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HomeMy WebLinkAbout107 Mayfield DrCITY OF ORD FIRE DEPARTMENT PEAR 2 9 2018 Building & Fire Prevention Division PERMIT APPLICATION Application No i �152f Documented Construction Value: $ % 1`40 Job Address: 1 D i mo�'`1 (-'I y e Historic District: Yes❑No❑ 3 z=7 � Parcel ID: 52 - 9 ` 3 - S / -ODO D - �6 26 Residential❑ Commercial Type of Work: New[] Addition❑ Alteration❑✓ Repair❑ Demo❑ Change of Use❑ Move Description of Work: RE -ROOF Plan Review Contact Person: Phone: 4079220502 John Byrne Jr Fax: Title: Permit Manager Email: john@masimoconstruction.com Property Owner Information Name Ca-��a� ©u�vls Phone: qo? y42 3q/a Street: l o 7 M --'!1 F, e / 4 Or -"We- Resident of property? : Ye 5 City, State Zip: San f,v- d FJ_ 3 Z7 7 / Contractor Information Name Masimo Construction Street: 16105 83 Place North City, State Zip: Loxahatchee FL 33470 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 4079220502 Fax: N/A State License No.: CCC1328033 Arch itectlEngineer 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: 6te Edition (2017) Florida Building Code Revised: January 1, 2018 Pernvt 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 SiZre of .actor/A 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 Prin Co ractor/Agentts Name i ` iLi G`/7l Signature of Notary -State of Florida Date 4 ,v> �,., ANNETTE M BDFd Notary Public —StatCommissior: r GG hly Comm.. Expies JcrAyrNajora C y 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: 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: ENGINEERING: COMMENTS: UTILITIES: WASTE WATER: O Revised: January 1, 2018 Permit Application Masimo Construction, Inc. asoan® Construction, Inc. Roofing Contract/Proposal Address: 3715 Pembrook Dr. Orlando, FL 32810 Office: (407) 286-0067 Phone: (407) 922-0500 State -Certified Roofing Contractor - CCC1328033 State -Certified General Contractor - CGC1509548 Brad Pollack, Contractor Customer Address: Home Phone: Insurance Co.: Adjuster: Claim #: Phone: Date: ,.SanPbca I 1'2L 3L741 Cell: �`���� Lioz::7� 10 Work Phone: SPECIFICATIONS Remove roof to existing deck layers. ❑ Each additional layer $ /Sq. (100 Sq. Ft.) nail existing deck to meet uplift codes. tall metal drip edge around perimeter of roof. I tall lead boots to pipes 1%" 2" 3" Astall Gooseneck vents 4" 10" pply Rhino_ guard (Synthetic) to wood deck. f�Apply Sq. Ft. of ME US ING ESlTILE/SHAKE FLAT ❑ Style of roof to bistalle : Color: Pitch: ❑ Manufacturer of roofing system: ❑ Install ridge vent along peak of roof: Addt'I. OTHER PROPERTY CONDITIONS Ice/Water Shield Existing Water Damage Existing Driveway Damage Skylights: Leaks: .Yes No .Yes No .Yes No ❑ Interior Damage: ❑ Emergency Repair Yes ❑ Tapered Insulation Yes WORK INCLUDES: ✓ Remove trash from roof, gutters and yard. ✓ Protect landscaping where applicable. ✓ Roll yard with magnetic roller. ✓ Furnish permit ` 5-year warranty Additional charges of $70 per sheet if decking replacement is needed which is only visible upon tear -off existing roofing materials. WE PROPOSE To furnish material and labor complete in accordance with specifications above for the sum of $ SPECIALINSTRUCTIONS: No No PAYMENT SCHEDULE 50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN PULL UPON COMPLETION EARNEST DEPOSIT: ❑ $500.00 ❑ $1000.00 ❑ $ DOWN PAYMENT$ 3060•0C) FINALPAYMENT$ ` S4PQ -400 TOTAL $ 1 ,too -moo ACCEPTANCE OF AGREEMENT This agreement is subject to insurance company approval and does not obligate the homeowner or Masimo Construction, Inc., in any way unless it is approved by the insurance company and accepted by Masimo Construction, Inc. By signing this agreement you authorize us to negotiate the repairs at a price agreeable to the insurance company and Masimo Construction, Inc. at NO ADDITIONAL COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE AND AS PROVIDED ELSEWHERE IN THIS AGREEMENT. The final price agreed on between the insurance company and Masimo Construction, Inc. shall become the final contract price. