HomeMy WebLinkAbout114 Rockwood WayJAN 2 2018
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
i kl' �_5_ �
Documented Construction Value: S '7'
Job Address: �Gj
Parcel ID: -5 G`1 11'1 — _I —
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair
Description of Work:
('In1V-1111-,411)�
Plan Review Contact l
Phone:'"/� 7
Historic District: Yes ❑ No
Residential 0 Commercial ❑
Demo ❑ Change of Use ❑ Move ❑
1/10.VI-V4w.,�Y) �K
Property Owner Information
Name CI
�,^ 4_ev1
Phone: 1 6 ()
Street:
Y v�v
Resident of property?
it UrC
_�/ 7
City, State Zip:,V(4y
Contractor Information
Name
SI I UG
jam/ l G
Phone: "/ (J��� / 7'-yC%5 7
Street:
l� -
����
Fax: / /
State License No.: ��C / ,,? �V9
City, State Zip.a
I Y laoJ
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: 511 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 AFFIIDAVIT: 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 Oumer/Agent
Date
ia' -"1 7
Date
Print Owner/Agent's Name Prin ontract /Agent's Name
Signature of Notary -State of Florida Date Signature of tary-State o Flo 'da Date
JUDY L. MERCER
Notary Public - State of Florida
Commission # GG 096251
�PP:> My Comm. Expires May 26, 2021
Bonded t rou . ationalNotaryAssn.
Owner/Agent is Personally Known to Me or Contractor/Agent is er.
Produced ID Type of ID Produced ID Typ
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
12/28/2017
SCPA Parcel View: 32-19-31-515-0000-1100
# Description E Year Built (Fixtures Bed j Bath :Base Area Total SF j Living SF Ext Wall i Adj Value Repl Value :Appendages
Actual/Effective I
_..__,,, ______�______:.._.______. A..___________________ _ ______ __.____._.._.._........... ........... .. --- ________, ___
_______.._......_....________,t _________ ________________ :__ .._
[ 1 : SINGLE 2004 13 4 3,0 1,364 3,424 ` 3,012 CB/STUCCO $154,147 $161,834
f FAMILY FINISH Descriptioni Area €
I
http://parceldetai1.scpafl.org/ParcelDetaiI I nfo.aspx? PI D=32193151500001100 1 /2
LIC # CCC1330939
LIC # CRC1331435
PROPOSAL SUBMITTED TO
STREET I I-( '�- o
Licensed & Insured
Ins. Co, V v 5 i U &rtt,vbC -�-
First in Quality
Tel.#
'►� First in Service
First in Satisfaction ,.,
Claim # 0 C-21:1 6 90 all) -.
800-411-0920
Adj. Name
6767 Hoffaer Avenue
Tel. #
Orlando, Florida 32832
Fax #
B� ,
K
0. ( i Flew V tDATE i
JOB #
CITY, STATE, ZIP Savt d eA rL- 3 �L� ' SUBDIVISION
HOME PHONE 0 7" 77I &- qS 0 6 BUSINESS PHONE
/ SPECIFICATIONS FOR ]LABOR AND MATERIAL
T ar Off Shingles: �_ Layers
rfessionally Install: Brand A-Wq Type IrGIA'� e- UCL Color TkV S cri•1 1
Qw Valleys Ft.
1; tn�tall: O 30 lb. Felt O Peel & Stick a Synthetic Undedayment
eseal, sidewalls, counter and wag flashings O Re -Use [trip Edge Drip Edge W k \ T e
l w 1-12' 2" 3' 4" or Plumbing Vents
Viz
titation:. Goose Necks Off Ridge Vents Ridge Vents Color
Renail Plywood Sheathing to Code
0 Wright 2 x 2 4 x 4
0'PI ood replaced at $60 -per sheet {if neean-up and haul off all job related trash ;Vol, yard with magnetic roller Protect yard and shrubs
1?- cV Z rt ✓ G�k,a,G ��a� sin i v �� C * �V� V Tel l w�l � 15� a s me v,
1 v,-e/)fArAe O
• Atlantic Roofing is not responsible for pre-existing structural conditions.
• Buyers agree they have seen, read & understand all terms & conditions of this contract & agree lobe bound by same.
• ALL ROOFS HAVE A 1 YR LABOR WARRANTY
CONTINGENT
This proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company.
Property owner's out-of-pocket expanse is not to' exceed the deductible amount, The Insurance company will determine and set the price of the claim.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE )F
THIS TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS
WORKSHEEr WHEN RECEIVED.
We propose to hereby furnish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance
company toss scope sheet for which is nPprporated herein and made a part hereof by reference, to include customary profit and overhead when multiple
trade incurred S ►_Q, S Payment upon completio of each trade.
Authorized Sign
`Must be approved;.b company owner. No other work ekpretod,611nipffed verbally. All changes to be in writing and accepted before commencement of
changes. NOTE: Thisproposal may withdrawn by u accepted within 30 days.
ACCEPTANCE OF PROPOSAL- The above prices, sp are satfsfa . and are hereby a ed. You are authorized to do the
work as specified. l
Payment will be made as outline aboy6x A A Date
9
THIS INSTRLMT PREP RED X
Name. N �
Address:
G1 ✓J ,7
I '.ai_
f.)i=a)l.li+ CVIFTR.OLLB
CLEWS 201800029?
