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HomeMy WebLinkAbout1006 S Palmetto Ave (5)CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: - b Documented Construction Value: $ Job Address: v©d 6 QCL� C) A V (Z Historic District: Yes No ❑ Parcel ID: z ESQ 6 K(a L LO Z O© LI O Residential'EA, Commercial ❑ Type of Work: New ❑ Addition 0 Alteration ❑ Repair 14 Demo ❑ Change of Use ❑ Move ❑ escription of Work: ?, e -?. o 0 J,- ) 4 - ' '9' 1 14� 7' 1 in V' r n Plan Review Contact Person: l 'k&0L ?(' `.tom Title: O O V\,e Phone•u o� �135 �{ a 5 ( Fax: Emai>F�`a� oot �•4 o no tM Property Owner Information Name T®V"Jx... Ma sc &ga � , n Phone: Street: t©o (2 's %i"e�O AVp, Resident of property? City, State Zip:G Q©c &. 'Fc.. 3g-n l Contractor Information Street:eo COL Zy Fax: Q City, State Zip Gao e Lam._ RL 077 S-6 a State License No.: 3 2 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. I 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 Pemvt 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 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 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 ICC 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. Z-•tom Si re f Owner/Agent Date Print Owner/Agent's Name Signature of N -State of Florida a o z +rccZ' � 0. ..64 a •+ �� '•'asjN ded MN.`ce� Owner/Agent is Persoj�4"�$�' Produced ID _ C Type o Signature of C-,o�n^tractor/Agent igDat Print Contractor/Agent's Name � is �_ - • � � �---- z/i z �i g Signature of Notary -SA of Florida Date ``�NNIIIIIIII/�� Gar GER R I ER i*; o�N• Contractor/Agent.is Persdn' 41 -' Me 4r* Produced ID Type of V;A � �°'�ed tic°9•' O�'.� Rotary Se r; 0!Z! xN BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of H ads fQ_i� APPROVALS: ZONING: Z-` 13' t' TILITIES: COMMENTS: ENGINEERING: IR III:7 X Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: IJ% Revised: June 30, 2015 Permit Application Property Record Card Parcel: 25-19-30-5AG-1202-0040 •�,Q.q�e Property Address: 1006 S PALMETTO AVE SANFORD, FL 32771 � :Parcel Information "" Parcel 25-19-30-5AG-1202-0040 Owner MARSHALL, JOHN A Property Address 1006 S PALMETTO AVE SANFORD, FL 32771 Mailing P O BOX 2283 SANFORD, FL 32772-2283 Subdivision Name SANFORD TOWN OF Tax District S1-SANFORD DOR Use Code 0102SINGLE FAMILY - SANFORD HISTORICAL DISTRICT Exemptions 00-HOMESTEAD(2016) Seminole County GIS ,. Value Summary ` 2018 Working 201TCert Tax Amount without SOH: $1,559.21 2017 Tax Bill Amount $1,463.50 Tax Estimator Save Our Homes Savings: $95.71 ' Does NOT INCLUDE Non Ad Valorem Assessments ;Values ified Values " Valuation Method � Cost/Market CosUMarket Number of Buildings 1 Depreciated Bldg Value $117,032 $110,335 Depreciated EXFT Value $913 _ $925 Land Value (Market) $17,000 $17,000 Land Value Ag Just/Market Value " $134,945 $128,260 Portability Adj Save Our Homes Adj $9,123 $5,026 ---�- Amendment 1 Adj 9 $0 P&G Adj $0 $0 Assessed Value I $125,822 $123,234 Legal Description ,. LOT 4 BILK 12 TR 2 TOWN OF SANFORD PB 1 PG 59 -Taxes' r . 'TaxingAuthority ;Assessment Value ° � Exempt Values ' Taxable Value - County General Fund $125,822 $55,000 $70,822 Schools $125,822 $30,000 $95,822 � City Sanford i $125,822 $55,000 $70,822 SJWM(Saint Johns Water Management) County Bonds $125,822 $125,822 $55,000 $55,000 $70,822 $70,822 � Vac7lmp�". - WARRANTY DEED 12/1/2015 08606 1751 $156,700 � Yes Improved QUIT CLAIM DEED 8/1/2003 04973 1094 $100 No Improved WARRANTY DEED 6/1/2002 04440 Q4� $130,500 Yes Improved WARRANTY DEED 5/1/1997 03243 0436 $55,000 Yes Improved QUIT CLAIM DEED WARRANTY DEED 1M/1997 ' 11/1/1996 03184 03163 0066 1670 $300 $45,000 No Yes Improved Improved WARRANTY DEED 5/1/1987 01848 1466 $29,500 No Improved