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENTATANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE OF THIS AGREEMENT. Owner Signature)( --�'�� Date _� -_2' 2-. / 5� t4"-- Sales Reps M� Y Accepted by Masimo Construction, Inc./Representative X Insurance Carrier Claim No. Events beyond the control of Masimo Construction, Inc. may cause delays to the projected start date or estimated time of completion. Such delays do not constitute abandonment and are not included in calculating time frames for payment or performance. THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE ARE A PART OF THIS AGREEMENT. WHITE - HOMEOWNERS COPY YELLOW - SALESMAN'S COPY PINK - OFFICE COPY Property Record Card Parcel: 32-19-31-516-0000-0620 Property Address: 107 MAYFIELD DR SANFORD, FL 32771 Parcel Information Parcel 32-19-31-516-0000-0620 Owner BURNS, TANESHA BURNS, LATROY Property Address 107 MAYFIELD DR SANFORD, FL 32771 Mailing 107 MAYFIELD DR SANFORD, FL 32771- Subdivision Name CELERY LAKES PHASE 2 Tax District S1-SANFORD DOR Use Code 01SINGLE FAMILY Exemptions 00-HOMESTEAD(2011) + 1 50 1 50 1 50 1 50 1 50 50 1 50 1 50 1 50 1 50 Seminole County GIS 1 Legal Description LOT 62 CELERY LAKES PHASE 2 PB 65 PGS 29 & 30 Taxes _ Save Our Homes Adj I1$68,477 $58,435 Amendment 1 Adj $0 P&G Adj $0 — $0 Assessed Value 1$109,921 1$107,660 Tax Amount without SOH: $2,374.00 2017 Tax Bill Amount $1,262.00 Tax Estimator Save Our Homes Savings: $1,112.00 ' Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $109,921 $50,000 1 $59,921 $109,921 - —^ $25,000�� ^ $84,921 City Sanford ( $109,921 _ _ $50,000 $59,921 � SJWM(Saint Johns Water Management) $109,921 $50,000 1 $59,921 County Bonds I $109,921 $50,000 _ } $59,921 Sales r- Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED SPECIAL WARRANTY DEED j 6/1/2010 ---F2/1/2009 07410 071168 0634 11927 $132,000 $150,000 I No No 1 Improved i Improved CERTIFICATE OF TITLE 10/1/2008-07-078 e 0787_ j $100 --y� No _-�- Improved �µ�m WARRANTY DEED 8/1/2005 —_ 1 3 059 $289,000 Yes Improved SPECIAL WARRANTY DEED --~---F6/1/2005 05801 0274� $191,000 Yes Improved Find com Sales Land Method frontage Depth Units Units Price Land Value LOT j 1 j $34,000.00 1 $34,000 1 I Building Information LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 5I2 z h Y' I hereby name and appoint: 11 ✓t r.n T an agent of: mqa / rN10 60 41 s �-o C �r D Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): The specific ermit and application for work located at: 101 V L San fd VA f (Street Address) Expiration Date for This Limited Power of Attorney: 31 ZZ� License Holder Name: &a. of AN G k State License Number: (!,(,L — i 3 2 80 33 Signature of License Holder:�1 )F14&-01k STATE OF FLORIDA COUNTY OF S9-M I q 0 Q- 2-77 / The foregoing i,T-QA' ment w acknowledged before me this C2 day of, 200 �gj , byC���ck who isXpersonally known to me or ❑ who has produced as identification and who did (did not) take an oath. J (Notary Seal) Notary Public Stste of Florida Beth E Fishel y My commission GG 153047 Expires 10/1812021 (Rev. 08.12) Signature Print or type name Notary Public - State of �ocAA Commission No. G n 30t-1 rl My Commission Expires: P • k(;� Permit Number: Folio/Parcel Identification Number: Z- l 1 - Prepared by: John Byrne -'06 zo Return to: 3715 Pembrook Drive Orlando, FL 32810 IIIII fill 111fi` GR(INT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & C:OMF'TROLLER