HomeMy WebLinkAbout131 Carmel Bay Dr (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I ff -3 (o
Documented Construction Value: $ ✓> p
Job Address: / rn K� 9� istoric District: Yes ❑ No ❑
Parcel ID: 33 —f q =,3D Sig — 0132) `-e) S-/ d Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Re air ❑ Demo ❑ Change of Use El Move ❑
Description of Work: — l g..
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Q C5Qu r(b oa Cos-k_ Phone:
Street: Resident of property?
City, State Zip: c Y �4ndl.. � l
Contractor Information
Name PueK wu Co n S` � Q Phone: ftZJ 7 _�
Street:'lo� %'a vny-✓Cc Fax�A)l 1,6.1=
City, State Zip: / 1 �� 3 2_1?U State License No.: L /
Name:
Street:
Architect/Engineer Information
Phone:
Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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.
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
lhh
ignature of Contractor/Agent oate
Print Contractor/Agent's Name
z_t y
Signs e,oi'hfotary-State of rids ate
uRY vve� KRISTIN A. MORLEY
Gwnm(ssiGG 161894
Expires November 20, 2021
Ne oni! mWanweUe0t+a•as«*"
Contractor/Agent is Y Personally Known to Me or
Produced ID Type of ID
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
CONEUENTS:
Revised: June 30, 2015 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: f erid I-40-11A(SoAJ
Address: 6730 r,9.12 M FgciaL Die 57F At
Permit Number. _
Parcel ID Number:
1 If�lfi lffff Ill f 11111111111111111 fill lffl
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 9049 P9 273 (1P3s)
CLERK'S 2017131236
RECORDED 12/29/2017 04:07:13 PM
RECORDING FEES $10.00
RECORDED BY hfievorP �9
r
�
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statules; t
following information is provided in this Notice of Commencement.
1. DESC IPTION 04 PROPERTY: Legal description of the roperly and street address if available)
3— 1_ 3��—�qn�Dn- Ito
2. GENERAL DESCRIPTION OF IMPR MENT:
SH/NG,CE RE -111R40141
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address; .FAUSTO OR Fnsw A /:19 6m
Interest in property; Q,JwIFR
Fee Simple Title Holder (if other than owner listed above) Name:
lei
4. CONTRACTOR: Names (.hS[cn) COn/Srku ifarJ Phone Number':'- .�a I—aSR^fe784
Address: 5130 CDnnmFeC iAt, 460 ST E N Al AC %* rjr A FL ;Qq gp
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Address: Amount of Bondi
6. LENDER: Name: Phone Number:
Address:
7. 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)(a)7., Florida Statutes.
Name: Phone Number:
Address:
8. In addition, Owner designates of
to receive a copy of the Llenor'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) x Z
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 INSPEgAlON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RRDING YOUR NOTICE OF COMMENCEMENT.
or Lessee's (Print Name and Provide Signatory's Tile/Office)
State of �L County of , ems 0019.
The foregoing instrument was acknowledged before me this 26 o day of � Q ��y 120
by — -TQ)D k Lk —h 0 �/ t k Who is Dersonaliv known to me ❑ OR
Name of person making statement
who has produced Identification type of Identification
WSTENNOVO
* * MY COMMISSION It IT 173726
EXPIRES: November 3, 2018
�-y0t Bolded lhru Budget Notary tervkes
r°j�u
5130 Commercial Dr. Ste. H 4377
aO Melbourne, FL 32940
T V— S C 10 Tel: 321-259-6789 t
Fax:866-602-7933
CCC1330785/CGC1506914
Alee dAu
vWORK�AUTHORIZATION�'�' i � � Ale
I hereby authorize Wescon Construction, Inc. to perform repairs on my property located at:
Q1 . 5 7-7l per the scope of repairs provided to my insurance company
—MOY for claim # PAR I0(.370
I further authorize my Insurance Company to release payment direct to Wescon Construction, Inc. for the services
that are performed in conjunction with the above insurance claim. Should the Insurance Company require direct
payment to me, I hereby request that the name, Wescon Construction, Inc. be added to the draft that will be sent to
me in payment of said claim.
This contract and any written agreement made pursuant thereto between Wescon Construction, Inc. (hereinafter
"Co" or "Company") and the customers named herein on the reverses side. This contract and any written agreement
will be subject to all appropriate laws, regulations and ordinances of the State of Florida and all parties agree that in
any legal action arising out of the Contract and any written agreement the proper jurisdiction and venue shall be
Brevard County, Florida courts. All parties hereby waive any jurisdiction or venue defense or arguments, which may
be raised.
