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HomeMy WebLinkAbout134 Oak View Plo. i � F aar' Y CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: i B- Q8 L4 Documented Construction Value: $ 11,277.77 Job Address: 134 Oak View PI, Sanford, FL 32773 Historic District: Yes ❑ No ❑ Parcel ID: 10-20-30-511-0000-0240 Residential ❑x Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair [A Demo ❑ Change of Use ❑ Move ❑ Description of Work: Complete Re -Roof, GAF 30 year asphalt shingle, 22 sq, 6/12 pitch Plan Review Contact Person: Peter Arcomone Phone: 407-677-7663 Name Virakone Kanlaya Street: 134 Oak View PI Fax: 407-677-7664 Title: Production Manager Email: pete@jaeofamerica.com Property Owner Information Phone: 321-203-9310 Resident of property? : Yes City, State Zip: Sanford, FL 32773 Contractor Information Name JA Edwards of America, Inc. Phone: 407-677-7663 Street: 7058 Stapoint Ct Fax: 407-677-7664 City, State Zip: Winter Park, FL 32792 State License No.: CCC057521 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 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: 5t1i 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. _ 01-16-18 Signature of er/A Date Signature of Contractor/Agent Date _,jGo-50 Laschober Agent's Nam Print Contractor/Agent's Name Npfary- to of Florida Date Signature of Notary -State of Florid ate o,"avP/jen PETER JAMES ARCOMONE _ MY COMMISSION 9 GG 035010 EXPIRES: October 2, 2020 19l'OF F%-Q Bonded Thru Budget Notary Services Owner/Agent is Personally Known to Me or Contractor/Agent is X Personally Known to Me or Produced ID Type of ID Produced ID 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 ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures. Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application THIS INSTRUMENT PREPARED BYPlk kf ( � Name: JA Edwards of AStapU"merica, Inc. AddressPt 32792 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: _ \.i IRRI''1 i ICI I'16. (.� f. Y :JEM I.I` OLE OMC COUNTY C1...ERK OF CIRCUIT Cr COURT 2� COMPTROLLER CLERK'S g 2018020148 RECORDED f rl RECORDING FEES $10.litl RECORDED BY flt evor',- Parcel ID Number: I a Dy ^--2�— 5I I ^ lJl� -�) D40 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. PROPERTY: (Legal description of the property 2. ^j GENERAL DESCRIPTION OF IMPROVEMENT: Fee Simple Title Holder (if other than owner) Name: CONTRACTOR: Name: JA Edwards of America, Inc. Address: 7058 Stapoint Ct. Winter Park, FL 32792 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)(b), Florida Statutes. Name: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true tot st of my kn led and belief. er's Signature Owner's Printed Name Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead " State of Fl(��l�Q County of '� 1 (�( _) �i� Y '' "_�.1 The foregoing instrument was acknowledged before me this lY day of ���� , 20 1 C J c'''c / r i �G I�.on ICa i C�� G by � � .Who is personally known to me ❑ � '� Name of person making state ent r OR who has produced identification type of i pro uc o O"'M Pua, PETER JAMES ARCOMONE �"'UJ MY COMMISSION ;I GG 035010 O O ' } `" EXPIRES- v IRES: October 2, 2020 �= Nay o` Notary Signature W +_ z 1-' 0P I,., Bonded Thru Budget Notary Services l! V N "JAEA JA lEaiu�ae d� ®f.�aanerisa, ®nc. Your Rooting Specialist!, AGREEMENT SUBJECT TO INSURANCE COMPANY APPROVAL Customer:vilu'.40He- kapi e . Date: Property Location: % 3� Uetil • ; Day; City: Srr %' [9 P= Evening: E-Mail: �� � _ Q � , t _d"d 4evenf ROOF SPECIFICATIONS Brand: � �i!�j,(7 StyleAr- 41- . Color: ��r c 3 F �y.►r%�� Ridge Material:CRIjValley: Open Closed,) Tear-OffO , Vent . Box � Shingle Over �Aluminum Fel �Ice & Water Shield: Per Code Pitch: Story: 1 /�3 Walkout: Yes NoF' l� / E�RU V I Roof Accessories to be replaced n w and/or painted t matchhsshingle color. . Drop Instructions: �t f �� I �t �5 CPr3� l �1 � C'✓� Gul l �r 5iWe C�'t` �P—i b'C'i {L�✓j G SPECIFICATIONS wand: Style: Straight Lap / u c c osure: 4" Elevation beiva-sii Instructions: Special Instructions: at house from street): Color: Style: 0 Homeowner Initials: TERMS L By signing this Agreement, you authorize JA Edwards of America Inc. to be present during the insurance adjustment and negotiate the settlement with your insurance company. 2. Unless otherwise agreed in writing, your out-of-pocket costs will be limited to your insurance deductible amount. However, you must promptly pay JA Edwards of America Inc. all amounts you receive from your insurance company. If you desire material upgrades or other work done on your property, you will incur additional out-of-pocket expenses. 3. This Agreement is not valid or binding on any party unless and until it is signed by both you and JA Edwards of America Inc. Once signed by you and JA Edwards of America Inc. JA Edwards of America Inc. will be awarded with the job described above and the scope and price of the work will be set forth in the insurance adjuster's summary. 