HomeMy WebLinkAbout129 Hazel BlvdCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: L1q
Documented Construction Value: $ (,!g
v
Job Address: 129 HAZEL BLVD SANFORD, FL 32773 Historic District: Yes ❑ No ❑
Parcel ID: 10-20-30-509-0000-0580 Residential 0 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: Re -Roof of Shingles
Plan Review Contact Person: Renier Fernandez Title:
Phone: 321-229-8657 Fax: 407-814-8169 Email: Renier(ab-castlerg.com
Property Owner Information
Name BAHADORI HAMID R Phone: (407) 399-5786
Street: 845 EAGLE CLAW CT Resident of property?
City, State Zip: LAKE MARY, FL 32746-4881
Contractor Information
Name Castle Roofing Group, LLC Phone: 407-477-2823
Street: 505 Suggs Rd. Ste. 200 Fax: 407-814-8169
City, State Zip: Apopka, FL 32703 State License No.: CCC1329942
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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°i 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.
C
Signature of Owner/Agent Date
/4 (al
R
int 04 er/Aeeul's ame .
II111 `'
Produced ID
Signature of Contractor/Agent Date
Carlos Fernandez
Print Contractor/Aeent's Name
-State of Florida O e Signahi y
...........
;a: KATHLE 0UEZ
JEFFREY RANDALL WILLIS �' MY COMMISSION#GG 1M8
Notary Public - State of Florida =" * Commission # FF 940998 EXPIRES:Odober30,2021
'''eoFFlo?' Bonded TMuNotary KbkUnclwwbm
My Comm. Expires Dee 3, 2019
Bonded Ih ueh Na i lI
rsi o Me or Contractor/Agent is X Personally Known to Me or
Type of ID t 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:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
BBB. 1
Sr
Credit Cards Accepted
CUSTOMER
505 Suggs Rd Ste 200 - Apopka FL 32703
Z!
Office: 407-477-2823 Fax: 407-814-8169
Certified Roofing Contractor - CCC 132994'
Z�
www.CastleRG.com
Estimator: �J Ir-, Direct
PROPOSAL, AND AUTHORIZATION TO DO WORK Date:
41�
7 rr.,&
Home/Cell#:
J,
-7 Email J-
14
ROOF NG G R O U P
.1. SHINGLE ROOF SPECIFICATIONS 0 N/A
Manufacturer:
Product
Type/Color:
Manufacturer Warranty El Limited Lifetime 0
.1
Underlayment:/,�64L,-,tLa -5`;�/11 �r # of Layers
Tear Off Existing Roof
of Layers 01 Layer 0 2 Layer
pies: Concealed Layers will be billed at S0,201 sq,ft each
13"Drip Edge
Er Lead Stacks /Boots
Type 0,e"-7,1iV
2 52"
Color:
El" Cl -
Std colors: White, Brown, Black & Tan
ErMain Ventilation
C3 I Vents
Type:
4 10-
Product :
(Other)
Color: Qty
Color:
Ej Special Items (Reflash,,,"ylig
sk hts, qetc)'I
2.
3.
SHINGLE ROOF PRICE :$
3. Provide all necessary permits and remove all job related debris
2. LOW SLOPE ROOF SPECIFICATIONS In N/A
.K"a n u fac tu re r:
1,
"Product
Type Color:
Manufacturer.Warranty 11 12 Year ❑
C3 Tear O?�Existing Roof
of Layers\ ❑ I Layer ❑ 2 Layer
Notes: Concealed Layers will be billed at S0.2.01/sq ft each
13 Drip Edge
E] Lead Stacks Boots
Type: C3 21 " [1
1 11 13 2" -
2
Color:
\.11 3" 13-
Std colors: White, Brown. Black & Tan-,'
11 Insulation (if required)./
El Vents
Type:
❑4 010"
0
Product
",,(,Other)
Color:
�E] Speci a] Items (Reflash skylights, etc)
2.
3.
LOW SLOPE ROOF PRICE: S
4. Inspect all wood, decking and fascia material, etc for deterioration. Replacement of any damaged wood will be an addittional charge at the following rates
Fascia ,B dird @ $ z', Lper LTT, Decking Board @$ Per LFT,_ Plywood @ $ per 4'x8'shect.
