HomeMy WebLinkAbout151 Crown Colony Way (2)CITY OF
� y�A S ORD
DEPARTMENT
FIRE
2018 Building & Fire Prevention Division
mgQ PERMIT APPLICA TION
Application No:
Documented Construction Value: $ 11,448.34
Job Address: 151 Crown Colony Way Sanford FL. 32771 Historic District: Yes❑No ✓❑
Parcel ID: 33-19-30-5QS-0000-0480 Residential ✓❑ Commercial❑
Type of Work: New[] Addition[] Alteration❑ Repair ✓❑ Demo❑ Change of Use[] Move[]
Description of Work: RE -ROOF
Plan Review Contact Person:
Phone: 407-460-4334
JESSE PADUA
Fax:
Title: MANAGER
Email: wiserestorationinc@gmail.com
Property Owner Information
Name Muntazir Kassam Daudaly Phone: 407-803-1717
Street: 151 Crown Colony Way
City, State Zip: Sanford, FL. 32771
Resident of property? : yes
Contractor Information
Name Wise Restoration Inc Phone: 407-618-0029
Street.
2423 S. Orange Ave. #192
City, State zip: Orlando, FL. 32806
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: CCC1326898
Architect/Engineer Information
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: 6th Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
1'
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 g, Dat Sign re of Con ctor/ gent Date
/i7tau i 92 / 12.
Print Owne nt's Name ,
"a� PG'4
'B
P FAZELA SINGH
1
Notary Public • State of Florida
-' + : • Commission # FF 212225
OF '� My Comm. Expires Jul 16. 2019
°'','#IW Bonded through National Notary Assn.
A-'tS
Print dontr ctorlAgent's Name
Signature of Notary -State of Flprida n Dat
v
`.20< c, MICHELE AAMESAA
Notary Public - State of Florida
• • ` Commission a GG 090456
,7'F N11
N, My Comm. Expires Apr 2S, 2021
Owner/Agent R — `P rsona y Me or Contra+Cal t Me or �
Produced ID ✓ Type of ID D It- (-• c- Produced
p ID Type of ID 0 f 1 rl � f —r�1
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ 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 ❑ # of Heads
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
UTILITIES:
FIRE:
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:
f Name: S'4i3 5-6 AE3F6 AVE#!92OREANB9, Fiz. 32086
Address:
OtITHAIET
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
aECt:[HOLE C1JUNU
BK 9125
CLERK'S g 201805171246
1 2.13-?: _2 F11
.- l;tt}It.G I'EEC },li-00
U.... <1I B Y hdevrrp
Parcel ID Number: 33-19-30-5QS-0000-0480
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 48 CROWN COLONY SUBDIVISION PB61 PGS 76-78
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Name: MUNTAZIR KASSAM DAUDALY OR AIMAN DAUDALY
Address: 151 CROWN COLONY WAY SANFORD, FL. 32771
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name: WISE RESTORATION INC
Address: 2423 S. ORANGE AVE #192 ORLANDO, FL. 32806
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)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
Of
To receive a copy of the Lienor's Notice as Provided in
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 COMMENCIN,9 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT." `
Under penalties perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of i1nowledge and belief.
ers ' nature Owners Printed Name '
Florida Statute 713.13(1)(g): - The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.'
State of r `,
County of ._ej L
The foregoing instrument was acknowledged before me this 0Z day of I lJ( , 201 o
by MLC& +t1(Zr'P W • Ll-•-•L••^�"1 Who is personally known to me ❑
Name of person making statmreme, ' 1
Lld1
OR who has produced identification 'type of identification produced:
t734e- 2 Z-a
FAZELA SINGH
�1�,FY PGB ii
Notary. public -State of Florida.
i • Commisslon # FF 212225 Notary si nature
My Comm. Expires Jul 16, 2019
bonded through National Notary Assn.
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CITY OF
S.&�4FORD
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT # 12 — zi L
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
CfOLA) i C �AIV r=�jtp F 3 `'07(
STRUCTURE TYPE: (TINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: egPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: O
""PLEASE NOTE: ONLY I00 SQUARE FEET OF THE EXISTING DECKIS PERMITTED TO BE REPLACED"
ROOF VENTILATION: OFF -RIDGE IDGE Q SOFFIT QPOWERED VENT TURBINES
SKYLIGHTS: OYES O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12-4:12
4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCTAPPROVAL
HINGLE
�^ 1I�'l (� N�
FL# 01 "�1 1 ` p�. 0
Q METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DowN
FL#
QINSULATED
FL#
Q TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) ""IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 0 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
FL#
Q METAL
FL#
O MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
0INSULATED
FL#
TILE
FL#
Q OTHER:
FL#
CITY OF
Building & Fire Prevention Division
a � �FORD RESIDENTIAL RE-ROOFPOLICY & PROCEDURES
FIRE DEPART RENT
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), CERTIFYIN C DE COMPLIANCE BY PERSONAL INSPECTION.
?
CONTRACTOR (OR OWNER/BUILDER) SIGNATU DATE: /
PERMIT #:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
1 ► ADDRESS: 1 51 C?ZOL O KI C 0 LV(\( I Lt%/4
I Oq / L/g4iZ }��ep 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 #: [� % I�{�Jo 00C
COMPANY / CONTRACTOR: v' (J `� C J I v� �N —LA)l— .,.,..,..
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE H LD OR WN UI R)
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 1�> day of 20 by:
t.
.' 1 l0�5 �e Who is ❑Personally Known to me or hs Produced (type of
/\
3dentlf3catidn)Y�niot 1V Lj1Ca iQS idetrtification.
S1 u "re'.ofVL
Not i ►c y:
Y'n "t,G'jS ti
State ofFlor3da ,. i ^u
NINA JAMES -
M-W
... Notary Pul;lic - Stall cf Florida
A,, AI-AlobAW-APIM
g Conrvssicr 3 GG 150937
Prult/Type/Stamp,Name; MyCoom.Ex6fesDect6.2o20
of Notary<Public`�•R: ' �"�> s .�«�•.�rx,�, ,
i
A -C:�/ 4-3
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: iK%3 46,1 $
f-
I herebyname and appoint: L l h1 t C�`JS
rr J 2
an agent of:
S Obi J 4 4-yy C.
(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 at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: M � C tk A L(.._ 0-f
State License Number: C_ C 3
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF 1.�
The fore omg iqstr en w acknowled.ged before me this day of
—244-ZIP b � who is ❑ pers nally known
to me or aho has produced 16. 'I Ulfix ki C as
identification and who did (did not) take dip oath.
MICHELERAMESAR
2' s
ocFlP°e` Stateoi
daiar tWg)
Commission a GG 09045b021My Comm. Expires Apr 25.2"5�
(Rev. 08.12)
S
Print dr type name
Notary Public -State of �1 1 C71
Commission No. QQ i _
My Commission Expires: c