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HomeMy WebLinkAbout442 Fairfield Dr (2)i 1 ^ p. 1 [ 20i$ CITY OF SANFORD . r. BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ t l . if B 3, �y Job Address: _ 2 6-4-Field Nlriye Historic District: Yes ❑ No Parcel ID: - 00o o - 01 30 Residential rw Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration W Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: JDw) 81:: Yme_ J;r Title: pYa)QG �!i�arlcZ qc Phone: 107 (122 O��pO Fax: Email: t� �ttSln�d�o/).S'�ryr-i�odl�(i)r1 Property Owner Information Name kir-4 FAoy,1e,)on Phone: Street: ',& 2 Fct t r-)t e,l d Or/'✓e Resident of property? : Y2 S City, State Zip: 5&n -curd FL 3 27 7 J Contractor Information �A Name may t'm tl Phone: V 7 Il 17, ozo l) Street: 3 1 l S- f eve 6 aroo k 9, pv i'v 2 Fax: City, State Zip: t& 32,25 /0 State License No.: 6� G - / 3 ?rid 3 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: 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 pen -nit 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: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 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 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 Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Z. 2S l 8 Sign re of Co ctor/Age Date Q 6l�me. J Print Contractor/Agent' Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or 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: # 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 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: Z / 7 I $ I hereby name and appoint: 4'M -Tr an agent of- Mq 5[mo b• (Name of Company) 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): Thespecificpermit and /application for work located at: ��L `7`I 2 1 It it ic: PPG ,D,-;fZo Jm r'aer[a! IF (Street Address) Expiration Date for This Limited Power of Attorney: 7 [ License Holder Name: Ct r- State License Number: if C L - 13 2 $ d -73 Signature of License Holder: %� �AaAII� STATE OF FL RIDA COUNTY OF Je - III The foregoing instrument acknowledged before me this -1 day of�i�� c;, , 200\, by _ Cl� c�� c� who isXpersonally known to me or ❑ who has produced identification and who did i not take an oath. Signature (Notary Seal) R Notary Public SWte of Florida Beth E FishelMy Commission GG 153047 Expires 10/18l2021 (Rev. 08.12) Print or type name Notary Public - State ofli\Q Commission No. b C My Commission Expires: C w2-A as Permit Number. Folio/Parcel ID #: 7-- rf _ 31 -- S l<C000 C q2d Prepared by: John Byrne Retum to: 3715 Pgmbrook Drive Orlando FL 32810 � f�lf ff �tf if flf1 �I�If fll lIIII f flf f1�i s[ANT 11(ji_UY,CERK OF CIRCIJSEThTCIJU1jRE T'CUJhTY & Cilil( TROLLER 13K 9070 P j 1134 7.F'9s i CLERK'S -A2jt18► l4*1152 RECORDED 02/06/2018 1.13;01-1o34 PN RECORDING FEES $10.iiCi RECORDED 8Y ,i-ec:kenro NOTICE OF COMMENCEMENT State of Florida, County of The undersigned hereby gives notice that improvement will be made to certain real prope with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ac dance 1. Description of property (legal description of the prope ,and street address if available) it f0_ a� I _-- ►_ _ 2. Ge oral description of mpro, eo [S F 3. Owner information or Lessee Interest in Property_Q w vac .r Name and address of fee simple 4. Contractor 5. Surety (if applicable, a copy Name Address 6. Lender Name the payment 7. Persons within the State of Florida be served as provided by §713.13(1 Kl,,.. _ the Lessee contracted from Owner Telephone Number 4079220500 Telephone Number Amount of Bond $ Telephone Number wauiu oy owner upon whom notices or other documents may , Florida Statutes. Address Telephone Number 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided In §713.13(1)(b), Florida Statutes. Name Address Telephone Number 9. Expiration to of notice of commencement (the expiration date