HomeMy WebLinkAbout2608 Vineyard CirCITY OF SANFORD
l;
BUILDING & FIRE PREVENTION
JAN 0 8 2018 PERMIT APPLICATION
I'ZY:
Job Address:1!
Parcel ID:
Type of Work: New ❑ Addition
Description of Work:
Plan Review Contact Person:
Phone:
Name k-P S //L
Street: 07%0 3 1/
City, State Zip: ,
Name 0-K /rt" 1"S W
Street: 07,
7�ra
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
WARNING TO OWNER: YOUR F
PAYING TWICE FOR IMPROVI
RECORDED AND POSTED ON T
FINANCING, CONSULT WITH I
COMMENCEMENT.
- — Application No: _ 3
Documented Construction Value: $
/' { Y(0'3/ � istoric District: Yes ❑ No L
�7 residential Commercial ❑
Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Title:
Email:
Property Owner Information ' `
7 ' !„!J -7
Phone: Y �`/� C
�) r- Resident of property? : I —
Contractor Information
G Phone:
Fax:
a State License No.: ��133/03 3
ArchitectlEngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
INTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
fR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
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 perrnit 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 f application and the code in effect as of that date: 5" Edition (2014) Florida Building Code
Permit Application
Revised: June 30.2015
A � ,
NOTICE: Inr 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, an 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 wil I notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a pl in review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a }Ilan 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 [CC 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 wilt,be applied to your permit fees whc n the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing informationisaccurate and that ail work will
be done in compliance with all app 'cable laws regulating construction and.zoning.
EA
Sig ure of Owner/tit Date Signature of ContractorJAgent Date
oshe
Print Owner/Agent's Name Print Contractor/Agent's Nam `
G�10- ice./i 7
Signattuc of Notary -Sett d&leri�re ate ature ofNot 3i
dot Yam$ NOTARY PUBLIC ,.�;rY'.'•y JUDTHA MCGIWN
n :i� MY CAMMISSION # FF tg3914
a —STATE OF FLORIDA, 2 EXPIRES: January 9, 2019
y i Comm# GG039528 ^� Bonded Thru Notary PUNc undemriters
CE I Expires 11/17/2020
Owner/Agent is Personally Know to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced tD Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required:.. Building ❑ lectrical ❑ 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:
I
Revised: June 30, 2015
Permit Application'
T
COUNTY
HIS'INSTRUMENT PREPARED BY:
-.1 EFZK `0E-
larn,e., Scott Alien
12K *
-25'
Adress:
WO 173
t I
CLERK'S 0.20i'011 9
"
"4 121"11 11) 41 - ,` AN
`.',-.':.Y -. 0 R D I N 13 H-
40TICE OF COMM�NCEMENT
RECO[�1)11-.-D !Bil
lermit Number:
oarcel ID Number: 32-19-31-
)000-0230
'he undersigned hereby gives notice that improVE
ment will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
:)Ilowing information is provided in this Notice of Commencement.
DESCRIP�ON OF�,ROPEgTY
a
property and street address if available)
Lot usca ace 0�th�gk ,jsg!
7
F! 32
7 7
L GENERAL DESCRIPTION OF IMPROVEMENT:
Re
-roof
3. OWNER INFORMATION OR LESSEE INFORMATION
IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Leslie Brogdon
Interest in Owner
property:
Fee Simple Title Holder (if other than owner I
isted above) Name:
Address:
Name: SRA Roofing, LLC
Phone Number: 407-212-8799
4. CONTRACTOR:
Address: 105 Tr alee Ct, Lake Ma
32746
5. SURETY (if applicable, a copy of the payment
bond is attached): Name:
Amount of Bond:
Address:
6. LENDER: Name:
Phone Number:
Address:
7. Persons within the State of Florida Designated
y Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name:
Phone Number:
Address:
8. In addition, Owner designates
Of
to receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes. Phone number:
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 M
DE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
CONSIDERED IMPROPER PAYMENTS UNDER
PAYING TWICE FOR IMPROVEMENTS TOY
UIR 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 RECORDI
qG YOUR NOTICE OF COMMENCEMENT.
(Signature of Owner L see, or Owners or lessee's
(Print Name and Provide Signatory's Fitle/Office)
Authorized Otficer trector/Partner/Manager)
�'-D Count)
of
State of /J-t::Z0.#e
The foregoing instrument was acknowledge
before me this 1,:5;' 7' day of 20
by 09,0a X>0 i
Who is personally known to me i�OR
3nient
Name of person making sta
who has produced identification El type of I(
entlification produced:
Dottie L. Moore
NOTARY PUBLIC
STATE OF FLORIDA
!E
i
Notary signature,
Comrn# GG039528
f- C
Expires 11/17/2020
'S �}y {F fs q�� i
4R �Yl � ev ®f: ii 4 ii q E
105 iR Aber- C,ol Rl hkh rl m%.'
