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HomeMy WebLinkAboutROOF1403-0174-ApplicationContact Person: City of Parkland Building Permit Application www..ciitvofparrkland.ors �] (y 1 D �a Phone #: fc9 i,"9)4i E-mail: f-.11'1 \ �t Vti ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135 Company Name R C rn Q L63 iL oof 1(.1 6I k- Business Address I b9 5 � �� � Ln Date Master Permit Number,4 ,//03.7),/ 7 Y 3120 1 �� City State Zip \-301)C rl-bq 3)3-17 Property Owner's Name ( {/�\,,, ? Owner's Street Address City 2fl4)\coo Ph ne # (9s ?SS- 1I 6L9P o\.)--\, "It') State Zip Phone #(1 Sc�) �j L 1.) ) 2 Job Site Address �1 9`1 Cj b ltd Lot Work Description: I&be _, Co- its Construction Value %j ?, 310 u DO Engineer's Name Engineer's License # Phone # Architect's Name Architect's License # Block U Phone # Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Contractor } r+ Notification E-mail: C r /11' 1 ` ��.� �`� ���, • i)~� Privy acne of Oticialifier ilder: :JI S , ?rill License number: Signature of caL / f �, / On this l;Q day of !VI� 11 , 20 0\ , t�efore me, the undersigned Notary Public of t Statq f Florida, personally appeared i ��>nbiT and whose name is subscribed to and within the instJment, and he/she acknowl¢dges that ,he/she executed it. NOTARY PUBLIC, STAft OF FLORIDA L./.;t, v / /� PRINTED NAME OF NOTARY IUBLIC C] Personally known to me C] Oath taken NOTARY PUBLIC SEAL OF OFFICE: Application Approved By: Permit Officer E La)( C 9- Produced identification O Oath not taken MARILYN BLANCETT \,� ; Notary Public - State of Florida t4-0\':•_ My Comm. Expires Oct 30, 2015 Commission # EE 132703 Bended Th rn irh N�tippal N'ta,y Acsa. Property Owner Notification E-mail: (' G- AC)` 1( i Print Name of Property Owner: Owner's Address: .61A0 \rJ b TerV' Signature offerty Owner: rf 1 Ct-41, ) ,,r 1,(c On this'7 day of TL.13114111', 20 t i , before me, the undersigned Notary Public of the State of tlorida„personally appeared se, ,ame is subscribed to and within the he/she executed it. instrument NQT Y PUBLIC, STATE QpiORIDA PRINTED NAME OF NOTARY PUBLIC * Personally known to me ❑ Produced identification ❑ Oath taken O Oath not taken NOTARY PUBLIC SEAL OF OFFICE: Date: s'( Notary Public State of Florida Robert J Chambers My Commission EE009596 or no Expires 07/18/2014 Electrical Contractor: Business Address: License #: Estimated Construction Value: Phone #: Notification E-mail: Qualifier Signature: Print Name: The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: Plumbing Contractor: Business Address: License #: Phone #: Qualifier Signature: Estimated Construction Value: Notification E-mail: Print Name: The foregoing instrument was acknowledged before me thus day of who is personally known to me or who produced Notary Public: My Commission Expires: Mechanical Contractor: Business Address: License #: Phone #: Qualifier Signature: ,20 ,by the above named person as identification who did/did not take an oath Estimated Construction Value: Notification E-mail: Print Name: The foregoing instrument was acknowledged before me thus day of who is personally known to me or who produced Notary Public: My Commission Expires: ,20 ,by the above named person as identification who did/did not take an oath Landscaping Contractor: Business Address: License #: Estimated Construction Value: Phone #: Notification E-mail: Qualifier Signature: Print Name: The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person who is personally known to me or who produced as identification who did/did not take an oath Notary Public: My Commission Expires: Other Contractor: Business Address: License #: Phone #: Estimated Construction Value: Notification E-mail: Qualifier Signature: The foregoing instrument was acknowledged before me thus day of who is personally known to me or who produced Notary Public: My Commission Expires: Print Name: ,20 ,by the above named person as identification who did/did not take an oath PERMIT TREE City of Parkland PERMIT NO SUB -PERMIT SUB -PERMIT SUB -PERMIT ROOF1403-0174 PERMIT TYPE STATUS FEES CHARGED FEES PAID BALANCE DUE DESCRIPTION APPLIED