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1002 Fifth St - BR11-002068 - ROOFRECEIVED AUG 0 8 2011 BY: Application No: avtog CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ 41 D OCR , 60. Job Address: / D a jd. 7 7_ Parcel ID: ,2,5-/QO'S A GrD 613- D® 1 8 Description of Work: 1 Historic District: Yes NoA Zoning: Plan Review Contact Person: F'- 8a r`0 v h S Title: CC, z rQ'&nt Phone: Gi e? `f 6 6 6 K V Fax: 4 E-mail: Property Owner Information Name Phone: q0 7 Street: ! 6 U a kA 51- Resident of property?: X 1fs City, State Zip: Contractor Information Name C9 , Tlk C Phone: 4(6 Z 3 4!4_,fL Street: l Flo t') So_,c-c-trim E L i1 Fax: /%O7 v City, State Zip.4&y y C2*. J:,?X73,2 State License No.: A C 01)2-3 l Y4 Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: Architect/Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Dwelling Units: Flood Zone: Electrical • New Service — No. of AMPS: Mechanical (Duct layout required for new systems) 3r 3 aL. 1,3Y No. of Stories: Plumbing E3 New Construction - No. of Fixtures: Fire Sprinkler/ Alarm D No. of heads: r. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work orlinstallation'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. 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. 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. 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 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. A copy of the executed contract is required in'order to calculate a plan review charge. If the executed contract is not submitted, we reserve -the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the Owner/Agent is _Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: 9W it Signature o ontractor/Agent IDaV e;clr.ar_11 ha ur S Print Contractor/Agent's N I.ARRY ROGER OWENS MyrC)MMISSION 0 EE050484 N0tffXi5RW& 27 • 2015 ate . /J FIO ICiNOtti 80tv10lcOm // e f ais ut a Contractor/Agent is ---Personally Known to Me or Produced ID Type of ID i WASTE WATER: Rev 11.08 OIL>T&K',Z<-- Iuouain nutnuua nn ru unuiumailullm Vermi t No. Tax Folio Nu.S-/rt'-:-SAtS,-L3 •-0_)1 8 NOTICE OF COMMENCEMENT State of Florida County of Senunole The wtdersigned hereby gives notice that improvement will bC inade to certain real property, and in accordance with Chapter 713, Florida Statutes, the following Information is provided in this Notice of Commencement. MOYANNE NURSE, CLERK OF CIRCUIT COURT SFAINOLE COUM BK 07610 Pq W; (1pg) CLERK' S 0 2() l 1()8j BE3 Rf;MWED 08/03/:011 10150:46 AN RECORI)ING FIES 10.00 REWRII) BY J Eckenroth(all) 1. Description of property: (legal description of the property, and street address if availabl8"'-)C2. \, . vT e——--. . . . !i . ^ //. n,f_ .0 T'/% L% — e C_ e .'.., n.. . General description of improvement: C-r- Owner Information: Name: Av M 1 Address: _/AA.a W 61Ti- g 's b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: b R + C, iyLC . Phone number: b7 -3 .s 7 9 c. Address. 1r t-C SG cG YJOr t_rt. t^-e—wr-a_, \ 3z-73 5. Surety Name Address: b. A now t of bond: S 6. Lender: Name: k-,, kk)Ar Lo A S<EP- address: b. Lender's phone number. Ta. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.130)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER "THE EX I[ AT10N OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CRAFTER 713, PART h SE(. LION 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 LI NDI; OR AN A'ITO Y BEFO OMMENCING WORK OR RECORDING YOUR NOTICE OF Q ENCEMENT. „/ or Owner's I'he furc tiu ' at thor ty, .,crdtda+BRaf, ROSE?i NPR MY COMMISSION # EE059484 S%tq%/ "%;,;;d' EXPIRES January 27. 