HomeMy WebLinkAbout160 Pine Isle Dr (2)i
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FEB 14 NO
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 1 l
Job Address: I U O :PMf—
SDyr_ 1'7r
`(l{'6'�
Historic District: Yes ❑ No
Parcel ID:
Residential Commercial ❑
Type of Work: New 9Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: li::�e s1 (Ac` t (o a
Plan Review Contact Person: _,F7y GY \CAS U—) -DG(c�1 xau Title:
Phone: `7V %' 73a ' �9 (V Fax: 6 v I 97
0 v'7I93 Email: Cents/ 140mes off i c,-� ,, m
I Property Owner Information
Name kur U n Phone: - /V / 3 I G� v (e
Street: U el 1 f, Dy • Resident of property?
City, State Zip: 3a n Wd , r r( + 211
/Contractor Information
Name a MSCo _ WUV Cfn1YgJ -0 hone: 4�10 73d - 7] & Street:II9d- N ROWICA (ZfM0n (31\16 Fax: /V/' Y7g��—Y12�3
n
City, State Zip: Q� l �50 State License No.: cc_ / 3 30ZoOOIj
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 do a in compliance with all applicable laws regulating construction and zoning.
Sig azure ok Owner/Agent Date Sig atu Contractor/Agent Date
'fYOIY)C&SC-o -DGA IKka
Print caner/Agent's Name
gnatu e Nota fate of Florida _ _ _ Date
NNW Pt*, Notary Public State of Florida
Tiffany Burleson
My Commission GG 173997
�icrti Expires 01109/2022
Owner/Agent i�Personally Known to Me or
Produced ID Type of ID
FA -a RCA S C-0 'T)ck l rncc, J
Print Contractor/Agent's Name
ZA ofolotary-State of Florida Date
�Vy' •t� NotaryZto
Florida
Tiffan
o� My Co997
�'iOF �� Expire
IN
Contractor/Agent is Personal yr
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
PermitsRequired: 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:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
® it
THIS INSTRUMENT PREPARED BY:
Name: Triana Torres
AddesS 11821 N. RonaldReagan 8IvCI
Longwood, FL 32750
TIC COMMENCEMENT
Permit Number.'
Parcel ID Number 3d ' S " 000U " o7(00
jU The undersigned hereby gives notice that improvement will be made to certain real property,
following Informakn is provided in this Notice of Commencement_
:D!~';'t �'.j lji ;- l]iJ f'�•i '��
i:01_1f?i -. C0j11F`i'RfjLLE F-.
1 P.
CLERK'S r 20180/7596
R'-T 0 i,,CE CiA 2 s ") i i 1,31 a'; /. rt i"Ili < 29 F j'j
FEES
F.
and in accordance with Chapter 713, Florida Statutes, the
1. D scgiPr � of PRppE Y t i 1%t w�0a - propertyP B �✓;q iss rf available)
17, r V g 5
2. GENERAL DESCRIPTION [MP VEMENT:
Kz S •l 'nA CA \ (Z-t-'f - 00-�-
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: 44v L von -
Interest in property: lo
Fee Simple ,Tiitlle Nrotder ('rf other than owner listed above) Name:
Address: t " /�
4. CONTRACTOR Name: Central Homes, LLC Phone Number.: A
�1e7 732 7�6�
Adder: 1182 N. Ronald Reagan Blvd., Longwood, FL 32750
S. SURETY (If applicaolt a copy of the payment bond is attached):
S. LENDER:
Address: _
Amount of Bond: IV //`V-'
Phone Number r4 t A
7. Persons within the State of Florida Des4pu ted by Owner upon whom notice or other documerKs maybe served as provided by Sec ion
713.13(1Xa)7., Florkll
Name: " t Tom_ Phone Number. /�
8. In addition, Owner designates
to receive a copy of the Lienor's Notice as provided in Section 713.13(1 Xb� Florida Statutes. Phone number. /"r
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.
