HomeMy WebLinkAbout113 Cabana View Way - BR18-003011 - REROOFCITY OF
FORD,
FIRE DEPARTMENT
Building & Fire Prevention Division
JUL 0 9 2018 PERMIT APPLICATION
h Application No: ff 3011
p SyDocumentedConstructionValue: $ 14. O 7 .
Job Address: GI Akan V ; cW, W&I Historic District: YesF—]Noz
Parcel ID: Residential Commercial
Type of Work: New[] Addition Alteration Repair Demo Change of UseEl Move
Description of Work: K e _
Plan Review Contact Person:
Phone: Fax: Email:
Property Owner Information
Title:
Name 18 i SS Phone: poi - C1 16 - y 7a
Street: .e WA Resident of ro? • ..jeSPPerh'••
City, State Zip: S Amer A. F L 3z 7 l
r 1 (
Contractor Information
Name 1` ori dA Ra-.,,d. LLe Phone: 407.21i D- &4t
Street: v y . -A 10 z0 O Fax: '40 i 1414 '
City, State Zip:. rd'% % State License No.: CC L° 13LA S7.3s
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. 1 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: 61 Edition (2017) Florida Building Code
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
N1, , r7, %
Sign ntractor/Agent DateNll
not Contractor/Agent's Name
Signature of Notary -State of Florida Date Si at e N t Ste Florid@a
r n ,qIW!. ANNETTE BLAND
Notary Public - State of Florida
Commission a GG 060623
e,,,d,•'' My Comm. Expires Jan 16, 2016
Owner/Agent is Personally Known to Me or C wn 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: Occupancy Use: Flood Zone:
Total Sq Ft ofBldg: 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:
COMMENTS:
FIRE: BUILDING:
Florida ROOWRO 5224 W State Rd 46
WWre Qya!%y Comes First" #250 Sanford FI, 32771
Residential • Commercial Phone: 407-260-6656
Licensed & Insured Fax: 407-732-4438
PRO POSAL. I CONTRACT
State Certified # CCC1925735 Date Ia - D ' Ir7
Submitted Tompfrk as
Address 3 NW " City SAnt odd State FL zip 1
Phone # 4,07- Cl 1s-- q 7 1407. 7-)q- —IqGOther # yb'7- 417 LPI! Job Address _
I Vradw A-V t- L .3=-j We Hereby
Submit Specifications And Estimates For: jam Remove
exis ing layer roof. Each additional layer at $ per square. Install underlayment /
base ply. jr Install
val y liner in all valleys throughout where needed. Install new
soil stack flashings (boots). Install new
roof Ven o th roo de , co or w Install A
i r& •roof, • cr S 10% Il Replace
arly rotten or damaged wood the roof deck for $- X,42 per foot, or $ per sheet
of plywood (if needed). . Additional work
scope or information: 1 % .. a I(v
NSURANCE,CLAIMS,ON I Contract Arnoprit: I! I I All work
scope and / or costs specified in the contract agreement is subject to
or contingent upon the approval of the customer's insurance company. The
undersigned further appoints Florida RoofPro /contractor as its
representative and permits Florida RoofPro/ Contractor to negotiate with
the insurance company for settlement of the insurance claim. If
there is a difference of work scope and / or costs, Florida RoofPro/ Contractor
may negotiate a reasonable replacement and / or replacement cost
mutuality agreed between Florida RoofPro/ Contractor and the
insurance company. Florida RoofPro will not start until work is approved by
the insurance company _ '''--- __ Pa m
ent tobe made v completion
or
as follows. of I
INSURANCE
COMPANY • I All payments to be made payable to Fldrida RoofPro only ACCEPTANCE OF
PROPOSAL The above
prices, specifications a9d conditions of this contract are -satisfactory and are herby accepted. 11 IW have read and understand the
terms and conditions I ated on th eback of this document / contract agreement. Florida RoofPro/ Contractor is authorzed to
do work as specified in; oordance,with thwe terms and conditions and stipulations of this contract agreement. Pavment will
be made ast€i abAv Authorized Signatur Print
Name Title ,
Authorized Signature
Estimators
I IrrAm, Print Name Title
NOTICE OF COMMENCEMENT ii il 11111 IIIII IIIII IIIII Illl IIII
TYStateofFloridaCLERKOFLGIRGUITIGOURTCOUGOMPTROLLERCountyofSeminoleBK9169P932, (1P9s )
Permit Number: Parcel ID Number:
ArJ\3 -'FEr
RECORDED BY tssmth Of
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.
