HomeMy WebLinkAbout104 Scott DrCITY Of
. ` APR JE Building & Fire Prevention Division
3A N-F01 PERMIT APPLICATION
FIRE DEPARTMENT
- Application No:
Documented Construction Value: $ r',.etOOO
Job Address: t a q 5, 6++ pY Historic District: Yes❑No❑
Parcel ID: 31 — 1 q f 5('' 5J t `f 06 60 --r (05716 Residential Commercial❑
Type of Work: New--] Addition[] Alteration ❑ Repair X] Demo ❑ Change of Use❑ Move ❑
�'Description of Work: i2(�ft6c:0 Jh' %� s. 11��
Plan Review Contact Person: Title:
Phone: Fax: Email:
n Property Owner Information
Name _. L �, /� 14A),,eq Phone:
Street: I o Resident of property?
City, State Zip: 5pCn
Contractor Information ('
Name %ram Rnb '-TI(
C Phone: `-C b-7— (AZ 'd� �✓�
Street: (1Lgb q �� V Fax: _ �-�1�1'Z' 67
City, State Zip: % State License No.:-3 91�//
ArchitectlEngineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Len
Address: X 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
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 information is accurate and that all work will
be done in compliance with all applicable laws regulating construction and zoning.
Signature of Owner/Agent IQ
Dat Signature of Contractor/Agent Date
If
t Owner/Agen 's Name Print Cont r to Agent's Name c� p
1
y-State of f<lu[tda__/ Date
_....... .. �„uuu,
�ptPpY PO;",
MELODY D. LEE
JASON PATANJO = a; :° : Notary Public - State of Florida
MY COMMISSION # GG 117995 �" ,'� Commission # FF 902089
EXPIRES: June 22, 202.1 %;Fo �qp. My Comm. Expires Jul 21, 2019
Owner/Agent is Personally Known to Me or-ContracTor7-AgenTis — r—ers-ona-Ill'yMnown 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: Occupancy Use: Flood Zone:
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:
# of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
CREWINC
CONTRACT I
This Agreement this 10th day of April 2018 by and between CREW PR0,INC., hereafter coiled the, contractor, and
Alma Pinkney hereafter called the Owner, WITNESSSETH that the Contractor and the Owner for the conditions
name agree as follows.
The, Contractor shollfurnish labor material `and per form the work on the, property listed Below.
104 Scott Drive Sanford FI 32771
Crewpro Inc. is licensed In Roofing, General Construction and will dedicate it resources to ensure the highest level
of workmanship. Crewpro and its staff are very famillar with your project and local building codes and law.
6btoin permit from Building 'Department
Re-Roofipg House
Remove all roofing material and underlayment down to the wood deck
Remove flashings and drip edge
Clean and, re nail complete roof deck to meet new,building codes
Replace oil damaged wood deck ai a charge of $66.00 per sheet
Seal oll joints and flashing with roof cement
Seal all walls to deck, inside corners with roofing cement
install a// new metal roof edge trim around complete roof
Install New drip edge flashing, Vent pipe flashing, L -flashing and volley flashing thtoughout.
installnew synthetic under/gyment in compliance with local building code requirements manufacturer's requirements.
lnstdll I new GAF Shingles Timbei.dine HD and new construction area
M.
leior P*s,h:contoinersfpr44osal byzreWpro;
�0
afflum
New Roof System Price
The Contractor shall maintain Worker's Compensation and General Liability insurance policies throughout the duration of this work. Payment may be
ovallable from the, Florida Homeowners' Construction Recovery Fund if you lose money on a prooct performed under contract, where the loss results from
specified violation of Florida low by a licensed contractor. More info akout this fund can be by calling 850-921-6593.
if concealed or unknown physical conditions are encountered at the site that differ materially from those indicated in, the Contract Vocuments or from 'those
conditions ordinarily found to exist, the Contract Sum and Contract time shall be equitably adjusted and signed, by owner and contractors.
Total Investment. $6,000.0
Payments, shall be made as follows: 50% after permitted, and 4090 at 50% stage of job. The remaining balance will be paid
after final inspection and customer Walk thru.
Signed J ay of K 20 4 and 1 Oth day ofApril 2018
Owner Contractor: Darryl Culbreth
V
Phone: 407.692.0765 I Fax: 407.442.07561 6617 JOUN ALDEN WAY, OkLANDO, FL 328181 LIC#CFC1428328
CREWC0NTRACT0RS@VA1100X0M LIC#CBC>059056 LIC#CCC-1327169
Permit Number:
1'111i', i;{ ::.T:;t.;i_i�.} :1_)i_ijf ,x t:!_}}'i{'f�E'i!_1L..?...Lir:
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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. De cri tion of p5�oppert (legal descriRtion oqf the property, and street address if available)
c� 5�a't`r t' SPs�`l o�iA ` 2- i t
2. General despt'ipti n of improvement
3. Owner information o. essee information if the Lessee contracted for the improvement
Name `f) 1 h'\ A- �i nl K l�I E'
Address 1,6v, �� Z
Interest in Property OVA) -Zv`A
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
u. zp-�c
Address (�-{,�,q ;T�vwt. (.�\ �,.p�, �j�( {}� p,nk Telephone Number L�Gi - Get 2 - 6-7 �S
Ft q
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name_ Telephone Number
Address
8. In additiort 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 Telephone Number
Address
9. Expiration date 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
WITH
�YOUR
LENDER OR N ATT NEY�BEF�O�R�EOCOMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
atynewte of =r of Lessee, or owner s or Less s Autnonzeo utttcer/U!rector/Nartner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this I?— day of A` r' by o>1c-y eI, n Vn e- V.
as /1% l k+ for
Type o Wthority, e. ., officer, trustee, attorney in fact
nature of IN16tgry rublic — State of F rida /
Personally Known OR Produced ID ✓
CE' '' e�of- ID Frr8duc6U',,' -1
pbL #d P K 0
t
A11 4 ry,il
r'�, rvr I'il D,41ply
month/year / name of person
Name of party on behalf of hom instrument was executed
y VICTORIA 2ENRING
Print, type, ssio !e
INy Comm. Explrts Oct 7, 2019
1._70 S _0
6 2018
CITY OF
Building & Fire Prevention Division
SAL OFM RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEMRTMENT
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.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: L
JOB ADDRESS: /�i .G � f % -t
STRUCTURE TYPE: elSINGLE 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): WFl (3- J " woo e
*'PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXIST GD CKIS PERMITTED TO BE REPLACED *"
ROOF VENTILATION: D OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES KNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SCOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# 1, n 2.1
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
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#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CE7Y OF
bANFORDBuilding &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 O T ADDRESS: (,0CP % -
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 1S 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 #: -"lam c — 1-6e)--t 1
COMPANY / CONTRACTOR: C y- L Q . C
CONTRACTOR SIGNATURE: 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 �'
Sworn to and Subscribed before me this day of
20 by:
%eD�- ! L r'c' : Who is ❑ Personally Known to me or has CrProduced (type of
j;1':V �__ as identification.
of
Y
Let-
Print/Type/Siamp Name
of Notary Public
,o,�PaY PUBS � MELODY D: LEE
r; : Notary Public.- State of Florida
° - Commission # FF 902089
My Comm. Expires Jul 21, 2019