HomeMy WebLinkAbout2709 W Airport Blvd 17-382 RE-ROOFWEI
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
3ApplicationNo:
Documented Construction Value: $ Lq
Job Address: Q-109 W a I f,pUo- 81 V D Historic District: Yes No El
Parcel ID: ;) 1 - (q - .3 0 "Sod - 0000 — O O L/ 0 Residential ® Commercial
Type of Work: New Addition Alteration Repair X Demo Change of Use Move
Description of Work: r-e-ro01= 20 s1 UP rMoa 1-P, A'v1'11 G'y Plan
Review Contact Person: Title: Phone:
Fax: Email: Property
Owner Information Name
IV AN LV S W I +ZE- Phone: Street:
2- O 1 W A ^I (L D U R--f Resident of property? City,
State Zip: S,,v FU IzD PIL 3 27-7 Contractor
Information Name
ki-LZo Q oo i qJ) )(_ Phone: 4 0-1 - I p
L) Street:
a 1 1 L4 0-0 U r'OF+ 17 I' Fax: 1461- W'0()L1 3 City,
State Zip: -AW&A - 3a 3 State License No.: cc( 13Uq Sl)-_ Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: 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. 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. 1 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: 511 Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
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 1 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 ]CC 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 of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
a A& h Z-Y -1-7
Signature of Contractor/Agent Date
t11"I'I' ONy -I Z ZO
Print Contractor/Agent'sName
4qZ4vP-6
Signature of Notary -State of Florida Date
ef Whole R kM"n
Stso d Fltxidrt
My vnmWWw FF /85M
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Owner/Agent is Personal ntractor/Agent is sonall Known t Me or
Produced ID Type of ID Produced ID Type
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas[-] Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use: Flood Zone:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised. June 30, 2015 Permit Application
SCPA Parcel View: 27-19-30-502-0000-0040 Page 1 of 2
Property Record Card
IRTAPAOTPIPI-affilix
Parcel:
SWITZ
0-5NANC 0 0040
Owner. SVNTZER NANCY
Property Address: 2709 W AIRPORT BLVD SANFORD, FL 32771
Parcel Information
Parcel 27-19.30-502-0000-0040
Owner SWITZER NANCY
Property Address 2709 W AIRPORT BLVD SANFORD, FL 32771
Mailing 2709 W AIRPORT BLVD SANFORD, FL 32771
Subdivision Name WEST HAVEN
Tax District S1-SANFORD
DOR Use Code 12-COMM AND RES MIXED
Exemptions 00-HOMESTEAD(2012)
0
JID
413
ounty GISSeminole
Value Summary
2017 Working
Values
2016 Caddied
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 37,126 36,153
Depreciated EXFT Value 600 600
Land Value (Market) 39,480 39,480
Land Value Ag
JusUMarket Value " 77,206 76,233
Portability Adj
Save Our Homes Adj 1,851 1.402
Amendment 1 Adj
P&G Adj s0 s0
Assessed Value 75,355 74,831
Tax Amount without SOH: $715.00
2016 Tax Bill Amount $689.00
Tax Estimator
Save Our Homes Savings: $26.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=27193050200000040 1 /27/2017
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Permit Number:
Folio/Parcel ID #: a 7 - 19 - 30 " S'o.a - d d c-o - 60 c/O
Prepared by: L •
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Return to:
GRANT MALOY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BY, 8858 P9 1764 (1P9s)
CLERK'S T 2017013998
RECORDED 02/08/2017 01:35:52 PM
RECORDING FEES $10.00
RECORDED BY ,ieckenro
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
with Chanter 713. Florida Statutes, the following information is provided in this Notice of Commencement.
1. 1
2. (
3.
4.
Owner information or Lessee information if the Lessee contracted for the improvement
Name
Address XI 9 LJ Ihi P—PQ12-1' 11!J-) 58rj Foga Fl- 32-7 '7 1
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
Contractor.
