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HomeMy WebLinkAbout131 Rose Hill Trl (2)r. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: v Z Documented Constr ction Value: $ �bAddress: V!II�SaYf-10 32_1'1_jHistoric District: Yes ❑ No 24 Parcel ID: _I 60L31 aB 0000DO'50 Residential © Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair [2 Demo ❑ Change of Use ❑ Move ❑ Description of Work: 4Q - oa� • Plan Review Contact Person: Title: Pdx-yu b Phone: (���Email• `wMi . II ,, .s Property Owner Information va Name �I•l �► n la Phone: Street: �3I lQzb-Q, "iI I -1r t • Resident of property? City, State Zip: �='ofd ` L 'qrX1n3 Contractor Information Name 4ZI AtaV NOCH aDop i1 Phone: -4 0_1 S U CP . Q-000 Street: VOL• ?1U IRJJ13 Fax: 4W . 3 U CO. UO c City, State Zip: _CGSS2l%t ry-32I 0`1 State License No.: 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: 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 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. of Owner/Agent Date 6'ia�ture of Contractor/Agent D to c n g Notary Public Stateot Florida o � L Lesley G Garzallotar N1yCommission-G0095J7�^ Exptres,7,,7,2020 PubllcState of Florida Yo 1 esleyG Garza Commission 9fp GG 009517 CQ Expires Owner/Agent is _ Personally Known to Me or Contra ��li rs'o 1 I c� . to Me or Produced ID Type of ID&IF 6570—(27f-6-7-7Zy,.C)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 ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing. - # of Fixtures # of Heads _ Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application HERITAGE Construction & Roofing Inc. 1544,,Seminola Blvd. Suite 136 Casselber7y, FL 32707 PH: 407-366-6000 FX:407-366-6065 Info@Heritagecr.com CGC 1505045 CCC 1 -126650 ROOF RFPLACFNW7NT CON TR, I Account M anaRer: t rt.et 16 C09A__ Contact: INSURANCE COMPANY INFORMATION Company:_A-3-17 Policy #: F: P L 3 01 & Z-) Claim#: ' qoZfk' MORTGAGE COMPANY INFORMATION Company:- Ptkt4-- jio�e_ A Loan Number: Ctner(s); 4_' 191-01 t Pho — -776 — t"I to Cell: Address: t "3( T r,:k- city: s State: Zip Code: 5,7 L Erpail, A, 1, Manufacture W -S Style: Color: Roof GRN- IF J,,,�V C10C)C-) If Owner's Insurance Company does not agree to Day for a full roof replacement, this contract shall be voidable. Assignment of Benefits for the FtAl ()n,,,.. i hereby assign any and all insurance rights, benefits and proceeds under any applicable insurance policies to Heritage Construction A.,. Roofing, Inc. ("Heritage"), the scope of which shall be limited to a Full Roof Replacement. I make this assignment and authorization in coasideratioa of Eer:rage's agreement to perform services,, supply materials and otherwise perform its obligati nis under this contract, including not requiring full payment at the time of service. I also hereby direct my insurer(s) to release any and all in * formation requested by Heritage, its representative, or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurer(s) for services rendered. In this regard, I waive my privacy rights. If payment is made directly to the Owner/Agent/Insured(s), it shall be endorsed over to Heritage immediately upon receipt. I agree that any portion of work, deductibles, betterment or additional work requested by the undersigned, not covered by insurance, must be paid by the undersigned on the clay of installation. Deductible: It is the Owners responsibility to pay all Insurance Deductibles. Owner's ouT-of-pocket expense will not exceed the &ILICtibIC., unount, ;is stated on insurer's loss sheet UNLESS replacement/repaii of deteriorated decking is required and/or Owner requests optional upg pjadvs. Ktriage CANNOT pay, waive, rebate, or promise to pay, waive or rebate all or any part of the insurance deductible applicable to the z-,;surancc cia.rn for pa; mc;nt of work. In the event of a discrepancy, the deductible amount stated on the insurer's iw hal) over rule deductible listed below. Deductible: A, 8on's '-f- f Za 1) MbST BE PAID IN FULL, PLUS AN VAPPLICABLE SALES TAX Initials) MORTGAGE AUTHORILATION. 1, Owner / Mortgagor, grant authorization for Mortgage Co. to speak with Heritage Construction &Koofitig, on matters including., but not limited to, the claim and payment status. PAYMENT SCHEDULE: Owner agrees to pay Heritage based on tac following pay schedule: (i) Deposit in the amount of S CK due upon signing this contract; (ii) the Contract Price, less the Deposit and any applicable depreciation retained by Owner's insui;Ks), plus Upgrade Costs, due and payable to Heritage upon completion of work being performed; and, (iii) the remaining Contract Price (equal to any applicable depreciation andlor change orders) due and payable to Heritage upon completion of work performed In the event of a pending inspection, no more than 2% of Contract Price may be withheld until inspection h oa�,ed_ Option,31- UPGRADE I&TAI: )1V tek -, k,' 44 (A ���CQTY.