HomeMy WebLinkAbout1105 E 4 St (2)Cl T Y OF
�ANFORD
FIRE DEPAfITP.IEN'T
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I a- 43q_5
Documented Construction Value: $ p 1 LP 00
Job Address: l % OJ S- ar)6J Ft m 711 Historic District: Yes[]No
Parcel ID:. 0 ` � 1
I (),I ()(:) cc I C) Residential[ Commercial
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Type of Work: NewLAJ Addition[] Alteration Repair❑ Demo❑ Change of Use Move❑
Description of Work: CptLl e.4��1 12 AL,Q ACK Ut-A r=e u' " 10C AtiM1Z((i tr)
Plan Review Contact Person:
Phone:
Fax:
Email:
�} /� Property Owner Information
Name k� �r�+'{- l "ok 1'1
Street:1105 tf q+h
City, State Zip: 3ankrd h. 11
Title:
Phone: J 5 L - �)50 ()-.
Resident of property? : L
ContractorInformation
Name Phone: 401" q6X - d 50C1
Street: %0 r_1_) ? f r i d bu e Gild, C4 Fax:
City, State Zip: C11 k1i )C J! �),U a State License No.: C'CC 6� Lf -1
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Mortgage Lender:
Address: Address`.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICEOF 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: ti" Edition (2017) Florida Building Code
Revised: January 1, 2018
Permit Application —1
1 � ,V
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 o weer/Agent Date Si ur of Contractor/Agent J U Date
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Print Owner%Ace's 7}i'ame /.r Print Contrap3nt' Nam f
si Date
TRICIALYNNr �0ERSON
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Produced ID ✓Type of ID
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TRICLA LYNN HENDcRSON
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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
APPROVALS: ZONING:
COMMENTS:
UTILITIES:
ENGINEERING: FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
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Notary PUN;t - State, of Florida
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GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018028819 BK 9092 Pg 0641; (1pg) E-RECORDED 03/15/2018 11:37:55 AM
10.00
We herebysubmit scope of work for:
O CLEAN ALL GUTTER DEBRIS
o'
Tear Off =�
1 "
o HAUL OFF CONSTRUCTION DEBRIS!
oROLL .MAGNETS THROUGH YARD
o
#,of Squares Off. "" {' ;,K
o LIEN WAIVERS.PROVbED 2 to 3 WEEKS AFTER FINAL
o
Recover roof with G
PAYMENT.
o
#'of Squares On
oAfter tear off, these additional cost may occur:
o
Shingle/ Golor t>3 7!
o
Protect Property aa-s*N�eeded Daily
*Plywood $55 00'p"er sheet- * Roof to, Wall flash"ing'$6.00 perLFT'
o
Decking Type 7 t %
*•Shingles $20:00 per SQfor extra layer *Fascia Board,$8,00 perLFT
o
Underlayment -
*Underlayment $20.00 per;SQ for extra layer`
Metal Edge Color
o
'Valley Type is
'
Terms: The undersigned,{Customer} herby agrees to the proposed,
scope of work and th6,contract price. The company'agrees10 furnish all
o
Hip'ja' Ric Ige."'
materials, ;labor and,necessary permits upon receiving the depositwhich.
o
'Nails "'
b
is_equal to 40%.of the contract price and the balance due upon
-
o
r.
Pipe Flashipgs �! ",� ;
completion of roof. lnsurance Claims: Rhyne Restoration to be ail
P'' .'
insurance checks
o
Ventilation t,u jV
o
o
Seal around all vents,•flashings,and pipes
Furnish.alf materials la r and necessarypermits
Roof Replacement 5%}
p
o
Delivery Inst,uctions��%?
b
2 Year Roofing Workmanship Warranty
Roof Repair
n P ? ,
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF 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 BF MADE TO POST ON.THF. 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 B! ;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)
a DIGITAL PHOTOGRAPHS (MUST INCLUDETHE 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)
0 SHINGLES 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 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: w` ! DATE
I
CITY OF
RD
3AN'
JoB ADDRESS: 0 0,5 E
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK.
STRUCTURE TYPE: ) SINGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE —COVER (NEWROOF INSTALLED OVER EXISTING ROOF)
DECK;TYPE (PLEASE SPECIFY):
**PLEASE NOTE. 0NLY.100 SQUARE FEET Ole' THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VEN'.L'ILATION ' OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: 0 YES NO IF YES; PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 02
:12 - 4:12
O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# u
O METAL' •
FL#'
0 MODIFIED:BTI'UMEN
FL#
0 TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OTHER: ( [i1 Aj2...yl
cg
L1i C>L j(
/
FL# flt
ROOF EXTENSIONS (PORCHES, PATIOS ETC.) **IFAPPLICABLE**
ROOF SLOPE: 0 LESS TIIAN 2;12 0 2:12 — 4 12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
0 METAL
FL#
()MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
O INSULATED
FL#
(O TILE
FL#
0 OTHER:
FL#
06� 1
CITY OF
Sk
Building & Fire Prevention Division
NFtjRD
RESIDENTIAL RE -ROOF AFFIDAVIT
AFIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, IDRY-IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #:� L�
ADDRESS: ' 10 5 G `1 SI
Sc4nkrd , ft /521 -7
I 1 V 43 a4 0 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGWEER, 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 CC. If CA 141 f
COMPANY / CC
CONTRACTOR
(MUST BE SIGN
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: cI 'y
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 L�
Sworn to" d Sub crbefore me this /5 day of 20 / 0 by:
Who is rsonally Known to me or has ❑ Produced (type of
identif tleln `% as identification.
U N Y/�V Vl l\V.ua' 1
tE offVFlorida �, s;- TRICA LYNN
Notary Pubuc - Steil of Flonda
C .
--; • = Comm ss:on = GG 126377
� My Comm, Expires Jul 20, 2021
Pr' i Type/Starr ame Bcrded through Naicral NcteryAssr.
of Notary Public