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HomeMy WebLinkAbout128 Pinefield Dr; 17-2517; ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ kS, ;) L - 00 Jo b Address: t a $ E La R.. 31;4'}'1 i Historic District: Yes No NJ Parcel ID: 3V--1c1-3k-StS- 0000-- 0 kL1O Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Q S tOE•'CZ+4t L2.F- - Plan Review Contact Person: Title:rlLp s%L MKk 6 CL Phone: u0-i-l3-l fo7, Fax: 41123 Email: Ce%AyV LX'Y10Me_S oRg:&-c vin aQ„1 Property Owner Information Name Lo v" C Phone: Lx 0-1- LL:1 t L1-I`t Street: k-P Resident of property?: S City, State Zip:JtA>^.t F 2'l- • 3oZ, 1 Contractor Information Name C 4sy rr . Phone: %Ab-I -"i3 D-- I;? - Street: ":. S G-Ki"Lorr 1 YL - - -i 1 l Fax: qO - 3Q - City, State Zip- L-0l,k(wc,)CL F_, 3 State License No.: CCC—\3"C)(O9 Architect/ Engineer 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. 1 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: V 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 er/Agent Date Print Owner/Agent's Name uC b 1 Signature f cafe oAKI iA T. BUTCHIE Rate c MY COMMISSION M GG101540 EXPIRES May 04, 2021 Owner/ Agent is )( Personally Known to Me or Produced ID T— Type of ID tQ— 3 l(. l? O Signatu of ContraetoriAgent Date b ln, M44-t Print ContractoriAgent's Name 1, \ - 7 Signature of Notary -State of Florida Date MARIA T. BUTCHER MY COMMISSION # GG101540 a, EXPIRES May 04. 2021 Contractor/ Agent is/X,— Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes[] No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application State License #CCC-1330609 11 /—arr c'— Homes, LLC to CentralHomesOffice@gmaiI.com 1225 Bennett Drive #111 Longwood, FI 32750 PROPERTY REPAIRS Instructions and authorization for the restoration of your property hereby hire and authorize Central airs( pertted at L- m pr y City: State: FZ__ Zip: -7 71 r 6aA,e ?A Per the scope of repairs provided to my insurance company for policy: Date of Loss: /I Claim 49 co I further authorize and direct my insurance company to release payment directly to Central Homes, LLC for the services that are performed in conjunction with the above insurance claim. ASSIGNMENT OF BENEFIT FORM I hereby assign any and all insurance rights, benefits and proceeds under the above referenced policy to my repair facility, Central Homes, LLC, for services rendered or to be rendered. I further authorize direct payment of any benefits or proceeds to my repair facility, Central Homes, LLC as consideration for any repairs made by Central Homes, LLC. Ihereby m directInsurance Carrier :F/6)r Jo, Pee.,t `s` y to release any and all information requested by my repair facility, Central Homes, LLC, its representative or its attorney for the direct purpose of obtaining actual benefits to be paid by my insurance carrier to my repair facility for services rendered or to be rendered for the appropriate property damage. In this regard, I waive my Privacy Rights. Dated this Day of " y 20in v Q ,Florida In signing this document, I acknowledge that the scope of work to be performed and all contracts presented to, me for signature have been explained to me and I understand and agree with. Print N Signat THIS INSTRUMENT PREPARED BY: Name: KaaLa) Patel Address z$Ttvr-t 3z 30— Permit Number ParceliDNumber. t S.',fi. T 11ALlOY, `=, f'f ii0L:E ; mill'{ry C-(/ i-RK OF P{i:UIT ti kOL1fT & C:EVIP T ROLLL 1 it9 1. i s t:z=r,S (1t("'9s CLERK'S v 20170927` 8 I;F,fi:LlF:4iflt FEES $1111.00 i, r:OR% ,E'BY lde,, -or° a 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) LOT 14 "Yas RitEtasra- 1. RB (a PG s -1 s h-Z 2. GENERAL DESCRIPTION OF IMPROVEMENT: Residential Re -roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: L ©'e-ayc Interest in property: D to pkty- Fee Simple Title Holder (if other than owner listed above) Name:. Address: 4. CONTRACTOR: Name: Central Homes, LLC Phone Number: 407-732-7262' Address; 1225 Bennett Dr., #111, Longwood, FL 32750 S. SURETY (if applicable, a copy of the payment bond is attached): Name; 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: 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 1, 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 lQ U LO rrf J gna re of Owner oftessoo, or Dwnor's or Lessee's .