HomeMy WebLinkAbout146 Hidden Lake Dr (2)CITY OF
Building & Fire Prevention Division
a PERMIT APPLICATION
�Dt I�r :C120
FIRE DEPARTMENT Application No: h5- aog3
Documented Construction Value: $ 7, a0a
Job Address: 1 q Y � I aL n L4e- -tg • 'SPN Fo f-b FL 3 2 '�')3 Historic District: Yes ❑ No �❑
Parcel ID: 1 a- �(:::>°-_3C)- 5(::7'_--y 650 ! b Residential Commercial❑
Type of Work: New❑ Addition[] Alteration ❑ Repair'm Demo ❑ Change of Use Move ❑
Description of Work: �Z e izooF
Plan Review Contact Person: : -, 7)-(ytCS Title: C�4�_ZA c�(Z
Phone: Fax: `-1 0'1'�'? �' 1 p Email: c6rNGUAn JA.'J_rS(70
1 n Property Owner Information
Name Phone: Lia % 22-1 913 9
Street: I'7�i tt i��erl LA-K liQ Resident of property?
City, State Zip: A ►U Fo K 4i FL , 3 2-7 23
Contractor Information
Name L7o�roy�ar� �GyS Phone: t-t d--) K 41 3L(
Street: '3o) 7 �i !-%.�-o� y�6L . Fax: W 0'� N7� 3 t t1
City, State Zip: C�Q-) a��a , .0 3a�� State License No.: CC_Ci -6;0a3 J
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 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 I, 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.
9 si e of or/Agent Date
Print Owner/Agent's Name
412Z /I)
Sig ature of Notary -State 4f Fl da Date
PATRICK BLAIR GIBSON
Notary Public - State of Florida
• " Commission # GG 084810
ACT, My Comm, Expires Mar 20, 2021
Owner/Agent is Perso l gAVV��,n �="Aw; I
Produced ID _-Type-of ID -
BELOW IS FOR OFFICE USE ONLY
a
Signature of Contractor/Agent Date
1>:5y �yAn �_ DA.� iS
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID Ty
Personally Known to Me or
pe of ID
Permits Required: Building [IElectrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No [I# of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Pennit Application
SCPA Parcel View: 10-20-30-5CT-OJ00-0110
Page 1 of 2
CoMJohr=,CFA Property Record Card
f
Parcel: 10-20-30 5CT OJOO 0110
l3 RPM am
x aaau rY nrnx A Property Address: 146 HIDDEN LAKE DR SANFORD, FL 32773
Land
JusWarket Value "" $146,981 T $120,621
Portability Adj
Save Our Homes Adj
$67,167
$42,449
Amendment 1 Adj
$0
P&G Adj
$0�
� $0 ----
Assessed Value
$79,814
$78,172
Tax Amount without SOH: $1,508.00
2017 Tax Bill Amount $700.00
Tax Estimator
Save Our Homes Savings: $808.00
* Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=1020305CTOJ000 110 5/2/2018
THIS INSTRUMENT PREPARED BY:
Name: � �
Address:
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
GRANT 11AI_O P U MINOLE COUNTY
(::i._ERK Of i-IRCUIT COURT & CMIFTROLLER.
