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HomeMy WebLinkAbout106 Clydesdale CirCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: �j Documented Construction Value: $ 5 (D Job Address: C 1'1d eSd /,1 C, C � rc Ie S�, nfv�ol, f I, 2�� Historic District: Yes ❑ No ❑ Parcel ID: 14 - Za ­ 3 ( _ 5 b G -y a 6 (D_ t 0 3 C) Residential 12f Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Ilse ❑ Move ❑ Description of Work: 'V e - co6 F Plan Review Contact Person: eCo C a Lr'6 k C� Title: -6�6e M q'k G Phone: L� C)l Ll03 Fax: Email: LarCc, �� t roof nh_ Low, Property Owner Information Name 0rty ; 01 kJ c tie � Phone: Street: 106 0 '(,4e 5 d �, l e c- rc i e Resident of property? : few o e r City, State Zip: S n o foi � FL- IT � Contractor Information Name JO�VA CI jciroe., Phone: 321-M7663 Street: J0LA © � S-e✓•,oft, v\ G (vd , Fax: City, State Zip: 0 f 6, v A o, � L '61 01 State License No.: C C C( 3 71 LI Z S Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code 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. Au�%171"07- t-L., 1115118 Signature of Owner A nt Date �6ature of contrya'c for/Agent Date rA ' ( ' +f. nt owner/Agent's Name Print Cort ra r/Agent's Name-. 1Z Z ��L /f C/ Sign re otary-State of da Date i t a Daze �1?P'.•, JO�ATHAN DER J Y ;XP�',R DEREKJANNEY is n'? ZSSION 0 FF 184326MY COMMISS r 184 20 EXPIRES: March 14,2019 March 14, 2019Bn rcd Thru Nota y Public Undenrritars tary PublicUndernrriters _ Owner/ gent rsona y nown to Me or Contractor/Agee Personally Known to Me or Produced IDype of ID Produced ID 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 APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Name:_.. �? U ,` y Date: Street: 142il i ,2,,.sJA, It f Z_ City: J,,a � 4c�;_,� State:.�Zip: � 2 7 3 Email: '�L, %, r ,. ; l� > ra, >r, , r� n. i ,�o.Jiome/Cell Phone: 4� U -7 `�U //✓ Re -Roof Proposal and Contract We hereby propose to furnish materials and labor. Work specified for the job location listed above for the contract amount herein. 1) ,, / Tear off i Layer(s) of existing roofing shingles. Tear offer Layer(s) of underlayment. 2) ZRotted/Damaged wood. First $100 of wood will be credited; $50 per sheet of plywood there after. Any fascia. or planked roof decking will be replaced at an additional $5.00 per linear ft. *beck, re -nailing /included. 3) !� Install Layer(s) of new underlayment nailed to deck using approved fasteners. rType:J 4) ,�/ Replace all Lead Boots, kitchen and dryer vents and Re -flash as needed. 5) L/f° Install new Eave Drip around perimeter of roof in (color): `..b. 6) /% Install new (roof type) Color: 4d Y ,/ .. ?-'^ 7) j'� Additional Materials, services, or special instructions (ex. skylights, number, size and type of vents): !/f'I t � 8)/ Dump. Fees, Permit Fees, and property clean up with roofing magnet is included. 9) /1I✓Year Warranty from manufacturer. 10) --Year Warranty on Workmanship. Total Cost:$ . ;-_.�,., � r-f� Terms: Roof Repair/ Upgrades Total Repair Cost:$ Terms: Estimator: ji' I 1. (initial) Estimator Signature -= Acceptance of this agreemenmay be subject to higher Re -Roof Roof Repair Property Owner(s): r�.r (Initial) Permit Number: Folio/Parcel ID #: tic- '?_G Preparedby: ;�nY1T i��� �(SnSrCitCti�,r(� Q.r i I Return to: N. I liilll Nlll iilil illil lilil hill iill Nil GRANT MAI_OYP SEMINOLE COUNTY CL.ERK OF CIRCUIT COURT & COMPTROLLER BK 9I �`IQ P3 304 l 1F'35 ) CLERK'S T 2013005810 RECORDED 01/17/20181 i:12,'7'.48 f- 1 RECORDING FEES $10.00 RECORDED BY ,iec_kenro 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 Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of rop rty (legal description of the prop rt and street address if available) �.1(_t',Y.1 (,YnS `i nG vt-� 1 p?, w_c) S 9_1 - n 2. Ge eral description of improvement J 3. Owner information o Lessee information if the Lessee contracted for the improvement Name ,. Address S1 Interest in Property - Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name ) rh; i1 Telephone Number -,3 62 J �o(3 Address I o () L\,j _S.O fr1r�YCa y1 (rd (� y'1C1 AClo L- e52�tc_i-1 