HomeMy WebLinkAbout207 Belgian Way (3)r JAN 9 6
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: �` y
Documented Construction Value: $ i
Job Address: Z d 7 nI W M Historic District: Yes ❑ No M
Parcel ID: 1$• ZO •''S1•"40' 1 d00 Residential Commercial ❑
Type of Work: New D9 Addition ❑" 'Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: M(CLML WbAc Lt)11- Title:
Phone: �� Fax.' ,` Email• 9 eVI
.Property Owner Information
Name 1>04-Wy C Nya\ A'at e"*%
Street: 3��1 I`i U- - •oR&Ix
City, State Zip: S�al�rOr"L� t'` • `
Phone:
Resident of property?
Contractor Information
gZDL�
Name Phone: LAQ+
Street: Fax:
City, State Zip: r\• �� • ?j2.$a3 State License No.: GGGVt-*7-:0t4
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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: 5t° 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 AFFIIDAVIT: 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.
gn a of Owner/Agent Date gnature of,,Contractor/Agent Date
Agent's e
/Agent's
1
of Notary -State
Y-r TTT T 4 T
°o Notary Public State orid °rr� Notary Public State o
Stephanie M Baiey Stephanie M Batey
My Commission FF 096576 My Commissio FF 096576
WoFiExpires 02/27/2018 for po'� Expires 02/27
Owner g n is e s n own o Me or '
Produced ID ,_ Type of ID C)--1�t1'a Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
��
Hate
Known to Me or
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
61lV
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
Trinity Roofing and Construction
PO Box 2254 • Winter Park, FL 32789
1, F RINITY Orlando:407.930.9266 • Jacksonville:904.404.8686 • Fax:877.561.0883
ROOFING hn consTRucTIors www TrinityRandC.com
Customer: 1)0/,) %l alt9 c l,u Vents & Accessories
Street: R07 $CL 14A) &_44 Boot Jackets 1.5" 2" 3" 4"
City: 3AA) 'O/z J) ST: FiC, Zip: 3177.3 Goose Necks 4" 6" 8" 10"
Home:
Work:
Cell: 11-107 OY— G.7k1 Fax:
Email:
Source:
Acct Mgr: _
Acct Mgr Ph:
Specifications of Existing Roof
Type: Tile Shingle 3Tab Arch
Pitch: /12 1 story k2Story
A16GE C,OL09, C,foX&EttNJAJ Gr"y
Da-14 C'D6= ' w IJ r- c,
Ridge Vent LF Off --Ridge 4" # of Sections:
Skylights: Yes No Quantity:
Size:
Turbine Vents:
Solar Panels # (Pool of Water Heater - circle one):
Satellite Dish: Yes No
Other: To 8e TAIcs:&o Zbavn-, Ap�p lySOoS�/,
Interior Damage: Yes - # of rooms:
Explain:
ASSIGNMENT OF BENEFITS
FOR VALUABLE CONSIDERATION, I HERBY ASSIGN AND TRANSFER ANY AND ALL RIGHTS, BENEFITS AND CAUL
OF ACTION TO Trinnity Roofing and Construction (herinafter "Assignee"). In the event my insurance company is obligated to
make payment to me or my assignee for damages covered under the applicable policy of insurance and the company fails or refs
to make timely, comp payment, I authorize Assignee to prosecute said cause of action either in . name or Assignee's name
further I authorize Assign to Compromise, settle or otherwise resolve said cuase of action ay�ey see fit.
I herby authorize and direct you, my h'oqieov
Construction, ("Assignee") and any applica
under the subject contract of insurance, with
applicable line of insurance.
DIRECTION OF PAYMENT
iers insurance company, to issue pay ent SOLEY and directly to Trinity Roofing
mortgage company(s), such sum s may be due and owing for all damages payat
hlksxception of damages pay lesunder the Contents and Additional Living Expe ;
AD
This agreement does not obligate the Customer to Trinity
proves the claim or court of competent jurisdiction orde
suffered by customer. Unless additional work or upg es
be completed WITH NO COST TO THE CUST ER F
and Construction in any way unless the insurance provider a ,
nce carrier to provide coverage and payment for damage(s;
,.ANTrinity Roofing and Construction agrees the project wi.
TR TA TTV AATCP T1RT)TT(TTRT F
YOU, THE BUYER, MAY CANCEL THIS RCHASE AT ANY TIME PRIOR MIDNIGHT OF THE THIRD BUSINESS
DAY AFTER THE DATE OF THIS A EMENT. TRINITY ROOFING AND CO TRUCTION CLAIMS ALL WARRANTI
EXPRESSED OR IMPLIED WA TY OF MERCHANTABILITY OR FITNESS FO PARTICULAR PURPOSE EXCEPT
SPECIFICALLY EXPRESSED O HE REVERSE SIDE OF THIS AGREEMENT.
