HomeMy WebLinkAbout2003 Jefferson Ave - BR185-004602 - REROOFa,.
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NOV 2 201$ PERMIT APPLICATION
Application No: 10 4
Documented Construction Value: $ ;; sad.
Job Address: o 0 0 3 144 _ Y-- - I3istoricDistrict: es No[
Parcel ID: 3 % -1q - 31 5'0- "/ O DO - 0 0/0 Residential gCommercialEl
Type of Work: New Addition Alteration Repair Demo Change ofUse Move
Description of 4CWork: e, roo
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name iclia e l a Phone:
Street: 3 e7"M 4 Resident of • Y J
p
property?.
City, State Zip: M 1. 3a ! 91
Contractor Information -
Name Phone:
Street: fyw6-4'4 Fax .. . City,
State Zip: _ .4 Of/G/U/0 I/ ;;*"State License No.: Name:
Architect/
Engineer Information 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 heiebymade to obtain a permit to do the workand installations is indicated. I certify that no work or installation has commenced prior to
the issuance of apermit and that all work will be performed to meet standards of alllaws 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 dateofapplication and the code in effect as of that date: 60, Edition (2017) Florida Building Code
NOTICE: In addition to the requirements ofthis permit, there maybe additional restrictions applicable to this property thatmaybe found in the pudic
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 ofpermit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City ofSanford 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 aplan evrewcharge andwill beconsidered the es[imated constructionvalue ofthejobatthe time of submittal: The actual consftuchon 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 offthe 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.
Signature of Owner/Agent
Print Owner/Agents Name
Date Signature ofContractor/Agent Date
P Contractor/Agents Name
Signature ofNotary -State ofFlorida Date Signature ofxNotar.St te ofFlorida Date
0 P e., ANNETTE BLAND
Notary Public - State of Florida
Commission # GG 060623
N9TFOFF PO` My Co Expire J 16, 2018
Owner/Agent is Personally Known to Me or Contrac r X ' is ersona l mown . Me or
Produced ID Type ofID 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 ofBldg: . Min. Occupancy Load:
Flood Zone:
ofStories.:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ONO # ofHeads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTEWATER:
ENGINEERING:
COMMENTS:
FIRE: BUILDING:
Grant Maio ClerkClerk Of The Circuit Court & Comptroller Seminole County, FL
Inst #2018132377 Book:9252 Page:1844; (1 PAGES) RCD: 11/21/2018 10:18:40 AM
REC FEE $10.00
THIS INST ENT BY
Name:
REP
L
Addressl . ,
NOTICE_ OF COMMENCEMENT
RTiFIED COP GRNNIT MALOY - 4
CLE. I Of i ' _ .IR t;.IIT-COURT
AND t
Irma oU
BY G PUTY C RK
Date._. _..
State of Florida
County of Seminole %
p /—
Permit Number: Parcel ID Number://%..o 6 0016
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance withChapter713, Florida Statutes, the following information is provided In this Notice'ofCommencement.
DES(tIPTtON qPROpE : (Le descrjpfion of tg pe d stret ad -avai2164lable)
GENERA P IQ I OF IMPROVEMENT:
OWNER INF AT N:
Name'
Address: O <3 y
Fee Simple Title Holder (i er than owner) Name:
Address:
CONTRACT
Name*,
Address: o/
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 of
To receive a copy of the Lienors Notice as Provided,in
Section 713.13(1)(b), Florida Statutes.
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 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.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
ytothebestofm knowledge belt/
A ' A
o .
f Y / l f/J G /p / • J C3
Owner's Signature — Owners Tinted Name ;
Florida Slatule 713.13(1)(g): ' The owner must sign the notice of commencement and no one else may be permitted to sigh in his or her stead.
