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HomeMy WebLinkAbout322 Fairfield DrCITY OF . <,.. DEPARTMENTFIRE S ORD ° Building & Fire Prevention Division PERMIT APPLICATION Application No: �' D 3 6 1 Documented Construction Value: $ Job Address: ` �,ZeL C t 2.1 \ye_ �41istoric District: Yes❑No© Parcel ID: 3 '1, ! 0� - � J V 6 - b D 00 - 0� 6 Residentiala Commercial Type of Work: New[] Addition❑ Alteration❑✓ Repair Demo[] Change of Use Move Description of Work: RE -ROOF Plan Review Contact Person: John Byrne Jr Title: Permit Manager Phone: 4079220502 Fax: Email: john@masimoconstruction.com Property Owner Information Name %f— 1"' � Phone: Street: k, 6 K-C l W o r ^� y4�► C--� Resident of property? : A/ b City, State Zip: L Q d �"'�� t" I j 12-1 Contractor Information Name Masimo Construction Phone: 4079220502 Street: 16105 83 Place North Fax: N/A City, State Zip: Loxahatchee FL 33470 State License No.: CCC1328033 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: ti Bonding Company: Mortgage Lender: _ Address: 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: 6tn Edition (2017) Florida Building Code Revised: January 1, 2018 fA 7 z 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 Date Signature of ractor/ gent bate Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID J-o ti A �'I lye z, Print��Contractor/Agent's Name Signature of Notary -State of Florida Date Produced ID ANNETTE BLAND c Notary Public - State of Florida Commission # GG 060623 My Comm. EXnIfHS.hn in )A4e BELOW IS FOR OFFICE USE ONLY in 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: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: ,\ Revised: January 1, 2018 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ql?:i-Jl'- I hereby name and appoint: �b R V1 IC yo..' 1 c an agent of: q (,o A\S � rNJ C V �- d (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: B G 4 & (I % (,, State License Number: (ILL 13 Z$6 ? a Signature of License Holder: . STATE OF FL A COUNTY OF �,00 e The foregoing instrument was acknowledged before me this. 2001,Qb , by to me or ❑ who has produced identification and who di 2z day of who is lAersonal y known Signature f (Notary Seal)en �• �,S�rie\ Print or type name KI Notary Public - State of�+ �c',� B to a�„,� � BethCommission No. �.aMy C7 M Commission Ex ires:��a ct�EKpi(Y 1� •✓ �;� 0i r. (Rev. 08.12) as . L� = Masimo Construction, Inc. Masorn® Construction, Inc. Roofing Contract/Proposal Address: 3715 Pembrook Dr. Orlando, FL 32810 Office: (407) 286-0067 Phone: (407) 922-0500 State -Certified Roofing Contractor - CCC1328033 State -Certified General Contractor - CGC1509548 Brad Pollack, Contractor Customer Address: Home Phone: SPECIFICATIONS Insurance Co.: Adjuster: Claim #: Phone: Cell: 34 7"' T23' 0363- Work Phone: .Remove roof to existing deck layers. ❑ Each additional layer $ /Sq. (100 Sq. Ft.) J6 Re -nail existing deck to meet uplift codes. Install V U" metal drip edge around perimeter of roof. Install lead boots to pipes 1%" 2" 3" j�Astall Gooseneck vents 4" 10" pply Rhino Guard (Synthetic) to wood deck. Apply 22S% Ft. of MEIALISHING.LES ILE/SHf KES/FLAT Style of roof to be installed Color: N)i-A - Jtzitf t Pitch: Manufacturer of roofing system: Crjw+f, ❑ Install ridge vent along peak of roof: Addt'I. OTHER PROPERTY CONDITIONS ❑ Ice/Water Shield Yes ❑ Existing Water Damage Yes ❑ Existing Driveway Damage Yes ❑ Skylights: No No No ❑ Leaks: ❑ Interior Damage: ❑ Emergency Repair Yes No ❑ Tapered Insulation Yes No WORK INCLUDES: ✓ Remove trash from roof, gutters and yard. ✓ Protect landscaping where applicable. ✓ Roll yard with magnetic roller. ✓ Furnish permit ✓ 5-year warranty Additional charges of $70 per sheet if decking replacement is needed which is only visible upon tear -off existing roofing materials. WE PROPOSE To furnish material and labor complete in accordance with specifications above for the sum of $ SPECIALINSTRUCTIONS: "Acr I n IN r PAYMENT SCHEDULE 50% DOWN PAYMENT PRIOR TO ORDERING MATERIALS PAYMENT IN FULL UPON COMPLETION EARNES"f DEPOSIT: ❑ $500.00 ❑ $1000.00 ❑ $ DOWN PAYMENT$ 2�600.O(4 FINALPAYMENT$ (.0 C)''CXn TOTAL $� ACCEPTANCE OF AGREEMENT This agreement is subject to insurance company approval and does not obligate the homeowner or Masimo Construction, Inc., in any way unless it is approved by the insurance company and accepted by Masimo Construction, Inc. By signing this agreement you authorize us to negotiate the repairs at a price agreeable to the insurance company and Masimo Construction, Inc. at NO ADDITIONAL COST TO YOU EXCEPT FOR THE INSURANCE DEDUCTIBLE AND AS PROVIDED ELSEWHERE IN THIS AGREEMENT. The final price agreed on between the insurance company and Masimo Construction, Inc. shall become the final contract price. THREE DAY RIGHT OF RESCISSION THIS WRITTEN AGREEMENT HER BY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENT ANY T E PRIOR TFIS GHT OF THE THIRD BUSINESS DAYAFTER THE DATE AGREEME_-- /Q/}� Owner Signature ✓ Date ' 200 Sales Re�� +•�"� E Accepted by Masimo Construction, Insurance Carrier Claim No. Events beyond the control of Masimo Construction, Inc. may cause delays to the projected start date or estimated time of completion. Such delays do not constitute abandonment and are not included in calculating time frames for payment or performance. THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE ARE A PART OF THIS AGREEMENT. WHITE - HOMEOWNERS COPY YELLOW - SALESMAN'S COPY PINK - OFFICE COPY SCPA Parcel View: 32-19-31-516-0000-0860 1 Page 1 of 2 CpM Property Record Card lPmRA % Parcel: 32-19-31-516-0000-0860 seoovrrxw Property Address: 322 FAIRFIELD DR SANFORD, FL 32771 Sony, w haw no 6iagery hem. Legal Description LOT 86 CELERY LAKES PHASE 2 PB65PGS29&30 Taxes t72318 Googfe Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $180,630 i $0 $180,630 Schools $182,949 1 $0 $182,949 City Sanford —� $180,630 —--------�_.