HomeMy WebLinkAbout105 Rollins St08/13/2015 THU 16.12 FAX U001/008
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 15 dzE 9
Documented Construction Value: $ Cfm> Ga [r9. 1 C
Job Address: bS Q®\\ng r1 t j, '?,1 , Historic District: 'Yes No
Parcel ID: 3S' n- 30 - 5V3 • oon - ntio Residential [' Commercial
Type of Work: New 9 Addition A,lteraiion Repair Demo Change of Use Move
Description of Work: 6-gKD Ae_
Plan Review Contact Person:
Phone: 401- Z*g- $1 1 Fax:
arrcll L,w;S Title• MEZ,:,
54A-.'A h
Property
Owner Informatlon Name
E nek $C-inx C04 Phone: Street:
165 Qinr;S T. Resident of property? : *Y'C 5City, State
Zip: L Contractor Information
Name .or
Te—KIn Lc,c_ Phone: Street: t'' %
sr rsn -_ t`an,Mom'! . Fax: City, state
Zip: S State License No.: C C C' F ,1'3l 064 -5 ArchltecUEnglnear Information
Name: Street:
City,
St,
Zip: Bonding Company:
Address: Phone:
Fax:
E-
mail:
Mortgage Leader:
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 mu.1t be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers,
heaters, tanks, and air conditioners, etc. OI FBC
105.
3 Shall be inscribed with the date of application and the code in effect as of that date; 511 Edition (2014) Florida Building Cade (}\ Revised: June
30, 2015 Permit Application N 2
08/13/2015 THU 16,13 FAX 0002/008
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.
L
Signature of Own r/Agent / Date
Print Owner/Agent's Name
I.ORFMINE THOMAS
MY COMMISSION *FF1538BB
e(PIRE$ AU9umt 24, 2018
Own.WXg--ent is Personally Known to Me or
ProducedID _ oe TI pe of IDAa NAO - 21-3e-74i n Signetwo
of Contractor/Agent Date ba.
rre-( ( C,e w, S Print
Contractor/Agent's Name Signature
of Notary -State of Plorida N,
r;•. LORRAINE THOMAS i'
MY COMMISSION #FFI63090 Ca
1
EXPIRES August 24, 201a enter
own to Me or Produced
pe o BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing[] Gas Roof [] Construction
Type: Occupancy Use: Total
Sq Ft of Bldg: Min. Occupancy Load: Flood
Zone: 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: Rovlsed:
June 30, 2015 Permit Application
08/13/2015 THU 16:14 FAX 2008/008
RAPID
RESPONSE TEW
PROOF/NO
Job Information:
40/r-3/ao,s
Date: - o
PROPOSAL RRT Roofing Rep: Darrell L 407-538-5175
Number: _ RET15001289ORRF Location-.— Orlando Name E Bennet
Submitted To:
Name: Ethel Bennet Phone: HomeAdvisor Ext 1209
Street Address: 105 Rollins St Email:
City: Sanford ST: FL Zip: 32771
Scope of Work Includes:
Tile: Debris Stories; 1 Mansard: No, Squares,. 19 Vents: 4
Shingle: Removal: Yes hitch: 4 Hip: LF Ridge: 55 #
Sheets of
Flat: Layers: 1 Gable., x Stacks: 4 ply:
Rapid Response would IIke to thank you for the opportunity to evaluate your roof at the above location and present our
recommendations below.
I. Tear Off the existing roof to the a smooth workable surface. We will re-nall the roof deck per code In your )urisdlctlon.
2. Install 15 Pound ease Sheet on Roof Deck
3. Install new metal around the perimeter of the roof.
4. Install GAF Architectural Laminated Shingle in the color of your choice. It will be Installed as per manufacturers specifications.
5. Install new lead flashings.
6. Install New GAF Masterflow Roof Vents in some place as existing vents
7. Replace all lead stacks, kitchen, and bathroom vents.
g, Clean up and remove all nails and debris from the yard and landscaping.
9. We will replace up to three sheets of rotted plywood. Each additional sheet of plywood would be Installed at a rate of $65
10. Rapid Response Team will provide a 5 year warranty on Labor
11. We will provide the Manufacturers Warranty from GAF
We propose hereby to furnish material and/or labor, complete in accordance 4'a 1 rf • 46
with above specifications, for the sum of: $ rI'/i3/i S
Payment to be made as follows: on O O ® O = ®Other:
Payment Scheduler when the Job starts / Remaining Balance when roof is Completed
Rapid Response Team Roofing Representative:
D fful Lbw 5 __---
Print Name
Client Acceptance of Contract:
Print Name
00
Signature and Date Signature and Date •
Corporate Headquarters: 2250 N. Andrews Avenue Ext. • Pompano Beach, FL 33069 • Phone: 754-600-8100
WWw.RRTRoofing.com • License No. CGC-024735 / CCC-057861 Pape 1 of
08/13/2015 THU 16:13 FAX 0003/008
11lIIII frill illl! Illll lI111 IIIlI till IlNITH15IN9TItMENTPREPAREDBY:
Na 11ARYANNE r111REE;3rMINOLtCIIUNITY
Addreae: 0 , 04K M, CCLE1P%K OF CIRCUIT COLIRT & GOMPTROL.LERANrn.w.elLN _S n1s . C4 33 7 t% SK+ 3.527 P,g 1263 4111!oA )
CLERK'S ;•2015089475
NOTICE OF COMMENCEMENT RECORDED OU/13/1015 03-'21'11 1111
RECORDING FEES $10,00
State of Florida RECORDED LAY hdavari,
County of Seminole
Permit Number; Parcel ID Number:
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with
Chapter 713, Florida Statutea, the following information is provided In this Notice of Commencement.