State of /0JWb0 County of :6_6191k_ o19 '
The foregoing instrument was acknowledged before me this -.2E day of (9C
by X C NOL—t 14 W 0XrA4! C 7i _ Who is personally known to me
Name ofperson making statement _ OR
who has produced identification 0. type of Identification produced:L AV:
CJ._: L AupsAM LABRADA O; Wn
COMMISSION p G6067377 Notary Signature On .
y. FYD#RES January 30, 2021 U
T 0 LEAK REPAIR: Consisting of
E
s
We hereby propose to furnish labor and materials =complete in accordance with the, above'speeifications for:the sum -of
F'lus any:supplement money;approuetl by insurance: ,
dollars,(T ''' )with payments to;be made:,as
fol Tows:
All=material is guaranteed to be as specified.,All,work to be completed in a workmanlike manner accordino:to standard",practices: A.ny alteration or deviation from above
specifications involving extra costs,,wilVbe executed only upon written orders and'will become,an`extra=charge over and above.the estimate,All'agreements.conting:ent"
upon strikes,'accidents or delays beyond our control:Ve will not'be responsible, fo`r driveway cracks.Once is based`on our trucks being able to. backup tirthe,building
The, proposal is subject to acceptance within . days and,is void thereafter at the option of the undersigned. Ronald West Roofing, LLC is riotresponsjble
for nail damage. In:the event of a dispute or litigation arising out of this Agreement; the prevailing party shall,,be entitled to recover all attorneys.fees and court'costs, in
conjunction with mediation or action in the State Courts, meluding,aI appeals
Signature: `' Authorized. _
The above prices, specifications and. conditions, are hereby accepted. You are authorized.to do the work:as'specified. Payment vvill be made
as outlined.above.
ACCEPTED., Cd
Date/-mot ' Signature
Florida Statute:' 2004 Chapter.489.1425 - Duty of Contractor ;to notify residential property owner of recovery fund. — Payment may be.made available from :the
construction industries, recovery fund if you lose money on a protect performed; under contract; where the loss results from specific violations of Florida Law by a 1 ,
state -licensed contractor, for information about the recovery fund,and filing a claim'; contact the.Florida Construction Licensing Board.
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW SECTIONS 111 01.713 37 FLORIDA STATUTES THOSE W H.0 WORK
ON YOUR PROPERTY OR PROVfDf MATERIALS A ii! A E NOT PAID IN FULL HAVE A RIGHT TO ENFO`R E THEIR CLAIM FOR
ON LIEN,; IF -YOUR CONTRACTOR OR I
EGLECTS TORKE PAYMENTS, THE PI
IF YOU HAVE PAID YOUR CONTRACT
0 '"HAVE A LIEN ON YOUR PROPERTY
u vuirvu r nir nri umu i.
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY): y- (0 OQr*
PLEASE NOTE: ONLY %OO SQUARE FEET OF THE EXISTING DECk4S PERMITTED TO BE REPLACED'"
ROOF VENTILATION: FF-RID E O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES F 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
O SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
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 SHINGLE FL#
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED FL#
O TILE FL#
0 OTHER: FL#
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 TART 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
o COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
0 COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT. - -
e ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
o 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 (INCLUDINGA 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)
0 SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
o 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 CODECOMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR
OR OWNER/BUILDER SIGNATURE:
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: / '0y ADDRESS: 0 Q -3 7
I
C", , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR NT
CT 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). qeft
r COMPANY /
CONTRACTOR: fr/ 1.di / r CONTRACTOR
SIGNATURE; ( DATEI C Y MUST
BE SIGNED BY LICENSE HOLDER Ok WNER/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,
rFLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED AN 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 n Sworn
to and Subscribed before me this day of V 20 'by: I,
t.IVI`J Who is ficatiPersonally
Known
to me or has Produced (type of id pntion)
E 0'a W" n Dation.. ature of
NotaryYublic _ Stateof
Florida ® AURA C. MORE! c Notary Public
State of Florida Commission; GG
126385 Print/Type/
Stamp Name My Comm. Expires Jul2C 2021 ScrdedthmughNaticralt,c[
aryAs;r. «Q of Notary
Public