwt mvirw charp and will be considered tltc c:atimatrd construction value ctf Ott job at the time cif subminal. fhe ac3811 Construction value will be f4ktrred based rrl ilr: ctcttr-nt lCr 1{iluation Table in effect at the time tbeperu jr. is issued, ita
3mwtimme Valt &xEd ordinarim, Should CaN;ulated ehaM9!,k rogured offthe excmted claret. -I exceed the >ctu:r1 construeiitan valve, credit will be applied mn your peraeii fees When the per; is Issued.
0"ER'S AF'FIDANIT I certify that al] of the foregoing ixtformintaon is accurate and that a : wtorkk, will
be clone in compliance With all, applicmlk laws regulating construetion and m oi'rng.
ofilit tlalc• Yrinit}
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20_• • M'
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v Notary Pubac State of Florida F ;
Cristin Kubik My
Commission FF 957870 j•
a a Expires 02/07/2020 FSirkenl`
s Rlrax MARSA
901 Mitt
COM?A5S10M R f' SXP11W;-
tufs D1, i7virtt
r A ncett ignnn;rl y F+ncnxm to Me Ur a .ttartr;9Gtor }i t nt' Per twaai'-Y Produced ID-TYpe of Prod Led ID Type of ID _ r,)WW-
Z-(03 :NM -a BELOW IS
FOR OFFICE ESE ONLY Fermit9 Required $
uidirig;jD E.leeiricaI Q meebar`ica! [3 PlumbingFj Gas I f on
truelivn'1`ypei Occapanq Use, FIXXA Total Sq
PI of Bldg- Min. Occupancy Loan: # of New Construction
Electric # of Amp'S Pr affibina - of j""dU _ Firms Sprinkler
Ft rnut- Ycy ® No ', # of I lead Fire Alarm Permit: Yam} El APPROVALS. ZONING:
I rT L lI.f S: WASTIF WATER: ENGINEF:iUNQ
FIRE:, 1BUILD NCk Rrvmod: tone
Alt, 71115 Permit. Aptl ik74km Me or
u
LIMITED KDO"'WER OF ATTORNEY
Aftamonte Springs, (,assejberry,, 1,,ak.c MaryIQ[Lgwood, Sanford, Seminole
County, Winter:9pjrWgs I
limby nama and appoint: anagmlofi
to
be my IMW W(WnCy-k-&Ct. U3 &Ct fOr ine 14), app]V for., PeCeipl. for, sign kor an, ddo all ricermary
to this apN 1'.r[Lznc.ntfor (theek onljv one T4-
SW cif I'CP emititand app] nation for focn,W, dat: cs
vscan
Ad&L--,) Expiration
Date for This L MAW Povkre. r4.?('Attomcy,—f License
I loldcrName:__e.7
to -
JOE State
Limnse NumbcT,.. Signauirtt,
of License Uloldcr: STATE
OF I. A COUN
The
ForegC1,mg astrumcut wasAcknowkdged brI-Orc. nic -di1s d LrUM vo1 -11 , : - #
Mwby thLo < fn U 4
k te
to Ric
or 0 W producod identification and
who did (did nqPA-,dm-,qi Dath., mgmtUre Y - , --
y Seal)
I . . . . ........... 4'"jMARISA
M-ORIE, PIrmL ortype narne 7 MY =MMISSI(
M 9 FF997913 EMAES June 61.
ZOW Notary Pub] ic, - Mistat E) rComnssion No, y Commssion
F_Pir
s. Rev. 0&12.) iirkps
THIS INSTRUMENT PREPARED BY: GRA14T MALOY, SENI14OLE COUNTY
Name: KATIE BERNARD/CITRUS CONTRACTING LLC CLERK OF CIRCUIT' COURT & COrIFTROLLER
Address: 384 O-F'35) BK ',1092:F'o 6J.. 1
67 12 B&IjAMIN RE) ST E 800 CLERK'S : "' 2017o94760
TAMPA, Flz 33634 RECORDED 09/213/201-7 11.17:11.'.-:- i')N
Ri, ' , " c0RD1HG FEES $10-00
NOTICE OF COMMENCEMENT RECORDED BY hdevori?
