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HomeMy WebLinkAbout816 W 3 St (2)L 1 J {^{ CITY OF SANFORD FES 1 2 2018 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 17 700 o a Documented Construction Value: $ 7 Dv Job Address: D/ 6 W 3 d .57 Historic District: Yes ❑ No ©. Parcel ID: Type of Work: New ❑ AAddition ❑ Description of Work: Re D./q---- Plan Review Contact Person: 3D /�/ Phone: q49 Fax: Residential ❑ Commercial ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Email: stho o, C-'0v►4L Property Owner Information /ems Name c,c� '� i� / _ - Phone: 1�d,� Street: G or Resident of property?: City, State Zip: ` Contractor Information Name ()&k_e r— mil- ncr6�t,-5 Phone: Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Fax: State License 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: 51h Edition (2014) Florida,Building Code Revised: June 30, 2015 Permit Application qq., ..ufICE: 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. 1 -�B 2-110 Signature of Owner/Agent 15ate S I gna ure'" f t Date Name L),�AA ' �" a- i a-" L Signature of ANNETTEM BLAND Notary Public - State of Florida Corr rrissior » GG 17090C r, ti1y Comm. Expires Jan 16, 2022 E:.rceC .rr_r- �a 'cra tic:ar, Assn. Owner/Agent is Personally Known to Me or Produced ID Type of ID Pri Contractor/Agent's Name J(T Signature of Notary -State of Florida Date ANNETTE M BLAND Notary Public —State of Florida Commission t GG 170900 My Gomm. Expires Jan 16. 2022 'Fc cGnded;.,. ..h 4d'JGr '&Sn. Contract A' ent'is to Me or Produced 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: . Flood Zone: # of Stories: Plumbing - # of Fixtures # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015.• Permit Application City of Sanford Building Division Residential Re -Roof Scope of Work Jot; ADDRESS: DI b iN ,St �► i�r EL STRUCTURE TYPE: dSINGLEFAmiLYREsIDENcE/ToWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: d REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): "P.LEASENOTE: ONLYI00 SQUARE FEET OF THE EXISTING DECKISPERMITTED TO BEREPLACED" ROOF VENTILATION: 40FF-RIDGE ORIDGE QSOFFIT OPOWEREDVENT SKYLIGHTS: O YES (4o IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 5'C 2:12 — 4:12 O 4:12 OR GREATER OTURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE T/RYV ko FL# 1 �p _ j uk- CR O METAL FL# O MODIFIED BITUMEN FL# O TORCH Dowd FL# OINSULATED FL# O TILE . FL# OTHER: GS Rod;,, I�ro)vt6f5 60. FL# ),53� J 1 FL.l.I,/ -1 ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) ""IFAPPLICABLE"" ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER ,;:L jmq TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# OTORcHDowN FL# OINSULATED FL# O TILE FL# OTHER: 9 t�KJ R00T It i"CIQGUG�� 60• FL# ,Z533 F'�• � w FL W o CITY OF .rSANFORD t: RF nFPARTMENIT Building & xzre rrevenuvu y&vso& ,.& RESIDENTIAL RE -ROOF POLICY & PROCED URES • PERMITTING REQUIREMENTS—NO•PLAN REVIEW REQUIRED HIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE ROOF SCOPE OF WORK ARE SQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION HE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF OMPONENTS 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 iNFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY & PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED F FOR PERMITS. ENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE 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 ULER o ROOF DECKNAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE G RZE OF NAILS) o ROOF DECK NAILS 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 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 AO FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT INS COMPLIANCE B N AFFIDAVIT PROVIDE PERSONAL INSPECTION.,D BY A FLORIDA IGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE -- - -- ---_ —•---- DATE' CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �.I THIS ME REPAR INS ED BY: Name ~ Address: /'Iuh Ain NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: 111111111111111111111 loll 1111111111 I111 IIII GRANT MALOYr SE11INGLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 9060 Pq 105 (1F'3s) CLERK'S 2018006732 RECORDED 01/19/2018 10:29:36 AM RECORDING FEES $10.00 RECORDED BY hdevore Parcel ID Number: 9 ,� "�Qw.';Q—L��/� 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. _ /'- _' DESCRIPTION OF PRRj PER�I (Le ai d�scri tion (Lethe property and street address if available) rof Ll F_.;9_`.1 1 ncc k�rs - i GENERAL DES�� P ION OF IMPROVEMENT: �'"`�� a { N J ! OWNER INFORMATION: Name:. Raid Nla-ii C-r V Address: ;) Fee Simple Title Holder (if other than owner)game: Address: Q CONTRAC�jOR 'Ie-r kt�: Name: _ Rrn�llers C,pit`sfr�L��:�h G Address: �. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served t) as provided by Section 713.13(1)(b), Florida Statutes. V1 Name: -D Address: In addition to himself, Owner Designates of To receive a copy of the Lienoes Notice as Provided in n,J Section 713.13(1)(b), Florida Statutes. !— L- I -- - - - - Explratlori Date of Notice of Comrnen6omont (We expiration date Is 1 year from date of recording unless a different date Is specified) J 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, J 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. Under pe s of p Wry, I declare that I have read the foregoing and that the facts stated in it are true j to the be t of y wiedgeqnfi belief. , '• Ownafs n ro Owner's Printed Name 'The Florida Statute 713.13(1 ft: owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead Q4 State of,r4 _ County of a /Y " e The foregoing Instrument was acknowledged b fore me this �hday of---I;nJ RIB CM '' AA __ �` Q N Z by _ Ln:ha 1C.i� � � �[lI 744LOn-Z . Who is personally known to me ❑ Z Name of person making statement t^� V v OR who has produced Identificatlon ❑ type of Identification produced: t u r� CA � t7C I. CD --r aL �� �' ,•. 4 ANNETTE M BLAND Notary Pl bli&'3We of Florida • = �� ; Corrrrissior # GG UWW My Corrrr. Expires Jan 16. 2022 _c:w: r.-_Sr saxra NearyAsm. L�r7 V L'J C)0 X M. -: CLERK OF THE CIRCUIT COURT T ROLLER f�'�� ! t� u � La ' Y 0 W AND COMP cc SEMINOLE COUNTY, FLORiDA �� .,;� u v a 4` z 6 C E 1P C L Li sy DEPUTY CLERK Book9060/Page1405 CFN#2018006732 Daces FFR 9n11Rf 1 CITY OF -:;wilding & Fire Prevention Division S.&NFORD RESIDENTIAL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �,� � C�Q ADDRESS: by 3J i 54,_ I hjA iA l M AU , 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 #: COMPANY / CONTRACTOR: CONTRACTOR o i/�/'� ���I!/i I• (MUST BE SIGNED BY LICENSE HOLDER OR OWfIER/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 --k— (2v- i U\ Sworn to and Subscribed before me this � day of �s (+ 20 �_ by: 2�4 / A - jt _(,A . Who is D Personally Known to me or has X Produced (type of identifi ) 13ZM , Ic ),/! as identification. 'SiMat re of Notary. Public 5W Poobred ft % I off p oft State of on a �� � � ft GG 55829 ' : Print/Type/Stamp Name of Notary Public