HomeMy WebLinkAbout161 Crown Colony Wy 17-1673; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: AP
Documented Construction Value:
Job Address: 110 yt ON(I 1, 010r)V W" , , ((11T J,FL. _V 77 I Historic District: Yes NoP
Parcel ID:J q'0006 -Sgsb Residential Commercial
Type of Work: New Addition/ Alteration El Repair Demo Change of Use Move
Description of Work: u - Y-C&P
Plan Review Contact Person: 1 I I UY
PhoneI467 - 7-/ / -L-1 l5 Fax: Email
y,,/
Property Owner Information
Name 'Rn! I' i? CWC&i
Street: ( f CAT144 e of Uny bLo_/"/ City,
State Zip:3 2 TA Phone:
Title:
L4U7-
4 78 -y911 Resident
of property? : y Q y, (; /
Contractor
Information Name
4I can (C Ki('i'l 1 NSW O C+dA Phone: " 7 7 — q 6 Street:
b 11d7 f--16 1 / 1 V-t- Fax: n -
f l
City, State Zip: Y /ill('+ T L . 0 ?i'- State License No.: C - 1336"73q Name:
Street:
City,
St, Zip: Bonding
Company: Address:
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: 51" Edition (2014) Florida Building Code Revised:
June 30, 2015 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Prin ntractor/Agent's Name
0&t4_XA o&. ®('0" /9
Signature of Notary -State of Florida Date
p^Y PEA DEBBIE BLANTON
s+: .; MY COMMISSION # rF 178648
EXPIRES: February 25, 2019
Bonded Thru t4otary Public Undenrribars
Contractor/Agent is Persona y nown 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: June 30, 2015 Permit Application
6/6/2017 SCPAParcel Vew:33-19-30-5QS-0000-0430
Property Record Card.
b C
Parcel: 33-19-30-5QS-0000-043tJ
PKR Owner: =CASUCCi ANTHONY J & P••:iARGARET A I
r:M3t..E~i;A`+4 IE`Y, f't.C3fk JAt Property
Address: 161 CROWN COLONY tNAY SANFORD, FL 32771 Description ,
Year
Built t
p Actual/Effective Fixtures
Bed "Bath Base Area Total SF LivingSF Ext Wall Ad' Value Re I Value Appendages 1
SINGLE 2003 9 4 2,5 1,120 2,694 2,250 CB/STUCCO $168,053 $176,898 Description Area 1,1 FAMILY
FINISH http://
parceidetail.scpafl.org/ParcelDetail Info.aspx?PID=3319305QS00000430 1/2
Licensed & insured
O
First in Quality
AT
First in Service
LANTIC First in Satisfaction
Roofing & Construction. 800-411-0920
LIC # CCC1330939 6767 Hoffner Avenue
LIC # CRC1331435
Orlando, Florida32822
C® w-,
J_ Ins. Co: AXIn
Tel.# i—g '^ G
Claire # S T" 1 '? () 0 2- `2 `l
Adj. Name
Tel. #
Fax #
PROPOSAL SUBMITTED TO A1L1Uy,V C o-S_ C C i
1
DATE z1 '7 _ STREET
C r`0 (> 1 LA,) - JOB # CITY,
STATE, ZIP J `ten o SUBDIVISION HOME
PHONE (90-) a I BUSINESS PHONE SPECIFICATIONS
FOR LABOR AND MATERIAL V
ar Off Shingles: _ I Layers I
f fessionally
Install: Brand t. 14 Type A i C(e-J u -1 Color O e a4v %r mwffi
Valleys Ft. CI,
I staII: 30 lb. Felt Peel & Stick i7 Synthetic Undedayment t
seal, sidewails, counter and wall flashings Re -Use Drip Edge tl'Orip Edge oi \ `e Q
N 1-1/2° 2' 3- 4' or Plumbing Vents Q
entilation:.Goose Necks Off Ridge Vents Ridge Vents Color frs1) lAi E
Renail Plywood Sheathing to Code SSkyftght
2 x 2 4 x 4 0
Plywood replaced at $60 - per sheet (if needed) at'
lean-up and haul off all job related trash O'Roll yards with magnetic roller C3'5rotect yard and shrubs t
in. S irc- A C. -r' r r> V e _ it Atlantic
Roofing is not responsible for Pre-existing structural conditiohs. Buyers
agree they have seen, read & understand all terns & conditions of this contract & agree to be bound by same. ALL
ROOFS HAVE A 5 YR LABOR WARRANTY CONTINGENT
This
proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company. Property
owner's out-of-pocket expense is not to exbeed the deductible amount. The insurance company will determine and set the price of the claim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS
TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET
WHEN RECENED. We
propose to hereby furnish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance coripany
toss sco sheet for which is inc_p p herein and made a part hereof by reference, to include customary profit and overhead when multiple trade
Incurred S " t'-r C- .P LAe Payment upon completion 0F,sach trade. l
lv
AuthorizedSignahu'e Must
be approved by company owner. No othe or implied verbally. AD changes to be in writing and accepted before commencement of changes.
