HomeMy WebLinkAbout389 Fairfield Dr 17-1623; ROOFJ U N 0 6 2017
Y' CITY OF SANFORD
BUILDING &FIRE PREVENTION
PERMIT APPLICATION
d Application No: Ap a
Documented Construction Value: $ d
Job Address: : rt' . 7 Historic District: Yes No
Parcel ID: fi - to -CQLa--M .Residential Cammmerc al
Type of Work: NetiV Addition Alteration Repair Demo Change of Use[] Move
Description of Work:
Property Owner Information
Name Phone(
Street: Resident of property? : -
City, State Zip: }—
Contractor Information
Street:s i i.
City, State Zip: State License No.:
Name:
Street.
City, St, Zip:
Bonding Company:
Address:
Arch itectlEngineer Information
Phone:
Fax:
E-mail:
Mortgage Lender;
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTENT 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 installation; 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 roust 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: 511, Edition (2014) Florida Building Code
Revised: Jung 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 ofthis county, and there may be additional permits required from other governmental entities such As water
management districts, state agencies, or fiederal 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: t 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.
At V`tracuirlAgctd Date OwneOAgent
is Personally Known to Me or Produced
ID — Tvnt FL(2L EM—
ILEE STEVENS r
I cjj)rnissbon # G6 4141 My
commission Expira" or '
jobef 3 1, 2020 Row
APM(Uri printcontracto
I Rent's me ota
to of Florida Glri EMILU
STEVENS a
Commxssaon 0 GC 43415 My
Commission Fxpi?05 October
31, 2020 Contractor/
Agent is Persona y nown to e or Produced
11) Type of ID Permits
Required: Building n Electrical n Mechanical [:] Plumbingn Gasn Roof Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit- Yes[] NoE] Flood
Zone: of
Stories: Plumbing - #
of Fixtures of
Heads Fire Alarm Permit: Yes n NitD WASTE
WATER: ENGINEERING:
FIRE: BUILDING: COMMENTS:
RevisL&
June 30, 2015 Pennit
Application
i
A \
hrt c CewlFwt) ..
HERG American Hero
Construction LLC.
5550 Hanscl Aventw.
Orlando, FL 32W
Fax: 1 (888)-420-0R25
1 cicphonc: 407-497-3183
C'crt Residcnial CRC' 1331 195
Ccrt R«Mine CCC1330757
47 Pn«.t
No" J(%lti et' ItI t'I C47 recA INSI
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Dor&cr4Yew of war to tie done Iwxkt this ra Nbael
1--HFJtO' and NleobI)wrler agree that this contract is null and tlid unlcsy the insurance coatpaln approxes the Claim
for full rea nreplotcAClTt.
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rql mr prr>lx+tr l/rated at thr addict% w mi " ooh T t 1
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otyt"Ity Lr the claim filed at dor adoIllm— Tr%ted alywtr. 4
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l bYdty mptrnl 163t Ow nary, Amr-rit an 111mt Ctlnstnw6ton III'- he added it, the draft that will In• sent to nlc in the I.
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tern Cnnstrlrtinn 111.17 upon rrcv*n. t
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Cunurlatintl IA-CIyt matter itnitelutr, Iwo mot dinned to the claim statlm h drawn {N1nrtral;r p 4l in full _ It A
Ilu, [iw ltrr % ry-%Itty1%dyilt\ Ill P y all hl.%1N'allte I)cdoctthk'A OwFirr %(ut nl llin'Ilpt rxp[•Itu• will mot [•k—d in• tcttl.le
w"tnt a% stand on Insltyrr % lens 4wel •hall m'erndr f)edtx-tlltlr ll%ItYd llwr I)t- duttil k-. S .Y ryti mllit tor paid
In hill Ilnurllfty Company
fn 1 /l!PY, L ---- E•ENInY. --- - -_ lv.., \umlrr
L, it ', i - --- — E-Wm
wutDly IS_LI-Ish - _ -- I11"t,
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mparn apprm al and sldya r( to dIr (rrnu alit ton litNMls Ilerrit Aint-m- tl Iten) Conurltcliwt aFina to rurai%h
ai: 11Y.erial% acid pt»\ We the (alonr eln-r%%air I,, Fo TF.,rm dr hill roof mllla-rmtYll uElith %Inll tulle place &lllmsing n m''
s inumrRY sulalsany's a)yrn\al,al+prtlximatrly within all [iayc, n>1Nhnnnx prnniltink. lanldxnrrr llnooll/
ct Lim, R•arrantr,
to Ir Korn Lsr rtrk d6mv- a Yr (ilNlrm fur 1 Iny Systems Plot, :AV Guldru I'k &c {50 yr. Vn E16— Teas tat!
