HomeMy WebLinkAbout1605 Pear AveI
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
APR 0 2 2018
Application No:
Documented Construction Value: $
Job Address: Historic District: Yes ❑ No LSY
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Parcel ID: �.5�/ �/�- a "� 3�" Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration
Description of Work: --2!J /
Plan Review Contact Person:
❑ Demo ❑ Change of Use ❑ Move ❑
Title:
Phone: Fax: Email:
Property Owner Information
Name Phone:
Street: Resident of property?
City, State Zip: �4
Confractt?r,Information
Name
Phone.
Street: Fax:
Fax•
City, State Zip: qea 3P- 75-l State License No.: _
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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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/A t Date signature of Contractor/Agent Date
/ g On
Print Owner/A is Name Print on ctor/Agent's Name
Z' n2�_'3/ Aa
2
Sign re of No londa DaTel I Signature of Notary -State of Florida Date
VERINDAJACKSON „
* *MY COMMISSION # GG 056425
1 /, �9r
—v \o= EXPIRES; December 25, 2020
0
1 OF F'°e Bonded Thru Budget Notary Services
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: y Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Gas[:] Roof
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures.
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No []
APPROVALS: ZONING:
UTILITIES:.
WASTEWATER:
ENGINEERING: FIRE: BUILDING:
------COMMENTS:_ -- --- ----
Revised: June 30, 2015 = ''
Permit Application
(J
THIS INSTRUMENT PREP ED Y:
Name:
Address: ,.�
GRAN-1 t'iAL Yy SEMINOLE COUNTY
CI._EM!" OF* CIRCUIT COUFJ & C:OMI"TULLEF
BK ri 1 F'q 6 (1F'_a._
CLERK'S A 2018034774
REC:OFZD D 04/+�12/21-11;3 11i4iJ4ali, r'tl`1
f:.:Ci.)'r•`.C•),I••IG FEES $1ii,iti�
NOTICE OF COIV MENCEMENT FZECORl;�ED BY 1,;1::-'vore
Permit Number: I .? ' / 2, Z
Parcel ID Number: 3��/R — —3 6 S/ 3--, a2d 0 C/
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:
(-L—eg(s description
ofthZ a 7) n,d street a `rese ps `t av jl b
2. GENERAL DESCRIPTION -OF IM
3. OWNER INFORMATION PR L"SEE INFORMATION IF THE LES§EE CONTRACTED FOR THE IMP OVEMMEENNT:
Name and address: 9 34
Interest in property: 67 J 3
Fee Simple Title Holder (if other:than owner listed above) Name:
Address:
4. CONTRACTOR: Name: p& �/Phone�Number:
Address: �a �t� 2 SL C(�tJP� �% d 4 L Leo .�-4� .3 0-75-1
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: 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 o essee, or Owner's or Less ,'s (PrihiNarne and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of County of J
The foregoing instrument w s acknowledged before me this day of�`fC��i— 20
person maKi
who has produced identification
Who is personally known to me ❑ OR
nt
n of identification produced: _
VERINDAJACKSON
* * MY COMMISSION # GG 056425
c� EXPIRES: December 25, 2020
100F Flop` Bonded Thru Budget Notary Services
GENERAL TERMS AND CONDITIONS,,
The terms and conditions found on this page are an express part of the Agreement
between you and Ronald West Roofing, LLC. Please read this page carefully.
1. All work to be done by Ronald West Roofing, LLC is outlined with specificity,on the front of this Agreement
("Work") and includes all labor, materials, equipment, apparatus, tools, transportation and services necessary for,
and incidental to; the proper installation and completion of the Work.
2. All Work will be completed in compliance with applicablemunicipal and'state codes. Ronald West Roofing, LLC
will obtain all necessary permits for the Work.
3. Ronald West Roofing, LLC will perform all Work in a workmanlike manner according to standard practices. All
trash will be removed from the yard, gutters, and roof. Magnets will be used to comb the yard for nails, staples
and other metallic devices.
4. Grass, shrubs, plants, pools, yard fixtures, etc. will be covered by plywood and tarps as needed. Notwithstanding
the foregoing, you acknowledge that given the nature of roof and siding replacement, damage to grass, shrubs,
plants, pools, yard fixtures, etc. often,occurs. You agree that Ronald West Roofing, LLC is not responsible for any
loss or damage to any grass, shrubs, plants, pools, yard fixtures or other property in the yard.
5. In the course of completing the Work, Ronald West Roofing, LLC may discover pre-existing conditions, mold,
underlying damage, or other defects or damage to the property. You agree that finding any such issues is outside
the scope of Work. Ronald West Roofing, LLC will identify any such situations it encounters and upon your
request, provide an estimate to fix such issues.
