HomeMy WebLinkAbout247 Fairfield Dr - BR17-002903- ROOFA RMff
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CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /
t)'
o 10
Documented Construction Value: $ /l, 3y
Job Address: 20-7 hWT ,0 TD r • Sl r1 U rA B32VI Historic District: Yes No U
Parcel ID:32. -I-( - ,] n i 5'060E) - ) 3c-,,Z. Residential IN Commercial
Type of Work: New Addition Alterattiionn ElRepair 9 Demo Change of Use Move
Description of Work: y'r—KD
Plan Review Contact Person: / I It
Phone: 1467-7y 7--g55-7 Fax:
Title: Vye I
Email: ke 9 5ft) 1 V d D ,CC"
Property Owner Information
Name m I q Qi oa 9ct ricku, i
Street: 2,'-1-7 FG. (/4UJc) y--
City, State Zip: S(A/)/-CI 1 rl 37,-77 / Phone
ib l -III(0 - 5V(a& Resident
of property? : eS Contractor
Information u
Name
PrflAylk poblifn4- y10 G'7()e1 Phone: Street:
1 Fax: City,
State Zip: U V n-1 o , 0 TZ 0y L State License No.: (cc 11TIS6 9 3c1 Name: Street: City,
St,
Zip:
Bonding Company: Address:
Architect/Engineer
Information
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.
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
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.
Slaoul447t,( -
Si r ofOwner/Agent Date
ur
Pri t O r/Agent's Name
Mejoz q o i7
S Nota -Slat o Florida Da
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature ofNotary -State of Florida Date
A P B., JUDYLMERCER
Notary Public - State of Florida
Commission 0 GG 096251
My Comm. Expires May 26, 2021SOPti°a' rough NatlonaI Notary Assn. Owner/Agent is Personall fiwn''Io ontractor/Agent is Personally Known to Me or
Produced ID Type of I 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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Heads
UTILITIES:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
T
1il%k
Ins. Co: (/Y i v er5e, kcA/
7C) FC-f 1 Ayleri C
o Licensed & Insured p p
H. 1 ° " *First in Quality Tel.# - ' , / L C
ATLANTIC *
First in Service
First in Satisfaction Claim # r! -7 D 2 EG-.
Roofing & Construction,., 800-411-0920 Adj. Name
LIC # CCC1330939 6767 Hoffner Avenue Tel. # 6711
LIC # CRC1331435
Orlando, Florida 32822
f_ j
Fax #
r r n -} Y L r1 e.d'VA -S u c C Z `-13 ,C E 1u rri; , I Gam. CC, VI' Lei 0 is I. -a f% 0 () 0 0 -c-~ . F 1
PROPOSAL SUBMITTED TO 1 ' I -C I`1, er tiic DATE 41
r-
1 7- / 1
STREET JOB ;I t Aq'7 FO-1'
CITY, STATE, ZIP . ". n .rF l 3 Z77( SUBDIVISION ! fk fj -G-J
HOME PHONE ef U 7) BUSINESS PHONE N7) r
SPECIFICATIONS
FOR LABOR AND MATERIAL. Tear
Shingles: \ Layers _ L S
Trionally Install: Brand IY2 / 0 Type !`C cc Li 164--, Color CQA, i C cle-j CCC!!! Heys
Ft. 30
lb. Felt Peel & Stick Synthetic Underlayment / YN:
r sidewails, counter and wall flashmgs Re Use Drip Edge - DQ npEdge b _J 1-
1/20 2" 3' 4' or Plumbing Vents tion:.
Goose Necks Off Ridge Vents Ridge Vents Color -o LAI? Renail
Plywood Sheathing to Code Sk
2x2 4x4 replaced
at $60 - per sheet (if needed) / lean -
up and haul off alljob related trash oll yard with magnetic roller a] Protect yard and shrubs Atlantic
Roofing is not responsible for Pre-existing structural conditions. Buyers
agree they have seen, read & understand all terms & conditions of this contract & agree to be bound by same. ALL
ROOFS, HAVE A 5 YR LABOR WARRANTY CONTINGENT
This
proposal is contingent upon the Insurance company paying for damages. This proposal will be VOID only if claim is disallowed by insurance company. Property
owner's out-of-pocket expense is not to exceed the deductible amount. The insurance company will determine and set the price of the claim. YOU,
THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE IF THIS
TRANSACTION. BY SIGNING ABOVE, PROPERTY OWNER AGREES TO PROCEED WITH THE WORK AS PER PROPERTY -LOSS WORKSHEET
WHE13' R)=CENED. We
propose to hereby furnish materials and tabor, complete in accordance with above specifications for the sum of theinsurance as per theinsurance company
loss soDn'sheeL for which is incprporated herein and made a part hereof by reference, to include customary profit and overhead when multiple trade
incurred $ i PIS, yo C Paymerlttupon completion of each trade. Authorized
Signature /l _ 3oor u Must
be approved by company owner. No other work ekpressecfar implied verbally. All changes to be in writing and accepted before commencement of changes.
NOTE: This proposal may be withdrawn by us if not aocepted/vithin 30 days. ACCEPTANCE
OF PROPOSAL- The work
as specified Payment
wig be made as outface abo4 are
satisfactory and are hereby accepted. You are authorized to do the Date
Z
THIS INST UME PRFrPA : ,
Name: d
Address:
C6 -r 2
NOTICE OF COMMENCEMENT
GRANT MALOY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 3997 Ps 1996 (1P3s)
CLERK'S 4 2017098489
RECORDED 10/02/2017 02:23 : ! •9 PI1
RECCII; . ING FEES $10.00
RECORDED BY hdevore
Permit Number.
