HomeMy WebLinkAbout114 Carmel BayCITY OF SANFORD
BUILDING & FIRE PREVENTION
F'- D PERMIT APPLICATION
9.,. Application No: ` v C)
Documented Construction Value: $ 1 0 0
Job Address: e so' kx - O c- Gt Historic District: Yes ❑ No ❑
Parcel ID: S� ' � 0 - 511 ' c)o 0a q U Residential ® Commercial ❑
Type of Work: New V1 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ElMove❑
Description of Work: F- k - ry O 4-
Plan Review Contact Person:
V (aa I ►— r
Pen (V Title:
Qf-0 ), � Ci
M01 hc4`��-
Phone:. g Y 1 1 `1 q 16' -]
Fax:
Email:y1 o . q
S d ��mGc
O
' ( . C a `,,,
Property Owner Information
Name Pktl usS Q 1 Phone:
Street: 19 r- e Resident of property?: yC_S
City, State Zip: S�� �0 f�
Contractor Information
Name G S Cd P1g rvG-koti St r v ( C(S Z-LC- Phone:
Street: 0 ram, 'tt� S Fax:
City, State Zip:.fau`-b r °k g eccA �- 3 v2 q State License No.: G cc / 33 / I q 3
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
ArchitectlEngineer 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 FIST 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: 5", Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
I
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally 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: Occupancy Use:
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Corporate Office
i i i Erick Street
Suitt' 118
Cn-stal Like, IL 60o14
Ph:1-800-957-1187
,%V%VV.gs(lcolL%triietioli.com
Address
■IMM�I
n L132 . - P£,'t .-� , 1 At 1
Hcxse Phom Ins. Co. I .t jf 50✓l Irl S L)I-n-4 C9-
Ce'l Pharto Clam No.
E-h"_all Data of Lois
Ci]D Cc-z'xra:tlon Servo. t.LC nil ;mile ar laccr rwrt-fais, eWr^srl arc zutcm-Mzc1rrs Iscr the `i%trn
ROOF SPECIFICATIONS Soiuco ngw-l7
wh„ Ie Ccicr pit (%3!t'J �+oar�ht!Al —t
Ghair;t�i Crrado .� --.,
Va"=s
Ve-ts
Fell
--
Remare Trash 1,Mr7 Rzcl. Gt4lern 4 tfaiy
Prtc=L>- CZVTri;W-reAo"elCOce
Rap Yar r W7i Madnc".a rtOnr
411 ofol9» FIC'mil
'I Ow_kY G¢1n!rol Ir%;CC-zn IrCernr
apec lot Cortvnonst
UPGRADE DETAILS:
kroc-if r C-r purr
SW22 f !_va
Rettsrr t 1.0M
031>jk--Q74=re
Arg+s1s 1 ;'
8Qr3
Ocher
GvzERW- CCNTRAC:TOR: FrcVesy Owner :dT4rhe:IYes Ridge Vent A S
0::3 Crrr-*M +3ro St*rlccz a^. CenCfrI CCnIta:ttt znl bs
nLr.kd Nilna"-�,uvrr'£:AGr1J t3-.,Vrofil as
ollt wotl by Insutanw Industry) oMandarda. oraedce: n f
otter $
INSURANCE PRICING:
ttImunC's'lla,Ito rrr-"J"-wwofaflzx> xjrtlltillA%kfriar t-VV3'11:i'01CLrYfVV1m " e,t Gu#C c"`rir!rdtt;P'ts*^ ;14AIh rcr5 4rrrfp a b ��oCtlrl
Ce.:krrx•rzeuoaniam,.r rresGcobex:K'1jits Is*aa4c(P-awt3,—sitjft�vCr hvirr,, c3rrxecut-) `Ct—
`xtcYrerk�rsreykY
CLVrmxs :nrUrer Cults -el re e�y =C=rti GsD as Cam, : ertii!:m axnf iep ¢T L =z!r nth s'C : =Ir ap;mv nni t-axer the Cray^ =J Se
'rra'/. Cu.••a cr hc^eYf a0f7a ed;4S th= a d:f WIC a7likart pal "^^':aue ar.] ew � e-a'.zn so �z_^stt3 v1 O-ZZ-1t, u'rccr J":s:.;,�ce-cm fs G3Ds
asinlycs s^;rt.n;i Ct,serasl t ,Jwtrc,! C 1M o-prAnd ty tnu-t-. CUV_tntl foray)/ aut-girt"t end t"Iff tIss rat is calf allprimerAs directlytft630 ref the
Y101A4ndL`At.'11161.111 VAIMtoa".::111114 comic, uc-p2-foiatProcaads':tothe ow'i _srrorplYmanitr"tAadmis alretily to
r;ultorri:r, t�,/:amet etu.� cruaPito aanCt�t dlretGY 1n>xr to 09D.