—.� $0 $180 ,630 SJWM(Saint Johns Water Management) i $180.630 ' $0 1 $180,630 — County Bonds $180,630 $OI—� $180,630 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED SPECIAL WARRANTY DEED 12/1/2010 --+ 5/1/2005 7496 L0.—_--- i 05728 1284 0313 ! $142,000 ' Yes — -- I---__—�—. 1 $193,600 I Yes Improved Improved Find Gornparable Sales Land Method Frontage Depth Units Units Price Land Value LOT 0.00 I 0.00 1 11 $34,500.00 $34,500 Building Information t Description Year BuiltAdual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rep[ Value Appendages 1 SINGLE 2005 131 4 3_5 i 1,364 3,424 3,012 CB/STUCCO I $148,111 $155,090 Description Area FAMILY ! FINISH 1 396.00 http://pareeldetail.sepafl.org/ParcelDetailInfo.aspx?PID=32193151600000860 5/1/2018 111 it l l l 11111111111111111111.11111, fill 11117 Pefmit Number: Folio/Parcel Identification Number: Z, Prepared by: John Byrne Return to: 3715 Pembrook Drive Orlando, FL 32810 GRANT 11ALOYt SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER' BY, 9138 P9 1479 Wss? CLERK'S_T 2018058806 RECORDED 05/23/2018 10:44:16 AN RECORDING FEES $10.00 RECORDED BY hdevore State of Florida, County of _ NOTICE OF COMMENCEMENT The undersigned hereby gives notice that improvement will be made to certain real property, cordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commenicem nt. 1. Description f property (legal description Qf the property, anq street address if ava —LOT Ob rr�1o_/R. ), I-,C !1/_�'On 7 l�n�ti n, n ,, i�oble) 2. General description of 3. Owner Lessee inrorrgailon If the Interest in Property ©U'r�t { Name and address of fee simple titleholder (if different 4. Contractor 5. ; 6. Lender contracted for the improvement Owner listed above) Telephone Number4079220500 Telephone Number Amount of Bond $ Telephone Number 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. I-] Address In addition to himself or herself, Owner designates the Notice as provided in §713.13(1)(b), Florida Statutes. Telephone Number to receive a copy of the Lienor's Telephone Number 9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final payment to the contractor, but 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 FINANC WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ING, CONSULT Un®re ury, I decl that have read the foregoing notice of commencement and that the faa to the est y knowledge and belief. Sige, or s r L ee's Authorized Officer/Director/Partner/Manager Signatoys 7rde/Office Thnt was acknowledged before me this day of by iAeczd` aS month/year name bf oersori for T of �u ri e.g., officer, trustee, attorney in fact lure of Notary Public —State of Florida / Personally Known OR Produced ID Type of ID Produced������, of party on behalf „CV4 instrument was aQv►� •�a Nwary Public State of Floridi f Beth E Fishei My Commission GG 153047 or Expires 10/18/2021 executed;. ry Public F� _ d 26, 2011 CITY OF ORD S FIRE DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE ROOF SCOPE OF WORK JOB ADDRESS: 3 Z 1- F e e l (Z-` 1 D 'r � V Q STRUCTURE TYPE:';)�kSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: &EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): ` P NAf t-Q o **PLEASE NOTE: ONLY 100 SQUARE FEET OF ArE EXISTING DECK IS PERMITTED TO_BV REPLACED** ROOF VENTILATION: OFF -RIDGE k6 RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES 01NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE V , �� Or FL# 2 OMETAL 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# OMETAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# CITY OF " Building & Fire Prevention Division S NFORD RESIDENTIAL RE-ROOFPOLICY& 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 RES T IN A�FID ROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER), CER� F'XINGAB COPE'OM AN¢ , BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: P CITY OF SORD Building & Fire Prevention Division RESIDENTIAL RE -ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ?� (� ADDRESS: 3 ZZ s�forj I 1611 C' (k , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONYRACTOR, 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 #: C CC 1 3 130 73 COMPANY / CONTRACTOR: a Q S ./ M Q CONTRACTOR SIGNATURE: % (MUST BE SIGNED BY LICENSE HOLDER OR A FINAL ROOF INSPECTION IS REQUIRED: DATE:6t74 d 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 �. day of Z= 20 -Vfj by: �C�(A Who is ersonally Known to me or has ❑ Produced (type of identification) as identification. 1 .,•r Notary Public State of Florida Signature of Notary Public Beth E Fishel State of Florida _Al c My Commission GG 153047 @K Expires 10/15/2 2: CV Print/Type/Stamp Name of Notary Public