4
n r, ;,
Permit Number. (,
Parcel ID Number Z ( —� (� —� Ooo J l "
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 d 'r-ee if available)
(Legal description orb �lje prop9rtYlan 7,2 � 1. DESCRIPTION OF PROPERTY: '75 ¢
2.
3.
Name and
Interest in property:
Faa Simple Title Holder (if other than owner listed above)
SURETY (if applicable, a copy of the payment bond is attached): ;name: Amount of Bond:
Address:
Phone Number:_
LENDER: Name:
Address:
7. Persons within the State of Florida Designated by Owner upon whomnotiee or other documents may be served 2s provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
Name:
Address:
OT
S. In addition. Owner designates
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
NT ARE
WARNING TO OWNER: ANY PAYMENTNDERDCHAPTER O PART AFTERWNER , SECTON713!113,TION OF THE FLLOR FLORIDA STATUOT IS, �D CAN RESUETEIN YOUR
CONSIDERED IMPROPER PAYMENTS U
PAYING TWICE FOR IMPROVEME TS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
BEjoB FORE SITE BEFOROMMENCTN E FIRSTQZROR RECORDINIF YOUR NOT CYOU INTEND
O OBTAIN
COMMFINAN NT. CING' CONSULT WITH YOUR LENDER OR AN ATTORNEY
��, IC ! ► � �i r✓u ri_w� a_►
(Pnrt Nanle and Provide SignatoryFs Ue/Ofnce)
State of r L ' L _ County of �\/V , / / { U
The foregoing instrument was acknowledged before rrie this day of V -CU' i ► v''�` _ 20
b � „; i ' l(.a . Who is personally known to me O OR
y �' Name o person r,+atangstaterner:. .,/' 1 ^ 1
who has produced identification 1 pe of identification produced: _{3� IV 1 V 1 PJI! .S !� I vl r,
t KC �
ciE
GNE
M COMMISSION
O MI LA
SON lk�F 985949
^a rt JF _ EXPIRES April 25, 2020
Nota� 'gnanse
a UJ4—-
CITY OF ,
Building & Fire Prevention Division
Ski4FORD RESIDENTIAL RE-R 0 OF POLIC Y & PROCEDURES
IRE 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 &t 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
i 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 O
PER'NffT F"
City of Sanford wilding Division
Residential Re -Roof Scope of Work
✓-1 C41 �,< 2-
JOB ADDRESS:
MOBILE HOME
RIO �p sR 1� /C0NDi M� OIUM
STCTURE TYPE: LHGLE FAMILY RESIDE—N - TOwN, HOUSE O -
/ LACE- 'T (TEAR OFF EXISTNO ROOF ANTI) RB?T ACE wr H NEW COM-PONTEN-5)
RE -ROOF TYPE:
ORE-COVER(ROOF i TMO LED OVER EXIS': LAG RQOF)
DECK'1YPE (PLEASE SPECIFY):
""PLEASE NOTE: ONLY 100 SDUAR E EET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
�( SOFT OPOw'ERED VENT
OTL
ROOF VENTILATION:
O RTDCzE O
SFCYLIC-ATS' O VES VC'(�;O IF YES, PLEASE ?ROVmE.FLORIDA PRODUCT APD12OVAL����_-M_
MALE ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
TYPE OF ROOF
ME'raL
moDL7mD BITUME'ri
T ORCH DOw-'
IN, SULATED
TILE
O'rtiER
O 2:12 — 4:12 K4-12
OR ORF TER
MAINT FACiLMER
0 m V-10
FLORIDA PRODUCT APPROVAL
FL - (o iv Z
FL=
FLT
FL -
ROOF EXTENSIONS (PORCHES PATIOS. ET Q ""IFAPPUCIALEC'
ROOF SLOPE: O LESS T, HAN 2:12 O 2:12 — 4:12 O 4:12 OR GREATER
TYPE OF ROOF ` \14'vtiFACTURER
i
O Si-s�GT F ;
ova "L
Q MODI-r I5D Brru
Q TORCH DOW1�
I
i
OI\SULATED
O'ITI..E it
0
FL#
FL -
FLORIDA PRODUCTAPPROVAL
FL_
FL-
FL-
FL
FLT
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
C �J
PERMIT #: �) L ADDRESS:71
I L� O G k hIUD d :JCS
VA, 1 L 3 21'
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 INFQ'RMATION 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 r- 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 REQj,1,I4MENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: �/ t / IL— )y U I
COMPANY /CONTRACTOR: � UV1 S^i'rUC��i � ✓1
CONTRACTOR SIGNATURE: DATE: l Lv
(MUST BE SIGNED BY LICENSE HOLD R R OWNER/BUIL ER)
1
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 D�GITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMEr,IT, 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, INC LUDING 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.
i
i
STATE OF FLORIDA COUNTY OF
Swoni to and Subscribed before me this day of VU 20 by:
i
�7l.e, / (`Ik Who is /)Personally Known to me or has ❑ Produced (type of
[ T
ide,Vtification) as identification.
►_ i
Signature of Notary Public
State! of Florida
A A Notary Public State
per of Florida
1��1 R
Chloe M Cooper My Commission GG 162169Print/Type/Stamp Name expires 1v2v2o21
of Nc4ary Public