In the event the Customer fails to pay Company any payment when due: interest on said amount at the rate of 2%
per month or the highest rate permitted by law, whichever is lesser; and the Company's reasonable attorney's fees,
expert witness fees, disposition, transcript fees and all costs associated with legal filling fees.
The re-roof/repairs performed by Wescon Construction, Inc. are based on Wescon Construction Inc.'s visual
inspection of the area of the reported problem. We cannot guarantee that no additional problems and damaged
areas will be discovered once repairs begin. Customer acknowledges and understands that, after Wescon
Construction Inc. commences its work, new or additional problems may be discovered and that the price and time of
completion may be increased. Customer also acknowledges and agrees that Wescon Construction Inc. is not
responsible for damages or leaks due to existing conditions or existing sources of leakage simply because work was
started or performed.
We understand that Contractor has no connection with our Insurance Company or its adjusters and that we alone
have the authority to authorize Contractor to make repairs.
Due to nature of work, no completion date is specified. No verbal agreements are binding.
Per final approved scope of work:
The undersigned hereby assigns any and all insurance rights, benefits, proceeds and any causes of action
under any applicable insurance policies to Wescon C onst ruction, Inc, for services rendered or to be rendered by
Wescon Construction, Inc. In this regard, the undersigned waives his/hers privacy rights. The undersigned
makes this assignment in consideration of Wescon Construction, Inc. agreement to perform services and supply
materials and otherwise perform its obligations under this contract; including, but not limited to, not requiring full
payment at the time of service. The undersigned also hereby directs his/her insurance carriers) to release any
and all information requested by Wescon Construction,Inc, its representatives, and/nrits attorneys forthe direct
purpose of obtaining actual benefits to be paid by his/hers insurance carriers) forservices rendered or to be
rendered.
Insured is responsible for any amount not covered by in nce co pany.
Company limited warran a -Roof 5 Year Compa y lir d war my Repair 1 Year
Owner's Name: Signature: Date:(�,��� .
Wescon Representative: KLVIO Signature ate: ' 2 2 : r7
Wescon Officer: Signature: Date:
CITY OF
SM�FO
FIRE DEMATWEN
Building & Fire Prevention Division
®
PERMIT NO..3 0
ISSUE DATE: 01. 6 1
CONTRACTOR:RJC X
JOB ADDRESS: 1.31 s 46`0
TYPE OF WORK: Re, Aw Y .
PROTECT FROM WEATHER
• 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
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF F I I
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
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
City of Sanford Building Division
Residential Re -hoof Inspection 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 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), cerd ' FBC code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 1 1
PERMIT #
City of Sanford Building Division
w_ Residential Re -Roof Scope of Work
JOB ADDRESS: / 3 �G�1� �YIP� �Ll,(il ( A � 1 �-T
STRUCTURE TYPE: P SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
��C/`/``) RE-COVER (NEjiI ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 1 N/) 9 t7)
**PLEASE NOTE: ONLY 1100 SQUARE FEET bF TAE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTILATION: t OFF -RIDGE Q RIDGE QSOFFIT QPOWERED VENT
SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: � Q LESS THAN 2:12 Q 2:12 -4:12 4:12 OR GREATER
Q TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
AHINGLE
% ICE
FL# jf
Q METAL
FL#
QMODIFIED BITUMEN
FL#
QTORCH DOWN
FL#
QINSULATED
FL#
Q TILE
FL#
THER:
ii,�J �GF-
FL# GS
l
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
Q SHINGLE
FL#
Q METAL
FL#
p MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
QINSULATED
FL#
Q TILE
FL#
0 OTHER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
------------------- Page 2
Application Number . . . . . 18-00000304 Date 1/08/18
Property Address . . . . . . 131 CARMEL BAY DR
Parcel Number . . 33.19.30.519-0000-0510
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1023308
Permit pin number 1023308
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF _/_/_
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: I � ADDRESS: C 3l CaYrye
Set n-
i KJ k4 ,y &O '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
COMPANY / CONTRACTOR:'
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICEM
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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,(e�r�
Sworn to and Subscribed before me this day of ', u h tt 20 by:
(�bV O . Who is ❑ Personally Known to me or has ❑ Produced (type of
identification)
Signa" of Notary Publik
State 6f Florida
r n.
vi7:'rl r1 ✓ Vt o r
Pant/Type/Stamp Name
of Notary Public
as identification.
,tY.° KRISTINA. MORLEY
* , Commission # GG 161894
�,� Expires November 20, 2021
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