HomeMy WebLinkAbout2406 S Lake Ave�* CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No t�
Documented Construction Value: $ ld L17q,
Po Job Address: Q L) oLS L;Ke fy Historic District: Yes ❑ No
v Parcel ID: Residential commercial Q
Type of Work: New ❑ Addition ❑ Alteration r5d Repair ❑ Demo ❑ Change of Use ❑ Move El
Description of Work: e'__R `J
Plan Review Contact Person: Title:
Phone: Fax: Email -
Property Owner Information
Name Phone: �
',� �I-3aLt Sa�S
Street., L (2( ^ ' ke— Resident of property?
City, State Zip: _5:uf �l FL _30-171
Contractor Information
Name Phone: Lt v7 330'7��
,,JJ
Street: 011". Monroe- �i')ii Faz: %
City, State Zip: 5 1:) , RL 7Z/ State License No.:
Arch itectlEngneer 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 IMPROVEMENTSTO 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 fhat.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.
�y
�) FBC lOS 3 Shall be inscribed with the date of application and the code in effect as of that date: 5'" 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 maybe 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 ofthe-requirements of Florida Lien Law, FS 713
The City of Sanford requires payment of a plan review feeatthe 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
ebra A-
Pnnt Owner/Agent's Name
pVr`t • Notary Public State of Florida
? Jennifer Quakenbush
P� My Commission GG 156878
0.OF Expires 10/31/2021
Owner/Agent is.persnnally Krim n r.. Tie or
Produced ID Type of ID
Signature of,Contractor/Agent Date
Veeka
PrintrContractor/Agent's Name
N,
L4—PNotary Public State of,Flonda
Jennifer Quakenbush
My Commission GG i 56878 Ex ires 10/31/2021
Contractor/Agent is Personally Known to e>or
Produced IDType of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required Building Electricaln Mechanical Plunibng� Gas'❑ Roof [J
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 0. No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Fire Alarm Permit:' Yes Q No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
T€41SINSTRUNEt3'i'PR AREfi,BY- I.en �))
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Adds ��90 m —
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The undensIped hereby ShM n 872t tstnQsnJW1Mt VM be srrade to cart real pmpt�ty, efid in 2rrnndertca taus t e r
lellowittg itnOtrttBUon S provided its tits t'�i4cse �t;ammencesstetsL
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2. GOMR4L mgc��NA"R
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Name end addrass: 1 t
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Addrass:
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Amountof Bond:
Phone Number.
a, LENDEM
Addsass
> sst3xsxsr� •sasae',i?�#°. _•.°sz.
7, .43j4)(a 7 F3rsid>s Statutes. phone Number
S, rn ad�iion. Oum�* d25igr+ases `
bj, FiOrsStatutes_ Phone number.
to r vdwe a copy of the Uenoes Nogoa ss pmuided in SeLton 713.13(11(of of .
9, Erar Wn, mate Of Notice of eommerx —Wn (The e*Mt OR IS 1 year from siatti tecordmg ant s a d'6i grant d�teis specified}
PAYMENTS MADE By ThE OWNER AFfEE+ THE EXPIRATION OF THE NOTICE OF GOIutIVtEN�ENT' AM
rARlJlN6 To 4Y:N ANY CyppTER 71� PART L SEMMW 713,13, FLORIDA STATUTES- AND CAN RESULT IN YOUR
CbNSli3Et I0hA 0 E; .PAYfJJE ITS UNDEt2
PAYING TYtsti5 FOR IMPROVSWWS TO YOUR PROPBZTY. A NOTICE OF LOhAi+dESIC>"FllEf�ii A8t1ST 8E RECbR D AND POSTED ON
THE
B BORE COMMENCING E FIRST
O�P90-fl ON.RECORDING YYOU OtfR i�i01N4CE OF OSTAJN COIMf ii C f }' CONSULT fNlfti YCIt1Fi LENIIFE2 OR AN A1TORlVEY
1
Qsrseeies orr11
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by
MAN S. QUARtttsttstss"
Mt` COMMWAION # FF907i38
EXPlMtOtb•2019
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018011748 BK 9067 Pg 0579; (1pg) E-RECORDED 02/01/2018 09:44:18 AM
10.00
CITY OF
. SANFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
07 cl
PERMIT NO. ~ ISSUE DATE:®�
CONTRACTOR: Pro aaara4a
JOB ADDRESS:
TYPE OF WORK:
PROTECT FROM WEATHER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
SXNPORD
Y OF
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCED URES
F,M Ia #�ASI'I yx *g I
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 ROOFINSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLEFAMILY, 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
e. COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
•' COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
•' ALL FLORIDA PRODUCTAPPROVAL 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 'THE SE' 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,OWNER/BUILDER) SIGNATURE. �, d ( L r { ,
. - -> DATE:
CITY OF
SkNFORD
PERMIT`#
F l f; E; DEPARTMENT Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
Jos ADDRESS: r�j 40,.6( S a k�e AVIC
STRUCTURE TYPE: �INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILEROME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
* *PLEASE NOTE: ONLY 100 SOU.
ROOF VENTILATION: O OFF -RIDGE'
OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
RIDGE hOSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: (j YES `W NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
n i ()V kd►,
FL# G ,_R 1
OMETAL
FL# _
O MODIFIED 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 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
0MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
S_________0RD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I " ADDRESS: Do (f) Cr % �iC I \'�'ye
%rf oral F-L ? e4771
I 10+ta A Dec / '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 #: l rT G3f?r)'3'
COMPANY / CONTRACTOR: ( 1 A424 1 O, 2
CONTRACTOR SIGNATURE: af� DATE: O /o
(MUST BE SIGNED BY LICENSE HOLDER OR 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.
STATE OF FLORIDA COUNTY OF rn t n o If
Sworn to and Subscribed before me this !T day of / vai 20 by:
De ic(A ear) . Who is v<ersonally Known to me or has ❑ Produced (type of
identification) as identification.
�i�gnatu�ryff'
Notary Public
State of Florida , ,
YliAv 0 Notary Public State of Florida
`I Jennifer Quakenbush
M Pa My Commission GG 156878
'?a �d� Expires 10/31/2021
Print/Type/Stamp Name
of Notary Public