HomeMy WebLinkAbout101 Conch Key WayJob Address:
CITE' OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
APP � b Heation No: f C� / J CD
Documented Construction Value: S '' I
-71
Historic District: Yes ❑ No
Residential Commercial
Type of Work: New addition Alteration ❑ Repair 4 Demo ❑ Change of Use ❑ Move
n. ,. I —rn.,../-%I/r lnnAZ11,1-.I-An
-U 000 -
Elan Review Contact Person:
Phone:L—%�17-�% Fax:
Property Owner Information
Nameo i �S Phone: 0 > —
CU� GY i Resident of property? : e
Street: ' n
City, State Zip: 6 1 f a f' i=L
Contractor information Phone:'/_/�7 /l �j
tialne VUn V� G` /-7 /�//9�
Street: 1 V Fax:
City, State Zip: OV')CAV( AUK �� �� State License No.: CCC,
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fag:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMI ENCEMENT MAY RESULT IN YOUR
PAYING. TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CO-11WMENCETMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST LNSPECTION. )F YOU INTEND TO OBTAIN
FINANCLNG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOLR NOTICE OF
CO-MMENCEVSENT.
A-oplicatior is hereby trade to obtain a permit to do the work and instaLations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that al: work will be performed to meet standards of all laws regulating construction
it this jurisc-lictior.. 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5s Edition (2014) Florida Building Code
Pernit Application
Revised: Ju e 30, 2015
NOTICE: In adai on to the requirements of tlds permit, *here may be additional restrictions applicable to this property that may be
found in the nubiic records of this county, and there may be additional permits required fro n other gover ental entities such as water
management districts, state agencies, or f deral agencies.
Acceptance of permit is verification gnat 1 will notify the owner of the property of the requirements of -Florida "Lien Law, FS 713.
The City of Sanford r equires 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 pe-nit 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 o' Oyer/Ageat Dave
? nt Ow er/Agent's \erne
Signature of rotary -state OfL Flo -Ida Date
5�
$+ 2: e OL COn72ciOriAge^ ✓ate
Si
Azenv's
Date
;;jPF Pis, JUDYL.MERCER
Notary Public - State of Florida
< Commission 9 GG 096251
My omm,Expire ay 2S2L
Ow- er/Agent is Personally Known to Me or Contractor �N sin T o Me or
Produced ID Type of ID Produced I
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas ❑ Roof
El
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
min. Occupancy road:
Flood Zone:
r of Stories:
New Construction: Electric - r of Amps Plumbing - 7# of Fixtures
Fire Sprinkler Permit: Yes L Noii
PROVA+ S: ZONING.
E2N, GLVEER_-1 G:
COlVLVIENTS:
Revised: 7;u:e 30, 2015
of Heads
T7 T ILITI~S:
FIRE:
Fire Alarm Permit: Yes ❑ do 0
WASTE WATER:
BUILDING:
peir*iit .'-�DD�:Car30-1
Year Built
Total SF Living Adj Value Repl Value Appendages
Description Fixtures Bed Bath Base Area SF Ext Wall
Actual/Effective
............. .......................... ......... ............ - ...... . ....... ...... . . ................. ......................... ................ ............. ....................... .......... ...................
I -------- - ----------- ------------ 1 SINGLE 2005 13 4 1,690 3,410 2,844 CB/STUCCO $161,749 $169,371 —
Description Area
FAMILY FINISH
........ . ............... ...... ..................
http://parceldetaii.scpafl.org/ParceiDetaillnfo.aspx?PID=29193150100002910 1/2
Licensed & Insured
First in Quality
First in Service
First in Satisfaction
Roofing & Construction 800-411-0920
LIC # CCC1330939
LIC # CRC1331435
v s
6767 Hoffncr Avenue
Orlando, Florida 32822
Ins. Co: C l;! " o I V
-S4
Tel.k2 Z 7) . I ` 8� 2-
Claim # 2- S-
Adj.Name 'L-Aur-k :;3�C
Tel.#
Fax # r , b` es �r ��V � �� �A �C e•f�
-- - , ,.� In ,..L��..-. n Cis ft_�. � �t�•. rns , �,:,
PROPOSAL SUBMITTED TO r , Imo' i ,)�u i - - DATE 2— f K_ I G►
STREET /0/ WG JOB #
CITY, STATE, Zip i:v� tr:� 3`2-77i SUBDIVISION
HOME PHONE .3`) -7 L7 -- 7 7k6,fi BUSINESS PHONE
SPECIFICATIONS FOR LABOR AND MATERIAL
;ZTearff Shingles: Layers
' sionally Install: Brand /a l►-t v Type Color
®'New Valleys Ft.
