HomeMy WebLinkAbout224 Fairfield Dr - BR18-002727 - REROOFCITY OF
ORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: h—d7a
Documented Construction Value: S I I, 16S .00
Job Address: TV/ F&I rri eU P..- G <44 &-a' K Historic District: YesE]No®
Parcel ID: 3 ' i 1-31'/S-DO00-BSZb Residential Commercial
Type of Work: New[] Addition[] Alteration Repair Demo Change of Use Move
Description of Work: RE -ROOF
Plan Review Contact Person:
John Byrne Jr
Title:
Permit Manager
Phone:
4079220502
Fax: Email: john@masimoconstruction.com
I
Property Owner Information
Name r yr Ce & 04 S Phone:
Street: Z-t Fw r t dd R-r1e, Resident of property? : AW 16
City, State Zip: 5 M % fL 3271
Name
Masimo Construction
Street: 16105 83 Place North
City, State Zip:
Name:
Street:
City, St, Zip:
Contractor Information
Loxahatchee FL 33470
Bonding Company:
Address:
Phone: /
4079220502
Fax:
N/A
State License No.:
CCC1328033
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address: 1
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: 61D Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
i
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 construct' n and zoning.
Signature ofOwner/Agent Date S' ature of tractor gent Dale
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Print Contractor/Agents Name
of
d(0 1k. 4
DEBBIE BL44TON
MY COMMISSION N FF 175648
EXPIRES: Februar7 25, 2019
Bonded Tbru Notary Pubic Unde Hlea
Owner/Agent is Personally Known to Me or Contractor/Agent is PersonallypQwn to Me or
Produced ID Type of ID Produced ID Type of ID 1=
e PIP
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 Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
Revised: January 1, 2018 Permit Application
tpkffik.
Parcel Information
PMReft Record Card
Parcel: 32-19-31-515-0000-0820
Property Address: 224 FAIRFIELD DR SANFORD, FL 32771
Parcel 32-19-31-5154)000 -0820
Owner(s) LYONS, LOUVA A
LYONS. PURCELL A
Property Address 224 FAIRFIELD DR SANFORD, FL 32771
Mailing 224 FAIRFIELD DR SANFORD, FL 32771
Subdivision Name CELERY LAKES PHASE 1
Tax District SISANFORD
DOR Use Code 01SINGLE FAMILY
Exemptions I 00-HOMESTEAD(2005)
ts \
2
T
F
Legal Description
LOT 82
CELERY LAKES PHASE 1
PB 62 PGS 75 8 76
I
Taxes
el
Value Summary
2018 Working
Values
2017 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 147,723 145,294
Depreciated EXFT Value 325 338
Land Value (Market) 34,500 32.500
Land Value Ag
Just/Market Value " 182,548 178,132
Portability Adj
Save Our Homes Adj 65,960 63,942
Amendment 1 Adj 0
P&G Adj 0 0
Assessed Value 116,588 114,190
Tax Amountwithout SOH: $2,604.0560.21 2017 Tax Bill Amount $1,386.50
Tax Estimator
Save Our Homes Savings: $1,217.55
1 ,t,
IS
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 116.558 50,000 66,568
Schools 116,568 25,000 91,588
City Sanford 116,568 50.000 66.588
SJWM(Saird Johns Water Management) 116,558 50,000 66,588
Courtly Bonds 116,558 50.000 66,588
Sales
Description Data Book Page Amount Qualified Vac/Imp
SPECIAL WARRANTY DEED 6t1/2004 05361 M I $174,500 1 Yes I Improved
Find Compatabla Sales
Land
Method Frontage I Depth Units Units Price Land Value
LOT 0.001 0.001 1 1 $34,500.00 1 $34,500
Building Information
IS becMam count incorrea'r Wick Here.
0 Description Year Built
ActualfERective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 SINGLE 2004 13 g 19 1,364 3,424 3.012 CBtSTUCCO 147,723 155,090 Description I AreaFAMILYIFINISH
GARAGE 396.00
4
Masimo Construction, Inc.
Address: 3715 Pembrook Dr.
Orlando. FL 32810
Office: (407) 286-0067 Phone: (407) 922-0500
State -Certified Roofing Contractor - CCC1328033
State -Certified General Contractor - CGC1509548
Brad Pollack. Contractor
Customer Name:
Address:
Home Phone:
Masimo Construction, Inc.
Roofing Contract/Proposal
Insurance Co.:
Adjuster.
Claim
Phone:(f&P--17rfi7- -
SPECIFICATIONS
Remove root to ewsunp dear layer.