Cate of Estima'e: ,
Customer Name:
Job Address —
City, State, Zip:
Customer Email: � , : �� ' %,•_` L ;-, : �, • �
i ICE N SFr) AN't) ilSi R`D C"( ! iIC)ii
of
.,
S', ?es Fep N'ui
JaieS r-''.Cr •
Cusf Fax
Proposal for the Following:
r^`. Remove existing Shingle Roof / Flat Rcc`
mil\ Haul off al! roofing debris
Remove and replace the follow n^ ite-:s.
A- New 30 oly felt or Svnihetic �nde ayr:c-r New plumbing boots
C' New kitchen vents
D. Peei n Stick in valley
E. New 26 gauge Eaves drip
F.i New ridge vents ! off ridge vents
eG, Re -nailing decking --
=� Replace any unforeseen rotter wood plywocd J53._ oe'-sneer acdec<i•^ .,_-d S ce ,
NOTE: Replacement of rotten: ✓ood does not cons s G.-:,
Replace. 2x2 skyllgh'.s , 2X4 sk _ s
Re -flash Chimney Bu!d Cricket
install new roof Year Arc itectura
Color
Will cement ali edges and val evs
Nevv C .,... ,
-_ 3 Tat
SRA is r•ct responsible for removal and r;stallat:cr c,'se!a
S year labor warranty %I— Perrm..nciuded
flat Roof
A. !b Base Sheet
B. Smooth Modified Bitum.er
C. Granulated Modified Bit ime:
D Auminum Fiber Coa:irc
E. tVodi led Awap!an 170 Cc!d Process
Where there is not a 114" ,`ail per fool to !i'ea! =ire o!' an,/ , ai roofs i S i l,ee - -o up tocode ofl-Ie ,'>ise do 'Varr ,: v. Y be
offered by SRA A SRA. represenGa,ve ',as explained !pis 'Cl r , e <. �,. ,' rs !ne ie s�
Special I nstructions:
� ri�-! � �Ct;r?'L'::;� %yam ��l�r,,fy1f'I -'J ��``✓C... J"��_-_'li��,rw���iC:IJ >'<�Zt�f!`�i
t
if payment is not made udder the terms and condmons cf :r. s co "act SR-1 7o —ace a ; en ir '..he above Merl on.ed rove' v
and finance charge of 5% per month will he added to the unpa:r n's days .tare o"le cn, eed payment of ;h(S co"?_rac-,
Should collection be necessary, the person on ihss contrast s' ai y a:i cc costs, a. o-n . Pnd appear fees (" any). ! h,,, C '; aC' is
valld from one month from the data of acceptance and approved nv _11R.�L,na c < curs FU Ic- recovery f .._.
We propose to furnish the above connole4e in accordance with the e.,_ve ,-e su,
M45, 0D
Accepter: � Dare
Customer Signature - -
Acceded: � zJT. .�. ; •. �:,i.._.. -'e: r
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3 a
I hereby name and appoint: l <-� ✓�
an agent of:
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):
The specific permit and application or Nyprk located at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: L � M
F
State License Number: Al / ✓3 /to -5
Signature of License Holder:.
STATE OF FLORIDA
COUNTY OF �/"Y� / n c J
The foregoing instrument was acknowledged before me this 4 day of T�,
200 , by S(� �i//Eq who is personally known
to me or o who has produced /11YA as
identification and who did (did not) take an oath.
G
2-
SAnature
(N t 1) JUDITH A. MCGIUIN eJ U b 1 �i1 f '! •
MY COMMISSION # FF 183914
EXPIRES: January 9, 2019 Print or type name
Bonded Thru Notary Publir Undenedters
Notary Public - State of PLq
Commission No. Fl-- 1'F,- !9/,1
My Commission Expires: I/q //1
(Rev. 08.12)
r; Asa
as
NFORD
JOB ADDRESS:
w
PERMIT # 14 3 1
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
3�'7 %/
STRUCTURE TYPE: e/sINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: DREPLACEMENT (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: D OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES (/NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 412 OR GREATER
OTURBINES
TYPE,OV ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
/ Om /a
FL# E ✓ 55- -
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
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#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
Building & Fire Prevention Division
SANFORD 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)
• DIGITA.L 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),,-CRTIF ING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
P
CONTRACTOR (OR OWNER/BUILDER) SIGNA. DATE: /
SANFORD Building& Fire Prevention Division
RESIDENTIAL RE ROOF AFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / -3 `2 ADDRESS: (Ls ' bl%
I seo
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.C�HAPTER 553.844).
LICENSE #: 6�,(,Y'13,310 J %✓
COMPANY / CONTRACTOR: ODl C/
CONTRACTOR SIGNATURE: DATE:
(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 SPm I /6%D /6
Sworn to and Subscribed before me this 3 day of TiWUOr_y 20 /0' by:
,6o_ob6 fillw Who is Wfersonally Known to me or has ❑ Produced (type of
identification) A/ as identification.
ature of Notary Pul4ic
§tAte of Florida
%� .'"•• ev JUDITH A . MCGIWN
A 4A A , 1 +6i I' j _.r . MY COMMISSION Y FF 183914
as EXPIRES: January 9, 2019
Print/Type/Stamp Name Bon&dThruWtMPublic Underwdters
of Notary Public