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HomeMy WebLinkAbout802 Pine AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ ' 6�n Job Address: i��11�zvz':��_ sG�s;.��_� ��7� Historic District: Yes ❑ No ❑ Parcel ID: Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration N Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: G<< /�y� G ✓r7 S Title: C c ^/ ti Phone: `40 7-.—f5 Z • ?MF Fax: Email: nn p Property Owner Information Name ��/ I G' / L.GL Phone:Q Street: U 4li15A - cy V<_ Resident of property? : /1/ 0 City, State Zip: 0 i/iA �, ? Contractor Information Name t?ur l <Ps ,�L.?rr�. c bP C<< Phone: ^V Street: 4P &ztL ✓ IQ ,^�'r/ e- Fax: City, State Zip: C ✓✓�, �!�� >�� 3 ? State License No.: C t cv7 �l Architect/Engineer Information Name: C� CS/�� /�%/< ii L Y:il-.M,�/ �L �- Phone:- 31e5S� Street:. 5-7 Z. W Fax: City, St, Zip: t'z(2d , f`L. n 4.74,/05 E-mail: 74a /Ale tlE Bonding Company: Address: Mortgage Lender: Ayzz - 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, f furnaces, boilers, heaters, tanks, and air conditioners, etc. O FBC 1053 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 0'�\� 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. A00 LLc Il�ll� N r SigrIffure of Owner/Agent Date So a 6 E 6 alZA- AIM (3o I U c Print Owner/Agent's Name 18. Signature of Notary -State of FI da ate Glone Iarle Bahamonde ,0 P`O4n State of Florida My Commission Expires 1211812020 Commission No. GG 5WO Owner/Agent is Personally Known to �Meor Produced ID )— Type of ID 'l 0-T riuer.4CLM(�, Signature 0bVo•.;WDate Print Contiactor/Agent's Name Signature of Notary -State of Florida Date Glorie Marie Bahamonde j�� "°�� State of Florida My Commission Expires 1211812020 Commission No. GG 55830 Contractor/Agent is Personall Known to Me or Produced ID 3-1/ Type of ID Y utrLC, -nSc, 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 Jot` APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application d? City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures 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: i' '`� � DATE: PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: &% REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) DECK TYPE (PLEASE SPECIFY): * *PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"* ROOF VENTILATION: D OFF -RIDGE ® RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES *NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 Q 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 � 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL# CITY OF 3ANEORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE —ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY —IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ADDRESS: 6102 f 1� Ue- i �. I 6� a r t yetItiq , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINE (, 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). C LICENSE #: %� { !Y/ g COMPANY / CONTRACTOR: C /� /J I�� %/j �I C v L CONTRACTOR SIGNATURE: / �\/� DATE: 7,�Kp2el,61 (MUST BE SIGNED BY LICENSE HOLDER O ER/BUIL A FINAL ROOF INSPECTION IS REOUIRED: 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 SeM l 60jL -L Sworn to and Subscribed before me this .Z � 4 h day of 0) C�d1e Y 20 L by: NO1l1 VLA �WYu-, . Who is ❑ Personally Known to me or has Xproduced (type of J iL-k_i5 LICYr,sQ. identification) 52O •- Z 15 -SSs'036'U as identification. Signature of Notary Public c` e Notary Public StatajoLflonda State of Florida : ' 1,,, , Dakota R Hanicak c. • MY Commission GG 237512 a n Expires 07111l2022 Print/Type/Stamp Name of Notary Public