HomeMy WebLinkAbout161 Long Leaf Pine CirBuilding & Fire Prevention Division.
PERMIT APPLICATION
Application No: y / � (07
Documented Construction Value: $ Co 6—'23. 3
a
Job Address: �} / E' o.�r ! `\', C �' Historic Distr' t: Yes❑No
Parcel ID: �`>�0- 30 -Sod- C)GUo= �C.D(3C7 Residential Commercial
Type of Work: New❑ Addition❑ Alteration Repair Demo ❑ Change of Use Move
Description of Work: Q-cDo `
Plan Review Contact Person: 0F1,UC\\ Le I °3 Title: Co AA f Ac
Phone: �1- ri 3 � 1�! Fax: L(01 (pe>-- Email: L e'tJ 15 �.t�v ; nc _ Ma;-�• f "1,
Property Owner Information
Name l f\i t; LbMo�'e Z- Phone:
Street: lot ( l lfG�7 ei Ae C ; r-- Resident of,property?
City, State Zip:
Contractor Information
Name t Phone:
Street: I E o G"A v, i d Fax: (4'_[ - "t 7 3 o S
City, State Zip: U,rJ State License No.: CCC ( 33 A
Architect/Engineer Information
Name: Phone -
Street:
City, St, Zip:
Bonding Company:
Address:
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: 61' 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 pernlits 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 1CC 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.
L
Signature ofDwner/Agent ate
offAk]J MA DVIIILLRDa
COMMISSION Of GG 1924S1
EXPIRES Mirth 05, ZW2
RU "SURUCE COOu"wtrM
-,- Signature of Contrac[or!Agent Date
Dj fre\\ t�,�i5
�Pri t Contractor/Agent's Name
, , o n "n o
of Notary-State-ef`F�(QLi
�ANA BONILtA
COMMISSION p GO 192452
1"M EXPIRES Marc,�' u2022
Owner/Agent is )( Personally Known to Me or ersonally Known to Me or
Produced ID Type of ID ProducedlD 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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:_
COMMENTS:
Revised: January 1.201E Permit Application
Lewis Roofing
1428 E Semoran Blvd
Apopka, FL 32703
(407) 915-1643
lewisroofingfl@gmail.com
www.lewisroofingfi.com
INVOICE
BILL TO
Daniel Lomprez
1,61 Long Leaf Pine Cir
Sanford, FL 32773 USA
ROOFING
INVOICE # 1123
DATE 04/03/2018
DUE DATE 05/03/2018
TERMS Net 30
THIS INSTPUMENT PREPARED BY:
Name: Cl
Address: i �t t
Ae.D
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
Parcel ID Number: 11-20-30-509-0000-0600
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.
DES I TI F P OPER Leg s r t pro d street address if available
LO��6� I- Ue'n "Lake. �iA9 0,?2f P9rt1` s �109 )
inf I -:
Gl ompAiete teaioii andtreRrOOo�MENT:
OWNER INFORMATION:
Name: Daniel Lomprez
Address. 161 Long Leaf Pine Cir. Sanford, FL 32773
Fee Simple Title Holder (if other than owner) Name N/A
Address:N/A
CONTRACTOR: p
Name: rpfrsn tc,,3Nt,
Address 1 I j Y. Scf o(t 81•+ Svc�e
upon whom notice or other documents may be served
as provided by Section
Name: N/A
Address: N/A
I n add;tion to himself, OwnenDesighates N/A of
N/A
Section 713.13(1)(b), Florida Statutes.
To receive a copy of the Lienors Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unfess:a
different date Is specifled)
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.
Under penalties of perjury, ) declare that 1 have read the foregoing and that the facts stated in it are true
3o he b9st�of my knowledge and elief.
Owner's Signature I er Owner's Printed Name
Florida Statute 713.13(1 )(g): - The avner must sign the notice of commencement and no one else may be' gemtted to. sign in Ns: or her stead.
