HomeMy WebLinkAbout2845 Empire Pl; 17-2009; ROOFt•c:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
I w
JUL q 3
Application No: i -1 —':'yy 9
Documented Construction Value: $ 4 -1- a op . OD
Job Address: oil145 (AM-e" I \V_*,Ge Sgr.oRi7.3a'I'13 Historic District: Yes No 5Q
Parcel ID• Q(o -90 -31 • S 05-Q.'LzDU —01,6D Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title: I Wi N 6 iL
Phone:\,k 'J 1le';I, Fax:q0"1-8"l8-yla Emai1:Cey Vft k1l\ zwt.ePic2Qi Ca Property
Owner
Information y o Name-bhbhc. \
Jl.1 _ Phone: Sal-$d 0 Street: 31
A5 6 wAyt A* 1 \ - Resident of property? : Or s City, State
Zip: S AWV-C Q I . - • 3 '1
3 Contractor Information
NameCEr.Tii.
J1\ w css'G.pw-C'-_ o,_M04J Phone: L1,0"t-13a—aka Street: 1-
X25 'U yNt T . i \\\ Fax: -1,ALO - $1L-a - 12' City, State
Zip: \,0V -(ot, %DQ-0 SQ I 51) State License No.: C-r- C- \3 9 06 09 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. 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: 51h 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.
Sig ature Owner/Agent Ellate
CLV4-vv C\ 5 C-0 -1) Ql.. VA
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
MARIA T. BUTCHER
y COMMISSION # GG101540
EXPIRES Ma 04, 2021Y
Owner/A"ent is r
Produced ID ype of I
b-4j— Ala$
Signature 6f Contractor/Agent Date
Tzlas-&c t s b '!> vI
Print Contractor/Agent's Name
1,k-- bxj-- G 17'?
Signature of Notary -State of Florida hate
MARIA T. BUTCHER
MY COMMISSION # GG101540
EXPIRES May 04, 2021
Contrac or n 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
Customer Info: Bobby Dalton
Job Address: 2845 Empire PI. Sanford, FL 32773
PROPOSAL. -CONTRACT
Date: 6/27/2017
A. Tear off and haul away the existing shingle roof system (one layer). An additional $35/sq. for removal of eachunforeseenadditionalrooflayerwillbeadded.
B. Inspect the roof sheathing fastening system and supplement (re -nail).
C. Inspect the roof decking and repair as necessary on a per lineal or per piece basis as described below. D. Supply and install one layer of Rhino Synthetic felt underlayment.
E. Supply and install new 4' Off Ridge Vents for proper ventilation.
F. Supply and install new 2'/" eave drip.
G. Supply and install Bullet Rubber boot flashing for plumbing stacks. H. Supply and install a self -adhered peel & stick modiried underlayment in all valleys.
1. Supply and install Certainteed Landmark Architectural Shingles Lifetime Warranty. J. We will obtain and pay for a permit and obtain all required inspections.
K. Upon completion, all roofing debris will be picked up and taken away.
PRICE: $7,200.00 Payment Terms: Balance due upon completion of job
A surcharge of 3.5% will be added to above price if paying with a credit card.
Options- Supply & Install Solar Attic Fan (extracts hot air from•attic w/ 26 yr. motor warranty). Add $985.00 Initial here
Any unforeseen decking repairs and/or wood rot repair will be done at a cost of $66.00 per sheet of plywoodand/or $6.00 per lineal foot of fascia.
WARRANTY: Central Homes LLC, 7-year workmanship warranty.
This:proposal is null and void if not accepted within 10 days of the date referenced in this proposal due to price volatility inasphalt -related products.
I have read and accept the Additional Terms and Conditions printed on the back of this page. The prices, specifications and conditions of this proposalaresatisfactoryandareherebyacceptedandCentralHomesLLCisauthorizedtodotheworkasspecked. Payments will be made as outlined in thisproposal.
ACCEPTED:
DATE_r- _ y'i G/
ACCEPTED:
DATE 1-2-
Central Homes Representative Date
Central Homes Roofing State of Florida License CCC1330609
LIMITEDPOWER OF ATTORNEY Altamonte
Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole
County, Winter Springs Date:
o) i I
hereby name and appoint: $ EvwTT an
agent of: L L Naee
of Company) 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): The
specific permit and ap lication for work located at: a %
A s Emf%V_e VN AC ZStreet
Address) Expiration
Date for This Limited Power of Attorney: License
Holder Name: c sc=K' ,l-1 (M aAA State
License Number: GCC \3 3 0 (0 0 9 Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF S L YhI r-LO L The
foregoing instrument was acknowledged before me thisol'Aday of ao Ke , 2001Z,
by R-4 5 b 17 4cvnaa who is kepersonally`known to
me or whohasproduced as identification and
who did (did not)` take an oath: Signature' Notary
Seal)
Print or
type name MARIAT. BUTCHER
MY COMMiSS10N !
k GG101540 Notary Public -State Of y'• EXPIRES
May 04, 2021 Commission No. My Commission
Expires: Rev. 08.
