HomeMy WebLinkAbout2613 Hartwell Ave - BR18-002790 - ReRoofifCITY OF
SANFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: a — °l -7
Documented Construction Value: $ d
Job Address: 2613 "M!:TVJ15LL_ ., 5WMQ-0 _ft 321-13 Historic District- Yes Noo"'
Parcel ID: 01— 20 - 2YQ -5- 2, - Q= Residential Commercial
Type of Work: New[] Addition Alteration Repair Demo[] Change of Use Move
Description of Work: 'P SI 1)ONTIAL_ 'Z.E- $40F
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name MALIN MII,ANES Phone:
Street: 2Lpl MQTh1E LI_ CIE Resident of property?
City, State Zip: SAtNJf pQV'io 1:rt, 32--1'13
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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. 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: 6" Edition (2017) Florida Building Code
Revised: January 1. 201B 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 govermncntal entities such as water
management districts, state agencies, or federal agencies.
Accepfance ofpermit 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: 1 certify that all of the foregoing information is accurate and that all work will
be done in compliancewith all applicable lavyegulating construction and zoning.
Signatureof
Print Owner/Agent's Name
Date
6 6. 017_41r / k
u '? ° DEBBIE BLANTONv,-.
MY COA1h11SSI0N 11F'r 178648
T EXPIRES- February 25, 2019
BondedThruNotary Pink Underwriters
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of IDYr L_ Produced ID Type of ID
e". (O l k ,-- J
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:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
FIRE: BUILDING:
Revised: January 1, 2018 Permit Application
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in l year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
RJ. 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
b zoning regulations.
LV I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
I
Property Address: Pr e,-ruj" ` c ,m6 ce,& <JZ - 3Z 3
I, I C l Pr el 4 v J , do hereby state that I am qualified
and capable of performing a uested construction involved with the permit application filed and agree to the
condi 'ons specified abov .
r I I I
Sig un; of Owner-Buil Date
Forrn of Identification
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Location Address 2(o13 1+ARTV4eLi— .445 -
required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the
ormation and product approval number(s) on the building components listed below if they are to be
zed on the construction project for which you are applying for a building permit. We recommend that
i contact your local product supplier should you not know the product approval number for any of the
licable listed products. Be aware that windows, skylights, and exterior doors must be tested in
ordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
roval can be obtained at www.floridabuilding.org.
The following information must be available on the jobsite for inspections:
1. Ihis 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
Swin iri
Sliding I
Sectional
Roll Up I
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(including
Florida Approval #
decimal
3. Panel Walls
Sidin "
Soffits
Storefronts
Curtain Walls
Wall (Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other,
4. Roofing Products
As halt Shingles A:F: FL 101 Zy - 2 Z% >
Underla ents C-AAr X-15 yew - U10
Roofing Fasteners
Nonstructural
Metal koofin
Wood'Shakes and
Shingles
Roofin' tiles
Roofinb
Insulation
Wate ;roofin
Built up roofingSystem
Modified Bitumen
Single Ply Roof
Systems
Roofin slate
Cements/
Adhesives /
Coatin i
Liquid Applied
Roofing Systems
Roof Tile
adhesive
Spray Applied
Polyuretiane
Roofing
E.P.S. Roof
Panels
Roof Vents
Other
I
I
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
S. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. 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
NTHIs INSTRUMENT PR pARED BY:
Name: GollOd Standard Bt1der Services
Address: 1 c. V
otR.l • %;po
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT b COMPTROLLER
BY, 9156 Ps 1608 (1Ps5)
CLERK'S : 2018070787
RECORDED OL/20/2013 02:55:26 PM
RECORDING FEES $10.00
RECORDED BY hdevore
Permit Number. Parcel ID Number. ZO'30' 50A — 2•9 DU — OZM
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.
OF PROPERTY: (Legal description ofthe property and street address ifavalialnjEFt rKHN•r W1l U iiV'I r r t .ncx
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Name: ALI GI )N, M I L,Al il S
Address:._21ell .5PPN129—D I fl. 520-7-'3
Fee Simple Title Holder (if other than owner) Name:
Address:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be servedasprovidedbySection713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
Of
To receive a copy of the Lienors Notice as Provided in
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless adifferentdateIsspecified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OFCOMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART 1. SECTION 713.13.
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ANOTICEOFCOMMENCENTMUSTBERECORDEDANDPOSTEDONTHEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU NT D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCIWOORRECORDINGYOURNOTICEOFCOMMENCEMENT.
Under penalties oT erJ ry, I declare that I have read the foregoing and that the facts stated In It are true
time best of my It vrrdge and belief.
Owner's Signature Owner's Printed Name
Florida Statute 713.13(1)(gy ' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead'
State of County of `
The foregoing Instrument was acknowledged before me thisp-90ay of Q by '
I • /, I ' C: 5 Who is personally known to me Name
of person making siatement OR
who has produced identification type of identification produced: it
Y COt iF ISSION0 FF 178648 PIFrs:
Fr?ilnlary 25, 2019 Nora Signature rhru
NWary'ubl?c Uad em-6era
CITY OF
SA Building & Fi>•e Prevention DivisionkRESIDENTIALRE -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.
I
i
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) DATE: Z
CITY OF
SANFORD
FIRE DEPARTMENT
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDREss: Z 13 Hu rW r — ,Q..Ve>- .
STRUCTURE T1TE: • SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: *REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
ORE -COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECO Y):
PLEASE NOTE: omYI00 SQUARE FF.ET OF THE E=TmGD mrs PF.RMJ7TED TO BERF'PL4CED*
ROOF VENTILATION: OOFF-RIDGE ORIDGE OSOFFIT OPOWERED VENT OTURBINES
SK-YLIGHTS: O YES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
OSHINGLE FL# 012
O METAL FL#
O MODIFIED BITUMN FL#
OTORCH DOWN FL#
OINSULATED FL#
O TILE FL#
O OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPUCABLE**
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#
OMODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED FL#
O TIDE FL#
OOTHER: FL#