HomeMy WebLinkAbout422 Fairfield Dr; 17-2351; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
N AUG - 3 2017 PERMIT APPLICATION
a" BY'-- ------ ~-- Application No: a 3 Is, 1
Documented Construction Value: S
Job Address: "1 2 C 'I l I V-, KC, V Historic District: Yes No
Parcel ID: -
Residential 0 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Ilse Move
Description of Work: — 1 dU
Plan Review Contact Person: M IVr _C l a'
Phone:. --1657 Fax:
TitleNNfie
Email: mI GC1Y/7 d , aum Property
Owner Information /- Name
c eiu, , vO dS Phone2L40 - 0-M - d Street:
1/ C(.(I (I _ Resident of property? City,
State Zip: 64 CYP & !f' 2 ( - Name
flan c Street: &
City,
State Zip: l Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Infnrmation
Phone:
O 7-Ty 7 195 Fax: /
c
State
License No.: 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: 5t° 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 befoundinthepublicrecordsofthiscounty, 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 requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. effct at the time the
The actual construction
ed, in
dinuean ell be figued based on the current ICC Valuation
Shou drcalculated charges figured off the executedTableneoact exceed the actual constructiont is
uvalue, accordance with
local o 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. 0 Signature
of
Owner/Agent ` 3' Date
Signature
of Contractor/Agent Date Print Owner/
Agent's Name Signature of
Notary -State of Florida llate Print Contractor/
Agent's Name Si ature
of No ; + 'pa"t'"trf Flo ndaCOti1PAISSION # rFrf°°48 ES: February
EXPIR PublicUndew ters Sunded 7hruNotarycrOwner/Agent
is Personally Known to Me or Contractor/Aproduced ID gentis
hye PersonallyID
Knownto 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:
Flood
Zone:
of Stories:
Plumbing - # of
Fixtures of Heads
Fire Alarm Permit: Yes No UTILITIES: 11'
WASTE
WATER:
BUILDING: Permit
Application
Revised: June
30, 2015
8/1 /2017 SCPA Parcel View: 32-19-31-516-0000-1020
Property Record Card
Parcel: 3 2-19-31- 5 16-00 0 0-102 0
Owner: WOODS MICHELLE B
Property Address: 422 FAIRFIELD DR SANFORD, FL 32771
Value Summary
2017 Working j 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 135,745 117,229
Depreciated EXFT Value 350 363
Land Value (Market) 30,000 23,060
Land Value Ag
Just/Market Value "" 166,095 140,592
Portability Adj
Save Our Homes Adj 58,435 35,146
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 107,660 105,446
Tax Amount without SOH: $2,005.00
2016 Tax Bill Arnount $1,300.00
Tax Estimator
Save Our Homes Savings: $705.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
1... ......... .........
LOT 102
CELERY LAKES PHASE 2
PB65PGS29&30
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 107,660 50,000 € 57,660
Schools 107,660 25 000 82,660
City Sanford 107,660 50000 — 57,660 SJWM(
Saint Johns Water Management) 107,660 50,000 57,660 County
Bonds 107,660 50,000 57,660 Sales
Description
I Date i Book I Page Amount Qualified Vac/Imp SPECIAL
WARRANTY DEED 6/1/2005 i G5786 1,17,2 181,300 s Yes Improved Find,
c n} ?rake c Land
Method
Frontage i Depth t__________-_
Units
Units__Price_ Land Value LOT
1 30,000.00 30,000 Building
Information Year
Built I i 1DescriptionFixtures :Bed Bath 'Base Area I Total SF Living SF I Ext Wall j Ad' Value Rep[ Value ' Appendages pActual/Effective g ! p 1
SINGLE 2005 11 4 : ?— 5 1,234 3,216 € 2,810 CB/STUCCO $135,745 $142,141 Description ;Area FAMILY -
FINISH _.._._..__. UPPER
1576.00 STORY
http://
parcel deta il.scpafl.org/Parcel DetaiIInfo.aspx?PI D=32193151600001020 1 /2
Ins. Co:
Licensed & insured
First in Quality Tel*
First in Service p
First in Satisfaction Claim # 5 !
800-411-0920 Adj. Name
LIC # CCC1330939 6767 Hoffner Avenue Tel. #
Orlaado, Florida 32822
LIC # CRC1331435
i{ o7) q0 L{ 'q
Fax #
PROPOSAL SUBMITTED TO C'l I C-WOOL- DATE
STREET ` r e (^ JOB #
CITY, STATE, ZIP
HOME PHONE 2 '
3 2 SUBDIVISION
iY, " 73f c l
0 2 2 BUSINESS PHONE SPECIFICATIONS
FOR LABOR AND MATERIAL Te
ff Shingles: Layers %r f I
rG fc` eC'r% V-C/ Color PV-Y+'((-S eewl"
V a D'
Tonally Install: Brand ( f' _ TYI lleys
Ft per
II: 30 lb. Felt O Peel & Stick l Synthetic Undedayment at,
sidewalls, counter and waU flashings O Re -Use Drip Edge Drip Edged +1 _ Fenail
1-
1/2 2' 3' 4' or Plumbing Vents n:.
