HomeMy WebLinkAbout141 Circle Hill Rd - BR18-003686 - REROOFIm
CITY OF
S FORD
BUILDING DIVISION
Job Addre;
Parcel ID:
PERMIT APPLICATION
Application No:
Construction Value: $ 12)o
3 Historic District: Yes [I Noo
Residential Commercial El
Type of Work: New Addition 0Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: J
Phone:
Name 1)111
Street:_
City, State Zip:
Name
Street:
City, S1
Name:
Title:
Email:- t rm l
Property Owner Information
Phone:
Resident of property?
C.nntmrtnr Infnrmatinn
Phone: `10) , q 03 4 a[' Q
Fax:
State License No.: C (I I' )0 `f 4 0
Architect/Engineer Information
Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
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: 6" Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the I
records of this county, and there may be additional permits required from other governmental entities such as water management districts,
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 ofsubmittal. 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 wner Agent ate c
s N e i v ,"', •
q Prin Contractor/Agent's amei
Al 1pj rr ;
State of F or Date z W,? Signalu Notary -State D.
Owner/Agent is Personally Kno n to Me o• riContractor/Agent is Personally Produced
ID V 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 APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
F
QD o
0
v
ic Ym.g^i'ra*
ME JWK
NWjFire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Grant Mato Clerk Of The Circuit Court 8 Comptroller Seminole County. FL
Inst #2018%9348 Elook:9201 Page:830; (1 PAGES) RCD: 8/28/2018 11:48:49 AM
REC FEE $10.00 CERTIFI C Y GRANT MALOY
CLER F TH I UIT COURT
AND OMP ' I
SEM U Y LORIDA>' 1
THIS INSTRUME PREPA ED BY471
Name: -
J
BY DEPUTY
Address:
A UGlaw19
n
V
V
NOTICE OF COMMENCEMENT
Permit Number. ;
Parcel ID Number. -
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)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATIO OR ES8 NFORMATION IF THE
Name and address
Interest Inproperty:
Fee Simple Title Holder (d other than owner listed above) Name:
4. CONTRACTOR N me: Phone Number. k4 V
Address: Tt: U I t) r%-
5. SURETY Of applicaMe, a copy of the payment bond Is attached): Name:
Address: Amount of Bond'.
8 LENDER: Name: Phone Number.
Address:
T. 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)(s)7., Florida Stq-utes.
Name:f r+ Phone Number.
Address•
a In addition, Owner designates of
to receive a copy of the Uenoes Notice as provided In Section 713.13(1)(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 specttieed)
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.
1 mDtUseacxbadPoerMowerrwWasss0 State
of
yvu Ur\d 0- County of The foregoing
Instrument was acknowledged before me this CA, who
has
produced identification John Rojas
Pdnl Name
rind PmMe SO*W/s TWWOMcs) i
inniryxoonng ano t-onstrucuon PO
Box 2254 . Winter Park, FL 32789 1FRINITYOrlando:407.930.9266 • Jacksonville:904.404.8686 • Fax:877.561.0883 ROOFING
AND CONSTRUCTION www.TrinityRandC.com Customer: '
4 Street:
n d ' City.
X.C Sy C.. ST: •eZip: j2i Home: Work:
Cell: (7'
1 Sq •h /69 , Fax: Email: Source:
S
Am Mgr:
Acct Mgr
Ph: Specifications of
Existing Roof - Type: Tile
Shingle V 3T Arch Pitch: ' /12
1 story 2Story Gutters Y /
N Color: Downspouts Y /
N LF: of
Downspouts
Cost: $ Vents &
Accessories
Boot Jackets
1.5', 2" 3" 4" Goose Necks
4" 6" 8" IV Ridge Vent
LF Off -Ridge 4" # of Sections: _ Skylights: Yes
No Quantity: Size: Turbine
Vents:
Solar Panels # (
Pool of Water Heater - circle one): Satellite Dish:
Yes No Other: Interior
Damage:
Yes - # of rooms: Explain: 1
Story
o 2 Story r-cFe,.Al A:S 7t, ; , t
321 3 6 C'5 I b eS . tC ASSIGNMENT OF BENEFITS t FOR VALUABLE
CONSIDERATION, I HERBY ASSIGN AND TRANSFER ANY AND ALL RIGHTS, BENEFITS AND CAUSES 0 ACTION TO
Trinity Roofing and Construction (hereinafter "Assignee"). In the event my insurance company is obligated to make payment to
me or my assignee for damages covered under the applicable policy of insurance and the company fails or refuses to mak timely, complete
payment, I authorize Assignee to prosecute said cause of action either in my name or Assignee's nameand further I authorize Assignee
to Compromise, settle or otherwise resolve said cau of action asthey see fit. C\AZ-.
