Loading...
HomeMy WebLinkAbout398 Fairfield Drb CITY OF SANFORD BUILDING &FIRE PREVENTION PERMIT APPLICATION �= JAN 16 2016 Application No: BY - Documented Construction Value: $ l Q� 00U v a Job Address: 3 ` 0 &1'K - J-z?Jd �� Iyrd /t- Historic District: Yes ❑ No Parcel ID: 3 2 ' l — 3 f `s/ , — D O ( p — / 0 9 o ResidentiaO Commercial ❑ Type of Work: New ❑ Addition ❑ Alterationw Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: A go F Plan Review Contact Person: �4 rce. J7-- Title: Pr e, Q �-% Q',c� Phone: a-7 127— OrGZ Fax: Email:_ io 1QkMti lMdConK�'rUe ;0 oL'0dM Property Owner Information Name Rolm otu Ccxi Gr Phone: � d 7 �'M %f S6 Street: 3 � y FaZy- t2'd t P y; V & Resident of property? : 0 uW 0 Cr City, State Zip: 5W faw'a, Contractor Information Name M a5 < <yhn_ �n �l' `{ v u t'_ i c�� Phone: �j 1 2 Street: 32 l 0C3 Fax: City, State Zip: _ �t- �� C) ��! �� 2` �' State License No.: _ CC C ` Architect/Engineer Information Name: Phone: Street: A 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 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: 51 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 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 Print Ovvner/Agent's Name Signature of Notary -State of Florida Date ;J�lPpY PUB�4: ANNETTE BLAND Notary Public - State of Florida Commission # GG 060623 :NyT Qr: My Comm. Expires Jan 16, 2018 !-lC0-6 Owner/Agent is Personally Known to Me or Con to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: # of Stories New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: s I hereby name and appoint: an agent of: (Name 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 for work located at: 398 Fa► i { e� �>v��e Sgyt_ c� ELL 3 Z-7 71 (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name:: State License Number: Signature of License H STATE OF FL RIDA COUNTY OF i The foregoing instrument was acknowledged before me this 1,5 day of n rlc>rr� t 200 ► 5 , by who is' Qersonally known to me or o who has produced i d (did not) take an oath. tdofery Public Smte of Florida i Ba+YI E Fisher Z� 'I le �A; d wf' lion GG 153047 'load° Exvins10/1&2021 Signature c (Notary Seal)-�,-.���_1 Notary Public State of Florida Beth E Fishel d My Commission GG 153047 ,^ Expires 10/18/2021 (Rev.08.12) Print or type name Notary Public - State of���c Commission No. GC i r� ; (34 My Commission Expires: Ip , ►9,, r 1 as tJ \ Permit Number. Folio/Parcel ID Ak Z 7 Prepared by: John Byrne Return to: 3715 Pembrook Drive Orlando FL 3281U r all"i t... �,.ilA.1�',.: V.l...... GO JA I a.:iJill C .:�ili.'t . r r Du DL. l Pl1("1 r 1 ti +:till ,i �0 93 `Fir.. �....• . �. i.� .:. F`,' i' L. i:.. CERTIFIED COPY GRANT MALOY CLERK OF THE CIRCUIT COURT AND COMPTROLLER NOTICE OF COMMENCEMENT SEMINOLE C UNTY, IDA State of Florida, County of The undersigned hereby BY DEPUTY ZCtj 9 y gives notice that improvement will be made to certain real) pr_ ,pet#y,_ata.d.i . ccQr rd�� . with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commenc, metat.f� 1 1. Desorlation of oronerty np�ai �e�..�t.,a.... ___� 2. 3. Name JIVIrt owner nsiea anove) Address 4. Contractor 5. Surety (if applicable, a copy of 6. Lender Telephone Number 4079220500 Telephone Nurr Amount of Bond 7. Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Address Telephone Number 8. In addition to himself or h Owner designates the following to receive a copy of the s Notice as provided in 7 , Florida Statutes. j Is Name Address Telephone Number 9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 1, 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 �I, TH�UR L R OR AN RE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager The foregoing instrument was acknowledged before me this 9 day of as for Type of authority, e.g., officer, t� etas, attorney In fact 9 Signature of Notary Public — State of Florida Personally Known OR Produced ID Type of ID ProducedLQ- �c I I by mon ear r u-wr Signatory's Titletomee name of person Name of party on behalf of whom instrument was executed *71 Print, type, or stamp commissioned name of Notary Public Notary Public State of Florida Beth E Fishel MY Commission GG 153047 o, Expires 10/18/2021 Form content revised: 01/23/14 ._ Joi3 ADDRESS: PERWT # Residential Re -Roof Scope of Work STRUCTURETYPE: O SINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILEHOME O APARTMENTICONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXIS17NG ROOF) DECK TYPE (PLEASE SPECIFY): L ,N 6 ""PLEASE NOTE: ONLYI00 SQUARE FEET OF THE EXISTING DECK ISPERMI ED TO BE REPLACED"" ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: OYES QNo 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 SHINGLE FL# O METAL 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# O MODIFIED BITUMEN FL# OTORCHDOWN PLO 0INSULATED FL# O TILE FL# 0 OTHER: FL# ..,.SANFORD, RES11)ENTL4LRE ROOFPOLXCY& PROCEDURES PFPMITTING REQUIREMENTS—NO'PLAN REVIEW REQUIRED IS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE ROOF SCOPE OF WORK ARE ZUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT ApPLICA TION fE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF MPONENTS THAT WILL BE INSTALLED ON THE PROJECT. 