HomeMy WebLinkAbout311 Fairfield Dr (2).V
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 18 — `7 9 8
Documented Construction Value: S
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Job Address: k Eo-,�tE� eta -Dy- Historic District: Yes ❑ No
Parcel ID: W'AM bCD(4D0 Residentialla Commercial ❑
Type of Work: New ❑ Addition ❑ Alterations Repair ❑ Demo ❑ Change of Use ❑ Move El
Description of Work: r-2ACOC C- Qc- 6 V•-2 1. y\_q
2SCO fr6 fzt-
Plan Review Contact Person: 6�\*% R_a % kQyqj Title: QQrry-y;+S KaMaQ Lr
Phone:0-�'���i' �`�� Fax: Email:
C' - r't Property Owner Information
Name �1'1t�liQ STa�k'n s Phone:
Street:3tlalr66 pr Resident of property?:
City, State Zip: SY-J �i, 321�
Contractor Information
Name Rexb Coyic 7LC-1 on Phone: f-4(y, 11�33
Street: cn�U "DAW k_e Fax
City, State Zip: 0(_ WX � o Pt, 5-2Z01 State License No.: CCL-133CrI S "I _
ArchitectlEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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 perfonncd 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
Revised: June 30. 2015 Permit Application
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NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
found in tile public records of this county, and there may be additional pen-rtits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that f will notify the owner of the property of tile requirements offlorida Lien Law, FS 7 13.
'Fite 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 tithe 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
e�
be done in compliance with all applicable laws regulating construction and zoning.
fignfii6e ofow&IAgenl Date
Rnih
Owner/Agent - ent is .,- Personally Known to iMe or
Produced iD .7 Type of ID
EMILEE STEVENS
0 GG
Commission 1 3415
my Commission E.
n.
of , Conn-actor/Agent Die
P,rint Co m IoMA � '�t e
( - k,
Contractor/Agent is Personally Known to iMe or
Produced ID Type of ID
EMILEE STEVENS
Commission 0 GG 43415
Mv Commission Expires
October 31, 2020
Permits Required: Bullding❑ ElectnicalR Meclianical ❑ Plumbting0 Ga-s❑ RoofR
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - 4 of Fixtures
Fire Sprinkler Permit: YesR No n # of Heads Fire Alarm Permit: Yes[] No[]
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30.201S Permit Application
PWM Nwnbta
Parw. ID Number � 005�
Tr* tntdaralpnad hereby ghxe nolke that lmprovart>.nt na be made io certain real property. 6W In aocordsaoe with ChM ter 713, Fonda Watetes, Ih
MOM" Wbrmatbn m prOMW In thts Not a of CktrrrrrronoaMb%
& Og9ftlma
Nants and
"I
lnpuost U► ploPerty:l�iCSp� s � ---
Pee skr4ft Titta Holder of Other than VNW Rated dx* Name•
4, CONTRACTOR.'
Addroaa =
Phone Number.
A 8URM (if aPpOarbie, a ooPy of fda payment frond to aftoCAed): dame:
Amolart of BOfkk
S. LWWth Name Phone Number:
Aadroas:
7. Persons WM the 8bb Of Rankle Designated by Owner uyon whom mate of Other doeurnerde may be served as prwAded by section
71>1.13(t)(ag, Flarkm StwAm
Add[eas
A In adtWcq% Owner desipnatee
to rec" a copy of the Llenof's Notloe as provided In Section 713.13(1 ft FWda SNutaL Phone mrftor
a Expiration Date of Nubm of Corr msncrrm MwaYoMm Is t yasr from daft of re=dinp unless a dRfersrkdote is sped fled)
l78J�{1(Q T9 O n= ANY PAYMENTS MADE BY 7HE OWWEiR AFTER T14E SORATiON Of THE N01'iC>; OF COMMENCE ENT ARE
CONSIDERED IWROPER PAYMENTS UNDER CKA"ER 713, PART R SECTION 713.13. FLORIDA STATUTM AND CAN RMJLT 14 YOUR
PAYING TWICE FOR IMPROV9rtENT8 TO YOUR PROPERTY. A NOTIM OF OOMME 4004D T MUST BE RECORDED AND POSTED ON THE
XS SITE RUOR€ THE PPST INSPECTION. IF YOU INTEND 10 OBTAIN FtW4=Nd, CONStd.T WITH YOUR LENDER OR AN ATTORNEY
BEFOW OOMMENCINfl WORK OR RECORDING YOUR NOTICE OP COMIiWENCE.UDIT.
«acorn,« ar , (PA�tw,e.
n�anane
slats of �T county of Dec,The forgoing kntruarent was acknow eedpged before ff* this i5 day of e• of
by R1 % `t t A S�-a.�lc� roes who is Personalty known to rrw 0 OR
wi d pxsrn,..arq WMsr�-
who has PTOduaw Identiflodlan a type Of idermcown produced:
ci In
EWLEE STEVENS
t Commisslon a GG 436
* M. Commisslon Expires
octob4r 31. 2020
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018008566 SK 9063 Pg 0647: (1pg) E-RECORDED 01/24/2018 09:5Z 15 AM
in nn
Mortgage Company: SS50 Hansel Avenue,
Dian Number. Orlando, FL 32809
F": 1 (888)-42A-082S
* American Hero Telephone:407-487.3183
Cert Residental CRC 1331195
Construction LLC. Can Roofing CCC1330757
mom. tsftoeac
/a0raat
. 11+srsA
city 4_ n PonA— Stara:.�22i-- .
