HomeMy WebLinkAbout111 Prince Placea..CITY Of
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FIRE D
Building & Fh-e Prevention Division
PERMIT APPLICATION
Application No: 1 g- 94 qb
Documented Construction Value: S 1, , I0D . oO
Job Address: 'M NI kI VM Historic District: Yes❑NoF�
Parcel ID: 1� t q ?) ()j 13 6 0V V 0 "f o Residential Commercial
Type of Work: New Addition❑ Alteration Repair Demo❑ Change of Use❑ Move❑
Description of Work: R � O F 16A OF N (M A}? Y
Plan Review Contact Person: —VJU�\
Phone: L-1°01 .11 3 1 � L- Fax:
Title:
Email:_SQ)0r-j- �,Y1G�i�i MIN 'I C�ek DU�f v''(6M
Property Owner Information
Name s mxj SANGN�Z 1* 0 0—A Phone:
Street: Resident of property? : _
City, State Zip:
Contractor Information `�
Name WW1 V1 �� ( Phone: qy t 11>z
IbZ
Street: Jc 5 S o qAo Fax:
City, State Zip: 0 y ( Cl ;:� L �� Q State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mai • _
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 pennit 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 1.05.3 Shall be inscribed with the date of application and the code in effect as of that date: 6`h Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
Building &, Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE, OF WORK
JOBADDRE88: \ Ploa
STRUCTURE TYPE: ]01 INGLE FAMILY RES IDENcE/ToWNHOUSE 0 MOBILE HOME 0 wmw
R"-Rv°°^`'u. >c�Ru'LaCENIux/\/u^xOFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
/0 RE-COVER (NEWROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): C I-) x pl�wmo
ROOF VENTILATION: /-\0r�D/ou� y-\8oFoT /-�PoncxsoVswT /-)Touauvcs
SuYL/cxTs:YcsP|rY `
/-�PLEASE PROVIDE FLomoAPRODUCT APPROVAL #:
------------------------------------------------------- --------------------------------------------------------------------- _-_-_____--___-__-__'MAIN ROOF AREA
ROOF* SLOPE: 0 LESS THAN 2:12 4?,,, ( 12 OR GREATER
-
TYPE OF ROOF
MANUFACTURER ____TFL0RIDA
PRODUCTAPPROVAL
0 MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
OOTHER:
u t'v 0 wnt
FL#
0Z_
Qouv8Lnrn: 0LcsSrnmv2]2 0212-4L12 04L|2onGREATER
TYPE or Roor
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 TORCH DOWN
FL#
CITY Of
PERMIT #
D
Buildint, &, Fire Prevention Division
FIRE OEPARTMEOT
RESIDENTIAL. L RE -ROOF SCOPE OF WORK
JOB ADDRESS: nuo1) 16 (,e
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE 0 MOBILE HOME 0 APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF ExisTING ROOF AND REPLACE WITHNEW COINIPONEN,rs)
/134 RE-COVER (Nr.%v RooF. INSTALLED OVERT
VER EXISTING ROOF)
'DECK TYPE (PLEASE SPECIFY): C I-) x P, I `j wo d
**PLrAsFNoTi;,: om.),100SQUARE. rrE7'OFTIIF, EXIST11W, DECK IS PERMITTED TOBEREPLACED "
ROOF VENTILATION: GUFF -RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES
'INA ZA
SKYLIGHTS: 0 YES /lq No IF YES, PLEASE PROVIDE FLORIDA PRODUCT AI'PROVAL#:
---------------------------------------------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 4?t1 �4-12 12 OR GREATER
TYPE OF Row,
INIANUFACTURER
FLORIDA PRODUCT APPROVAL
0 SHINGLE
C,�27A I K) 11T f�,D
I lv
FL# �`)49+P_13
�
0 METAL
FL#
0 MODIFIED BITUMEN
I
FL#
OTORCI-I DOWN
FL#
0 INSULATED
FL#
(TILE
k
Min)zn
FL#
OTHER:
_uY+n ,
u qtyhi
FL# 14
-0
-1 6LT, 0Z_
ROOF EXTENSIONS (PORCHES PATIOS, ETC.) **lFAPPLlCAflLE**
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12 -4:12 0 4:12 OR GREATER
TYPE OF Rooi:
MANUFACTURER
FLORIDA PRODUCT APPROVAL.
