HomeMy WebLinkAbout1209 W 19 Ct; 17-2220; ROOFa
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
t) - l)')-M
Documented Construction Value: $ % 3'90,
Job Address: / 2v9 Wr 9T'G'% S c /mil 3 277/ Historic District: Yes No R'
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: 4,2,o2er/ L4 /
P, G,•ew
Plan Review Contact Person: SAW S ff6q-1 -0 - Title: OP/'r-S
Phone: Fax: '6V- 3c6- 95 3 Email: SZvb'Tk L( ll /44 6v0`9'
Property Owner Information
Name 4.4lye Ga Ge Phone: ((U%- L 2/ - Llg5 1 Street:
A, Resident of property? : a City,
State Zip: Savrnn4 ? GIB ,?2 2.91 U-
V Contractor Information Name
o '22q-h.e/L.- Phone: YP I 1— G2 tl9 Street:
25- / fro `n• r "&ys 116-cl Fax: K2 306 — 2- City,
State Zip: 3 2-?-2,-L- State License No.: 6CC 13 2 66 1 2- Arch
itect/E ng i neer 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
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.
Signature of Own/Agent VDate
W ,4,,, aye. C :
Print Owner/Age is Name
Signature of Notary -State of
14
Date
THERESA EDGERTON
4 ,= Notary Public - State of Florida
yr P My Comm. Expires Feb 27, 2018
FOF Flo \\` C
Owner/Agen ; 's . "Tersonai lM %01088dr
Produced ID We of
4O:pRY
THERESA EDGERTON
Notary Public - State of Florida
My Comm. Expires Feb 27, 2018.
Commission # FF 088881
Permits Requir``—e
Construction Type:
Total Sq Ft of Bldg:
5;`= z2
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Votary -State of Florida Date
Produced ID
If 9 1 Hw
THERESA EDGERTON
Notary Public - State of Florida
My Comm. Expires Feb 27, 2018
or
NvirnESA EDGERTON otary
Public - State of Florida c' My Comm. Expires Feb 27 Commission # FF 2018
088881
Electrical
Mechanical Plumbing[] Gas Roof Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps, Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures. Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
Home Ser'vices DateAssure=U.',.at
www.assure-u.net ® str®tW @aoLc®m
Sam: 407-947-0249
Theresa: 407-970-9746 NAME GL -
7581 Rio Pinar Lakes Blvd.
Orlando, Florida 32822 STREET
State License #CCC1326792 12.
Financing Available _ / CITY fIR i
STATE /f t ZIP .32 / IMF,
HOME PH. C U_ 2 2 / _ tI S WORK PH. BBB.
startWrthTnst -
1. Remove
existing roof Shingle Tile R ck Metal . Roll Additional Layers 3 5 c( Extra per square if found 2. Repair
decayed or defective flashings, rafters, fascia, and sheathing at an additional $ per man hour plus materials. 15'eo
Per sheet 1/2" Plywood t( 5 <) Per foot dimensional lumber labor and materials. 3. Install
new shingle roof in accordance with manufacturers written specifications and all applicable local codes over new Synthetic
30# felt secured to deck or self adhesive base sheet Color 25 year
3 tab Algae Resistant Color 30 year
Architectural/Dimensional Color Other r
4.
New
Eaves Drip YZ Beige own Gray New 26 Ga. Galvanized Valley Metal ft. size Black
White Q71* 4 Galvanized Wall Flashing ft. Additional See #
2
above Save Existing
Eaves Drip Turbine Vents I :i Cead
PlumbingBoots4" LY 2" 1 1/2" `Off Ridge Vents 48"Coor Galvanized Kitchen
Vents 4" 10' Color optional Add $ Replace $ Skylite Domes
2x4 9x2 - $ option Center Ridge Vents Color optional Add $
Replace $ Nail Over
Ridge Vents Other: ;2 .'
