HomeMy WebLinkAbout601 Casa Marina PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 7" 1 9 l
Documented Construction Value: $ 1 � ICI0
Job Address: 10 of (ma �nmi na P 1 Historic District: Yes ❑ No [4
Parcel "ID: 2 Q • 0 - 31- 5 01 • o bbb • 1 1-4 a-b Residential 2 Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration Q Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: 1 (I tan `taryi.5 Title: ,.A dYY) 1 A
Phone: �(���/y Fax: Email• 1 col
4o-�- a 5 :)- -4$ 9 3 Property Owner Information IYlCl.i" 1'
Name Phone: A P"4 59 S /4 4 9'9
Street: ml
.Q MA1001 91 Resident of property? : S
City, State Zip: SftpYo( ( n- 329-41
Contractor Information `�
Name Phone: �4 T Q46 .39 / b
Street: S9=4344 J Fax:
City, State Zip: State License No.: r Of 13 3 6-49 q
Arch itect/Eng1neer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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. l 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: 5" Edition (2014) Florida Building
.�Code (�
Revised: June 30, 2015 Permit Application `y, l —1 1iU
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 urat nd that all work will
be done in compliance with all applicable laws regulating construction d zoni .
Sigma e(re of Owner/Agent
L // Date
Prin wner/Agent's Name
Signature of Notary -State of Florida Date
of
Print Contractor/Agent's Name
4123 I V9
Date
1Z31 c z
Date
U PiJIL— LIAN S HARRIS
z
Notary Public State of Florida9�State of Florida Notar P Commission# y t.o,.
CHRIS MACARTHURMy Commission OCa 149292 GG 11229riExpires 10/1712021My Commission Expires
June O6, 2021
O to Me or Contractor/Agent is
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:
or
Revised: June 30, 2015 Permit Application
CITY OF SANFORD
One Time Credit Card Payment Authorization Form
Sign and complete this form to authorize City of Sanford to make a one time debit to your
credit card listed below.
By signing this form you give us permission to debit your account for the amount indicated
on or after the indicated date. This is permission for a single transaction only, and does not
provide authorization for any additional unrelated debits or credits to your account.
Please complete the information below:
I V I L I I aA S authorize the City of Sanford charge my credit card
(full name)
account indicated below for
(amount)
on or after Z This payment is for
(d te)
Uo\ C�ISC� (Y1C� a2u V1 'pl
(address or parcel ID
Billing Address I 0 5 I " —proY)) LalTt
City, State, Zip jw K -P l l Ulu CS%t )
r�2g53
Phone# 4
Email
gmdl! �Qr�
Account Type: 5Gisa ❑ MasterCard ❑ AMEX ❑ Discover
Cardholder Name Ao l Gun r V Z S
Account Number 9?d 3 Gf 442 25010
Expiration Date
CCV
Billing Zipcode
L4tq
30�53
SIGNATURE 1210 DATE
I authorize the above named Osmpss to charge the credit card indicated in this authorization form according to the terms outlined
above. This payment authorizAUX is for the goods/services described above, for the amount indicated above only, and is valid for
one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card
company; so long as the transaction corresponds to the terms indicated in this form.
*"4 vTa a n ^�`i•'s ' n''t''r'-,
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BREVARD COUNTY OFFICE
321-452-9223
COUNTY OFFICE
TOTAL HO-960-3810
=RANGE,1�INOLE
VOLUSIA-COUNTY OFFICE
386-233-3244
`O
�/ I O
DATE
NAME: / Y v
�/ 01 " f � . , CCC1330489
STREET: 6 0 ./
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CITY/STATE/ZIP: (//*/ j� f / 3 �-2^7 (
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HOME PHONE:24
EMAIL w
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ROOF Due Care taken to, protect home exterior, shrubs and landscaping.
Includes labor to remove existingroof and haul off.
. Includes Dumpster. Roll off dumpster for paver driveways. G�
.Includes Inspecting deck for damage and renailmg to code with 8D ring shank nails.
Includes saving gutters soffit, faexisting home (some damage -may occur in construction .
Includes replacing ridge vents. i o r/��'T�CC''' W ��tt,,,10 cX if �rT�
Includes replacing existing. drip edge in choice of ��jja r..�'�� DRIP EDGE COLOR INT
Includes 11/4" roofing collated nails. L6�,2J4 �q,',,,,`j,.,
{'r '. T'4"" 11NT
Includes installing new shingles in choice of color. SHINGLE COLOR
�j c
Includes replacing all lead boots and goose vents (does not include gas related vents).C�l"�k
Includes new galvanized metal in all valleys. "04 l• �L .
. Includes Starter Shingle and Ridge Cap per Code. BL}}ii
Includes obtaining and posting permit with local jurisdiction.
�r it — g Y
Includes magnetically sweeping job srt�an rig ou gutters and hauling away debris.
ARCHITECTURAL ASPHALT LIFETIME SHINGLES 130MPH
MATERIAL
UNDERLAYMENT f99611111nMlilk 4120ow AONNOW06- `
MISC
INCLUDES LABOR AND DUMPSTER TO REMOVE I LAYER(S) OF SHINGLES.
ADDITIONAL INT
ADDITIONAL LAYERS WILL COST $ LAYER
It,
�LAYERS
[[PE''R
Deteriorated existing decking replaced at $._ [� per sheet of plywood CZ,
1
Deteriorated existing decking replaced at $f J _ per linear ft. WOOD ACKNOWLEDGMENT INT
*Does not includepainting to match
*Does not include any stucco repairs where deteriorated flashing had to be replaced.
