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Home My WebLink About1211 Randolph StCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: i%-JgC/C) Documented Construction Value: $ 135(, (2. DO Job Address: I Z I I ��►Y1(jl�1�h ��", Sahh 1d [I 3 Z_ q I Historic District: Yes ❑ No ❑ Parcel ID: 91' Iq -Sl -504' 0200- DDED Residential ® Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: ie /(�('}� , k (4L�- CkA ► low Plan Review Contact Person: Rit)(m6m / Title: ('00001 4ey Phone:: ZP/01110(0 Fax -90:' >6gL16-1� Email:Gild1Wmn roux ry+ #\4:cj.—n Property Owner Information Name Otm es ,i Edr�wwd siva Ay Phone: Street: ZI� � I f c,f)b �2d Resident of property? . .� City, State Zip: -0 INbYlk IPA Iqy to Contractor Information Name l oLA 1 (MiV✓ G iOh WX Phone:Z IV 6 Street: I I BLA I my A& Fax: q o-) aQ y b:T I n City, State Zip: C&j('Ibty rti State License No.: L 5 :T(C:� 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. 1 understand that a separate permit roust be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, healers, 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 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 donon comVhance with all applicable laws regulating construction and zoning. Signature o r/Agent Print Owner/Agent's Name , Date Signature of Connector/Agent Date PriMred(ftir-yffit. s e 5Date Sigc of Florida Date Owner/Agent is Personally Known to Me or Produced I D &,7'— Type of ID Permits Required: Construction Total Sq Ft of ELOW IS FO LINDA CAROLINA RUA NOTARY PUBLIC. STATE OF FLORIDA COMMISSION # EE208820 EXPIRES 6/17/2016 BONDED THRU 1•e8E•NOTARY/ Contractor/Agent isy Personally Known to Me or Produced ID Type of fD Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric l- # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes APPROVALS: ZONING: COMMENTS: No ❑ # of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: o—•:.�• t.,..e an int I Permit Application LINZOLA TURNER, JR. Notary Public, Stats of Florida Commissiontl FF 167530 My comm: expires Nov. 17.2018 Date Signature of Connector/Agent Date PriMred(ftir-yffit. s e 5Date Sigc of Florida Date Owner/Agent is Personally Known to Me or Produced I D &,7'— Type of ID Permits Required: Construction Total Sq Ft of ELOW IS FO LINDA CAROLINA RUA NOTARY PUBLIC. STATE OF FLORIDA COMMISSION # EE208820 EXPIRES 6/17/2016 BONDED THRU 1•e8E•NOTARY/ Contractor/Agent isy Personally Known to Me or Produced ID Type of fD Electrical ❑ Mechanical ❑ Plumbing[] Gas[] Roof ❑ Occupancy Use: Flood Zone: Min. Occupancy Load: # of Stories: New Construction: Electric l- # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes APPROVALS: ZONING: COMMENTS: No ❑ # of Heads UTILITIES: FIRE: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: o—•:.�• t.,..e an int I Permit Application Q MM, CARIBBEAN &CONSTRUCTION INC. CARIBBEAN ROOFING & CONSTRUCTION INC. 1184 Laura St. Casselberry, FL. 32707 NO. 567 LIC #CCC1329576 Office: 407.269.8552 Cell. 321.961.2106 Fax: 407.369.4671 E -Mail: CaribbeanRoof®gmail.com www.CaribbeanRoofinginc.com MIIIIIIIIIIII Fee Proposal Owner: Lm,1V-tX Roof Type: W, , nQ Phone: *7 f % l �� 6 Job Location: z�;c Email: Proposal Prepared by: Billing Address: �e Date of Proposal: City, State: Job Start: Job Finished: Zip Code: A. W Story: Pitch: 'ate 12, Stupe ut Work: We ere by submit this specifications and fee proposal as outlined bel9w rA 0 All woodwork will be done at an additional fee. $ G Per Plywood andS (O ::7Per wood lx or 2x pp Our estintate fecc include building permit fees, dumpster fees and sales tax 5h t�ie hof, S ne,fi Ori l Workmanship Guarantee: ( 57 ) years Manufacturer's Guarantee: (30) years Shingles $ 1�2co Fees: We propose to furnish labor and materials complete in compliance with the above specifications for he sum of: (S It Pavmems to Contractor. Retainer/Deposit: $ Balance Due Upon Completion: $ All materials are guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration deviation from the above specifications is considered extras over and above the original estimate. ote: This proposal may be withdrawn by us if not accepted wi in 15 days. ACCEPTANCE OPOSA 77te a v®rice,cifrcations and conditions are satisfactory and arc hercby accepted. You are authorized to d k as specif . Mature: Name: (; Date: 5` Name: Date: I Na ;NUMEN Address: r MARYANNE MORSE► SEMINOLE