OWNER HAS READ AND GREES TO ALL TERMS AND CONDITIONS ON THE FRONT A BACK OF THIS AGREE-
MENT. OWNER AGREES TO ALLOW ONLY TRINITY ROOFING AND CONSTRUCTION TO D THE WORK. A PENAI
OF $1500 OF THE INSURANCE PROCEEDS, FOR LIQUIDATED DAMAGES, WILL BE APPLIED FOR BREECH, OF THIS
AGREEMENT.
TOTAL CHARGES FOR WORK PER THIS AGREEMENT WILL BE:
ACCEPTED BY HOMEOWNER: DATE: BY -
CO -OWNER: DATE: BY:
TRC REPRESENTATIVE: DATE: BY. X
Insurance Company Phone Policy# Claim# Adjuster Name
1/15/2018
rotpuae. crat
�oaarrir
Parcel Information
SCPA Parcel View: 18-20-31-505-0000-1000
Property Record Card
Parcel: 18-20-31-505-0000-1000
Property Address: 207 BELGIAN WAY SANFORD, FL 32773
Parcel
l 18-20-31-505-0000-1000
A
III OW
CUM,DONALD
MARCUM,CAROL
r— Property Address
�-
207 BELGIAN WAY SANFORD, FL 327733 —
Mailing
339 STILL FOREST TERR SANFORD, FL 32771^�v
I Subdivision Name
BAXERS.Z2jDaSING PHASE 1 —�—I
Tax Dist ct
S1-SANFORD
DOR Use Co "01:SI
FAMILY
Exemptions
'y
i
�(1 Ski ,rn Se`min ole County GIBS 1
Legal Description
LOT 100
BAKERS CROSSING PH 1
PB 60 PGS 27 - 29
--------------
i Taxes
i
Taxing Authority — Assessment Value , Exempt Values Taxable Value
County General Fund $197,604 ; $0 $197,604
Schools $203,247 $0 1 $203,247
f —_
CitySanford
$197,604 $0 j $197,604
SJWM(Saint Johns Water Management) $197,604 $0 $197,604
ICounty Bonds._.—�_____. $197,604 $O-._t.-.._$197,604,
Sales
Sales
Sr— — e ' __-- --- �- u-�- Amount Qualified Vac/Im Description Date Book Page p
PECIAL WARRANTY DEED 3/1/2009 07268 1376 $130,000 No j Improved
CERTIFICATE OF TITLE 1 5/1/2008 06992 1014 $100 ; No i Improved
QUIT CLAIM DEED 11/1/2003 i 05169 ' 0983 $92,700 j No Improved
.. 1
WARRANTY DEED 5/1/2002 04438 1636 $150,600 Yes Improved
WARRANTY DEED --__ _- -v 2/1/2002 _ 04327 0084 —— $375,000 i No� Vacant
Fired comparable salasJ
Land
i
� Method
Method
Frontage
Depth —'i ^
Units —
-- �--- -�
Units Price Land Value
LOT
----- -----
--; --- 1
-- $34,000.00
Building Information
Is Bed/Bath count incorrect? Click Here.
_--___,-------
I-1 T-TTi__"f
hftp://parceidetaii.scpafl.org/ParceiDetailinfo.aspx?PID=18203150500001000 1/2
PERMIT # I I-(
j
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 10 �+ &,] a 1
STRUCTURE TYPE: SINGLE 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):
""PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OFF -RIDGE 0 RIDGE 0SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES VO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 2:12 - 4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL.
SHINGLE
FL# f
O METAL
FL#
O MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
OINSULATED
FL#
OTILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES PATIOS ETC) ""IFAPPLICABLE""
ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
0MODIFIED BITUMEN
FT #
0 TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
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:
o PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
o COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
e COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
o 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
C 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 OWNSR/BUILDER) SIGNATURE: DATE:
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
- In lig,
Date: f
I hereby nat
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
necessary to this appointment for (check only one option):
C7 The specific permit and a plication for work located at:
(� i (.ALL
(stet Address)
Expiration Date for This Limited Power of Attorney: f
License Holder Name:�/1/1
State License Number:
Signature of License Holder: /
STATE OF FLORIDA
COUNTY OF
The foregoing mist . ment as acknowl d ed before me this day o,Lt
20 `7, by sn, v4o is o perso ally k
to me or o who as e ro$�tc1
p �.
identification and who did (did-.n4) tak4 an oath:'
(Notary Seal)
rrmt or tyke name
cow pu Notary Public Stele of Florida
Stephanie M Satey Notary Public - S of j
y c s My Commission FF 096576 -{
r'0 Expires 02/27/2018 Commission NO. )
My Commission xptres:
(Rev. b8.12)
City of Sanford.
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALLXINAL ROOF COVERINGS
PERMIT #: ADDRESS:
I (10171,7 ! r AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, NGINEER, 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 REQ' JT tFjIwIEI)hTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: L I U
nc�
COMPANY / CONTRAC R: `� CONTRACTOR SIGNATURE:. 1� � DATE:
(MUST BE SIGNED BY LICENS HOLDER OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
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.
e of