HomeMy WebLinkAbout168 Rose Hill TrlUt' JAN0W AlS7VMII1J='In AIM rrr.11 i fIWYWYYr1 Wr I i w lu wrm rr
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ g
o
Job Address: 168Rose Hill Trail;SanfordiFl 32773 Historic District: Yes No 0
Parcel ID: 18-20-31-_503-0000-0350 - Residential ® Commercial
Type of Work: New Addition° Alteration Repair Demo Change of Use Move
Description of Work: _ Re -Roof
Plan Review Contact Person: Meagan Nixon Title: Office Manager
Phone: 904-236-5200 )(10(, Fax: 904-638-4806 extl06Email: meagan@tadlockroofing.com
Property Owner Information
Name Jason Spidell Phone: 407461-0736
Street: 168 Rose Hill Trail Resident of property? : yes
City, State Zip: Sanford,FL 32773
Contractor Information
Name 'DaleTadlock Phone: 904-236-5200
Street: 7999 Pilips Highway Fax: 904-638-4806
City, State Zip: Jacksonville, FL 32256
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
State License No.: CCC 1328417
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
RFk'GRDE -ANB2P_QRT'9B4 OB-S
FINANCING, CONSULT WITH YOUR LENDER Olt AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
GOMMENC-EMEN.-
Application isherOy__made to pbtain.a_pecmit to do_the_W rk__4n installations -as. -indicated __I certifjl_that,no_work:or.-h1$t 1atjQn:has
commenced prior to the issuance bf 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: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
0
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.
SigiTat r, p ,101er/Agcni : to Signature orConiraclor/A cnt' atc:
IFA
of Florida
N::ygka MEAGAN CHESTNUT1 f.Y's MEAGAN
CHESTNUT pr-
Commission # FF 216392 Commission # FF 216392 a:
A,= Expires 1, 2019 Expires April 1
1, R u .•• ' Feii
57019. . R n , BmdM TW T F' Irswuce B6P,7851010 . OW'
to Me or Co. Known to Me or Produced
ID Type of lD Produced ID Type of ID 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: Min. Occupancy Load: 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: RE
COMMENTS:
WASTE
WATER: Revised:
June 30, 2015 Perm it Application
P'jfA71M
IMIMR Al"097-04IN4 ii i & W141111 11w i4
NOTICE OF COMMENCEMENT
Permit Numbs
Pared ID Number
The undersigned hereby gives nWee titai kaprovemed WN be made to certaln real propedy, and In amordanoe wtih Chapter 713, Florida Statutes, the
fbIbA tg hformation Is provided In Qua Notice of Commencement.
1. DESCRIPT10 1 OF PROPERTY: (Legal de to Lion of Qte,Droppay and street faddress 9 avalf")
2. GENERAL DESCRIPTION OF IMPROVEMENT: - -
Re -Roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: Jason Saidell 168 Rose HIII Trail, Sanford, FI 32773
ktwa3t in property: .OWner
Foe Slmpia Tltls Hofdor (if oNter diem ow er Nsted above) Name; - -
Addfe94:
4. CONTRACTOR: Name Dale Tadlock Roolina Phone Number 9D4-236-5200
Address: 7999 Philips Highway. mite 211. JacMonallO. FL 32256
5. SURETY (If applicable, a copy of the paymML bond Is ktachod): Name.
Address Amount of Bond: ,
tl. LENDER: Neme: Phone Number:
Address:
7. Paraone within the State of Florida Designated by Owrnr upon whom notice or ~ documents may be served as provldad bll Seetlon
713.f3f1xa)7., FloridaSgtuDb. -
Nome; Phone Number:
Address
In addition. Owner dentgrpites - - of
to receive a copy of the Llenoes Notice as provided In Section 713.13(t)(b), Florida Statutes. Phone number.
g. F-vInWon Date of NoUcb of Commarcernerq (Thor exlptration is 1 yebr from date of recording unities a dNe rent date Is specNbd) _
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE -EXPIRATION OF THE NOTICE OF GO,MMENCEMENT 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 NQTICE OF -COMMENCEMENT.
91,dW.— Srpnwal gwarcat raVc` tnMPlnt,ead nMUOnoH - .
AiMUM1maOffrMAror?oriPrtrarrtAa.epe, - - -
State of e: n, r ;) ri County of ' /i^ h: %
The foregoing Irutrumo ttwasyAhowlodgod baforems. lets Gy" l dayoi
MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2015140331 BK 8605 P9 0938: (1p9) E-RECORDED 12/29/2015 09:23:41 AM
10.00
TADLOCI
ROOFING
When Trust Counts:
Lim CCC13211417
168 ROSE HILL TRAIL
SANFORD, FL 32773
INCLUDED COMPONENTS
Synthetic secondary water
barrier installed directly
to roof deck.