Noma 1?,( 7 -7,- - RIY-) 11 C, Telephone Number q0 q-6733
5. Surety (if applicable, a copy of the payment bond is attached)
Telephone NumberName
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 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 of Ow r or Lessee, o wner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this (Y day of ZI Eny /J `
J
Y
mont year n e of pers n or%"',, ;
as d WN W for C 15W I -ZED =i
Type of authority, e.g.• officer, trustee, attorney in fact Name of party on 6ehalf of whom instrument was executed
W
L- n%ICI1c i, Ma/ / I'Aj o
Signature of Notary Public — State of Florida Print, type, or stamp commissioned name of Notary Pu i(P o
CCU.
ers allally Known OR Produced ID v z
Type -of -I Dom- ro d Publice of Florida o = o
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LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: - d - 1
1 hereby name and appoint: Aro4nnW 4ZZ V J IZ
an agent of: ZZ tic
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):
h< The specific permit and application for work located at,
1t,01 W. q;aQOa:r 1vD ';CAn Four F-L 37-T7) Expiration
Date for This Limited Power of Attorney: 6 - to - License
Holder Name: rb(j-"n On\ 1'Z1-U State
License Number: CC C. 13 t (.`4 S a Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF The
foregoing instrument was acknowledged before me this 9 day of 200J -
1 , by fl NT H D IV )j (LI ZZU wh o ersonally kn wn to
me or o who has produced as identification
and who did (did not) take an oath. R
Signature
Notary
Seal) EM
w.ry Puk Sots d Fbiids ldgls
R McNny CarnmWWwFF185Mxpisa
t?r1YlOt8 Rev.
08.12) IVICN00-
MaH)^ ) Print
or type name Notary
Public - State of >=Cvr.1 dA Commission
No. 117S J 1,6-L My
Commission Expires: 11'
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City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
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 FEC code pliance by personal inspection.
00,
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: .
r
D PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Worlc
JOB ADDRESS: ,,-) 6 Q W AI e_0 01CT g I VD 'G V1 F or,.--T
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: -0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK -TYPE (PLEASE SPECIFY): 1LI /jy PLEASE
NOTE: ONLY 100 SQUARE FAT OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF
VENTILATION: 0OFF-RIDGE O RIDGE SOFFIT QPOWERED VENT QTURBINES SKYLIGHTS:
O YES Q NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q
SHINGLE FL# 0
METAL FL# CNMODIFIED
BITUMEN l n 4 aJ FL# a S 3-3 - 1Z O
TORCH DOWN FL# QINSULATED
FL# p
TILE FL# Q
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ET0 **IFAPPLICABLE** ROOF
SLOPE: p LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE FL# Q
METAL FL# O
MODIFIED BITUMEN FL# Q
TORCH DOWN FL# QINSULATED
FL# Q
TILE FL# Q
OTHER: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I ^) ' 36 2 ADDRESS: a-709 W AIR-Por- t- SI V-D S "
ICU ,Ld F c. y
A` ; Z70 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OOFING
CONTRACTOR, GINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGO
N 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 C C 132 (64S COMPANY /
CONTRACTOR: R) ZZD pt t'lC! 1 CONTRACTOR
SIGNATURE: OIMAI 4 4Wl/l. Q DATE: Z— MUST
BE SIGNED BY LICENSE HOLDER OR OWNErAUILDER) A
FINAL ROOF INSPECTION IS REOUIRED: 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 D MV%3 Q, Sworn
to and Subscribed before me this ( day of l; hryv 20 Z by: I-{ K-%.
rjy I ; Zzo Wh Personally Known me or has 0 Produced (type of identification)) Signature
of
Notary Public State of
Florida Ju1C-o
2 P I",N Print/Type/
Stamp Name of Notary
Public as identification.
Nolary Public
Stab of Florida 1 Nkhole
R Maron d My
Commission FF 18S29S a'j
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