HomeMy WebLinkAbout284 McKay BlvdCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: r6 _a
Documented Construction Value: $
Job Address: / Yc Historic District: Yes ❑ No El -
Pat -eel ID: �1 �� `�27 �6 00O—G 5 tS-P Residential 9 Commercial ❑
IV -1 N ❑ Addition ❑ Alteration ❑ Repair F Demo ❑ Change of Use❑ Move ❑
I ype of of e�+
Description of Work: 4L L. C "_
Plan Review Contact Person: Title:
�.., i �- % �-
Phone: � ' )" � ��� -�- I I �.._ Fax: t,. �Email:
t
Property Owner Information
Name �'� �` \ -,- Phone:
Street: c J 1. J'b'I C► J� j) i�� J1� v uJ +�LY� �` Resident of property'? : J.=.0
L_�
�'
City, State Zip'-}'.
Contractor Information
Phone: _ L. 1
Name ti - -
Fa
Street: _� �-
City, State Zip: _ 1 `) �I, i-{_- i_..,;,a ,� 2-1Cst)►te License No.: ( 1 - �_� j
Arch ifectlEngineer 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 'TH11, .JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSUL.,_ 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: 511' Edition (2014) Florida Building Code
Permit Applieaarion
lit'ti islii; �IInC. ili, ?I.I I
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. I
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is
be done in compliance with all applicable laws regulating construction ant
Signature of wner/Agent � � Date gnature oIC tractor/ g,
Print Owner/Agent's Name
DEC 0.5 2017
Signature ofNota - Date
TMUY EN UYEN
lOT- y PUBLIC R .ONTMIO
Owner/Agent is Personally Known to Me or
Produced ID _V-' Type of ID to • (Z. Cram
s Name
eiirate and that all work will
ning.
.S
Date
,J 1 ) f7
$i<nalij f of.mtar-staterooT,nz rae, Gate
Lospw*kEGAEiN
Y ap6ry< State of Florida Notary Public omm 2t .
tr Y . Expires Jan 25.
i =_ • : M C
Commission # FF 165686
Contractor%Agent is ersonally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas ❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
oe..;—A....__ — —
CITY Of
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIDE DEPARTMENT
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 INA 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
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYINf
LT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNA URE: DATE:
0 2--- 1,9
#� Siki4FORDFIRE DEPARTMEN7
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: s SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME 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 !VOTE: ONLY 100 SQUARE FEET OFF� THE EXISTING DECK IS PERMITTED TO BE REPLACED**
ROOF VENTILATION: DOFF-RfDGE RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12
O 4:12 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# Ll
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#
666
ROOFTING
JT1 Roofing Contract
Addias- 406 Ht:rmttavc Dri\ c Insurance Co.
Aliarnonlc Springs. Fl- 12701 Adjuster:
Ph,one!;Enlod: (407) 767 -691 Claim
Roof -ing, Contractor C*C Cl 115756 Phone:
crtil'wd 6QnctalContractor— C0003606-,
-/ 1 14 Date: ,
CLI1.,t0o!e;- MIMC:
i:-- L
at rZ I p:
Fivmv Phmlic:: Cell: VZ Work Phone:
ilro!oct Add;e-: 1) 5�
-2
SPECIFICATIONS/PRICE BREAKDONVN
TYPE QTY ANIOLTNT
TOTAL
r
-7
7F[a, Roof
:Sk�lit,'lits
Xjo
'Solar Piulels
ITEM 1
kdL
-e Vew
TYPE
QT),
AMOUNT
TOTAL
Off -Ridge Vents
Decking
Lead Bools
.Debris Removal
Wood
Shingles -Manufacture A
hingles-Man ifacturedA/ Style:
Type: Color:
Warranty
Labor
1
;;2*1151111 _5
Roof
1 -3
Ll /, t; -, - `
llstllrullcl co,
hliLidl I-16111HIld
Dale:
S
�;Nlllllulll
0SLII IIIICC C 0. AsIrced
Aminl nt
Up rude,
S
hltLINIICQ Supplemem
s
TOTAL
S
Keniovc Trash trom Roof, Gutters and Yard PAYMENT SCHEDULE
✓ RoII Yard with Magnetic Roller 54�— I�V(NIEVI' PRIOR 10 ORDE[UNG MA I ERIALS
PAYVIFN � IN R:1.1 UPON* CON El UN
Piote,:t Linds,:,ipjn, WIwic Applicable
Deh%cl\ )pel.ini Instructions: DUPUSI 1. $10110,1.10
l)0"NPA)'.V11,Nl S I INM- PAYN411N 1
J,\,\ I UK K H. PRESIDENT
TERNls: THIS AGREENIENT IS "SUBJECT TO" INSURANCE COMPANY APPROVAL. JTI ROOFING IS
AUTHORIZED TO PERFORM WORK AND RECEIVE FULL AMOUNT OF INSURANCE PROCEEDS, INCLUDING
O\ ERHEAD AND PROFIT, ONLY UPON APPROVAL BY INSURANCE COMPANY.