a"f tdnsatLt s Ae aCCxd rid og e en: W the Preps and Itd Orton wdersrananp ser0e' o• om.nt'tse shad tlr &,W p unless to wMet. typed
0)own W .es Ttns ctrt0ett tl sugetl ro app'J qr br' an tmtrl df t'It Mn7att0• AAT Suter aPPrdl'e+ dust Oe mMr ItdNf+ 10 n'pa"
pays ran •nr date Of the convatl You (t.»
84gV, rner CalKlr rtts ha.'+SathOrl an)IM& pea (o m:Mejlrf of Mp rNr,} Ct/SW it daif agar Me darn Or INS ha.•+w.-'taa ' In N.
tn"S y,lr•rd pveylasr•rsl ern 1!FapytlldQe nd fY F I tGmp4red [O;>1' O/Ola Ctrlfratl, and 1t dscrowte7 On Mp peg and Irr }tI L^q„
a yr•tfrn In signing
thlt document I acknowledgethat the scope of — A to be performed and all contra(•(.\ signed have been
explained to me and I am in agreement wlth. l.ti• APPROXIMATE
STARTING DATEh'+l l ((tier 11 1 I
Agetu `)"
1C f!`l Y t•I
E.t'rn>',(I tL1= - Lr Acsrphd On AWxdtteed
netlre DON'
T SIGN
IF BLANK, HOMEOWNER IS ENTITLED TO COPY OF THE CONTRACT AT THE TIME OF AFFIXING SIGNATURE. Scanned by CamScanner
P `"•. i site
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: cal ID Numbor: -kS
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,
DES RIFT ON OF/ rRp\PERTY: (Legal' escn f the property eettt address it I bi j
y r
l ti, 2 i o! V l4 C72= F l I
7t Lt-l.iZ t 1 11[-we 1i la lll il rl.i r•
Address: i?5---) C-) t V-k (X`CJP- A f-NJV— 6 204 IU(Zi I
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 M
To receive a copy of the Lienor's Nonce as Provided in
Section 713.130)(b). Florida Statutes.
Expiration Oats of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different data 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 1, SECTION 713 11
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
Unjer penalties of per ury, I declare that I have read the foregoing and that the facts stated in it are true
y
to a best of my kna edge nd t. /
r
u
QI' S wtura {/ Owner's Printesf Nave
Ftona,l Statute 113 t Al i X' - he Owner must %n me notice of commencement and no one else may be permitted to sign in nu or her stead'
State of Fit 1cJA County of _
The foregoing Instrument was acknowledged before me this day of _ .20
by B o-m t Cbirr?nt.. Who Is personally known to me
Name at person making Ste;sine /
OR who has produced identificatio ntitication produced: YSZL-
4 , EMILEE STEVENS
g';r s mmisi.nn «GG 4 34 I ,
u
My Commission E.Ptrns
October 31: 2020
Notary .ire
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2017053018 8K 8922 Pg 0463: (1 pg) E-RECORDED 05/30/2017 09:27:24 AM
alma
City of Sanford
Building & Fire Prevention Division
PERMIT NO. "! ISSUE DATE: &6
C.
JOB ADDRESS: W, i
TYPE OF WORK: 1111I
PROTECT FROM WEATHER
Post this Permit and all required documents in a conspicuous place outside
Digital Photographs are required - please follow re -roof policy and procedures guide
All trash, debris and dumpsters must be removed from job site at final inspection
Permit expires six (6) months from date of issue
ROOF
NSPECTION TYPE APPROVED REJECTED INSPECTOR
INAL ROOF
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE
AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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.
