HomeMy WebLinkAbout511 E 10th St 17-1369; ROOF (2)qS
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
MAY 11 2011
Application No: /—% %
BY
Documented Construction Value: $ z10 0
Job Address: ri 11 C. 10* St Historic District: Yes No
Parcel ID: of S )`I - 3y - S J 4 a (DO) U Residential [Commercial Type
of Work: New Addition Alteration 10/ Repair Demo Change of Use Move Description
of Work: , U- 1' Plan
Review Contact Person: Phone:
Fax: Email: Property
Owner Information Name
4z,i `lls_ Street:
5-// e lot - City,
State Zip: 5,3,At6_, f"L Title:
Phone:
7- Resident
of property? :S Contractor
Information Name
S'rc - Phone: Street:
A yA Lks vc ,, ,, I \ c, V6 - An \ ,r 16cl Fax: (g,,5i) (a`y - (6a k-1 City,
State Zip: Amx_x `ant) 3a-1 k-, State License No.: C C-C \ @ qSk \ Architect/
Engineer Information Name:
Phone: Street:
City,
St, Zip: Bonding
Company: Address:
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: 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 an
A17 Viol l
Signature of Owner/Agent Date Signature of Contractor/Agent D e
IL
Print Owner/Agent's Name Print Con ent's N
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature o Notary -State n,rP
205 CRYSTAL GARCIA
MY COMMISSION #FF039272
EXPIRES July 24, 2017
407) 398-0153 Florldallotary5ervice.com
Contractor/Agent is Personally Known to Me or
Produced ID Type of 1D
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
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: /f //-/
I hereby name and appoint: 1'17 s'cd
an agent of:
Name 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):
YY The specific permit and application for work located at:
Z: /i r /os),-
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Ke /y l%s C'g' 'Wy State
License Number: C Signature
of License Holder: STATE
OF FLORIDA COUNTY
OF Sern \e The
foregoing instrument was acknowledged before me this 1A day of ( W1 , 20®_9_,
by Ke.\vi n Qc.,A , \13 who is Vpersonally known to me
or who has produced as identification and
who did (did notrt oath. Signa Notary
Seal)
Q\x - \ C;-cXcu". Print or
type name t>pYP
a' CRYSTAL GARCIA Notary Public - State of FL o:.......... , . F
FC>
3q a -'a MY COMMISSION #
FF039272 Commission No. b ` WASS .,
IY 017 My Commission Expires: Sukj ay .3o\1 53 I®fi
Pla@WIC@:®tH Rev. 08.12)
PERMIT #:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
ADDRESS: S /I C IL)* a
A'f't 0
I 411 L y"y5;f , 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 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 #: CC C 3 C7S1 1 COMPANY /
CONTRACTOR: C Co1J S f C. (h4+ luC2. X C. CONTRACTOR
SIGNATURE: DATE:-5-/ MUST
BE SIGNED BY LICENSE HOLDER OR WNE UILDER) 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 StsMlr 0lIE Sworn
to and Subscribed before me this day of t- l -{ 20 11 by: 1AA45i
L. YC*A"Se' Who is Personally Known to me or has 0 Produced (type of P
L DA - identification) `
f? 1 D- 0%4'-7W- 5-79- 0 as identification. Signature
of Notary Pu li Marie Yap State
of Florida State of Florida 44*_.
1T- YA-f My Commission Expires 09/18/2020 Print/
Type/Stamp Name Commission No. GG 25759 of
Notary Public
t4
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), certifying d'e-compliance by personal inspection. CONTRACTOR (
OR OWNER/BUILDER) SIGNATURE: DATE: ` 7
JOB ADDRESS: S 1) F 1
STRUCTURE TYPE: J8) SINGLE FAMILY RESIDENCE/TOWNHOUSE
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: aREPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): JSB /yI,,'
PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: DOFF -RIDGE (5) RIDGE (SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES Q NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
6SHINGLE G A FL# l 0 1d - L
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT
SHINGLE
A7PPROVAL
FL# / j % 6% -- K) L
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#