HomeMy WebLinkAbout426 Fairfield Dr; 17-2084; ROOFJob Address:
Parcel ID:
Type of Work:
Description of Work:
F 1
I I LulfJUL , - CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 11— D ON
Documented Construction Value: $!%
32 Historic District
Residential N)
Yes No
Commercial
Change of Use Move
Plan Review Contact jPerson: M l VY 1 a I C7 al rjl _ Title: SO
Phone: `'I b' I `' 15 Fax: Email: M I ( I L) 1"V i(i i
r11`` ii tt / c
Property Owner Information
j 'l
Name P Il 1. '1 I`J ( Phone: `I 0
Street: 0 of 0 R ( rAt (
r? -•
Resident of property? :
r
City, State Zip: Sant M, I" L • J 2 /-1 1
D &)&VCN
Contractor Information( ,
y yNameRflaI_hL Q)Of MIt) Phone:gn v7 7 ! qS_7
Street: I 11/6l-,Tn I LP1Y • Fax: /
City, State Zip: o
y1V I (' J ZZ State License No.: I CL q 39
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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 1053 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
0
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. A
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent
Print Contractor/Agent's Name
y-State MMEM. BLAW.. D
Notary Public • State of Florida
Commission 0 GG 060623
My comm. Expires Jan 16, 2018
Contractor/Agent is 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: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015
Permit Application
OC As.C:
ATLANTIC
Roofing & Construction,...
LIC # CCC1330939
LIC # CRC1331435
PROPOSAL SUBMITTED TO
Licensed & Insured
Ins. Co.. At k P o yAl
First in Quality Tel.# Ic7_ 17 ` L5L — ZZ 73
First in Service
First in Satisfaction Claim
jj ,
800-411-0920 Adj. Name ` SIC G j'1
6767 Hoffner Avenue
Tel. # Orlando, Florida 32822
ax# V2C1 4-f-S
z
s t^/t t_ PC- t S t `JL-/ DATE -S -
STREET /74t JOB #
CITY, STATE, ZIP G''t f'c 3 Z77.1 SUBDMSION
HOME PHONE ,D ? _" o 2.BUSINESS PHONE
SPECIFICATIONS FOR LABOR AND MATERIAL
Wr Off Shingles: I Layers I
ssionally Install: Brand '%-M I -a Type Ay' Ck 4e-u C 1 Color PUA ' C 4C x A orValleys
Ft. Install:
0 30 lb. Felt 0 Peel & Stick a Synthetic Undedayment jaseal,
sidewalis, counter and wall flashings 0 Re -Use Drip Edge Ld' ,ip Edge 1?
New 1-1/2° 2" 3' 4' or Plumbing Vents lenail
latiom. Goose Necks Off Ridge Vents Ridge Vents Color i`."" Plywood
Sheathing to Code U
SJLycfight 2 x 2 4 x 4 ood
replaced at $60 -per sheet {if needed) Clean-
up and haul off all job reed trash oli yard w magnetic oiler"rot yard and shrubs r- :
yor /.i-w1o; ei Atlantic
Roofing is not responsible for pre-existing structural conditions. 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 CONTINGENT
This
proposal is contingent upon the insurance company paying for damages. This proposal will be VOID only if claim is disallowed by Insurance company. Prop"
owner's out-of-pocket expense is not to wbeed 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 IF THIS
TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET
WHEN RECEIVED. We
propose to hereby furnish materials and labor, complete in accordance with above specifications for the sum of the insurance as per the insurance company
loss sco sheet for which isjncVporated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade
incurred S r _S Payment upon completion of eacL"de. o•! Authorized
Signature' 4
v Must
be approved by.company tfner. No other work ekpressed or Implied verbally. All changes to be in writing and accepted before commencement of changes.
NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE
OF PROPOSAL- The above prices, work
as specified. Payment
wig be made as outrsne abo x conditions
are satisfactory and are hereby accepted. You are authorized to do the Date _-
5- FO 17
7/6/2017 SCPA Parcel View: 32-19-31-516-0000-1000
Parcel Information
Property Record Card
Parcel: 32-19-31-516-0000-1000
j Owner: KISITU MASUDI
jj Property Address: 426 FAIRFIELD DR SANFORD, FL 32771
Parcel 32-19-31-516-0000-1000
Owner KISITU MASUDI
Property Address 426 FAIRFIELD DR SANFORD, FL 32771
Mailing 3905 OLD DUNN RD APOPKA, FL 32712-4788
I Subdivision Name CELERY LAKES PHASE 2
Tax District S1-SANFORID — —
DOR Use Code 01-SINGLE FAMILY-
u- --- ----- -- Y --
Exemptions
Value Summary
2017 Working 2016 Certified i
Values Values
Valuation Method CosUMarket Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 108,103 96,810
Depreciated EXFT Value 2,001 2,084
Land Value (Market) 32,500
w----------------- ---•---------
23,100
Land Value Ag
Just/Market Value `" 142,604 121,994 i
j
Portability Adj
Save Our Homes Adj p- 0
Amendment- 1 Add 4 $23 386 13,614 .
