HomeMy WebLinkAbout121 Bent Oak Ct (2)00
CITY OF SANFORD
v , BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 12_ 3
Documented Construction Value: 2-15660
Job Address: 2 { 'be& my cr Historic Distr
ict- Yes ❑ No
Parcel. ID: h • 3D. 5)5 - • 0660 Residential
Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ ElMove
Description of Work: � - 04 4 .S Vi i rl p (,L—_w i � �t - MY fiYCa')
Plan Review Contact Person:
1 Vel-k*e CCt 61 U
Title: QW1lll�— LAI 11,411,
Phone: Joy
{ '�
Fax: &&4. 611- -KeLQ
Email:
OA C. IP Ccn&tM(-}i ch LYi ( im 1• 4is
Property Owner Information
USA.
Name Vim I
4 .
Phone:
Street: !2 \ & n'r iL{�
LT
Resident of property?
City, State Zip;:
2.
Co tractor Information
��S
Name �l 1/GlAV(q- t,UT� d 0.
' rn' �
Phone:
{
Street:
'124 06 I-V) 'St.
Fax:
004 ' 1 I ' _7QP
City, State Zip: )ki V)d eyyy)elr-e -I:- L 341 NP
State License
No.: CCC
{ 33aPSo 2-
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 YOURLENDER 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 maybe 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 ]CC Valuation. Table in effect at the time the permit is issued, in
accordance withlocalordinance. 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 zonin .
Signature of Owncr/Agent Date, Sr ure of Contractor Agent Data
Print Owner/Agent's Name
:Signature of'Notary-State of Florida Date
(ma
i y�3
Name
Expires February 23, 2920
ELT '`per cr Bonded ThruTroy Fain EnwraraeB00-3B5.7019
Owner/Agent is Personally Known to Me or Contractor/A77,
gc Jis Personally Known to Me or
Produced II? Type of ID Produced ID Type of ID, a `xY 5 Gt i
BELOW IS FOR. OFFICE USE ONLY
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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
CITY OF
nS.,kNFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. lS o 9 ISSUE DATE:
CONTRACTOR: COMS&MACA.-;04 UMI;Mjj.�eA
JOB ADDRESS: I aBem-L Oak Ct
TYPE OF WORK: MCI
PROTECT FROM INEATHER
• 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
ECTION TYPE APPROVED REJECTED INSPECTOR
L 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
XFORD
Building & Fire Prevention Division
RESIDENTIAL 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., APPROVALNUMBERS 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.FAMIIY, 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
�X' l OMPLEIED RESIDENTIAL RE -ROOF SCOPE OF WORK
tst p - PLETED AND NOTARIZED INSPECTION AFFIDAVIT
ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
t DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
g ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MF.ASURING,DEVICE, OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
O UNDERLAYMFNT PATTERN &'SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MFASURING DF,VICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
0 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 MPLIANCE BY PERSONAL INSPECTION.
f I r
CONTRACTOR (OR OWNER/BUILDER) SIGNAT DATE:
THIS NT P
T !1rrRU EEPAR D
Name.111``'1t4l1 �% ..1.- ,,,}:�•.-Q i �•-
AddeS��L11�`x► (1
w,
LE
u«r,nns.rna:wu rtliltct
NOTICE OF COMMENCEMENT
Permit Number ---JI L (0 1___�arcei ID Number (PID) l 1 ' a ✓ .S c t,�
�•2iC.i� �3&:s
The undersigned hereby gives notice that `imprrntem"ent ri11i be made to certain real Properly, and in accordance with'Chapter 7,3:.
Fonda Statutes, the foilowrng intpmtation is provided in this,Not ce of CommeriCemenE.
DESCRIPTION OF PROPERTY it __- _ - P i •, i r
GENERAL DESCRIPTION OF IMPROVEMENT 4i';_=iI Y 1'�
Name and address: V 1 +M "A. . i (NAf
Persons within the..state of Florida Designated try Owner u
by Florida Statutes,
pon whom police or otherdocgmeMs tray be:Eerved as; tavided '
Secticn91313(tgb),
Name and address:, __
;n addition Id himself. 01—er;Designates
To receive a copy of the Lenor s NOi ce'as ProJided in of
Section lt�-t3(tg6), Florida 5tatmes.
Expiration Date of Notice of Commencement:.
