HomeMy WebLinkAbout214 Clydesdale Cira 0
U
CITY •
S-JkNF:ORD
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I k- 1 4y
Documented Construction Value: $ k
.Job Address: 1y ,�`j ���Qte � � Historic District: Yes❑No[9
Parcel ID: Residential Commercial
Type of Work: New❑ Addition❑ Alteration Repair Demo❑ Change of Useo Move
Description of Work: V
' s ,
t, 3 3 5+ +{ l
n-� i
Plan Review Contact Person:
C�i(1 Title:_
Phone:= �G�y-I�1�
°—
Fax: Email:
Property Owner Information
Name3aI
Phone: 40-1 - _ l b
Street: `
C� C Resident of property? :
City, State Zip: R
am1. '?)
Contractor Information
Name v'r1Y1G
J
Phone:
Street: 5
Fax:
City, State Zip:
,w e( 1 34 q State License No.:
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 he inscribed with the date of application and the code in effect as of that date: Wh 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 1CC 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 Date S n [ure of ConlrnctorlAgent Dale
I, Be V
Print Owner(Agent's NamPn
e f, I r I
ntContractor/Agent'$ Name !!!
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
, BRANDY WERNICKE
,: State of Florida -Notary Public
=+ += Commission # GG 122775
My Commission Expires
anm` Ju!Y 10. 2021
Contractor/Agent is ersonally Kno to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type:
Electrical ❑ Mechanical [] Plumbing[]
Occupancy Use:
Gas[] Roof
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # 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. WASTE WATER
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: January 1, 20I8 Permit Application
t�
p Sanford
Building 1 Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
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.floridabuildinci.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
1. Exterior Doors
Swinging
Sliding
Manufacturer
Product
Description
Florida Approval #
include decimal
Sectional
Roll U
Automatic
Other
2. Windows
Single Hung
Horizontal Slider
Casement
Double Hung
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category/Subcategory
3. Panel Wags
Manufacturer
Product
Description
Florida Approval #
(including decimal)
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underla ments
Roofing Fasteners
r- '
Nonstructural
Metal Roofing
��1 twtv,r►-�
g i Q�,�
d
�`�c�,,�
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 / Subcatego—ry7
5. Shutters
Manufacturer
Product
Description
Florida Approval #
(include decimal)
Accordion
Bahama
Colonial
Roll up
Equipment
Other
6. Sk lights
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
(Please Print)
June 2014
r Illlllllilllllllliliillllltlllllllllllll
GRANT IIALOY► SEMINOLE COUNTY
THIS INSTRUMENT PREPARED BY: J7��yIL j ( � L`� Name: ELITE ROOFING CLERK OF CIRCUIT COURT & COMPTROLLEReK 9090 Pq 174 (lf'q5)
Address: 34429 CLERK'S 4 201E027297
RECORDED 03/12h1318 {I1
RECORDING FEES `I-10.00
NOTICE OF COMMENCEMENT RECORDED? BY rdtemp
Permit Number:
Parcel lD Number.- 18-20-31-506-0000-0770
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,. LE8tiRIP?ON OF PROPERTY: (Legal description of the property and street address if available)
SAKERSC
2. GENERAL DESCRIPTION OF IMPROVEMENT:
REROOF
3. OWNER INFORMATION OR LESSEEINFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: JULIO & CARMEN RENGEL 214 CLYDESDALE CIR. SANFORID, FL 32771
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name: N/A
Address:
4. CONTRACTOR: Names ELITE ROOFING Phone. Number. 352-794-1013
Address: 7765 W. GULF TO LAKE HWY. CRYSTAL RIVER, FL 34429
5. SURETY (if applicable, a copy of the payment bond is attached): Name:
Address: NSA Amount of Bond:
6. LENDER: Name: N/A 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
713.113(1)(a)7., Florida Statutes.