O Eacn additional tayei S rSp,1100 Sp Ft.)
Re -nail existing deck to meet uplift codes.
Install most drip edgearound perimeterofroot.
Install lead boors to pipes I W 2' Y
fi Install Gooseneck vents 4' 10'
VAppy Rhino Guard (Synthetic) to wood dear.
O--2.& Sp Ft. of METAUSHI IL HAKES/FLAT
of rootto instal
Cow
VMamlfacurer of roofing system.
O Install ridge verd along peak of root:
Addl'I
P.O.
Date:
City/State/Zip;
r'(
2l1Tiy Dr7 T
rr 1 32
Work Phone:r-fi i /
OTHER PROPERTY CONDITIONS
O Ice/Water Shield Yes No
O Existing Water Damage Yq
Omg Driveway Damage Yes No
O roots:
go pales:
Interior Damage:
U Emergency Repair Yes No
Tapered Insulation Yes No
WORK INCLUDES,
Remove Irsh from root, gutter and yard.
Protect landscapingwhere applicable.
Roll yard with magnetic roller.
Furnish Mind
5-year warranty
Additional charges of $70 per sheer it decking replacement is needed which Is only visible upon tear -off existing roofing materials.
WE PROPOSE
To furnish
SPECIALINSTRUCTION S:
the sum of $
PAYMENT SCHEDULE
SO%I)OWN I'AYML:N'I'I'RIOR'1'OORDtiI(ING MNI'I:RIALS
PAYMENTIN PULL UPON COMPLE PION EARNI:
S'1' DEPOSIT: O SSW.UO O IOW.OU O S DOWN
PAYMI?N'fS FINAL
PAYMIiNT'S TOTAL $
00 AGREEMENT
This
agreement is subject to Insurance company approval and does not obligate the homeowner or Masimo Constructon, Inc.. In any way unless it is approved by
the insurance company and accepted by Masimo Construction. Inc. By signing this agreement you authorize us to negotiate the repair at a price agreeable to the
insurance company and Masimo Construction. Inc. at NO ADDITIONAL COST TO YOU EXC PT FOR THE INSURANCE U -TIBL AND AS PROVIDED F_
LSEWHEREINTHIS AGREEMENThe final price agreed on between the insurance company and Masimo Construction. Inc. shall become the final contract price. THREE
DAY RIGHT OF RESCISSION THIS
WRITTEN AGREEMENT HEREBY SERVES AS NOTICE THAT I MAY CANCEL THIS AGREEMENTa..
AAY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF
THIS AGR ENT. ._— Owner
Sign ure Dale . 20% Saks R Accepted
by ,C oy1nsstrruction. Inc.rRepresemalive X Insurance
Carrier v rtke!!! Fbm Calm No 39 1 Events
beyond tie Control of Masimo Construction, Inc. may cause delays to the projected Stan date or estimated time of Completion. Such delays do not constitute abandonmentandarenotincludedincaleuHWroUmeframesforpaymentorperformance. THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE ARE
A PART OFTHIS AGREEMENT. WHITE •
HOMEOWNERS COPY YELLOW - SALESMAN'S COPY PINK - OFFICE COPY Scanned
by CarnScanner
Permit Number.
Folio/Parcel Identification
Prepared by: John Byrne —000 —G y0
Return to: 3715 Pe nbrook Drive Orlando, FL 32810
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT 6 COMPTROLLER
BY, 9154 119 1136 QPys)
CLERK'S T 2018069064
RECORDED 06:18/2013 12:11.*18 PM
RECORDING FEES $10.00
RECORDED BY tsmith
State of Florida. County of _ I
NOTICE OF COMMENCEMENT
The undersigned hereby gives notice that Improvement will be made to certain real property, and in accordancewithChapter713, Florida Statutes, the following Information is provided in this Notice of Commencement. 1. Desarl on of proforty (legal description of the propert r, and sbret address tf available) C-0182 Zr a A o< e/ _ .. n 2.
General description of ml RE -ROOF 3.
Owner Informatlo or Lesi Name
Address
Interest
in Property Name
and address of fee Name
Address
4.
Contractor NamaMasimo
Construct: 5.
Surety if applicable, a copy 44
Address
IVIlf 6.
Lender on
nrV. Telephone Number4079220500 Address3715PembrookDriveOrlando. FL 3281n payment
bond 7.
Persons within the State of Florida designated by Owner upon beservedasprovidedby §713.13(1)(a)7, Florida Statutes. 8.