State of r ��d� County of SFA 1 401- L —Ask The foregoing Instrument was acknowledged before me this day of F� �_ 20 It
by DALJJL / Aa9 Z- Who is personally know. It. me D
Name of person making slat-a-m/eoV
OR who has produced identification L+J type of Identification produced: !1 �IIjS L f C�
=v°r+t,F Notar( Public State of Florida
Raymond M Mdlthy
My Commission FF 250150
os ivo°A Expires 0511212019
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018037561 BK 9105 Pg 1301: (1p9) E-RECORDED 04106/2018 10:13.55 AM
10,00
CITY
g OFSANFO
FIRE DEPARTMEN
a!'
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ' ISSUE DATE: left
CONTRACTOR: L O .� �� •�
JOB ADDRESS:
TYPE OF WORK:
PROTECT FROM WEATHER
• 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
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF
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
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items T- equested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by 5:00 r..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
CITY OF
SANFORD Building & Fire Prevention Division
JRRESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPAItTt,1ENT'
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 OWNERBUILDER) SIGNATURE: y"' DATE: 4I 1
CITY OF
�ANFQRD
PERMIT #
Building & Fire Prevention Division
F i IFF 0 E PA MM E N T RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: W L nL
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 1- 'J (� ��t
**PLEASE NOTE: ON1 Y100.SQUARL 1:EET OF THE EXISTING DECK IS'PE&WITTED TO BE REPLACED"
ROOF VENTILATION: Q OFF -RIDGE 1 ` RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES1KNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: _
MAIN ROOF AREA
ROOF SLOPE; O LESS THAN 2:12 Q 2:12 - 4:12 Y4:12 OR GREATER.
TYPE OF ROOF
FLORIDA ArP)PROVAL
SHINGLE
/MANUFACTURER
yPRODUCT
F.L# d\
Q METAL
FL#
O MODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
Q INSULATED
FL#
Q TILE
FL#
`` �// r
OTHER:�iTCj v _� P 1
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
ROOF SLOPE: 0 LESS THAN 2:12 Q 2:12 - 4:12 Q 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
Q SHINGLE
FL#
O METAL
FL#
OMODIFIED BITUMEN
FL#
Q TORCH DOWN
FL#
0 INSU1 ATFD
FL#
Q TILE
FL#
0 OTHER:
FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
+ 855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
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Page 2
Application Number . . . . . 18-00001869 Date 4/18/18
Property Address . . . . . . 161 LONG LEAF PINE CIR
Parcel Number . . . . . . . . 11.20.30.509-0000-0600
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . . HIDDEN LAKE VILLAS PHASE 4
Property Zoning . . . . . . . MULTIPLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1045145
Permit pin number 1045145
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF / /
(� CITY OF
`RDj� Building do Fire Prevention Division
�✓l RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE-RoOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT$#: �i) � I 0 v / ADDRESS: Q I boll!) I-ePF �N'Ae�
�O JF'4 I i,L 3977"73
I nI- �- F e- \` (I? U- �`�5 Ac A(TJI GPNPUAT TIT itlnrTvn RFemY7rrrTAT nv
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 BUTLDIN(WODE, 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 c C kl�
COMPANY / CONTRACTOR:, t� i OOP n5(
7 _ r
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LIGE S�E HOLDER
OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: V
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 SI[A � ! l
Sworn to and Subscribed before me this Z"% day of 20 tp by:
Who irsonally Known to me or has ❑ Produced (type of
id tification) as identification.
( A �6
ig ature of Nota P Iic ----
State of Florida 1 1��,,;,IADRIANA BONILLA
NOTARY COMMISSION II GG 192451
ADC.I PINJ A- ► LA_,4- now� EXPIRES March 05, 2022
SMOF
Print/Type/Stamp Name RDRIDA BONDED THROUGH
of Notary Public I RU INSURANCE COMPANY