HomeMy WebLinkAbout109 Carmel Bay DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
JAN 0 5 20% PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: � � ` C G r � e � �� `( L iye. 5C,, oca �', H toric District: Yes ❑ No ❑
Parcel ID: ��'' 1� U= �`� O�U br 21 Residential Id Commercial ❑
Type of Work: New ❑ Adppdition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move❑
Description of Work: I e- f 60
Plan Review Contact Person: �' e-C (-C� Q) e C,t �, a , Title: 0 4 �c2y'\ c..n e. Se (
Phone: ��1 - �32--��1 u�j Fax: Email:
Property Owner Information
Name Gc C`! Copt C,,�\d Phone:
Street: fl f Resident of property? : Oyfne,
-11
City, State Zip; 0 cck , 1�1_
1 'Contractor Information
Name JO�.,,,\ C.. �6,-n0e-! Phone: H6-7 -,t3L" 6 )03
Street: % gy p VV e v" o f r \fA
City, State Zip: c t4 o ,
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: C CC I� 2 9 I'1Z 1
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.
S igndture of Owner/Agent Date
� (5Y)
Print Owner/Agent's Name
Signature of NotaryAate of Florida Date
Signature of Contractor/Agent Date
���- � r►k- Perez
Print C tractor/Agent's Name
&0.*j
15110
Signature of Notary -State of Flora
r P •`ANNETTE BLAND
Notary Public - State of Florida
commission # GG 060623
ovv�d:�`'•� My Comm. Expires Jan 16, 2018
Owner/Agent is Personally Known to Me or Con J to Me or
Produced ID Type of ID Pro' uced 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 ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
3 n'l
17i'r f OF
SA�4FORD Building & Fire Prevention Division
RESIDENTL4L 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. 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/BUILDER) SIGNATURE' �' DATE: CJ
TY ()F
PERMIT #SANFORD
�.
Building & Fire Prevention Division
P A R, T ,y EN,
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: Iy (� Cr e cA i r; ve Sc- n -Cd r-A , P L 3 271 1
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): P ', "jdOA
* *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 (0 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#
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#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint: C\e- k V-\
an agent of:
(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):
❑ The specific permit and application for work located at:
�C 9 CGkVUv*-'� P ��
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: ) r� 0 in ( ,� C/\
State License Number: C.0 C � :S'Z1� 1-"( 2h J
Signature of License Holder:C----)"---r/t----
STATE OF FLORIDA
COUNTY OF " G'
The foregoing instrument was acknowledged before me this day of T 4, , ,g ,
200 tfi , by C TC-vn� who isrsonally known
to me or ❑ who has produced
identification and who did (did not) take an oath.
Signature
(Notary Seal)
FL-
JOrNATHmDEREKJANNEy-My CQMMISSiON FF18?3u
EXPIRES: March14, 201-
Bonded ihru Notary Pu'!.c
-i
/f!iGS I?r
(Rev. 08.12)
Print or type name
Notary Public - State of G
Commission No. F. L ,
My Commission Expires: ta-, Loi°i
as
THIS INSTIUMENT PREPARE BY: / 7
Name: UnnZ 0,�H(�I(�o1 % V,CI
Address: b �\ vv i) C rti O ra ' 1'fd
OrI-^efu-, �- 3z o 1
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole p
Permit Number: { 0 Parcel ID Number:
i,Is-,; I r -.tii I,
1'
CLERK.' S Y 201801.11882
FD
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 2-1
M()YJ e-re -t 0C,I/- S V0
V f) 5 $ 4 Gb 22--2'5
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Name: G � r� C pet o" n�
Address: ��r� Cc,r,,.,L l _c -t Sri /C Sc,�farri � %L 32JI
Fee Simple Title Holder (if other than owner) Name:
11n C . J,Ane
Address: \NJ (61 JeA . 0 r 1' n'4o , f L-
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 Lienor's 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, CON'ULT 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 the best of my knowledge and belief.
•1
(C:Vt
'
wners Signature Owners Printed Name
Florida 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.'
State of GC. County of 6V �t Al t _
The foregoing Instrument was acknowledged before me this day of T�1� X,� , 20 0
by f5r4�4 Who is personally known to me
Name of erson making statement
OR who has produced Identification ❑ type of identification produced:
RI JONWHAIIUEREI(Ji'i'NE
:.,
t
�.
tV GOW i! SION t F
EXPIRE March h 14 'fI'9
Notary Signature (t1
v
Name.
Street.
City:
Date
State:_Zip
EmaiV Home/Cell Phone
Re -Roof Proposal and Contract
�
1
We hereby propose to furnish materials and tabor WorA specified for the job location fisted above for the contract amount herein.
1)
Tear off Layer(s) of existing roofing shingles. Tear off Layer(s) of underlayment.
2)
Rotted/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 $5.00 per linear ft. "Deck re -nailing
included.
3)
Install_ Layer(s) of new underlayment nailed to deck using approved fasteners.
Type:
4)
Replace all Lead Boots, kitchen and dryer vents and Re -flash as needed.
5)
Install new Eave Drip around perimeter of roof in (color):
6)
Install new (roof type)
Color:
7}
Additional Materials, services, or special instructions (ex. skylights, number, size and type
M000f
vents):
8) Dump Fees, Permit Fees, and property clean up with roofing magnet is included.
9) Year Warranty from manufacturer.
10) Year Warranty on Workmanship.
Total Cost:$ Terms:
Roof Repair / Upgrades
Total Repair Cost:$ Terms:
pry Estimator -
Re -Roof
(Inthal)
Roof Repair
(Initial)
Estimator Signature:
'Acceptance of this agreement may be subject to higher management'
Property Owner(s):.