We will also perform the following services when the box is marked:
0 Remove and discard one layer of shingles and underlayment
m Prepare and re -nail decking to meet Florida Building Code requirements
Q1 Replace existing off -ridge vents
tD Provide & Install ndw chimney flashing
7J Provide & Install new 6" factory painted eaves drip
Provide & Install new boots and exhaust vents
m Clean and remove all job related debris to registered landfill
I
CODE MINIMUM
SHINGLE PROPOSAL
Date: C12/2/2=015,
Rotten wood replaced at $3.00 additional per sf or If where applicable; will be
listed on inVotce at job completion
TITANIUM UNDEHI AYNIENT INCt UDED ON ENTIRE ROOF
WE WILL PERFORM THIS SCOPE OF WORK PER LOCAL CODES AND MFG SPECIFICATIONS FOR THE BASE PRICE OR
q, 169.00
Payment Terms:°Balance due upon substantial completion. CREDIT CARD OPTIONS AVAILABLE UPON REQUESTI,
ADDITIONAL OPTIONS vvvvvvvvvvvvvvvv UPGRADE
to OC DURATION TruDefinition Arch Shingles ..................... add $ 734 UPGRADE
to OC Weatherlock Mat self -adhered underlayment......... Add $ 656 PROVIDE &
INSTALL59 If of Owens Corning Ventsure Ridge Vent add $ 143 OPTION
OPTION _
add $ a'-,
N111>wA113t1 *%Nllti%1( TOTAL
WITH ADDITIONAL OPTIONS Fn+
atgriakle erenteerl to be ass I manlitest Wy al extra
costs, will be executed upon written or verbal orders, and will become an extra charge over and above the estimate. All agreements are contingent upon accidents or delays beyond our control,
This proposal subject to accoptance within 30 do)1;end is void thereafter at the option of the Dele TodlocKRddftrilf, Inc. ACCEPTANCE
OF PROPOSAL: With my signature below, I hereby accept this proposal and authorize Dale Tedleek Roofing, Inc. to do the work as described in this proposal. I have read and agree
to the Terms and Conditions on thig document or attached. Should payment not be received upon substantial completion of the job, then Inteiestshall accrue at L5% per month and should
Oils account be ra(ened to attorney for collection, 1 will be responsible for OiBlr.fees. Date:
Authorized
Owner/Agent 855.
964.7663 1 www.WhenTrustCounts.com 000001000
I f L,il hRi lAfl'IfiCA rrCGl lo«+IIII AFflpll l't I LIIaIY II iiW'11 1
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. ISSUE DATE:
CONTRACTOR:
JOB ADDRESS:
TYPE OF WORK:
v8 P &sc h;
Post this Permit in a conspicuous place outside
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
PROTECT FROM WEATHER
A R OOF DR Y-IN INSPECTION IS REQ UIRED * * *
For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued.
The Mitigation Affidavit 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
i1A I.W f !'IR'b RTiI 111W1rr IW
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
III Ior r"P ..11N 111 myli 1 Lf I' IfI 1" 1. 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 . . . . . 16-00000227 Date 1/11/16 Property
Address . . . . . . 168 ROSE HILL TRL Parcel
Number . . . . . . . . 18.20.31.503-0000-0350 Application
description . . . ROOFING APPLICATION Subdivision
Name . . . . . . Property
Zoning . . . . . . . SINGLE FAMILY Permit . . . . . .
RESIDENTIAL ROOFING PERMIT Additional
desc . . Phone
Access Code 925396 Permit
pin number 925396 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 / /
CITY OF SANFORD BUILDING SERVICES
Residential Re -Roof
Hurricane Mitigation Inspection Affidavit
Permit #: I - n `
I, P U ga(/k hereby acknowledge that I personally inspected
o Roof deck nailing and/or%, Secondary water barrier work
at I b RO f W l 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 making 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.
0 0 1 —%— A a rllc
Signature oi Contractor Date'
ba Do, 71di rk CCC,6agu1 Q
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 LW V)
Sworn to (or affirmed) and subscribed before me this 2?.3 day of ram , 20 , by
I;Gu 1-01 Gi.W C, who is i ersonally Known to me or has roduced (type of
identification) as identification.
Signature of Notary Public
Sta orid
Pri t/Type/Stamp Name
of Notary Public
SEAL)
1 JESSICA RUTH SMITH
Commission # FF 917231
Expires September 10, 2019
BODM5-7
1 1.1 1 m wn
T 0A,-D,L CIK-. - - -- - 00F1 GR11e4. Coy -
Permit # 16-227 1,6 0 Rd s£ 7;L
I, ' Q - ",hereby acknowledge that I personally inspected the roof deck nailing AND
secondary water barrier AND dry -in at 168 Rose Hill Trail, Sanford FL and have determined that the
work was done accord"ig to the Florida Building Code, Existing Building section 611.
A_k. X e- 9., 0?01 to
Contractor
v
Date
1113lotip :W"& L 1, 17)
Anted Name of Contractor License #
q!
COUNTY OF t 0
fore me this day of MW 2016 by
ho is personally known or has produced as
JESSICA RUTH SMITH
Commission'# FF91M1
y Expires 36pteinbe 00.2019
I, •.•`:ea+dayti"miF,lrilwmo.eoosesioio
STATE OF FLORIDA
I certify that these 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 performance of his or her official duty shall constitute a misdemeanor of the second degree
pursuant to Section 837.06 FS.
Engineer
gg
Printed Name of Engineer
VN A/
Date
Sy 8 31
License #
STATE OF FLORIDA COUNTY OFF
Sworn to (or affirmed) and subscribed before me this % rl day of. % 2016 by
z '_'e. d /6I gkjg, who is personally known or has produced as
iden if'Cation-
Signa re of Notary ublic
Notary Public State of Florida
Hilda D Gibson
Printed Name QyoV My Commission EE 212728
Expires 09/10/2016
Lic. CCC1328417
1408-3 Capital Circle NE I Tallahassee, FL 32308
850.877.5516 1850.878.0289 Fax
www. When Trust Counts. corn