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HomeMy WebLinkAbout320 S Chapman Ave14-0 (83-s'5)_-`X CITY OF SANFORD BUILDING &FIRE PREVENTION PERMIT APPLICATION JUL Application No: 6 Documented Construction Value: $ q'- Z 3 Job Address: 2 S C4401 aY) VL Historic District: Yes No Parcel ID: -3 C1- 3 1 5 l I Of 00 — 0 0 (9 Residential X Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: ` ;E - 0_00 f S 1-1 n jAe ti 2) r rrl:e s fvrcj O y Plan Review Contact Person: Te rn crn d-,, GryZ Title: pry-i,L-rV- Phone: Qc)--- cl Ll -- 3 (9:5 Fax: 4,04- 5 Y 2,3, qzo Email: FR.0 `100o :P CT-) ky%Q F ( ,,n4 Property Owner Information Name R g_, +L/ Street: `9- c i -f - ry%0 . n Cr City, State Zip: Sa n Phone: LSO - - 3 z g 91 5 o Z Resident of property? : Contractor Information Name FpC Phone: 4u?-- 17 Y L- G l Street: 1 T3n-e'j hTW TQK D L Fax: v " S t-/ Z - 3 Z City, State Zip: 0 V 3 L4" State License No.: C—CC ! 32 1 -S 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: 5th 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. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID on ac or ent Date Pr' Contractor/Agent's Nae 13- (S Signature of Notary -State offlorida Date O RY pel' ANNETTE SCOTT Notar Public ,State of FloridaMyCoomm. Expires Jan 16, 2018mmission Contractor%Agent 1911010 rrn RehW 1 k410 n to Me or Produced ID TypeofID— 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 I Tot 1iIF?off1Ga% 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. A:BA8 tip- t Signature of Ow /Agent Date a e YYZCI.f 0 - Print STATE OF FLORIDA Comm# EE211701 EvIms W?/$016 6 Mv IAl; Date Owner/Agent is Personally Known to Me or Produced ID )< Type of ID 1) L APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID UTILITIES: WASTE WATER: FIRE: BUILDING: THIS INSTgWMENT PREPARED BY: Name: RC R-rt--7vcC+IVn Address: q(o.;;1 1 all NOTICE OF COMMENCEMENT Permit Number: 15-933(l Parcel ID Number: 30 -1q -2)j-5[17 dT - 0-0 " ooGo f RYe,&iHE NORSE-- SEi1i„r_)1_L + (7U(fr' ERK `3E CIRCUIT COURT & C•011PTROL'+_ER CLEWS 2015075433 RECLINED li ,'1 ,''iTj.= iJ4.iJS: ;it F'U 1-FCO• fNDrIN1G 1 EES $10-00 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 PROPERTY: (Legal description of the property and street address 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: d e"t -y lzo t)V1 -snh / 32,Q -n C+•i.nY1QYy'ta (N AAky— 56VI.tCwP-f 3 z* -4-1 Interest in property: Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name:_ 7RC t _ Phone Number. Address: 1&21, > 1: W±Jt p l.. 5. SURETY (If applicable, a copy of the payment bond Is attached): Name: Amount of Bond: 6. LENDER: Name: Phone Number: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In addition, Owner designates to receive a copy of the Lienof'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. Under penalties of perjury, I declare that 1 have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. SignattA of Owner or Lessee, or Owner's or Lessee's (Pdnt Name and Provide Signatory's Tide/Office) A odzed Officer/Director/Partner/Manager) State of i County of ,e M ,14© L° The foregoing Instrument was acknowledged before me this day of V U Vt 116 , 20 t'S7 by ei+` i Tf f'i Who is personally known to me OR Name of person making statement ` who has produced identification16type of identification produced: 1/— TDARRIN HARRIS NOTARY PUBLIC STATE OF FLORIDA *r Comm# EE211701 EV)f>BB &27=18 CLERK OF COMPTA( SEMI NO—W PAIL Notary Signature dpi µkf A,F A E MORSE UAT DH T RIDA yrfyO,, GUN' DEPUTY CLERK 11111 fll I.1 III 111 Job Number: 18821627 APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately (Approximate Start Date) It will be substantially completed by approximately (Approximate Completion Date) These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc. ('Sears') or at any other time by mutual written agreement. Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ('ACMs') that would be disturbed in the performance of the installation work. If upon further inspection by the contractor or others it is learned that ACMs have to be disturbed to perform work, then Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to arrange for necessary asbestos abatement within thirty (30) days, Sears may cancel this contract upon Customer(s) initialsNo IFIwrittennoticetoCustomer. T m The TOTAL PRICE including all labor, material, taxes and any applicable discount is $ 9,238.46 Contract Price $9,238.46 Initial Payment (not to exceed 30% of Total Price unless Special Order) $ 2,771.54 State Sales Tax( 0.00 '%) $ 0.00 Final Payment (balance payable upon completion of job) $ 6,466.92 Local Sales Tax ( 0.00 %) $ 0.00 The Initial Payment is due prior to Sears ordering products. Total Amount Duel$ 9,238.46 The form and method by which the Customer(s) will pay is described in a separate Cash/Credit Customer(s) initials I ? rCardPaymentAddendummadeapartofandincorporatedintothiscontractbyreference. NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY I m NktuK TO miuNiGH i uv int i nncu rsuauvtaa um FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER) AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ADDITIONAL PROVISIONS Proposal and Approval. Sears offers to fumish the materials and arrange for their delivery and installation as specified on the first page and/or the attached sketches and specification sheets for the TOTAL PRICE shown. This offer must be approved by the Installation Department. If this is a credit sale or a payment on completion sale, it must be approved by the Credit Sales Department. If this proposal is not approved or the installation cannot be made in accordance with the law, this offer will be withdrawn and any payments you have made will be refunded to you. Any materials left over after the installation has been completed are Sears property and will be removed by Sears. Installation. I understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for materials or installation NOT furnished or arranged by Sears. Sears' installation contractor(s) will obtain all building permits required by local law. For homes located in historic or landmark zoning districts, Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract. Authorization. I authorize Sears to: (1) arrange for a contractor (licensed where required by law) to make the installation of materials; (2) issue a work order for this installation to a contractor; (3) inspect the installation; and (4) pay the contractor when the installation is complete if I have signed a certificate that the installation has been completed to my satisfaction. Delays in Installation. I agree that Sears is not responsible for delays in delivery or installation due to weather, fire, strikes, war, government regulations or any causes beyond Sears' control. Oral Agreements and Changes in Contract. I understand that there are no oral agreements between Sears and me. Everything I expect Sears to do has been included in writing in this contract. Nothing can be changed in this contract unless it in writing on a separate form accepted by me and Sears. Responsibility of Buyer. I agree that any information or measurements that I give to Sears are correct and complete. I am responsible for any special work described in this contract. Electrical & Plumbing Service. I will provide adequate electrical and/or plumbing service(s) to run any newly installed appliances or other furnishings. If the electrical and/or plumbing service(s) do not meet the standards of the utility company or electrical andlor plumbing codes, I will make the necessary changes at my expense unless Sears has agreed in this contract to make the changes. Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page. Warranty Information. Appropriate product warranty documents will be given to me by Sears. Sears' Warranty on Installation is: SEARS' LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the product(s) used (which warranty becomes effective the date the merchandise is installed), if the workmanship (or application) of any Sears' arranged installation proves faulty within five years (Best), three years (Better), two years (Good) or one year (Limited) after products are installed, then upon notice from you Sears will cause such faults to be corrected by repair at no additional cost to you. If Sears determines that repair is not commercially practicable or cannot be timely made then, at Sears' sole discretion, Sears may elect to provide replacement or refund. Service under this Limited Warranty is available by calling Sears Home Improvement Products at 14800-222-5030, Option 4. This warranty gives you specific legal rights, and you may also have other