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HomeMy WebLinkAbout111 Broadarrow PlCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION pplication No: lq -1 0 Documented Construction Value: S 7,700. 0.) Job Address: / // 920" •,41Z_,J,- pW1 eabq G P Historic District: Yes ❑ No ❑'' Parcel ID: oa - ay • 3 0 . S.Q 0 Dy O 0 - Z7 7& D Residential ['"Commercial ❑ . Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: j.2 Lj2oy 24 p �/ �� rL C/7 1 /I % C- Plan Review Contact Person: - Title: Phone: L[07 32-1 ' _I `� L S' Fax: 47- 5 q7-, Email:•,�.4i©�f�n c: � 043e-liSuo-d't, . t'�e �- Property Owner Information Name _ 1%4-n 2,1 AJ n Phone: '/07 .3� e- 79 Y Street: B 14,0a &&U ,J P L, . Resident of property? City, State Zip: _ L 3 .L-77 3 Contractor Information Name ,� _ L.�C,���� �..a Phone: � �� ` 3 .1-�- - 7 9'-� ""f'�VC79=�.�,.�y Street: (? (� �Y C'�� CL- _ Fax: L 0 :2 31- 9 � City, State State Zip: LD ruo ' q:r-t' 2 �-17 % State License No.: 2;-z � u; Name: Street: City, St, Zip: Architect/Engineer Information Phone: "J '6' Fax: E-mail: Bonding Company: Mortgage Lender: !�!-t 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 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: 5tn Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application i1 f NOTICE: In addition. to the requirenients of this permir., there rnay be additional restrictions applicable to this propem, that may be found in the public records of this co I unt,!, and there- maybe additional permits required from other governmenta-1entities such a's water - management district., state agentim or federal agencies. Acceptance o:permit is verificationthat I will ncltjfy, the o,\vner of-Ine propeM,, of the rcq-oirerhents of Florida Lien L.a\,c', FS 713.- the time of permit submittal. A copy oftheexecuted contract is required The City of Sanford requires payment of a plan reviewfee at t in order to calculate a plan review charge, and Zvi be: considered the, estimatedconstruction value of thejob at.the time ,of submittal; The actual construction value will be-fitzured based on the: current, TCC Valuation Table in effect a, the, time the permit is issued. in acco-dance %\ith !ocal ordinance. Should calculated charces. figured off the executed contract exceed- the coon value, actual constrL credit %kill 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 gqnziune Dare Ii„.atu;e --C,, o 7/.A en t Date P,tna C ge Name C, "N za.-v-st--e of,FloridL Dwe DONALD RASH % NOWY Public -State Of F146da coffiffli 4 221706 A 2019 I � ersonally Known to Me or Produced ID Type of ID BE -LOW IS FOR OFFICE USE ONLY Permits Required: Building[] E,liectrical Q NIechanical E] Pturnbin-� Gas F�. Roof � Construction Type: Occupancy Use: Flood Zon'e-. Total Sq Ft of Bldg: Min. Occupancy Load: of Stories: New Construction: Electric,- 4 of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ NO F --14 of Heads Fire Alarm Permit: YesFj NoC] .,N:PPR,OVA,LS: ZQ3N*J\NG: UTILITIES: WASTE WATER: ENGINEERING: FIRE: l3U[LDIN`G:— COMMENTS: Revscd! June --Zi,'), 20 ! 5 Permit Application COCK ROOFING 800 French Ave. Sanford, FL 32771 (07) 322-558 * (407) 330-33 (Fax) adcockroofingl@bellsouth.net www.adcockroofing@bellsouth.net October 21, 2017 CONTRACT Name: Madeline Riveria Phone: (407) 508-7949 Address: 111 Broad Arrow Place Cell: (407) City: Sanford, FL 32773 Fax: (407) Email: maddy2boz@aol.com SCOPE OF WORK: COMPLETE ROOF REPLACEMENT 1. Remove old roof on complete house. 2. Re -nail decking as per new building code. 3. Dry in with new layer of synthetic underlayment as per new building code (July 2015). 4. Install new 30-year architectural shingles. 5. Install new drip edge; 26 gauge, painted galvanized. 6. Install new kitchen and bathroom vents. 7. Install new lead flashings on plumbing pipes. 8. Install new ventilation to match existing. 9. Secure all permits. 10. Clean up & haul away debris. 