HomeMy WebLinkAbout106 Skogen CtFEB 10 2016
C BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1657 _ yff
Documented Construction Value: $ ' 3 b V• D 6
Job Address: / V S 101 3% Historic District: Yes No
Parcel ID:- q - )-b /" 0 Residential 0 Commercial
Type of Work: New Addition Alteration 0 Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person: Title:pi
Phone: Y() - q (z ( -q 333 Fax: CP-69 y- 6 01,60 Email: o .y c_c.c.ln laS'lA
Name
Street:
City, S'
Prnnprly nwnpr Infnrmatinn
Phone: e - -41— & r-s
Resident of property?
Contractor Information
Name (i 0PfQU, Phone: F7 /" 7(& 3
Street: ,, ..
ll
Fax: 36 ?7I- / %(e 3
City, State Zip: W )YOUXtM' L / 0 State License No.:
Architect/Engineer Information
Name: 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 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: 51 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
r 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 E5ate
b.A- Q*064-& (.
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
r
r aft% Notary Public State of Florida
Catherine Connell Dunn
T, Expires
y Commission EE 177821
oFPO /05/2016
Owner Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Cy.c 4y — Prin
C tractor/Ag is Name Signature
of Notary -State -of Florida _ _ _ _ _ Dale_ Notary
Public State of Florida Ap
Catherine Cornell Dunn a
d` My Commission EE 177821 Expires0610513016
Contractor/
Agent is I/ Personally Known to Me or 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
2/10/2016 Print Cordract Worksheet
CONSTRUCTION UNtilMlr>Ei
Bill To:
Roger Roubal
106 Skogen Court
Sanford, FL 32771-3665
Location Address:
106 Skogen Court
Sanford, FL 32771
Contract
Invoice Date
February 10, 2016
Due Date
Upon Receipt
Invoice
a#]
Sales Rep
Chris Freeman
Description Amount
Full roof replacement with GAF architectural 30 yr shingles $5,300.00
Remit Payment to:
Construction Unlimited LLC FL
729 Main St Windermere FI 34786
304) 871-7663
Total Contract: $5,300.00
Invoiced Total: $5,300,00
Payments/Credits: $0.00
Balance Due: $5,300.00
s
httpJ/my.aceulyrDLeom/UserControls/FlexSupport/PrintBalance$heetaspx?BalanceSheeUD=d9959663-5310-4c05_a4cb-77e7874221a5 1/1
D City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address /d 6
As required by Florida Statute 553.842 and Florida Administrative Code 9N-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.floridabuilding.ora.
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(including
Florida Approval #
decimal
3. -Panel Walls
Siding
Soffits
Storefronts
Curtain Walls
Wall Louver
Glass block
Membrane
Greenhouse
E.P.S Composite
Panels
Other
4. Roofing Products
P aMd
0
Asphalt Shingles
Underla merits G
Roofing Fasteners R
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 u
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 (Awpl2. s-{-I'3
Please Print)
June 2014
State of Florida
County of Seminole
Pamttt Number_ Psi ID Number 33-19-30-504-0000-0140
The undereigned horeby gives notice that IrnprownuptA wit be made to certain real property. and In accordance with
Chapter 713. Florida Statutes. the following information is provided In this Notice of Commencement.
singe amipy residenncce Won a
street address a available)
GENERALfDESCRFTION OF IMPROVEMENT:
FFtte-rOO
OWNER INFORMATION;
Name: Roger & Patricia Roubal
Address: 106 Skogen Ct, Sanford, FL 32771-3665
Fee Simple Tltie Holdor (if otherthan owner) Name:
Address:
CONTRACTOR.
10; Salvatore Cataldo, Construction Unlimited, LLC
Address: T29 Main St, Windermere, FL 34786
Persons within the State of Florida D09911814d by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
Address:
In addition to himself, Owner Designates of
To receive a copy of the Llenor's Notice as Provided in
Section 713.13(1xb), Flodde Statutes.
Expiration Date of Notice of Commencement (The expiration data is 1 yearfrom data of recording unless a
different date Is specified)
WARNING TO OWNER: ANY PAYMENTS MADE 13Y THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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.
Undo aides of perjury, I dada that I have read the foregoing and that the facts stated In n are true
to the my and of.
I_ Roger J RoubaiVol
n L . . .e Owner's Prkded NOW
SWUO 713.13(t)(gr' The owner mot sign the notim of C"rawmKnent end no one ebe msy be pemuned to sign in hie a her stood.'
State ofN o 1 CouMy of
Thaler* Ing instrument was s nowtedged before me this /Q# day of
byY&AN Who Is personally known to me P9
of parson M*ft M temant
OR who has produced Idendficatton type of identification produced:
n!
vc" r "yam. r Noyry Public StateOf
CattteiilleGtlmetlDunn
lw My CormeEs 1n6Z1 notary SignaUr*
aa Elq>ti e
MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2016015133 BK 8631 Pg 1475; (1pg) E-RECORDED 02/10/2016 02:31:58 PM
10.00