0SIIINGLF
FL#
0 METAL
FL#
0 MODIFIED Bl-l'(J,-,i FN
FL#
0 TORCH DOWN
F L #'
OINSULATED
FL#
OTILE
FL#
0 OTHER:
FL"-
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 R.e-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 rules)
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.
CONTRAcrOR(OR OWNER/BUILDER SIGNATURE: 5t 3 IN (J
DATE:
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
(� Seminole County, Winter Springs
Date: S `(
H4110
I hereby name and appoint: llnOdW
anagento£ NN T (ON OF, P_W F(N' �
(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):
The specific permit and application for work located a
t i P r Inch. p WL(_-e_' SGU--N of r 1. 3a
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:A b n a+ A n W i m if
State License Number:_ C Cc
Signature of License Holder:
STATE OF FLORIDA 22
COUNTY OF �-
The foregoing instrument was acknowledged before me this day of ,
204 , by , lono NTQSh who is Kpersonalyknown
to me or o who has produced
identification and who did (did not) take an oath.
t=
Signaturehri5tju l(Notary Seal) 6 On -�
Print or type name
;o;; Y"'%,, KRISTINE LANT Notary Public - State of Flo y
,: 44 ;State of Florida -Notary Public
=• '2 Commission # GG 23892 Commission No.
?,,,�,�A•� My Commission Expires My Commission Expires: 8 - ��
August 23, 2020
(Rev. 08.12)
as
. •- •.... 61101 rnran rill! 122it Itl$11off
THIS INSTRU:M�-
NT_P PARED BY: GRANT iif ii.Ay, SENINOLE COUNTY
i:LLF7d% OF CIRCUIT COURT?. COMPTROLLER
m Nae: 91 `8 Ps 73 (1!'3 s )
Address: j [rj (. -1 Aye C:LERK'S u 2018058377
llZ fVt7i1 rL �► ll�'I RE'"ORDED 1s/72/2018' IJ1.h.ii•:;E, p('I
RE
G"31"L)ING FEES a!,i1•inj
NOTICE OF COMIUIENCEMENT t+ECfJRiiEL? BY i1r]n'J7f i
Permit Number:
Parcel ID Number: I as 01 t)
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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
t-17T' q5 M�y�A Ifz �><1KS P SD Q�S 3� T1-Ypv ul
:111 PrIMP, place &VftYll, VL IQ-111
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof of primary dwelling.
3. OWNER INFORMATION qR LESSEE INFORMATION IF T E LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Yucvwu l�u�u �\%a i hrz-
Interest in property: _Owner(s) Py1h C
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
4. CONTRACTOR: Name: N1AT 0 f\f W It) E 12�OF, N�1 Phone Number:407-773-1323
d
Address: S 15 tS �YlA NG E r r v r d 12 L A N iA) FL - U 9
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.
Phone Number:
8. In addition, Owner designates
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.
+I&Ma
( ignature of Owner or Lessee, or Owner's or Lessee's (Print Name and Provide Signatory's Tide/Office)
Authorized Officer/Director/Partner/Manager)
r-� t/�I/��
State of _ lJV r t�(t/,, County of
Th,
by
CITY OF
K Sk 4FORD
' FIRE DEPARTMENT
PERMIT NO.
CONTRACTOR:
JOB ADDRESS: i
1
Building & Fire Prevention Division
ISSUE DATE:
TYPE OF WORK: #'�kor'roa- I&Ni aq to S
PROTECT FROM WEATHER
Re -Roof Permit Card
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ROOF
ECTION TYPE
"11111-10Z0)0
APPROVED REJECTED INSPECTOR
tj
�Jaly
ry 7
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
ca([
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112: ..
• Provide the items requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112