HomeMy WebLinkAbout103 Maplewood Dr (3)Application No:
^Documented Cons-trraction Value: S
C Job Address: ��3Q�)�C S�1 —Dip— �t f i I Historic District: Yes ❑ No ❑
Parcel ID: Ci' - -1D0Z0 Residentialo Commercial ❑
Type of Work: New Addition ❑ Alteration ❑ Repaio Demo ❑ Change of Use ❑ Move ❑
�(1//►) Description
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Plan Review Contact Person-wi-t,l(d --h4yan
Title:_CN\)y rV--
Phone:- S42-02V� Fax: v
Email:(rlOirQ� QiYi
Property Owner Information
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Phone:
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Street: � p—
Resident of property?
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City, State Zip:
Contractor Information
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Phone:
Street: �1 k ow.E.. � t(l) (�IV� _
Fax:
City, State Zip:, 0 l {� �
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State License NoJ P
Architect/Engineer
Information
Name:
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company:
Address:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAVING 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. l 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: Sl" Edition (2014) Florida Building Code
Revised: June 30. 2015 Permit Application
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 inforpation is accurate and that all work will
beeddone in co pliance with all applicable laws regulating co�nstr7ction and coning.
Signature ofO-cr!Ageat i Date I S re of ConuactorlAgent Darti
0wnedAgent'is,_ Personally Known to Me or
Produced ID \1 Type of ID
mrs Hama
ll� b
Siiitc ofFfonda "—' j '—D�rc.---•
Ex S �:emh 201E
r/Agent is 1 Personally Known to Me or
IDV Tvne of ID
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 Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Pcna t Application
1606 E Central Blvd
Orlando FL 32803
.
"`�" CCC1330319 i CGC1521712
1�00 F �,�
& REMODELING h, 407-392-0218
0u Al7t66l � � o Yr`''Date i r`1 t V Job#
,ttr5 s..:.HM# 11
Z`(7 9W Policy# r P!i 5/NyriGt� ^O�
1A �ALT# PahIW!v XbXo Of, ell, (PM Claim #re 7;KIA -00
G' 7 Ins. Co. L 1115 Y, U✓ Deductible S OU
Agent's Phone Number Deposit
ROOFING
TYPE OF EXISTING ROOF: re- �i /
r ROOF PITCH: -5-12 NUMBER OF STORIES' — LAYERS:
RIDGE VENTS (LF): � 48"OFF
t%-RIDGE VENTS: OTHER VENTILATION:
q ELECTRICAL BOOTS BOOT JACKS _ 1.5" %' 2" 1 3" _ 4"
i GOOSE NECKS: 4" 6"_ 8" _ 10 DRIP EDGE: CHIMNEY FLASHING (LF): Z f�
DEAD VALLEYS: SKYLIGHTS ( YES orXO V SATELLITE DISH ( YES � STEP FLASHING (LF):
tC_..//
GUTTER OR 7" SOLAR PANELS:- PANEL SIZE: WATER or ELECTRIC
ACCESS FOR DUMPSTEOE or NO)
1
INTERIOR DAMAGE&r NO) (if yes see additional)
-!,"OTHER:
CONTINGENCY AGREEMENT"
Custamr agrees to contact the insurance company and make a claim for repair or replacement of damage to the property. Customer agrees to notify City Rooting & Remodeling
of the claim number, and the phone number of the claim adjuster assigned to the claim. The customer agrees to allow City Roofing & Remodeling to meet with the insurance
adjuster at an agreed upon time to discuss damages and scope of the claim, and negotiate a price for repair or replacement that is agreeable to the insurance company. if the
grA-a upon price ('contract amount'j is reached, the Customer exclusively authorizes City Roofing & Remodeling to complete all work as agreed upon. City Roofing &
2rmodring will be n1horized to obtain labor and materials for the replacement or repair in exchange for payment from the insurance.company of the contract amount. The
contract amount mans to Replacement Cost Value ('RCV') listed by the insurance company, plus the overhead and profit allowed and paid for by the insurance company,
p��s ih� deductible and depreciation, if any. _,
Customer
[11'e,h-e by propose to furnish material and labor - complete !n accordance with above s ifications for the sum of.
SPr Insurance Scope of Loss for full replacement cost value on Insurance Scope of Loss Sheet including Contractor s Overhead and Profit plus: deductible,
array upgrades. insurance supplements and decking or fascia replacement as needed.
