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Home My WebLink About209 S Hampton CtCITY OF Building & Fire Prevention Division Sk�FOP,D PERMIT APPLICATION FIRE DEPARTMENT Application No: Documented Construction Value: S�� Historic District• es❑No� Job Address: _�.�'� �� Parcel ID: _�a_? �' _5 u �-M Q 115 C) Residers Commercial Type of Work: New[] Addition❑ Alteration[] Repair[-] Demo❑ Change of Use❑ Move Description of Work:' Plan Review Contact Person: h j �--Y-1 t J122 l u k% Phone:- ` - -�Qbj___._ Fax: - {a�-1- `133Z- Email:_ wmWeProperty Owner Information Name sSP Phone: Title: -,Jhn r� ' S iSLL— Street: -_ ' �) I , C- n2 - Resident of property? city, state zip: CM. 0 Contractor Information _ Name e Phone:? - �-CeL ► ° ` t l (� Street: i �i t �Qi H��P� "A ray Roac t Fax: - Q ((`` City, State zip: L - u iL �� State License No.: �L 2 b 2_`�91 L L Name: ArchitectlEngineer Information Phone: Street: Fax: City, St, zip: Bonding Company: Address: E-mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COM [ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR E"ROVEMENTS 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 WrM YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONSIENCEMENT. 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 1053 Shan be bu=ibed with the date of application and the code in effect as of that date: 6u, Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application E: 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. Owj1jFRIS 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 d zoning. Li -I-(; �)a Signature of Owned ant Date Signature of Contractor/Agent Date VJ Print Owned`' Agmt a Nam. Pont Contractor/Agents Name // p L" 4——c Signatrae of Notary -State offtvri� Datr rgn tvgf No - �ad Florida �e C",of '�• My Co R Benson at.1`$Q �t-� i'p` �:� My Commission GG 121654 Cw. ` 1 ,q✓� `, o Expires 07/14/2021 Owner/Agent m %< Personally Known to Me or Contractor/Agent is4 Personally Known to Me or Produced ID _ L Type of ID 122 L Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plurnbing0 Gas[] Roof Construction Type: Occupancy Use: Flood Zone: _ Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: COMMENTS: UTILITIES: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: ENGINEERING FIRE: BUILDING: Revised: ranuary 1, 2018 Permit AppEestion A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of 0&6y\ ) CALIFORNIA JURAT Subscribed and sworn to (or affirmed) before me on this a� day of 20 by proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. SignatureZS.4 "171�A OPTIONAL INFORMATION C. BOXILL-CLARK COMM. #2099116 zz W- Notary Public • California c z Marin County -- Comm. Ex ices Feb. 6, 2019 (Seal) Although the information in this section is not required by law, it could prevent fraudulent removal and reattachment of this jurat to an unauthorized document and may prove useful to persons relying on the attached document. Description of Attached Document This certificate is attached to a document titled/for the purpose of owws 4CAWZr-04� containing \ pages, and dated y, Method of Affiant Identification Proved to me on the basis of satisfactory evidence: L0 form(s) of identification Q credible witness(es) Notarial event is detailed in notary journal on: Page # i Entry # Notary contact: Other Affiant(s)Thumbprint(s) ❑ Describe: 0 Copyright 2007-2014 Notary Rotary, Inc. PO Box 41400, Des Moines, IA 50311-0507. All Rights Reserved. Item Number 101884, Please contact your Authorized Reseller to purchase copies of this form. THIS INSTRUMENT PREPARED BY: Name: Liza Denton Address: 1709 Howell Branch Road 11 Winter Park, FL 32789 Permit Number. Parcel ID Number. 07-20-31-506-0000-1150 11911.111 H111 111111111111 11111111111111 (3I:%"1.1l 'If;'rY, t'r_:ili!''li"l._I +]1.J`'i1 i 'i::i'- i:f)i)PI' t {':{i,�•,,;. :L.ERK'S �° aDj. 0 '236t, 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) Lot 115 Brynhaven 1st Replat PB 39 Pas 20 & 21 209 S. Hampton Ct., Sanford, FL 32773 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Shelley Wilson 30 Knickerbocker Lane, San Anselmo, CA 94960 Interest In property: Fee Simpia Title Holder (N other than owner rioted above) Name: NIA _-- 4. CONTRACTOR: Name: David Lundberg Building & Roofing Contractor phone Number 407-672-0001 Address: 1709 Howell Branch Road, Winter Park, FL 32789 S. SURETY (if applicable, a copy of the payment bond is attached): Name: NIA Address: Amount of Bond: e. LENDER: Name: NIA Phone Number. Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 71&13(1)(a)7., Florida Statutes. Name: Phone Number. Address: In addillom Owner designates Of to receive a copy of the tienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number. & 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 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. VLA ( Owner or Lessee, or Owners or Laaaee'a (Print Name and Provide ergnaWe THait9be) ,� 1, AuQwrrsed OflrceriDtretbt/PmtrwgMarnger) State of l:G `� ��Q1 County of The foregoing instrument was\ acknowledged before me this day of �PC�� 20 by Who Is personally known to me 19 OR Name of psaot+ making datenwo who has produced kientiftcatlontill type of identification produced: +1,96"*( Li i _NOMY ere C. BOXILL-CLARI( wic OMM. #2009116 z tary Public -. California c Marin County omm. ExTres; Feb. 6, 2019 C LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: 5/14/18 I hereby name and appoint: Liza Denton an agent of. David C. Lundberg Buildinci & Roofing Contractor (Nam of Company) to be my lawful attorney -in -fact to act for me to apply Fier,. receipt for, sign for and do all things necessary to this appointment for (check only one option): ❑ All permits and applications submitted by this contractor. 2F The specific permit and application for work located at: 209 S. Hampton Ct., Sanford, FL 32773 (Street Adc-'ress) Expiration Date For This Limited :Power Of Attorney: -1 2 / 31 / 1 8 License Holder Name State License Number Signature of License He STATE OF FLORIDA COUNTY OF Orange David C. Lundber CCC1325941 The foregoing instrument was acknowledged before me this ZD 201 ,8 , by _ David C. Lundberg or who has produced as identification and who did/did not take ran/ oath.. Signature =RSOMM b'taie d PlaidsMMlonGO 1218544f2021 Wendy R. Benson Print or Type Name 14 day of Ma who is personally known to me/ Notary Public — State of Florida Commission Number GCr III K My Commission Expires: 07/ 1 4 /21 errY of . i � Building &Fire Prevention Division RESIDENTIAL RE ROOF POLICY & PROCED URES FIRE DEPARTMENT 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 OWNEiZ/EUILDER) SIGNATURE: , " i)�' DATE: 55 / 14 ! ! U PERMIT # Building & Fire Prevention Division RESIDEN77AL RE -ROOF SCOPE OF WORK JOB ADDRESS: STRUCTURE TYPE: # SINGLE FAMILY RESIDENCE/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) I__' J DECK TYPE (PLEASE SPECIFY): �� \ ) (mct 6kQ-z''I� � �l Q * *PLEASE NOTE: ONLY 100 SQUARE FEET OF TIIE EXISTING DE6h IS PERMITTED TO BE REPLACED * * ROOF VENTILATION: ®'OFF -RIDGE O RIDGE Q SOFFIT QPOWERED VENT QTURBINES SKYLIGHTS: O YES ® NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #! MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 0 2:12 - 4:12 ® 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE FL# 3 Q METAL FL# Q MODIFIED BITUMEN FL# Q TORCH DOWN FL# QINSULATED FL# Q TILE FL# O OAR: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) *WAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 Q 2:12 — 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN FL# Q TORCH DOWN FL# QINSULATED FL# Q TILE FL# 0 OTHER: FL# W I r4i[E- A, PARK, ""FLORIDA 327 (40?) 572-0001 y (407) 61' , 440 11 STREET REET Ay —nv lel- I we now accept BATE' 2y f 'r 7 'CITY, STATE AND ?JP CODE AFTER A VISUAL INSPECTION OF THE JOB SITE, WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR: Shingle Roofi , ng Remove existing roof and haul away all debris Dry in with Install new lead pipe flashing with squirrel guards P. 14r, and kilcher, vents New eave drip metal Install new galvanized steel valley metal Single Ply Roofing YInstall algae resistant shinglep Type of shinle /1'-.t ; . � e it Remove existing roof and haul away all debris , Dry in with 43 lb. asphalt coated felt -Z Clean yard thoroughly and sweep magnetically for Apply a single ply robber roofing sysleM Id, -I, ,Qse,nais )YEAR GUARANTEE ON Install new 2 lb. lead boot,ilashings WORKMANSHIP, , AND LABOR / ��- 1 Carpentry, work is additional J._per man Install gatVanized ealve drip Metal tjouri plus materials Z' YEAR GUARANTE,E'ON Fumish and.install .__, new ,skyfight$ MANSHIIP AND LABOR WORKMANSHIP Size- Type; dd9event �12 f co."' -di, ;i'- <N"j Y(cl Furnish and,instalf oft; ridgevents at additional cost C> Cr If applicable, customer resoonsibie for removal of solar -parcels S satellite dishes NOT Provide uniform mitigation inspection upon, 131-N 1"':S' LN AY i I payment in 'oil we the SLIM Of: IN'(- , ropoSe hereby to furn. pecitication, for'the �P furnish material and labor - complete in accordance with above r C? /:' e 0 Z t'!P dollars Payment to be shade "as follows: completion. Half down upon delivery of materials, balance in full upon comp Price includes all taxes, delivery charges, permits ano 'a , dump fees, W,i carmat be her- Iwle:ot danwpa dr1yeways since -esv estwnt*n 10? cco!'M cored, imerl�o' cy'mono 41e, dwrage- pWe,�V dan=ga C, PWUM- 1 Authorized Signa lure t ft � cc (e,wlln 9 r4 th, ob ir vn riro�.vess or after comrla kK� QtYfift L- carry fire. tomaeo. vz�- )Mer ncce' " Ow once In the Eva of do'a.:Ii 6,4 ne part of Note- This proposal may be withdrawn ,."L Dty the cos: at wigation pins anomayG 146s. Nvrrne mt Mwe`e, in au csrrc w,u cnrnrEct bus if not accepted within' 0 days: iAccetauce of Proposal , The atiove Prices, specjfic�.tiorts and p use —Ailstadory and ale heretq You are authorized 10 c'a w as sP abed. Paymoni will be (node as 0661ned jibovc, _ Date cf Aom-reanca; JA [ 2�1111 ------ gic W'arure