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HomeMy WebLinkAbout110 Cobblestone Way 17-1423; ROOFJob Address: f Q Parcel ID: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT AP PLICATION Application No: / 1— / Documented Construction Value: $ (0606. a Historic District: Yes No [- Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: 'e e-n-0b ](. , LAP-4 q / G-7 f Plan Review Contact Person: A,4n:- z Title: Phone: Lk7, 7, /. 6?-I - Fax: Y67 -2a 9,S-F.L Email:a ioc Fin Property Owner Information Name /< eh-pdtt Phone: ?/g u9 Street: // 6 ,a h 6, Je CAYigg ('i ,e- _ Resident of property? City, State Zip: p.-7 Contractor Information Name kn' , -,'j 6 Phone: L/D"7 ?.k.)_ i'SS& Street: G f 2Eh C4-' Fax: YU? . .J'4 -I- F S_ q-1, City, State Zip: /1 _,_5 J-:-2-7/ State License No.: (off .L U Name: A` Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer Information Phone: Ai: - 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. 1 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: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NO 1'1CI_: In addition to the requirements of this permit. there may be addition.d restrictions applic ihle to this property that maN be found in the public records of this courity. and there neat be additiotlal permits required from other gaverninental entities such as hater illatlag-etne'nt districts. state agencies, or federal aL e.lcics. Acceptance of Perlin iy verification ?hat I kill notif the owner of the properi of the l..icn I-aw. pS 711. The Cite of Sanford requires panicnt of a plan rcvicw tee at the time(11)nerrlit Submittal. A cope ofthe executed eontraet is required in order to calculate a plan re% ic\v charge and will be considercd the estin;ated construction value of the job it the time i f submiv.al. The actual construction value %vill he fisured bused on the current ICC V idtl,1 ical Table in ef:ect at the tuna the permit is iSSued- in accordance with local ortiinatice. Should calculated charges `figured of[ the executed contraot e\ceed the actual construction value, credit will he applied to your permit Tees when the l?er!nit is issued. OWNER' S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work `'gill be done in compliance with all applicable lairs regulating construction and zoning. t anu t! i) vn , A i mi 17 r: Sit +sturc of Cb rrac __ent Datc 1 f' r3a' A+per tent A N o" " r...... *, DONALD RASH Ile Sate of Florida t ' rt oi .'Otat'.St,c,,of i ,c rtua)+- • Commission #: FF 221706 CATHERIIJE- L. JOtVES My Comm. Expires Apr 16, 2019 for o . 4Q OF rBondedthrough National Notary Assn. d MYCOMMISSION #FF020652 EXPIRES May 23, 2017 OF fl.. t407 3911- 0153 Floridar4otaryservice.com Owner'Agent is Pcrsonall m hnvn t:ontractotis _Personally Known to die or p , end Produced ID Fvpe of ID Produced ID Type .`. _,_-- BELOW IS FOR OFFICE USE ONLY Permits Required: Building Construction Tvpe: Total Sq Ft of Bldg: Electrical llcchanical Occupanci Use: _ Nlin. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes[] No = of Heads Plunibin!Tl Gasn Roof Flood zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No APPROVALS: ZONING: t, TILITIES: k'ASTE WATER. ENGINE=;ERING: FIRE: BUILDING COMMENTS: Rr;r! s• d. Jane +t?. =;';> Fermx:lpplication I IIIIII Islll IIIII IIIII IIIII @IIII9111IBEI THIS INSTRUMENT PREPARED BY: of y Name: ADCOCK ROOFING Address: 800 S. FRENCH AVE. SANFORD, FL 32771 NOTICE OF COMMENCEMENT GRAhIT PIALOYr SE11IIOLE COUNT-' CLERK OF' CIfiCU11' C:OUP"T " CO(IP-H?OLIEIZ BK 8012 Po 12'=7 (11"s5) CLERIC'S a 2017047665 RECORDED 1-15/15/2017 09:18' 0 All RECORDING BEES ).ii•Cnl RECORDED BY tamith Permit Number: Parcel ID Number: 33-19-30-508-0000-1060 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) e.ao LOT 106 4 MAYFAIR MEADOWS s :. PB 29 PGS 31 TO 33 2. GENERAL DESCRIPTION OF IMPROVEMENT: O Re -Roof J INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: o3. OWNER KENNETH WILKENS; 110 COBBLESTONE WAY SANFORD FL 32771Nameandaddress: r— Interest in property: OWNER w Fee Simple Title Holder (if other than owner listed above) Name: cc J n w Address: 4. CONTRACTOR: Name: Adcock Roofing Phone Number: 407-322-9558 0 Address: 800 S. French Ave Sanford FL 32771 0 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: u v d arr Amount of Bond: Address: 6. LENDER: Name: Phone Number: v\' Address: 7. 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)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In addition, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 9. 