Name: "NSA Phone Number.,
8. In addition, Owner designates N/A of
to receive a copy of the Lienoes 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 1, 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.
ffim)
(Signatu or or Lessee, or tner a or Lessee's (Pont Name and Wovide.Slgnatorys Tipe/OtGce)
, Authorize
cedD'uectorfPartnerlhlanager)
State of U \ t County of
The foregoing instrument was ac% owiedged before me this , day of w ! 20
by Lir`�
Name or person rnastatement Who Is personally known to me OR
who has produced identification 0 type of, identification produced:
.lODyy�M y
- j1iL.If ,v ;tEl?iJICKE
o1PwY V' Public
2 ` j,dte of P.fot,ry
Con++rtss on GG 122775
nrly Comm+ SIOn L7.-p1reS
-July ill; LQ:1
11111111�-�,�--•
=vCITY OF
SkNFG
DEPARTMEN
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. J_3 _* / / e& ISSUE DATE: ® 3. ' "a • 12
CONTRACTOR: F1,6411tco Rbo�6n
JOB ADDRESS: a 1
TYPE OF WORK:
e sacs le
PROTECT FROM WEATHER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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, FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
x 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 InstallationInstructions
• (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 Underlayrnent Pattern & Spacing (including a measuring device or ruler)
o Drip Edge & Walley 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 1~L Product Approval
• 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), certifvng FBC code compliance by personal inspection.
CONTRACTOR (OR OWNL'R/I3UILDl R) SIGNATURE-:
PAI�� *1Z
DATE:
r D PERMIT #
`t City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
1 iIr.
STRUCTURE TYPE: d SINGLE FAMILY RESIDENCE/TOWNHOUSE
O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAK OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOD INSTALLED OVER EXISTING ROOT)
DECK TYPE (PLEASE SPECIFY): 1�Jp
* *PLEASE NOTE: ONL X IOO SQGAR* ,V dFT Ol' THh LXISTLNG DECK IS PERMITTED TO BI; REPLACED * *
ROOF VENTILATION: (�rOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTIIRBINES
SKYLIGHTS: O YES �No IF YES, PLEASE PROVIDF, FLORIDA PRODUCT APPROVAL #:
----------------------
MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER
TYPE OF ROOF
INGLE
J METAL,
O MODIFIED BITUMEN
O TORCII DOWN
OINSULATED
MANUFACTURER
n n -� I .
FLORIDA PRODUCT APPROVAL
FL# 101,-I LI _ I
FL#
FL#
FL#
FL#
FL#
FL#
ROOF EXTENSIONS (PORCHES PATIOS ETC) **fFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER.
TYPE OF ROOF MANUFACTURER
IT LORIDA PRODUCT APPROVAL
AL
SHINGLE
FI.#
O METAL
FL#
O MODIFIED BITUMEN
FL#
0 TORCH DO W N
}:Lit
O INSULATED
FL#
O TILE
FL#
O OTI-TER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . 18-00001180 Date 3/13/18
Property Address . . . . . . 214 CLYDESDALE CIR
Parcel Number . . . . . . . . 18.20.31.506-0000-0770
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1035880
Permit pin number 1035880
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
CITY OF y's'
SkNFORD_�.
FIRE DEPARTMENT
& - di & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I ADDRESS: l _/ yb
(/ U
I Q S v✓ f L L 7 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 #:
COMPANY /
CONTRACT
(MUST BE S
C
CONTRACTOR:
OR SIGNATURE: DATE:
IGNED BY LICEN H 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, DRH' 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 REQUFREMENTS.
**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
worn to and S #cribed be re me this 2 7-day of NaYG 20 /Sy:
VJ'? .Who sonally Known to me or has I I Produced (type of
X
identification) as ide 'fication.
Signature of Notary Pu 'c
State of Florida
Print/Type/Stamp Name
of Notary Public
BRANDY W E R N I C K E
r'a° State of Florida -Notary Public
Commission 0 GG 122775
o�' y Commission Expires
OFft July 10, 2021