WARRANTIES Worry -Free Gold 7 yr non -prorated WORKMANSHIP INNCCLUD
Worry -Free Platinum 15 yf 611 inclusive $ 1
11
*Flat roofscarry a year workmanship warranty
_
—CUSTOMER WAIVES INTERIOR DAMAGE PRE -INSPECTION - Customer Initials /J n' /y q
111J'GJ w
(Any interiordamage which occurs during construction will not be covered
F
r INGLUDESNEW„W1ND MiTIfiATION1N5PECTION ttTClAL"�cs
-
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yk. is4�ry61
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�' E/�SY4f1NANCING,OPTIONS
fi}
nt`hly
E - E ,t
r121monFts �O�INTEREST?; .���,'�
� $��•�.�.r+�,�:;z��'��u ,�4F:
*Through -Wells Fargo Bank with approved credit.
*Ffnand ust b Yom r I for to sta fp lert•
r
CUSTO rFSIGNATURE ATE TOTAL H#1ROOFING DATE
I HAVE READ AND`UNDERSTAND THIS PROPOSAL, THE TERMS AND CONDIITIONS, AND ALL DOCUMENTS REFERENCED THEREIN AND AGREE TO. BE BOUND BY. THEIR
TERMS.
ACCEPTANCE OF PROPOSAL: The above prices, their specifications and conditions are satisfactory and are hearby accepted. Contractor is authorized to do the work as
specified. By signing' Customer acknowledges that Customer is owner of the property where work is to be performed.
ALL PAYMENTS ARE DUE UPON COMPLETION OF THE PROJECT.
Any delay in payments may result in 1.5% interest per 30 days. -
Wind Mitigations are not considered part of the project but offered as a service to our customers through a third party certified licensed inspection company and shall
not be used as reason for any delay of final payment. _
This agreement constitutes the entire contract by and between contractor and owner and parties are not bound by oral expressions or representation by any party or
agent of either party.
I hereby name 2. nd appoint JA I T Irl NY 1 '--4-Kil I "J
Of TOTAL ROME ROOFING
to be my lmfu,l attorney.
In fact to act f(ir me and, apply to the (�n Building Department' for a
RI -ROM !'it.
For work to bi performed at a location described as:
Parcel ID- j 63 -
Subdivision:
Owner of prop�erty and address: PIDLO) GAO— I I
And to sign my l narne and do all things necessary to this appointment.
(Type .or print
(Signaturecifi
The foregoing
by Robert Der
State of F1
County of
(Notary
meet was acknowWged before me this _5L3day of 12Q L of 20
V
who is personally known to me.
hole
JILLIAN S HARRIS
-Notary
_State of FloridaPublic
Commission # GG 112296
My Commission Expires
June 06, 2021
P1.
1111111111111111111111111111111111111111
THIS INSTRUMENT PREPARED BY:
Name: TOTAL HOME ROOFING �J
Address: 165 W ST RD 434 Winter Springs, FL 32708
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
is l iahi i i li ILi.}' r ' r i'I IHOLI= C:OUh3Tv
i
CLER', S B 2018043919
%i:.. •%, ii .1.tAs1
i i..I ' "i.•'i il(l?'rof'e
Permit Number: Parcel ID Number: aq• Iq .:" 1 -561 ' nuo - nC)
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.
DE CRIIFTI O N oF PROPERTY: (Legal description of the property and street address if available)
GENERAL DESCRIPTION OF IMPROVEMENT:
re -roof ONLY
r� OWNER INFORMATION:
Name: 4�hY e)w k
Address: LM U V t-(4S (i Y Yl (A Y I Y
Fee Simple Title Holder (if other than owner) Nam
CONTRACTOR:
Name: Total Home Properties DBA Total Home Roofing
Address: 165 W ST RD 434 Winter Springs, FL 32708
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
of
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,) declare that I have read the foregoing and that the facts stated in it are true
to the best of m knowle ge and belief.
I-AIS /1111 /2-�, . - k Aftlf-I
-9q
a E a
er s Sig ature Ownerrs Printed Name
Florida Statute 3.13(1)(g): " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of FLORIDA County of SEMINOLE
The foregom instrument wa cknoudedged before me this day of
by � -�/ 1 - J Who ' ersonally known to e ❑ °�'�
ame of person making statetrent
OR who has produced identification p type of identification produced:
�r n Notary Public State of Florida
t4� CHRIS MACARTHUR
ion
w a
E p�res 0/s1y71202G 149292
4'
CITY O
&�ORDF 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 AFFIDA OVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE CqMKIANCEJPERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: / DATE: !4 1
CITY OF
*FIRE 0EPARTMEU
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: (Q V 1 l m Q) a v� n,�_A V 1
STRUCTURE TYPE: P) SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: (9REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
t% C \/
DECK TYPE, (PLEASE SPECIFY): X
**PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: A) OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES ('Q� NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 (�'4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL# I
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
OOTHER:
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#
0 OTHER:
FL#
CITY OF
` Building & Fire Prevention Division
RESIDENTL4L RE-ROOFAFFIDAUT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: k '� ` 1((. (D,. ADDRESS: (4GI.J 1 � Ea Ma K(n ck— 91
O' 1 , 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 #: l'_CCt 33c1 ��
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLDER OR
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 W� V1 Ole,
Sworn to and Subscribed before me this 6 — day of Jun-'Z
20 1. 7. by:
n(} Q j, Who is<personally Known to me or has ❑ Produced (type of
;ationl as identification.
/ X l ma.,
JILLIAN S HARRIS '4
re of Notary Public c`�p �B<<s State of Florida -Notary Publidi,
Florida y* Commission # �GGIJ,12296 4 `•; T My Commission Ekpires fg
June 06, 2021T��
Print/Type/Stamp Name
of Notary Public