HomeMy WebLinkAbout410 Sunvista CourtBuilding & Fire Prevention Division
PERMIT APPLICATION
Application No: �4 D
Documented Construction Value: $ 3 2 S
Job Address: t 0 ti ri ✓ Co to C} Historic District: Yes❑No❑
Parcel ID: 'k o- 1 d - '� C) - S 10 0 b 0 IJ - b 1'� D Residential❑ Commercial❑
Type of Work: New[] Addition[] Alteration[] Repair Demo❑ Change of Use[] Move[]
Description of Work: R '(:� - (I) 6k
Plan Review Contact Person: r e C C. I '8 Z 1� C, Title: 0 44 Ce �24e r
Phone: 3 LI 6 Fax: Email: re fob
Property Owner Information
Name r► 6, � 1 e S _� Phone:
Street: L-i l D 5 A r) J 15 r-� (o A r '� Resident of property? : J `"f h e. r
City, State Zip: r" n k 0 (-A 1 L _)l �
l ` Contractor Information
Name J d C J C')n n e H Phone: 31 13 4 5 ` A b
Street: bLA O S Q V, u f ti"�' I v 01 . Fax:
City, State Zip: d D , S L 05 2 � Q1 State License No.: C GI 22
Name:
Street:
City, St, Zip:
Bonding Company:
Architect/Engineer Information
Phone:
Fax:
E-mail:
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 perfonmed 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 10.5.3 Shall be inscribed with the date of application and the code in effect as of that date: 6' 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 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.
Signatu?ofO ent Date
c,�, C�,5
Print Owner/Agent's Name
oar n% Notary Public State of Florida
Brecca E Beacham
• My Commission GG 191813
yi? Expires 03/04/2022
OF
�
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Print Contractor/Agent's Name
:o r % Notary Public State of Florida
Brecca E Beacham
* My Commission GG 191813
�7, Expires 031D4/2022
Owner/Agent is Personally Known to Me or Contractor/Agent iPersonally Known to Me or
Produced ID Type of ID 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
Name: -1 1 a ' Date:
r Street: -Y ! { C (/#'. City: State: t� Zlp: 3 Z r'
Emaif: % t �-2
Home/Cell Phone:
Re -Roof Proposal and Contract
We here y propose to furnish materials and labor. Work specified for the job location listed above for the contract amount herein
1) Tear off _ _/ Layer(s) of existing roofing shingles. Tear offLj Layer(s),of underlayment.
Rotted/Damaged wood. First $100 of wood will be credited; $50 per sheet of plywood there after. Any
fascia or planked roof decking will be replaced at an additional $5':00 per linear ft. "Deck re -nailing
included.
3) L�f Install I Layer(s) of new underlayment nailed to deck using approved fasteners.
,,Type: 0 ( k 4, Y-1 -, & I-
4)_1-/ , Replace all Lead Boots, kitchen and dryer vents and Re -flash as needed.
5) (Install new Eave -Drip around perimeter of roof In (color):
6) Z Install new (roof type)
Color: VV.:
7) Additional Materials, services, or special instructions (ex. skylights, number, size and type
of vents): i l.' ^ 4 -
8) Dump Fees, Permit Fees, and property clean up with roofing magnet is included.
9) !.LA:Year warranty from manufacturer.
