HomeMy WebLinkAbout118 Wheatfield Cir; 17-2595; ROOFr= \
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: - c JQs
Documented Construction Value: $ 60Q
Job Address: 1I9'iQ i CLQ, I < X Historic District: Yes No
Parcel ID: 32 — 2 I "S( S " y(P' 0 Residential z Commercial
Type of Work: New Cp, Addition Iteeration Repair Demo Change of Use Move
Description of Work: — Af n i 1\1 q I -e .S
Plan Review /Coonttact Person: 1 (,Q —Title:-1(y
Phone: • _D J • oa. Fax: „ Email: CB"bYX n 0 10 .O PO
Property Owner Information
Name
Street: b WI UL CI`e(J Gr i.
City, State Zip: d :FL 394--i
Phone:
Resident of property? :
Contractor Information
Name Cd& i Wt Phone: Hn . Dn(A , es-)'
Street: Vwkb ,CQ``a,,IU (YI Q 'f `fFax: im .-Rog •
City, State Zip: InI ,Wbd , L State License No.: TC B
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: 5"' 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.
QQ&
Sib tune of Owner/Agent to
W&')w 1
lint`0wner/Agent's e
C
Signature of Notary -State of Florida Date
OSCAR DAVID MUNOZ
I NOTARY PUBLIC • STATE OF FLORIDA
COMMISSION IFF949501
11eocv'4Pif NI Commission ExpiresJanuary 11, 2020
Owner/Ad 1S V P to.ya or
Produced ID Type of ID
ySi re of Contractor/Agent Date
NNW-6 24* Mftu I ( 0 S
Print Contractor/A is Name
Signature of Notary -State of Florida Date
OSCAR DAVID MUNOZ
NOTARY PUBLIC - STATE OF FLORIDA
COMMISSION sFF9495o1
My Commission ExpiresJanuary 11, 2020
Conti CTm7gent-rs wn 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
S
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 19-
I hereby name and appoint: 6 CO
an agent of:
Name
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
xThe specific ,ermit and applic tion for work located: at:
1 X 11 IY1 o 6- P11P 1r 1 r-rj j. Street Address)
Expiration Date
for This Limited Power of Attorney: License Holder
Name:_11 State License
Number: U— Signature of
License Holder: STATE OF
FLORIDA COUNTY OF
Cn o The foregoing
i strume was=edged before me this Z day o kuqu,k 2001 by
A (e. n (0 J71A!'5 who is rsona y known to me
or who has produced as identification and
who did (did not) take a o Signa Notary
Seal)
eAdIrIQ Cruz - Print or
type name Notary Public -
State of T1 0 Commission No.
G111F094001 My Commission
Expires: U Yt—' Rev. 08.
12)
THIS IN TRU E TPREPAR DBY: `-1-•-+'`'. '?;
Name: 3;( :3;% 1- 0:3 _ 1
Addressc CLEWS' .:: 017t1 6 227 .
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: b L lqll 11, '
D
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 description of
2. GENERAL DESCRIPTION OF IMPROVEMENT: W-va*
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE FOR THE IMPROVEMENT:
T ^
Name and address: ( l` IS LlrrC1 S dK . I I D W `O Il-da b &d 1 U
Interest in property: O
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR: Name: 1 It ' Phone Number.
Address:1"1(- 00n6 1 capyal T W %1 i-_L D--m
5. 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 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
Authodzed Officer/Director/Partner/Manager)
State of rla County of C'il t hl fi
The foregoing instrument was acknowledged before me this
Lt /. 1. A /1.1
by
who has produced identification 0
x UA)0 ;Lt:)
Print Name and Provide Signatory's Title/Office)
day of Alzqus
Who is Personally known to me Ig OR
r i "IN
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 co4w-eompliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER)SIGNATURE: %% / DATE: g -as---
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: ( / 6 w 4 UL7,c i IPA[ W Ci(Y J q -,co YOI f" L 3 294
STRUCTURE TYPE: (5 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O<PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (N EW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY: T Lvo v d PLEASE
NOTE. ONL Y 100 SQUARE FEEI OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: OFF -RIDGE COIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES <O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 V 412 OR GREATER TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE
p
FL#
S e 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#
jj. City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: I A7 — ZS S ADDRESS: I V K W v[` 1 & Ck CAVCJ 4-
SGM tjrd t 32 fa-
I Wy_a^&o S L KG K O S , 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 4: cc C_ 13 )-Q S-10
COMPANY / CONTRACTOR: CpY t blPe n a0cx-ty1Q C S YUC Oh IYl L
CONTRACTOR SIGNATURE: lz:o DATE: Vp i Q .
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/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 PLAINE OF THE ROOF SIIOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAVMENT, 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 NIL, ASURING 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 ALI, 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 day of Ay!,,p S+20 R_ by: r
f r051 Q1 Ire 1QYK0. Who is ersonally Known to me or has Produced (type of identifi
at' n) as identification. Sig
tune of otary Public Stat
IoI da Q
ro C no C r L CAROLINACRUZ MY
COMMISSION # GG OW1 Print/
Type/Stamp Name EXPIRES:
June 17, 2020 fx;;
s•• BondedTlxuNo Puwicundenrtiters of
Notary Public