HomeMy WebLinkAbout203 Shampton CtTV
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APR
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CITY OF SANFORD
& FI'REPREVENTION
PERMIT APPLICATION
Application ,No: 18—(CoOD
Documented
Construction Value:$
.Job Address: 263
34"X)Otbr)
ft
Ristoric Districf:.Y,es 0 No [R
Parcel ID:
3 pig tan e)cj
cc, ac) -ResidentialW Contmercial-F]
Type of Work: New El Addition F]
Alteration,
Repair F1 Demo El Change of Use n Move
Description ol"Work:
�-M)cP;
3L dq (�
f5/,/d,,§,rj—U 60 M i A_Q
Plan Review Contact Person:
PhoneA,0,'__T'11S_TM13 Fax:
am
Name )(ALU1,J-1
Street:
City, State Zip-.0
Name:
Street:
City, St, Zip:
Bonding Company:
AddreSs:
ractor- Informaition
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
2 2 0 615 ff2o
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 Tn FIRST INSPECTION. It 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 pertnit 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, pool$,
furnaces, boilers, beaters, 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
NOTICE In addition to the requirements of thi§'permit, there may be additional restrictions applicable to this property that, may be
found in the public records of this,counly, 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 requirernents of Florida Lien Law, FS 713.
The City of Sanford requires payment ofa 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 ItheJob at the time of submittal.,
The actual I 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,tli,at all of the foregoi
be done in compliance, with All applicable laws regulatin,
Signature of ONvhjOAgcnt Date
e—
Print
0 XSM PAUL HORSCH 11
Wy COMWISSION 0 GG 086W
b(PIRES: March 23 20211
1�,;r rto 'Swded Thni M0 Nobry Ser�s
Ciwner/Agentis' , Peisonally K. I ri,6wm 6_- - Me or
6 Produced,I]D, Type ,6fID
I
Permits Required-. BuildingFj Electrical,F] MechanicalFj PlumbingE] Gas[] Roof E]
Construction Type: Occuvanev 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 F1 NoO
APPROVALS; ZONING:
COMMENTS:
# of Heads Fire Alarm Permit: Yes No[]
WASTE WATER -
ENGINEERING: BUILDfN(§
Revised: June 30, 2 015! Permit Application
BREVARD COUNTY OFFICE
.,
321-452-9223
& SEMINOLE COUNTYOFFICE
407-960-3810
IOTA �ORANGE
1 r- �_ y ��jj ((
H�.11��
VOLUSiA COUNTY OFFICE
386-233-3244
NAME:
q
DATE C9 -0j9
STREET:
CCC1330489
CITY/STATE/ZIP: �. L���,,,pp3;,773
pi_d
HOME PHONE. (40-+ ''1 (p- be-ss '" 'son VfYi6�
CELL PHONE:
EMAIL:
r
ROOF `� Due Caiitaken toprdted home euterior`ah°rubs aril IandscapJng:"
includes labor to remove existing roof and haul off.
includes Dempster. Roil off itumpster for paver driveways.
includes kspecting deck-fordamage and renailingto Code with 8D ring shank nails.
tncludees saving gutters, soffit,.fascia on existing home (some damage may occur In construction).
includes replacing; ridge_ vents. Includes replacing existing drip in DRIP EDGE COLOR 19? t INT XIT 5
edge choice of color. ,
Includes 1 �/4" roofing collated nails. tt
Includesinstalling new shingles in COLOR S1,1b� INT;1 �
choice of color. SHINGLE .�vt�I
Includes repiacing all lead.boots and goose vents (does not include gasrelated vents);;
Includes new galvanized mLlefin all valleys:
Includes Starter Shingle and Ridge Cap per Code.
Includes obtaining and posting permit with local jurisdiction.
Includes ma obsite cleaniU out utters and hauling away debris.
MATERIAL. ARCHrrECTURALASPHALTUFETIMESHINGLES C'rv4ONb--1OM,lrrto OJ't: 13OMP.H
UNDERLAYMENT PEEL & STICK. ^SOLO F6W 4f "et'F-- `Z r1 ��
_
MISC:,. ZA,(CIK 6!
INGItfClESBOR AND DUNit?STER TO REMOVE_. LAYER(S)OF $HINGLE5♦
ADDrrIONAL LAYERS WiLI COST $_ PER LAYER ADD(TI.ONAL LAYERS INT.. 'erg
Deteriorated existing deckingreplaced at per sheet of plywood
Deteriorated existing decking `replaced at per linear ft. WOOD ACKNOWLEDGMENT-INT Pe :5,
"Does not Ind(ude'painting to match voj _ of—,
'Does not Include any stuccorepain where deteriorated flashing h d to replaced.