pp��
s r r; 211w`r� , epzrfnert
GSD Pricing: $ 0.00 C) o 3 a
• i`a t.l r�nll�te^;1ltc5rr.tir-.a 1'r ��rc�2 �' irrk: P1�,2t rrtrsl ra U�9 ti ta�eM+► kaki �1t tud►a+�Q t r IrtS (O� nA 4r+.l�trry � a e� llnrtr;�t r attre rn�ttare: n><�la+ ilzac
A1.'t�..T Gts1i Va'.� 1rt�d�x:crr0*L ;l V:tues tiewrrriraktu I�t�rce::r c1r� :ut=t�eltcrt� ettorod txde� tntril 11ntf osen?zc�r1. ILL7Kxtirs cx ntr>;Y
7he.-ideTrI7nedPotles dolxrelYjagceWG:wo,Inrt:ottke haroaQeererCarid totrecW*.l=faJtormandcxAMmsolageerri"-1sel!thantreiaverre
ode ter-cr.
IPtVttifl',)' Y41 IheF.t:eSftiJwerrCcSy.?57aYdUrrir[tYCZu!dains 4y0Cr5CrEb15!?CxCCtISiCvSvlauNh/CrtYlfldrduly Z1LharZCaT9itereltatrvC
11r. "'"f n'1C1 hiY'1tr .;&5.7 CrhC11vl3 CitM iii�ll c.R e/.'C.^'t hnxn oe".i r"f °w"'1 lld Nr
TE..t441t?pGlyre#tknafJant-
r,tUri holrrrGm1-itxr.hifz^�(;!)ri orIuwtiolIgvf uC-3 t.riMtoucaCr f're;rniyt7r {rt Irr.olirirrhlkrctfr�ir:l
Lf s 7 < rl tx reC i tx a 'ix# ^ aS7lrsalYo' k3tlrrw rrsu l9coc sly any uro] (o5p Const ue' crr:rc� icc: atlh no.r: mr4 cows t� tc f'r ty Cit�rcr cr4cLi
Iter."calctltge.k4riert'MCC
a�ecatrerisd�ernno�IEw"1�Y�cal�Clcfta�cx4rxkFr�emr�l�ct�":YCy+ulcrala asTrr-TOBrFtolrosWaffi nstoaGtan
tatcra:flnderizi»actor=nceA"hthe 'Pico a;reoade'a-d:hespec^_:odor::ze! out tarsdoardon.tf-ravercF.sdeheWotosrsarji.o*stklercfl[=M .
d rvt-s- Any and all mantes received fromttle Insurance convuw as Oenerar contractor overhead and proRt anrYor cost IMSCOSe svXlPternerda
vttit tie paid 10 050 COnstructron Services. L &C,
Cuistcmer Sign aturre:,�� GSD Represen tire:
Prnted Name: D r~� 1 Q�Sf� �/ Printed ii.--. J UKC n r �.