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 1NTiORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES . FINAL ROOF, INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, joBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE ROOF PERMITS. IiE 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) • DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECKNAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE O SSE OF NAILS) o ROOF DECKNAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING 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 OFNAILS SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRAoPP O APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PERM PRODUCT S WILL RESULT IN FAILURE TO FOLLOW THESE SPECIFIC GUIDELINEC AFFIDAVIT B IDED BY A FLORIDA SIGN PERSONAL IN INSPECTION- AL PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING X7 C COD CONTRACTOR (OR OVMEPOLULDER) SIGNATURE: DATE: Zi 7 P.O. M asimo construction.. inc. Address: 3715 Pembrook Drive Orlando, FL 32810 Roofing Contract/Proposal Phone: (407) 922.0500 State -Certified Roofing Contractor - CCC1328033 State -Certified General Contractor`- CGC1509548 Brad Pollack, Contractor insurance Co. Adjuster:._ Claim #: Phone: _ Y Customer Ntimo�:3�� Date: Address: �l ��1��,.� C� N�'I �,��•�� Q City/State/SIP: I iotne Phone: Call: ` 1UPWy� Work Phone: ��++ SPECIPICAT1ONS Wf.movo roof to existinfl clock._______,__ _ layers, 0� Each adiikionnl layer$ lSy, (10.0 Sit. Ft.) igrta-rtall oxistinil daeit to moot UpliftCocleo. CJ Install , Male) drip odge around garlinater of root. ;rj�eloll lead boots to plpoo 1 %11 x" 3'• Ci 1pstail Gooseneck vonts N' O hurricane Mitigatlon Retrofit O Apply ASTM 30# Felt paper to plywood dock. ❑ Apply Sp. FL Of NIETAUSH GI.ESjrILE/SHrAI(ES/FI.AT CI Style of rooftolied lolls : -- Color: 1, 1 pitch-- ❑ Manufacturer of roofing eyatom; hit V— ;eIristall rldrip*nt: bloncg pock of roof: Adcit'l. Additional charges of$7o per she@t•if OTHER PROPERTY CONDITIONS—�� Q 1celWt:tor Shield Yes No ❑ fatiating•Wator Dainag© Yes _ �o LI existinfl Driveway Da nago ..___.Yos Z—No ❑ suyughts: ❑ Leaks: ❑ Intorior Damatio: ❑ Emoaoney, Ropnlr Yes No. ❑ Tapered insulatiott -.--Yes ~_.Yes No WORK INCLUDES: o ✓.Remove trash.from roof, gutters and yard. ✓ protect landscaping wlioro oppiicabio. ✓ Roll yard with magnotlo rollor. ✓ Funtish permit 2 your warrerity Is needed which Is only visible upon toor-off existing roefiug motcrials. WE PROPOSE To furnish material and labor complete in accordance with 29000cat(ons above for the sum of $ -PAYMECNT 5CHECEDULE 50% DOWN PAYN' NT PRTOR. TO ORDERING MA'it` MIALS PAYMENT IN FULL UPON COMPLETION I;ARNFSTD]EPOSIT: O $500,00 CI $1000.00 ❑ S. DOWN PAYME&NT$ d©Q;001 X13NAL PitYMrQ$T.$ Q _ TOTAL L ' 'T*' ]EN ct to insu 0 . , n o le tHe�ftomeownor l �s ruction, Inc. nyway n d h any nnc . ^' no Gorutalctiea>r1nc, its a raomon Jo at ' fl9tiPanCB-COtilf3: .. on, nc. at, _ ROW"" o final price agreed on between the Insurance company and Masimo Construction, Inc. shall become the final contract price and Masimo Construction, Inc. will recoivo all insurance proceeds for tho work completed by Masimo Construction, Inc. THREE DAY'RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL. THIS •AGREEME Q TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE"- AGREE EN . Owner SiilnatuL1, to 20 Sales Rol).' Accepted by Masimo Construction, lnedReprosentative x -\ Insurance Corrier_,_ _. Claim No. Events boyond the control o Masimo consir iefion, Inc. may cause delays to the projected slarl date or ostimated time of completion. Such delays do not constitute abandonment and nre not included in -calculating limo franins for payniout or performance. THE PERMS AND CONDITIONS ON THE REVERSE: SIDE OF Tills PAGE ARE: A PART OF THIS AGREEMENT. WHITE - HOMEOWNI_RS COPY YELLOW - SALrESMANS COPY PINK - OFFICC COPY CITY OF Building & Fire Prevention Division 'Skil4FORD RESIDENTIAL RE -ROOF AFFIDA VIT FIRE E)EPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS '2,6PERMIT #: �" / O�ADDRESS: al F� IrW/ f vt1re. 3Z771 I I Pd'&I r! - , 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 #: UC— (l 2_5633 COMPANY /CONTRACTOR: ea 51 mo CONTRACTOR SIGNATURE: 151,,DI/J//` t!/17r2z" DATE: (MUST BE SIGNED BY LICENSE HOLDER OI,,'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 . L Sworn to and Subscribed before me this day of 20 1"' by: Who isPersonally Known to me or has ❑ Produced (type of identfnation) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. REtate of Florida l n GG 153047 2021