(Print Name aria Provide Signatory`s.TiselOrfice) Authorized 0llkorlDirworiParinedManager) State of 1 LOY1111 Q #4 - Countyof The foregoing instrument was acknowledged before me this (I day of f-s'vr.L) ST' 20 l'1 by U ©1L'4-'5 Who is personally known to me)eOR Name of person Making statement who has produced identification 0 type of Identification produced: MARIA T. BUTCHER MYCOMMISSION # GGIO1540 _ M Q4, ZQ21 Notary Signature!R N Vie, EXPIRESay City of Sanford Building c& Fire Prevention Division Re -Roof Permit Card PERMIT NO. /770w gf)W !7 ISSUE DATE: Ott, 179 • 7 CONTRACTOR: JOB ADDRESS: TYPE OF WORK: fs rC,1ot 4 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 INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL 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 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts 5- PLEASE NOTE: Inspections scheduled b3'.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code 111 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), certifying FBC code compliance by personal inspection REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 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), certifying FBC code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATUREDATE' i o PERMIT # / / City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: a $ as tt t-b 1) rL. 'F ol p , TrC.. • 3 1 ^i 1 STRUCTURE TYPE: jp SINGLE FAMILY RESIDENCF./TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): t' W Oo 0 (fit L. - 11T -C' ' PLEASE NOTE: ONLY100 SQUARE FEET OF THE EXISTING DECK !S PERMITTED ToBE REPLACED** ROOF VENTICATION: 40OFF-RIDGE Q RIDGE Q SOFFIT QPOWERED VENT QTURBMS SKYLIGHTS: O YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE mm, lV"-Tsmt FL# S( U%4-- 10 Q METAL FL# p MODIFIED BITUMEN FL# OTORCHDOWN FL# OINSULATED FL# Q TILE FL# p OTHER: FL# ROOF EXTENSIONS ( PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 Q 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN FL# Q TORCH DOWN FL# O INSULATED FL# Q TILE FL# 0 OTHER: FL# FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00002517 Date 8/17/17 Property Address . . . . . . 128 PINEFIELD DR Parcel Number . . . . . . . . 32.19.31.515-0000-0140 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 999383 Permit pin number 999383 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF _/_/ CITE' OF ES Resideq., Re -Roof::, Hurricane Mitigation Inspection davit Permit #: 1'1- a 5' 1-1 I, Q.Aw•G 1 w 4 hereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at ka7 rl,%xE and have determined that the workJobSite: Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that- I fullyunderstandthatmaltinganyfalsestatementsinwritingwiththeintenttomisleadapublicservantinthe performance of his or her official duty shallconstitute a misdemeanor of the second degree pursuant to Section837.06 F.S. ISignaturContractor ofDate W e%S C'D Printed Name of Contractor License # License Type: , General Building 0 ResidentialXRoofing Contractor 0 or any individual certified in accordance. with F. S. 468 to make such an inspection. STATE OF FLORIDA.COUN.TY OF SGM1 vu C,6 Sworn to (or affirmed) and subscribed before me this R day of _deb ' 24 by E-2K1hs-C s ct,n_ w, ' rs- A , who is)'Personally Known tome or has Prodaced: (type. of Weeasidentification. SEAL) Signature of Notary Public State - of Florida Print/ Type/Stamp Name of Notary.Public MARIA T. BUTCHER My COMMISSION # OG101540 aoo- s4 EXPIRES May 04, 2021