YO) S Year Warranty on, Workmanship,
Total Cost:$ Terms: #
3 4
25
Roof Repair/Upgrades
Total'Repair'Cost:$ L Terms:
Estimato :, . q1-1 Estimator Signature: ,
Acceptance of this agreement may rsubject to higher
r Re -Roof
(lnitlal)` 01 %,i ) I f
Roof Repair Property Owner(s): _
(Initial)
ri
111111 Hill III!, "I'll 11111
Permit Number:
Folio/Parcel ID #: 20- �J 3 0- 510 - 00 - 0
Prepared by: J n.n n ; - , , -
j01,- �r t Fer"-?-
Return to: Co N ;P mi�rct n i31 �r�
or l nctc F L
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)
LoT 13 S tA N V I T 9 ti5 PC —I -00
2. General description of improvement
3. Owner information or Lessee information if the Lessee contracted for the improvement
Name Acl i ar i c i e-+ r4S
Address Wa-.0 Ct 'Samco'-C1 rL
Interest in Property o--Nne r
Name and address of fee simple titleholder (if different from Owner listed above)
Name
Address
4. Contractor
Name j c h r\ C Telephone Number 3 1- c> j 7 uU3
Address iq `i U rj Se -4 0, r_ �3 ZAE -/
5. Surety (if applicable, a copy of the payment bond is attached)
Telephone Number
Name
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 OR AJV RNEY BEFOREj5COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
ignatu �C—er Owner's or Lessees Authorized Officer/DirectorlPartner/Manager Signatory's Title/Office
The foregoing instrumenwas acknowledged before me this day of t�I by��
monthlyear name of person Ll
as 0aNne r for ,) gyAn�.q bY1.S CYy1C %iu l l Se—l'VIC —S
Type of authority, e.g., officer, trustee, attorney in fact Name of party dn behalf of whom instrument was executed
Glvpv)-� 60-C �Vyw\,-
Signature of Notary Public — State of Florida Print, type, or stamp commissioned name of Notary Public
Personally Known �OR Produced ID
Type of ID Produced �.►s�^W Notary Public State of Florida
CER1IMW COPY GMAW I ALOY .. My Cos E Beacham
r � My Commission GG 197813
RiG �If: e,>:rf cow ` mow ' Expires 03/04/2022
cow r �
,114
Form content revised: 01/23/14 _s
U� T 20IS
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: �/30jl�
I hereby name and appoint:IL Y e c e Z
an agent of. J r-1 e- 0 V-1 5 A' r vN C. + u J +n S r ' t e�
(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):
q The specific permit and application for work located at:
Ito tju0v'5V6) (0""f-Y
(Street Address)
Expiration Date for This Limited Power of Attorney: 2- 1
License Holder Name: J() k r ( . ) ', „ 'le
State License Number: C C C �J2C, LI Z
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF Cyct(/l
The foregoing instrument was acknowledged before me this day of vG ,
200 lib , by -7Y0 V ` C/ --\T 14 I,yAeo who is ersonally known
to me or ❑ who has produced � � as
identification and who did (did not) take an oath.
(Notary Seal)
=ayY - Notary Public State of Florida
Brecca E Beacham
_ • My Commission GG 191E13
ja �' Expires 03I0a/2022
(Rev. 08.12)
6�Qpwk- &np-'a'�
Signature
2Y'eCCa ��fLf Bait'
Print or type name
Notary Public - State of rL
Commission No. IOFl3
My Commission Expires: ZZ.
CITY OF
NANF01W
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.
APERMIT 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) SIGNATUREDATE: /GJ
CITY OF
PERMIT #
Sk .ORD
FIRE DEPARTMENT Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: c,,n V �.i
STRUCTURE TYPE: ® 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: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: O OFF -RIDGE & RIDGE O SOFFIT OPOWERED VENT O TURBINES
SKYLIGHTS: OYES ®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
FLORIDA PRODUCT APPROVAL
SHINGLE
MANUFACTURER
Ce i+CL i ✓1 fi e e
FL# �� L� H n I
O METAL
FL#
O MODIFIED BITUMEN
FL#
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#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
it
SkNFORD
CITY OF
Building & Fire Prevention Division
RESIDENTIAL RE-R OOF A FFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 1%�/ ► ADDRESS: WO &OASAfA
I ( NA II 1 \__� is Al W UVkil , 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 #: C-U- 1SLO) U
COMPANY/CONTRACTOR:�� Y1Q�I LlJJ�y J S�Y U` L���
CONTRACTOR SIGNATURE: = DATE:
(MUST BE SIGNED BY LICENSE H L 'ER OR OWNER LDER)
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 Q W UJ,
Sworn to and Subscribed before me this 1 day of MON 20 by:
0�ln c. J(An MAJ . Who is Y,Personally Known to me or has ❑ Produced (type of
identification) as identification.
iA4�
Signature of Notary Public
State of Florida
E
Notary Public State of Flontla
f /(1I//�Amaryfts Moya
t ul Jy Commission GG 191831
Print/Type/Sta p Name �
�°� Expires 03/04/2022
of Notary Public