HomeMy WebLinkAbout109 Cabana View Way - BR17-002882 - REROOFT 7 n
CITY OF SANFORD
tLl! V BUILDING & FIRE PREVENTION
PERMIT APPLICATION
A SEP 2 8 2012
s, 6 By; Application No: % % " 49-
Documented Construction Value: $
Job Addre
Parcel ID:
Type of Work: New Addition
Description of Work:
Plan Review /Contact Person:
Phone: Fax:
Nam
Stree
City,
Name
Historic District: Yes No
Residential 1z Commercial
Alteration Repair U Demo Change of Use Move
Title:
mail: / ,
Property Owner Information
NN Q
r
Phone: Zlh'/ % —a 4 t2
Resident of property?: Aw k
KEEPING YOU DRY ROOFING, LLC
Street: col TRIUMPH GT-., SUITE 4
City, State Zip: ORLANDO, FL 32805
rmation /
l 'y _
Phone: Q t -Y-1
Fax: /4Z—`'t n iY
State License No.u y U
Architect/Engineer Information
Name: A, JA Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 5'h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application 4 -' lI
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 1 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 1CC 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 c rate and that all work will
be done in compliance with all applicable laws regulating constructio d zo ing.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature ofNotary -State of Florida Date
Signaturlof Contractor/Agent Date
d /n d2ddz,4_
Prmt Contractor/Agents Name
0.// of
Notary Public State of Florida
Tina Poulsen
My Commission FF 0837681141J,d Expires 01/15i2018
Owner/Agent is Personally Known to Me or --
v v
Contractor/Agent is Personally Known 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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel ViQw: 29-19-31-501-0000-1940 Page 1 of 2
iSC-MWCiIL GOIMY, FLgRRIH
Parcel Information
Pro a Record Card
Parcel: 29-19-31-501-0000-1940
Owner: GOMEZ ROSEANI R & JEROME W
Property Address: 109 CABANA VIEW WAY SANFORD, FI.. 32771
i Value Summary
4 g 6506 i -- ----------- 60 60 105 49 122
rn
r 100
I 86.33 60
29 481 60 105.47 1 '
inole-Goun' GIS 1
2017 Working ! 2016 Certified
Values t! Values
Valuation Method j Cost/Market i Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value j $122 444 111 814
Depreciated EXFT Value 1 400 i $1 450
Land Value (Market) I $31,500 27 500
Land Value Ag
JusVNarket Value 155 344 140,764
Portability Adj 32,830
Save Our Homes Adj 45,143 I
Amendment 1 Ad
P&G Adj 0 0
Assessed Value 110,201 107,934
Tax Amount without SOH: $2,008.00
2016 Tax Bill Amount $1,350.00
Tax Estimator
Save Our Homes Savings: $658.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=29193150100001940 9/25/2017
1 City1 Sanford
pti.19 qfiQ 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 theinformationandproductapprovalnumber(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 theapplicablelistedproducts. Be aware that windows, skylights, and exterior doors must be tested inaccordancewiththeFloridaBuildingCode, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.floridabuildin.g.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 #
including decimal)
3. Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products / ri4-ii.( Asphalt Shingles witUnderlaments
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
5. Shutters
Accordion
Bahama
Colonial
Roll up
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
CITY OF
Ski4FORD
FIRE IDEPARTMPNT
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: # SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY:
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: #OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
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 @F4:12 OR GREATER
O TURBINES
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
OTORCH DOWN EELE, FL#
AkINSULATEDFL#
O TILE FL#
O OTH ER: 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#
O MODIFIED BITUMEN FL#
OTORCH DOWN FL#
O INSULATED FL#
O TILE FL#
O OTHER: FL#
DRY
11 G
631 Triumph Ct — Unit 4, Orlando, R. 32805
P:407-253-2221 F:407-253-2228
w,vw.l:' ejgyoud_vroo;5n"Cooni
hee• inwoudrr:cr.mail.com
Power of Attorney
Site Address:
Description of work: 0
Contractor: Mike Mader
Phone# 407-253-2221
License# CCC1329390
As contractor for the above referenced permit, I hereby authorize
Tina Poulsen to sign documents related to the above mentioned address.
i i" s`_s Llr1I js s_`ic
The foregol ng instrument was acknowledged before me this
Day of by Mike Mader who is personally kno',-'n
To me.
Print name Notary signature
f ?4r"'.,N.:G4f4fgt,Fi,?3f'LPlet4 r'tr'.,tiftb9rf s5T _' p
F MY COM,"MISSK N k FF214400
Q/'°• F. EXPIRES: 1:me 29, 2019
I t::rlhdl NALOYP SEMINOLE COUN'Fy
i)F CIRCUIT MAT & COMPTROLLERTHISINSTRUMENTPREPAREDBY: BK 399.1'P9 715(1 F'3 s ) Name: C:LERK'S v 2017096257Address: K 11"EC0111)EE) 09l25r'2t t 17 Cl4. t_ 11 h'f'I631TRIUMPHGTESUITE3;{:.(;f)RGt3:i'IG FEE::S
F
1.CtCli t
C^
l5L6Q0, 3280 I"tECORD'ED BY hde,, ore
Permit Number:
Parcel ID Number: 7 t
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, PROPERTY4 (Legal description of
2. GENERAL DE$Pf3IPT/ON OF IMPROVEMENT:
3. OWNER INFORMA
Name and address;
Interest in property:
Fee Simple Title Holder (if other than owner listed above)
4. CONTRACTOR:
Address:
5. SURETY (If app is attached):
Phone Number:
Address:
6. LENDER: Name: ro Id Phone Number: _
Address:
Amount of Bond:
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., FI nd Statutes.
Name: PhonePhone Number:
Address:
In addition, Owner designates of
to receive a copy of the Lienor's 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 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 COMMEVVING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties f erjury, I declare that 1 have read t foregoing and that the facts stated in it are true to the best of my knowledge and
belief. n h a% ._ 1 n 4 h,— — 1 I A
State of County of its
The foregoing i ument wa cknowledged before me this day of ! c , =4zy
by Who is perso ally known to me O OR
Name or person ma ' gstatement
V
1
who has produced identification pe of identification producet] VI 'U
r't' Public State of Florida
t>ulsen
q ornrnission FF 083768
e;
01115/2018 a
Y OF
t Building & Fire Prevention DivisionSXNFORDRESIDENTIALRE -ROOF AFFIDA VIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
11
F'ERMIT #: / v .' ) 1 1
I Ki--- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, E GI EER, 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 ##:
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE HOLDER OR OWNER/BUILDER)
KEEPING YOU DRY ROOFING, LLC
MPH CT., SUITE 4
Aft ANOOO FL 32805
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
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 .
y,
Sworn to and Subscribed before me this vVay of 20 eby:
Who is Personally Known to me or has Produced (type of
identification) as identification.
Sign Of NO ary Public ,:p, PP I jotary Public State C, Florida
State of F orida' :° . +Zvi I';na r'ouMi6 o comnissronFF053768 Print/
Type/Stamp Name of
Notary Public