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HomeMy WebLinkAbout201 E 10 StCITY OF SANFORD i FEB 0 2 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION T, n Application No: I I-- Documented Construction Value: $ (nm Job Address: 2pI 9 ioMA sT Historic District: Yes No Parcel ID: L6' [q -'b C)'16 G - P-©aZ' 0 0 C Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: Ckt&A5 ( S a= Plan Review Contact Person: Phone: Name 5 CO_FT M 1_ So H Fax: Street: City, State Zip.'r..7.1.n Title: Email: Property Owner Information Phone: T39 --16 a Resident of property? : 1 C LoTti 57 au"p Contractor Information Name 'P10 n ell _5' i C Phone: (/n 7 Street: -Po _66X ` (50 Z 21 Fax: City, State Zip: C*G . 32 ? State License No.: f;C G 32 9,0 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: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application a T NOTICE: In addition to the requirements of this permit, there may be additional restrictiops 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 Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 19 ure of Contractor/Agent Date Print Contractor/Agent's Name MY coSIO 8 FF 178648 EXPIRES: Februa Y 25, 209 ThruDbiar/ Pubic Under4ters BondedContractor/ Agent is Personallv Known to Me or Produced ID Type of ID L (f a,/- 7/a-/ 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: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: N II2'Z4 UTILITIES: ENGINEERING: COMMENTS: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application t LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 2- - l ii 0 l 6 I hereby name and appoint: E1) t i O 1 i67r-' an agent of - LL CCU Name of Company) 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): The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: ti k`- State License Number: ('LC O Signature of License Holder: STATE OF FLORIDA COUNTY OF S.evvt,pl--e The foregoing instrument was acknowledged before me this _day of , 200t(7 , by ao-v,eA QA:k-e who is personally known to me or who has produced identification and who did (did not) take an oath. Signature Notary Seal) `7 1 7 L(WZ- Print or type name Notary Public - State of I--0Vfj a DEYSI CRUZ s Notary Public - State of Florida Commission No. E'jF I g 2 1 2 My Comm. Expires Mar 25, zo1 s My Commission Expires: k a S - zv l Commission # EE 182612 Rev. 08.12) as THIS INST U MAENTPR'ARED BY: Name: AAc J_+ Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: uurh. s` rP6 i' DEYSI CRUZ Notary Public - State of Florida y ' My Comm. Expires Mar 25, 2016 o .•' Commission # EE 162612 Parcel ID Number: S= L ct -30 cs-)-o ' 60 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. OF DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION: n Address: Ito W CS Fee Simple Title Holder (if other than owner) CONTRA TOR: {{ Name: Address: the property and street address if Z— Eta collGt Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: 3- 1t 1_= HrP03> Z Ct% rn c, CI. 1-10) iII c, m Ct. W rn t m rr, LT' H Ln 0 r- 3 n w 1 0 apt ,. , z IJJ 4 J0 r— h •; rn 7T: 7 Ftt L. n rl C71 U1 r- nAddress: r In addition to himself, Owner Designates of u. N To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. ,Y Expiration Date of Notice of Commencement (The expiration date 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 rjury, I d clare that I have read the foregoing and that the facts stated in it are true to the best of m nowled an elief. Owners Signature Owner s Printed Neme o Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else maybe permitted to sign in his or her stead." State of Yf _ County The foregoing Instrument was acknowledged before me this _ day of L'i , 20 by f-XaVA— 2L)a ILCLSO n Who is personally known'to me Name of person making statement 1 —1 T' t1 9 OR who has produced identification J type of identification produced: 1 1 . r L-4 +00 n, ue(,' RYP`DEYSI CRUZ Notary Public - State of Florida Notary Signature f • o c My Comm. Expires Mar 25 2016 Fo ... Commission r: t Roofing Pioneers LLC of°P.0 Box 180972 Casselberry FL 32718 Lc Phone # 407-756-7444 roofingpioneersllc@gmail.com Scott Mason 201 E 10th St. Sanford FL 201 E. 10th St. Sanford Estimate Date Estimate # Project Pull all applicable permits and schedule all inspections with the county building department. 4,600.00 Remove 1 layer of existing roof system, including underlayment, vent system and drip edge and install new roof shingle architect (color choice) Inspect existing sheathing, replace all damaged sheathing and re nail to current Florida building code. We will inform owner about any damaged wood. Wood work is not included in estimate price, If Fascia needs to be replaced it will be at $7 per lineal foot, and plywood will be $45 ea. (Labor and material) NOTE: We will need 50% as downpayment previous job commencement. If there is any extra layer of roofing it will be $15 dollars extra per each. Removal of all solar panels and related piping will be responsibility of the owner as well as satellite dish. Job will be cleaned on a daily basis. Wood work if done is only in roof structure. Dumpster fee is included in estimate. 5 years workmanship warranty NoFkiriansliip=warranty._ shingles warranty. _ _ s .. " TOta I _ _ _- ^ $4 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: Ed Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). C" 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. M/ 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). Cd/ Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). 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, andfederal code requirements. Rs CERTIFICATE OF APPROPRIATENESS HISTORIC PRESERVATION BOARD CITY OF SANFORD 300 S. Park Avenue Sanford, Florida 32771 407.688.5145 * www.sanfordfl.gov/HP THIS DOCUMENT MUST BE POSTED AT ALL TIMES UNTIL PROJECT IS COMPLETED. ISSUED TO: DATE ISSUED: Scott Mason February 1, 2016 for 201 E. 10th Street Sanford, FL 32771 BP#16-129 DATE EXPIRES: August 1, 2016 Approved to reroof structure in comparable color in Architectural Shingles — Timberline Ultra HD - Slate Eileen Hinson, AICP Development Services Manager Please be advised it is the owner and/or agent's responsibility to notify staff of any potential changes from the approved COA that arise and obtain approval prior to commencing the changes. This Certificate of Appropriateness does not constitute final development approval. The applicant is responsible for obtaining all necessary permits and approvals from applicable departments before initiating development. IS A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? DYES NO Building Department Representative CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 16 — 3q5 I, k hereby acknowledge that I personally inspected c"oof deck nailing and/or Secondary water barrier work at GO-( 7E_u s 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. 11_- P boa MLI, 3 S' ature of Contractor Date I x_ `.XIU,- - Ccc_ ( 3 2 Qa 30 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 v,nZv`oVe. Sworn to (or affirmed) and subscribed before me this 3 day of n , 20 I/C , by who is Lersonally Known to me or has Produced (type of Wntification) as identification. l (SEAL) Signature of Notary Public State of Florida 19Q .(o 1.a nwiiiyy DEYSI CHUZ:' ;. Print/Type/Stamp Name = Notary Public - State'of'florida of Notary Public a My Comm. Expires Mar 25, 2016 Commission # EE 182612 gum