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 0 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE c—1 RECORDED AND D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT, I YOUR L DER AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OFJJCOMMENCEMENT. Signature of 6Wr or ssee, or Own ,s or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this day ofby �� K r�(24a? CL - most/year name of person ;a " CL , ''Y 7—^�'' LU (� LU for as ,� �� L�%7�1'7 e� (C�2�Wi�� `' Type of authority, e. officer, trustee, attorney in fact Name of art on behalf of whom instrument was executed c' 9• Y party 0 �Y• � 1 Signature of Notary Public - Sta a of Florida Print, type, or stamp commissioned name of Notary Put li& 6 o= _ / -tom-r~iU. Personally Known OR Produced IUD U.Type of ID Produced «" USA M.COOPER o >: + MY COMMISSION # FF 093745 w z w Q9 EXPIRES: February 18, 2018 v a ,.n ym tea: `,9 m Bonded Thru Notary Pudic Underwriters C............1....1 -.........d. n4I V714 A Product Approval Specification Form Permit # Project Location Address 106 C) JdiCSA<-,) e C IrC l 2 S ,Ie r , 7-L 3 2 7? 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(including Florida Approval # 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 La-r. Underla ments C,C(I , "'fee 1211-1 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 Signature c Applicant's Name r , �� �� Z (Please Print) June 2014 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: J J 0 r, _ - J` Ic:. CO T S f- rr t c h-o (Name of Company) Pere L S-�rV�Ge-s 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): CV The Sped ic ermit and application for work located at: t0G ck�e5 o61e G;rcIe S foM t-L (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: J() n C^ • v9 nn State License Number: CC C 1 -5 L� LI 2_ 8 Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this '5day ofT4--\._ , 200 1t , by T',/ ^ C 7 `'`✓t✓`-W who iSZZ�ersonally known to me or ❑ who has produced identification and who did (did =o__ Signatu (Notary Seal) cm,, <<— Q 'f Mtn Print or type name • Y'P�JONATHAN DEREK JANNEY COMMISSION FF 184326 '2 *= 19 1.4,2G <= EXPIRES. March i 11w Notary Publ c Underwriters (Rev. 08.12) Notary Public - State of C-(- Commission No. IMF U ou j 34 My Commission Expires: w_c4t_C4,, l4 2z(5 as CITY OF Building & Fire Prevention Division ` &k140RD RESIDENTL4L RE-ROOFPOLICY& PROCEDURES FIRE DEPARTMENT 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 FBC CODE COMPLIANCE BY PERSONAL INSPECTION. l I� CONTRACTOR ) (OR OWNER/BUILDER SIGNATURE: DATE: / CITY OF E w Skl�FORD FIRE DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: l b C y d e S e; _C e S G ,-, �i fp .�� , STRUCTURE TYPE: ® 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 (NEWROOF INSTALLED OVER EXISTING ROOF) �I` DECK TYPE (PLEASE SPECIFY): I `y WOOd **PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" * ROOF VENTILATION: (a OFF -RIDGE O RIDGE O SOFFIT 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 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL * SHINGLE G�}� �, eec� FL# S O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED 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 (D 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 Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �,A� ADDRESS: lJ I 11d=V V V 4 C/ , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OFING CONTRACTO ENGINEER, ARCHITECT, OF F.S. CHA TER 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 #: (.Cc, ` (,� i ` "1 / .`, COMPANY / CONTRACTOR: UCAVL VlM CONTRACTOR SIGNATURE: �. DATE: 2 (MUST BE SIGNED BY LICENSE HOLD. 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 GUaI"�'i� s Sworn to and Subscribed before me this F—I_ day of �P.la 20 15s by: ,%rite. C _ vi c Who4kgCPersonally Known to me or has ❑ Produced (type of i ntifi on %% Signature of NotaryPfibli State of Florid Print/Type/Stamp Name of Notary Public as identification. a. r:F. +se,`:cal.: ,�„•:r;`. y+--_ Bo'otl_Ne,7THoiNaS•ND, �E uR�E (hYCOhRASIOAvJ'A,Vy FFEXPIRESMa124,. 3. 26 '„yI i42G'9hru tl nde^,q � :.: j