HomeMy WebLinkAbout2433 Chase AveCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1
� q
Documented Construction Value: $ 400.00
Job Address: 2433 Chase Ave. Sanford 32771 Historic District: Yes ❑ No ❑
Parcel ID: 36-19-30-524-0800-0050 Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair V Demo ❑ Change of Use ❑ Move ❑
Description of Work: Permit work previously done
Plan Review Contact Person: Mark Orman _ Title: Cron ractor
Phone: 321-945-2500 Fax: 407-209-3560 markormanl@gmaii.com
Property Owner Information
Name Joseph P Hudson Phone: 407-688-1582
Street: 1731 Perch Lane Resident of property? : No
City, State Zip: Sanford FL 32771
Contractor Information
Name Mark Orman Phone: 321-945-2500
Street: 117 Georgetown Dr. Suite A Fax: 407-209-3560
City, State Zip: Casselberry, FL 32707 State License No.: CCC1327051
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: 51' Edition (2014) Florida Building Code
Permit Application
Revised: June 30, 2015
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 Notwy-State of Florida Date
l ignatur of Co acto /Agent Date
Print Contractor/Agent's Name
0 vk- /fir
Signature of p1 mr,&
pp D o81i l;L r"
h hh it i1SS!O it
ls�� �, if rS
u:.,edi tI
r:..mr�mre^�+=ascs-..e�..aaa`w.•c. i. 3, ..-�_ ;
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
e V--v' �' JIla-J
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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
I
Mark Orman Construction
Mark Orman, Owner
117 Georgetown Drive Suite A, Casselberry FL 32707
Nome Inspector III 3340
Licensed General Contractor CGC 1506674
Licensed Roofing Contractor CCC 1327051
Website: MarkOrmanConstruction.com
Email: markormanl(a,gmail.com
Phone: 321-945-2500 Fax: 407-209-3560
Client:
Joe Hudson
Address:
2433 Chase Avenue, Sanford 32771
Phone:
407-688-1582
Email:
hudsonjp@bellsouth.net
Date:
07 MAR 18
I have inspected the roof for the above -mentioned property and although the person who
installed the roof was not a licensed contractor, his team did a good job. The deck nailing
was proper, as was the underlament. If there are any issues with this property, I accept full
responsibility.
Contractor's s' ature:
�� 2
MARK ORi=. ``.,, CONSTRUCTION
Mark Orman, General Contractor, Owner
117 Georgetown Dr. Suite A, Casselberry FL 32707
Phone: 321-945-2500 Fax: 407-209-3560
E-mail: markjorman@yahoo.com
General Contractor Lie. # CGC 1506674 Roofing Contractor Lie. # CCC1327051
LIMITED POWER OF ATTORNEY
By virtue of this document I, Mark Orman, Licensed General Contractor
#CGC 1506674, Licensed Roofing Contractor #CCC 1327051, hereby
authorize Darrell Taft to sign any and all documents to pull a.permit at the
following address:
33 CjjaSe lq�e SQ,focd 3--�7
Contractor's signature
STATE OF FLORIDA
COUNTY OF SEMINOLE
The fore oing instrument was acknowledged before me on this --� day
of , 2018, by r � .�`aw� ?I_
who is
personally known, or [ ] produced a Florida driver license to me.
Yo PAULET M L. GOO �
MY COMMISSION H H1030,4 t.
Notary signature
3
City of Sanford
Building and Fire Prevention
P1 RM1T #:
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
ADDRESS:
2433 Chase Avenue
Sanford, FL 32771
i Mark Orman , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OFTHE
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, EaISTING 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 / CONTRACTOR:
CONTRACTOR SIGNA'NJRF:
(MUST 13E SIGNED BY LICE SE HOLDER OR
UILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 3/7/18
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG \VITH DIGITAL PI-IOTOGIZAPHS 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.
:1-.-',-FAILURE ,rO 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 Seminole
Sworn to and Subscribed before me this 6th day of March 2017 by:
Mark Orman
Who is Y Personally Known to me or has ❑ Produced (type of
identification) _ _ _ _ as identification.
Signature of Notary c
State of Florida
Paulette Gory �•��°'� PAULETTEL.GORY
Print/'Type/Stamp Name ytv C0t,,,Njj5SI0N # FFI03004
of Notary Public EXPIRES. Jtuw 1 i, 2018
rnnniW�/`^'