The ox iration.date Is 1 year from date of recording unless a different date is s ilied-
1vAaNING jrZUWNER• AINY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTI 1 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. 'IF U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER .OR AN ATTORNEY
BEFORE COM C! WO RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE ;
/ - TY OF SEMI
t3.' EHS TUftf ;^ -
"INOTEt Pei` iorida St�atuto-7i3.1 t OWN. ED NALIE
3( ) (9I vrrner must sign.:.„. and no one else may tie permitted to sign in his o her stead.„
The foregoing irtsdrument was acknowledged before me this L- da of
by t!� r' i tC 1-}
20
Nam of oe+sm mak nq StatPrtent Who ispersonally known to me
OR who has Of6duced identification r #
type of identification produced
^^ our�nr Iu SECTION 515, FLORIDA STATUTES.
UNDER PENALTIE4eF P U LARE THAT i HAVE READ 7IfE FOREGOING AND THAT THE FACTS STATED IN IT
ARETRU TOT ! f
FjBELIEF.
f
TrlOh44S SAIL D /
t f rcarar:tss'
r
F; P1RES Nu'{iG11.685D /
ucs. ze2t e�ll1L > r. t;: f �J:. a=,��.
"E �� 1 i1 rngp Ist State Insurance Stoa.we .
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2017130022 BK 9046 Pg 1784; (1pg) &RECORDED 12/2212017 01`20:05 PM
10.00
PERMIT # J �� I -✓
Building & Fire.Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 6 &A j'1 06 K PL 3 2--771
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILEHOMEO APARTMENT/CONDOMINIUM
RF-ROOF TYPE: eREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLS R EXJSTIVG ROOF)
DECK TYPE (PLEASE SPECIFY): I t
* *PLEASE .NOTE: ONLY IOO SQUARE FEET OF TIIE• EX ISX,DE�CKtISAERMIT7'EA TO RE,REPLACED"
LA
ROOF VENTILATION: {OFF -RIDGE" DGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES 1pN0 IF YES, PLEASE PROVIDE. FLORIDA PRODUCT APPROVAL#:
---------------------------------------
MAIN ROOF .AREA
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 -4:12 12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
G li Y'
FL# ��' 2-14 ,. Zp
Q METAL
FL#
O MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
QINSULATED
FL#
Q TILE
FL#
Q OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS ETC.) *W APPLICABLE"
ROOF SLOPE: 0 LESS THAN 2:12 Q 2:12 4:12 O 4112 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
FL#
O METAL
FL#
Q MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
0 INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
CrT y or,
#NFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFPOLIGY&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 SANFO,RD HISTORIC DISTRICT WILL REQUIRE PLAN .REVIEW AND APPROVAL BY THE
SANFORD.H.ISTORIC-PRESERVATION BOARD
INSPECTION POLICY.& PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL, (SINGLEFAMILY, 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 WF.ATHEkPROOF LOCATION
10 C;OMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
0-Z
IGIPLETED AND NOTARIZED INSPECTION_.AFFIDAVIT
�L 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'PA7`T.ERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MF.ASURING'DEVTCE OR RULER SHOWING SIZE OF NAILS)
O UNDERLAYMFNT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
O DRIP EDGE R! VALLEY ATTACHMENT (INCLUDING A MFASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
41 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 MPLIANC> BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNERIBUILDER) SIGNA , , DATE-':
CITY OF
SkNFORD
DEPARTMENTFIRE
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS •
PERMIT �$: — V�-1 J ADDRESS: 2.� �c (�7ry�' C+
I ( )4W c I L_QbA4C)RD_ , 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 #: 0—IL 133ogd Z
COMPANY / CONTRACTOR:
CONTRA OR SIGNATURE: `-j�=fal'�lw��- DATE: 71149
(MUST BE SIG C-£�Pd•�E u�Tn �R/BUILDER)WNE c
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 OFa
Sworn to and Subscribed before me this day of Eck 20 IB by:
identification)
Signature of Notary Public
State of Florida
qArltll.t, 9 M"'q" 1,c
Print/Type/Stamp Name
of Notary Public
Who is ersonally Known to me or has ❑ Produced (type of
as identification.
�P>Samuel Meyers
a y C mn Decean � 21 ��1
-
Bonded thru Aaron Notary