BK 9121.1 P-3 578 (1P9s )
CLERK'S r 2018047377
RECORDED 0 112,r?01 09.01:1 AN
RECORDING FEE,) 1'110.011
iECORDED BY hdevore
Parcel ID Number ld- as-3d --jC.�7_C5 0 11 a
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.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
Lot 11 ( Less bea s 51 dea 8 min 33 sec w 105 ft of most elv cor run s 51 dea 8 min
33 sec w 67.674 ft w 266.304 ft n 30.006 ft e 201.543 ft n 46 deg 12 min 55sec r
96.525 ft s 41 deg 19 min 17 sec a 72.353 ft to beg) blk j hidden lake unit 1-c pb 17 pa to 4iXd\&-%
GENERAL DESCRIPTION OF IMPROVEMENT: L_o- 1st7 SAA) F0 D rL
►` Ia, -Z ►)o-P 3 Z-79;
OWN
Address: (q (o N i A A�P— n -I-A I« b
Fee Simple Title Holder (if other than owner) Name:_
Address:
CONTRACTOR:
Name:
Address:}.,
Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
Of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief. I n
Z-24142 �V1 r I i 14 !1
O is Signature I Owner's Printed N
Florida Statute 713.13(1)(g):'The owner must sign the notice of commencement and no one else maybe permitted to sign in his or her stead'
State of ELP C bpA County of V �t b01-
A P
The foregoing instrument was acknowledged before me this Z M1 day of tL . 20 18
by PH I L11 F bit55c:/Y 6
Name of person making statement
OR who has produced identification ❑ type of identification produced:
,'PAY o""
PATRICKBLADGIBSON
Notary Public-
Commissiaa#My
Comm. ExpirBa&,,hih N,,
Who is personally known to me L
CITY OF
, �����y�Rg�D Building & Fire Division
n RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE OEPARTA4E\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) SIGNA RE: I ----�--> DATE: �� )
CITY OF
SkNFORD
FIRE DEPARTMENT
JOBADDRESS: I L4 �' 1 �(x 'C�'" L(* L
PERMIT # 1 U '-2 b l
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: asiNGLEFAmiLYREsIDENcE/TOWNHOUSE 0 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): W
""PLEASE NOTE: ONLY 1 DD SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BEREPLACED"
ROOF VENTILATION: DOFF -RIDGE QIDGE O SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 0I0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 0/212 — 4:12 0 4:12 OR GREATER
TYPk OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE1
K-Q
FL# S� —
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
O T1LE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) ""IFAPPLICABLE""
ROOF SLOPE: 0 LESS THAN 2:12 0 2:12-4:12 0 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
0 SHINGLE
FL#
O METAL
FL#
0 MODIFIED BITUMEN
FL#
0 TORCH DOWN
FL#
OINSULATED
FL#
QT1LE
FL#
0 OTHER:
FL#
Donovan D. Davis, LLC.
Invoice No.
Construction Management Firm
3817 White Heron Dr.
Orlando, Florida 3208
Phone Number 407-448-3665 Fax Number 407-479-3210
Customer
Name Philip Assing
Address 146 Hidden Lake Dr.
City Sanford
Phone
State FI. ZIP
Estimate/Invoice
Date 4/12/2018
Contractor Donovan Davis
Lic# CCC1327228
Oty. Description Price TOTAL
Roof Installation
Remove and Replace entire roof down to the plywood
Materials
Install arch shingle roofing $7,000.00
Remove and replace (1) layer of 301b. Felt Paper
All roofing penatrations will be removed and reset
This estimate doesn't included the fascia or wood work
Product warranty
One year warranty for workmanship
All wood work is not included
Remove all debris related to this project
Roofer will bring everything up to current Florida roofing
building code standards.
Payment Details
O Cash
® Check
0 Credit Card
Name
CC #
Expires
Total i $7,000.00 1
Office Use Only
"Safety, Efficiency and Professionalism"
Thanks for your business
m
F
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF
QRQOOF COVERINGS
PERMIT#: �� ADDRESS: )``►`� /''-�ll�� L_A&, JGSL.
I ,J4� ^ , 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 #`. C� G
COMPANY / CONTRACTOR:
CONTRACTOR SIGNA RE: ) DATE v
(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 Oe-tjNGE
Sworn to and Subscribed before me this O-2day of Ill, r�yl� 20 by:
-T�-VA7j (�-�1�3 Who is ❑ Personally Known to me or hasX Produced (type of
id i tion as identification.
Sig ture of Notary Publ JOANNA KHA
State of Florida "Notary Public - State oflRoadda
- Commission # Ff 203M
9t My Comm. Expires Mar 16, 2019
Print/Type/Stamp Name
of Notary Public