will be 1 year from the 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 W TH YO LEN ER O ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. CID l� V �et( 4 Signature of Owner or Lessee, or Owner's or essee's Au�'dOfficer/Director/Partner/Manager Signatory's Title/office IN CA The foregoing Instrument was acknowledged before me this Iday of 2 l by "� „• Y as for of authority, r mon ear name of person i::c4bY;:J� 2 ,✓` i J u e.g., offi er, t stee, attorney In fact Name of party on behalf ofwhom instrument was executed jType 0 arn� o w ignature of Notary Public —State of Florida Print, type, or stamp commissioned name of Notary Public Personally Known OR Produced ID ✓ Type of ID Producedr�r,,��l =i 2 Notary Public State of Florida Beth E Fishef U Uj p_u Q � 1++ —' My Commission GG 153G47 ?o,N Expires 10/1a/2021 ` a 0 zo Form content revised: 01/23/14 W L" Z W u u ¢ kA 4 i W UJ P.O. masimo Construction, inc. Address: 3715 Pembrook Drive Orlando, FL 32810 Masimo Construction, Inc. Roofing Porltract/Proposal Phone. (407) 92Z 500 State -Certified kaofinrg Contractor - CCC1328033 State -Certified (,choral Contractor'- CGC1509548 Brad Pollack, Contractor Costumer Nance: Address: i-lottto Phone: _ :. eel I: (Ramove roof to existlnq'Clock layers. U Each achiHlonal layor iSy, (J40 9q. Ft.) t01110Jl existing J00k to moot uplift code:. 04 SU" —. ., ntotc+l drip udge around jorlinrter of roof, ,2natoll l6a.(Lboolls to pipes 1 %" - . - x" 3" 1aotaii Gooseneok-vonts 0 10 D Hurricane Miiigation Retrofit Q . pIyAST? 0# felt paper to plywood dock. pik.�'Stj: rL ofMET41J �IINGI i_ `ILVSHAKESIFI.AT Q 8tyl®`afrooffobeinsinliocl:� J Color: Pitch- J�l Mnnitiacturor of roofinrg syotem:._, El 111S61I.gld a vent along peak of roof- Adrift Of $70 per shoot If docktng.replacement is WR F To furnish material and labor complete in accordance with SPECIAL. INSTRUCTIONS: insurancse Cra. Adjuster: ClainY #: _ Phone: .,� Citylsttate0p: , VI Work Phone-, OTi-iER PROPERTY CONDITIONS Ct Icod vlttor Shield Yes No U exiotinq•Wotor Damage Yes No U ExtstingDriveway Damago you No Ci Skylights:.._ � � — U tanks. e © interior Danmga: CI E norcdancy Rripolr yea No. © Tapered insulation _. Yes No WORK,1NCLUDt $: ✓ .Remove trNsh from roof, putters and yard. Protect landscaping whoro applicable, ✓ Roll yard with tnagnotio rollor. ✓ Rimish permit 2yoarwarrarity ad which Is only visible upon toar off existing roofnU jPosiii the sum of $ PAY1VflC+ I°'11' SCH ,IDYJ.LI+� 50%-DOWN PAYMENT PRIOR TO ORDERING MX0RIALS PAYME, NT > N FULL UPON COMPLETION Y;ARNrST MPOSJiT: O 5 0300 (- $1000,00 a s._- ---- DOWN PAYMENTS 'TUNAL PAYMP:INI' $ _ 'VOTAL $_11j - -ACCE_N. 'TANC..t, This atrrooment'is subject to insurance company approval and does not obligatp, the hQmnownor or Masirno Construction, Inc. Jn any way uniess It is 'Wrovod by the Insurance company and nccopted by Masimo Construction, Inc. By signing this agrooment you authorize us to negotiate the repairs at a price agreeable to tho insurance company. and Masimo Construction, Inc. at }VQ ,LpD_ ►'rnyAL CQST TO 1Jyj,:)Ul t'rEQR THF. INSIIRANCC D U1JC7:It3L_ G' ANU A5 PROViDLD Et_SEWFIE-RUJU-H.ISGREEMENT. The, final price agreed oft between tho instrance company and Masimo Construction, Inc. shall become the final contract Price and Masimo Construction, Inc. will recoiva all insurance proceeds for tho WWI( completed by Masimo Construction, Inc. THREE DAY'RI+GHT OF RESCISSION THIS WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL, THIS .AGREEMENT SAT NY ME PRIOR TO MIDNIGHT OF THE THIRD BUSINi Z's'S DAY AFTER THE DATE HIS AGREEMENT. OwnerSicdnaturc _ _.. _ pate_�r`-�� ,200_—_- SalosRop..L__w' insurance Carrier Claim No. (:vents beyond tyro control of Masimo Construction, Inc. may rauso delays to the projected start date or O!"Uniatod time of cornpletiori. Such clatays do not constitute abandonment and are not inclucied in calculating lino framr!s for paytneut or performance. THE TfJWS AND CONDITIONS ON THE: REVERSE SIDE OF THIS PAGE. ARE, A PART OF T111S AGRFEMENT. 