GENERAL DESCRIPTION OF IMPROOVE MENT:
Z9--ROO.
OWNER INFORMATION:
Name: M 'T \ N . roSSA - ;_
Address: 4 A IC-T Q9 ec- d'TR -4 PL22T {l4LL
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTQR:
Name: 4a04z\)A tz00
Address: S ZZ 4 (Z 4- 6 r\ l'C' -*L- 750, S A) 3
Persons within the State of Florida Designated by Owner upon whom notice or other documents may b s rt+
as provided by Section 713.13(1)(b), Florida Statutes. EOCOP,RC pS`0\3
Name:
Address: ERKC vT p,e E DR
In addition to himself, Owner Designates P \ ` C
To receive a copy of the Lie' o vi 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
O
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.
C
E Under penalties of perjury, I declare that I have read the foregoing and that the facts stated In it are true
to the best knowledge and belief.
Owners Signature Owners Printed Name
W
M
Q
41M
ER A St1N§ sign a notice of commencement and no one else may be permitted to sign in his or her stead.'
Notary Public - State of Florida svw C[ya1
My Comm. Expires Oct 24, 2018 Mrn SS av' %p#' 9g31 CtCommission * FF 146259 '
FF 144 g 1BondedThroughortaln. - - _ Ems. da)-G
The foregoing Instrument was acknowledged before me this Vt day of J Qri . 20 \B
by Mar., 14. Who Is personally known to me 2'
Name of person malilng statement
OR who has produced Identification type of Identification produced:
04D S
N
SCPA Parcel View: 29-19-31-501-0000-1950 Page 1 of 2
A.01%
11PAWDE6sw+uu oou+n, croraa
Parcel Information
Property Record Card
Parcel: 29.19-31-501.0000.1950
Property Address: 113 CABANA VIEW WAY SANFORD, FL 32771
Parcel 29-19-31-501-0000-1950
Owner(s) GOSSAGE, MARTIN N
Property Address 113 CABANA VIEW WAY SANFORD, FL 32771
Mailing OAK TREE COTTAGE PERTENHALL RD KEYSOE BEDFORDSHIREMK442HRUK
Subdivision Name CELERY KEY
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
ME
3 1
nv> m
60
W v CpW 7
29.48 60 105.47
I Seminole
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 160.600 131,878
Depreciated EXFT Value
Land Value (Market) 36,500 31,500
Land Value Ag
Just/Market Value " 197,100 163.378
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 18,908 1.385
P&G Adj 0 0
Assessed Value 178,192 161,993
Tax Amount without SOH. $3,093.69
2017 Tax Bill Amount $3,093.69
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=29193150100001950 7/9/2018
SXi FORDifFIREDEPARTMENT
JOB ADDRESS:
PERNIIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
10
STRUCTURE TYPE: VINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): r
PLEASE NOTE: ONLY IOOSQUARE FE
ROOF VENTILATION: &/OFF -RIDGE
OF THE EXISTINGDECKIS PERMITTED TOBE REPLACED**
O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES &NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 12 OR GREATER
TYPE OF ROOF FLORIDA PRODUCT APPROVAL
SHINGLE
MAANUFACTURER
A;N+ed'd FL# FL -S y 444 - R I t
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED 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#
0MODIFIED BITUMEN FL#
OTORCH DOWN FL#
0INSULATED FL#
O TILE FL#
0 OTHER: FL#
CITY OF
Building & Fire Prevention DivisionS------IPORD I RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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: / + `1 _ 19
INS.ki4iORD Building &Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATEUNG, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: 8 — 3 ` ADDRESS: 113 eALAM Y 1 etyd AS4
5 trj - FL- .34-A 771
I —LA1A4 Mp-M,QA , 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 #: 0-6C I IDJ73s
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE OWNER/BUILDER)
A FINAL ROOF INSPECTION IS REOUIRED:
DATE: r I O
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 2 KMl YNZ(C-
Sworn to and Subscribed before me this day of SjlAjy 20 by:
06k IweZ W - AlOnw n . Who is &4- zonally Known to me or has 0 Produced (type of
identification)
Signature of NofiarTPublic
State of Florida
Plexaeoz,r- (;onCQjj rs
Print/Type/Stamp Name
of Notary Public
as identification.
Hri:,;••.,; ALEXANDERGONCALVES
Notary Public -State of Florida
Commission 1 GC; 151071
7;' My Comm. Expires Cki 11,1011
IlonrlydthrouyhNatiruwlNomrrAsur.