ns ❑ 30 lb. Felt ❑Peel &Stick Synthetic Underfayment
eseal, sidewalls, counter and wall flashings ❑ Re -Use Drip Edge a'Drip Edge
ew 1-1/2" 2" 3' 4' or Plumbing Vents
atlon:. Goose Necks Off Ridge Vents Ridge Vents Color
Renail on:
Sheathing to Code
❑ Sk��yfight 2 x 2 4 x 4
Z�GlIr�lywood replaced at $60 - per sheet (if needed)
2-dean-up and haul off all job related trash �R yard with magnek roller protect yard and shrubs
A L ( n `�E'�'i cl r Pry pp'-- k j C1 W--" C 0r:;' - 5 C-e-1 aD
• Atlantic Roofing is not responsible for pre-existing structural conditions.
• Buyers agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same.
• ALL ROOFS HAVE A 1 YR LABOR WARRANTY
CONTINGENT
This proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company.
Property owner's out-of-pocket expense is not to exbeed the deductible amount. The insurance company will determine and set the price of the claim.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE )F
THIS TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS
WORKSHEET WHEN RECEIVED.
We propose to hereby furnish materials and tabor, complete in accordance with above specifications for the sum of the insurance as per the insurance
company loss scope sheet. for which is incprporated herein made a art h eferen ude customary profit and overhead when multiple
trade incurred $ i r) C pia d y.E'.d.:s Pa o compfe' of each d
Authorized Signature'
`Must be approved by company owner. No other work expressed or implied verbaW. Ali CTMft a to be
changes. NOTE: This proposal may be withdrawn by us if not accepted within 30 days.
commencement
ACCEPTANCE OF PROPOSAL- The above prices, spe ' cations and conditions are satisfactory and are hereby accepted. You are authorized to do the
work as specified. �)
Payment will be made as outline above ) Date 2- ' 9F— ` J
TEAS IN
Fed PREP RED
Name: I 1
Address:
NOTICE OF COMME C EN,
GRANT MALOYY SEMINOLE COUNT`(
CLERK. OF CIRCUIT COURT & COMPTROLLER
BK 9121-1 P-3 1461 (IF'ss)
CLERK'S 4 2018Q478►l4
RECORDED 05r 0212018 02' 31-'``16 1'11
RECORDING FEES $11' -00
RECORDED I:'r` .iF�cki ni o
Permit Number. n �%! 1 I
1 1Florida Sa Tes, :he
Parcel ID Number „!___ -- , and In accordance wiin Cnap:er 7 3
The undersigned 'hereby gives notice that improvement will be made :o certain real proper y
following information is provided in this Noce of Comrnencament.
1, DZrSCRIP7i�PIrOFIPR9PERTY: (Legal d O I ion I yl e p�De : aid street dress if ;� pie)
2. GENERAL DESCRIPTION OF
3. OWNER it
Name and
FOR-MATiQNHE IF TLESSEE
IN
interest in gropeft:
Fee Simple Ttte i4oider (i o-ihei u:an O=er listed above) Name:_
1 Address: 1(> L IIGL�
9
FOR
IMP
Number:
Address:
S. SURETY (if appiicable, a copy of the payment bond is attached): Name: A nour.t & Bond:
Address: Phone Number:
S. LENDER: Nan,.e:
c,in'ress:
7- p¢sons by Owner upon whom notice or other doour:z�ernts rrsay oe serveu ca I •
w;tt in the Smote of r lorida Designated -
713.13(1)(a)7., Florida Statutes. ?hone Number:
Name:
Address:
of
_s c - C—tirsn
additic.1, Owner designates
to receive a copy of the i_enor's Notice as provided in Section 713.13(1}(b},Florida Statues. Phone nur::ber:
_ + r • of Notice of Commencement the expiration is 1 year tom date of recording unless a di::erent dz:e is spec:aad)
S. Expiration ..ate
FLORIDA STATUTES, AND CAN RESULT IN YOUR
WgitNllVG TO OINIV=R: ANY PAYMENTS MADE BY THE �3 NPARAFTERS C RE --
TON 713EXPIRATION CP —T 3 NO�C^O OF Jti N?OST=f L ON ARE
CONSIDERED IPA?ROPER PAYMENTS UNDER CHAPTER
PAYING TTI1C= POR IMPROVEMENTS T O YOUR PCPcRTY. A NOTICE OF COMMENCEMENT MUST
.iAY SITc IC ORE THE FIRST INSPECT ION. IF vOOUR NOTtIC CF COMMENCEMENT. ' CONSULT WiTr YOU, LENDER CR AN A. ; CRNEY
BEFORE COMMENCING WORK OR RECORDING
ZZ
Otmme: or Lessee. or 4r ems or Lessee's
` :,:.:.csize^_ CiScerrvire�or??ert^erfMa^aye: f
kvi
V10 IeL
eIC-5ce',
state of 1" I u Y I \ ' — County of � df 20
ay o.