Goose Necks Off Ridge Vents Ridge Vents Color ywool
Sheathing to Code Xvywllood
ht
2x2 4x4 C!=-
up replaced
at $60 - per sheet {If needed an
haul off all job related trash o I rd with magn is roller rotect yard and shrubs Atlantic
Roofing is not responsible for Pre-existing structural conditiohs. Buyers
agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL
ROOFS HAVE A 5 YR LABOR WARRANTY COGENT
will be VOID only if claim is disallowed by insurance company. ThisproposaliscontingentupontheInsurancecompanypayingfordamages. This proposal Propertyowner's out -of -packet expense is not to exbeed the deductible amount. The insurance company will determine and set the price of the claim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE 1F THISTRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET
WHEW RECEIVED. We
propose .to hereby fumish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance company
loss scope sheet. for which is Inc rated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade
incurred S S, y Pa msnt up co tarn of each trade. 7
Q Authorized
signature ' ` Must
be approved by company owner. No other work e" or implied verbally. Ali changes to be in writing and accepted before commencement of changes.
NOTE: This proposal may be withdrawn by of acx epted within days ACCEPTANCE
OF PROPOSAL- The work
as specified. Payment
will be made as outline above are
and are hereby accepted. You are aauthorized to do the au
Date ` -
Z / -
THIS INSTRU
y
NT PREPA ED B t
Name: _,- Address:
L
I !
1. 111111111111111-14111111 HIN1111111 a'. _
l' l: .Fll.i_?).4 t_.i.' i:1 ... ..'.!'li"' il ti_1Li..:i. Permit
Number. Parcel
ID Number Theundersignedherebygives 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 1
n + It)2 C C(-I' tf,(%r b
5 2.
GENERAL DESCRIPTION OF IMPROVEMENT: 3.
OWNER INFORMATI iiOR L,E SSEE INFORMATION IF THE LESSEE CONTRACTED FOR Name
and address:l FF Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: 4.
IMPROVEMENT:
rA
i l•fi,l 5.
SURETY (If applicable, a copy of the payment bond is attached): Name: Amount
of Bond: Address:
Phone
Number. S.
LENDER: Name,: 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. Phone
Number: dd"
t' Owner designates of
8.
In a 1 Ion, 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 CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE FSITE
BEFORE CTNG WORKOR RECORDING YOUR NOTICE OFCOMMENCEMENT. OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE QMtyIE signature
of owner
or Lessee, or Owners or Lessee's Authorized Officer/Director/
partnertManager) Prin am and
Provide Signatory's Tide/Office) T._ State f
Ck
County of The foregoing instrument
was acknowledged before me this day of by I I
l V 1 v Name of perso
mam king stateent who hasproducedidentification
to of identification produced R jN, GRACIELA GAGNE
s+ . M c YCOMMISSION # FF98594gn EXPIRES April 25, 202o 407) 308-0153 PlDryaeoomWhoispersonally
known
to me O OR Notary -Vature "
D 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 co e c liance y onal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: r-
PERMIT
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS'
1 L i(V Win` yr
MOBILE HOME O A-pAR11!"12`'T/CON'DOMINWM
STRUCTURE'1irpE; GLEFAMILZ'1DE!'CE/TOWN11OUSE O-
RE -ROOF TYPE' LACEME?T (TEAR OFF EXISTLNCs ROOF AND REPLACE W17x NEW COIvroO?v'TS)
O RE-COVER (NEW ROOF INSTALLED OVER EXIST_NG ROOF)
DECK TYPE (PLEASE SPECIFY):
xxp SE.NOTE- ONLY 100 SOUARE FEET OF THE EXISMG DECK IS PERMITTED TO BE REPLACED""
TURBR ES
RIDGE O SOFFIT OPOW'ERED VENT O
ROOF VFNTILATION: OFF -RIDGE
NO IF YES, PLEASE PROVE FLORIDA PRODUCT APPROVALSKYLIGHTS, O YES —
N Y------------------
MAIN ROOF AREA
ROOF SLOPE: O LE T 'N 2.12 O 12 -4:12 -4:12ORGREATER
FLORIDA PRODUCT APPROVAL
I MANUFACTURER
TYPE OF ROOF G
f ..n ntN FL'( `5 f FL=
METAL
FL= MODIFIED
BM17L FL- TORCH
DOWN FL=
ILNSULATED
I
E
I FL# ROOF
EXTENSIONS(PORCHES- PATIOS. ETC- ""IFAPPLICABLE"" O
4:12 OR GREATER ROOF
SLOPE: O LESS THAN 2:12 O 2:12 — 4:12 TYPE
OF ROOF SHINGLE
METAL
MODIFIED
BrMMEN 1
TORCH DOWN INSULATED
TILE
OTHER:
MANUFACTURER
FLORIDA
PRODUCT APPROVAL
Tat L7Z?"
r "Ps
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: 19 - ADDRESS: q->- ;;w&v- t'l
I G 6 , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEE , 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 #: CGG l3 3 Oq
COMPANY / CONTRACTOR: AY G A7/`' ly e!5; 6 c -.
CONTRACTOR SIGNATURE: DATE:Az L
MUST BE SIGNED BY LICENSE HOL ER OR OWN R/BU,A R)
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 OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, 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 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 /
Sworn to and Subscribed before me this ! day of ' 20 by:
Who is ZPersonally Known to me or has Produced (type of
ide ifica ionj as identification.
Signature of Notary Publff
Sta a of Florid "=
USAE
M1
G • OO
OPER #
FF 093745ry18, 2018Print/Type/Stamp NameblicUndeft*rs
of Notary Public
k
x
47IL