rights that vary from State to State. SR1-FL (Dig.) Rev 08/13/12 Page 2 of 3 LD/IrrED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: T 2Yfl cctn Ao evAn an agent of r R L `KQ-n-o \kc4. %*1 Name 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): 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: License Holder Name: S a t1 eA State License Number: C C c Signature of License Holder: STATE OF FLORIDA COUNTY OFA The foregoing instrument was acknowledged before me this day of DU 201i_, by tkn ami L 4 45 who is )(personally known to me or o who has produced as identification and who did (did not) take an oath. Notary Seal) to ELSA Y. LOPEZ MY COMMtSStOIV # EEZ03737 q.,W. EMPIRES Junto ( 407} 398-0153 Flpt{deN S6tvkstam Rev. 8106113) Sittatare v . Lei e Print or type nam Notary Public -State oflo Commission No. &,Eo?03 31 My Commission Expires: % CITY OF MELBOURNE BUILDiNG DEPAR MENdUT a3 I_ 3ate: MIAMI, 1VIIAR•1I-DADE COUNTY PRODUCT CONTROL SECTION i 11805 SW 26 Street. Room 208 DEPART AiNT OF PERA-1r1"rING, ENVIRONmr.NT, AND REGULATORY AFFAIRS (PERA) 1\liami, Florida 33175-2474 BOARD ND CODE ADMINISTRATION DIVISION T(786) 315-2590 F (786) 315-2599 ww mihmidnde:sn•/nei•o NOTI I CE OF ACCEPTANCE NOA Owens Jorning Roofing anti Asphalt, LLC One Oyens Corning Parkway Toledo, OR 43659 SCOP This NA is being issued tender the applicable rules and regulations governing the use of construction materials. The docume tation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used n Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NC A sliall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section in MiaT ni Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product 3r material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner. the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptal ce, if it is determined by Miami -Dade Count}• Product Control Section that this product or material fails to meet thc requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code includin the High Velocity Hurricane Zone of the Florida Building Code. DEsCjR IPTION: DurationJ, Duration@ Premium, TruDef;nition® Duration% and TruDefinition® Duration® Designer Colors Collection LABELING: Each unit shall bear a perluanent label with the manufacturer's name or logo, city. state and following statelne t: "Mianni-Dade County Product Control Approved", unless otherwise noted herein. RENEI VAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the ar i plicable building code negatively affecting the performance of this product. TERM NATION of this NOA will occur after the expiration date or if there has been a revision or change in the material , use. and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this OA shall be cause for termination and removal of NOA. ADVETISEMENT: The NOA number preceded by the words Miami -Dade County. Florida, and followed by the expirati 1n date may be displayed in advertising literature. If any portion of the NOA is displayed. then it shall be done in its cn irety. 1 NSPE TiON: A coPy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be vailable for inspection at (lie job site at the request of the Building Official. This revises NOA# 11-0919.05 and consists of pages 1 through 6. The sub pitted documentation was reviewed by Alex Tigera. NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/.19/12 Pagel of 6 ROOF1 G ASSEMBLY APPROVAL Catego ': Roofing Sub-Ca egory Asplialt Shingles Materia s Laminate Deck TA pe: Wood SCOP This ap roves a roofing system using Owens Corning Duration® and Duration® Premium asphalt shingles nianufa tured by Owens Corning as described in Section 2 of his Notice of Acceptance. PROD CT DESCRIPTION Product Description Product Dimensions Test Specifications x 393/8,,TAS 110 A heavy weight, fiberglass reinforced four tab Dutattio @13''/4" asphalt shingle with continuous bead of MonriJuc awing sealant. Location #1,2 13 '/4" 139 3/ a" TAS 110 A heavy weight, fiberglass reinforced four tab Duratio n' Premium; Preon@ asphalt shingle with large nail area with TruDefi i urationC; continuous bead of sealant. TruDefi ition R Durations Designel, Colors Collection MaMufcic airing Location #l, 2, 3, -! oc 13 '/4" x 39'/a" TAS 110 A heavy weight, fiberglass reinforced four tab ato '• K asphalt shingle with dashed bead of sealant. 