Permit Number:
Parcel ID Number: 06-20-31-505-01300-0290
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 ofthe property and street address if available)
LOT 29 BLK IS 703 E 29TH ST SANFORD
WOODIVIERE PARK 2NE) REPLAT
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RE ROOF RES SF
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: BLAKE JIMMIE L & DOROTHY M
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name: N/A
Address: N/A
4. CONTRACTOR: Name: CITRUS CONTRACTING LLC Phone Number: (407) 969-6868
Address: 6712 BENJAMIN RD STE 800 TAMPA, FL 33634
5. SURETY (If applicable, a copy of the payment bond is attached): Name: N/A
Address: N/A Amount of Bond: N/A
6. LENDER: Name: N/A Phone Number: N/A
Address: N/A
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:
8. In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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 1, 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.
ZI (Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of ID0001'1 County of —G—Ful I No L6
The foregoing instrunn ent was acknowledged before me this day of SF—P. 20 17
by_,31MMIE: L-- ZI—^KV Who is personally known to me 0 OR
Nameof person making statement
who has produced identification /type of identification produced:
Y P& wc, Notary Public State of Florida
CristinKublk
My Commission FF 957870
OF M1 Expires 02/07/2020
SCITY
OF
ORD
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PERNUT # / /) - W/
Building & Fire PrMA fion Dhv4don
RESWEiVnelL RE -ROOF, SCOPE OF WORK
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BE yUBrvjE'ITrg) AS PriRl' ()F YpTJTZ l'EIIMIT Al PLICA't`IIJiv. H IF:
SCUKE 01,7 WORK NjUS7' IN('i,.LTM .AL.I, APPLECABL.E r' U)R[DA PRoi)l1{'r APPR(1VAL. NUMBERS FDIC A.LI. R CXMPONitMS'li
IAT "%RLL• 6E. INsi-A lED ()N '1-111; PRCIWT. A PT
R Mill' WELL MOT BE. ISSuET) WTTHOL411" n IME WCUMEN-M. COPIES WILL HE MADE, TO Pwr ON THE JUI3 ti PROJEr,. TS
Lio(. -rrtT) [N, THE SA FORD Hls'r()Rl(' nlSrr CI• V%9I.I. REQL1M PLAN' REVIEW AN m APP RO A1`1.
1it1) H!ISTQIRK: PRE-S RV.3'C16N, BOARD INSPEL3I0i1 P()
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AL ()(lF INSPtC'J'1CljY US THE UNIL•Y INSPECTIONIII;Ql JE1RPT) FOR kl Sll)rN'TTAL (SIN(iI.I: FAMILY, 100131I.r
HOINIE, APARTMENI'l11 DIOR CONI.X) +JINTUM) fit;-FCum P'fR.WTS_ rim FOLLOWING
IS REQUIRED T(aREPttU IE)P CDN THl; Jtlli Srrr: P1:. um.
1'rCARE1, L'US'I ED EN : , CUNSPIC:R TOUS ,ANC3 wiKAn E1::RPR(J()I: L(W.ATIO, N C:MPL:
t:LED RESITPEtdllM:'}i.T.-Rd:jtkE' SC:C m; or.- WORKComm r.
TEr) ANV NOTAMED IN',KPFC`CL' N, AFFIDAVIT ALL H
ORMA PROULK7 APPROVAL ARwlri CC1RRESP()Nl TKO INSTAUA170NV INM'I'R. XTA1)N—" PKOIYIicr APPRuvAL
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THE 4L
D&NIGN'
CITY OF
Building & Fire Prevention DivisionS_______0RD RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 2 _ ADDRESS: . • 6 4 9t
A6W Z
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
OOFING CON OR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FO G INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: C J?3
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICE
t. /
f% DATE: ! Z 3
NSE HOLDE R ER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
rn to and Subscribed before me
SignaYur"I NA
State of Florida
Print/Type/Stamp Name
of Notary Public
A06ay of J_A I/ 20 LA
Personally Known to me or has Produced (type of
as identification.
MARISA MORE","' -
MY COMMISSION COMMISSION # FF997913
EXPIRES June 01, 2020