HomeMy WebLinkAbout171 Clear Lake Cir - BR18-002879 - REROOFCITY OF
SkNFORD
FIRE DEPARTMENT
JUN272018
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: 1 A ' -)
Documented Construction Value: $ L2,,C c
Job Address: 7 (n 1 (Historic c Lt Q. District: Yes No
Parcel ID: Q_Q --.36 — T G-`j _ n — ) p)y ResidentialEl Commercial
Type of Work: New[] Addition[] Alteration[] Repair Demo[] Change of Use Move
Description of Work: C__ C1) e
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name V Q Cos ( e'
Street:
City, State Zip: a x-9 z Z
Phone: y 6:1 _ :I E, S'. ® 9 o
Resident of property? :
Contractor Information
Name—VK,e- 6'-& Phone:
Street: r . ( t II Pc.to,S S Fax: _
City, State Zip: , -L, 3 -(( State License No.: ,(
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 1 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: 61D Edition (2017) Florida Building Code
Revised: January I, 2018 Permit Application
N
THIS INSTRUMENT PREPARED BY:
Name: V t" cow 4 \ S izG
Addrets•
NOTICE OF COMMENCEMENT
Permit Number.
GRANT MALOY SEMINOLE COUNTY
CLERK OF:CIRCUIT COURT 6 COMPTROLLER
BY, 9162 Ps 16 (1P9s)
CLERK'S T 2018074003
RECORDED 06/27/2018 10:25:59 All
RECORDING FEES $10.00
RECORDED BY hdevore
Parcel ID Number. 0;a-- X G- %0 ' i 1- o U o o-/ L' 1 v
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter .713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement.
2. GENERAL DESCRIPTION OF IMPROVEMENT: _
3. OWNEWINFORMATION1OR LESSEE t
Nameandaddress: rl C rti C._ %
Zr4zo IF
THE LESSEE CONTRACTED FOR THE IMPROVEMENT: ter,_ _
r - Interest
in property: r 4n LJ h C-- (- Fee
Simple Title Holder (W other than owner listed above) Name: 4.
CONTRACTOR: Address:
I CC S.
SURETY (If applicable, a copy of the payment bond is attached): Name: Phone
Number. 7-
Voa.
1,_
n Amount of Bond' 6.
LENDER: Name: \ tarp t° t^ Phone Number. i Q, ;L'1 z Z. 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)(a)7., Florida Statutes. Name:
Phone Number. Address:
S.
In addition, Owner designates of to
receive a copy of the Uenots Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number. 8.
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 ARE CONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. a
j\c"'Co-c0oSignature
of Owner or Lessee, or Owner's or Lessee's (Pdnt Name andProvideSigneWs Ti ) AuUrorizedotBcedoiredodparinerNgneger) state
of ` o' County of The
foregoing instrument was acknowledged before me this day of 40 by
A cCOJ D Who Is II k who
has produced AND
COM# SEP1
HOLE BY
Name
of tta
t
pereona
y nown to me D OR
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.
12--t
Signature of Owncr/Agent
sq•...PUB-:0
0% ?iF Of11; ;\10
It
nally Known to Me or
of ID R- 1. QP-r (; CAlfje
Signature-0 o rota
aurp,
s ANNETTE BLAND
Notary Public State of Florida
r
0 Commission # GG 060623
4U'.0 My Comm. Expires Jan 16. 2018
Con e s a y nowia to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas[] Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
COMMENTS:
ENGINEERING:
of Heads
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: January I, 2018 Permit Application
JOB ADDRESS: I_
PERMIT # l $— 28 —7 1
City of Sanford Building Division
Residential Re -Roof Scope of Work
e
STRUCTURE TYPE: LE AMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): ` D
PLEASE NOTE: ONL Y IOO SQUARE FEE F T E EXISTING DECK IS PERAfITTED TO BE REPLACED**
ROOF VENTILATION: DOFF -RIDGE GE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES ONO 1F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 0 2:12 — 4:12 12OEATER
OTURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
GS-HINGLE
e=
L FL# 1 Oct 3 S — c
O METAL FL#
O MODIFIED BITUMEN FL#
0TORCH DOWN FL#
0 INSULATED FL#
0 TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 0 2:12 — 4:12 0 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
0 TILE FL#
0OTHER: FL#
CITY OF
7
j Building & Fire Prevention DivisionS,ki4FORD 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 APPROVALNUMBERS 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 THEROOF, 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 (IFAPPLICABLE)
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 OWNERBUILDER) SIGNATURE: DATE: