HomeMy WebLinkAbout209 E 10 St 17-1154; ROOF (2)ECIEIVIE, CITY OF SANFORD
APR 2 4 2017 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY:
Application No:
Documented Construction Value: $ 11 5_()0 . 00
Job Address: , r ta v TG Historic District: Yes No
Parcel ID: — D --. 1/2(r ()l e7 Residenti is Commercial
Type of Work: New *Addition Alteration Repair R Demo Change f Use Move
Description of Work: Ui_ 1-k'Viat
Plan Review Contact Person: Title:
Phone: c7' 1---13 - 2 Email:
Property Owner Information
Name , ' I / G Z_ Phone: .0 d ,p
Street: 1A,'_ f 7 Resident of property?
City, State zip:r
Contractor Information
Name C'ss-R+A t y 1 E 5 Phone: U. D 1 _ _1 -
Street: SF r-.-r 1 Fax: b-7 - t-12 - 3
City, State Zip: 3 State License No.: CCC,
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
ArchltectlEngineer 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: 5th Edition (2014) Florida Building Code
Revised: June 30, 201i Permit Application
OOTi . 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.
y / y-i?-1-1
Sign a D• e Signature of Contractor/Agent Date
Frin t (vmer/Agent's Natne - Print Cnt aeto eent's Name
e
Produced ID
A-k?-1
BEATRICEWARMGTON OSCgR DAVID MUNOZ
Notary Public - State of Florida NOTARY PUBLIC • STATE OF FLORIDA
Com fission # GG 072693 t'
l
t'a COMMISSIONsrf9a9501
My m. Expires Feb 13, 2021 rE"`wr••,toa My Commission Expves)anuary 11, 2020
ersonaally Known to Me or contractor,'Agent 1s Fers nally Known to Me or
Type of 1D Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building
Construction Type:
Total Sq Ft of Bldg:
Electrical Mechanical Plumbing Gas Roof
Occupancy Use: Flood Zone: -
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
M
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised. June 30, 2015 Permit Application
I
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • www.sanfordfl.gov/HP
THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL
PROJECT IS COMPLETED.
ISSUED TO:
Franicisco Damian
for
209 E. 10th Street
Sanford, FL 32771
BP#17-1126
DATE ISSUED:
April 24, 2017
DATE EXPIRES:
October 25, 2017
Approved to re -roof with 30 year architectural shingles in "Georgetown Gray"
color. All pitched roof surfaces including porches and additions must match.
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from
the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of
Appropriateness does not constitute final development approval. The applicant is responsible for obtaining
all necessary permits and approvals from applicable departments before initiating development.
IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? YES NO
Building Department Representative
APPLICATION # L
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not be
reviewed. If you have questions about application requirements contact the Historic Preservation Officer at
407.688.6146 to ensure your application is complete.
General Information
Downtown Commercial Historic District[] Residential Historic District Is this a retroactive request? Yes od
Is this application filed in response to a Notice of Violation from -the Code Enforcement Department2 Yell No
Proposed improvements will affect the following elevations: North South u East WestEl
Property Address:
Property Owner Information
Print Name: J M M^ f, S
Mailing Address:
Phone: Email:
Applicant/Agent Information
Print Name: `5('6 AIMI'6v
Mailing Address: 17 Z (3.11/2 Or M
Signature:
Phone: W - ';3Z-AZA$Email: "-r-'AdAvs ^ Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL
RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING
BELOW, YOU ALSO ACKNOWLEDGE.THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS
TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE.
Signature: Date: _ 'T / Z `1 %
Would you like to receive emails regarding Historic Preservation and Community Planning within your community?
Description--of-propose-d-work-.._...... -- ---_.._.. ------- _ _ -- - - - - --- .....---- -- - ..__._.._..._..--=- --........—.
Completely describe the entire scope of work, including changes in material and color, and methods that will be used to
accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary.
HISTORIC PRESERVATION BOARD - 300 S. Park Avenue - Sanford, Florida 32771-407.688.5145 - www.sanfordfl.gov/HP
T+
Ackress:
Lon_Owo6d, FL'32750
Of, C
1011111111111111 11111i Hill 1111111111 Jill
GNANT 11t)LOY Y 6"EHINOLE COUN 1 -(
CLERK OF CIRCUIT CONT t CONPTROLLELf*t
83518' Pq 6',
CLERK'S 4t 2017039175
NE'DRI)ED Ail
RECORDING FEES $10.00
RECORDED BY
Pem!fft Number.
The unders' red hereby gives -noffm that improvernent-will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, theW
1`011owinj iA:mdd6n is provided in this Notice of Commencement
1. DESCRUM.- OMOF PROPERTY: (Legal description of the property and street address if available)
DC-- i:NLL&Ej Aj)7S oyv S 6i,-K
C-
2. GENEOL-.DESCPJM.'GNpFlyApkoVEMEN ' T:
3. OWNER WOFMATM OR LESSEE INFORMATtON IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT.
Name And address:- 1klU- - 9,%:)9 IS' , i o - f--L.
I nterestin property: Eq B NGL-
Fee Simple Tffle'H - older (if other than owner listed above) Name:
Address,
4. CONtWT0k-'Na.m-..CentrW Homes LLC Phone Number. 407.732.7262
Address: 1225-ge-ni i•Dr., #111, Longwood, FL 32750
S. SURETY#f a0pilicable, a.copy ofthe payment bond Is attached): Name:
Address: Amount of Bond,
S. LENE;ER: Name: Phone Number.
Address:
7. Pet-4*w.vf;dn:tt,i.d$taW.ofFlorl6:Designated by Owner upon whom notice or other documents maybe served as provided by SectionAi
713AV)(a)7., Flodda-S6Unm
Name- Phone Number.
Addrim:
a. in addition, Owner designates of
to recetve a copy:of the Lienors Notice as provided.in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date:o.f Notice of Commencement (The expiration is I year from date of recording unless a difliarent date is. specified)
W-AR—N1W M'OMERANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE ECONSIDERED -
IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAY4W.'
T*WICEFOKIMPROVEMENTSTO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION. IF YOU IN -TEND TO OBTAIN FINANCING, CONSULT WITH, YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Si of
Owrw cr Lessm or Owner's or Lessft's (Print Name and Provide Signatory's Tide/Of ice) zed-OfficyUrecOr/
PatiedMawger) t State Of
Cou*of The foregoing
hn-t ttentwasackriowltidged before me this —day.of 20 by !2tSj \
A N \,X V, k C who has
producedAllen0cation 0 type of identiftatlon produced: OSCAR DAVID
MUNOZ NOTARY PUBUC -
STATE OF FLORIDA COMMISSION JFF949511
My Commission
Expiires3anuary 11, 2021 Who is
personally known to. me? OR IONval 7
GAN
Af j co \1 -
rjQ?'1
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:T` 1 l
I hereby name and appoint: lJ L'1-Ls LM\-\Cr^rt'
an agent of: 1, 11` Sri
Name
C..
to be my lawful attorney -in -fact to act forme to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 1 \ 9
License Holder Name: 2s4 G 175 C.0 ,4,4
State License Number: C-CC_ t 33 O(,, p
Signature of License Holder:;;7
STATE OF FLORIDA
COUNTY OF Sin I OL&
The foregoing instrument was acknowledged before me this 19-day of APRAL,
20011 , by who i< personally known
to me or o who has produced as
d (did not) take a
e' •
r, OSCAR DAVID MUNOZ
NOTARY NBUC 'STATE OF FLORIDA
COMMISSION0 wa9501
My Commission ExpresJanUary 11, 2020 Signature
Notary Seal)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
Rev. 08.12)
c
Prepared by:
Brandon Reed
RKS Property ]development Inc
204 N Elm Ave
Suite 102
Sanford, FL 32771
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That L Jay Hinrichs, Manager of Myrtle
HiIL LLC do hereby name, constitute and appoint Brandon Reed, as my trice and lawful attorney -
in -fact, for its and in our name, place and stead, to do the following things and acts or any of
them, to -wit:
To deal in, and to sign, all building permits and utilities for the property listed below.
209 E 10°i St. Sanford, FL 32771
Tax Parcel: 25-19-30-5AG-1202-0010
and to represent me in all matters in connection therewith.
We do hereby give and grant unto our said.attorney-in-fact full authority and power to do
and perform any and all acts necessary or incident to the performance and execution of any such
documents relating to the sale of the above property and to perform all acts authorized hereby as
fully and to all intents and purposes as 1 might or could do if personally present.
IN WITNESS WHI:iRGt7F, I have hereunto set my hand and seal this day
of Dee, 2016.
scaled and delivered in out presence:
fay Ilinrichs
ADDRESS:
Witness pant name
Witness
Witness print name
STATE OF Y
COUNTY OF _, )•--._.-_..
I EREBY CERTIFY that A foregoing instrument was acknowledged before me
iThis ay of April, 2017,.by Jay Hinrichs, Manager ofMyrtle Hill, LLC who is
personally known to me or who presented a Valid Drivers License as identification and who did
take an oath.
YTA' PUBLIC
OFFICIAL STAMP9, KRISTINA ELAINE BARAJAS
NOTARY PUBLIC - OREGON
COMMISSION NO. 932333
MY COMMISSION EXPIRES SEPTEMBER 22, 2018
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), certifyi code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: ` lz sh-)
PERMIT # { T / I t) C
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:'Zo q - 16 SY ' SQL r I
L . 3 Z 7,) 1
STRUCTURE TYPE: dSINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 4 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: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED'"
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT POWERED VENT OTURBINES
SKYLIGHTS: O YES IiNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 16 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE
f
FL# q i
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED 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#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#