HomeMy WebLinkAbout2004 Grandview Ave (2)CITY OF SANFORD
BUILDING & FIRE PREVENTION
_ . PERMIT APPLICATION
>. Application No: _
Documented Construction Value: :z
Job Address: C9�L� ✓��S�- Historic District: Yes ❑ Nog
Parcel ID: Residential® Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair 9 Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: �� �5 S Title: 67-u Nil
Phone: �v Y16 0 3U(-_ Fax: Email:
Property Owner Information
Name .57CA/,) A bl e Phone: 467 .2 % 3q21
Street: �2 v �rj A y �Qy Resident of property?
City, State Zip: S-A -p 3 2�21
Contractor Information
n ";r )".; � !c
Name f \j f=e�►rR n '{uS 1r_ Phone: �07 V1Crj3GC
Street:. D1° P, EPm.nA Fax:
City, State Zip: 6�c 1-9- 3 ZSi-['l State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Arch itectlEngineer 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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
P I � (-� (-// // r
Signature of Contractor/Agent Date
Print Cont /Agent's Name
Signature of Notary -State of Florida Date
ANNETTE B LAND
« Notary Public - State of Florida
°." Commission # GG 060623
BELOW IS FOR OFFICE USE ONLY
to Me or
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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES:
M_01A3
WASTE WATER:
BUILDING:
Revised: June 30, 2015 - Permit Application
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 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: I ��m.14� DATE: 5- -3 cY
PERMIT #
d�
G ; City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: &SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE PLEASE SPECIFY): PIVL4,�
* *PLEASE NOTE: ONL Y 100 SQUARE FEET 01 THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE O RIDGE ®-SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: ® LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
MODIFIED BITUMEN
FL# �S�L
O TORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 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#
O OTHER:
FL#
Permit Number:
111111111111111111111111fli 11111 fill 1111
Folio/Parcel ID #: 3 V 37 1-5 4ZLZ g f 1SP
Prepared by:r C' csz n7
Return to:
UIRAHT 11N..0Y r 1EM.i;`i0I-E C;ial_ii i T
".;i (_TR :l1TT tSDURT
CLERK'S 201SC161185
I+:{;I:i:: i:i` 11.) }'.5aDJ i=ll`l
a�_ c�iJ�U,-,-,�:; F E.E 1` .1j,i i;
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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)
2. General description of improvement n
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name ;O Aj, 61
Address 240 G �? dui e uw �,.�912,p Z7Z/
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name i- Telephone Number 9'7(4A 6 366
Address / e 4 Lfir 3z T
5. Surety (if applicable, a copy of the payment bond is attached)
Name Telephone Number
Address Amount of Bond $
6. Lender
Name Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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.
";v (—
Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this ;),S day of MA-.y by -.C--A" Ol.cti� It
mont ye rr name of person
as for
Type of authori , e.g., o r, trust ey in fact
11 %
Signature of otary Public — Sf6te of Flo a ,�
Personally Known OR Produced ID
Type of ID Produced G 4;
Form content revised: 01/23/14
Name of party on behalf of whom instrument was exePl i+Pd
TINAM CHESHIRE
;, Av.wissioneo name of
BaidedTMuBudpetfldary8er9kee �� <
SCPA Parcel View: 31-19-31-515-0000-0150
Page 1 of 2
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=3119') 151500000150
5/24/2018
11111111111111111111111111111111 fill 1111
Permit Number:
Folio/Parcel ID #: 3 ' 3l 15 �� ! /��
Prepared by: ���,,�
L/1?/0 i eO—fi1c>
Return to:
calki -VF 11(i_L1Y vv :aE1111'ItJLE C.'00
'•1...1..R1*. 7;I !_.tDURI [. s.0MF,+r,0LLEF,,
CL.EfiI,'S v 2+J18i+fi.1E
f;[ C01-;,1}i_0 il52131) C+1 ; isl;55:11)1 i°IP1
COIRIDIINK-i FEES .-.I. I
NOTICE OF COMMENCEMENT
State of Florida, County of Orange V
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 des�riptionqof the property, and street address if available)
..?mil CA 1ZA —7 -7 /
2. General description of improvement
3. Owner information or Lessee information if the Lessee contracted for the impri
Name 6)
Address o o A ui e w �Z
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name �tzf��-� ^ Telephone Number'? cf/6 6 3yG
5. Surety (if applicable, a copy of the payment bond is attached)
Name
Telephone Number
Address
Amount of Bond $
6. Lender
Name
Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name
Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name
Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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.
Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
The foregoing instrument was acknowledged before me this � day of Mky by -.C--A" Olc►� It
as for
Type of authori , e.g., o r, trust ey in fact
i
Signature of Nbtary Public — St6te of Flori a a
Personally Known OR Produced ID
Type of ID Produced 4;
mont ye r name of person �-h,•
Name of party on behalf of whom instrument was exec te8 ,1-
tINA AI CHE8HIfZE �� ' •>` <'<``"��. '
S� rnnfrr�leelnw �F P_A �90�7e C .�� P;r
Iia m Ttw Budget"Ber"
Form content revised: 01/23/14'
Roger Fa ce m i re
4310 Piermont Ct.
Orlando, FL 32817
407-657-9524 • 407-416-0306
Proposal
Residential Contractor
CRC 026344
Roofing Contractor
CCC 1326094
Name: Phone: Date:
��°� 0�-e t�o 7 �5��� f�
Street: Job Name:
City, State, Zip: TAddress:
We hereby submit specifications and estimates for: Ne'j
%a kA,4 c.U44
We hereby propose to furnish labor and material to complete in accordance with the
above specifications for the sum ofdollars
Date:
) with payment to be made as follows:
Authorized Signature
Acceptance of Proposal Signature
111fat11 aatta allot 1111.21-11BSt 111111111,11 nl
Permit Number:
Folio/Rarce,I ID #: 3 i- i !S�
Prepared by: r�-r C'!'
43/a i e�'.v-71
Return to:
t� 3a=L$_7�
GRANT 11ALOY } SE11INOLE COUNTY
CLERK OF CIRCUIT COURT & COVIF'TROLLER
C,K 9142 Ps 1166 (1P95)
CLERK'S Q 2018061185
RECORDED 05,{30/201.8 10-05.10 All
RECORDING 'FEES $10"00
RECORDED BY hdevar'e
NOTICE OF COMMENCEMENT
State of Florida, County of Orange
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 des
ription of the property, and street address if available)
2. General description of improvement
3. Owner inform
Address �,o a f Cs1 R emu) e k.s (-.c Sk !�� PIP- -:?Z"7 y
Interest in Property
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name
Address �} �l� l �P-ri��
Telephone Number 2 4y� 6 36
&,z2 —�U 3Z57 -t
5. Surety (if applicable, a copy of the payment bond is attached)
Name
Telephone Number
Address
Amount of Bond $
6. Lender
Name
Telephone Number
Address
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(1)(a)7, Florida Statutes.
Name
Telephone Number
Address
8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(b), Florida Statutes.
Name
Telephone Number
Address
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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.
.A-, � fw -
Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office
�— % ly
The foregoing instrument was acknowledged before me this S day of MA-y by 4" OAub It
month year name of person
as for
Type of authod , e.g., o r, trust ey in fact
i
Signature of Wotary Public — Sf6te of Flori a „
Personally Known OR Produced ID it
Type of ID Produced 4;
party on behalf of whom instrument was E
TINA M CHESHIRE
ommIsslonO GG IOW3
t, f awvWssioned name ot-
BandadTM+BuOQett�ry8enkee b� '
Form content revised: 01/23/14
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: (g-SINGLE 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�l✓liF3'C1�
* *PLEASE NOTE: ONLY 100 SQUARE FEET OP THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: O OFF -RIDGE O RIDGE &SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: ® LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
MODIFIED BITUMEN
� n 6
) v
FL# ZS33,
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 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#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
CITY OF
S,&NFORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERING) S
PERMIT #: ;zev % ADDRESS: lJOy�J�C'�
I Kbq C A— t/i-r—k/W / 4�10 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
j,!O FIN ONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
F OING 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_(�. �/ � 1 5
COMPANY / CONTRACTOR: -5,S
CONTRACTOR SIGNATURE: DATE:
(MUST BE SIGNED BY LICENSE HOLD6, OR ER/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 /nx�,
Sworn to and Subscribed before me this day of �Ce 3-� 20 /5y:
c
Who is 4&Personally Known to me or has ❑ Produced (type of
as identification.
,r �V. !;; N TMIA M CHESHIRE
I# of Notary Puts is • Commission # GG 128173
Florida °� P�c� Expires August 30,2021(51? AI.)
4po B.-M n. Bwgel Notary $emm
Print/Type/Stamp Name
of Notary Public