4. Your signature below provides your agreement to all the terms and conditions set forth on the front and back of this Agreement. Please carefully read the entire front and back of this Agreement. 5. Homeowner agrees to assignment of benefits to Contractor (JA Edwards of America) for payments from insurance company to facilitate timely payments to contractor for all works approved in insurance scope. ASSIGNMENT OF INSURANCE BENEFITS: I, the policyholder, named insured or authorized representative, hereby assign any and all insurance benefits, rights, proceeds and any causes of action under any applicable insurance policies to JA Edwards of America for services rendered or to be rendered by JA Edwards of America and, in the regard, waive my privacy rights. This assignment is given in consideration of JA Edwards of America's agreement to perform services as described above, including not requiring full payment at time of service. I also hereby direct my insurance carrier(s) to release any and all information requested by JA Edwards of America, its representative(s) and/or its attorney for the purpose of obtaining benefits to be paid by my insurance carrier(s) for rvi es rendered or to be rendered and authorize JA Edwards and my carrier(s) to communicate as needed with each other in this regard.] 2r, Believe he approp iate insurance carrier is: �� l / First Check: $ 5c"() Check # Date ,at re (Cuss ' ..r) Date Balance Due: $ Check # Date JA Edwards of America Inc. Rep) Date U Agreed Price: plus additional supplements & permit fees paid by insurance company 7058 Stapoint Court • Winter Park, F132792 •Office: 407-677-7663 • Fax: 407-677-7664 • License #CCC057521 I SEMINOLE COUNTY MULTI -JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: _ \ / 1 (-D 11 z I hereby name and appoint: Llei 6 P\ yc Drc) Om an agent of: JA Edwards of America, Inc. (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: (Street Address) Expiration Date for This Limited Power of Attorney:_/�� License Holder Na State License Nurr Signature of Licen: (;Pralrl I acrrhr)hizr STATE OF FLO DA" i nC) COUNTY OF The foregoing instrument wasl1 acknowledged before me this Lday of J ar) , 20 , by C-1 �rCk l ( (- /S C t1 �obtr who is P�Personally known to me or ❑ who has produced and who did (did not) take an oath. C;�� Signature of Notary as identification 1?"1Atc#9jr1A1'c 69"41 110 Print or type Notary name 2°1rRr?�e��c RENEE C. CO LLINS Notary Public - State of &OXI Dt * Commission # GG 17M Nei �`or Expires January 7, 2022 Commission No. 7Z 9 My Commission Expires: .......... LOT 24 STERLING WOODS PS 54 PGS 93 THRU 95 Property Address: 134 OAK VIEW PL SA FORD, FL 32773 -,7_77,177' p VaI1164 Valuation Method CostlMaTket Cost/Market Number of Buildings I Depreciated Bldg Value $174,591 $164,515 Depreciated EXFT Value $1,100 Land Value (Market) $25,000 Land Value Ag JustfMarket Value $200,691 $190,665 Portablitj Adj ............ Save Our Homes Adj .......... . $64,492 $57,267 Amendment 1 Adj $0 P&G Adj $0 $0 Assessed Value $136,199 1133,31911 Tax Amount without SOH-' $2,842.70 2017 Tax BHI Amount $1,75125 Tax Estimator Save Our Hornes Savings_ $1,090.45 * Does NOT I hIC LU DE Non Ad Valorem Assessments 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 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 CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: O1 -1 6-18 aCITY OF ORD FIRE DEPARTMEUT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 134 Oak View PI, Sanford, FL 32773 ` f STRUCTURE TYPE: ® SINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (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 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: O OFF -RIDGE Q RIDGE Q SOFFIT QPOWERED VENT SKYLIGHTS: p YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4: l 2 Q 4:12 OR GREATER Q TURBINES TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL © SHINGLE GAF FL# 10124-R20 Q METAL FL# O MODIFIED BITUMEN FL# p TORCH DOWN FL# 0INSULATED FL# O TILE FL# Q OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 Q 4: l 2 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# Q TORCH DOWN FL# 0INSULATED FL# Q TILE FL# Q OTHER: FL# CITY, Building &Fire Prevention Division S RESIDENTUL RE-ROOFAFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: I 0 — q &4 ADDRESS: 134 Oak View PI Sanford, FL 32773 I Gerald Laschober , 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 #: CCC057521 COMPANY / CONTRACTOR: JA Ed rdS I , Inc. p CONTRACTOR SIGNATURE: ^--�" DATE: 3 I (J (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 5 r m I blt Sworn to and Subscribed before me this 2-1 day of M rt ZO 20 1 Q by: 6WDL & �a W(y . Who is 2r ersonally Known to me or has ❑ Produced (type of identification) C�R= �� Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public as identification. rotira :?j/s��c RENEE C. COLLINS : Commission # GG;17M Expires January' 7; 2022 F tiF F��P UrAed T?n Bud9d Notary Serrioes