P&G Adj 0 0
Assessed Value 119,218 108,380 s
Tax Amount without SOH: $2,275.00
2016 Fax Bill Amoun $2,275.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 100
CELERY LAKES PHASE 2
PB 65 PGS 29 & 30
Taxes
Taxing Authority Assessment Value 1 Exempt Values Taxable Value
County General Fund 119,218 ` 0 119,218
Schools 142,604 ; 0 142,604
City Sanford 119,218 0 I 119,218
SJWM(Saint Johns Water Management) 119,218 0 119,218
County Bonds 119,218 0 119,218
Sales —
Description Date Book Page I Amount Qualified 1 Vac/Imp
QUITCLAIM DEED 9/1/2005 J5..48 1685
a.......................................$
74,200 No ImprovedP
SPECIAL WARRANTY DEED 4/1/2005 05692 i 0669 149,400 Yes Improved
Find Comoro ab.e Sates
Building Information
Year Built
Description
Actual/Effective Fixtures 11 Bed Bath ':. Base Area 1 Total SF Living SF i Ext Wall Adj Value Repl Value I Appendages
1 SINGLE 2005 i 6 3 20 1,617 ; 2,053 1,617 CB/STUCCO $108,103 $113,197
FAMILY FINISH
Description Area
http://parceldetail.scpafl.org/ParcelDetaiIInfo.aspx?Pl D=32193151600001000 1 /2
THIS INSTRU ENT PREPARED BY
Name: cc) '
Address
NOTICE OF COMMENCEMENT
ER.lf% O C;:E,.:i-! _ i Ct`lilEi:1 . `:-0l'if' i f;i Li.ER.
CLERK'SS 4 201.707iii67
RE--C:OIR1)I::I)
RE=:()i C Ttlt::i FEE 6 :;;1.i'i;ii0
iRECOFd)ED BY = r; i t:l
Permit Number.
Parcel ID Number.
11 G- -1 1-1 S i -- S1 tD -0060
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.
OF,FROPERTY: (Legal ' i Lion of the property and sire t address if availab'
t I/nr i?Innc; 7 "UtZ /n 1)(
a (a G r t,e, Pv- t'-fo GA 1 Ll - 32-7 "71
2. GENERAL DESCRIPTION OF IMPROVEMENT:
a Vn / (`
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THF- IMPROVEMENT_
Name and address:
Interest in property:
Fee Simple Title Holder (If other than owner listed above) Name:
Address:
I ,
4. CONTRACTOR: Name,/
7411AY1111L1e,p( Y712 b a, 0 G-I M
Address:
S. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address: Amount of Bond:
S. 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.
Address:
S. In addition Owner designates of
to receive a copy of the Uenor'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) v t 7
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.
MA -sac) K
Signature o. , er or Lessee, or owners or Lessee's (Print Name and Provioe signatory's Title/Orn`ce)
Aufiofted omeerioirer;or/ artner/Manager)
State of P' I f C'l County of
The foregoing instrument was acknowledged before me this ` t/ `.. day of 29 20
by
Name of p
who has produced identification
ig statement
of identification produced:
53
GAGNEN # FFM949il25, _.
com
Who is personally known to me 10 OR
A\-- V
In
Nrrji rw
PERIIIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: VINGLE FAMILY RESIDENCE/TOWNHOUSEMOBILE HOME O APARTMENT/CONDOMINIUMO -
RE -ROOF TYPE: 6%E///""" PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
k
JDECKTYPE (PLEASE SPECIFY): Z
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED "
ROOF VENTILATION: OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT O TLRBINES
SKYLIGHTS: O YES NNO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL r:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12
TYPE OF ROOF
J METAL
O MODIFIED BITUMEN
O TORCH DOWN
O INSULATED
O TILE
C) OTHER:
O 2:12 - 4:12 X4 ,12 OR GREATER
MANUFACTURER
n vv v 7
ROOF EXTENSIONS (PORCHES PATIOS ETC.) ""IF APPLICABLE"
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
O SHINGLE
O METAL
O MODIFIED BITUMEN
O TORCH DOWN
O INSULATED
O TILE
n OTHER:
MANUFACTURER
FLORIDA PRODUCT
j
APPROVAL
FLU' I 15
FL-
FL--'
FL#
FL#
FL#
FL'
FLORIDA PRODUCT APPROVAL
FL-"
FLU
FLf
FL=
FL--'
FL-4
rr t'
F 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), certifyin od compliance by rsonal inspection. CONTRACTOR (
OR OWNER/BUILDER) SIGNATURE: DATE: ll 7
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: — ADDRESS:'ty T !i l
I M ( 640pe, 1 c r- 's , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROO G CONTRACTOR, ENGINEEle, 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 #: C C C 13 3 0 3 2
COMPANY / CONTRACTOR: G
CONTRACTOR SIGNATURE: `/%/'/`"f DATE: ( `
MUST BE SIGNED BY LICENSE HOLDER (DR 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 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 0f a-
Sworn to and Subscribed before me this day of 20 /P by:
lle6i(/C`( Aye._ Who iskPersonally Known to me or has 0 Produced (type of
identification) _ as identification.
Signature of Notary Public
State of Florida ,Inv Pu
e° ; •.e% STEPHEN PATRICK DOLAN
Al"., MY COMMISSION # FF 071532
EXPIRES: December 27, 2017
Print/Type/Stamp Name FBonded Thru Budget Notory Services of
Notary Public