HomeMy WebLinkAbout1910 Park Ave (2)CITY OF SANFORD
i*r
�BUILDING & FIRE PREVENTION
<' PERMIT APPLICATION
Application No:
Documented Construction Value: $ t3a)
y ob Address: 1910 /7011r il( eve., �i K «(t EL 3a77/ Historic District: Yes ❑ No D
Parcel ID: 36-/g -Z c - s o,6 - n�, rw -ia�v Residential Commercial n
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: r < < Mj (g" S o" Title:_ n e µ era / ryf n a g ,o c tiv� t.r
Phone: 3Sd-(oat{-y/�(S Fax: Email:<« �� ,0D9 re, e co
Property Owner Information
Name )�__c7rt vta Phone: qo7 - c/ 16
Street: OZa Sc 0er k Alp- Resident of property? : S
City, State Zip: 6d 3d771
Contractor Information
Name i f ArLV Pro,(zSScJ—.srA 4roul?' L LL Phone: M-63'1`
Street: n -1i ��9� N r�2rnatic%Rh +'ax:
City, State Zip: r,-yt ►1 C_1l o 1C FC- y� State License No.: 13 3 /3S-L
Architect/Engineer Information
Name: Phone:
Street: 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. /N
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: Sth Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application b�
e
3
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 zpng,9 .
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
Signature of Contractor/Ant Date
Print Contractor/Agent's Name
a� � of . Jk .
Signature o Notary -State —
;,,.,PY DEBBIE BLANTON
MY COMt`,11SSI0N 4'rF 178G48
*= 2019
EXPIRES: FeLruary 25,
Bonded Thru Notary Public urdenvnters
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID l�
ems,Isl�
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,
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES:
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
w wwN WNMMNNKrj�
r I I rN Il_RTiIAk'41
ED •rq c
844-ROOF-PPG
Fax 681-235-7001 Yf"4, „.,. `°r Ism
Roofing Consulta� t:
Website; www.PPGROOFING.com Phone: 2yeiP!
OWN;= DATE EMAIL ADDRESS
C. v
STREET CELL PHONE WORK PHONE
tL e . - -
CITY STAT ZIP HOME PHONE
We hereby submit scope of work for: We,hereby submit scope of work for:
❑ Tear off all layers of decking LEAN ALL GUTTER DEBRIS
�, # of squares_ _-_ 3 UL OFF CONSTRUCTION DEBRIS
Recover roof with Lifetime l &c) Arch ROLL MAGNET THROUGH YARD
Shingle/colorLIEN WAIVERS PROVIDED UPON FINAL PAYMENT
Protect Property as Needed Daily ` S ❑ SIDING SP (Circle One)
Xk_Decking ❑ OSB o CDX ❑ Other 3 Sane -i _��(_'- # of squ e. s If of squares On
Underlayment YJ5 lb ❑ 30 lb ❑ Other � L. Type: Vmyl`� uminum Other
Metal Edge Color Size: D4 D4.5 D5 Other
Valley Closed ❑ Open Profile: Dutch Lapp Strai ap
Hip and Ridge )(Standard ❑ Enhanced Color: in Coil Color:
j� Nails ❑ Open Eaves House wrap or Insulatio oa
Pipe. Flashings ( , 2 4� ❑ 3/1 Lead ❑ GUTTER SPECS - L' ar Feet
' Ventilation o Box KRidge ❑ Other A?— Gutter Size: 6" Color
Seal around all vents, pipes, and flashings ` Downspou ze: 2 x 3" 3 x 4" Colo
A —Ice & Water Shield to local code ❑ Gutte creens or Helmet Style
Furnish all materials, labor and necessary permits ❑ . SPECS
Delivery Instructions: o Left o Right ❑ Other CZ tom• Expected Start Date is:
Limited Lifetime✓ within two weeks of insurance ap roval weather permitting.
' Workmanship Warranty • Work to be completed within 4 days of starting date.
I H• AD checks MUST be made to PPG.
Terms: This agreement is contingent upon insurance company price and approval. This Agreement does not obligate the Customer or Company in any
way unless it is approved by Customer's Insurance Company and accepted by Company. Customer's signature below also signifies acceptance of all
terms and conditions of this Agreement, including all terms on the reverse side hereof. In situations where supplements for additional work are
necessary outside the original scope of work (ex. additional layers or mismeasurements). Company will seek approval from insurance company.
Customers out of pocket expense not to exceed deductible plus upgrades for non -insurance related claim items. Payment Method: Payment Upon
Completion of each Trade. Payment for each Trade collected at the completion of each Trade.