The for going instrument 2S ackn�tejged before rre this Woo is Derspnaily :mown to me 7 OR
by \�11 )I V "i (jam, 11SS
NO� perso
who has produced identification
e of identification produced:
GRACIELA GAGNE
MY COMMISSION # FF985949
?tea, EXPIRES April 25, 2020
(407) 398.0153 FlorioeNoterysorvloo.00m
CLIERK
AND COMP I`i'((�I
�� DEPUTY CLERK 1a
LIMITED POWE
$EMINOLE COUNTY MULTI%UR15DICTIOAIAL
OF ATTORNEY
Altamonte Springs, Casselberry,I Lake Mary, Longwood, Sanford,
Seminole Coun , Winter Springs
Date:
I hereby name and appoint:
an agent of:
Ca
9VF-/ 6-
(Name of omp
to be my lawful attomey-in-fact to act for me to apply fi
mappointment for (check only one option):
All permits and applications submitted by this c
Or
❑ The specific permit and application for work loc
(Street
Expiration Date for This Limited Power of Attorney: -,
License Holder Name:_ itG<
State License Number. Ce
Signature of License Holder:
STATE OF FLORID
COUNTY OF ;' V-41�
The foregoing instrument was acknowle ged
20 1 S by t4l CltA a- L;-
❑ o h s produced
�nd who id (did nat) an oath.
t
i ature o Not
receipt for, sign for and do all things necessary to this
at:
3/ ) 8
0
me this g day of -5 "�
who is onally known to me or
as identification
JOKY L: MERCER
Wary Public - State of Florida
�tsmmhslon a GG 046251
` 'N 4� wararyn�sn.
ary Public - State of _
nmission No.
Commission Expires:
F D 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 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 am ffidavit provided by -a Florida Design
Professional.(architect or engineer), certifying FBC deb ompliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: '� /
:4
JOB ADDRESS:
PERYIIT
City of Sanford Building Division
Residential Re -Roof Scope of Work
MOBILE HOME Q APARTMER i �CO:�'DOMINIUIvI
STRUCH RETYPE: �SLNGLE F.kM LY RESIDE^'CJTOW?�HOUSE O -
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW CON:30?v'EtiTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTLNG ROOF)
DECK TYPE (PLEASE SPECIFY):
"*PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED""
A.
RIDGE OSOFFIT OPOWEREDVENT QTURBNES
ROOF VENTILATION: �,lp( OFF -RIDGE O
SKYLIGHTS: S: OYES V ETO IF YES, PLEASE PROVE FLORIDA PRODUCT APPROVAL-,: - -
NfALN ROOF AREA
ROOF SLOPE: O LESS7ii-AN 2:12 O 2:12 - 4' :12
4:12 OR GREATER
ROOF EXTENSIOI [S PORCHES_ PATIOS. ETC_) **'FAPPLICABLE""
ROOF SLOPE: O LESS TxAN 2:I2 O
:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
Q SH NGLE.
O METAL
Q MODIFLSD BrTUMEN-
O TORCH DOWti
Q Ii\SULATED
Q TILE
C� OTHER:
MANUFACTURER
FLORIDA PRODUCT APPROVAL
FL=
FL=
,-,
FL-
FL-
I
' City of Sanford
"f Building and Fire Prevention
i
I
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
141-1ILING9 SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: �I �0 ADDRESS: w
1
1
Ji
i
I , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CON TOR, ENGINEER, A.VHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFAMATION 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 REQUII EMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: _i�(�(� l7 U2 7 .4 • ���
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGN B,D BY LICENSE H R OWNER/BUILDER
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED Air D NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH Df GITAL 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 fO 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 V r C.A
Sworn to and Subscribed before me this s day of 20 �- by:
Who Personally Known to me or has ❑ Produced (type of
identification) as identification.
Signature of Notary Public
Statel of Florida
Print/Type/Stamp Name
of Notary Public
Notary Public State of Florida
R
Chloe M Cooper My Commission GG 162169Expires 11121/2021