A(Includes Labor and Materials)
l
Existing decking to be re -nailed to meet existing code requirements i
5, Additional Work / Comments: 4 7
PRICE for work described above : S . Payment in full in due upon completion.
TERMS AND CONDITIONS
1. Castle Roofing Group LLC (Contractor), hereby warrants the workmanship to be free from defects for a period of ten (10)years for_shinglc roofs and a period of
five (5) years for low slope roofs from the date of completion and receipt of payment in full.
2. Both Worker's Compensation and Public Liability insurance are carried by Contractor throughout duration of project.
3. Contractor shall not be held responsible for damages to electrical lines, water lines, refrigerant lines or other mechanical components that have been inproperly
installed near roof decking and may be damaged while performing the installation of roofing materials
4, Contractor shall exercise care as to not cause any unnecessary wear to driveways and landscaping. Normal operations require access to driveways during the
delivery of materials and /or the removal of work related debris. Unless negligence is shown, contractor will not be responsible for damages to walkways,
driveways and/or landscaping. Furthermore, customer herein gives permision for typical delivery vehicles and typical waste removal vehicles to enter said
driveway(s) for the purpose of expediting this sales contract.
5. Owner agrees to pay all collection fees and charging including but not limited to all legal and attorney fees should the owner default in payment of this contract.
I hereby acknowledge my acceptance of the terms and conditions described in this document and agree it is a legal and binding contract.
Castic Roo,firig Group LLC Date Customer Date
qPP PPVPQQP 97nD A nl111-r1nNJ AI -rVDMQ ANJn
J 2/26/2017
SCPA Parcel View: 10-20-30-509-0000-0580
Pjrqperty_Record._ and
Parcel:
Owner: RAHADORI HAMID n
Property Address: 129 F{AZEL 31-VD SANC-GRC. Fl..32773
Parcel Information
Parcel
10-20-30-509-0000-0580
Owner.
BAHADORI HAMID R
......
Property Address
__ . ................
i 129 HAZEL BLVD SANFORD, FL 32773
Mailing
....
845 EAGLE CLAW CT LAKE MARY, FL 32746-4881
.......- .............
Subdivision Name
HtAZ, t GLEN
Tax District
_._
- S1-SANFORD
.............
DOR Use Code
__ ___ v_ ... __
01-SINGLE FAMILY
Exemptions
.......
............
_ ................ ..........
Value Summary
.......
2018 Working
2017 Certified
Values
Values
....
Valuation Method
_... -
Cost/Market
Cost/Market .
Number of Buildings
1
1
Depreciated Bldg Value
; $103,329
$97,447
Deprecated EXFT Value
$800
$800
Land Value (Market)
$25,000
_0
$25,000
iLand Value Ag
J,< trK -=t Vaittc;
— --
$129,129
$123,247
Portability Adj
_
Save Our Homes Adj
$0
$0 j
Amendment 1 Adj
..........
$6,945
$12,171
P&G Adj
$0
$0
1 Assessed Value
$122,184
$111 076
Tax Amount without SOH: $2,195.01
2017 Tax Hill Amount $2,195.01
Tax Estimato,
Save Our Homes
Savings: $0.00
. Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 58
HAZEL GLEN
PB 33 PG 63
___. _. .............. ................ ____. ......... . .. .........._
_. .__.....
.____. ____.
Taxes
............... ............ ____. .......... ...................
...._
Taxing Authority
Assessment Value
Exempt
Values Taxable Value
County General Fund
$122,184 j
$0
$122,184
Schools
$129,129
$0
$129,129
° s
City Sanford
$122,184
$0
_........
$122,184
SJWM(Saint Johns Water Management)
„.._.__
$122,184
$0
$122,184
County Bonds
...........
$122,184
$0
$122,184
Sales
... .........................
...
..........,
Description Date
Book Page
Amount
..........
Qualified Vac/Imp
WARRANTY DEED 7/1/1988
_ .........
0198J" 11, ,
_' ..... ............_.
_..
...............
$74,600 Yes Improved
_.__.
.....
Land
__
_
Method Frontage Depth
Units
Units Price
Land Value
LOT 0.00
0.00
1
$25,000.00
$25,000 i
�.._._
Building Information
is Bed/Bath coon( incorrect? Click. HeFe
.........