1,oc•ationlM, 2.3 DuraitiorlO Premium; 13 '/4" x 39 3/8" TruDefi ition@ Duration®; TruDefi ition@ Duration® Designei Colors Collection Manufac wring Location #1, 2, 3, 4 MANU ACTURING LOCATION 1. Ja ksonville, FL 2. Memphis. TN 3. Sa Hannah, GA 4. Iry ng. TX TAS 110 A heavy weight, fiberglass reinforced four tab asphalt shingle with dashed bead of sealant. NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/19/12 Page 2 of 6 EVID NCE SUBMITTED Date Test Agcncv Test Identifier Test NamefReuort PRI Asl halt Technologies. Inc. OCF-157-02-01 TAS 100 TAS 100 10/26/10 11/12/07OCF-102-02-01 OCF-156-02-01 TAS 100 10/26/10 OCF-163-02-01 TAS 100 12/10/10 OCF-164-02-01 TAS 100 12/10/10 OCF-098-02-01 TAS 100 02/22/07 OCF-099-02-01 TAS 100 02/26/07 OCF-102-02-01 TAS 100 11/12/07 OCF-172-02-01 TAS 100 05/26/11 OCF-179-02-0I TAS 100 02/02/12 Underrn iters Laboratories. Inc. 07CA39536 TAS 107 11/11/07 03/28/0303NK04954TAS107 03NK04954 TAS 107 03/11/03 1ONK13947 TAS 107 11/12/10 11CA15662 TAS 107 05/27/11 1INB21712 TAS 107 02/18/12 07CA02026 ASTM D 3462 01/26/07 12CA12180 ASTM D 3462 03/01/12 ATIONS Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials Directory for fire ratings of this product. Shall not be installed on roof mean heights in excess of 33 ft. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9N-3 of the Florida Administrative Code. INSTAILLATION 1. Shingles shall be installed in compliance with Roofing Application Standard RAS 115. 2. Flashing shall be in accordance with Roofing Application Standard RAS 115 3. The manufacturer shall provide clearly written application instructions. 4. Exposure and course layout shall be in compliance with Detail 'A', attached. 5. Nailing shall be in compliance with Detail 'B', attached. BEING 1. IShinglesall be labeled with the Miami -Dade Seal as seen below, or the wording "Miami -Dade County roduct Coshntrol Approved". NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/19/12 Page 3 of 6 IL DING PERMIT REQUIREMENTS 1. Application for building permit sliall be accompanied by copies of the following: l.1 This Notice of Acceptance. by the Building Official or the applicable code in order to properly1.2 Any other documents required evaluate the installation of this system. EDGE OF ROOF LFIRSTURSE DETAIL A THIRD COURSE SECOND COURSE NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/19/12 Page 4 of 6 MAXIMUM SLOPE 21:12 4oa 4,dry -W-1 P - L If w. V 4j - Inv MAXIMUM SLOPE 21:12 SLOPE GREATER THAN 21:12 END OF THIS ACCEPTANCE NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/19/12 Page 6 of 6 Hca; 7 Yi 4- w. Ay 4j - SLOPE GREATER THAN 21:12 END OF THIS ACCEPTANCE NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/19/12 Page 6 of 6 DETAIL B DURATION & TRUDEFINITION® DURATION@ SEAL,%NT MAY BE CONTINUOUS OR DASHED. NOT SHOWN IN THE DETAIL DRAWINGS D c m A s r_ vO 3 T D T Rmaa N y vi l3 m( D f6 A m m C p a p O J Nm NN NOA No.: 12-0309.01 Expiration Date: 07/19/16 Approval Date: 07/19/12 Page 5 of 6 r' City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: 46- Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. ' 6"__—Copy of a contract, signed by the contractor and the property owner, indicating the documented construction value of the project. U/~Copy of applicable contractor's license issued by the State of Florida (if the contractor,,is the applicant). a,_ -"'A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. q\ke certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). For Re -Roof Permits other than asphalt shingle, wood shake or wood shingle, please provide two (2) copies of Florida Product Approval and Manufacturer Installation Instructions for the roof covering product and the underlayment. These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. Revised: February 2015 City of Sanford Residential Re -Roof F D Hurricane Mitigation Inspection Process 1. Roofing contractor shall be responsible for the protection of contents and structure at all times. 2. An in -progress inspection shall be scheduled after the old roof has been removed and the dry -in is complete. All components of the dry -in must be in place. To schedule an inspection, call 407.688.5151. 3. For roofs using an entire peel and stick dry -in, a nailing affidavit shall be required to be posted on jobsite at time of in -progress inspection. 