HomeMy WebLinkAbout141 Kelly CirCITY Of
Sk�4FORD�"
APR - 5 2018
FIRE: pEI�ART,btEl�4T
AV. (P"'% Application No:
Building & Fire Prevention Division
PERMIT APPLICATION
Documented Construction Value: $ 0 ,
Job Address: \ Y A1( C CG I Historic District: Yes ❑ No ❑
Parcel ID: 12 ` 2 — 3 0 5 � \ — 0 0 v 0 — `IU Residentialm Commercial❑
Type of Work: New❑ Addition[] rAlteration❑ Repair Demo❑ Change of Use ❑❑ Move
Description of Work: A C ` C06 T
Plan Review Contact Person: f) `e C G DI e e 6 (' k ci , Title: 0 f f _' C e_ V'y) 6i nG 5e r
Phone: 01 �32- 3� 03 Fax:
Email: bceccc,g lcnne4fnbf%na om
Property Owner Information
Name G e "e
L ove-\ y
Phone:
Street: `
e I '1
C I rC le—
Resident of property?: O w n ef'
City, State Zip: 5 �,-�
�0 Cdl , _ L
3Z� -I
Contractor Information
1
Name cl 0 r.
\
C J �'
h yl e ti
Phone: T2
Street: e, M 0 f' o\
Fax:
City, State Zip:
o L
-52� ��
State License No.: C 6C 13 2-9 �12
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 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 10.5.3 Shall be inscribed with the date of application and the code in effect as of that date: 611 Edition (2017) Florida Building Code
Revised: January 1, 2018 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Gas ❑ Roof ❑
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ '� � S
Job Address: ` e i I e Historic District: Yes ❑ No ❑
Parcel ID: 12-2D s 3D- 5 r\ - 0000- i\26
Description of Work: Re - r oo�
Plan Review Contact Person: 6tecCc, Be-ck G,,N
Phone: � 0 1 - q 52 - 3'1 03 Fax:
Zoning:
Title: I f0 fft ►^l, ,,c,tr
E-mail: breCCc\ iC;Ane.ycook L4 •CoN,
Property Owner Information
Name e'ne L ove � y Phone:
Street:
Resident of property?
City, State Zip: O'col , [' L 2113
Contractor Information
Name Jy�1 YN Phone: � 2 I- 3 5 5- A 6 3
Street: vd . Fax:
City, State Zip: 0 r \ a r�(o___-�'� ..___. 2�-b -_ --. State License No.: C CC_(_ j.2 ►_�'(2�___ _
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit ❑
Square Footage: 2 3
No. of Dwelling Units: _
Electrical ❑
New Service — No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type:
Flood Zone:
Mechanical 13 (Duct layout required for new systems)
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
(3_,11w Q ��
Signature of Owner/Agent 1 Date
J1 � WIX ��Ik
Print Owner/Ages Name
Signatur6of Notary -State of Florida Date
=Brec�GaE
State of Floridaachamion GG 191813/2022
Owner/Agent is* Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
of
Print Contractor/Agent's
Signature
Date
of Florida Date
$. % Notary Public State of Florida
Brecca E Beacham
14, r My Commission GG 191813
OFn Expires 03/04/2022
Contractor/Agent isNa Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
THIS INS�TRUMENT'PREPARED BY: l
Name: JtirIle y con53rvkt'r Ur, ry Lej
Address: 6110 vV Scr..,ora,n\.rd.
Qrl,;.,cAo, rL
Perez -
GRANT NALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT 4 COMPTROLLER
BK 9101 Ps 947 (lPss)
CLERK'S T 2018035021
RECORDED 04/02/2018 03.07:11 PH
RECORDING FEES $10.00
RECORDED BY hdpvore
Permit Number:
Parcel ID Number: 12 ` 10 — 3 U - `a \ \ _ Duo— 1 \2 0
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 property and street address if available)
Ln \\ 2
fh ID n rue- rvt eiAdo W
2. GENERAL DESCRIPTION OF IMPROVEMENT:
V, e — f`00+
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Ge,,,e, Love t% C:,CG`(,,,,ford, 1 L 32—?T3
Interest in property: 0 v✓ " u' r
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: ) O \I% V t J Ot r, ., e. -r Phone Number: nJ � 1 3 (2 (�
Address: ��o Y\/ Sego(-c , )R1,4. 32Qo"1
5. SURETY (If applicable, a copy of the payment bond is attached): Name
Amount of Bond:
6. 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:
8. In addition, Owner designates
of
to receive a copy of the Lienor'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.
