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HomeMy WebLinkAbout117 London Fog Way" If V E FEB 2 7 2018 q y CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S Job Address: 1 l--)- UCONDO" q:06 tuAY ! 5fh►:F019-0 Wit, Historic District: Yes ❑ No ❑ Parcel ID: Residential-C Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: R-e roo f Plan Review Contact Person: 305U- .0, C ZUt Title: Qff�St 6e vl+ Phone: (_S2;)C1(ol-';J0(0 Fax: (go'03(ael -4(oAl Email: C(jV1bbeCx�n'oo ue►nnpll.�oM Property Owner Information Name A(fy' Y1130 DOJal UOK;L Phone: �3%-�� 345 Street: ll�l' L0,-1.e0n1 =F06. LOA City, State Zip: SArVcDwI-O 'FL 32'r Resident of property? : �pe5 Contractor Information n ► +e 6 ��► Name - Street: '4q0 �larida Cenlhrol ParKt�lp� City, State Zip: LCG1W C06 Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: ( C.3-'xi) -woe Q0�A- ) 3(ocl-(4(o-'�-I State License No.: eC G►'.S �-�15� 6 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: Sth Edition (2014) Florida Building Code Revised: June 30, 2015 Permit 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. 0-11-idw 2- �p Signature of O er/Agent Date DOV0,- Lo ez Pri Own / gent's Name 1 re of Notary -State of Florida Date Signature of Contractor/Agent Date f ,Qy-dr0S �c ,\ACJYKD S Agent's Name �s +M ANGELA M. GOMEZ !'} MY COMMISSION # GG 183667 1 ,�o<�P,. ANGELAM. GOMEZ EXPIRES: February 7, 2022 _,. ; MY COMMISSION # GG 183&E7 !off F�qa`' gp�gpd rnru Notary Public Underwriters :,,,f e° EXPIRES: February 7, 2022 Owner/Agent i "'ft' x Contractor/Agent is Personally Known to Me or Produced ID Type of ID OL.014I 0lo 1-$w Produced 1D 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: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing —# of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application v UNITE® ROOFING SERVICE AGREEMENT Name: I 0 p - A)R Date: Address: -117 40Hb01-1 -r04 W,4y �- Email: anno"do.,06vaiYlR�Z. �� Phone: Sal 3 - 33,y/ Description Remove (Tear off, haul and dispose) comp. Shingles :E/Re-nailing of roof sheathing/decking - Current Hurricane Code 1 jZ Replacing new ridge vents, O.R.V. or shingle over ridge . &A WA/ 3 !� Replacing all boots and goose necks /POUIN Z, Saving gutters, soffit and/or fascia on home Installation of synthetic roof underlayment ONO .►� �U// �J�RMf73 J� M_tlit/9d:TUQ�s s�fiiuG�lc"� f�IAQ.PA•v77'#S ✓ OF �FgEZ�* %/L,gT .5f�T ILyW00a Initial ✓ 1060 �'o2 A 114M 3%N Shingle Type/ NiM'it • e mA,j tor: Initial Y_ Drip Edge Color: W72=_. Initial SI Warranties 7 MWS Initial —A nl Signature: Additional Unexpected Costs - Includes Labor and Dumpster to Remove 1 Layer(s) of Shingles -Additional Layers Will Cost $45 Per Layer - Initial aD - Deteriorated existing decking replaced at $55 per sheet of plywood - Initial Ail) *Does not include painting to match *Does not include any stucco repairs where deteriorated HOMEOWNER OUT OF POCKET $ TOTAL AMOU Signature: Print Name: *-AVe1h0Ado 11yd—Lgez Print Name: Date: 20-011? Date: Representative: . Q • Date: 1 have read and understand A, se a agreement, The terms and conditions and all documents referenced therein and agree to be bound by their terms. Acceptance of Service Agreement: The above prices, specifications and conditions are Satisfactory and hereby accepted. Contractor is authorized to do the work as specified. By signing, Customer acknowledges that he/she is the owner of the property where the work is to be performed. All payments are due upon completion of the roof. N1 THIS INSTf' , 'PREPAkED: � �' (V13V_� Name Address: U T(iYc, vrt w � • �L 32 Leo ®F c� p(dCbEANC2 �MEN® Permit Number: Parcel ID Number: 3b-Iq -30 -51'3 -o00b- ~`D42---) ;hi`;;'1 T Ili 1_ ;Y c.'-'C%i!0i._}" C0IJ'rd T'r' :. _. ,... �: ,_.I::.1'\i�. �.;, •.: `. f(�'t,,, f �: %i�_!ii f C: '�_•_i,�ft� E i%) .__i:. CLERK'S y 201 S1121021 �'-': i' Ei:!`} t.�11_i„'4_{;�i.. 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 PROPERTY: (Legal description of the pro erty and street address if available) "- m 42 r-t Ale'*air- DA►CS P13 ; PC Bee -T"ip0 4% LONoo tti -ZF06 vJtNq 5A-A--,,0A0 3,., 323 2. GENERAL DESCRIPTION OF IMPROVEMENT: P4— —%(0c7 (- 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: A02MAc400 p0�/ AL- —L-o'Id—EZ L Dr,1CCs`- T-p 6 WAY S Au.l rott-0 fit.. 32�'�, Interest in property: OWnEg- Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: Name: ✓ tT' CO f' �a Phone Number: Address: �l0 1-tOw"dCt C&S^ArpN pg�v,«,,py 00%TE (004 S. SURETY If applicable, a co ( pp copy of the payment bond is attached): Name: 6. LENDER: Address: Phone Number: Amount of Bond: 