4. A minimum of one hundred (100) square feet of the new roof component shall be installed at time of inspection. Up to fifty percent (50%) of the new roof may be installed, but all flashing and valley metal shall remain exposed for inspection. 5. The contractor shall contact the inspector the day of the scheduled inspection between 7:30 a.m. and 8:30 a.m. to coordinate the inspection time. Please call 407.688.5061 or 5063 6. At time of inspection the inspector shall, at his or her discretion, select location(s) for inspection. 7. A representative of the contractor shall be on job site to facilitate any necessary repairs. 8. After the inspection is conducted, the contractor will make any necessary repairs and proceed as directed by the inspector. 9. For approved inspections, the inspector shall collect the required affidavit for filing with the permit application. The above shall serve as the inspection process to meet requirements per Florida Statute. Any and all suggestions to better serve the contractor needs will be considered. Revised: February 2015 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #:15- Q33 t I, Te rrn a r1 J Gryz C y -mc Rr%oa ereby acknowledge that I personally inspected Roof deck nailing and/or Secondary water barrier work at '3 Z O S Ci -tQP W -)-q/) AN' 0 _ 3 a ai&c9 T1 and have determined that the work Job Site Address) 3 Z 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 making any false statements in writing with the intent to mislead a public servant in the performs ce of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Sectio.06-K.S. of Contrac r I,ate J rn an C-c.c 32ts 1 ?-37 Printed Name of Contractor License # License Type: General Building Residential Roofing Contractor „ or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sem i r 3 n 1 SSornto (or a f'rm I and subscribed before me this day of _,:St t , 201 , by Ci 1."jd 6 tcu -Z_ , who is Personally Known to me or ha Produced (type of i tification) as identification. 'irk SEAL)" • Signature of Notary Public State of Florida 1 /- (- C\g RY P ANNETTE SCOTT Ntj E 1 C J' t/e','' .`; Notary Public -Stale of Florida Print/Type/Stamp Name =N : ; r,MY Comm. Expires Jan 16, zola j,F, Commission # FF 071760 of Notary Public - Bonded mouONahxW Wary Assn. Revised.• February 2015 o, SCPA Parcel View: 30-19-31-511-OFOO-0060 LOW Property Record Card Parcel: 30-19-31-511-OF00-0060 AISER Owner: ROBINSON BETTY 3 COtHJTY.FLORIOA Property Address: 320 CHAPMAN AVE SANFORD, FL 32771-2034 Parcel:30-19-31-511-OF00-0060 Property Address: 320 CHAPMAN AVE Owner: ROBINSON BETTYJ Mailing: 320 S CHAPMAN AVE SANFORD, FL 32771-2034 Subdivision Name: NEAVES ADD Tax District: Sl-SANFORD Exemptions: 00 -HOMESTEAD (1994) DOR Use Code: 01 -SINGLE FAMILY Legal Description LOTS 6 + 7 BLK F NEAVES ADD PB 1 PG 123 Taxes Value Summary Tax Amount without SOH: $425.96 2014 Tax Bill Amount $395.56 Tax Estimator Save Our Homes Savings: $30.40 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2015 Working Values 2014 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 30,440 29,548 Depreciated EXFT Value 672 672 Land Value (Market) Land Value Ag 16,170 16,170 Just/Market Value 47,282 46,390 Portability Adj 25,000 Save Our Homes Adj Amendment I Adj 2,059 1,526 Assessed Value 45,223 44,864 Tax Amount without SOH: $425.96 2014 Tax Bill Amount $395.56 Tax Estimator Save Our Homes Savings: $30.40 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Date Assessment Value Exempt Values Taxable Value Vac/Imp County General Fund 45,223 45,223 - 25,000 20,223 Schools Improved 25,000 20,223 City Sanford 45,223 25,000 I 20,223 SIWM(Saint Johns Water Management) 45,223 25,000 20,223 County Bonds 45,223 25,000 20,223 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED i 6/1/1989 02083 1521 34,900 1 Yes Improved rma comparaoie Sales witnm tnis suumvision Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH I 120 I 90 i 0 1 $175.00 I $16,170 Building Information Description Year Built Fixtures Base Area Total SF Living SF Ext Wall Adj Value Repl Value AppendagesActual/Effective 1 SINGLE 1956 3 i 800 1,045 I 980 SIDING $30,440 $51,812 FAMILY AVG i Description Area i I I ENCLOSEDMPORCH 180 FINISHED Page 1 of 2 http://scpafl.org/ParcelDetailInfo.aspx?PID=3019315110F000060 7/13/2015