ISSUED JOBVALUE OWNER REROOF APPROVED $936.50 $37,300.00 REROOF CONCRETE TILE & FLAT DECKS 03/20/2014 $90.00 TOTALOf ALL FEES $846.50 CHARLES,GLENN M & HEATHER PERMITS FEES CHARGED FEES PAID BALANCE DUE JOBVALUE 1 $936.50 $90.00 Driritcrl• Crirl3.. !1A Arril 1111A 1 of 1 $846.50 $37,300.00 r20 0•Ces 'WRAF RA! Blank Page ••14solist444,k, INSTR # 112134632, OR BK 50589 PG 57, Page 1 of 1, Recorded 03/03/2014 at 03:05 PM, Broward County Commission, Deputy Clerk 1026 Permit k Folio # NOTICE OF COMMENCEMENT The undersigned hereby gives notice that Improvement will be made to certain real property and N accordance with Chapter 713, Florida Statutes, the fobowhg information is provided In this Notice of Commencement : . on ww, reser b „we % re 1. Legal Description of Property: Lot BKKkG Unit 4 Bldg M ❑Lengthy legal attached SubdivNbn lCeWyMnnnkirm p.\)Zj:) CS Street Address If available:. 61/�0 AO hit -1 -AQ 'C` 1 �(Up ,-O'�/_ 2. General description of Improvement : R..e r ry-'� I l o \ T \ 1 fit is O .JJ14 3. a. Own., name and address: b. Interest M prop.Ny: o. Name and address of fee simple titleholder l# other than Owner): 4. a. Contractor name and address: b. Contractors phone number 5. a. Surety name and address: b. Surety• phone number: c. Amount of bond: 9. a. Lender name and address: b. Lenders phone number: IUI 1101i4 \a1LFc O. 7 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.1311X.17., Florida Statutes: Name: Address: b. Phone number. Pt 9, a. In addltlon to himself or herself, for Owner desgnaNs b. Phone number of person or entity designated by owner e. Expiration date of notice of commencement W .tetee a copy of Lamont Notice per Sateen 713.13(1Xbj, Florida She e,0rarim des e 1 pow from the dee of nced.) 0600 a ekflren dee m rpadLW) 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 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 Signature(s) of NI r rileyAugtorized rlD1.ctor/ParherManeg.r ,,‘,...:)D, . 1 C110.4-.-.1:...2 By egrit Name (1 a 112,1,E ' eB► Nam. Tltle1Ofdc. Title/Office STATE OF FLORIDA COUNTY OF BROWARD I` ���� The Nuego��rrrr �i�ru�mnn was acknowledged before me thist1 day of °y Nt+tzYT C�1 A � / 3Individually, or ❑ n for / 3 Personally known or ❑ produced the following type ofklelKcador Sgnature of Notary Public: Print Nams:LA(t_T (SEAL) 11 VERIFICATION PURSUANT TO S5CTfON 92.525. FLORIDA STAMFA Under sena/ties of perjury, I declare that I have read the foregoing end that 91e tech stated In It are we, to the best of my knond.dge and bele. sgna l of Ow as or Owner(syy�jwiised ONk*DirectortPartne �B✓ ! r 7 f / lC G 1LTi% By cy itrn.- o K fyrwen flv.alnoc. nmc. of wrmedwwr .m07 307 roc 1,19 33-0-7b r -.l 1 \L Y /1 (Certifier's Letterhead) RE -STRAPPING AFFIDAVIT OWNER Heather Charles PROPERTY ADDRESS 6280 N.W. 96th Terrace, Parkland 33076 PERMIT NUMBER I hereby certify that: X The existing roofing framing to wall connections are a minimum of 1/8 inch by 1 -inch strap nailed with 3 16d nails minimum. Approved strap ties or right angle gusset brackets with a minimum uplift capacity of 500 lbs have been installed connecting the roof framing to the wall below. A copy of this affidavit has been delivered to the homeowner. This affidavit is required for houses that have an assessed value of $300,000.00 •r more or the structure. Qualifier's signature Name (Please Print) License number Richard A. Petrillo CGC1508179 - General Contractor (Florida Professional Engineer, Registered Architect, Licensed General Contractor, Building Contractor, Residential Contractor or persons certified in the structural discipline under FS 468 excluding Standard Roofing Inspector.) The foregoing instrument was acknowledged before me this day of irg , 20/4, by C//14%Zt if l b (Namqmeof Person Acknowledging) who is personally known to or who producedz., r %;)(1 5.74/(type of ID) as identification who did l di take an oath. Notary Public Signature My commission Expires: Rev 09/08 %NearillballhoilbodbodlixiYodboillimairde ,,., JASON M. VILLENA Notary Public - State of Florida My Comm. Expires Dec 19, 2014 Commission # EE 49996 14....41, .0* :oft,