HomeMy WebLinkAbout213 W 16 StCITY OF
-`.
DEPARTMENTS FORD
FIRE
NIX( 3 1 2013 Building & Fire Prevention Division
,5 PERMIT APPLICATION
Application No: 13 `' qB .1
Documented Construction Value: $ 7000.00
Job Address: 213 W 16TH ST SAN FORD, FL 32771 Historic District: YesF]No❑✓
Parcel ID:36-19-30-506-0000-0050 Residential✓ Commercial
Type of Work: New❑✓ Addition[] Alteration Repair ❑ Demo ❑ Change of Use❑ Move
Description of Work: Residential REROOF
Plan Review Contact Person: Jason C Garza
Phone:321.444.7640 Fax:
Title: Contractor
Email: info@heritageroofingandgutters.com
Property Owner Information
Name CERAVOLO, ROBERT & CORINA, GRAY Phone:
Street: 2285 OSPREY AVE Resident of property? : N
City, State Zip: ORLANDO, FL 32814
Contractor Information
Name Heritage Roofing & Gutters, Inc Phone: 321.444.7640
Street: 4241 Tangerine Ave
City, state Zip. Sanford FL 32773
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: 1331386
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: 6td. Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that niay 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. Axopy 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.
Cam. 5 2g a�
Signature of Owner/Agent Date Si )VeftftAt=-6r/Agen—tk'D e
Print Owner/Agent's Name
Signattue JV�7rA. �. •^...•�,.
i ; Jennifer M Mudge
o` My Commission GG ?09634
Er.o. ;s 04/22/2022
Owner/Agent is Personally Known Me or
Produced ID Type of ID
/ f Notary PutN+C of Florida
U Jennifer M Mudge
c , My Commission GG 209634
a Expires 041221 22
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
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 ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
-14THIS INSTRU NT PREPARED BY:
Acme: J
Address:
r--�JZ6�y
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
Parcel ID Number:
11111111111111111111111111111111 till lee[
GRANT flALOY 1EMI♦•aOLE COUNTY
CLERK OF C:IRC:UIT COURT & COMPTROLLER
BK 91;'J i-'sa 966--967 (2F'ss)
CLERK'S Y 2018061735
RECORDED 05131;2018 09::;:�
R'EC:ORDING FEES $18.50
RFC:ORDED BY hdavor¢ =-
36-1
The undersigned hereby gives notice that improvement will be made to certain real property, and
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
Tbr fIPTORD
M El3APF_RIX 1LeaaLd ptiptioA¢(ths.property and street address if available)
eseaenT3 K('rOOT F IMPROVEMENT:
OWNER INFORMATION:
Name: CERAVOLO, ROBERT - Tenants in Common :50 CORINA, GRAY - Tenants in Common :50
Address: 2285 OSPREY AVE ORLANDO, FL 32814
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name: Heritage Roofing & Gutters, Inc
Address: 4241 Tangerine Ave Sanford FL 32773
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:
Address:
In addition to himself, Owner Designates
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 d�hd
a that I have read the foregoing and that the facts stated in it are true
to the best of my kn r g elief.
i Owners Printed Name
Florida Statute 713.13(1)(g): " The owner must sign the notice of commencement and no one elsgNnbgpArrytt%d Ip qigr_in jiis_orjie_stgaV
wei'f State of Florida
�{ cadge
.n GG 209634
State of County of dQAW94e or^� zo22
The foregoing Instrument was cknowledged before me this day of 20
by Who is personally nown to me ❑
Name of person makingste-pAent / % �/
OR who has produced identification type of identification produced: �L �G tfL L3 3 `e-'/ �.(�
Notary Public State of Florida
Jennifer M Mudge
+� c My Commission GG 209634
111 Expires 04/22/2022 Notary Signature
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
RESUL?.!N 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.
e
Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Si s Title/ ice
4
The foregoing instrument was acknowledged before me thi day of by
mont year name of person
as A? for
Type of au hori ., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed
Signa aryic— a of Florida / Print, type, or stamp commissioned name of Notary Public
Personal . OR P2::)�
duced ID "✓
KED
Type of I oduced ` State of Florida
[�" udge
/' (�dJl✓ n GG 209634
/2022
Form content revised: 01/23/14
Public State of Florida
er M Mudge
rnmission GG 209634
104/2212022
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of:
0
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 speci fie ermit and application or work located t:
�0 ► � rP� ,�g77
(Street Address)
Expiration Date for This Limited Power of Attorney:�Q
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF cam., k l,f-
The foregoing instrument was ;
204 , by �(-7
to me or has produced _
identification and who did (did
ledged before me this ,_f_day of ,
^Z___ w�o is o personall own
take an oath.
Signature
(Notary Seal) uw�=
Print or type name
Mau W t)eatoA
Notary Public Notary Public -State of
State of Flodde Commission No. FP
_ O �
omission FxNires 03115R019 My Commission Expires: f Zc ' c/
Commission No. FF 209709
(Rev. 08.12)
as
�?CITY OF
Ski4FORD'
FIRE �DEPARTMENr
JoB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE ROOF SCOPE OF WORK
STRUCTURE TYPE: 1k 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):
**PLEASE NOTE: ONLY 100 SQUARE FEET OF THE Emftm DECKIS PERMITTED TO BE REPLACED**
ROOF VENTILATION: XOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT QTURBINES
SKYLIGHTS: O YES XNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA X4:12
ROOF SLOPE: O LESS THAN 2:12 O2:12-4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# '-'/y oC/
O METAL
FL#
O MODIFIED BITUMEN
FL#
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
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE ROOF POLICY & PROCEDURES
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 OWNER/BUILDER} SIGNATURE: DATE: ` d
CITY OF ,
;SNFO D Building &Fire Prevention. Division
1 1 jam/ l /r- RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT �'
CV
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: UADDRESS:
7 /
I � A) { cSy R l E9 G--I 7A— '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 #:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:._
DATE:
(MUST BE SIGNED BY LICEN HOLDER OR OWNER/BUILDER) /
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SrrE 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 day of Jk,LJr 20by:
&nb 2t7 Who is Personally Known to me or has ❑ Produced (type of
re of Notary
Florida
Print/Type/Stamp Name
of Notary Public
as identification.
Notary Public State of Florida ,*
QIN
Jennifer M Mudge
My Commission GG 209634
as Expires 0412212022_ _