Poe Simple Title Holder (If other than owner)
Address:
CONTRACTOR:
C. I
Address:
Persons within the State of Florida Doslgnuited by Owner upon whom notice or other documents may be served
as provided by.Bectlon 719.13(1)(b), Florida Statute&,
Name:
Address;
In addition to himself, Owner Deslgnatee of
To receive a copy of the Llenor's Notice as Provided in
Section 713.13(1)(b), Florida Slalutes.
Expiration Date of Notice of Commencement (The expiration date Is 1 yoarfrom date of recording unless e
different date Is specified)
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 113, 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 penaltlos of perjury, I declare that I have read the foregoing and that the facts stated In It aro true
Zthe
best of kn Madge and ellef.
0ve+e1'6 SIgrmWre Ownv'a Printed Neme
Florida Statute 713,13(1)(g); " The owner must sign the notice or commencement and no one ette may be permined to algn In his or her steed,"
r1(
state of FIC-041- A County of 'SC-011449416'-
The foregoing Instrument was acknowledged before me this l x day of .20 1 S
by rpl c INNr 7! . Who Is personally known to me
Name of Doreen making statement
OR who has produced Identification D.-typo of Identification produced:
w
LORRAiNE TMOMAS /001.-eC%a-, e XW*' 7"
I MYCBMISSION*FF1524199 Notary8lgrtetars
a EXPIRES AugUet 24, 2010
907) ass-0te3 FlorldllNotq 8ervlee.00m
08/13/2015 THU 16!13 FAX U004/008
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
As required by Florida Statute 553.842 and Florida Administrative Code 8N-3, please provide the
information and product approval number(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 the
applicable listed products. Be aware that windows, skylights, and exterior doors must be tested In
accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product
Approval can be obtained at www.flori abulldinn,ora.
The following Information must be available on the )obsite 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
Swin in
Sliding
Sectional
Roll Up'
Automatic
Other.
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
08/13/2015 THU 16!14 FAX 2005/008
Category/Subcategory Manufacturer Product
Descri tion
Florida Approval #
6!ncluding decimal
3. Panel Walls
Siding
Sofflts
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
ERS Composite
Panels
Other
4. Roofing Products
Asphalt Shingles G
O, Underla ments a A F
Roofing Fasteners i
Nonstructural
Metal Roofing
Wood Shakes and
Shingles
Roofing tiles
Roofing
Insulation
Waterproofing
Built up roofing
System
Modified Bitumen
Single Ply Roof
Systems
w
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
08/13/2015 THU 16!14 FAX 2006/008
Category/Subcategory Manufacturer Product
Description
Florida Approval #
include decimal
6. Shutters
Accordion
Bahama
Colonial
Roll u
Equipment
Other
6. Skylights
i hts
Other
7. Structural
Components
Wood Connectors I
Anchors
Truss Plates
En ineered Lumber
Railin
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 I. krrc
Please Print)
June 2014
08/13/2015 THU 16:16 FAX U007/008
l'
SEMINOLE COUNTY MULTI%UR15D1CilONAL
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Lohgwood, Sanford,
Seminole County, Winter Springs
Date: 4,
A
I hereby name and appoint: %J-K 1 i L B W S
an agent of: SQ -T w• Lu-
or
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):
2 All permits and applications sugmitted bythls contractor,
Or
0 The specific permit and application for work located at:
Street Addrese)
Expiration pate for This Limited Power of Attorney: 1 c '/ 3 / O l T
License Holder Name: heys'sc-Cl—
State license Number:. CCC 1 g6ocoLil
Signature of License Holder, —I) -
STATE OF F RIDA
COUNTY OF . RmW pb_
The foregoing Instrument was acknowledged before me this ie- day of— ,
20 _, by c_ A aa KnF,t Qt1ALN a who Is X personally known to me or
q who has produced as Identification
and who did (did not) take an oath.
Signature of Natory. Print or type Notary name
NOTARY PUBLIC -STATE OF FLORIDA
k Robin Doucette
Notary Public - State of Commission # EE122961
13, 2015
Commission No. Bglgr or onri,ermce0rm210c0,Ota.
Notary Seal) My Commission Expires:
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: 15 3.&') 'xCl_
I, •'- s •v hereby acknowledge that I personally inspected
M400f deck nailing and/or econdary water barrier work
at WSJ' o s 5 Sa . S occl f a,77 t and have determined that the work
Job Site Address)
was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.)
I certify that my statements herein are true and accurate to the best of my belief and that I fully
understand that malting any false statements in writing with the intent to mislead a public servant in the
performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to
Section 837.06 F.S.
Signature of Contractor
n g 1 A S ivM ,a, 0 _$,a" •-4,N
Printed Name of Contractor
c°-- o-l5
Date
eGC l 33 ob -9 3
License #
License Type: General Building Residential Q'Roofing Contractor
or any individual certified in accordance with F.S. 468 to make such an inspection.
STATE OF FLORIDA COUNTY OF
Sworn to (or affirmed) and subscribed before me this k -H— day of , 20 ,S , by
y,(,\ who is Personally Known to me o as Produced (type of
i tiiicat as identification.
SEAL)
Signature of Notary Public
State of Florida '" R084N L DOUCETTE
Z My COMMISSION 0 FF902770
Print/Type/Stamp Name EXPIRES August 13. 2019
of Notary Public nWW04M.=n
3