HomeMy WebLinkAbout101 Skogen CtCITY OF SANFORD
BUILDING & FIRE PREVENTION
fV11 APR 01 PERMIT APPLICATION
BY: Application No: 19-1601
T
Documented Construction Value: $
Job Address: �1� C aC\- Historic District: Yes ❑ No ❑
Parcel ID: L-3a' -cow - ("y_)Ctl Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Phone: =-'1g] -, 31" Fax:
Property Owner Information . 1,
Name Phone y5=f t�Cn
Street: Resident of property?: U,611etr
City, State Zip: �. on
Contractor Information
Name 1P' 1 (�� 1 �e�('� �(5f1 _ Phon,( qg% -3 LZO
Street: I Fax:
City, State Zip: L. g State License No.: LL I _a62 7
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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 he inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit 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.
r
A�/ 2k� jb
Sign' r of Owner/Agent gDate
a� �+ CLZ
Print Utvner/Agents Name
( r-)� Q-, k - - --,) 3I-Wo
tgnature of Notary -state of Florida pate
Signa r`Agnen�t D to
i`�� • 1 �r �.fc�lti' I
Print Contractor/Agent's Name
J 3�.
Signature of Notary -State of Florida I date .
Owner/Agent is personally Known to Me or Contractor/Agent is
Produced ID Type of ID ft-DL— Produced ID _
"' y" My,"ILES STEVENS
i rr�py
Commission Y GG 43415
d MI . , Iseion Expire,n,,n9 IELOW IS FOR OFFICE USE Or
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbii
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
+Personally Known to Me or
Type of lD
a
EMILEE STEVENS
Commission I GG43415My Commission Expires
October 31 . 2020 11
g0 Gaso Roof
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
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EMILEE STEVENS
e Cernmissba f 00 43415
MY Commission Expires
00tOber 31. 20Z0
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018016875 BK 9074 Pg 1361; (1pg) &RECORDED 02113/2018 l l.36.42 AM
10-00
€ k AyCITY Of
Building & Fire Prevention Division_
RESIDENTIAL RE -ROOF POLICY & PROCED URES
PERMITTING REQUIREMENTS —?NO PLAN RI•.V[EW REQUIRED
Tim 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,
THC 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 RE ISSUED WITHOUT TI[ESE DOCUMENTS. COPIES WILL BE MADE TO POST ON 714E JOB SITE.
* *PROJECTS LOCATED LV 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 RFSIDFNTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT ANDJOR CONDOMINIUM) RE -ROOF PERMITS.
Tm., FOLLOWING 1S REQUIRED TO BE PROVIDE ON THE JOB SITE'
• PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLE•TED RESIDENTIAL RI: -ROOF SCOPE OF WORK
• COMPLETED AND NOI ARI& .D INSPEC I ION AFFIDAVIT'
• ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
• DIGITAL PHOTOGRAPHS (MUST INCLUDE TILE PERMIT NUMBER OR ADDRFSS IN EACH PICTURE)
O EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
O ROOF DECK NAIL]NU 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 (INfCLUD(NG A MEASURING DEVICE OR RULER)
b DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASUIRING DEVICE OR RULER)
0 SHINGLES INGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
e SKYLIGHTS (IF APPLICABLE)
o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODucT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWiNU ALL REQUIRED rLASf1I14G, PER FL PRODUCT APPROVAL
FAILLFRE TO FOLLOW TFIESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CER-nFYJNG FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OMWERBUILDI R) SIGNATURE: - -. __��__ �' DATE: �� 1
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In signing this aacu'ncnr 1 rckna►iledge that file 3cape of work to be performed and all contracts,
signed have been ezp1ainnrrd.1O ,m� a and I an, in agreement Wilk
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SXY OF
NFORDBuilding & Fire Prevention Division
FIRE DEPARTMENT Re -Roof Permit Card
PERMIT NO. ®0� ISSUE DATE: a p
IJ
CONTRACTOR:
JOB ADDRESS:
0
a
I PROTECT FROM WEATHER I
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
NSPECTION TYPE APPROVED REJECTED INSPECTOR
'INAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . . . 18-00001601 Date 4/02/18
Property Address . . . . . . 101 SKOGEN CT
Parcel Number . . 33.19.30.504-0000-0200
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . UPPLAND PARK
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1041219
Permit pin number 1041219
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF
CITY OF SANFORD
*** CUSTOMER RECEIPT �**
Oper: BLANDA Type: OC Drawer: 1
Date: 4/02/18 01 Receipt no: 100040
1 Year Number Amount
2018 1601
101 SKOGEN CT
SANFORD, FL 32771
BP BUILDING PERMIT RECEIPTS
$129.00
i AC 478614
Tender detail
CC CREDIT CARD $129.00
Total tendered $129.00
Total payment $129.00
Trans date: 4/02/18 Time: 16:05:50
D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: ' 6 _ Uoo 1 ADDRESS: l01 S► -ns
I &19t, Y 1aeben , 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 #: C
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE
(MUST BE SIGNED BY LIC�
OR OWNER/BUILDER)
A FINAL ROOF INSPECTION GS REQUIRED:
DATE:
-14/?-//5
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 01'O V. ''
Sworn to and Subscribed before me this Z- day of 20 It) by:
w PI�,�c�r1 Who is O'Personally Known to me or has ❑ Produced (type of
dent' ca 'on) as identification.
Signature o Notary Public EMILEE STEVENS
State of Florida , Commission a GG 43415
.MVCommissionExpires
», October 31. 2020
Print/Type/Stamp Name
of Notary Public
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: t I l- oaw I (po � ADDRESS: t ON n C/
I Uyek t- 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 #: cc(- k u l -1
COMPANY / CONTRACTOR: 'PWV,/0CQ'-'n RR' U
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICEr
OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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
Sworn to and Subscribed before me this ` � � day of / ` 20 15 by:
�_oYT Fb-e nl�,u.wl Who is / Personally Known to me or has ❑ Produced (type of
identification) as identification.
r a��= —
ture of T tary u lic
State of Florida EMILEE STEVENS
��*•r r°e �i�
Print/Type/Stamp Name
of Notary Public
•°�"ti Commission A GG 43415
f
My Commission Expires
° ",OF October 31. 2020.