HomeMy WebLinkAbout1903 S Park Ave (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
4r PERMIT APPLICATION
FAR SD��
Application No:
q v
Documented Construction Value: S 9 1p o5�j, a
� D
Job Address: / 9a3 9,23r1; A l,,e Historic District: Yes ❑ No 0'
Parcel ID: R& - / 9 -- & - 5v e - 006 o
ResidentialCommercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: R move- c1c) + h7 oic1Ce Zi znK0 A,-e7'/J46g'
3d /41►2 e.S
Plan Review Contact Person: _/R>RE,e r 1s - &3,P-sou-2 Title: OW n &-/-
Phone: 47-314/- / 750 Fax:
�- --- Email:
Property Owner Information
Name W,' 1/i' Gm 0 49,0,O ' Phone: did l -#16 - /079
Street: c2-i/,2 Resident of property?
City, State Zip: Sq;q /--)ot'Ji iG� 3:) 77/
Contractor Information
Name /V . /. AP-,F -,-e Phone:.46 7 -3a 3 - 76S
Street: oQ S' M e-►'.,CA f Fax:
City, State Zip: :9,44A DQD� State License No.: CM 0174'3/
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
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: 5th 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 Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Uy� a
Signature of Contractor/Agent Date
rint Contractor/Agent's Name
o of
DEP9 -P! A;, .;.I
EXPIRES: FeL'tuary 25; :''M I't
&ogded Thru Not,,;-,, Un,tei,m1c.: ti
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
State of Florida
County of Volusia
Permit Number
._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.._.. (..lIff,i 7i'�i" ili'iL{J,.. 72E.Tn r'IVL.E �_•i�1.)111 _
NOTICE OF COMMENCEME K 3F C:1i LJ11* ��OLJRT t. C:OhIF'1'ROLLER
CLERK'S 4W 2018003475
REC:ORDEI) 01/10/201{ 81 10-'49:51. i01
h:IH:ORDI F'E:E:° i11-1,1-11-,
Tax Parcel N41"b> 11 1':•'r- I i- ,J�/ moo
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)
4.074al tLesS �s &3 11�41'
3&- /9- o 61z)0ow00a0 f4035 A.4 #4ve.
2. General Description of Improvement:
3. Owner Information: ���
a. Name and Address: Y�( 1141lm U/MPy25 I Qd3 S, 1Q04Vc° .9,9/VFDjeD� �
b. Interest in Property: FEe- Slmoo/e
c. Name and address of fee simple title holder (if other than owner):
/4
RoBIV47�►. Br�iRBou+Z a?�$ /� e;sch i;d. Sp+vFo,ea,
4. Contractor: Name and Ad ress:
a. Phone No.401-303-%583 Fax No.
5. Surety: Name and Address: Ad Iq
a. Phone No. Fax No.
b. Amount of Bond: $ .00
6. Lender: Name and Address: ✓4
a. Phone No. Fax No.
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13 (1)(a)7., Florida Statutes:
a. Name and Address: N D N P_
b. Phone No. Fax No.
8. In addition to himself, Owner designates Aj 9 Al A of
To receive a copy of the Lien Notice as provided in Section 713.13(1) (b), Florida Statutes.
a. Phone No. Fax No.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
Different date is specified). 3 3D -/8
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.
Signature of Owner Print Name of Owner
STATE OF FLORIDA, COUNTY OF
Affirmed and subscribed before me this day of 201 S by WAW C <_gQQS who is
Personally known to me or who has produced 'i ( (type of ID) identification.
Signature of Notary Public State of Florida DpA & D HEADLEY
Print, Type or Stamp Name of 1>@W
SEPI ti
rn�
FIEO COPY (A'ANT `oA.x.
F'. w 4L ' CQURT
' E CJ{' i•l Rip; ''':J�'> ;�.
H
Notary Public, State of Florida
CommlWonl FF W6784
My oomm(F*M*. 2, 2020
ROBERT N. BARBOUR
- - 7•S--4% MEISCH ROAD -
State Certified: SANFORD, FLORIDA 32771
GENERAL CONTRACTOR #CGC010734 407-323-7583
Commercial Residential Industrial
State Certified:
ROOFER
#CCC017531
Additions
PROP SS b SUB ITT TO � � '
PHONE _
DATE
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STREET
M�wVlIle +122
e
JOB NAME
I%93S. 00.4P-� Avg
CITY. STA P CODE fv —D � ^ !
1 ;{✓l �/
JO CATION��
ARCHITECT
DATE OF PLANS
JOB PHONE
We hereby submit specifications and estimates for.
o /' Un It a
Pe 11rapose hereby to furnish material and labor7—complete in accordance with above specifications, for the sum of:
dollars ($
as
9 ).
P—Ant fn h. marl. ae f-11— -
CO/.1j
All material is guaranteed to be as specified. All work to be completed in a workmanlike man-
ner according to standard practices. Any alteration or deviation from above specifications
Involving extra costs will be executed only upon written orders, and will become an extra Authorized
charge over and above the estimate. All agreements contingent upon strikes, accidents or Signature i, 1-'.Q ( k�ws� 4/
delays beyond our control. Owner to carrytire, tornado and other necessary insurance. Our ylo� -
workers are fully covered by Workmen's Compensation Insurance. NOTE: This proposal may be
withdrawn by us if not accepted within days.
(�rreptzt [re of 11rapas l—Theaboveprices,specifications
and conditions are satisfactoryand are hereby accepted. You are authorized to
do the work as specified. Payment will be made as outlined above.
late of Acceptance: / 2 — 2-! — a O / 7
Signature
Signature
CY OF
D Building & Fire Prevention Division
SA--''-N-FO-R-D..----- - ----- RESIDENT-IAL- RE -ROOF POL-ICY-& PROCEDURES
FIRE DFPARTAa1%:T
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 OWNERBUILDER) SIGNATURE: GZz DATE: ~ 1
CITY OF
PERMIT #
Building & Fire Prevention Division
FIRE O E PA F; T NI E N T RESIDENTIAL RE -ROOF SCOPE OF WORK
II 6 _-� >
JOB ADDRESS:
STRUCTURE TYPE: (A) SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 4) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EX/ISSTING ROOF)
DECK TYPE (PLEASE SPECIFY): _ /' p -
"PLEASE NOTE: ONLY IOO SQUARE FEET F THE EXISTING DECK IS PE ITTED TO BE REPLACED"
ROOF VENTILATION: dlwA OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES tA NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 04:12 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# CI
O METAL
FL#
0MODIFIED 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 k 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
INSULATED
FL#
0 TILE
FL#
0 OTHER:
FL#