• R td �yoAtfo:bdpo!! lnsdlr tdb,o°!mKt`•
t. "HEKO- and Home Owner agree that this contract is mill and void unless the Insurance cotnparry approves the
claim for full roof replacement.
E. 1 f n Q c4alr< hereby hire and authorize American Hero Consavction, Ld C, co perform
repairs on my property locAf at the address written above.
S. American Hero Constructior. has authorization to complete the work described Per the scope of repairs provided to my
insurance company for the claim filed at the address listed above
♦. The price of this job is to be dictated by tie loss sheet agreed to by the insurance carrier. Home Owner will provide 'HERO'
a copy of the insurance carrier's loss sheet at time of receipt.
5. 1 further authorize n ty Insurance Company to release payment direct to American Hero Construction LLC., for the services
that are performed in conjunction with the above insurance claim. Should the Insurance Company require direct payment to
me, t hereby request that the name, American Hero Construction LLC, be added to the draft that will be sent to me in the
payment of said claim. If payment is made directly to the Owner/Agent/lnsured(sl, it shall be endorsed over to American
Hero Construction LLC upon receipt. r � ah
8. 1. Owner! Mortgagor, grant authorization for � �' Mortgage Company to speak with American
Hero Construction LLC on matters including, but not limited to, the claim status & drays. (Mortgage paid in hill �)
I It is the Oµ nes responsibility to pay all insurance Deductible: Owners out of pocket expense will not exceed the
deductible amount as sated on insure ' o s sheet. The Deductible on the insurance company's loss -sheet shall overrule
Deductible iisted here Deductible: STW must be paid in full.
Insurance Company: _ Phone.
%6-27Lt 6 2'!
Poiicy Dumber.
Claim Number: gJ16940 71 LVI toff //a► J —
Date of loss QeWo Type of Damage:/a%Gi-
tLu� C.o�ew,l
Upon insurance company approval and subject to the terms and conditions herein. Americans Hero Construction agrees to
furnish all materials and provide the labor necessary to, perform the full roof replacement which shall take place following
Owners insurance companys approval, approximately within 30 days, Conditions permitting.
Manufacturer: e--10
Warranties to be given for workr. Contractor qr S�atems Pltu GAF Golden 50 No Extra
(iwl, w
... ., ...
nits osndaot Asti aaoon'rirrd enrmeertentof 00 }fr6i/., �=Q•
w+�w. +sO� M' �r o�+�: 7Ab sbetrwi �+nQl�tm+.IpP�l`:oaoAlt+�keu6aseod�ioFarsnd �dtbrasaM
wor*ft days,tvm ens dale dune sonboa
'ttw Yw Buyer may wnctid t4ksrarraee0orr anYt6rrpafor to:ad?t!(,yYEflht NWesrsabassllaMl(.iras4dsls d;thfs,'!#rrraodoet':
a aatness wrweol Pumisasa►(a� each aoksowte90e:i+t+Otola eo oTtph' !'° tt iA?aa'c•/p
above w *8M
in signing this document I acknowledge that the scope of work to be perforated and all contracts
signed have been explained to me and I ant to agreement with.
i
s 01,4V
alcs:t V 9LkNJC. HOMEOWWA
Scanned by CamScanner
CITY OF
4D S.,kNFORD Building & Fire Prevention Division
FIRE DEPARTMENT Re -]hoof Permit Card
PERMIT NO. Ll 8 ISSUE DATE:
CONTRACTOR: Amer:. cam Derr® (Ims
1 a trWt�OAJ
JOB ADDRESS: r
TYPE OF WORK:
PROTECT FROM WEA ER
• 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
CITY OF
S�4�� RESIDEBuilding do Fire Prevention Division
IVML RE ROOF POLICY & PROCEDURES
FIHF. DEPARTMENT
PERMITTING REQUIREMENTS -NO PLAY RF.VIF,W 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.
TI4E 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 WITIIOUT TIIESE DOCUMENTS. COPIES WILL SE MADE TO POST ON IRE JOB SITE.
*PROJECTS LOCATED IN THE SA.VFORD 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 RF.QUIRFD FOR RF..SIDFNTIAL (SINGLE. FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS,
THIN FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE'
• PERMIT CARD, POSTED IN ACONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
• COMPLE'l-EU AND N07ARILED INSPECTION AFFIDAVI'1'
• ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WIIAT IS ON TIIE SCOPE OF WORK)
• DIGITAL PHOTOGRAPHS (MUST INCLUDE TIIE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
U 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 SIZF. OF NAILS)
Q 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
FAYLLTRE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR EVGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL LNSPECTION.
CONTRACTOR (OR 0'%W R/BULLDF.R) SIGNATURM . _,___ DATE Z
NF:K.L11T tr )
F D
(-it\ ut' Sanford Building Division
Residential kc-Roof Scope of "orl;
JOH ADDRESS: ?Zt
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RE-RofwI\Pt- AlRi-PI \tI\II\If1: \Hirt\1\\t \1'N\I\S\i
p1ZF•C+�\}P,(\}�, jLt+t+} I\',S:1S1f'`!+\}'S�.S��\5�11\�,Su+1)F)
nF'( k T\PF IN F-. \.F. tiPF( II'1
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Skm(Airs: p)i. (�BCti1I II 1'i..l':I \"I I'k1)\I!)! F +11.11)\PZ111),I I A1'1,10A%I c+.
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