'NI11'm - HOMEOWNriRS COPY YELLOW -- SALF.SIVIANS COPY PINK - OFFICE COPY 2/6/2018 SCPA Parcel View: 32-19-31-516-0000-0930 I Legal Description LOT 93 CELERY LAKES PHASE 2 PB65PGS29&30 Taxes Property Record Card Parcel: 32-19-31-516-0000-0930 Property Address: 442 FAIRFIELD DR SANFORD, FL 32771 Value Summary 2018 Working ( 2017 Certified Values I Values Valuation Method Cost/Market ..... - — Cost/Market Number of Buildings 1 1 Depreciated Bldg Value $128,724 $121,263 Depreciated EXFT Value $3,150 $3,267 Land Value (Market) $30,000 j $30,000 Land Value Ag Just/Market Value " $161,874 $154,530 Portability Adj . Save Our Homes Adj $60,675 I $55,412 Amendment 1 Adj $0 P&G Adj $0 j $0 Assessed Value $101,199 $99 118 Tax Amount without SOH: $2,154.62 2017 Tax Bill Amount $1,099.51 Tax Estimator Save Our Homes Savings: $1,055.11 Does NOT INCLUDE Non Ad Valorem Assessments — ---- Taxing Authority - L Assessment Value I --- ---- Exempt Values I. --- Taxable Value - — - County General Fund _ $101,199 - ....._. $50,000 i $51,199 Schools $101,199 $25,000 ( $76,199 City Sanford $101,199 $50,000 $51,199 SJWM(Saint Johns Water Management) ? $101,199 $50,000 ? $51,199 County Bonds $101,199 ; _ $50,000 $51,199 Sales Description Date -- -:- ( Book Page Amount Qualified Vac/Imp WARRANTY DEED _ 5/1/2008 _ . j 07021 0758 ---- $200,000 Yes -- _ Improved SPECIAL WARRANTY DEED 2/1/2005 05634 0871 _ i $149,Yes 900 Improved �3rsri !"rsres�anc:�4�l�^has��a Building Information Year Built # Description Fixtures Bed Bath Base Area Total SF 1 Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 _ --- 1 ! SINGLE 2005 7 4 = 2.0 _ 2,021 i 2,470 2,021 CB/STUCCO $128,724 : $134,790 Description 'Area FAMILY ) FINISH _.-- - - http://parceldetail.scpafl.org/Parcel Detail Info.aspx?PID=32193151600000930 1 /2 CITY OF 5ANFORD FIRE0EPARTMENT Building & Fire Prevention Division RESIDENTIAL RE -ROOF 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 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 CQMPLIA,DF�E BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �`--t' !., DATE: 2 Z$ rN �,CITY OF SkNFORD FIRE DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: �H 2 FCC k,`Q.N A >CIJA 6,CA EL 3 217 � ! STRUCTURE TYPE: )0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0,REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): 0 M w" A Ski UCi �k i n I **PLEASE NOTE: ONLY IOO SQUARE FEET dF THE EXISTING DECK IS PERM ED TO BE REPLACED * * ROOF VENTILATION: DOFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 02:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE (� — T FL# ` t 2 - p-,'LG O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# 0INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE** 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# OTORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# CITY OF &kNFORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDAVIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �' , l t ADDRESS: L 2 2 Fo,I f i P k,, Sall rsx-d FL 31--7� I t r a, d �6 11 0,- C-V , 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 #: CLC _ �32 Q 6 COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: L�(A� 1©" DATE: (MUST BE SIGNED BY LICENSE HOLDER OR 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, 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 SCM'k Sworn to and Subscribed before me this ly day of �-C 20 by: Who is Xersonally Known to me or has ❑ Produced (type of ide Zti fica ion) as identification. Signature of Notary Public State of Florida Notary Public State or Florida Print/Type/Stamp Name Beth E Fishel y �aQ My Commission GG 153047 of Notary Public Oi .d° Expires 10/18/2021