HomeMy WebLinkAbout104 Longleaf Pine CirCITY OF SANFORD
` BUILDING & FIRE PREVENTION
o
o
PERMIT APPLICATION
Application No
Documented Construction Value: $ `LI
Job Address: Lnno n `(r'Historic District: Yes ❑ No R
Parcel ID: I— v" �� DOr�- �.
Residential commercial 11
Type of Work: New ❑ Addition ❑ Alteration Repair El Demo ❑ Change of Use ❑ Move El
Description of Work:
Plan Review Contact Person:
Phone: Fax:
Email:
Title:
Name IPMY)i
`/ Property Owner Information
LXb2 Phone
Street: 10 � l.pnG 1, COT p i\hp n Oe Resident of property?
City, State Zip: C
Contractor Information
Name Ion Phone: '11/;
Street: Fax:
City, State Zip: ,.-S1e. R- 3a�7� State License No.:
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 TN 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: 51h 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 pennits 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.
Al
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Agent's
yr
Owner/Agent is ' Personally
Produced ID Type of ID
Cry
Print Contractor/Agent's Name
1 ag-ice -q
Date ignature of No State of Florida Date
Notary. Public State of Florida r"v1
Jennifer Quakenbush �r,L i NotaryPublic of Flonda
My Commission GG 156878
Expires 10131/2 221 Jennifer QuaKenbustf
t dp� My Commission GG 156878
Expires 1U/3112021
Known to Me or Contract Me or
Produced LD Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof[]
Construction Type:
Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
INT
"YVhere Quality C&05-
JobAddress _. .
We mefeoy .- uu,111t 7�t6uarauv�
Remove existing roof to deck:'-h-„ ��
9
Replace all -rotten o damaged wood n -roof (, F
x per LF: $ plywood per sheet.L $ " ,C F
Replace'"roof "und rl;a me
Replace roof::
ADDITIONAL WORK SCOPEy/ I
n e ._ tom" /r•�_(!1 `v /'F,i\ 1 ht(11
Estimates For:
jlaceroof�valley Ilner:
�I`ace' roof soil stacks: �1
�lac'e roof vents:
�Iac drip edge, color
or,
�RMATION , "
f _ ryi "� iz ,ink",
�--�.O V vac . -
) INSURANCE CLAIMS ONLY X Contr c#,Amount:
All "work scope and/or costs specified in this contract agreement
n �
is subject to or contingent upon the approval of the customer's
insurance company. The undersigned"further"appoints PROGUARD RES- U S.'Dollars
TORATION (hereinafterreferred to as "PROGUARD ) as its representative ,
Clement of theRO u ance c a m. with the insurance company for set Payment t0 be ,nhupon coin let4� ion r as.follows{_
._-
P'negotiate"
there.is a difference of work scope_and/oe
costs, PROGUARD may negotiate a reasonable replacement and/or replace
ny. PROGUARD will not start. -until work is a roved'b`-'the unse compa-
menu cost mutually a reed,between PROGUARD and the risuranc
w urance-
tPp K
company.
INSURANCE COMPANY All-paymentsao be made payable.ao PROGUARD RESTORATION only
ACCEPTANCE OF PROPOSAL
The above";prices,°specifi.cations and conditions of this contract are satisfactory.and:are hereby acce,pted.-I / We have=read and understand
the terms and conditions located on the back of this document / contract agreement. PROGUARD RESTORATIOON
(hereafter referred to as "PROGUARD") is :authorized to do the work as specified and in accordance with the terms and conditions and
Stipulations of this contract agre _ t. - ay t uyjlI be made as stated �above.�
Authorize Si natur "
Print NamCyl
Title G�ir Cali - :r Sales
THIS INSTRUMENT PREPARED BY:
Name: PrT.��rd Restoration
Aadrea: onroe
`vrlce
NOTICE OF C" ENCEMENT
Parse! lD Number.