In addition to himself or herself, Owner designates the Notice
as provided In §713.13(1)(b), Florida Statutes. 9.
Telephone
Number Amount
of Bond $ Telephone
Number notices
or other documents may Telephone
Number to
receive a copy of the Lienoes Telephone
Number Wow
svwuue yr commencement (the expiration date may not be before the completion constructionandfinalpaymenttothecontractor, but wilt be 1 year from the date of recording unless a differentdateIsspecified) WARNING
TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITHYOURLENDERORANATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. Underof
perjury, I declare that I have read the foregoing noti nace
of commencement and that the faitaretruetothebestofmyknowledgeandbelief. A—^ _ or
O117V Slgnatorys TWOfflM
The foregoing
instrument was acknowledged before me this IL day of 6 IS by Lac__itv _ _ L r.r, as for
m°
nCVyear
name o1 pe on T a
rUy, a ., r, trustee, attorney In a Name of Y + party onbehaflofwhominstrumentwasedMNX-()' cz—SZC
c COPVe,t'Ov ISignature ofNotaryPu — State of Florida b' Nob
Public
stab of Florida GOM' C EjtK Personally KnownORProducedIDlXBernEFishednOpU1VTypeofIDProduced1c- aor_ o My Commission GG t53047 ill Expires
10/181202,
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: ILI
I hereby name and appoint: J06/2 Bti r0? e- r
an agent of:
Name
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):
The specific permit and application for work located at:
717 . / /--_ . n . / Al n . _ /' r
Street
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: C66/ 3 Z3o33
Signature of License Holder: &iII2 % /
STATE OF FLO,IDA
COUNTY OF i 401 k
The foregoing instrument as acknowledged before me this \2 day ofC_
204a , by whowho is )personally known
to me or o who has produced
identification and who did (did not) take an oath.
Signature
rj)blic State of Florida
i F Beth E Fi"
My Commission GG 15304711Explores1011812021
Rev. 08.12)
Print or type name
Notary Public - State of --\ bck,c,r-..
Commission No. GG 153c42
My Commission Expires: 1 O - 8.2azk
CITY OF
lip SIA O Building &Fire Prevention Division
F= RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS - NO PLAN REVIEW REQUIRED
TIES 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 CjE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/Bum)ER) SIGNATURE: /
o ,
DATE:
f
CITY OF
9 1
S ORD PERMIT #
FIRE DEPARTMENT Building & Fire Prevention Division
RESIDEN714L REROOF SCOPE OF WORK
JOB ADDRESS: ZZ 7 Fa '[ e d Ore %, SqI% 0•a Xi " - 77 /
STRUCTURE TYPE: )6SINGLE FAMILY RESIDENCEITOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -
ROOF TYPE: 6REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) ORE -
COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK
TYPE (PLEASE SPECIFY): O PLEASE
NOTE: ONLY 100 souAft-&E& OF THE EXISTING DECKIs TOBEREPLACEO** ROOF
VENTILATION: JpOFF-RIDGE ORIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS:
O YES j NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN
ROOF AREA ROOF
SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 'q 4:12 OR GREATER TYPE
OF ROOF MANUFACT-UTR.ERI FLORIDA PRODUCT APPROVAL SHINGLE
6 iC ///1GP.r(i e D FL# O
METAL FL# O
MODIFIEDBITUMEN FL# O
TORCHDOWN FL# OINSULATED
FL# O
TILEFL# 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
SHINGLEFL# OMETAL
FL# OMODIFIED
BITUMEN FL# OTORCH
DOWN FL# OINSULATED
FL# OTILE
FL# OOTHER:
I IFL#
CITY OF
9 SXi4FORD Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: / 7 7 2 ADDRESS: a,( F 11i'dald
Sail-Pdrd, fC 32-7 7/
Q `Q /! A•(_ 1 l __ , 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 #: (t c' 131 U33
COMPANY/CONTRACTOR: Al k51f"0 C0 as irV c IO/I .
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE HOLDER O O R/BUILDER)
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 %M I W1 e,
Sworn to and Subscribed
1'
before me this 3 day of 20 CJ by:
Who is1.
sonally
Known to me or has DRroduced (type of ide
ificati n) YX 11Je13 L1Cu SQ as identification. r
Notary Public State of Florida SignatureofNotaryPuis ' Beth E;Fishel StateofFloridaMCIdYomm4ti'on GG 153047 oiw
Expires 10/te/2021 e
u, va "r- 1/,, t Printlrype/
Stamp Name of
Notary Public