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Home My WebLink About245 Fairfield Dr; 17-2902; ROOFCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ ' 2 t000 Job Address: Zq-5 1'(/(V-P . 16 t)Y .SMW0 o> 1 F/• 3'Z-7-1I Historic District: Yes No [2 Parcel ID,37, -19 _3 2 ` 51.5 -00D - 13q Q) Residential E% Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: r' r06 4 wWl -1-0M 511 IY1GI (es . Plan Review Contact Person: M(CA11CAL I C-76CLPK1 e Title: YCS1 d &A* Phone: HO7.777- 1-1i37 Fax: Email:mjj L q w0do • e'Om 0 p Property Owner Information / 'l p Name W i 4"r ido He We Phone: U -7 `-r 3 U Street: 2 5 aw-F(d Y. Resident of property? : S City, State Zip: SM-D/d ! FY 3 21-7 Contractor Information f Name ftaidic K.tXJ,JCN J( Phone:14U-7--79-7 10%5 Street: & 7 7 /t' t U7%l i lk Fax • City, State Zip: Q Y ayi ( FL • 3Z V 22 State License No.: GCC l 5:26C Z `Q Name: Street: City, St, Zip: Bonding Company: Address: 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 5t1 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. ZY/7 Sigma e Owner/Agent Date GJA ACI- Print wne gent's Name ( e—m, Date WdbwdkdbW JUDY L. MERCER Notary Public - State of Florida Commission k GG 0%251 I My Comm, Expires May 26, 2021 Bonded tntougn National Notary Assn, Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is e a Contractor/Agent is Personally Known to Me or Produced ID Type of ID 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 # 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 PROPOSAL SUBMITTED TO i o P n STREET CITY, STATE, ZlP Fl- 307 HOME PHONE N 7J V3 Q 8'2-4?2 Ins. Co. Tel.# Claim # tvt,a'C, v, LoSe bfIS f cc-., F , )roVAV A 7Lf,7- 6 Adj. Name Tel. #Ir Fax # 0 1, rcc r-< JOB # SUBDIVISION BUSINESS Pl- SPECIFICATIONS FOR LA13OR AND n Te ff Shingles: L P sslonally Install: Brand / A -?1-1 !": -0 Type Ja New —Valleys Ft. ns : 0 30 lb. Felt 0 Peel & Stick ynthetic Undedayment Res idewails, counter and wall flashings iO Re -Use Qrip Edge Drip Edge R ;1-1/2' 2" 3' 4' or— s ' on:. Goose Necks Off Ridge Vents Ridge Vents Renail Plywood Sheathing to Code p Sky gbt 2 x 2 4 x 4 P replaced at $60 - per sheet (if needed) Clean-up and haul off all job related trash oil yard with magnetic roller epr Atlantic Roofing is not responsible for pre-existing structural cor a Buyers agree they have seen, read & understand all terms & conditions of this ALL ROOFS HAVE A I YR LABOR WARRANTY CONTINGENT This proposal is contingent upon the insurance company paying for damages. This proposal will be VC Property owner's out-of-pocket expense is not to wteed the deductible amount. The insurance oompa YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANYTIME PRIOR TO MIDNIGHT OF TI THIS TRANSACTION. BY SIGNING ABOVE. PROPERTY OWNER AGREES TO PROCEED WITH TI WORKSHEET WHEN RECEIVED. We propose to hereby furnish materials and labor, complete in accordance with above specifications fr company loss scope sheet for which is incprporated herein and made a part hereof by reference, to in trade incurred S =.- 11 adelo [/ 6,71 Authorized Signature ' Must be approved by company owner. No other work expressed or Impliedvefbally. Ali changes to be changes. NOTE: This proposal may be withdrawn by us if not accepted within 30 days. ACCEPTANCE OF PROPOSAL- The above pri ti nd conditi are satisfactory andse' work as specified. Payment will be made as outrme abo X ` _ 1 7 2-0 220 dui 7LlX-1"03110: 310 F 71 'q 7 P— j U77 DATE' 2 — t 7 TERIAL Color °\Q tj Plumbing Vents yard and shrubs agree to be bound by same. only if claim is disallowed by Insurance company. will determine and set the price of the claim. THIRD BUSINESS DAY AFTER THE DATE IF WORK AS PER PROPERTY -LOSS sum of the insurance as per the insurance customary profit and overhead when multiple and accepted before commencement hereby accepted. You are authorized to do the Date K — 2-17 THIS INS REP ED Y: ----•• miss 111111111 111"'1+„'t, Name: GRANT NALOy, SF.MNOLE COUNTYOFCIRCUIT, Address: SK 8997 Ps C.OUFiT ', COMPTROLLERlldCLEWS1994 (IPss) RECORDED rlrj%r 98487RECORDINGFEESsi-j.rir.?