HomeMy WebLinkAbout125 Rockhill DrJob Address
Parcel ID:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
BANQt PERMIT APPLICATION
Application No: 0 l _3o
Documented Construction Value: $ q L4 Ll 6 . C-0
�a 5 DGL��t�� 1Z. �/3-►-►+=oR� Historic District: Yes ❑ No
�I 0 5Ib - oo®o- v�
Type of Work: New ❑
Addition ❑
Aliteration ❑
Repair
Description of Work:
Q -�► (�y)�
I 1 " K-
�W 1
Residential Commercial ❑
Demo ❑ Change of Use ❑ Move ❑
Plan Review Contact Person:
� ����/mI ��� � ��fY� L/ Title:
Phone: � l (l .. 1 ,7 J -11 WZ Fax: 0T ZJS ` `7`'tiT�) Email: C�;ii� a( fleAtS atf�i Ct 2 C
il Property Owner InformationName kss'ka m l 1 S K'k t CA Phone:
Street: 12-5 I 1 I 1py- - Resident of property?
City, State Zip: S f&(6
Contractor Information �j/�—�
Name S � C� , Y tr1�V Phone: " � v / U 7 " 1 2-V 2—
kk o
Street! UZ �� 2 '(1 '61 Fax: � 1 �n q1Z.-
City, State Zip: Lo� F Z� 5� State License No.: CSC.- ! 3 2 J 6 (_0 0q
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 5'h 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.
kaN-dQ1.��►
Signaturl of Owner/Agent I Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
MARIA T. BUTCHER
MY COMMISSION # GG101540
<;
EXPIRES May 04, 2021
Owne t ' Le or
Produced ID Type of ID
�a1�1y,
Signaturi of Contractor/Agent Date
Print Contractor/Agent's Name
Signature tTF -
_"P""° i; RIA T. BUTCHER
*` MY COMMISSION # GG101540
56a?�� EXPIRES May 04, 2021
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ NO ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
entr
Homes,
1182 N. Ronald Reagan Rd, Longwood, FL 32750 office: 407.732,7262 centralhomesiDff*i�,e@,Rmai_l.com
Date: 'Y
Customer Info: -je SS ie el— rAl I t 1'<1
Job Address: s. y �A
SERVICE AGREEMENT
WE PROPOSE THE FOLLOWING AT THE ABOVE LOCATION:
A. Tear off and haul away the existing shingle roof system (one layer),. An additional $351sq. for removal of each
unforeseen additional roof layer will be added.
B. Inspect the roof sheathing fastening system and supplement (re -nail).
C, Inspect the roof decking and repair as necessary on a per lineal or per piece basis as described below.
D. Supply and install one layer of Rhino Synthetic felt underlayment
E. Supply and install new Shingle Over Ridge Vents andlor 4 ft. ORV Vents for proper ventilation.
F, Supply and install new 2 1/2" eave drip.
G. Supply and install Bullet Rubber boot flashirig for plumbing stacks.
H. Supply and install a self -adhered poet & stick modified underlayment in all valleys,
1. Supply and install Certainteed Landmark Architectural Shingles.
J. We will obtain and payfor P, permit and obtain all required inspections.
K. Upon completion fin- lebris will be picked upa'nd taken, way.
L. Shingle color 1-11+roo'111-.11-e(-; Drip edge color,&k' ,: Vent color' . 71j*ck
Deductible b-4�
Insurance Proceeds
Please note: Central Homes LLC has the right to submit a supplemental invoice'to the insurance company for
unpaid items which represents work performed by Central Homes LLC for which the insurance company did
not pay. Upon customer receiving the
e supplemental disbursement (if any), it is the responsibility of the
customer to remit said funds, to Central Homes LLC in a timely manner.
7 ,-XTr@T@TiYK9TW
**A surcharge of
59
if payina with a credit card.
