HomeMy WebLinkAbout519 E 2 St (2),l
CITY OF SANFORD
Ot > BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1
Documented Construction Value: $ 5P9�cr.y.
Job Address: 5 to Z44 C'�'T GAP' u , F L '321% Historic District: Yes ❑ No ❑
Parcel ID: 3 d " I Q - 3 i " S 15 - t (o DO - GO$p Residential211"Commercial ❑
Type of Work: Newwf Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: NEW htb'tCL. 900Q OkE94,
Plan Review Contact Person:
Rye
Title:
Phone: 35(n $52- 1114
Fax:
Email: i`��-+^�^�Q�1.^�•.�+��clo�+"'
r"I �`�N
Property Owner Information
Name KW Aswc (,LC Phone: 521 .3 77 • LIOS
Street: S l Z Z L.A-+A C'� i� M I L4 (p Resident of property?
City, State Zip: R CCG %ea% �1 ( `{ (ol Z
Contractor Information
Name 17WA Coti 6-4e-i�t�>~ ,�,c Rydi'-' 4'.0-0.,4
Street: 2 1 o Co►�rea�`a- Awe
City, State Zip: LAID Ft- 3 2744
Phone: 'Z$ fo SS-. 11 14'
Fax:
State License No.: CCCt3303(00
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company
Address:
NA
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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
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.
OWNER'S AFFIDAVIT: I certify that all of the forego! ><n o ation is accurate and that all work will
be done in compliance with all applicable laws regul(Signature
g constru ion and zoning.
2� l�
Signature of Owner/Agent Date o Contractor/Agent Date
Print Owner/Agent's Name Print Con ractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
LORI MANNINO
o p�•� Notary Public, Slate of Florida
Commission# FF 171365
My comm. expires Oct. 23, 2018
Contractor/Agent is Personally Kn wn to Me or
Produced ID Type of IDS Z
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ 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
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
CITY OF
Building &Fire Prevention Division
S.,kNFORD i
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT 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 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)
• 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 RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), C.>;RTIFMG FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNEPUBUILDER) SIGNATUk: I ,ti �— DATE:
li3 RL 111 911.1
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: &q E L-N 5-V f r..- '32-17
STRUCTURE TYPE: CKINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: OKEPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 15/Z7 %ti a Dt�1� Mel
**PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING D CK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: OOFF-RIDGE (ZKRIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES
MAIN ROOF AREA
&NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12
412 OR GREATER
TYPE OF ROOF
FLORIDA PRODUCT APPROVAL
OSHINGLE
rrMANUFACTURER
OrMETAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS PORCHES PATIOS ETC. **I APPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 I 212 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
METAL
FL# (0S RZ
O MODIFIED BITUMEN
V
FL#
O TORCH DOWN
FL#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
Building &Fire Prevention Division
SkKFORD
RESIDENTIAL RE ROOFAFFIDAVIT
FIRE DEPARTMENT
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
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 #: k-QU33 03 bO
COMPANY / CONTRAC
CONTRACTOR SIGNM
(MUST BE SIGNED BY
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: Z. Z
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 �( S I 9�
Sworn to and Subscribed before me this*/r day of fL��(�' 20 )b by:
\�•tintrF�.1-� Who is ❑ Personally Known to me or has ;RProduced (type of
identification C' JL as identification.
r
igna dre of Notary Public
State of Florida.
i �qy a� LORIfl,4NNIN0
g •g Notary Public, State of Florida
Commission# FF 171365
Print/Type/Stamp Name W Comm. expires Oct. 23, 2018
of Notary Public