# Description Year Built Fixtures Bed ;Bath
Actual/Effective
Base Area Total SF i Living
SF Ext Wall
Adj Value Repl Value Appendages
......... .
1 SINGLE 1988 6 3 i
1,246 1,785
1,246 CB/STUCCO
.....
$103,329 $117,419 Description
..._..
Area
I FAMILY !
FINISH
GARAGE
483.00
http://pa rceldetail.scpafl.org/ParceIDetaiIInfo.aspx?PID=10203050900000580
1 /2
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ) /Z / I `G
I hereby name and appoint:
Alicia Fernandez
an agent of: Castle Roofing Group, LLC
(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:
• :Fila : • I7F_TT161Me .TT•A11< --- -
F.M.N.MMON
Expiration Date for This Limited Power of Attorney:
License Holder Name
State License Number:
Carlos Fernandez
CCC1329942
12/31 /2018
Signature of License Holder: �_��— ��'-------- -
STATE OF FLORIDA
COUNTY OF Orange
The foregoing instrument was acknowledged before me this T day of jAno
200- 18 , by Carlos Fernandez who is sonally k own
to 1ne or o who has produced
identification and who did (did not to a an oath.
Signature
(Notary Seal)
ta)Y/1(P P d012 ,-,; rjP/2-
Print or type name
KATHLEENVELAZQUEZ Notary Public - State of Florida
MY COMMISSION # GG 156628
a EXPIRES: October 30. 2021 Commission No.
Bonded ThruNotaryPublic Undervrtiters My Commission Expires:
(Rev. 08.12)
as
) tili:l11 3®1II HIIIit Bills- 11111;1111111 IIIH 1111
THIS INSTRUMENT PREPARED BY:
Name: Kathleen Velazquez/ Castle Roofing Group LLC
Address: 505 Suggs Rd., Ste. 200
Apopka, FL 32703
NOTICE OF COMMU11 iENCE ENT
Permit Number: IS-2
-2 L` y
Parcel ID Number: 10-20-30-509-0000-0580
C1E:r-iNT NALOY7 SENI„OLE COUNTY
CLERK OF C:IRCUII' COURT & COMPTROLLER
BLS 9050 Ps 11.81 (1Pss)
CLERIC'S v 2018000258
RECORDED 01/02; 2018 11:56:15 AN
FtECORDUIG FEES $10.00
RECORDED B' lidevoi-a
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 58 HAZEL GLEN PB 33 PG 63 / 129 HAZEL BLVD SANFORD FL 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -Roof
OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: 13AHADORI HAMID R / 845 EAGLE CLAW CT LAKE MARY FL 32746-4881
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Castle Roofing Group, LLC Phone, Number: 407-477-2823
Address: 505 Suggs Rd., Ste. 200, Apopka, FL 32703
5. SURETY (If applicable, a copy of the payment bond is attached):
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.
8. In addition, Owner designates
Phone Number:
of
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)
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 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.
(Signature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of f f _ County of QA��
The foregoing instrument was ackryowled%ed before me this day of 20
by
MM��
Name of person making statement
who has produced identification B type of identification prod
„r �r•,, JEFFREY RANDALL:WILLIS
tk,M1",a`� �. Notary Public - Sfate of Florida
�
i ; •2 Commission # FF 940998
a p= My Comm. Expires Dec 3, 2019
°r r`°�' Bonded through National Notary Assn.
nnu,
_ ��'
JOB ADDRESS:
129 HAZEL BLVD SANFORD, FL 32773
PERMIT` # 10' � ��
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (9) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING HOOF)
DECK TYPE (PLEASE SPECIFY): 1 /2" Plywood
* *PLEASF. NOTE. ONL I``I,i10 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: IFF-RIDGE RIDGE }SOFFIT POWERED VENT QTURBINES
SKYLIGHTS 0 YESO IF YES; PLEASE PROVIDE FI.ORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF:Si OPE: 0 LESS THAN 2a12Q 2:12 -4:12 3� 4:12 OR GREATER
TYPE UP ROOF'
MANUFA(7fVRER
FLORIDA PRODUCT APPROVAL.