The wrdersigrred hereby ghres notice Drat krrproverrreM>� be made to oeMahr real properly. and in accordance vriGr foGowtng Intomr ptavided in thFs iVaticeof CormnePbet 713. Ronda Stai}Ites the
ent
3. OWNER WORMA QR INFORNA�1F Name and addre-n n VT( LSESS� CpNtRA lill= �RpVE>d(9HT
Interest In I
...FeO 8intpte Title Holder Of ocher than owner naiad abav+a) Name:
Address:
4• �s>n�p� I Pd� R� 4fl��-33Q-7fi83
Addrem. 541 Monroe Rd Sanford M . 32771
6. SUFtM (if apppcMrle, a copy of the paymeft bmW !s BMWNM.- Name
6. LENWR:
Address:
Amount of Bond -
Phone Number: .
T. M.41 1)tas t of bR6l� i p .q �aoW:eor of a doc�+wasa
7t3i3(oHdaStieb►6es: " , ... : �t�aetvedrasajp8ectfo�
S. In adtftg n, owner desiWwft
Phone Number.'
_ of
to recefire a copy of the Lienors Notice aS provided in Section 713.13(1)(bk Fbride SMutm. Phone number:
8. Er�iration Date of Notice of Commencement (The expiration Is 1 year from dabs of raoongng unless a di! WW date is spry)
70�-�Q OOMNlETICWG WORK OR IYG YOUR WOTICE OF
state of! county of _ "J7
' nBnIn Ws adatowbd8ed before me this , a d y of�tn i%n!' ft
by'�U t l,;z Whols ��
ryas afV-w mwM a persoiratty known to me a OR
Who Iles Iucedider Ei. type o P
i.Selkli IRYAN S. QUAKENSUVII
:• • : MY commissm tI PFS07rie
° EXP RE8 A09WI 06. 2019
N►U7»99at� FotiaaNnu�ysaiviaecaro
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018010326 BK 9065 Pg 0930: (1pg) E-RECORDED 01/29/2018 09:21:18 AM
10.00
CITY OF
S FO
§X FIRE
"DEPARTMEN
Building & Fire Prevention Division .
Re -Roof Permit Card
PERMIT NO. /8,0 L19 ISSUE DATE: a-6—
CONTRACTOR: 'w, 1,r
V
JOB ADDRESS: No,®� L' 0A4 Le&4' PM P. Uew
TYPE OF WORK: T
I PROTECT FROM WEATHER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
XY OF
S.NFORD
FIRE DET'ART&&ENT
PERMIT'# / 8,- 6 / p
Building & Fire Prevention Division.
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: _ Ih e !=Ono bnat'llint-Ladiff
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME AP O ARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): P )ywo o
**PLEASE NOTE: ONLY100 SQUARE F,9'ET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: DOFF -RIDGE (VOGUE r1 OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES <O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
-----------------------
ROOF SLOPE: O LESS THAN 2:12 O 2,:12 - 4:12 412 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
U METAL
_.. FL#
O MODIFIED BITUMEN,
FL#
O TORCH DOWN
FL#
FL#
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES PATIOS ETC) **1FAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:1.2 OR GREATER
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENT
_IAL RE ROOF POLICY & PROCEDURES
Ifill DEPARTME N:
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 SUBMITTEDAS 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 TIIE 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, POSTEDIN A CONSPICUOUS AND WEATHERPROOF LOCATION
e COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
• COMPLETED AND, NOTARIZED INSPECTION AFFIDAVIT
o ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION 114STRUCTIONS
(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 PLANEOF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF.DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• 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 DIGITALPHOTOGRAPHS 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.
f
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE. .., _ <- ` DATE:-- t i
CITY OF
Building & Fire Prevention Division
FORD RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: �� ADDRESS: t;& Pjlnr— C I
I 0 hfaG(n , 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 (BASED ON F.S. CHAPTER 553.844).
LICENSE #: iC, .,C
COMPANY / CONTRACTOR: 9 v r C. „JI o rd I Or
CONTRACTOR SIGNATURE: Q /T DATE:
(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 M y1kn0)&
Sworn to and Subscribed before me this day of ��A(y 20 a by:
DDPhrCk A DWho is ersonally Known to me or has ❑ Produced (type of
identification) as identification.
s
ignature of otary u lic
State of Florida 1e�wv�ry
LV�
+4 Notary Public State of Florida
Jennifer Quakenbush
My Commission GG 156878
Print/Type/Stamp NameExpires 10131/2021
of Notary Public