Proposal ~mitten by: -lc.I' �,.�.,_ Date: I 1 I Cell#: �7y:Y
>PLEASE MAKE ANY PAYMENT 0 SUPPLEMENT PAYMENT TO: CITY ROOFI G & REMODELING "
I AGREE TO PAY THE FULL MONETARY VALUE PAID TOME BY THE INS CO TO: CITY ROOFING.AND REMODELING
Customer DATE:
Scanned by CamScanner
Permit Number:
Parcel to Number. 33.19-30-5EM OBOO.0020
The undersigned hereby gives notice that Improvement oil be made to certain real p,-openy, and in accordance with Chapter 713, Florida Statutes, the
following Information is provided in this Notice of Commencement d� D
1. LoiCll tfY"�4��i.�P �LB'E(o locj for°Sec o[1��°dre1dOSmfivaoodDr
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof due to damage from Hurricane Irma
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and add- -Daniel Amos - 103 Maplewood Dr _
Interest in property: Owner
Fee Simple Titie Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: Richard Hyman Phone NumtJer; 407-392-0218
Address: 1606 E Central Blvd, Orlando FL 32803
5. SURETY (If applicable, a copy of the payment bond Is attached): Name:_
Address: Amount of Bond:
S. LENDER: Name: _ Phone Number.
Address:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes.
Name: _ Phone Number:
Address;
S. In addition, Owner designates —of
to receive a copy of the Uenols 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 rO 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.
� A _P� Daniel Amos
(51g�alze��al1O//RII"�,mngrecbrAmNx °m en:e«I {i°P Inn w1�P (PRIM Namu vM ProvI0s 31pigW /BTtleleMm)
State&Tl�lt-Iw
The foregoing instrument was �acknowledged before me this 1,2— day of
b-_,J�—
Y_cY`^IlTIV CI�� WhoispersonaliyknowntomeKOR-
Nana a/p° maXinp fJelam°N
who has produced Identification D type of Identification produced:
v o MICHAEL JAMES LAVIGNA _1 1 �� Ept4lcOj�EC1 v)' K
MY COMMISSION F, FFIG20;>
EXPIRES SePlember 23. 2010
(nnr)Je:f.fll SJ FloriOaHm:rryServ,ce.com �+ ' '/!�'�'
!
CITY OF
r�
it NANFORD�
FIRE DEPARTMENT
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 0 q' ISSUE DATE: 03 V •
CONTRACTOR: C14U_ 400 II
'T
JOB ADDRESS: /0 3 M4.ale w ®a oL, lJve'
TYPE OF WORK: '
2
PROTECT FROM WEATHER
• 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
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections ,scheduled by 5:.00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
PRRMFPI'ING 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 DOCUMENT'S. COPIES WILL BE MADE TO POST ON THE JOB SITE.
-PROJ EC"I'S LOCATED IN THI, SANFORD HISTORIC DISTRICI' WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE.
SANFORD HISTORIC PRESERVATION 130ARD
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 TIIE SCOPE OF WORK)
• DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDEKLAYMENT 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 S141NGLES 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 OWNL'R/BUILDER)SIGNA DATE:
JOB ADDRESS: l is DL va 1 1 1
$IRUCFURETYPE: A/SIINGLOAMILY RESIDENCE/FOWNHOUSE 0MOBILE HOME 0APARTMENT/CONDOMINIUM
RE-ROOFTYPE: (/ REPLACFMH*NT(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 IOO.SQUAR17 FEET OF T/1L• P, \'lSTlNCDECK7S PERA✓ITfED TO RE RE➢LACED**
ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURDINES
SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVALM
MAIN ROOF AREA
ROOF SLOPE: 0LESS THAN 2:12 02:12-4:12 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL,
SHINGLE
c 1�
FLY5444 - Tti3O
O METAL
FLY
O MODIFIED Dn-umEN
FLY
OTORCH DOWN
FLY
OINSULATED
FLY
OTLLE
FLY
yj
OTHER: `\l
FLY 2-1 %`^I
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.)**IFAPPLICARLE**
ROOF SLOPE: 0LESS THAN 2:12 02:12-4:12 04:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FLY
O METAL
FLY
0 MODIFIED BITUMEN
FL#
OTORCH DOWN
FLY
OINSULATED
FLY
OTn.E
FLY
OOTHER:
FLY
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
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Page 2
Application Number . . . . . 18-00001204 Date 3/06/18
Property Address . . . . . . 103 MAPLEWOOD DR
Parcel Number . . 33.19.30.5EM-OB00-0020
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . IDYLLWILDE OF LOCH ARBOR SEC 6
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1036094
Permit pin number 1036094
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Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
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1000 111 BL03 FINAL ROOF _/_/_
1 4
ROOFING
C?: jI no d
To Whom IT May Concern:
I Richard C. Hyman contractor of "City Roofing and Remodeling" would like to cancel the following
Lt
18-1204
103 Maplewood Dr
Sanford, FL 32771
We are no longer completing this job.
Contractor: Richard C. Hyman
License number: CCC1330319
The foregoing instrument was acknowledged before me this. day of Wt of 2018 by
Richard C Hyman as contractor for City Roofing and Remodeling and who is personally known to me.
Notary Public (Name)
t-cy -;CC6
Notary Public (Signature)
Notary Publk Slat. of Flo d.
Vanessa 0 Fonseca
My Cornr l"Cn GG Z1 It 49
�y, add Expires OU252022