fiu 0'l'.'�- L U0 "i r-
(i or Lnsee, or t esue's (Prnt Neap and Provide &V eWs Tom)
/ AL4=zodOrbw)DrOelu/P
�dc�S of Lntyof Seim nOtt,
n
The fore oin(g Instrument was ,adw4wledged before me this "i day of ��Y �/i)1•t! V �_
by T 1 VI ►\7 L W t "v Who Is personally Imown to me�R
who has produced identification ❑ type of identification produced:
aV'v Notary Public State of Florida
?� .. Tiffany Burleson
u` My Commission GG 173997
''iprtio� Expires0110912022
Central Homes Roofing
1182 N. Ronald Reagan Rd
Longwood, FL 32750
(407) 732-7262
HUNG LUONG
160 pine'Vole drive
Sanford, FL 32773
Item
Sales Representative
Malcolm Butler
(407) 637-6530
centralhomesmalcolm@gmail.com
Estimate #: 11687
Date 1 /30/2018
Description
Scope of work
Removal
Tear off and haul away the existing shingle roof system (one layer). An additional
$35/sq. for removal of each unforeseen additional roof layer will be added.
Roof Sheathing Inspection
Inspect the roof sheathing fastening system and supplement (re -nail).
Underlayment
Supply and install one layer of Rhino Synthetic felt underlayment.
Ventilation
Supply and install new Shingle Over Ridge Vents and/or 4' Off Ridge Vents for
proper ventilation.
Drip edge Supply and install new 2 %" eave drip
Pipe Jacks Supply and install Bullet Rubber boot flashing for plumbing stacks
Valleys Supply and install a self -adhered peel & stick modified undedayment in all valleys
Certainteed Landmark per square Certainteed Landmark Architectural Shingles per square
Permits/inspections We will obtain and pay for a permit and obtain all required inspections
Dumpster/Haul away debris Upon completion, all roofing debris will be picked up and taken away.
Warranty t� y 7 year workmanship warranty on labor
Shingle Color Drip Edge Color. &j Vents Color.
Payment Terris: I, THE HOMEOWNER AGREE TO PAY THE balance due upon completion of scope of work. DUE TO OUR "NO MONEY UP
FRONT" POLICY, WE ASK FOR PAYMENT IMMEDIATELY AFTER THE SCOPE OF WORK IS COMPLETE. PLEASE WITHHOLD 10% OF THE
SCOPE AMOUNT IF YOU ARE WAITING FOR FINAL INSPECTION, CLEANING OF ANY PART OF YOUR PROPERTY, OR WAITING FOR
SMALL REPAIRS TO GUTTERS, SCREENS, ETC. Central Homes mustpay our suppliers and workers immediately to avoid Bens on.your
property. If you're waking on -insurance proceeds we ask that you pay deductible and first check upon completion of work. We will wait for
you to receive final insurance proceeds.
Homeowner Name
Sub Total $11,655.00
Homeowner Signature - ate
Total $11655.00
Central Homes Rep. .r �—
CITY OFs
Sjk�4FORD
FIRE, f xLf0E,4T
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: { U d Pine -D r - SGx-*0yd . '-\ 3 a 1'13
STRUCTURE TYPE: laSINGLE, FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): 2 l" ` LJ 0 0 (-'*-
**PLEASE NOTE: ONL Y�1000/SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED* *
ROOF VENTILATION: lT9NO
/�l1FF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 1>4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
X�SfIrNGLE
(i
FL# ✓ q fI I
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TTLE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
CITY O
SANFORD
FIREDEPARTMENT
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 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.
'J�Eq( I'K
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE. DATE:
CITY Of
Siki4FORD Building & Fire Prevention Division
v" RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTNIENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, ANDIALL FINAL ROOF COVERINGS
PERMIT #: t V ��, V ADDRESS: I �!(O �'e (� ✓ r
I 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(0-
COMPANY / CONTRACTOR: ) TQ xcvs W
CONTRACTOR SIGNATURE"
(MUST BE SIGNED BY LICENSE ALDER OR OWNER/BUICDER)
A FINAL ROOF INSPECTION I:S REOLAREDt
DATE: '/ 1 " 113
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 V e
Sworn to and Subscribed before me this day of 20 I-e by:
-Dalr 1 . Who is r Rersonally Known to me or has ❑ Produced (type of sr,
iontification)
e of Notary Public
t e of Florida �^�
-e .f)
Print/Type/Sta4 Name
of Notary Public
as identification.