NOTE: This proposal may be with by us if not accepted within 30 days. ACCEPTANCE
OF PROPOSAL- The above prices, 9*cifica ' and conditions are satisfactory and are hereby accepted. You are authorized to do the work
as specified Payment
will be made as outline aboi(e X G — Date
THIS INSTRUMENT PREPARED By
u : Name: . U
Address: f w Ald
r) I' (UMi^ &- 1>20-1
17L ne 11 1 1111111[: 1 q ]
I
4TIN14-Ty
Permit Number.
Parcel ID Number:
GRANT MALOY7 SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 3926 F's 1073 (1Pas)
CLERK'S T 2017055998
RECORDED 06/06/2017 1_i2:03:12 PN
RECORDING FEES $10.0 I
RECORDED BY ,ieckenro
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. D . SCRIPTION OF PROPE TY: (Le al description of the property and street address if available)
iyo;jn (olon, h/w, YA44 6Yd iFL. 3Z1-71
2. GENERAL DESCRIPTION OF IMPROVEME T"
Li P-
3. OWNER INFORMATION OR LESSEE INFORMATION IFi /THE LESSEE CONTRACTED IFOR THE IMPROVEMENT:
Name and address:/ '1 1'r0j1` CCARUC(,( ICP (.VUwi (liil11n t Y UW
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
Address:
l
4. CONTRAC/TOR:: Name: G9 1 C
li ,r /, / 11 i 1 6yr) Phone Number: '7L) -7— 7q7-495 7 Address:
IU(,-7 i&LPMx y" U! 10 r/1 /d. 3KZZ 5. SURETY (
If applicable, a copy of the payment bond is attached): Name: Address: Amount
of Bond: 6. LENDER:
Name:, Phone Number: 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. Signature of
Owner or Lessee, or Owner's or Lessee's (P nt Name and Provide Signatory's Title/Office) Auth'orized
Officer/Director/partner/Manager) State of
Flo1' or ) Ac L County of L j The
foregoing instrument
was acknowledged before rrie this J L2 day of s'i mu'3$ 4` `r•. s
by ( ) CL Who
is personally known to me O,q`'; :`-s Q Name of person
making statement 1 C< cc
a
who
has produced
identification'/type of identification produced: V C) - o u p t_
l L
Q
L u
W
GRACIELA 6AtiiVE " o
MY COMMISSION # FF9W94g
o ry Signature u = f- u 007 age ots3
EXPIRES April 25, 2020 a o 0 Z F 00/11W
W Z05. A , W uuQvi is
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
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), certifyin EBC--cod compliant by ersonal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: _ v l
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:iul C*IVi9' 1 l ony wm So -PbjC IL'`
STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE Q 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):
i d f /j
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: D&OFF-RIDGE O RIDGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES /(y) NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN 2:12 Q 2:12 — 4:12 6<4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
VSHINGLE FL# 1 1
Q METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
Q 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#
Q METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
Q TILE FL#
0 OTHER: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I r J 3 ADDRESS: e f _r" C/Y1 LJ
I CtV G f AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEE , 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 #: CC'C 3 3 D
COMPANY / CONTRACTOR: al—
CONTRACTOR SIGNATURE: DATE: 6113117
MUST BE SIGNED BY LICENSE HOLDER ORfOWNER/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 I day of // 20 L7 by:
n Who is Vir.rsonally Known to me or has 0 Produced (type of
nt' at n) as identification.
Signature of Notaryblic S
ate of Florida I , zip, USAM.COOPER MY
COMMISSION M FF 093745 EXPIRES:
February I8 201 D41td`'', Bonded Thru Notary Public Underwritee rs Print/
Type/Stamp Name of
Notary Public