Acccla anco Ctatn. f i s' i �' Acceptance Oato: Z3 /l �
A11 PA •"W rrT^, ttu3 t r r LLARE BY rJt CiY FAYr6xt.E � ,� 6�p Ctris'-.:3x5
�i .'z+es,LLCfTatl�1 97-+.4�6rat
....... ...A. ..Ins 1.3111 1.1161 lungs miss lost
THIS INSTRUMENT PRE RED BY:
Name: V I c i t y
Address: -70 i s nS h w o L
3�IE�
NOTICE OF COMMENCEMENT
State of Florida
• County of Seminole
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT 1, COMPTROLLER
BK 9062 Ps 1747 (iPss)
CLERK'S T 2018008174
RECORDED 01/23/2018 12:41:40 PH
RECORDING FEES $10.00
RECORDED BY tsmith
Permit Number: Parcel ID Number: 33-19-30-519-0000-0290
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)
Residential
114 Carmel Bay Dr,
Sanford. FL. 32771
GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
OWNER INFORMATION:
Name: Paul Russell
Address: 114 Carmel Bay Dr, Sanford, FL, 32771
CopY �� ;; coti
Fee Simple Title Holder if other than owner Name:
Address:
c 1NCi-�
'
CONTRACTOR:
13Y
Name: GSD Construction Services LLC
oa�e
Address: 70 Rollins Ln, Palm Coast, FL, 32164
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, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under pVtof
s of perjury declare that I have read the foregoing and that the facts stated in it are true
to the by k le ge nd bel'
Paul Russell
Owner's ' ature 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 F lor&l -, County of al Y6 r0 tQ-
The foregoing instrument was acknowledged before me this day of 0. _\U_0-2-( .20 f
r C1 r
by
Name of person making statement
Who is personally known to me
OR who has produced identification ❑ type of identification produced:
JULIE PAYNE
Commission # FF
24135
1,2019Expres Augut
&01YlMOmWThfuTroyFrnUrmrw
'1 ,C vt-C
Notary Signature
BUILDING PERMIT AUTHORIZATION
(LPA►)
i ' hereby authorize
individual name — PLEASE PRINT)
_ ►- :t to obtain a building permit or to fist the above
(Attrorzed Parson PLEASE PRINT)
subcontractor on trig nal building permit under my State license as Mued by the
Department of Business and Professional Regulation, Construction Industry Licensing
Board.
(State License Number)
i10A# permits and apprcations submitted by this contractor
Expiration Date for This Limit-d Power ofAttorney
0 The specified permit and application for work noted below:
PERMIT TYPE; PROPERTY DESCRUMON:
Budding Owner, Pew( �vSS Q
Plumbing Sim Addrew IN (C-C ?VA
Electrical Lot: ® BlodWaTrcel: ,
A. C. Subdivision:
F�oo#1rt
(SIGNATURE — License Holder) _
Ottues: Glace:
STATE OF Imp I
COUNTY bf
ffEj;
Sworn and Subscribed to before me, this _ day of _ 20 by
- ---.Who piroduced
AWTA CANO
01 seal
*afy pubhc Suft of 110s
MY CMMIssion ExpireS Wit 27', 2D21
I
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: �D SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: t REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
i I I I r
DECK TYPE (PLEASE SPECIFY): J Z x dfL 1�%(\ 5
* *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: O OFF -RIDGE O RIDGE -6SOFFIT OPOWERED VENT
SKYLIGHTS: O YES � NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2:12 -4:12
O 4:12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
,n
FL# 1
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#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
CITY OF
f Building & Fire Prevention Division
RESIDENTL4L RE=ROOFPOLICY & PROCEDURES - -
- FIRE DEPART&,IENT
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: 1-,)-3
CITY OF
S��FORD
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I D^ 5 ✓v ADDRESS: t 14 C aim Q,
I `\ (KSQ n 1 () , 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 #: C CL I J/` I L4 3
COMPANY / CONTRACT
CONTRACTOR SIGNATI
(MUST BE SIGNED BY L
DATE:
A FINAL ROOF INSPECTION IS REQUIRED:
(ALONG
S SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
ERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
RLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
ERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
AILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
LL 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 �► `� '
orn to and Subscribed before me this f day of 20 by:
Tk �-O Who is ❑ Personally Known to me or has roduced (type of
identi#cktion)u R' wb 11w ki cas identification.
Signat re df NotarrPublic
State Fl ri otra pig MICHELERAMESAR
Notary Public - State of Florida
Commission # GG 090456
Print ype/Stamp Name FocFl My Comm. Expires Apr25,2021
of Notary Public