Any unforeseen docking repairs and/or wood rot repair will be replaced due to county codes which states that we
cannot nail into any soft or rotted wood; and which is covered under your policy under Ordinance and Law; and
will be invoiced via supplement invoice by Central Homes to the insurance company.
ACCE
ACCEPTED:
Central Home
,.l-Gr,7-year workmanship warranty.
Central Homes Roofing State of Florida License CCC1330609
111!11111111111111111111111 hill fill III]
GRANT Mt,'OYP SENINOLE COUNTY
CLERK OF CIRCUIT 'COURT & COrIPTROLLER
THIS INSTRUMENT PREPARED BY: LDK 9052 Ps 1820 (IP s )
Name: Kaa'ai Patel CLERK'S Y 201$OI_11696
Address: RECORDED +_i1 1_t�I201C 03 3!;ii7 1-,1'RECORDING FEES $1! .00
RECORDED CY h��e}rwe
NOTICE OF COMMENCEMENT
Permit Number \
Parcel ID Number l ' e�o —51 Co - (J-000 -- Oa2 U
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 71$, Florida Statutes, the
following information is provided in this Notice of Commencement.
1. DESCRIPTION OF � 5S2 �W y CA � E/ PROPERTY Legal desc nn,� ' �! on of the property and et address if available) ^
LC�vb far H 2 ry 247
' S ;Ts
2. GENERAL DESCRIPTION OF IMPROVEMENT:
RESIDENTIAL RE -ROOF
3. OWNER INFORMATION OR LESSEE INFq O fF TH EE CONTRACTED FOR THE IMPROVEMENT:
Name and address:�i ss i C a. M ►1 l�z�e c
Interest in property.' rw---, .
Fee Simple Title Holder (If other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: CENTRAL HOMES, LLC Phone Number. 407-732-7262
Adder: 1225 BENNETT DR. #111, LONGWOOD, FL 32750
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Amount of Bond:
6. LENDER: Name: Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: Phone Number.
Address:
In addition, Owner designates
to receive a copy of the Lienors 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)
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 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.
SWE
(Print Name and Provide signatory's TiBdOrfire)
State of P LO(L%t!J County of J�1f1') ► 911OC..I-
The foregoing instrument was acknowledged_ before me this 'a 0day of
by—T�stC�" Yn f tt S �" Who is personally known to me O OR
Name or person raking stnttgnant , -1
who has produced Identification Ixtype of identification produced:
MARIA T. BUTCHER
• ��''_ MY COMMISSION # GG101540
d?:- EXPIRES May 04, 2021
Vi
CITY OF
` ��A lvT�� ' Building &Fire Prevention Division
w RESIDENTIAL RE -ROOF POLICY & 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.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �^� - DATE:
CITY
isAN
sj
FIRE DEPARTMEN
;•
JOB ADDRESS:rl
I L5 1 1W1 0 V
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
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 (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY:
**PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: ® OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES 0 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12
qV 4:12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROV\AL
® SHINGLE
�(�/� ;}
-e �A C)1 rktd �ai�° ' �(l��k
FL#
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 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#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINArL ROOF COVERINGS
PERMIT #: 1 lt_/ ADDRESS: I� �/�'� r
I hWCASQ0 V a{ U 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 ONF..S. CHAPTER 553.844).
�
LICENSE #: . -C - [33 O (`-" Gq
COMPANY/CONTRACTOR: r li{ \. R--n l�U `'� C—
CONTRACTOR SIGNATURE: " l.a, __► DATE: of
(MUST BE SIGNED BY LICENSE HOLDEPTOR 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 S eY1 ql lbca
Sworn to and Subscribed before me this a')` day of _7-a-1-J 20 k � by:
1c�tCASCp 1 Who is Personally Known to me or has ❑ Produced (type of
identification)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
as identification.
"+ • HEAVER .,tARKiN
MY COMMISSION # GG 045148
in ,:�a•*_' EXPIRES: November 6, 2020
Bonded Thru Notary Pubiic Underwriters