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 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. AZ; signoture o owner or Lessee, or Ownef r ssae s ' (Print Name and Provide Signat rys TiBelOfficc) Authorized Officerarector/Partner/Manag r State of ! l. ci"L' County of 565w ;'I,) Liz— 7 The foregoing instrument wasacknowledgedbefore me this '- day of ( , 20 by - 74(/ / / / /5 Who is personally known to me OR Name dfperson making statement / who has produced identification type of identification produced: t 1/44f CATHERINE L. JONES MY COMMISSION '#FF020852 Nctm SRJrrature r EXPIRES May 23, 2017 407) 398.0153 FloridallotaryService.com a ar - Prepared by Deborah Bowman, an employee of Zrrst American Title Insurance Company 601 N. magndia Avenue, Suite 300 Orlando, FL 32801 407)345-0774 Return to: Grantee File No.: 12655-2409023 Consideration: $155,900.00 This indenture made on April 26, 2017 A.D., by Patrick Szymanski, a single man whose address is: 2593 West Carandis Road West Palm Beady FL 33406 hereinafter called the "grantor", to Kenneth C Winans, a single man whose address Is: 110 Cobblestone Way Sanford, FL 32771 hereinafter called the "grantee": Which turns "Grantor" and "(lantee' shall Include singular or plural, corporation or individual, and either sex, and shall Include heirs, legal representatives, successors and assigns of are same) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Seminole County, Florida, to -wit: Lot 106, MAYFAIR MEADOWS, as per plat thereof, recorded In Plat Book 29, Pages 31 through 33, inclusive, of the Public Records of Seminole County, Florida. Parcel Identification Number: 33-19-30-508-0000-1060 Subject to all reservations, covenants, conditions, restrictions and easements of record and to all applicable zoning ordinances and/or restrictions imposed by governmental authorities, If any. GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2017045850 BK 8909 Pgs 0543 - 544. (2pgs) E-RECORDED 05/0912017 02:56:46 PM 18.50 DEED DOC 1,091.30 Together with all the tenements, hereditaments and appurtenances thereto belonging or In any way appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land In fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31st of 2016. In Witness Whereof, the grantor has hereunto set their hand(s) and seal(s) the day and year first above written. 1-,,, Patrick Szymanskd by MaryAnne Szymanski, `. t i —, as attorney in fact Sigm d, sleafadanda iveredInourpresence.• Signature Print Name: ° a n S - /!y State of FL County of Wit' Witness Signature Print Name: iIf The Foregoing Instrument Was Acknowledged before me on Apr® 28, 2017, by MaryAnne Szymanski as attorney In fact for Patrick Szymanski who 15/are liersonally (mown to me or who has/have produced a valid driver's license as identification. Notary Public Printed Narm) My Commission expires: J I KRISTE L SMALLEY Commission # FF 101301 ta` Expires May 7, 2018 Vl1111' '' 9onElA TIW Tiq F YKUN%s 1pOJ!}7019 CFN# 2017045850 OFFICIAL RECORDS 0 DOC TYPE D BK 8909 PG 544 PAGE 2 OF 2 PERMIT #: City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS ADDRESS: //o 0J,6 le cS7E0-3. 4y I )11 1 , y„Q&j /-fin 4,. cj( , 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 #: j ( -D J COMPANY / CONTRACTOR: c CONTRACTOR SIGNATURE: DATE: MUST BE SIGNED BY LICENSE HOLDER OR R/BUILDER) 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 S /" 1 Y113 L Sworn to and Subscribed before me this 1y day of 111 !" 20 27 by: Catuication) reofNotaryPublic State of Florida Print/ Type/Stamp Name of Notary Public Who is S-Fe—rsonally Known to me or has Produced (type of as identification. 0l, DONALD RASH v P 9` Notary Public - State of Florida Commission # FF 221706 My Comm. Expires Apr 16, 2019 Bonded through National Notary Assn. D a JOB ADDRESS: / 110 (&3 71e PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPE: &SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0-RE-PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER /EXISTING ROOF) DECK TYPE (PLEASE SPECIFV): 4 PLEASE NOTE. ONI. Y 100 SQUARE FEET OF THE EXIST NG DECK IS PERMITTED TO BE REPLACED * * ROOF VENTILATION: DOFF -RIDGE &RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES (DNO 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 FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# 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# O INSULATED FL# O TILE FL# O OTHER: FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SlH/EEATHING, DRY -IN, FLASHING, AND ALL FFIINAL ROOF COVERINGS PERMIT #: ADDRESS: / C ©ijj cS7`+D . 1"f4' I /1, j A-o GJ cJ( , 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 #: e"? C ( Z) '1 )--s-0 COMPANY / CONTRACTOR: i/ ez' J L y CONTRACTOR SIGNATURE: / L DATE: z a b MUST BE SIGNED BY LICENSE HOLDER OR R/BUILDER) 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 Sworn to and Subscribed before me this icatioofn) ature Notary Public State of Florida Print/Type/Stamp Name of Notary Public 2ell-)Iv,QI- 4- 1y day of M 20 77 by: Who is B-11'e—rsonally Known to me or has Produced (type of as identification. DONALD RASH u ` •" Notary Public -State of Florida Commission r FF 221706 OF f, o`, 0onded through National Notary Assn. I`