X Cus me Intitial
Roofing Estimate $ A-br:>o `_ '61 ) 2(Njs_AA X1, k UCH
Siding Estimate $
Gutter Estimate $
Misc. Costs for: $
Additional Upgrades or Non -Insurance Related Items $
Overhead & Profit for the Complexity of Multiple Trades $
T tal Cost (tax inc ) $
Accepted by Owner By: t �— Date:
Representative Signature: Date: _
ACCORDING TO FLORIDA'h4A14DCES0Nfl1E8RV
W ONS 713.001-713.3T FLORIDA STATOTES� THOSE WHO MRII ONYOUR PROPERTY
OR PROVIDE MATERIALS N PAID N FULL HAVE A RIGHT TO ENFORCE TOM CL M FOR PAYIYIEN'T AGAINST
YOUR PROPERTY. THIS CN AS A CONSTRUCTION
MR. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FM S TO PAY SUBCON-
TRACTORS, EVER ff YO HUE OR W � UR COONNTTRAC TOR INOSE �FULL. IFYOU MIL TO P4IY YOUR CONTR M YOUR COPLE WHO ABE OWED 1VIOlU MY LOOK TO YOUR N
TRACTOR
AC OR
MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS EPA LIEN IS I M YOUR PROPERTY COULD BE SOLD AG IlYST YOUR WILL TO
PAY FOR LABOR XUTIERIAL % OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE E ILED TO PAY. TO PRO-
TECT YOURSELF U SHOULD STIPULRTE INTHIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE YOUR CONTRACTOR IS REQUMT0
PROVIDE YOU d{ia A WRITTEN RELEASE OF In FROM ANY PERSON OR COMM THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER."
FLORIDWS CONSTRUCTION LIM LAW IS COMPLEX, AND IT RECOMIY[E MED THAT YOU CONSULT AN ATTORNEY.
IIIIII Illil IIIII IIIII IIIVI IIIII f III II91
THIS INSTRUMENT PREPARED BY:
Name l
Address: (. t w
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
{�C;AhIT Clii(_OYr SEI1Ih10LE COIJI'!TY
CLERK OF CIRCUIT COURT & CONPTROLLER
BK 91+68 Fs 13(Wss)
CLERK'S v 201612736
RECORDED 02/02/2018 10:42:38 AN
RECORDING FEES $10.00
RECORDED ^Y hie Dore
Parcel ID Number: 36 — )` 3O +Sw - 0y 0 —'0o
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.
GENERAL DESCRIPTION OF IMPROVEMENT:
%lag_ !(ob"i/' Aa,/T a14.1 /L
TION:
Address:
Fee Simple Title Holder (if other than owner) ame:
Address:
CERTIFIED COPY GRANT MALOY
CLERK OF THE CIRCUIT COURT s
a;it?zv�tP -nm I FR 11 1�.( .
TY, F A `\'��-a
BY
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.
Name:
In addition to himself, Owner Designates
of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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 f regoing and that the facts stated in it are true
to the est of my kn� edge and belief. w� (�f _Uj
Ownefs Signature Owners Printed Name
Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead:
State of c G County of �;C?91t
The foregoing Instrument
was acknowledged before me this day of }—e'rJ('0 20
by 00 0 0. t_ , 61 P fN Who is personally known to me ❑
Name of person making statement _
OR who has produced identification 8- type of identification produced: -0r ! V tub L �'
Jerome A. Schorr
NOTARY PUBLIC
STAtE OF FLORIDA
Comtn# FF911625 Notary Si ature
t Expires 0/11/2g11)
CITY OF
Building & Fire Prevention Division
So . __._ .... _.
,}t -- ItESIDEIVTIAL-RE-AOOFPOIICY & PROCEDURES-'--
FIRE DEPART\4E\T
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
THIS DOCUMENT (S.IGNED) 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-EN(jINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
DATE:/
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE' ��
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: I (�O S• n� r �� i4y4 . ,
STRUCTURE TYPE: �INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: QI&IIPPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): I C by
*'`PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED �
ROOF VENTILATION: FF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES
MAIN ROOF AREA
01 QO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12
/4-.12( OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
GLE
�` V
FL#
O METAL
FL#
O MODIFIED BrrUMEN
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 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#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
ORD
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ADDRESS: 010 10 / a K /`y✓t-
';�'�--'d. FL 3a77�
I //rAyx 4(. v - /L't ( ( O 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 #:
COMPANY / CONTRACTOR: o /22.i I' S/ �� O S i Ch4 (S 6r11 L (A . LC C
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LIC-5
OR OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 6a
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 Q P►-t lv* o 11,
Sworn to and Subscribed before me this %
C,Yl
n)
SigndtAre of Notary Public
State of Florida 9I
Print/Tyl*/Stamp Name
of Notary Public
day of V&V-aM 20 J_y by:
Who is ersonally Known to me or has ❑ Produced (type of
as identification.
apav"rjB:, ANGEL°A'M'DELACRUZ
," Notary Public - State of Florida
;�• o; Commission # GG 197344
My Cornm. Expires Mar 18, 2022
Bonded through National Notary Assn.