WARRANTY DEED 11/1/1986 01787 0246 $27,000 Yes Improved WARRANTY DEED 11/1/1986 01811 1637 $100 No Improved http:/(parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=2519305AG12020040 2/9/18, 4:34 PM Page 1 of 2 SOUTHEAST WATERPROOFING AND COATINGS State Lioensed Roofing #CCC1328659 3140 E. Osceola Rd. Geneva, FL 32732 (407) 529-8727 charlie@foamittoday.com ADDRESS John Marshall P.O. NUMBER SALES REP Charlie 1006 S Palmetto Sanford FI 30YR SHINGLES ROOFING DESCRIPTION Obtain all permits and associated documents, file NOC, and schedule all inspections as well as supply dumpster, and maintain job site to keep clean and in same condition as when started Remove existing roof, including all shingles, vents, plumbing, stacks, underlayment, nails etc. Replace upto 1 full sheet of plywood ( 32sq ft) if needed. Additional plywood will be $50.00 per sheet installed. Re -nail off existing deck per Florida Code Supply and install discussed underlayment (peel & stick or synthetic felt)underlayment and dry in to code Install new drip edge, plumbing boots, hood vents, and ridge vents to code. Install: 30yr Certainteed Landmark brand Architectural shingles to code. We will supply sample colors to choose from. Southeast Waterproofing and Coatings unconditionally warrants all materials and workmanship for a period of 10yrs. Any defects in the materials or workmanship will be repaired or replaced at the discretion of Contractor at no cost to customer. Manufacturers warranty upheld on all materials and supplies used as outlined above in work description. SOUTHEAST wnT€i�Auo��s=� 9a�C0 TIN6S���: 7,250.00 7,250.00 TO AVOID A LIEN AND PAYING TWICE, PLEASE OBTAIN A WRITTEN RELEASE WHEN YOU PAY YOUR CONTRACTOR. someone that speaks English will be on site during the project nails will not pierce (or be visible) at eaves (may require variance from city) wood replaced will match existing wood type (tongue and groove?) Replace any structural members with cedar or pressure treated Materials warranty — labor warranty? work will be finished (excluding city inspection) by March 10th. PAYMENT A. Initial payment in the amount of 50% is due upon acceptance and signing of this contract. B. Final payment is due upon completion of project. NOTE: This proposal may be withdrawn by the Contractor if not accepted within (30) days. ACCEPTANCE OF PROPOSAL The above prices, specifications, conditions, and services are satisfactory and are hereby accepted. I, the customer do authorize the work as specified. Payment will be made as outlined above. The authorized signature warrants that he/she is the equitable owner of the premises and /or varified representativ Signature: TO AVOID LIEN AND PAYING TWICE, YOU PLEASE OBTAIN A WRITTEN RELEASE OF LIEN TO SHOW YOU HAVE PAID YOUR CONTRACTOR. ?C%C-epted By Accepted Date TO AVOID A LIEN AND PAYING TWICE, PLEASE OBTAIN A WRITTEN RELEASE WHEN YOU PAY YOUR CONTRACTOR. THIS IN Name: RUME T PREPARED B n C9�1, Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: ! !��!!! �11i! 11�111lI11 ��III �lli� lil! liil GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT It COMPTROLLER BK 9073 f's 1075 (1Pgs) CLERK'S 4 2018016058 RECORDED 02/12/2018 08:53:43 AN RECORDING FEES RECORDED BY ,ie-_I.enro Parcel ID Number 25 17 3 O' -5' A 6;, l Z d -e 6 D� Q 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. GENERAL DESCRIPTION Q✓F IMPROVEMENT: O C9 u& Address: Fee Simple Title Holder (if other than owner) Name: Address: 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)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienoes Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated In It are true to a best of my knowledge and belief. Owners gnature Owners Printed Name cV orida Statute 713.13(1)(g): • The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead ' qp State of County of Se Vtn_� .w. Q IL X The foregoing instrument was acknowledged before me this day of - . 