6. You agree to pay the "Agreed Price" set forth on the front of this Agreement for the Work performed by Ronald
West Roofing, LLC. You will pay the first deposit upon execution of this Agreement and promptly pay Ronald
West Roofing, LLC any and all monies you receive from your insurance company relating to the work, including
amounts paid as overhead or profit and/or cost increases. The balance will be due promptly upon completion of
the Work. You will be responsible for all costs of collection, including reasonable attorney's fees and court costs.
Overdue payments will incur interest at 1.5% per month.
7. In certain circumstances, the insurance company's estimate may be revised after Ronald West Roofing, LLC
estimates the Work. In such circumstances, you may receive additional payments from your insurance company
for the increased estimate. These are referred to as "Supplements," You agree to pay Ronald West Roofing,
LLC all Supplements you receive for the Work and/or trades done by Ronald West Roofing, LLC under this
agreement.
8. Ronald West Roofing, LLC will not be liable for any delays due to weather, strikes, material availability or any
other reason beyond its control. This Agreement: (a) is governed by Florida Law; (b) embodies the whole and
complete agreement of the parties; and (c) supersedes all discussions, representations, oral agreements and .
negotiations between the parties. Any modifications, amendments, change orders, alterations or supplements to
this Agreement must be made in writing and signed be by authorized representatives of each party.
9. Driveway damage may occur as a result of heavy equipment and dumpsters being utilized on your project. You
agree that you will hold Ronald West Roofing, LLC and all material suppliers, harmless in the event of such
damage.
10. THERE ARE NO WARRANTIES THAT EXTEND BEYOND THOSE SET FORTH IN THIS AGREEMENT.
EXCEPT AS PROHIBITED BY LAW, RONALD WEST ROOFING, LLC DISCLAIMS ALL EXPRESS AND
IMPLIED WARRANTIES, INCLUDING AN WARRANTY OF MERCHANTABILITY AND. ANY WARRANTY OF
FITNESS FOR A PARTICULAR PURPOSE. RONALD WEST ROOFING, LLC AGGREGATE LIABILITY FOR
ANY AND ALLCLAIMSOR DAMAGES UNDER THIS AGREEMENT IS LIMITED TO THAT AMOUNT PAID
UNDER THIS AGREEMENT. NOTWITHSTANDING THE FOREGOING, RONALD WEST ROOFING, LLC
WILL NOT, IN ANY EVENT, BE LIABLE TO YOU FOR ANY SPECIAL, INDIRECT, CONSEQUENTIAL OR
INCIDENTAL DAMAGES IN CONNECTION WITH OR OTHERWISE ARISING OUT OF THIS AGREEMENT.
11. YOU MAY CANCEL THIS CONTRACT AT ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS CAY
AFTER RECEIVING A COPY OF THIS CONTRACT. IF YOU WISH TO CANCEL THIS CONTRACT YOU MUST
EITHER:
1. SEND A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION BY REGISTERED OR
CERTIFIED MAIL, RETURN RECEIPT REQUESTED: OR
2`. PERSONALLY DELIVER A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION TO:
RONALD WEST ROOFING, LLC
225 SWOOPE AVENUE, SUITE 106
MAITLAND, FLORIDA 32751
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
NFORD
FIRE DEPART&IENT
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: Z't2� DATE:
CITY OF
A SkNFORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: Ao,5 fir- & y¢Wa14 :32 / 7>
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: /"e6
* *PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: eoFF-RIDGE O RIDGE O SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (OlNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: LESS THAN 2:12 O 2:12 - 4:12 �12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA(,PiRODUCT APPROVAL
( JHINGLE
0
FL# O ✓ ��
O METAL
FL#
eODIFIED BITUMEN
�i � /�
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: Q 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#
Q OTHER:
FL# -
e
City of Sanford
` pBuilding and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / t�/ O �` ADDRESS: U o / C GI r Ail•
slIti f b,j
I f `(1,/lyloy LA&Jr , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFi�d 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 #: CCC
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE
Ra
C LL
OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 day of , 20 a by:
tt Who is ❑ Personally Known to me or has P-PLroduced (type of
identification); `tf �y1-�D 3 as identification.o�1c�,�
' r LATOYA TA{d = $R.OWN;JONNSON
Sigp�ure of Notary Public 3r buy PuWic.- Sbte o1 Florida
t to of Florida (S L Ai ?' _ Comlaistlon 8 GO 019109
�� AIy.Comm Ewres Aup:11 2620
BondeO throupL`Naliorul Notary Assn.
Print/Type/StarVp N m
of Notary Public
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