WARRANTIES Worry -Flee Gold 7 yr non -prorated WORKMANSHIP-tlttG'iva
arry-Free a mum 1�yra e usfve$
flax <oo s tarry a yearjear wa�7�7. _
i
WAIVES INTERIOR DAMAGE -PRE -INSPECTION - Customer Initials LUST
I
An iTOMER
(Any Lerior damage which occurs during construction will not be covered ,
t
y�CLt1[SNE}NbllT ATIflNINE�E IONS3j�'�`'
-
` EASY, NANCIt+tfa PTIO Sit;
t
"ootitlypaymedt
o a �
1.OWM1IER'SECIARAT,iONOFINTENT2Owner acknowledgesand agrees
that the 'are artici atin in the'Insurance. Recovery Guarantee Program and
y P p g r1 g
st'' pa.
'rc,d
APRi
t n`
updn approval of roof replacement by owners, Insurance provider Total Home
9,0O'A
r!E
Roofing shallperform the Ooof replacement work and both parties will be
12 months iF [?IIf+ REST
$ s
iveln Fame sank .1th approved credit.
bound by the terrzis of.'this�agreement.Through
Both parties agree that T ��S npP dy owner Sr
'� w-uu'-
`�.,G�
'fin
'Financing must be compote prior to sta olprojea
�< e `iw„»:3.,--"�:.�5,;.T,
,
3 1 5 dtat h it riStyiTe tlW J��"tt qfu 6MeiCE
_ h et ts{i project owner must pay THR ull
Tat ome Roofing Date:
amount of daductabie plus first Insurance cheek iricii oohs'
r viitlie pi frucn trrr�s-rtce" ro°cees
LustomerSi nature": Date:
i HAVE READ AND UNDERSTAND THIS PROPOSAL, THE TERMS AND CONDIITIONS, AND ALL DOCUMENTS REFERENCED THEREIN AND AGREE TO BE BOUND
BYTHEIRTERMS,
ACCEPTANCE OF PROPOSAL: The above prices, their specifications and conditions are satisfactory and are hearby accepted; Contractor is autho6zed to do the
work as specified.. By signing Customer acknowledges that Customer is owner of the property wherework Is to beoerformed.
'ALL PAYMENTS ARE DUE UPON' COMPLETION OF THE PROJECT.
Any delay in payments may result in 1.S%' interest per 30 days.
Wind Mitigations are not considered part of the project but offered as a service to our customers through a third party, certified licensed Inspection
company and shall not be used as reason for any delay of final payment.
—This agreement constitutes the entire contract by and between contractor and owner and parties are not, bound .by oral expressions or representation by any
E
THI34NSTRU I MENTPREPARED BY. (4- a —A f f
Name: "TOTAL HOME -ROOFING,
Address: 434 Winter Springs', EL 327Q{L_
NOTICE OF COMMENCEMENT
State of Florida
County -of Seminole
GD
WIT 11ALOYP EEMINGLE COUNTY
(]JRY, OF, ORCUTT COURT & COrIPTROLLER
BK 909E Pq 199o,(1p9s)
CLERK'S t 2018033563
r; E C 0 Rb E D 113 '2 1 / 21-118 i I : 4 7: 2
RLC6RDING FIE'ES �40.00
RECORDED BY lidevo'tp
Permit Number: 'Parcel ID, Number: 6 31 -551, (1 � 6 0 00 - (1 2t,,
The undersigned hereby gives notice that improvement will be made to certain real proper.ty,.and,in accordance with
Chapter 713, Florida Statutes, the following information is provided - in this Notice of Comirien cement.
(Legal description, of the property and street address if available)
IMPROVEMENT:
Address: 4)16,`, J=(LJ44Z4
Fee Simple Title Holder (if other than owner) Name:
Address, -
Name:
Address, -
In addition to -himself, Owner 1 Designates of
To receive a copy of toel1lenor's Notice as Provided In
Section 71,3,13(1)(b),Florida Statutes.
Expiratl!Dn Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different'datefs specified)
1,. SECTION 713.13
OLIk PROPERTY. X
Under penalties ofperjury, I declare that I,have read the foregoing and thiat',the facts stated in it are true
to the best of. imi yAnoWledge and belief
4L Cke-
owneft Signatura,�� Ovynelrls Printed Name
Florida Statute 713.13(l)(g): owner must sign the notice of cornm noement and no one else maybe permitted to sign in his or her stead,*
e
State of FLORIDA County of SEMINOLE
The foregoing Instirpmentwas,acknowled1ged before me this AS day of ._20)s
by I< 6 Y A . C- ('f- SA 1) c. A Who is, personally known to me
Name ofperson making statement
I g
OR who has produced Identification type of Identification produced: F'10,,-J, �;v.,n
JOSM PAUL HORSCH 11,,1,
M41j� '16N i-136 WSW
No Signature.
o.