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
City of Sanford Building Division
Itr°srderrti rl Re -Roof Inspection Polio c Procedures
amRa"cttr. VWV l VQ1 R V1KN1 S_ P"J I'uAs; Rum", Rtwr t rRF
I"Itr rlr.µctinierst t c trerll along x ith an accuriOc and completed ft:e ildclithd RAW Scopv of Work = r"jiuc
to he trhnoued a. pan or your pey•rrrit a ppdicwioni
The Scope of Work oilaui cltrdc .rll aoieotle Fla relit Prf>cl nn AF'wvd rrrrmheri Or ztl3,i-ookur rp4kor m, thai wdi he msrrtAd
On Lho proem l i7ent't'
it A 01 mm be isr, wd w'tfhoui these zlrac.`,rtirc=rrts f Alluo at'01 be nlatis: €o post on theJob ,itv, Projects located in the
Sanford Historic Districl rail! require plan review anti pproN.ql by the Sanford Historic Proer-Nation Board,
1` Sf.Utr'i
Itt*, 111c 1c"N' , . f'1ttc t;t-)U to,_ Final is the only
in Roof ltt?-ttt,irspic°ctr m required I ts- Resi enli. Nin le W ell . im ac rslaous , While Ii rt w, ja;
rrtrr ent rir aiior° Condortri titum) lie-Itrlof Pen liB. The f"oLirE"ing
is required to be prat idc onthe job shec Pen tit t and,
l:ta:ased in a corts ietr`itr> and ? valhaproo:t' Wrrtkrr 0 (1rlt plewd and ;*
touli-i1.ed hlspc°c ii n AO`jdai it. AH I1041a I'nUl"
Cl AIrlrr;,%al and t;.:oiTc,""Porlding, Instrtlltr ion Instnrr.lumis Wroduc°t Apflrond shall
nimclr Kat is on t1w su.city ,& mV A 1 I iiLu l Pli+.=
Io,,,,rHplis Am include the j"rl nna ltitnker or £rc'Ic w,s in cacti plclure') l wh plane w
die loon ^ilttnuillrg th ins,,trlled I ocd DeA Mailing
I"Pul:l'rr & lrMi6t1g i ir7 lulling a trreaslrr ng dnice or r`rti+;r' Root Deck Fads used
Itt?i h cling a nwa scrhng device iw ruler showing We it WIN r dullynieni I"au
rn & S laccng {`=ncludiflg a 11 ea—surinvg tlt'iice ofruler) sip Ldge S1 Lwrilc5 ,'
nacltrrreni i leludwig rt iiicasuring di:vicc tat ri-der) r; QIrs€rs.'.iek
itr-UdIA. mrrl tmrrtr anti localum cd'imils s E,,;ht;` j
i t applik'a Ala l?jRaitrrl I+';rryir
xr tl l s ; ho" ng all in tall;r€ on contl irviN. per Pl. Product .lppt'oval ti "ad jal; on.%
ralVis glxbrwn <ul rl:+1ired rlastrirrts, pet- t-i,_ Product Atrlirw ul rtilurt° to I'rrllrr
w tftrtic slttcific j'uitlelirrr s will rt+ult fill r i Irrnteitlec) t> a Florida Desing Prtrtissh3nal (architect or t:ttghwer),
certifying F ,Wttrlrlirlrwe by persrrrrtrl irr pixtiolt.
a
CiIr gal`";tr i°r CSC l3 rCt iic g Division
Rcsid ntial Re-Ctoor Scope or Work
l[(tt't f, t' ), Tv vv: (9si'N "I? '"A dl 1$i, =T' ",t h farm ° iI sl 0Ms"3,tg, 1.A1`t i\1VNi
i{}:- {}i)t" '4'tt;: I"t=9 Y,e laI *•Silk" t'li° , [ y ssP & , A(T V d1: %IA[ t B§tIP 9: T, §
a,=—'a V'3.Sr 4 : t:i} S''ii,i ": zT`'i•;? ,i"i"i*:n.g?t.;a t
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Roof \'t.tiilt .l#!f}\. \...+It-i\3I..}t ,4; VSi11LB7Y: gip. k. .CY}, k.iI tV.i,.;'fi'"6
S i jmi tI rs- 0 . , i re 1p 1_1,-rt o 111,o, pk kvmk SE
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City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: n - k U13 ADDRESS: M9 Y j d Dr
I t 'r IMALM , AS A(N) GENERAL., BUILDING, RESIDENTIAL., OR
ONTRA : 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 01; THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #: CuA 50151
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE: (0 n
MUST BE SIGNED BY LICE rldtfWR OVIRNER/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 OFT'HE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE' A`I"TACHMENT) WITH THE, PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON'I'HE 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 Mcs nk N
Sworn to and Subscribed before me this (0 day of JUIU 20 11 by:
ib _(_t 1' 1 Who is,Personally Known to me or has I-1 Produced (type of
identific 'on) as identification.
S' re of ary Public
State of Florida YEN S
Print/Type/Stamp Name
of Notary Public
EMILEE StE
Commission # GG 43415
c My Commission Expires
F,°o° October 31 2020