- PRICE: To J_ALL : 1, Replacement Work and Price: Upon to the terms d s ,Q® s to furridpil all materials and provide the labor necessary to perform the s insurer's approvaja,�'d 3T an (�,nditiPhercin. Hcril t- agrees full roof repliiLCRIC111 wl.ach shali take place fohowing'Oviner's inst;r&ice company's approval, approximately within 30 days, conditions permitting. Ownefi Declaration of hittnt: Owner acknowledges and agrees chat, upon approval by insurance company for a full roof replacement Heritage shall perform the roof replacement tipon receipt of funds from Owner's insurance company. CANCELLATION: If Owner elects to terminate the services of Heritage, Owner may do so betbre midnight on the third business day after Contract is executed. Owner shall receive a full refund of all deposits. Owner may also rescind Contract before midnight on the third business day after the contract is executed after notification from insurer(s) that the claim for payment on roof conrract has been denied, in whole or in part. All writirtr notices of cancellation, regardless of reason, shall be postmarked or delivered to Heritage's corporate office: 1 j44 Seminola Blvd., Suite 136, Caiseibe,`ry, Florida 32707. CANCELLATION EXCEPTIONS: The three (3) day right of cancellation DOES ?,gfiVPPLY to contracts for cr. ­.erpcacy home repairs as tune is of the essence. 1, Owner, have read and understand all statements, terms and condition_, of th-_ "Roof Replacement Contract" and agree that a] I details are acceptable and satisfactory. I further understand that this contract constitutes the catirzt igreelnent between the parties and that any fur ­uet char.ges of alterations to this contract must be made in writing and agreed upon by both parties. Lac�i party represents and warrants to the other that it has the full power an u oriit� to enter into e contract and that it is binding and ,$�Kuthority to enter into enforceable in accordance with its terms. orized Herliage Repi-tsentative Date 6%Qner 'Date Ki Print Name rent Name TERMS AND CONT)l 11t)INS: Acceptance of Tennis: 1, Owner, tifrehy a�,.-c,: to retain Heritage fora full roof replacement on the terms and conditions stated herein. I fuiih�i agree to provide Heritage with zhe Scope of!,o�s, Rtpori gerierated t,�- my insurer and authorize and grant ftill access to the property for the purpose of qagi.ig and completing all agreed upon Supplemental (.1aim: Heritage reserves the right to file a supplemental claim with Owner's insumllce ir, the event that the estimate is iiiconcct ar for ajJitiorial d-jr1age, i-. discovered after commencement. The supplemental claim arnount(s), in addition in arty depreciated amounts held back - by the insurer, art! imin�_diatcly due to Heritage upon receipt. Commencement of Work: Work shall commence at Hcriwgc's discretion. Heritage shall not be liable for delpy in, or failure to perform due to: labor controversies, strikes, fire, weather, Acts of,3od, war, govenirriental actions, inability to obtain materia's from usual sources, delays caused by and/or as a direct result of Owner's insurer or other circumstaoces zlot listed which are beyond the cont,o1i ol� Heritage. Noise Pollution and Vibrations: Prior to installation, it is the sole responsibility of Owner to remove any and all itemswbich are nor or se tired to walls including, but not limited to, items on mantles, shelves or other areas susceptible to vi.)rations, m these may fall. Heritage shall not be liable ',or noise pollution and/or vibrations due to the performance of work contracted herein, or damages resulting to person(s) or property. 1111111 Hill 11111 Hill 1111111111 III[ 1111 THIS INS RUM, NT PREP ED Y: � Name: blot Address: 'r J C(Sc41 Vs-erru Gt- 2 n�1A l NOTICE OF COMMENCEMENT State of Florida County of Seminole TROLLER C -ERK' S u 2013016853 '.. "'OF i V _ I. h'Li:t.)h'i11.i'•ii:� c%:�. y.}.iini:ii ,..,_ Permit Number: Parcel ID Number: 1 2IS; 7 00o0 00ac 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. DEiSCR PTION OF FPOP'=RTY: (I rilttio ; c tiic rope:ty and street address if available) I.OT Q� (Z o.� Hi 11 YtoiS t 1 un GGNERAL UESCRIPTION OF IMPROVEMENT: 1= . 