HomeMy WebLinkAbout1323 E 24 St Roof••• r ti , A,JA, V .CJI"
MAY 2glZ CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: r a 45-3 Documented Construction Value: $ 02 �
Job Address: /3-�23 aY/�.V SA_ b;i1D:;V Historic District: Yes ❑ No �
Parcel ID:
Description of Work:-
Plan Review Contact Person:
Phone: '107V 2306 Fax:
Zoning:
E-mail:
Property Owner Information
Title: fJ6cj iu22
Name C A -r- " Phone: ,tel Z _23yo
Street: 1 3�231` . a ( Resident of property?
City, State Zip:
Contractor Information
Name Phone: 7" 7
Street: C Anj n L,-) Fax:
City, State Zip: )—o !Z 2-77 State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: Address:
i2l 3CC! &.u,W riG_
F c�!z�� 7�a, � PERMIT INFORMATIONS,.SCC
-},Q2,. 'br�,?vA� r='
Building Permit te.��t^23Atfi-
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I 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.
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
permit is released.
PSignature of •l5dte
Ckeo-Q L 4A1
Print Owner/Agent's Name
A 20 L/— o—/ L
Si ture of Notary -State of Florida Date
SPF �PUBli JOHN A. SANDARGAS
MY COMMISSION t DD 885532
* EXPIRES: August 25,2013
-1A�80FF���`Qe Bonded ThmBudgetNotary Services
Owner/Agent is Personally w to Me or
Produced ID Type of ID V�-�—
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
Signature of Contractor/Agent Date
&B� (Zkm 140 -
Print Contractor/Agent's Name
�-L::�� --y-3o -/ L
ature of Notary -State of Florida Date
o�°�Y P°Bloc JOHN A. SANDARGAS
e ' * MY COMMISSION t DD 885532
* EXPIRES: August 25,2013
sr°�oFF`pQo� BondedThN B*d NdM Services
Contractor/Agent is / Personally Known to Me or
Produced ID Type of M
WASTE WATER:
BUILDING:
Roger Paeemire ReaidentW Contractor
�':. `� . �•
2026 Crowley Cir W CRC 026344R00fing Contractor
Longwood; Florida 32779 CCC 1326094
(40) 33,3-9524
(407) 416-0306
PROPOSAL.P400 No.—
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PROPOSAL SUDMITTEU. rQ, PIlot�l.
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All m:l«.I►I Is pwranlP»d In ba:as rpetlli►•J`AII —
I1Oi^ above Ipaciliultenl inrolvinp;$All.a wad•Io �°mplated'n, worlmanlili m,mq .teardin to I
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will L. aaPrpad Mly Wen tirlllm Ord d Itandald.pratllul,
apP►•n,•i,rP ee,stnp•nl u ^r 1, and will b•Cenn an Any allarallon er ,dwiaJj� .
�"+ Phil•,, acaidMli er'd.lays b•'yond r •sln rlParps oyer and' above
ar'Iha e;:lion of Iha �•+darlipnad cur control• Ihis jwepead wbjecl'Io set•aolsusta Wllhin IM .rtimah. Ab •'
days rad to •old
r::r—•r�-x=_.-s. --r_-ter:-:_:t-s Aulhoriud Sipn.lbra,- '
• 'i � �=_,"'�`•' ""�--....ter •.y-
t.ha Qho.. , o �1CC_ pi,gN�CL OF PROPOSALpPife 1, IpetPijceliunf anl) condilionl rir• Iler.b e
►1 oullin•J �bo� Y ccaptad, You, ern aulll
nrited to do Ih� work e1 � pcl
AcCCP'Y�D: 'P Ifac Paymnnl .win 6e made
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City of Sanford
BUILDING DIVISION
RE: Permit # / 2 — OV" 15,35 --
Inspection Affidavit
I Pfte/Z- CQn'11 " ,licensed as a(n) ontractor* /Engineer/Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; l 3-D-6 O 01 y
On or about --2 ^ 12 n-\ , I did personally inspect the roo
(Date & time)
deck nailing andlilsecondary water barrier work at /VVT-vj
Orck one) (Job Site Address)
/ 3�Y-3 �, 2V7�� NSD t!q�
Based upon that examination I have determined the installation was done according to the
Hurric itigation Retrofit Manual (Based on 553.844 F.S.)
` Signature
STATE OF FLORIDA
COUNTY OF 0
Sworn to and subscribed Vefore me this L/dav of . 200%
By/
r Notary Public, State of Florida
JOHN A SANOARGAS
** MY COMMISSION # DD 885532
EXPIRES: August 25, 2013
N'°repF °R��e Bonded Ttm Budget Notary Services
Personally known or
Produced Identification
Type of identification produced.
(Print, type or stamp name)
Commission No.:
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.