11. Inspections included. Labor & Materials: $7900.00 Labor & Materials: $1800.00 — Repairs to be completed on inside of house as per insurance adjusters review and write up. Extra — Bad wood: Time & Materials - $70.00 per sheet plywood; 2 x 4 and fascia - $4.50 ft. Warranty: 30 Years on Materials from Manufacture 10 Years on Workmanship Andy Adcock, Owner THIS INSTRUMENT, PREPARED BY; • Name: ADCOCK ROOFING - ANDY ADCOCK Address: 800 S. FRENCH AVE. SANFORD. FL 32771 NOTICE OF COMMENCEMENT Permit Number: Parcel ID Number; 02-20-30-520-0000-0760 The undersigned hereby gives notice that improvement well 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: (Legal desc,iption of the property and street address if available) PLACID PH 1 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: RIVERA, MADELINE; 111 BROADARROW PL SANFORD, FL 32773 Interest in property: OWNER Fee Simple Title Holder (if other than owner listed above) Name: 4, CONTRACTOR: Name. Adcock Roofing Phone Number: 407-322-9558 Address: 800 S. French Ave., Sanford. FL 32771 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Address Phone Number 7. Persons with In the State of Flo rfda Designated by Owner upon whom notice or o-hor documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. A. 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 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. r gra-.ire or Omer or Le;sea. or On-e• s or ,essee s =nrt name a-d Pr —de $rycetory s Title%O ce; ao:nocrec Cf af:D:recWnPartrer: Atanagac State of �.%�-(�/-� County of The foregoing instrument was2knowledged before me this / CF day of by �Q i]is(,t iJ �f i ,�✓ Who is personally known to me ❑ OR NO-M o oersoti Tatung sta;ernen; who has produced identification C type of identification produced: t>aaA H -•aas f:aayr�p c-Sntea!Fiflrlca Comm if or r FF 121706 9. a !AjCprlm {rptrjtA 16,2019 CNA; RASH r C.0^'m fit^ t FF ; 1706 My Cc'Mm.E04fApt 16.2114 GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2018038461 BK 9107 Pg 0389; (1pg) E-RECORDED 04fO9/2018 11:56:51 AM 10.00 CITY OF 2FIRE DEPARTMENT PERMIT # r 0 Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK JOB ADDRESS: 1l! 8#1-o d atlevcjP 6 Ge -f 4 Y CL 'J-� STRUCTURE TYPE: (9-5INGLE 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): L * *PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED** ROOF VENTILATION: 4OFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES O n„ SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: 1"Y 1J MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 4.12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HINGLE 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.) **1FAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 0 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# O INSULATED FL# O TILE FL# 0 OTHER: FL# CITY OF Building & Fire Prevention Division S FORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE EPA TMI T 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: • /� ��/ Sk�4FORD FIRE DEPARTMEINIT Building & Fire Prevention Division RESIDENTL4L RE-ROOFAFFIDAVIT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: iv- D `t ADDRESS: // rCJ I/©Gt G'� a %� ®� P L I 4IJ D Kr e,� 0 4_­1 C-4k, , 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 #: �(_© Z COMPANY / CONTRACTOR: �� ��Cj CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER OR NER/BUILDER) A Aio DATE: 5 11 R to:32— 14M 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 C5 U1fX0 ;_,�^^ Sworn to and Subscribed before me this (17 day of �I c�0 20 by: A-K) 0% Who is.R ersonally Know to me or has ❑ Produced (type of idqgatification) Sign ure of Notary Public State of Florida ��J • ��,�` �rAl.r.L K-�9 Print/Type/Stamp Name of Notary Public as identification. a DONALD-RASH �i NotaryPdblic= State ofFlorida t' Commission # FF 221706 os Fl My Comm. Expires Apr 16, 20191