(Signature of Owner or Lessee; or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of County of CVCL
(Print Name and Provide Signat 's Tifie/Office)
The foregoing instrument was acknowledged before me this day of Y" t 7Y , 20 It
by �Q L�ylle� l� Who is personally known to n%p OR
Name of person mhking statement
who has produced identification ❑ type of identification produced:
=o.V""csr� Notary Public State of Florida CER IF) �R.AN'T VIAL
Brecca E Beacham Ci EI?K F Ti << CI. ,CU, 'T COUIRT
r_ g* My Commission GG 191813 a
d► A.
Expires 03/04/2022
Notary Signature
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 ` t p q
I hereby name and appoint: j0h r, �eC�
an agent of: J ct n n Q y Cc), rj � ( NLi 1 0 n -Sera/ i'CL.5
(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):
iAll 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 Name: J C)�, C yr G h
State License Number: C C C
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF GVC-V
The foregoing instrument was acknowledged before me this 5 day of
201 ? , by V\� fiGtVI UI who is personally known
to me or ❑ who has produced
identification and who did (did not) take an oath.
10
Signature
(Notary Seal) Sec fi \�>eawc, 04
Print or type name
job%Notary Public State of Florida Notary Public - State of L
Brecca E Beacham Commission No. h ��
ryl�
My Commission GG 191813V1V Expire�03l04/2022 My Commission Expires: Z
(Rev. 8/06/13)
as
Building & Fire Prevention Division
RESIDENTL4L 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.
ATERMIT 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.
C
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE:DATE:
a
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: I l 1l e C; rG I e y, L 3 21- 3
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 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: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
i- Y'i 6eA
FL# 5 '1 1 r
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#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
;a ��� tirt�irtt(c+t°t et�ice�
JA 141, Kelly Cir
Date;; 2l1-3l18 4 lrottiiq
L 3280
Attached is:the proposed, estimate for t"E1e: ynm
oi } iu entire Home: Please if
'You have"questionsorrequ,ire.clartdoations, please contact
a 113_ 96 ! CCC 1.329428
place necessary decking
cirrrent,irurricane, standards
betic Underls etit
old_rat Valley
ice ofcul'or around perinietl
-'s"fi) t res" and accessories:
re, and" Reptace Approximately
a. 1.5 SQ:
ps waste
es Dutri;pster and haul. away
es taxes; insurance and permit fees
es Replacing (2) Sheets of ply,,voted Decking (additional, shall be billed"at 0 per) Any.fasc a or planked roof.,
g will 6e replaced at an additional $5.00 per'.litiear foot
Material Warranty" as per Manufacturer (Lifetime limited, prorated)
Labor Warranty 5. Year
Explodes Tear of and dump./ disposal fees
'!") UMlll,l y
irposes to furnish: material and labor=.complete:in accordance with above
50% upon "sighing, balance on completion
ions arc satistacton, and herb accepted..lanne Constru tion services is"au iorized to"make the rr
other
CITY OF
„y `Sk�40RD
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 #: I (0 &119 ADDRESS: 1 `► I 1, ^ r
S'FL
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITE, T, 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 #: CW \?__n Y I LA
COMPANY / CONTRACTOR: WVWA C OMAYU JJ n ISMALQJ LLC
CONTRACTOR SIGNATURE: V DATE: 41, el'(iRi
(MUST BE SIGNED BY LICENSE HOL R OWNER/BULL
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
Sworn to and Subscribed before me this 21 day of20 by:
Elan Who is personally Known to me or has ❑ Produced (type of
identification) as identification.
Signature of Notary Public
State of Florida
LAWCAWus Vm Print/Type/Stamp Name
of Notary Public
j OVOLY pW_
?
Notary Public State of Flonda
Amarylls Moya
My Commission GG 191831
Floc r�
Expires 03/04/2022
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