EXPIRES. moth 23, 1
is
POWER OF ATTORNEY
Ciate: > !f
I hereby name and appoint
of TOTALHOME ROOFING
In fact to act for me and apply to the
RE -ROOF permit.
to be my lawful attorney.
Building Department for a
For work to:be performed at a location, described as:
Parcel'ID;
Subdivision:'
Owner of property aad addressfn
And to sign my name andado ali things necessary to this appointment.
The foregoing instrument was acknowledged before methis day of MOILL of 20
by Robert t3onovan, who is personally known tome.
State of Florida
County of S hole
(Notary signature)
vf° Notary Pubttc',State.of Flrxid
-CH
RIS MACAVk-r eta
e MY COmcllissio' G'3 1#92 2
wr* S CBst61it/2021
t
F Ca
PIMMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS:
STRUCTuRrTYPE: Q� SINGLE FAMILY RESIDENCE/TOWNHOUSE .0 MOBIILE'HOMF. 0 APARTNIFNIT/CON DOMfN IUM,
RE -ROOF TYPE: 9REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
tj T
DECKT,.,PE (PLEASE, SPECIES'):
"*PLEASE NOTE: ONL Y100 SQUARE FEET OF THE EVISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: (ROFF-RIDGE 0 RIDGE 0soFFrr OPOWERED VENT 0TURf31NFS
SKYLIGHTS: DYES 0 No IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPRQVAL
--------------------------------------------- -------------- — ----------------------- ---------------
MAtIN ROOF AREA
ROOF SLOPE:. 0 LESS THAN 2:12 02:12-4-.12 9_4:12 OR GREATER
T'.'PE OF ROOF
MANUFACTURER,
FLORIDA PRODUCT AP OVA],
mu ft
FL# jou-14- o_t3
OMETAL
FL#
MODIFIED, BITUMFN
FL-9
-0
OTORCH DOWN
FL#
I
ONSULATED
FL#
OTILE
FL#
OCITHER:
FL4
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICA BLE**
ROOD SLOPE: 0 LESS THAN 2:12 0 2:12 - 4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANT"FACTURER
FLORIDA:PRODUCT APPROVAL
0 SHINGLE
FL4
0 METAL
FL4
0MODIFIED BITUMEN
FL9
OTORCI-I DOWN
FL4
OINSULATED
FL4
OTILE
FL4
00THER:
FL#
(ITY'OF
Building &, Fire Prevention Division
RESIDENTIAL RErROOF POLICY & P)?OCED URES T f IRE D-EPAR NICK,
................. .
PERMITT[NiG 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 PERM ITAPPLICAT`ION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BEINsTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
**PRojECTS LOCATEID IN THE SANFORD ITISTOR]c DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SAN FORD HISTORIC PRESEIRVA'I_ION BOARD
INSPECTIONTOLICY &,PROCEDURES
A FINAL ROOF INSPECTION IS THE- ONLY INSPECTION REQUfkED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF -PERMITS.
THE FOULOWINGJS REQUIRED TO BE PROVIDEQN THE JOB SITE:
• PERMIT CARD, POSTED IN A,,CONSPtC,(J6US AND iNEATHE'RPROOFLOCATION
4 COIMPIfTEbRESIDENnIAl..RF-ROOFSCOPE oFWORK
• COMPfE'rEDAND NoTARIZEDINSPECTION AFFIDAVIT'
• AL[. FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION !NSTRUCtIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON'ITIE SCOPE OF WORK)
0 DIGITALP110TOGRAPHS (MUST INCLUDE T14F PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
• EACH PLANE OFTHE ROOF, SHOWING THE UNDERLAYMENT"INSTALLED
• ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICEORRULER)
• RooE DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
• UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
• 'DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
• SHINGLES INSTALLED, NAIL PATTERN' AND LOCATION' OF NAILS
* SKYLIGHTS (IF APPLICABLE)
• DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PLR FL PRODUCT APPROVAL
• DIGITAL PHOTOGRAPHS SHOWNG ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE sp,Lctr]C GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DFsiGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE CONI ��'\',CE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNA-r-URE:
DATE:
CITY OF '
'S��FORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY-INq FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 � `kk n ADDRESS: 2— U �_? s. lei
I ,[1(1.�!� ���(�� 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 #: �� +� v—i ��
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER O'
A FINAL ROOF INSPECTIOIN-!�-I2EOUIRED:
DATE: 0
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 S(Mf jo l L
Sworn to and Subscribed before me this 10 day of 20 JE by:
NI)OVUP'Who isdSPdkrsonally Known to me or has ❑ Produced (type of
Idtca 'on)u e o ary ubl
f Florida
Print/Type/Stamp Name
of Notary Public
as identification.
JILLIAN S HARRIS
State of Florida -Notary Public
=* *= Commission # GG 112296
oP My Commission Expires
June 06, 2021