HomeMy WebLinkAbout103 Edgewater CirU�
v Job Address:
Parcel ID: i I - U "
Type of Work: New
CITY OF SANFORD
JAN 18 2018 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
PP L'
��� Application No:
Documented Construction Value: $ . 6)0
A011 % Historic District: Yes ❑ No;�
l
16 r0c)6o- i Z-10 Residential [�' Commercial ❑-
lition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: GrCFO
Plan Review
� Contact Person. F-YAMS S Co �/a �rnwV Title:
Phone:gy , -13-- " 17,6 L Fax:g01 -�R73 - g17/3 Email: ( 1"1 Iywff 6 Cpw
Property Owner Information
Name 1 "10 V r a I I V U, Phone: � I _r,'t� ��5 �5 (0
Street: ((WG1� Resident of property?
City, State Zip: a lkfby I ,32-1-15
Contractor Information �,/
NamefTa ho C I m co/ Phone: % o% `
Street: C 2- 14 P-0010 R (VU► . Fax:'0% S7- 7123
City, State Zip: ��h 2�� F (• c�2� sd State License No.: C " 3. 6& G
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: 51' 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 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.
':q4 Dom--- t� ► $ \ ►
Signature of Owner/Agent D e--�
�Y-/,V\C� C)
Print Owner/Agent's Name
Signature of Notary -State of FloMa Date
HEATHER M. LARKIN
MY COMMISSION # GG 045148
EXPIRES: November6, 2020
Bonded ihru Notary Public Underwriters
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
t Vv\ n
Signature if Contractor/Agent Date
a n CC 0 TrtA
Prrint�Contractor/Agent's Name
Signature of Notary -State of floe a Date
•,Ay Pad•• HEATHER M. LARKIN
MY COMMISSION # GG 045148
o•
EXPIRES: November 6, 2020
Bonded Thru Notary Public Underwriters
ontractor gent is ,L ersona y Known to Me or
Produced ID Type of ID
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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
TRW UISTIAAM W PREPARED BY:
Nona:
Address: ---
NOTICE OF COMMENCEMENT
P*m* Nttntber:
Peal ID
T u+tdsteignsd ►rereby g roils t!>at improvement wlll to made to certain real property, and in accordance with Chapter 713. Ronde Statutes, the
following Inlornration is frrwided in this Notice of C4nanerla rWL
1.
of the property reet and Strom
i%_ v�IJCtS PI
J $1
2. GENERAL DE>SCOMON OF pNPROVEIIIENT:
RESIDENTM& RE -ROOF
3, O'IYfttER 1N40lt "TNM OR LESSEE INFORMATION IF IMF I Fft 99 Cntwr0er_r9n one run smonaneus ,
Neme and
)'
Interest in property: 1 — -
Fee 88rtple Tqb Noidor Qf olive than owner haled above) Name:
4. CONTRACTOR.
Address: 122S
S SURETY (If appi
Addreea:t`
& LENDER: Name:
Address: —N—
dETT DR #111, LONGWOOD, FL
a copy of the payment bond is attached):
Phone Number.
Amountolot Bond: /ul • `'T
Phone Number;
T. Persona tdl M the 96tle of Florlds Deallpeted by Owner upon whom notice or other documents may be served as provided by Section
713.19(1xa)7» FkwM@ tlbSYtw
Phone Number. L / ,
L In addition. Owner deagnates N / ; -\ - of T
to receive a copy of the LienDes Notka as provided In Secpon 713.13(txb), Florida Stacrtes. Phone number:
9. E)irat*n Dais of Notice of Commenoement (The e� is 1 year from date of recording unless a diftram date is spedRed) A//',A
WARAffNG TO Ong& 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.
I
9 'fig i
r
3Vi loc'.-
(E�stuie or a '� 9i0 Titl Ql
OIO�rminraslPae�7NWptar) - rQ
State of � � d Cvurty ot.�L1
Tire fongol�ng lnatrument woe ockn owleddy%W i ek" met" � day of
j
by - L L _J{CL —VL 3 `A Wtto is per ionglif known m Ott
NM a P*f= enkW zWMW.
who Iwo produced Identtn, I I G We of kbnditalion produced:
,::... T, BUTCHER:MARIA
OMMISSION 0 GG101540xPIRES May 6�. 2021
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018005616 BK 9058 Pg 1800: (lpg) E-RECORDED 01/17/2018 11:34:03 AM
10.00
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: l S
I hereby name and appoint:yUX r '\ 2 tC kk -Z L-t�7CD CO 0
an agent of: C<&-hMq 4n L IYtLss
(Name 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):
L The specific permit and application for work located at:
\03 E D6 w-roe�C-c-•
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Gas A-') ja-L-yn 0&1
State License Number: Cc.CG \33 c'7 f '
Signature of License Holder:
STATE OF FLORIDA
COUNTY OFCyn%wOLA,%
The foregoing instrument was acknowledged before me this _J ay of M," ,
200JX-, by {v,4,\i c-k s c,-> D4,- ,v►ieA-4A who is )(personally known
to me or ❑ who has produced
identification and who did (did not) take an oath.