DI TION OF P YMENT I herby
authorize and direct you, my homeowners insurance company, to issue payment SOLELY and directly to Trinity Roofing and Construction, ("Assignee")
and any applicable mortgage company(s), such sums as may be due and owing for all damages payable un the subject
contract of insurance, with the exception of damages payable under the Contents and Additional Living Expenses applica line of
insurance. ADDITION This
agreement
does not obligate the Customer to Trinity Roofing and Construction in any way unless the insurance provider approv the claim
or court of competent jurisdiction orders the insurance carrier to provide coverage and payment for damage(s) suffered by customer. Unless
additional work or upgrades are requested, Trinity Roofing and Construction agrees the project will be completed WITH NO
COST TO THE CUSTOMER, EXCEPT THE INSURANCE DEDUCTIBLE. YOU, THE
BUYER, MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE
DATE OF THIS AGREEMENT. TRINITY ROOFING AND CONSTRUCTION CLAIMS ALL WARRANTIES, EXPRESSED OR
IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED
ON THE REVERSE SIDE OF THIS AGREEMENT. OWNER HAS
READ AND AGREES TO ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF THIS AGREEMI OWNER AGREES
TO ALLOW ONLY TRINITY ROOFING AND CONSTRUCTION TO DO THE WORK. A PENALTY OF $1 THE INSURANCE
PROCEEDS, FOR LIQUIDATED DAMAGES, WILL BE APP ED FOR BREECH OF THIS AGREEME T. TOTAL CHARGES
FOR WORK PER THIS AGR EMEN WILL BE - ACCEPTED BY
HOMEOWNER: DATE: ' jBY- CO-OWNER:
DATE: BY: TRC REPRESENTATIVE:
DATE: BY: X AI Insurance
Company
Phone Policy# laim# Adjuster Name
Proneft Record Card
Parcel: 04-20-30-514-0000-0440
Property Address: 141 CIRCLE HILL RD SANFORD, FL 32773-4772
Parcel Infortnatlon . ; Value Summary
0
N IC
bI4 O
Parcel 04-20 30 514-0000 0040
Owner(s) ROJAS, JOHN D
ROJAS, MARIE E
Property Address 141 CIRCLE HILL RD SANFORD, FL 32773 4772
Melling 141 CIRCLE HILL RD SANFORD, FL 32773-4772
Subdivision Name MAYFAIR CLUB PH 2
Tax
2018 Working
Values
2017 Certified
Values
Valuation Method CosUMarket Cost/Market
Number o1 Buildings 1 1
Depredated Bldg Value 5190,871 779,852
Depreciated EXFT Value
Land Value (Market) 535,000 535,000
Land Value Ag
JusUMarket Value •• 225,871 214,852
Portability Adj
Save Our Homes Adj O SO
Amendment 1 AtlJ 18,838 E27,549
PdG Adj SO SO
Assessed Value 206,033 5187,303
Tax Amount without SOH: s3,747.00
2017 Tax BillAmount 53,747.00
Tax Estimator
Save Our Homes Savings: $0.00
TRIM Notice1•1e1P
Does NOT INCLUDE Non Ad ValoremAssessments
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
information and product approval number(s) on the building components listed below if they are to be
utilized on the construction project for which you are applying for a building permit. We recommend that
you contact your local product supplier should you not know the product approval number for any of the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floddabuildina.org.
The following information must be available on the jobsite for inspections:
1. This entire product approval form
2. A copy of the manufacturer's installation details and requirements for each product.
Category / Subcategory Manufacturer Product
Description
Florida Approval
include decimal
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
includin decimal
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
Asphalt Shingles
Underla ments
Roofing Fasteners
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
Roofing slate
Cements/
Adhesives /
Coating
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyurethane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval # include decimal
S. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
S. Skylights
Skylights
Other
7. Structural
Components
Wood Connectors /
Anchors
Truss Plates
Engineered Lumber
Railing
Coolers/Freezers
Concrete Admixtures
Precast Lintels
Insulation Forms
Plastics
Deck / Roof
Wall
Prefab Sheds
Other
8. New Exterior
Envelope Products
Applicant's Signature
Applicant's Name
Please Print)
June 2014
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: ( SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 8 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTINGDECKIS PERMITTED TO BE REPLACED'* -
ROOF VENTILATION: DOFF -RIDGE ORIDGE 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 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
6SHINGLE 4 J& d FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TILE FL#
OTHER: J&d I FL#
V
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#
OTORCH DOWN FL#
OINSULATED FL#
OTILE FL#
0 OTHER: FL#
CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTML RE-ROOFPOLICY & 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
FAILURETO 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: ZS
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL F L ROOF COVERINQR
PERMIT #: 1 ]
I . )0//, L
ROOFING CONTRACTOR, ENGINEER,
FOREGOING INFORMATION IS TRUE
i W
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
HITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THEABOVEREFERENCEDADDRESSHAVEBEENINSTALLEDINACCORDANCEWITHTHEIRPRODUCTAPPROVALSANDALLAPPLICABLECODEREQUIREMENTS -SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALLREQUIREMENTSFORSECONDARYWATERBARRIERANDNAILINGOFTHEROOFDECK, IN ACCORDANCE WITH THE HURRICANE RETROFITMANUAL
PRU MENTS (BASED ON F.S. q(qTER 553.844).
LICEN
i
COMPANY / CONTRACTOR: l
CONTRACTOR SIGNATURE: DATE: bMUSTBESIGNEDBYLICENSEDEROROWNUILDER)
A FINAL ROOF INSPECTION IS REOUIRED•
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 DECKFOREACHINSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING ANDOVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDUREPAPERWORKFORFURTHEREXPLANATIONOFALLREQUIREMENTS.
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 PERSONALINSPECTION, THE INSTALLATION OF ALL OFING COMPONENTS.
STATE OF FLORIDA COUNTY OF
S rn and subscribed b fore me this (I day of 20 Xq by:
Who is (erssoonnally Known to me or has 0 Produced (type of
i ntific ti n) O as -identification.
Fe of Notary
Florida
Print/Type/Stamp Name
of Notary Public
R' Notary Public State of Florida
Stephanie Bateyy • My Commission GG 172888
0a. Expires02/27/2022