HomeMy WebLinkAbout125 Carmel Bay DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
hCApplicationNo: `
Documented Construction Value:
Job Address: arfflol Historic District: Yes No
Parcel ID: t — — QL 5H Q Residential@ Commercial
Type of Work: New Addition Alterations Repair Demo Change of Use Move
Phone: (q bU) 510 -94_d 0 Fax:
Property Owner Information
Name fifGQf I Io ` Phone: a-1-,J12-150& Street: )
QE) C/R I ` f QCResident of property? : { \/ City, State
jr Contractor
Information
r / Name
rn
rXia i U I JUr o r ' Phone: Street: 1
L .3 l 1, I St Fax: q 0q - `I 13 City, State
Zip:N )ACffi V, CIT L 399 State License No.: 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 regulati ag, 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 1053
Shallbo inscribed with the date of application and the code in effect as of that date: Th Edition (2014) Florida Building Code Revised'. June 30,
2015 Permit Application NM
1 1Jnvw
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 ofpermit 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 aplan 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 ]CC Valuation Table in effect at ihe.lime 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 yourpermit'fees when the permit is issued.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
bedondone in compliance with all applicable laws regulating construction and zoning.
xSignsutrnorDaner/Agear Date Signahc orC&ftdiodAS6t Dale
NorJaRv Luc
STATE OF FLORIDA
Comm# FF044M
EmWs 8/11/2017
Owner/Agent is crsonally Known to Me or
Produced ID t Type'of ID FLDL
f0irl')ae 1 -712nai _
Print Contrutor/AgeaV,Nan,;
Si re Dal I
F4
STATE OF FLORIDA
Comm# FF044588
Expkes 8/11/2017
Contractor/Agent is V1 Personally Known to Me or
Produced [D Type of lD
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: ' Flood Zone:
Total Sq Ft of Bldg: NCtn. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes n No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE:
COMMENTS:
BUILDING:
Revised: June30.2015 Prn t Applictkn
This i strumeot prepared bb ::
Name:QLT.IS)3 Wit' S )0: 4 ti I otj Ia+C
Address: 31y3 LA0,1%yr Sf k%f,YL 34aS4
NOTICE OF COMMENCEMENT
STATE OF FLORIDA Permit #•
Cf1tINYOFSFJIMINOI.E PARCELIDN; 33 IQ'O^ IA-(X')0f)-t)S40
THE UNDERSIGNED bereby gives ootim that ite"eattats will be made a cerezis realproperty gad in
accordance Milt Cbapttr713, Florida Statutes, the follawiap information ), provided in this Naive ofremmeaeeneoL
I Description of Property: (Legal description ofthc pmperty and street addrms if atonable) _ L- j* :5 9 mo Nis t i
Feu . P6Lv - 2 General Description of Improvements: T{" - RQ0
3 Owner Name: ige-1d it Arri i,lo------ Phone:
Address: Ian Ar r sl er •1 fi to ) 'nrS+OCcIr—FL 3Q717f
Interest in property: rC51ACIO(e
Name & Address of fee simple titleholder: (ifother than owner)
a Contructor'a Nomaer;c Ip-._y Ca ujr_r±G Pam: f
Address:
5 Surety Name -
Address:
6 Lendcr Name:
Amount of Bond: S
Phone: - --
Address:
7 Persons within the State of Florida designated by Owner upon who notice or other documents rosy be served as provided by Section
713.13(1)(a)7.Florida Statues: Name: _ Phone:
Address:-
8 In addition to himself or herself, Owner designates the following person(s) to receive a copy of the l.tenor's Notice as provided in Section
713.13(1Nb),Florida Statutes: Natim: _ Phone:
Address:
9 Expiration Date or.Notice of Commencement:
the ezlxrnton dote u t )cu Gom Jute of rtctxding tmkxc a diO'ttcnt date is spt ificd)
WARNICO TO OWNER: ANY PAYMENTS MADE RY TIME OWNER AFriER 771C• INVIRAIION OE 'Oil' NUIXL OF CUMMENCEMEw ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,SEC'n Nt 713.13. FLOt1DA STATUTES. AND CAN RESULT IN YOUR PAYING
TWICI: FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMINCL•7dE•.N'f MUST HE RIECORDED ANO POSTED ON T'HE R)R SrrF.
BEFORE DIG FIRST INSPECTION. IF YMHI INIEND -1-0 OBTAIN FINANCING CONSour WITH YOUR LL•NDIR OR AN ATTORN[Y REFORVCfMMiENCnWORKORRFLOWtNO )'OUR NOI-W.E OF ('VMMENCEML I'
S'erifiutioa Panusat to StcNan 92 Sit. FMrida Statutes
Unde(rr penahies of itCTIM• I dOth" that I IntC read the fMaoina and dot the face ra%w! in it arc try to dw bc M of my hnuwlcdgo and bc!tct:
l'ignatureof(h+mror()wner'sAutloriycd _ Signotory'sTitic/Offta
li, rOfficer / Ding ins / Partner) Matutit%:wkner ' q lice forogoing inswntun trts:tckrtowkdgcd bel'un: nx this pjLE day of1LlClY. l_ 20 , by O
name ofperwn)asQwl,- ;pc UfIunhnrilv,...C.g. OIficu. Irmlee, allORlq In fact) for
rtumc of pan. un ttcltaif of w m instrym •m was e. c ).