cam -
Tic% S 5. Modifie ,
Bitumen single ply lowslope roof system. l secured to
deck and ranul ted. Brown f `\ r /'4"' `
Go_ installed usipg
the manufacturers specifications over 43# organic base Self Adhesive
basesheet ' 7. Workmanship
warranted against leaks for five (5),years from'da e' of completion. Applicable Manufacturer's warranty applies to
materials. Warranty applies to reroofs only, repair warranty is limited to sic (6) months unless otherwise noted. Price includes
all permit and dump fees. r I
c" co We herebyproposetofurnishlaborandmaterials - complete in accordance with the above speclficatlo`ns for te: sum of: dollars plus #2
and above options with payment to be made as follows: HALF DUE UPON
START DATE. BALANCE DUE UPON;COMPL`ETION, LESS OTHERWISE NOTED. All materials guaranteed
to be as specified. All work is to be completed in.a workmanlike manner according to standard practices. Any alterations or deviation from above specifications involving extra costs,
will be executed only upon written orders and will become an extra charge over and`a4ovgt6e4itimate. All agreements contingent upon strikes, accidents or delays beyond our
control. wilt not be respons b e for driveway cracks or any nail related incidents. Price is base'on our trucks being able to backup to building. This proposal subject to acceptance
wit in 30 days and is voi lfereafter at the option of the undersigned. A personal servicS4rovided through subcontractor services. We are now
accepting credit cards* Authorized Signature: ` Ce"
ll Phone: 407.947.0249 Septic Tank Front Rear Exposed ceiling of
Eaves Additional charge may
apply. The above prices,
specifications and conditions are hereby accepted. You are authorized to the work as specified. Payment will be made as outlined above. Legal Description: Accepted:
Signature: IF'
e
10,A Cf O, )A Signature: Owner or Authorized
Agent Owner or Authorized Agent
HIM 1UH11151111 1111THISINSTRIMENTPREPARED NN
Name: _2/lif
Address: ° iU liVa'o-L4/tr+S [Ld
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: Parcel ID Number:
1.1k'it'41{-L_:.r`"".
si
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 PROPERTY: (Legal description of the pro erty and street address if available)
GENERAL DESCRIPTION OF IMPROVEMENT:
11-,U/
OWNER INFORMATION:
f - Address: CG _4o eAke _/L1C"012i c 'n 9,Z cS%crr r L/ 2 %%
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
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)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates of
To receive a copy of the Lienor s Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
MY oQ C, Gl&C-Jz
Owners Signature I Owner's Printed Name
Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of % County of GY'/dw ,(P
The foregoing instrument wasnacknowledged before me this 20 day of 20
b Ll%i / `/ -
CAP
Y .Who is personally known to me
Name of person making statement
OR who has produced Identification pe of,Identification produced: G/,%L 0Pi
1 Funn
I f y ri, ,,, THERESA EDGERTDN
Notary Public - State of Floridl,
m My Comm. Expires Feb 27, 7.018 O
y %eOFF OP ` Commission # FF 088881 Notary Signa
re44
P
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 F code mpliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: 2 a--7" %
PERMIT # /. -;kz4,-g-D
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:( 2-4 % f16L C,,-W r Z77(
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 81REPLACEMENT TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER NEW ROOF INSTALLED OVER EXISTING ROOF
j
DECK TYPE PLEASE SPECIFY): C -- Ce PLEASE
NOTE: ONL Y 100 SQUARE FEET OF IE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF
VENTILATION: OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS:
O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: a LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER O
TURBINES TYPE
OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O
SHINGLE FL# O
METAL FL# MODIFIED
BITUMEN P%v%
P P FL#,-7J / TORCH
DOWN FL# ZS ? 3 - 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# TORCH
DOWN Q/ Vre-G FL# 2- 7 J 3- e- OINSULATED
FL# O
TILE FL# 0
OTHER: FL#
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
pPERMITADDRESS: ( W1974 C I <<
A11 S of A elt , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING
CONTRACT01z)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 #: &
13 2 6 / J 2 COMPANY /
CONTRACTOR: SS SP'"i/i S CONTRACTOR
SIGNATURE: DATE: "12 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 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 6 G% Sworn
to and Subscribed before me this day of u 20 12 by: JA41
S' elt . Who.is 2rfersonally Known to me or has Produced (type of , identification) [
Cc jo as identification. Signature
of Notary Public , of"ar P6""' THERESA EDGE RTON State
of Florida ' "'oa_ Notary Public -State of Florida They_
r O My
Comm. Expires Feb 0888
1 I %;;oFF q;' Commission # FF 088881 Print/
Type/Stamp Name of
Notary Public