2015 w v+.11_v Signatory's Title/Office this day of , (year) , by (name of person) as (type of name of party on behalfofwhom instrument was executed) . SEAL) SIB, we of NoLajy Fu i Per Illy Known OR Produced Identification Type of Identification Produced veriL tion pursuant to Section 92.525, Florida Statutes: Under pewhies f jKEDI OW%re that I have read the foregoiu and that e fa ted in it are true to the best of my knowledge and'belief<' (ca z 6,( IWARYANNE MORSE CLERK OF CIRCUIT COURT r 6c ,,r.c,-SoC ti1• Signature of Natural Person Signing Above SEMINOLE COUNTY. FLORIDR Rev. data 3/2008 w . • pEPuTy cM 0 3 2011 D R and G, INC. 1260 Saratoga Ln. ! Geneva, Florida 32732 / Phone 407-841-5831 407-629 -1716 Lic. #$GU023146 v 407-327-5636 407-322 - 8221 Fax 407-349-1398 NAME A rmaj ene Bradley JOB NAME STREET 1002 W 5th St STREET CITY Sanford 3 771 CITY PHONE687 8371 PHONE r D R and G, INC DATE 6 / 24 / 11 ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR. CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRAC R OR SUB,_ Oil R,OR FAILS TO PAY SUBCONTRACTORS, SUB -SUB CONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILLTO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY. 6 /// Customer Initials Date Page 1 of 2 25 YEAR 1 30 YEAR 1 40 YEAR Color r oAINTEED MAGNET SWEEP YARD 4 NAILS PER SHINGLE FELT 15 30 4 ' HAUL AWAY TRASH l RENAIL LOOSE DECKING IN REKOOFING A HOT TAR ROOF THE OL OOF IS STLI THE DECK, THE H OWN GREES TO PAY D R AND C - FOR ANY ADDITIONA OR R REMOVING OLD R G 4 D R and G, Inc. hereby proposes to furnish all material and labor, to complete all work in a professional manner. This price includes removing one layer of roofing only, unless otherwise stated. This contract may be subject to material price increases. n Workmanship 2 YR 5 YR. 1!0YR. Eve Drip 1 1/2" 1/2" Lead Stacks 4° 3" 2° 1 11T alley Metal .30/ Roof Vents Ridge Vent QZ Gravel Stop Kitchen Vent 2 x 4 Skylight Bathroom Vent 1 2 x 2 Skylight Rotten Wood 1/2" CDX Plywood - $3 per sq. ft. Boards $7.50 per running ft. All rotten wood is extra at price quoted above. HOT TAR ROOFS BITEC SINGLE PLY ROOFS 75# Fiberglass Base Felt 75# Fiberglass Base Felt 43# Base Felt Smooth Surface Ply IV Fiberglass Felt Granulated Surface Rock 10 yr Workmanship 5 yr Workmanship When necessary the roof deck will be renailed with 8 D ring shank nails to bring it up to the new Florida Building Code. f-r' , a 6 C! •c- lam `« 1 9-c-O i¢ '-t 7''G'.- — PAYMENT DUE ON COMPLE a n 'A14 4/10a'd' 1 Accept This Contract Ae<-Date Contractor shall pay all valid bills and char s for material and lab arising out of the contract and will hold Owner of the property free and harmless against all liens and claims of lien for labor and material filed against the property. The Contractor shall not be responsible for damage to existing walks, curbs, driveways, structures, cesspools, septic tanks, sewer lines, water or gas lines, arches, shrubs, lawn, trees, clotheslines, telephone and electric lines, overhead plumbing, etc., by the Contractor or supplier incurred in the performance of work or in the delivery of materials for the job. Owner hereby warrants and represents that he shall be solely responsible for the conditions of the building site over which the Contractor has no control and subsequently results in damage to the building or injury to persons or property. Unless otherwise noted in this agreement, the price quoted does not include removing or replacing fascia, trim, sheathing, rafters. structural members, siding, masonry, vents, caulking, or flashing of any type. If during the course of work, it should become apparent that any Such portion of the structure should be repaired or replaced, Owner may authorize Contractor to do such additional work and charge Owner for the additional labor and materials required plus a reasonable profit ! Where colors are to be matched, Contractor shall make every reasonable effort to do so using standard colors and materials, but does ! "! not guarantee a perfect match. I . Any controversy or claim arising out of or relating to this contract shall be settled by arbitration in accordance with the Rules of the American Arbitration Association and judgment upon the award rendered by the Arbitrator(s) may be entered in any Court having jurisdiction. Should either party hereto bring suit in Court to enforce the terms of this agreement. any judgment awarded shall include court cost and reasonable attorneys fees to the prevailing party plus interest at the legal rate. Page 2 of 2 "