HomeMy WebLinkAbout807 W 20 St 17-1425; ROOF (2)EGE,WF
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S / // 0 d n , "
Job Address: E307 0 Y(- o `- Historic District: Yes No [-
Parcel ID: , (, •/ Q• 240- Sao • 0000 • J S` 310 Residential ['}Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: )K e`-AU< S
Plan Review Contact Person: /t —ivy Title:
Phone: 1/b)'3d-)-' fS"S8 Fax: 07'3••L'i5' Email: ad r=t o fS°' 1 et.%1/toJtA.0)
Property Owner Information
Name Phone: q% 7 SLY 12,_
Street: 600 7 !ill . o16 eA o!' Resident of property? : V cS
City, State Zip: ofig o K.4• Ft .3,A77 /
Contractor Information
Name —nW/LfD^1 J 6'-D CJ(_ Phone: 4/07 ' ia.1 . 0 2aI1- Street: 900
S' Z' /'LEYIC_!l /4u.(- Fax: tfU 7 - .d /, • S'%' City, State
Zip: fib' >C L ..77 State License No.: CCC V 'A Architect/Engineer
Information Name: J
A- 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: 51' Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
A
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.
7,0i7
Sig ure orOwner/Agent Date Signature of Con a or/Agent Date
e< 0JU Ae—
Print Owner/Agent's Name Print Contractor/Agent's Name
l
Signatu e o otary-State of Florida re" , tafe of I" }- DateDateSiaturep , rotary- •[IR i LD RASFI
µY P
0t, yP"ao MARJORIE MARIE.A000CK
l UBi
Notary Public -State of Florida
1 `
c ; Notary Public - state of Florida Commission FF 221706 _ 1
Commission N GG 013492 My Comm. Expires Apr 16, 2019
My Comm. Expires Jul 29, 2020
k .. F d Bonded throughh {Vaticnai Notary ASSC. . 9
FO; `d`• ndedlhr t Assn. o Me or Contractor/Agent is Personally Known to Me or
Pro uced D Type of ID 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: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
4
THIS INSTRUMENT PREPARED BY: &v' YdCa —<
Name: ADCOCK ROOFING
Address: 800 S. FRENCH AVE.
SANFORD. FL 32771
NOTICE OF COMMENCEMENT
Permit Number:
GRANT MALOYr SEI'1IHOLE COUHTY
CLERK OF CIRCUIT COURT c, COPIPTROL.LER
BI% 5912 Pq 1258 ( P. j s )
CLERK'S r 201.7047566
RECORDED 05/15/21:1'17 All
RECORDING FEES
RECORDED BY tsm i th
Parcel ID Number: 36-19-30-520-0000-1540
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 of the property and street address if available)
LOT 154 + E 10 FT OF LOT
153
PINEHURST PB 3 PG 71
2. GENERAL DESCRIPTION OF IMPROVEMENT:
oo_pnnf
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: ANDERSON JAMES W' 807 W 20TH ST SANFORD FL 32771
Interest in property: OWNER
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: Adcock Roofing Phone Number:
Address: 800 S. French Ave., Sanford, FL 32771
5. SURETY (If applicable, a copy of the payment bond is attached): Name:
Address:
6. LENDER: Nam
Address:
Phone Number:
Amount of Bond:
0WF
r
LL knz, t .d
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:
8. In addition, Owner designates
of
to receive a copy of the Lienor's Notice as provided in Section 713.130)(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 ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. 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 (Print Name and Provide Signatorys Title/Office) Authorized
Officer/Director/Partner/Manager) State
of CW lum County of A At.(" L t The
foregoing instrument was acknowledged before me this (6- day of /1`1 A= 120 n by
1AML4 4(17 kNL,[cV, - Who is personally known to me OR Name
of person making statement who
has produced identification 0 type of identification produced: MARJORIE
MARIE,ADCOCK Niftaty
rdtic - State of Florida Notary Signature ComMISSIon
0 GG 01 1
MyCortirtl, Expires Jul 29, 2020 8ontieQtOji
National Notary Assn.
SCPA Parcel View: 36-19-30-520-0000-1540 Page 1 of 2
M
Parcel Information
Property Record Card
Parcel: 36-19- 30- 520-0000-1540
Owner: ANDERSON JAMES W
Property Address: 807 W 20TH ST SANFORD, FL 32771
Parcel 36-19-30-520-0000-1540
Owner ANDERSON JAMES W
Property Address 807 W 20TH ST SANFORD, FL 32771
Mailing 97 JAMES ST KEYSER, WV 26726-2740
Subdivision Name PINEHURST
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
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g4.
152 153 154 155 156
Seminole County
Value Summary
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 38,873 37,080
Depreciated EXFT Value
Land Value (Market) 14,880 10,416
Land Value Ag
Just/Market Value " 53,753 47,496
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 1,507 0
P&G Adj 0 0
Assessed Value 52,246 47,496
Tax Amount without SOH: $952.00
2016 Tax Bill Amount $952.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/PareelDetailInfo.aspx?PID=36193052000001540 5/16/2017
SCPA Parcel View: 36-19-30-520-0000-1540 Page 2 of 2
UTILITY
UNFINISHED
CARPORT
260.00
FINISHED
OPEN PORCH
56.00
FINISHED
Permits
Permit # Description Agency Amount CO Date Permit Date
No Permits
Extra Features
Description Year Built Units Value New Cost
No Extra Features
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193052000001540 5/16/2017
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 code compliance
by personal inspection'.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: ZA:),/ %
If
F D.
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: D 6 'r W • O
STRUCTURE TYPE: &SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: QrIREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): ' /' ( { / Oyn
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: DOFF -RIDGE O RIDGE pOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (t!NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4: 12 OR GREATER
w o UQVV-b
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN Cvr /
T
p qq FL#
S J J O
TORCH DOWN FL# O
INSULATED FL# O
TILE FL# O
OTHER: FL# ROOF
EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE** 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# 0MODIFIED
BITUMEN FL# OTORCH
DOWN FL# O
INSULATED 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
PERMIT #: , "' ADDRESS: Oao7 A/ p')'() w 4LT.
j"0cjc' , 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 1S 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 #:
G C- (. V I- 1- &y / _ I/
COMPANY/
CONTRACTOR: %%tJ /Jj 4-,J %. W " v/ 6 CONTRACTOR
SIGNATURE: DATE:`f' MUST
BE SIGNED BY LICENSE HOLDER WNER/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 Ot r
PhD Sworn
to and Subscribed before me this day of / r / 20 / 7by: ANplt
eA,J l Vj,._—Who is E-re-rsonally Known to me or has Produced (type of qi
entification)
as identification. DONALD
RASH S
re of Notary Public State
of Florida r » * ;
Notary Public - State of Florida commissio6 #
FF 221706 My
Comm. Expires Apr 16, 2019 Bonded
through National Notary Assn. Print/
Type/Stamp Name of
Notary Public