12)
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 ode compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATU DATE: ;71 . 17
Iv i 1110311i 1.01 I'll 01111111,111 H1111 1111111111111111THISINSTRUMENTPREPAREDBY:
Name: Kag Patel
Address: I Z # "lrt:ungwuud, Ft 32750 NOTICE
OF COMMENCEMENT Permit
Number: 1 -7 d Parcel
ID Number: IT
vi_,_
COW --a, i)F:1: i ClF'
Ts it LER. CLEWS ," 2017067365
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 o the property and street address if available) L,o—
t-3(A /'5"e WbObrnCQ_Lr kLL(Llc. 121-va QEP a-r- 't t3 3 4G- L• 2.
GENERAL
DESCRIPTION OF IMPROVEMENT: Residential Re -
roof 3. OWNER
INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and
address: owo!,,.fJma_,Tow _Qq y.5 QtrAPt"7?%_• S,y-a Dr L •3''1 s Interest in
property: LD Fee Simple
Title Holder (if other than owner listed above) Name:, 4. CONTRACTOR:
Name: Central Homes, LLC Phone Number: 407-732-7262 Address: 1225
Bennett Dr., #111, Longwood, FL 32750 5. SURETY (
If applicable, a copy of the payment bond is attached): Name: Address: Amount
of Bond: 6. LENDER:
Address: Phone
Number:
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. 8. In
addition, Owner designates Phone Number:
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. k,Kz/, -
t"A signatu
of
Owner or Lessee, or Owner's or Lessee's Authorized Officer/
Director/Partner/Manager) State of __
1'— 601-^ County
of 75 s mt "LOLi_ k L "/
U Print Name
and Provide ignatoiy's Title/Office) The foregoing
instrument was acknowledged before me this o($ day of _ byPv ,!, L,:
Who is Name of person
making statement who has produced
identification type of identification produced: MARIA T. BUTCHER
MY COMMISSION # GG101540
EXPIRES May 04,
2021 br 20 personallyknown
to
me,A OR GRA A/lAlf3
4d 11T COURT
f,' By. ..•..W. --- ----- DEPUTY
CLERK
Age",
r
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JoBADDRESS: oc EYK IQ. Y1• Sr4wC=Q 3 i3
STRUCTURE TYPE: ysiNGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM `
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 'Q L 4 W 0O D
PLEASE'NOTE: ONLY 100 SQUARE FEET OF TAE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: XOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES 4 NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL#:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2: I2 4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE TV4\ V' wo FL# kA %A - 'I lam+ O
METAi FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN FL# O
INSULATED FL# O
TILE ` FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPL7CABLE* 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# OMETAL
FL# O
MODIFIED BITUMEN FL# O
TORCH DOWN- FL# O
INSULATED FL# O
TILE FL# 0
OTHER:. FL#
Y
CITY OF SANFES Residenth
Re -Roof Hurneane
Nh gatf - 'I pection Affiftvit Permit #:
1^1— 'd .0p9 I,
Q"°w`S -' hereby acknowledge that I personally inspected Roof
deck nailing and/or Secondary water barrier work and
have determined that the work Job
Site. 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. fully understandthatmalonganyfalsestatementsinwritingwiththeintenttomisleada .public servant in the performance .
of his or her official duty shall constitute a misdemeanor of the second, degree pursuant to SectionW.06 F.S. Signature,
of Contractor Date Printed
Name of Contractor License # License
Type: General Building ResidentialXRoofmg Contractor or
any individual certified in accordance with F.S. 468 to make such an inspection. STATE
OF FLORIDA COUNTY OF Sworn
to (or affirmed) and subscribed before me this 13 day of S 20 \-i by G5 -1-r'i/. , who is Personally Known tome or has Produced__ tyke. of identification) as identification. SEAL)
Signature
of Notary Public Sta
of Florida MARIA
T. BUTCHER PrigtlType/
Stamp Name MY COMMISSION # GG101540 of
Notary Public a EXPIRES May 04, 2021 3