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. Phone Number: 8. In addition, Owner designates to receive a copy of the Lienot's 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 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 24,C M 041 J o 'D o vo, L o Cc- ez, (Signature of Own r Lessee, or wners or Lessee's Print Name and Provide Signatorys 11tle/0 ce) Authorized O cer/DirectorlPartner/Manager) State of County of �L The foregoing Instrument was acknowledged before me this by 14r rvA av-N & .00val - Lo Pe.l Name of person making statement who has produced identification E'type of identification produced: °y'' ANGELAM.GOMEZ MY COMMISSION # GG 183667 EXPIRES: February 7, 2022 Bonded Thru Notary Public Underwriters dayof1Feb✓u0"M 20 14f :.• SEMINOLE COUNTY MULTI JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 2I 23 (l % I hereby name and appoint an agent of: 0 V) k ti~d ncQ (Name of 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): ® All permits and applications submitted by this contractor. Or ❑ The specific permit and application for work located at: II 1pri ✓, �oq WC6_4 t SOVINfOVA mac, (Street Address) Expiration Date for This Limited Power of Attorney: 1 License Holder Name: ALCxG►_SYUS "CA?_kyvA0v _0> State License Number: CCC (3 24i S-iAo Signature of License Holder: STATE OF FLORIDA COUNTY OF SQ VI t✓ 04- The foregoing instrument was acknowledged before me this 13 day of �QvaYH 20�, by who is personally known to me or ❑ giho has produced as identification who did (dinot) take an oath. of Notary ANGELAM. GOMEZ MY COMMISSION # GG 183667 m' •P•. N _ NRES February 7, 2022 1PThru ffZ4ilu I q(,f.., hbl c Und9M niters knpgKq q _ 6o^,e't not or type Notary name Notary Public - State of Commission No. 6<j �m �vt b t•C I r6 S (o 6'r My Commission Expires: T100 ;I- 1 1012- City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address II')- LO*1O0N goC6 W Aye SAN�f-0 -47-L 322r�1 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # (include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll Up Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hung Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other JUne2014 O Category/Subcategory Manufacturer Product Description Florida Approval # (including decimal) 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles 9-nk-► Las 5,-444 .1 Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # (include decimal) 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name ftktAQndvOS kY-A42tv%kCav'COS (Please Print) June 2014 City of Sanford Building Division Residential Re -Roof Inspection 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 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 affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC co com 'ance by personal inspection. CONTRACTOR (OR OWNERBUILDER) SIGNATUREDATE: E CITY OF 4 ; DEPARTMENTSki4FORD FIRE PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 1 I-' 1_ON00N zfo6 *, /i kY I 5}T,1-F0 f4D fit, 1 STRUCTURE TYPE: ® 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 INSTALLED OVER EXISTING ROOF W DECK TYPE (PLEASE SPECIFY: 00d ""PLEASE NOTE: ONLY TOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROOF VENTILATION: OOFF-RIDGE a RIDGE 0SOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES (R) NO 1F YES, PLEASE PROVIDE FLORLDA PRODUCT APPROVAL #: ------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 © 4:12 OR GREATER TYPE OF ROOF FLORIDA PRODUCT APPROVAL SHINGLE ,,M^^AN__U��FACTURERr' ,[ YJIV: K '�'y�J�/��C�� FL# G"(-A L- I O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED 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 SPANGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# 0 OTHER: FL# Y OF OSXNORD FBuilding & Fire Prevention Division RESIDENTLAL RE-ROOFAFFIDA [SIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: I $ - t0(0O ADDRESS: jj-� U711-)00,) ZF06 W AY Slhnv =�L 32-::►'=Vj I AU_<A &(()S ACxkzt1-ACve_ C)S , 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.C. 13�-g5- YJ COMPANY / CONTRACTOR: V✓� l fC� IeO 1� CONTRACTOR SIGNATURE: DATE: 03 (MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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 �J�"AdL Sworn to and Subscribed before me this day of AlorC�j— 20 IT by: "CkrOS "*wXQS. Who is IPcrsoually Known to me or has ❑ Produced (type of rif cation) as identification. Signa ure of Notary Public State of FloridaNGELAM.GOMEZ *. MY COMMISSION # GG 183667 Q u. &Y1 G16 =A• 'a: EXPIRES: February 7, 2022 Print. pe/Stamp Name �rFor d�°P' Bonded Thru Notary Public Underwriters of Notary Public