dSHINGLE
CertainTeed
FL# FL5444.R11
Q 1METAL
FL#
Q MODIFIED BITUMEN
FL#
d TORCH`DOwN
FL#
OINSULATED
FL#
O TILE
FL#
Q OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS,'ETC.) **1FAPPLIC,ABLE**
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12-4:12 O 4:12 OR GREATER
TYPE. OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
O METAL
FL#
Q M .O.DIFIED BITUMEN_ ___
O TOR.CH DOWN
FL#
OINSULATED
FL#
Q TILE
FL#
O OT14ER:
FL#
,?- Zqc(
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING RFQu1,RFMENTS —No PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed ResidentialRe-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)
• Each plane of the roof, showing the underlayment installed
• Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler)
• Roof Deck Nails used (including a measuring device or ruler showing size of nails)
• Underlayment Pattern & Spacing (including a measuring device or ruler)
• Drip Edge & Valley Attachment (including a measuring device or ruler)
• Shingles installed, nail pattern and location of nails
• Skylights (if applicable)
• Digital photographs showing all installation components, per FL Product Approval
• 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 (OROWNER/BUILDER) SIGNATURE:
. .... .. DATE:
City of Sanford
Building and Fire Prevention
RESIDENTIAL.Rt'-RoOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASIJING, AND ALL FINAL, ROOF COVERINGS
PEM41T ADDRESS: 129 HAZEL BLVD SANFORD, FL 32773
Carlos Fernandez I . ........ AS A(N) GENERAL, OR
ROOFING CONTRACTOR, ENGNIFER, ARCHrl-LcT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I REPE'AY AFFIRM, THAT ALI- OF
FORFOOING INFORMATION IS TRUE AND ACCURATE. AND THAT All ROOFP-6 COMPONENTS I.ASTED SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAW-, BEEN INSTALLED IN ACCORDANCE WITH n1rFR PRODUCTAPPROVALS AND ALL APPLICABLE, CODE,
REQUIRE IMENTS FOR. SEVONDARY !LATER DARKIE R AND N ARA NO OFTHE ROOF DE C:Ki IN ACCOM)AN'Cl.". WITI i TI JE I IU RRICANE RETROFIT
MANUAL RE QVIREMENTS (BASED ON F.S. CHAPTE'R 551844),
LICFNSI.-', CCC1329942
. . ........
COMPANY / CONTRACTOP: Castle Roofing Group, LLC
CoN'rRACTOR SIGNATURF: 4;� DATE,:
.... . .............
(MUSTBESI(IoNED BYLJCFN.SE lIoLDER OROWNTP,1'13UILDER-�'� kl)f-
A FINAL, ROOF INSPECT [ON IS REQUIRED:
Tests SIGNED AND NOTARIZED AFFIDAVYI'MUs'r BE PROVIDED AT THE JOB SITE ATTHETIME OF THE FINAL ROOF INNSPE.(71-ION,
ALONG WITH DIG ATAI. PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN IYETAIL ALI, COMPONENTS (DECKING,
UNDERLAYNIFNT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMITNAIMBER OR ADDRESS CLFARLv MARKED ON THE DECK
FOR EACH INSPECTION. Tim PHOTOGRAPHS MUST INCLUDE. A RULER OR MEASURING 10WICE TO CONFIRM ALL NAII. SPACING AND
OVERLAPS, INC LUrDl`NG DRIP EI)CE AND VALLEY FLASHING. PLEASE Rucwro i Hv. RE -Root POLICY AND INSPECTION PROCEDURE
.' PAPI,'RWORKFO'RFVRI'HFREXPLANATION OFAI,I.;REQt,'IRF.-,MF.NI-S.
**FAILURF TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE-INSPECTIONFLE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENCVEER) TO CERTfFY, BASED ON PERSONAL
I,NSPEC"rION,'I'tlla.'INIS'I'AI,I,ATION OFNLL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF Orange
�—Ci 11 Sworn to and Subscribed before me this day of 20by.
i is 'R Personally Known to me or has Produced (type of
as identification.
verl Notary Public State of Rohde
Juan Rodriguez
V My Commission FF 177883
(IF Expires 11/19/201s
O