01V\I F: ij4FO Address: Fee Simple Title Holder (if other than owner) Name: Address: I 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)(b), Florida Statutes. Namo. Acdruss: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Sect m-., 713.13(1)(1)), Florida Statutes. Expiration Date of Notice of Commencement (l ne Expiration date is 1 year from date of recording unless a different date is specified) WARNING TO 01/✓NER7 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 pe ' Ides of periUry, i deci hat 1 have read the foregoing and that the facts stated In It are true tc "tie b rfi ray !crtov. ;ner's Sig ure Owner's Printed Name Rio irla Statute 713.13(1)(g): " The owner must sig a notice of commencement and no one else maybe permitted to sign In his or er stead.' /�--. Stint +�f l:r1lMt1f-1 s�`t.' R./�.. The foregoing instrurnent was acknowieuged before me this day of `rJ 2u Jn belt h� P3�1h _ Y _.... .Who Is personal wn to ma ❑ Name of porson making sta em rt `L OR who has produced identificatiun / type of identification produced: - 21-6J W-0 Dl- CERTIFj'ED Notary Pablicstateot Florida ZIK', ��3G009517 '' :1 r 7, Cy ':" �e w.Fxot're50i1071'2020 City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address U -TC Sdoar=d EL 32ge)3 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: I..This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other.. .2. Windows Single Hung, Horizontal. Slider Casement Double Hung Fixed Awning. Pass Through Projected Mullions Wind Breaker Dual Action Other J Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products ' Asphalt Shingles s hrlq I,e CO (75-- �� Underla ments Roofing Fasteners Nonstructural -Metal -Roofing Wood Shakes and Shingles Roofing tiles Roofing insulation - Waterproofing Built up roofing - System -Modified Bitumen Single Ply Roof -,Systems . Roofinq slate` Cements/. Adhesives / Coatin Liquid Applied Roofing Systems .Roof Tile adhesive _Spray Applied Polyurethane - Roofing... E.P.S. Roof Panels Roof. Vents . Other .. :. 2 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels - .Insulation Forms Plastics Deck / Roof Wall' Prefab Sheds Other 8. New Exterior Envelo a Products ' . APA�M 3 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby nai an agent of: to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessa to this appointment for (check only one option): The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: � ) a State License Number: Signature of License11 STATE OF FLORIDA COUNTY OF I E The foregoing. instrument was acknowledged before me this Q_ day of b , 2001, by who is ersonally known to me or ❑ who has produced as identification and who did (did not) take (Notary Seal) ,�pRY 111 Notary Public State of Florida ?° �^ Lesley G Garza My Commission GG 009517 'xoF Fro Exp,res 01107I2020 (Rev. 08.12) L<5(2),,!� 6 a rz , Print or type name Notary Public -State of P Commission No. & 6c;oC 5l % i`°/Iy Commission Expires: '7/%/2-0 City of Sanford Building Division Residential Re -Roof 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;FloridwDesign Professional (architect or engineer), certifying FBC c de compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 7/ 13 / JOB ADDRESS: 13 l�k (r\ . PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPE: INGLE 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): PC.�+y% 1nG * *PLEASE NOTE: ONL Y 100 SQUARE FEET OF THEE ECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: OOFF- GE RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 2:12 - 4.12 O 4:12 OR GREATER TYPE F ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# �^ O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# / THER: V Cn t,h2.'-1.+- i I C-1 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# O TORCH DOWN FL# OINSULATED FL# O TILE FL# 0 OTHER: FL# _W XNFORD Y OF Building & Fire Prevention Division RESIDENTIAL RE -ROOF A FFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT ##: l � — �'A 3 ADDRESS: t 3 ` Q S e k4 %\ k TC\ I SI✓.w'-z's V,/e-\ S \h r, , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCntf`ECT, 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 ##: C CQ32 66S'd COMPANY/CONTRACTOR: CONTRACTOR SIGNATURE: r..�_ { DATE: 1 O!/ ( ' (� (MUST BE SIGNED BY LICENSE HOL ER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REOUIRED: 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 Sworn to and Subscribed before me this k% day of GAAa2�1_ 20 A_%_ by: Who is t Personally Known to me or has ❑ Produced (type of identifi do as identification. f otary Public ri Notary Piilitic state of flor;dal x° °r Lesley G ( >fza r yr_ My CommissjunGG 009511 Print/Ty erStatQ Name 1dl`G F�p4 Expiras0�10't/2020 of Notary Public ^��''