4`
iERIKAA.VAZQIlEZ Si turcofNot Public,S ofFbri
NOTARY PUBLIC p ( (/
STATE OF FLORIDA l 1— — (LL_ 'J _.. _.
CORM # FF044588 Print. T)pe or Stmnp Commissioned Vmrte oFNt ivy Public
Expkes &11/2017 Personalty Known of ProduaalIdentificaiot)6
Sgnt t,i:oia
MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2016012421 BK 8627 Pg 1260; (1 pg) E-RECORDED 02/04/2016 02:28:54 PM
10.00
1>Ini 1114 11 f1 h 1i11W1Y1II11 W4K1iYt ilWq fd I1IW LtT11'1 1IIR}w111 iR la WlWi l4'Y l 111
FL. Lic. 9 CCC1330262, CCC057647, CBC058236
Superior
Roofing &
Restoration
Date:1/4/16
r
To: Claim #: NMI03388
Ana Carrillo
125 Cannel Bay Dr.
Sanford, FL 32771
Contact - NUMBER Payment Terms -
MikeBeard
S2ty Description Unif Price Line Total
Remove 3-tab ; 25 yr- comp. shingle roofing- w/out felt
u - L$ 43,92 t $ .1,200.77
30.00 3 tab -25 yr - comp. shingle roofing- w/out felt f $ 175.48$ *- 5,264s40
Re nail of roof sheathing - complete re -nail
r $
21.00 t $
Y w
574,14
30.00.._.,•___Roofing Felt -301bJ, ._..___._..._-..-,._____,_«_.__...,..__,...,--.----•'$--- -3I.13f$_...
v.J~
933.90
R&R Valley MetalM..00
RDrip Edge
30.00 ~
V !
R&R Ridge Vent -
11.00 R&R Roof Vent - off ridge type - 4'
3.00 - R&R Flashing -pipe Jack
143.00 R&R Comp. Ridge
I I
S
5.08$• 162.56
i$ 2.33 $
M', '
566.19
6.37 $
w". `'
a %191.10
1 $- 104M 1 $ 104.33
36.19 $ 108.57
I
Is 5.35 s$ 765.05
Tax..
TOTAL-$' 9,871.01
Thank you for your business!
Corporate Office
3143 Waller St, JACKSONVILLE FL 32254--OFFICE (904)586-4131
4
Modem USA Insurance Co CHECK NUMBER 0000327597
CHECK DATE 01/12/16 :4
VENDOR CODE SUPERIORROOFING
Superior Roofing and Restorati
3143 Waller Street
Jacksonville, FL 32254
EfV ii . Ax\ !
tti(Cto
cn MH103388 Carrillo, Superior
S-v
Modern USA Insurance Co CHECK NUMBER 0000327597
CHECK DATE 01/12/16
Superior Roofing and Restorati VENDOR CODE SUPERIORROOFING
3143 Waller Street
Jacksonville, FL 32254
Inv. Date Invoice No. Description Invoice Amt
01/11/16 MH1021078103 cn MH103388 Carrillo, superior Roofing invoice 9,871.01
Total Check Amount:
11111IT1R111111111. IOP Irr i A W'I iltl ttt>I!11Y 18I
PERMIT NO. APO'
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
City of Sanford
Building & Fire Prevention Division
ISSUE DATE:
Re -Roof Permit Card
Oal. OR- A411110
Post this Permit in a conspicuous place o ide PROTECT FROM WEATHER
Approved plans must be posted with permit for inspection
Leave all work uncovered until inspected
Permit expires six (6) months from date of issue or last approved inspection
A ROOF DRY -IN INSPECTION IS REQUIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation davit will not suffice as an alternative to receiving a dry -in inspection.
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
MISCELLANEOUS
INSPECTION TYPE APPROVED REJECTED INSPECTOR
ROOF DRY -IN
MITIGATION AFFIDAVIT
FINAL ROOF
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. FBC 105.3.3
REVISED: October 2014 Inspection Line 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
ROOF
Roof Dry In 116
Mitigation Affadavit 129
Final Roof 111
Miscellaneous Notes:
Miscellaneous
Sheathing - Roof 106
Insulation - Roof 119
REVISED: OCTOBER 2014 Inspection Line: 855.541.2112
L-1' ' I T I li
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 16-00000404 Date 2/08/16
Property Address . . . . . . 125 CARMEL BAY DR
Parcel Number . . . . . . . . 33.19.30.519-0000-0540
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 927624
Permit pin number 927624
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
10-1000 129 BL29 MITIGATION AFFIDAVIT
10 116 BL15 ROOF DRY -IN
1000 111 BL03 FINAL ROOF / /