COUNTY CLI'RI.pOF CIRCUIT COURT & COMPTROLLER LI' 3481 Pp !i'c :1. est NOTICE OF COM MENCEMEfN'T CLERK"S T 2016049936 RECORDED 05/13/2016 12:30:3'; PM State of Florida RECORDING FEES $10.00 County of Seminole RECORDED BY hdpvorn Permit Number: _ Parcel ID Number. ; -504 -0700-0n( o The undersigned hereby gives notice that improvement will be made to certain real properly, and in accordance with Chapter 713, Florida Statutes, the following Information Is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: ( egal description of the properly, and street address if available) ► AFa Lot b i�il )v 1- [KSS S f � �U✓ %,►ttA) C3t,ic Z, GENERAL DESCRIPTION OF IMPROVEMENT: Fee Simple Title Holder (if other than owner) Name: u t Y1 Address: 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: Address: In addition to himself, Owner Designates of To receive a copy of the Llenofs Notice as Provided In Section 713.13(1)(b), Florida Statutes. 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 perjury, I declare that I have read the foregoing and that the facts stated In it are true to the bes f nowledg a elief. Owners signdlOwners Printed Name �F/IdaStatute 713.13(1)(8):' The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead' State of �C IvC 1 t I The foregoing Instrument was acknowledged before me th / day of 1' ( 2 LV by `✓ 'L G�CI��i►��l �.[' �L �cj Who is personally known to me ❑ Name of person making statement ((�� ' OR who has produced identification type of Identification producedQk 1 I tot? ►S V u g w COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL JENNIFER VALENTIN, Notary Public Lower Salford Township, Montgomery County f Notary Signature ` My Commtsston Expires April 10, 2019 t I . 7 W T- 1=1 C-4 co Test oc U. 4 8 z N m City of Sanford Roof Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each box to the le/ft or indicate n/a on this submittal. A complete application package shall include the following: fel Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel J.D. number. Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). O 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. 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). O 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, and federal code requirements. PERMIT NO. CONTRACTOR: JOB ADDRESS: TYPE OF WORK: City of Sanford Building & Fire Prevention Division Re -Roof Permit Card ISSUE DATE: Offe / 9?. / (P Q�ndo LOA • Post this Permit in a conspicuous place outside 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 aDDroved insDection * * * A ROOF DR Y -IN INSPECTION IS REQUIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Miti atg ion Affidavit will not since as an alternative to receiving a dry -in inspection. ROOF INSPF_CTION TYPE APPROVF,D RFJECTF,D INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVED RFJECTFD 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 REOUIRED 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: • Dial 855.541.2112 • 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 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 . . . . . 16-00001440 Date 5/18/16 Property Address . . . . . . 1211 RANDOLPH ST Parcel Number . . . . . . . . 33..19.31.504-0200-0060 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . BEL -AIR Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 939793 Permit pin number 939793 ---------------------------------------------------------------------------- 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 #: lb—)H40 I, A lty"4 oS 'Ack4i; 1 m ( hereby acknowledge that I personally inspected 2(Roof deck nailing and/or aecondary water barrier work i S01(*Id V � 3Z3 �) and have determined that the work at ILII ft)d(*-h (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. Signa o Contractor Dat Ar\40fA0SAM'�-Iry1a1 �bS Ccc (, ZaS-% Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential -ARoofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF 5ory 1 in0je, M o r aff m d) and subscribed before me this f�_ day of 1 , 201 , by lfoJETQ442tS , who is*ersonally Known to me or has 0 Produced (type of ident a MAY It as identification. (SEAL) Sien —WofNutarn Public Print/Type/Stamp Name of Notary Public LINDA CAROLINA RUA NOTARY PUBLIC • STATE OF FLORIDA COMMISSION # EE208820 EXPIRES 6/17/2016 BONDED TNRUI-0S6NOTARYI qr 3