Parcel ID Number: 3 2--19 -31 —515-0Od0- 13-,
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.
4
DESCRIPTION OF PROPERTY: (Legal descri ton of the property and street address if available)
i 33 Ce l Pry 1 keSV ct.S e 1. 6 O2 Pc,S -7 5 4 7 co
Ll f tip L2 I_/ (mil -71
GENERAL DESCRIPTION OF IMPROVEMENT: rifO6 (`
OWNER INFORMATION OR LESSEE INFORM ATTInON-IFYTHE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address:f )mY&A kAric l &--& 2LI-% r ""Il(.Q.d >/ X,1{ 1 C J Z-72 I Interest
in property: Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: N Address: -
16 5.
SURETY (If applicable, a copy of the payment bond is attached): Address:-
S.
LENDER: Address:
Phone
Number: 1-07 71 7- ZZ
Amount
of Bond: Phone
Number: 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. tramp• _
Phone Number: 8.
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
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. 1
e-ryA &yI,-_- L Print
Name and Provide Signatory's Title/Once) State
oyl County of (JV F V JL td
tidentification Y
of
Zy
Theforegoinginstrumentwasacknowledgedbeforemethisday of J C ' d by .
Who is M1• ` ( U Vl1 V\ V ersonali known to me O OR personallyZ
Cr Z)
a L7
Name
of person making statement 8 h
h d di+ a of roduced• 4 C i, p- w oasprouceentfcatontQ]typ p GRACIELA GAGNE
MY COMMISSION #
FF985949 q. EXPIRES
April 25, 2020 A07 398.
0163 FbllditN S52Z Signature
SEMINOLE COUNTY MULTI%URISDICTIONAL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 3-3-2017
I hereby name and appoint: David Mercer
an agent of: Atlantic Roofing & Constuction
Name of Company)
to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to thisappointmentfor (check only one option):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney: 12-31-2017
License Holder Name: Michael Gagne
State License Number: CGC1330939
Signature of License Holder:
STATE OF FLORID
COUNTY OF 094446'=
The foregoing instrument was acknowledged before me this 3 day of NI04$4ct4-
20 l , by !`!r IAL L` who is l rsonally known to me or
who has produced
nd who did (did not) take an oath.
g iture of Notary
fyej
s°` dilDw.t A@ERCEF1saotary tidN0 - State of FloridaYCCarnmm>t EVU" Aby 26, 2017f1pE882187as
identification 1AI
y rl ieCr 2 Print
or type Notary name Notary
Public - State of Commission
No. My
Commission Expires:
JOB ADDRESS: 2
pERNRT
City of Sanford Building DivisionResidentialRe -Roof Scope of Work
77 I
F O A ARTNLF'NT/CONDOMINIUM
STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF ANTD REPLACE WITH EW COMPONENTS) RE-COVER (NEW ROOF INSTALLED OVER EXISTLNG ROOF)
1 ZK DECK TYPE (PLEASE SPECIFY): QS
PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERHIITTED TO SE REPLACED "
RIDGE OSOFFIT OPOWBRED VENT
ROOF VENTILATION: 9OFF-RIDGE
SKYLIGHTS: O YES Na IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL -
MALN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:I2 - 4:12 4:12 OR GREATER
ROOF EXTENSIONS (PORCHES PATIOS. ETC.I **1FAPPLICABLE**
12 — 4:12 O 4:12 OR GREATERROOFSLOPE: O LESS THAN 2:12 O - —
TYPE OF ROOF
O SHINGLE
O METAL
Q MODIFIED BITE viEiV
O TORCH DOWN
O INSULATED
O TILE
OTHER:
MANUFACTURER
O TURBINES
FLORIDA PRODUCT APPROVAL
FL-
FL-
FL-
FL-
FLr
FL=
1
City of Sanford Building DivisionResidentialRe -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are requiredtobesubmittedaspartofyourpermitapplication.
The Scope of Work must include all applicable Florida Product Approval numbers for all roof components thatwillbeinstalledontheproject.
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 SanfordHistoricPreservationBoard -
INSPECTION POLICY & PROCEDURES
A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, MobileHome, 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 ofthe 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 DesignProfessional (architect or engineer), certi ing F C ode compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE; BATE:
Y IfF '
f City of Sanford
z Wiz'" Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 1 -? — (/ -/ O ADDRESS: / , LP a A
I c a 0'n 4 - , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCIffTECT, 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 #: Ce C ( 3 3 a s 3 q
COMPANY/CONTRACTOR:
CONTRACTOR SIGNATURE: DATE: O i0
MUST BE SIGNED BY LICENSE HOLDEA 09OW&ER/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''
Sworn
Ll
Subscribed before me this day of Q 20 by:
Ht ALO . Who is2%ttrsonally Known to me or has Produced (type of
identifi ation) as identification.
Signat a of Notary Public
State of Florida .Pay P„B
r°;•••.,% STEPHEN PATRICK DOLAN
r PAe4 J A-h _k /;jq) * * MY COMMISSION # FF 071532
Print/Type/Stamp Name Nr'T`oF° s
EXPIRES: DecBudgemberbee27, 2017
of Notary Public