`49 F'i'1NOTICEOFCOMMENCEMENTRECORDEDByhdevorp Permit Number. Parcel IDNumber 32 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: DES C IPi ON OF P,(2OP1ERTY: _egai description a epraper!y and street ad ' eSS if available) d Li (G ll.Xir2 C 5 6LIy- UA y-. I F/' SZ-77 2. GENERAL DESCRIPTION OF IMPROVEMENT: re —• o ,\ 3. OWNER INFORMA,TI^ON, OR LESSEE INFORMATION IF TTHHS LESSEE rCONTRACTED FOR THE IMPROVEMENT: Name and address: Yy T r i dui t./Yif il Ci 2-/ tZ LV1"i! +Y ` "7"4+ Z Z Interest in property: Fee Simple Title Holder (if other than owner listed above) N CONTRA Address: S. SURETY ( if applicable, a copy of the payment bond is attached): Number: Address: Amount of Bond: S. LENDER: Name: Address: Phone Number: 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 L ienor's Notice as provided in Section 713.13(1)(b), Florida Stables. Phone niumber: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified) Z2Z 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 1, 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. by W { tr i 6y L/I(1 `yY Name o` person , raking statement who has produced i JU12e of identification prol used: 4' p_XWIGRACIELA GAGNE MYCOMMISSION # FF985949 Or EXPIRES April 25,2020 11!.,07)3980161 FloddeNotaryServim,00m P jZ;, "2rr r Print Name and Provide Signatory's Tite/Omce) day of Who is ersonally known to me ; , OR s , cems`e L 6i 4• u`. ivavV m SEMINOLE COUNTY MULTI JURISDICTIONAL Altamonte -Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 3-3-2017 I hereby name and appoint: David Mercer an agent of: Atlantic Roofing & Constuction 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 thisappointmentfor (check only one option): Z All permits and applications submitted by this contractor. Or The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 12-31-2017 License Holder Name: Michael Gagne State License Number: CGC1330939 Signature of License Holder: 7 STATE OF FLORIDCOUNTYOF - r¢l4&l' The foregoing instrument was acknowledged before me this 3 day of Yi#W Cx, 20 0- by 111449C-L- a-gr16" who is rsonally known to me or who has produced nd who did (did not) take an oath. g ature of Notary tell JURY L VERCERS. ._. a •• myR fyPul" ' gtata Of Florida E Y 2 201 T as identification Print or type Notary name Notary Public - State of Commission No. My Commission Expires: 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 requiredtobesubmittedaspartofyourpermitapplication. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject. 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 SanfordHistoricPreservationBoard INSPECTION POLICY & PROCEDURES A Final Roof Inspection"is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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 ult in an affidavit provided by a Florida DesignProfessional (architect or engineer), certify g C code compliance by personal inspection CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DALE. Q / pBRART r City of Sanford Building DivisionJResidentialRe -Roof Scope of Work JOB ADDRESS: Dr MOBILE HOME O A-p `tR1 NtT/CO:v'DOMINTIUM STRUCTURE TYPE: SINGLE FA.IILY RESIDENc-PJTOW*IHOUSE O - M ROOF QREPLACEMSh' T (TEAR OFF EXISTING ROOF AND REPLACE VvTTH NEW COIvLPO?tTE`TS) RE TYPE' • X RE- COVER (NEW ROOF IN LED OVER EXIST ROOF) DECK TYPE (PLEASE SPECIFY). L PLEASE NOTE: ONLY 100 SQT73VG DECK IS PERMITTED TO BE REPLACED"" UAREFEETOFTHEEXISNTop ES VE?vTOTUII` ROOF VENTILATION: O OFF -RIDGE kRIDGE OSOFFTI i SKYLIGHTS: O yEs 0 IF YES, PLEASE PROVIDE FLORIDA PRODLiCT ?LDPROVAI: =: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 TYPE OF ROOF J LF- r GLE O METAL O MODLFIED BITUMEN O TORCH DOWN C INSULATED 02:12- 4:12 X4:12OR i Trar 0 IC o TER FLORIDA PRODUCT APPROVAL FI: C15( Q FL' FL- 7 FL= U OTHER: ROOF EXTENSIONS( PORCHES. PATIOS. ETC.) "IFAPPLICABLE" 12 OR GREATER ROOF SLOPE: O LESS THAN 2:12 O 12-4:12 O .. TYPE OF ROOF O SHINGLE O METAL D M01:) IFIED BITUMEN O TORCH DOWN P01,NTSULATED ILEOTHER: MA VUFACTL' RER FL# FL--." FLORIDA PRODUCT APPROVAL FL- FL- FL- — FL- FL-