HomeMy WebLinkAbout103 Salem DrCITY OF
SkNFkrJNRD
FIK DEPARTMENT
Job Address
Parcel ID:
,= 17 201a Building & Fire Prevention Division
V / PERMIT APPLICATION
Application No: ' g — / 8�5
Documented Construction Value: $ 7 r
�11,4)rej- Historic District: Yes ❑ No ❑
Residential[—] Commercial❑
Type of Work: New❑ Addition Alteration ❑ Repair ❑ Demo ElChange of Us ❑ ve ❑
p
Descri tion of Work: i(v S 0 2s k;# � �✓� �_
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
r Property Owner Information
!
Name o� �/s 8o"u)&1-1_�(_ Phone:
Street: Resident of property?
City, State Zip:
ntractor Information
Name G C_ r-a Phone:
Street: 62,3 b(d q4bn Ln • Fax: _
City, State Zip: (��f r 1 - S M 7 State License No.: CCC 13 7%�
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
�) G —6Z6F
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. 1 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: 6th 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 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 inform >s cu'r an, hat all work will
be done in compliance with all applicable laws regulating constr iion a zo
Signature of Owner/Agent Date Signat eofeontr or/Ages to
Print Owner/Agent's Name Pn ntractor/Agent's Na e
17 - /o
Signature of Notary -State of Florida Date Signature Ngtary Sate o 0
E. ETTEM81ANC
z • Notary Public — State of Flr _a
* =�` Commission GG .709C:
• p: My Comm. Expires Jar tg,
6cnaec:nro❑gnNa5onalNc:a,,: .-
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[]
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Gas ❑ Roof ❑
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
THIS INSTRUMENT PREPARED BY:
Name: Johan Hernandez
idgetor i tai ie, 0i lai ido
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 33-19-30-514-0000-0530
GRANT )'Ir°tl._OY r 3El'11 HOLE COUNTY
CLERK OF* CIRCUIT COURT & COMPTROLLER
BK '112 P-o 1.75- (1f';1 )
CLERK'S t 2018042194
RECORDED 04/1; f201 8 03-40'-;2i F111
RECORDING FEES $1.0.00
Ri. CORDED By l,de'yore
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. DESC PIIOn�PG�� �c1 ls,�`a'03aem �. ano i��771Urya ��the-Dr
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Reroof, 35 squares of asphalt shingles
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: TAH MS BORROWER LLC ; 1508 BROOKHOLLOW DR SANTA ANA, CA 92705-5433
Interest in property: Owner
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: GCJ Construction Inc Phone Number: 321-689-5208
Address: 4623 Bridgeton Lane, Orlando FI. 32817
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.
Address:
8. In addition, Owner designates
Phone Number:
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 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 WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
- p0 ,zaU- �f �r>•,h a �rcr
i n of Owner ee, or Owner's or Lessee's (Print Name and Provide Signatory's Title/Office)
Authorized Officer/Director/Partner/Manager)
State of �`1�2 (1 [� Q County of
The foregoing Instrument was acknowledged before me this day of.20
T Vl
by
person making statement
who has produced identification ❑ type of identification produced:
•:liYMELANIE A. GARDNER
- Commission # GG 072390
-, Expires April 30, 2021
`'%l;N °••• 8=1W P. Ty Fein ln,w,, M3w7o19
Who is personally known to meXOR
-Itr,•(
SCPA Parcel View: 33-19-30-514-0000-0530
Page 1 of 2
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Property Record Card
Parcel: 33-19-30-514-0000-0530
Property Address: 103 SALEM DR SANFORD, FL 32771
y
Legal Description
LL5OPGS
_--
CCLUB PARK
P63 THRU 66
Taxes_...... _.....
.
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $228,034 v $0 ] $228,034
_.. -
Schools � �-
$228,034 ' $0 $228,034
City Sanford $228,034 $0 1
$228,034
SJWM Saint Johns Water Management) — 0
� 9 ) $228,034 $0 $228,034
County Bonds $228,034 3 _ $0� $228,034
Sales
Description Date Book Page Amount Qualified VaGlmp
SPECIAL WARRANTY DEED 10/1/2017 09013 1239 $100 No Improved
CERTIFICATE OF TITLE 9 1/2012 07861 0584 $100 No proved
�d..,.
CERTIFICATE OF TITLE 9!1/2012 07857 0588 $123 000 ( No Improved
..._.�..... _._._ __... ..-._.. ...�,. . _... _ .. ._._._._� _,_ _....,� _ f
SPECIAL WARRANTY DEED 4/1/1999 03647 1222 $139 300 (Yes Improved
WARRANTY DEED 8/1/1998 03504 1949 $22 000 Yes 6 Vacant
Find 'Comparable Sa1es�
� Land
Method Frontage Depth Units Units Price Land Value
LOT } 1 $38,000.00 $38,0
Building Information
Year Built 1
# Description Fixtures 1! Bed Bath Base Area "TolaISF Living SF Ext Wall Adj Value Repl Value Appendages
ActuaVEffective
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=33193051400000530 4/17/2018
JOB ADDRESS: / 03 SF /61/o
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
32 77/
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXTSTTNG ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER EW OF INSTAL ED OVER E 1STTNG ROOF)
it
DECK TYPE (PLEASE SPECIFY):
* *PLEASE NOTE: ONLY 100 SQUARE FEAT OF THff EXI9VTLYG DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: D OFF -RIDGE RIDGE O SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ONO 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
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
HINGLE
cc( L71� 6QC�/
F L # /` 7 j�/ Z
S`7 /
O METAL
FL#
OMODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
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
FLORMA PRODUCT APPROVAL
O SHINGLE
FL#
(::)METAL
FL#
OMODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
Building & Fire Prevention Division
Ski4FORD RESIDENTIAL RE ROOF POLICY& PROCEDURES
FIRE DEPARTMENT
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 RE _IN ;kL
X AVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTiF GhB COD COIANCEBY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: ) a DATE:
s t.CITY OF
FIRE DEPARTMEN
Building & Fire Prevention Division
RESIDENTIAL RE ROOF AFFIDA HT
RESIDENTIAL 12E-ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
//
PERMIT #: (Y ./ � '0 ADDRESS: 6 P 3 ` F iefp DUI
-lord 3 2y 7/-
I �-
on�l AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CO ACTOR, ENG EER, ARCHITECT, F.S. CHAPTER 468 BUDDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATTON I RUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADD SS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUDDING CODE, EXISTING BUDDING. 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). /f
LICENSE #: Cec— (, � 219 / +,S'—
COMPANY / CONTRACTOR: G CT
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER) _.
A FINAL Rt10F 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,
UNDERLAVMENT, 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 OFF
o n to and Subscribed before me this day of 20 _Z�by:
4k—lLa!Al - Who is - Personally Known to me or has 4 - oduced (type of
identification as identification.
Signatur o o ubhc
State of Florida 1ENNIFER;F.RANCiS ;
Nc:I y Public - State of Florida
Commission N GG 132184
Print/Type/Stamp Name
of Notary Public
32771