BK 9100 Ps 850 (1P3s) CLERK'S T 2018034360 RECORDED 03/ 29/2018 08:34:27 AN RECORDING FEES $10.00 RECORDED BY hdavore State of Florida, County of NOTICE OF COMMENCEMENT _ , 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 prope (legal description of the property, an street address if available) L6 / 6 Z � ES 6S Z 30 2. General description of Imp ovement 3. Owner information or Lessee Information If the Lessee contracted for the Improvement Name m V r Address / b'2 L Interest in Property, 0011 e-r Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor NameMasimo Construction Inc. Telephone Number4079220500 Address3715 Pembrook Drive Orlando, FL 32810 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number Address IV Aff Amount of Bond $ 6. Lender ' Name Al Telephone Number Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name _)� Telephone Number Address_ 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided In §713.13(1)(b), Florida Statutes. Name 44 / Telephone Number Address Q Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but will be 1 year from the 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 cm WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. `CN Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the A facts stated in it are true to the best of my knowledge and belief. `' Signature of Owner or Lessee, or Owner s or Lessee's AuthoOiAl Pr rized Offtcer/Director/Partner/Manager Signatory's Titie/Office Q The foregoing instrument was acknowledged before me this V day of l [$ by dirt for monthlyear na a of person as Type >; -- LL of putho ' . e.. officer, trustee, attomey in fad Name of party on behalf of whom instrument was execute` t�.3.: ,- Signature of Notary Public — State of Florida YEZE of Notary Publi '_ - �� .M • ii tate of Florida s. Personally Known OR Produced ID s-, <, .,, r Type of ID Produced kClc �y>?cS ,or,c;� GG 153047 �Y! 021 ember 26, 2011 CITY OF Building & Fire Prevention Division ORD { RESIDENTIAL RE --ROOF POLICY & PROCED URES 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 AFF VIT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FIW CODFF COW1fAANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: r i CITY OF S.' FIRE DEPARTMENT PERMIT # 1 f 5 ? l Building & Fire Prevention Division RESIDENTIAL RE ROOF SCOPE OF WORK JOB ADDRESS: / 0 7 on v e 504 -(o FC 27 % ! STRUCTURE TYPE: 14 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: (0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW/ROOF INSTALLLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): P(� w Cl a U J-4ect c4 e "PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECKIS Pt ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFTT TO BE REPLACED''* OPOWERED VENT OTURBINES SKYLIGHTS: O YES 0 NO IF 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 6 SHIN �� �GLE F T� (� �� ' ► 1� FL# t V 1 Z �i — Zid 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 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# OMETAL FL# OMODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# 0 OTHER: FL# CITY OF j Ski4FORD 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: I U 7 or -,(ye Sa�1 d� f(_ 32 7 7 I (/if- 6 4 l /I ct c k '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 C (, - j 3 7, O V 3 a %� COMPANY /CONTRACTOR: C(S /11 d �-�t.l e ✓ CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: i S' l 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 5 day of r 1 1 20 -1a by: Who is1Personally Known to me or has ❑ Produced (type of ident' (cations) as identification. l Signature of Notary Public State of Florida 9EK NotaryiejofFlorida �•r�E G 153047 Print/Type/Stamp Name 21 of Notary Public