22QA< � 2� 0 \``�g111111111/ t ` `\\\ `./� \�.v.. Vr�. 0.r fts` Who is personally known to me ❑ z o LL 6`�(3"••••••••.••• /VIC Name of person making statement Q,hasroduced Identification, type of identification produced.OL Z Ei " rJ O ... -�o `0' 0 o z �Qv • x dr • Q � (1 !!J-010 u• O � �bp. ' 6�0ABetONrdeeta�N �r .•c`'�:': y� _0� Notary Signature w< t' �rCity �,.of Sanford r , Building and . . ' Product Approval Specification Form Permit # Project Location Address As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # igcludin decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles u Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Sign Applicant's Nam (Please Print) June 2014 BP703UO3 CITY OF SANFORD 2/13/18 Cash Receipt Corrections 14:40:31 Cashier: 70HNSONJO. Correction option : 7=Ad'ust with G/L Application number . . . . : 18 00000270 Property . . . . . . . . . : 1006 PALMETTO AVE 25.19.30.5AG-1202-0040 Cashier, receipt#, amount . : ANTONINIL 0049324 $25.00 Date, time, pay type, check#: 1/03/18 CC 000000000 Correction description . . . move to pmt 18-850 per Jen G Cashier ID for transaction I=Current user.,2=0riginal cashier Print correction receipt _ Y=Yes -- Fee -- Amount Credit * Amount to - Str - Permit Inspection Clss Type Paid Remaining Reduce Nbr Seq Type Seq Type Seq A 2 *25.00 25.00 Bottom F3=Exit F4=Prompt F5=Void all F12=Cancel BP700001' CITY OF SANFORD Cash Receipts Posting Prompt Cashier . . . . . . . 70HNSONJO Type information, press Enter. Application number . . 18 00000850 Payment type (F4) . . Zc Check number . . Receipt number 49324 2/13/18 14:41:54 F3=Exit F4=Prompt F5=Miscellaneous receipt F6=Application selection F9=Master selection F10=Permit print F12=Cancel F14=Continue BP700002•' CITY OF SANFORD 2/13/18 • Cash Receipt Posting - Receipts Entry 14:41:49 Cashier . . . 70HNSON30 Application number . . . : 18 00000850 Property Address 1006 PALMETTO AVE Parcel Number . . . . . . : 25.19.30.5AG-1202-0040 Credit amount . . . . .00 Type information, press Enter. Total received . . 25.00 Amount to apply Fee TyFe Trans amt Amount due Structure Permit Inspection 2p.00 A 25.00 25.00 Bottom 25.00 F3=Exit F5=Receive all fees F7=View 2 F12=Cancel F14=Display all open F21=Defaults maintenance Ski4FORD FIRE EPARTMENT JoB ADDRESS: PEP.AM # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): QL * *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DEC%IS PERMITTED TO BE REPLACED** ROOF VENTILATION: DOFF -RIDGE O RIDGESOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ( NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 144:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA'PlRODUCT SHINGLE r.� W tJ e A� fAPPPRovAL FL# �K A? C.- O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# OTHER: )1 // �%1 �" `e {� �(J f FL# 6 `f 23 ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# CITY -OF Building & Fire Prevention Division SkNFORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT E PERMFTTING 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 FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUII.DER) SIGNA _ DATE: CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 • www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: John Marshall for 1006 Palmetto -Avenue Sanford, FL 32771 BP#18-270 DATE ISSUED: February 6, 2018 DATE EXPIRES: August 9, 2018 Approved to reroof house with architectural shingles. All pitched roof surfaces must match, including porches and additions. � CO�o/Z sMUAL� Rvrc blkl � Peto rT Christine Dalton, AICP A -FP. Historic Preservation Officer/Community Planner Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? IdYES ❑ NO A Building Department Representative BP703UO3 CITY OF SANFORD 2/13/18 Cash Receipt Corrections 14:40:31 Cashier: JOHNSONJO Correction option . . . . . . 