HomeMy WebLinkAbout601 Briarcliff StJob Address
Parcel ID:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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:.� Documented Construction Value: $ 31 i 0 M/-
60f�//�} C'/e/IG �r�/'�/U/� Historic District: Yes ❑ No
/—--'0!�)/D Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair Demo ❑ Change of Use ❑ Move❑
Description of Work: EC—A� 0 901,_6
Plan Review Contact Person:
Phone: / —, / —CFO/ Fax: Email:CDY_i�.ih
Property Owner Information
Name /� (>/y%/��2'�- Phone:
Street: ,%A3khAT %ZPASLL �7 Resident of property?
City, State Zip:? 6& 32%7:3
Contractor Information
my) one: �1-07— �
Street: ( D21115 �_kM //7175 A1 Fax: City, State Zip: AZ_ L � State License No.: , rc.133VU a/7
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Application No:
Architect/Engineer Information
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 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 Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
ignature ofNotary6,6eo Date
°=rfi Notary Pubuc State of Florida
Kathryn Dorris
My Commission FF 943242
orn Expires01/1712020
Contractor/Agent is Personally 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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Penn it Application
REVOLUTIONROOFING
"Over 15 Years of Experience"
2500 Musselwhite Ave:
Orlando, FL 32804
RETAIL CONTRACT/BUILD CONFIRMATION
Roofing RevolutionContractors.cam,
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STREET
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CELL II ( 0 i _ ,.
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GATE CODE: '
CITYar1"v'
ORIGINAL ESTIMATE DATED:
-'DLOR CHOICES:
SHINGLES & RIDGE: CERTAINTEED
LANDMARK OR
Driftwood
_,, Cobblestone Cray _
Heather Blend
_.. Charcoal Black
{ ci c Ct._ 'G} c .,,
P eathered bVood -
coicr:ial Slate ,
Sunrise Cedar
-,
Mojave ran
Silver Birch
_ Burnt Sienna
:...i Georgetown GrayP^liter
-.
N
� 4oire Black
Resawn Shake
UNDERLAYMENT
r' Synfhetir. Felt
Other (Charges, nay apply)
GUTTERS
Detach & Reset as necessary
_i New
VENTILATION
Ridge Vent
Off Ridge Vents
GOOSE NECKS
h" Goose Neck QTY
k 10" Goose Neck QTY
Color
VALLEY
Ice & Water shield
Valley Metal
PLUMBING STACKS
1-1/2" Lead
2" Lead QTy
T Lead QTY
Drip Edge
P-' 2.5" Painted,
i Other —
ROLL ROOFING
s 2-Ply Peel-n-Stick � % Qri l
Other
4_... Color -t
Re -Roof Specificotions: Remove existing roof and underlayment down to the wood deck. Renail decking to meet current Florida code. Repl c
System; install to meet current Florida code. Replace roofing system; install new underlayment, replace all drip edge, lead boots, gorse -necks, vend:: con,
Vaiiev metal, and flashing as needed. All work to be completed in a timely manner and will meet and exceed Florida Building code. Contractor to pull
pe; mkt and schedule all inspections required by Homeowners municipality. Shingles to be w.arrantied by manufacturer and workmanship warranty is 5
=:;rs. Property to be cleaned throughout the build and swept throughout with a magnet for nails.
TOTAL CHARGE FOR ABOVE LISTED WORK: 5
Down Payment Due: $
Due Upon Roof Completion: $ ( 3 . a '-� 4 5
'foil the buyer may cancel this agreement at any time prior to midnight of the third business day afr-er the date of this agreement Roofing Revolution Contractors, LLC disclaims
all wzrraries, epressed or implied .vim-ranty of merchantability or fitness for a particular purpose except as specific.:lly expressed on the reuse side of ;:NE a reer;-,e t
If suppiFments apply they must be agreed upon prior to the completion of the build. The work listed above is to be performed under the same cc-citior�s a;
in the original agreement/Con7t' s otherwise specified. Customer ack=m; ledges explanation of Florida Supplier Lien Rtghis utter (see brat of
AUTHORIZED BY:
rior^eov ��-- t3ate1-1'11-173 Hars4eadv�er:�� �' Date:
V-Je hereby agree to furnish labor and materials complete and in accordance w. -h.ne above specifications and in con,).unction with the original estimate _
stated price. Please make all checks payao a to ftoofta Revolution Contractors, LLC.
...f<.C.,--._ Representatroe .x-"`-:_-------- Da*e: j _t4'
NOTE: This CONTRACT becomes part of and i-i conformance with the existing Retail estimate,
i'li=tC_:Ei`1:ChliJl- : c ta1JC� i''r'
aJ3:! C:ONPIRfl!_C-E_R
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E
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: t)f ` ,90 M 10
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
2. GENERAL DESCRIPTION OF I
3. OWNER INFORMATION
Name and address:
Interest in property:
of the Propertv and street
LESSEE CONTRACTED FOR THE
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name �'7— /LV" l y—(% ! �GMI FAr`Lj bn unmbe
Address:.j%7
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Name: Phone Number:
Address:
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Address:
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 ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
r
ignature of er or Lessee, if n or es (Print Name and Provide Signatory's Title/Office)
Authorizedd Oficer/Diredor;Aa er/Manager)
State of Fl r/dd County of
The foregoing`n%instrumen�wa/spacKnc
by 0(0i 1 � .:.
Name of person
�
who has produced identification"1
fledged before me this ( day of lialui 4.1 40 C (�
Who is personally known tome 171 OR
of identification produced:
E
e of FlorWa
F 943242
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City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location AddressDo% 5� (4)/4Z��
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory
Manufacturer
Product
Description(including
Florida Approval #
decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underla ments
&,50!T-6q--
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
i
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
/
Other
June 2014
Category Subcategory
Manufacturer
Product
Description
Florida Approval #
(include decimal)
S. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name (5 �� (% A
(Please Print)
June 2014
CITY OF
Building & Fire Prevention Division
ORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE 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 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), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
DEPARTMENTCITY OF
S��FORD
FIRE
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: lam/ ��- I/` �' lI" �('J r ` fi/'-'102PE
STRUCTURE TYPE: INGLE 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 NOTE: ONLY 100 SQUARE FEET OF THE EXISTING`
S PERMITTED TO BE REPLACED * *
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES VOIF 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
O SHINGLE
FL#
O ME L
FL#
MODIFIED BITUMEN
/ /vY C
FL#
O TORCH DOWN
FL#
0INSULATED
FL#
V l ll-E
��
�j�
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#
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#