ACCEPTANCE OF AGREEMENT
111V Ilbll'e I"'\ 311 sutislmo, ' \j,ld al-, 11—l" u-.fled. I \\1 1:1- Vildand undcrsimld the terni�in : d vohi
1,;Idkol II R—, tim, audlo. zed to do ,1w,w,k a, ?pccifwd and in accordance \%ith the ternis, conditions and stipulations
.I... i-lon"o nrr heel" I ;w- (,mqp( and ,, N1 Cn:np;un I') make li,r CIIIIIII)Ced repairs di —fly to Contractor and
%;;; 11111r.,-, : ,, ( 111, 1toL ,nmwtor (111il li2lIt' It, ;an)pro—ds limnlimn1IISLIrdIlCe Company For goods and
...... v:; a, do"mp0"l in the
THREE DAY RIGHTOF RESCISSION
THIS WRITTEN A(JRFl-.M/.\-4T HEREBY S'l-.RVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT AT ANY
Ti.ml, PRIOR TO 1\4IDNIGI VOF -IE THIRD BUSINESS DAY AFTER. THE DATE OFI-tlW TS AEEMENT
Honicol�nci Aplprolal: Date: x
(-ontr<ick)l Appo%alk Z/
Date:
SCPA Parcel View: 31-19-31-527-0000-0950
Page 1 of 1
Property Record Card
f,A,, nandJormw,CFn Parcel: 31-19-31-527-0000-0950
AMU% Owner: PHAM CHI QUANG
Erargi.0 C4xlnnv, FWtnon
Property Address: 284 MCKAY BLVD SANFORD, FL 32771
Parcel Information
Parcel
31-19-31-527-0000-0950
Owner
PHAM CHI QUANG
Property Address
284 MCKAY BLVD SANFORD, FL 32771
Mailing
46 MCNAB BLVD TORONTO , CANADA ONTARIO M1M2W5
Subdivision Name
CEDAR HILL REPLAT
Tax District
St-SANFORD
DOR Use Code
01-SINGLE FAMILY
Exemptions
Value Summary
2018 Working
2017 Certified
Values
Values
Valuation Method Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$114,421
$107,820
-'
Depreciated EXFT Value
Land Value (Market)
; $30,000
$30,000
Land Value Ag
Just/Market Value *`
$144,421
$137,820
Portability Adj
---------- ___.•--
A-- - ---------
-- ---
Save Our Homes Adj
3 $0
$0
Amendment 1 Ad'
J
i- -_ — --
$17,379
$22,327
I -�
P&G Ad'
$0�
1 $0
Assessed Value
$127,042
$115,493
Tax Amount without SOH: $2,345.83
2017 Tax Bill Amount $2,345.83
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail. scpafl.org/ParcelDetaillnfo.aspx?PID=31193152700000950 1 /2/2018
1 !1111111111118111 Rollo 1111111111 Jill 1111
,.:iRAIN T r1f,!_.0't', %ENINOLE COUNTY
UR.T ? ::OriF'i' tJL.LEf:
35>,
CLERK'
li
HE"C'01:C;EG BY hiJuvor,/-
THIS INSTRUMENT PREPARED BY:
Name: Lorraine Gaeta
Address: 406 Hermitage Drive
Altamonte Springs, FI 32701
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 31-19-31-527-0000-0950
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)
284 Mckay blvd Sanford FI 32771
Lot 95 Cedar Hill Replat Pb 63 Pqs 96 -98
2. GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof with asphalt shingles
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Chi Ouang Pham 46 MCNB Blvd Toronto Canada Ontiario M1M2VV5
Interest in property: Fee Simple
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
j
. CONTRACTOR: Name: Jan Tukker, Inc. Phone Number: 407-767-6912
Address: 406 Hermitage Drive Altamonte Springs Fi. 32701
5. SURETY (If applicable, a copy of the payment bond is attached): Name.
6. LENDER:
Address:
Phone Number:
Amount of Bond'
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)(a)7., Florida Statutes.
8. In addition, Owner designates
Phone Number:
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 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 AT
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
IVK
( gnature of.Owner or Lessee, or Owner's or Lessee's
Authorized Officer!Director/Partner/Manager)
JIM " allow- oee(,.
(Print Name and Provide Signatory s Title/Office)
CITY/PROVINCE/COUNTRY
State of TORONTO, QNTnRrn_ CA&9W ty of
The foregoing instrument was acknowledged before me this day of 20
13—
by Pttf)-M Q-kP�-nJ � _ 1 3 v yG` ,;:•' Who is personally known to me L:1 OR
Name of personmp ng s a marl " Z.
who has pr uced identification (�Y�e,of9identlficatton prod�£f+�J� XiY1 �17P�'r� ��(1G r'
CfRTtFlFQ COPY R. NT N-1,AkoY '
CLERK gF t `?:d.l ►`COi'RT ;n.�� M i3�t?sy 1-1ubIic
M,'It:�Tt>;4' ;� 1ji
f A
E
• r ( L �I a � d ty.�i• tia - f'`. • of S gnaNreBY VIT2 -'-
qq� t THUY UYEN NGUY ,f$OTARY PUBLIC F,OR
Date 1:Ya �'��,� Site �• , r t,� iTo �art�rltui sTTsr su tUaoz ONTARtO, LAWYER..
CQAA�T _.
" � iOAQlITO;ONTAAIO,,fA513'3M8
Ttl r(416) 939 41158'
CITY OF
SANFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
%
PERMIT#: , ADDRESS:�)'�
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
INTRACTOIz, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
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). /,J
LICENSE #: (�A6/3Z1,
COMPANY/CONTRACTOR
CONTRACTOR SIGNATURE: _
(MUST BE SIGNED BY LICENSE
Al n
DATE: 7 Ay/X
THIS SIGNED AND NOTARIZED FFIJ>KVIT MUS BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTO HS OF E H PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE A ACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOG HS 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/f�%�6.2'�
Sworn to and Subscribed before me this day o 20 V by:
Who is ersonally Known to me or has ❑ Produced (type of
as identification.
Knatu a of Notary Public ellT
State of Florida
to Pis<<• LORRAI1'4E GAEIA
Notary Public - State of Florida it
f N�A « - my coma Expires Jan 25, 2019:;
A Ccrnrnissjon ## FF 16508 ��
frint/Type/Stamp Name
of Notary Public