(Notary Seal)
Print or type name
HEATHER M, LARKIN
Notary Public - State of �Xmi y4b t�
' MY COMMISSION # GO 045148
EXPIRES. November 8, 2020
CommissionNo.�,g0Ac5\q%
Bonded Thru Notary Public Undonvriters
�I
My Commission Expires: V�C)N . O a4a�
sra;wruepuN oit9nd A40N NV1 PePuoe . ;02.': ? 1•:
(Rev. 08.12) 0Z0Z'91eQweA0N :S3bIdX3
84 W 00 # NOISSIWWOO AW *' l
NI)INYI'W N3H1V3H eI-
as
CITY Of
SAXP�
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF 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. COMES 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 OWNERJBUILDER) SIGNATURE: Q'�-�^� DATE:
CITY Of
' FORD. PERMIT #
Building & Fire Prevention Division
f IRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 16G-w�'(�yl. C—C' • �3i'�W�c7YL1� 3 oi11 3
STRUCTURE TYPE: IS SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXIS(T�ING ROOF)
DECK TYPE (PLEASE SPECIFY: f�hJnj
**PLEASE NOTE: ONLY 100 SQUARE FEET OF TiYE E ISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: *OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 ® 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
(a SHINGLE
U/'� IUl I
FL# ✓�"'� 9 10
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
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#
OTORCH DOWN
FL#
0INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
Contra! Homes Roofing Sales Representative
1182 N. Ronald Reagan Rid, Jonathan Berry
Longwood, FL 32750 (407) 76"415
Cei^tral
(407) 732-7262
oes
Liah Wallace
103 Edgewater Cr
Sanford, FL 32773
Estimat64 1447
Date,
ID1312017
Description
Removal Tear off and haul away the existing shingle. roof system (one layer), An additional
$351sq, for removal of each unforeseen additional roof layer will be added,
Roof Sheathing Inspection Inspect the roof sheathing fastening, system and supplement (re -nail):
Undedayment Supply and install one layer of Rhino Synthetic felt undedayment,
Ventilation Supply and install new Shingle Over Ridge Vents and/or 4' Off Ridge Vents for
proper ventilation -
Drip edge Supply and install new 2 7-" eave, drip
Pipe Jacks Supply and'install Bullet Rubber boot flashing for plumbing stacks
Valleys Supply mid install a self -adhered peel & stick modified underlayment in all valleys
Certainteed Landmark per square Ccrainteed Landmark ArMtecturral Shingles per square
PermiWInspections We will obtain and pay for a Permit and obtain all required inspections
Dumpster/Haul away debris Upon completion, all roofing debris will be picked up and taken away.
Warranty 7 year workmanship warranty on labor
�h( I )uOrlp E490,Color; Vents Color:
Sub Taut S7,414.00
Homeowner Narne
it
Homeowner Signal ore Date
Totlat S7.414,00
Central Homes Rep,
AIN ITT O
Building & Fire Prevention Division
NANFORD RESIDENTIAL RE -ROOF AFFIDA VIT
;IRE E P A R 1 70 fNI
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: (
janG',s co To nO , 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
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 (BArSED ON F. (S. CHAPTER 553.844).
LICENSE #: cu, \ )a O(O 1
COMPANY/CONTRA
CONTRACTOR SIGNA
(MUST BE SIGNED BY
CTOR:
TURE: cv`--- --- DATE: P 1
LICENSE H L R WNER/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 se M MOW
Sworn to andS`u�bsscribed before me this day of brV" 20 j by:
'f l a . Who is /Personally Known to me or has ❑ Produced (type of
jS
en as identification.
#'d
ure f No ary Public
State of Florida
TLf fTA
nd � r dS on
Print/Type/Sta p Name
of Notary Public
E
otary Public State of Floridaiffany Burlesony Commission GG 173997xpires 01/09/2022