HomeMy WebLinkAbout3905 S Sanford AveCUTY • F
x •O 4 ®DD
FIRE OEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: � 2.
Documented Construction Value: $ 6 ' 0z)
Job Address: Sr 4t-d AVefil -e S - r-rHistoric District: Yes❑No®
Parcel ID: Residential® Commercial
Type of Work: New® Addition❑ Alteration❑ Repair❑ Demo❑ Change of Use❑ Move
Description of Work: q_rc �_Ook
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name ���Son Phone:
Street: S • z Resident of property? : 0lO rll1,+-
� f
City, State Zip: et
Contractor Information
Name a - U� l%� �ahu1G1 Phone: 401
Street: Q) 6X y .7aa �ff Fax:
City, State Zip: LaQ fMwl rage Pi_ 3a_? 9 -7 State License No.: C 3Y 13 3S"
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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: 6" Edition (2017) Florida Building Code
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.
Js-,
Sig Owner/Agent I ate
enni� �, md_SYM
Print Owner/Agent's Name
3116
�` JUL'YA'P J_ENSEN
State of Florida -Notary Public
Commission # GG 186518
My Commission Expires
February 15, 2022
Signat n c r/Agent Date
Print Contr r/Agent's Name
"6'cJVLFAuP JENSEN L"
State of Florida -Notary Publi
Commission # GG 186518
My Commission Expires
February 16, 2022
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: 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:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
NName:
Address: rC.
NOTICE OF
Permit Permit Number: 1 " I
Parcel ID Number:
COMMENCEMENT
2� 3,
I fulfil 111111111111111111111111Jill 1111
r._rIr.
RT r. CRIPTROLLE,,
±a'
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:
the property and street address if available)
2. GENERAL DESCRIPTION OFZPROVEMENT:
V 4-- CL.. 010
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE I PRO EMENT:
Name and address: it Yl V1 � (5 "ir -� ���� 3��0 S Scvv1 zy �*T of i t- L 5.� 7
Interest in property: On i1 ,1/
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR:
Address:
0- fiG' VMkd, VLc''ORri, `1 ) Phone Number: q,1 7 -]-7 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:
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 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.
7i6naldre.of Owner or Lessee, or Owner's or Lessee's
Ad&nzed Officer/Oirector/Partner/Manager)
ouaj&
(Print Name and Provide Signatory's Title/Office)
State of (Va County of Sw\fibU O
The foregoing instrument was acknowledged before me this day of 20 0
by . Who Is personally known to me ❑ OR
Name of person making statement
who has produced Identification Wtype of Identification produced: �� . !i�\v Cw� .S 1CW
,yP;;;., JULIA P JEN$EN
: ;State of Florida -Notary Public
®'= Commission #f GG 186518
My Commission Expires
February 15, 2022
CERTIFIEDCOPY GRANTItij;r?.;.Cr
CLERF(o)
THE ClP, Jim
AND5EMiE
z�
�'-----2010
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: In
I hereby name and appoint: C l4. `, \ e—S
an agent of: '�
(Name of
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):
0- The specific permit and application for work located at:
F,
(Street Address)
Expiration Date for This Limited Power of Attorney: $, 0
License Holder Name: earo eS
State License Number: C' CC G 3 � 3 3
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of M� ,
200 J'� , by a Eck �Vw"CS who is impersonally known
to me or ❑ who has produced as
identification and who did (did not) take an oath.
(Notary Seal)
JULIA P JENSEN
State of Florida -Notary Public
'+ •c Commission # GG 186518
My Commission Expires
February 15, 2022
(Rev. 08.12)
g ure
Print or type name
Notary Public - State of F L_
Commission No. G(�, jg(o'S1
My Commission Expires: Z 115) 'L022
SCPA Parcel View: 18-20-31-501-0000-0620
Page 1 of 2
P3PP
5ersvacxt couirrv. Fttxirow
Property Record Card
Parcel: 18-20-31-501-0000-0620
Property Address: 3905 S SANFORD AVE SANFORD, FL 32771
Legal Description
LOTS 62 THRU 64 & W 1/2 VACD
ALLEY ADJ ON E
GINDERVILLE HEIGHTS
PB4PG42
Taxes
Taxing Authority
Assessment Value Exempt Values
Taxable Value
County General Fund
Schools
City Sanford
$76,459 $50,000
$76,459 $25,000
$76,459 v $50,000
$26 459
$51,459
$26,459
SJWM(Saint Johns Water Management)
$76,459 $50,000
$26,459
County Bonds
$76,459 $50,000
$26,459
Sales
Description
Date
Book Page
Amount
Qualified Vac/Imp
WARRANTY DEED
2/1/1994
02737 0707
$55,000
I Yes Improved
Find Comparable Sates
Land
Method
Frontage
Depth
Units
Units Price
Land Value
FRONT FOOT & DEPTH
194.00
137.00
1 1
1 $250.00
$35.648
Building Information
Is Bed/Bath count incorrect? Click Here.
# Description Year Built Fixtures
Bed
Bath Base Area
Total SF Living SF Ext Wall
Adj Value Repl Value
Appendages
Actual/Effective
1 SINGLE 1930/1970 3
3
1_0 918
1,742, 1,316 SIDING
$61,343 $84,031
Description
Area
FAMILY
GRADE
BASE
230.00
3
(
BASE
168.00
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=l 8203150100000620 3/8/2018
CITY OF
Building & Fire Prevention Division
S-ki"'N"FORD
RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIAE DEPARTNAI NT
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.
DATE:
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: ' I O
SJ�NFORD,
Y OF
FIRE DEPARTMENT
JOB ADDRESS: 3 10s S-
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: ASINGLE 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. OAT Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: D OFF -RIDGE 0 RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES (;�rNO 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
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
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#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
'tS,��4FORD. Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: _ I a 3 ADDRESS: 39os S. SQL 4�-j 4x_'t1Vt
&g)6j . VL_ ,2an
I (fTox U 'tv� UU , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR—�EER, 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 U 3 \ -3 3S
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICE
DATE: U
NSE HOLDE R/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, 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 '�Om 1 J O L f-
Sworn to and Subscribed before me this _ day of _M (,{,JCC�' \ 20 (F by:
Who is)5-Personally Known to me or has ❑ Produced (type of
identification) as identification.
a'uw K-�)
i ture of N t y blic
to of Florida
JULIA P JENSEN
1S 01_i A P. 3E,y!; �N J04PPY State of Florida -Notary Public
,2 ny
Print/Type/Stamp Name s Commission # GG I86518
My commission pZfeJ
of Notary Public February 15,