7=Ad'ust with G/L Application number . . . . : 18 0000270 Property . . . . . . . . . : 1006 PALMETTO AVE 25.19.30.5AG-1202-0040 'Cashier, receipt#, amount . : ANTONINIL 0049324 $25.00 Date, time, pay type, check#: 1/03/18 CC 000000000 Correction description . . . move to pmt 18-850 per Jen G Cashier ID for transaction 1= urren user,2=Orlglnal cashier Print correction receipt _ Y=Yes -- Fee -- Amount Credit * Amount to - Str - Permit Inspection Clss Type Paid Remaining Reduce Nbr Seq Type Seq Type Seq A 2 *25.00 25.00 Bottom F3=Exit F4=Prompt FS=Void all F12=Cancel BP700001 Cashier CITY OF SANFORD Cash Receipts Posting Prompt . : JOHNSONJO Type information, press Enter. Application number . . 1188 00000850 Payment type (F4) . . _ Check number . . . . . Receipt number . . . . 49324 2/13/18 14:41:54 F3=Exit F4=Prompt F5=Miscellaneous receipt F6=Application selection F9=Master selection F10=Permit print F12=Cancel F14=Continue BP700002 CITY OF SANFORD 2/13/18 Cash Receipt Posting - Receipts Entry 14:41:49 Cashier . . . . . . JOHNSONJO Application number 18 00000850 Property Address . . . . : 1006 PALMETTO AVE Parcel Number . . . . . . . 25.19.30.5AG-1202-0040 Credit amount . . . . . : .00 Type information, press Enter. Total received 25.00 Amount Fee to apply Type Trans amt Amount due Structure Permit Inspection 2p.00 A 25.00 25.00 Bottom 25.00 F3=Exit F5=Receive all fees F7=View 2 F12=Cancel F14=Display all open F21=Defaults maintenance i �q T APPLICATION # FOR A CERTIFICATE OF APPRC Answer all the questions on this form and submit all required attachrr reviewed. If you have questions about application requirements c 407.688.5145 to ensure your application is complete. General Information Historic District Re Downtown Commercial❑idential Historic District s Is this application filed in response to a Notice of Violation from the Code Proposed improvements will affect the following elevations: North ❑ _ — -- -v Property Address: l 0Q4 Property Owner Information Print Name: John A Marshall, CPA PO Box 2283 Mailing Address: Sanford, FL 32772 Phonet77 A-391(—no& En . _ Signature: John@ContractorBeanCounter.com Applicant/Agent Information Print Name: SA 072✓' AS d Mailing Address: Phone: Email: Signature: BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL RESULT IN A STOP WORK ORDER, q,,�, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE. Signature: Date: ❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community? Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. HISTORIC PRESERVATION BOARD • 300 S. Park Avenue •Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.govlHP �r CITY OF r' \ �Building & Fire Prevention Division V FORD O � � RESIDENTIAL RE ROOFAFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: \ q 5 0 ADDRESS: l Go Pjj M A �. I lshO,( ��,�j� , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE FOREGOING 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 REQUIREMENT'S — 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). (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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��� Sworn to and Subscribed before me this day of b 20 _Ld�by: a - l &00, 1lv-PiE 02 { / Who is 4 ersonally Known to me or has ❑ Produced (type of identification) Signature Not ry Public State of Florida Print/Type/Stamp Name of Notary Public as identification. pER R K/,V MR a : IGG 04M 11t`�'�°°b' STA(E �����